ICPC-2 roadmap in Greece ICPC-2 roadmap in Greece and a greek EPR based on and a greek EPR based on

ICPC/ICD10/ATCICPC/ICD10/ATC

Dimitris KounalakisDimitris KounalakisWICC memberWICC member

History of classifications in GreeceHistory of classifications in Greece

ICHPPC-2 Defined in Spili, CreteICHPPC-2 Defined in Spili, Crete

ICPC-1 in Thessaloniki & CreteICPC-1 in Thessaloniki & Crete

ICD-9 (Hospitals, PHCCs, etc)ICD-9 (Hospitals, PHCCs, etc)

ATCATC

ICPC-2 / ICD10 in CreteICPC-2 / ICD10 in Crete

Why ICPC-2 ?Why ICPC-2 ?

It is clinically relevant to primary careIt is clinically relevant to primary care– Supports the uncertainty inherent in primary care.Supports the uncertainty inherent in primary care.– Deals with the temporal evolution of clinical problems.Deals with the temporal evolution of clinical problems.– Small number of codes Small number of codes – Only symptoms & diagnosis found in primary careOnly symptoms & diagnosis found in primary care

ClassificationClassification– Inclusion/exclusion criteriaInclusion/exclusion criteria

Supports mapping to ICD10 Supports mapping to ICD10 – facilitates all aspects of clinical practice and facilitates all aspects of clinical practice and

administration.administration.– Allows the use of ICD-10 in real-lifeAllows the use of ICD-10 in real-life

ICPC-2 Translation: MethodsICPC-2 Translation: Methods

Bilingual translator, use existing translated Bilingual translator, use existing translated nomenclature which is widely accepted.nomenclature which is widely accepted.– Translated NHI MeSH in Greek LanguageTranslated NHI MeSH in Greek Language– ICD-9 Greek translationICD-9 Greek translation

Pilot study to use it and evaluate it for the Pilot study to use it and evaluate it for the greek primary care setting.greek primary care setting.

Identify Greece’s needs for future ICPC Identify Greece’s needs for future ICPC versionsversions

ICPC translation: ProblemsICPC translation: Problems

Most english words can be translated in more Most english words can be translated in more than one greek words. Which is the correct? than one greek words. Which is the correct? – pain => pain => πόνος, άλγοςπόνος, άλγος– Pregnancy => Pregnancy => εγκυμοσύνη, κύησηεγκυμοσύνη, κύηση

Exact translation -> words with different meaning Exact translation -> words with different meaning in every day's lifein every day's life– urine test => [test = urine test => [test = δοκιμήδοκιμή] <= ] <= εξέταση ούρωνεξέταση ούρων– Clinical examination => [examination = Clinical examination => [examination = εξέτασηεξέταση]]

<<== κλινική εξέταση κλινική εξέταση

Gold standards do not agreeGold standards do not agree– Greek ICD9 ≠ Greek translation of NHI MeSHGreek ICD9 ≠ Greek translation of NHI MeSH

ICPC today & futureICPC today & future

ICPC is proposed as the classification in ICPC is proposed as the classification in primary care (Greek ministry of Health)primary care (Greek ministry of Health)

ICPC license: free for research onlyICPC license: free for research only

EPRs with ICPC in Greece ???EPRs with ICPC in Greece ???

Transhis for WindowsTranshis for Windows

Based on transhis [Transitie Project] Based on transhis [Transitie Project] University of Amsterdam [Prof Henk Lamberts]University of Amsterdam [Prof Henk Lamberts]

ICPC-2 / ICD10 / ATC classificationsICPC-2 / ICD10 / ATC classifications

MS Windows / MySQL database / (Delphi)MS Windows / MySQL database / (Delphi)

Works in a standalone PC or Central archive in network Works in a standalone PC or Central archive in network with password authenticationwith password authentication

Use of key shortcuts and mouse for navigationUse of key shortcuts and mouse for navigation

Use of a minimal dataset with user customized formsUse of a minimal dataset with user customized forms

Info for the doctor / reminders / drug infoInfo for the doctor / reminders / drug info

Export of dataExport of dataDeveloping an Appropriate EPR System for the Greek Primary Care Setting, Developing an Appropriate EPR System for the Greek Primary Care Setting,

D. Kounalakis, C Lionis, I Okkes, H Lamberts, Journal of Medical Systems, June 2003D. Kounalakis, C Lionis, I Okkes, H Lamberts, Journal of Medical Systems, June 2003

Transhis: Current statusTranshis: Current status

Continuous additions and Continuous additions and updates updates

Diagnosis support info Diagnosis support info

More functionsMore functions

More customized formsMore customized forms

On-the-job training toolOn-the-job training tool