INTERNATIONALCLASSIFICATIONOF PRIMARY CARE课件.pptVIP

INTERNATIONAL CLASSIFICATION OF PRIMARY CARE(ICPC) NOTE This ICPC Tutorial has been developed by Henk Lamberts and Inge Okkes. We have used some slides/ideas from presentations by Dr. Bob Bernstein (University of Ottawa, Canada), and Dr.Jean Karl Soler (Attard, Malta). It is recommended to view the Tutorial in the presentation mode. 1. GENERAL INTRODUCTION ICPC orders the domain of primary care (family medicine)… .. and allows the coding of encounters in an episode of care structure An encounter - the professional interchange between patient and FP - is, in ICPC, characterized by three elements… 1. patient’s reason(s) for encounter (RFE): why has s/he come?2. FP’s diagnosis/es: what’s the patient’s problem?3. process: what is done? At an encounter, more than 1 episode of care may be dealt with, e.g. diabetes and hypertension… ..in such a case, diabetes and hypertension are the two sub-encounters in that encounter An episode of care can be dealt with in a single encounter, or extend over a long period of time, with any number of encounters EPISODE OF CARE EPISODE OF CARE Episode of care, example ICPC structure bi-axial one axis: 17 chapters with an alpha code based on body systems/problem areas second axis: 7 identical components, with rubrics bearing a two-digit numeric code ICPC CHAPTERS A General and unspecified B Blood/bloodforming organs, lymphatics (spleen, bone marrow) D Digestive F Eye (Focal) H Ear (Hearing) K Circulatory L Musculoskeletal (Locomotion) N Neurological P Psychological R Respiratory S Skin T Endocrine, metabolic and nutritional (Thyroid) U Urological W Pregnancy, child bearing, family planning (Women) X Female genital (X-chromosome) Y Male genital (Y-chromosome) Z Social problems ICPC COMPONENTS(standard, if possible, for all chapters) Symptoms and complaints 1-29 Diagnostic and preventive procedures 30-49 Treatment procedures,