Interface Terminologies: A Case Study on the International Classification of Primary Care

Authors: Laurent Letrilliart, Anne-Katty Bacis, François Mennerat, Cyrille Colin

Abstract:

The International Classification of Primary Care (ICPC), which belongs to the WHO Family of International Classifications (WHO-FIC), has a low granularity, which is convenient for describing general medical practice. However, its lack of specificity makes it useful to be used along with an interface terminology. An international survey has been performed, using a questionnaire sent by email to experts from 25 countries, in order to describe the terminologies interfacing with ICPC. Eleven interface terminologies have been identified, developed in Argentina, Australia, Belgium (2), Canada, Denmark, France, Germany, Norway, South Africa, and The Netherlands. Globally, these systems have been poorly assessed until now.

Keywords: Terminology, controlled vocabulary, thesaurus, classification, International Classification of Primary Care.

Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1070025

References:

[1] WHO, Derived and related classifications in the WHO-FIC (Online). Available: http://www.who.int/classifications/related/en/index.html.
[2] Wonca International Classification Committee, ICPC-2: International Classification of Primary Care, 2nd ed. New York: Oxford University Press, 1998.
[3] S. de Lusignan, C. Minmagh, J. Kennedy, M. Zeimet, H. Bommezijn, and J. Bryant, "A survey to identify the clinical coding and classification systems currently in use across Europe," Medinfo, 2001. 10(Pt 1): pp. 86-9.
[4] S. K. Nachimuthu and L.M. Lau, "Practical issues in using SNOMED CT as a reference terminology," Stud Health Technol Inform, 2007. 129(Pt 1): pp. 640-4.
[5] S. de Lusignan, "The optimum granularity for coding diagnostic data in primary care: report of a workshop of the EFMI Primary Care Informatics Working Group at MIE 2005," Inform Prim Care, 2006. 14(2): pp. 133-7.
[6] M. Wood, H. Lamberts, J. S. Meijer, and I. M. Hofmans-Okkes, "The conversion between ICPC and ICD-10. Requirements for a family of classification systems in the next decade," Fam Pract, 1992. 9(3): pp. 340-8.
[7] L. Letrilliart, B. Gelas-Dore, Ortolan, and C. Colin, "Prometheus: the implementation of clinical coding schemes in French routine general practice," Inform Prim Care, 2006. 14(3): pp. 157-65.
[8] A. Rector, "Terminology, codes and classifications in perspective: the challenge of re-use," Br J Healthcare Comput Info Manage, 2000. 17(2): pp. 20-3.
[9] S. T. Rosenbloom, R. A.Miller, K. B. Johnson, P. L. Elkin, and S. H. Brown, "Interface terminologies: facilitating direct entry of clinical data into electronic health record systems," J Am Med Inform Assoc, 2006. 13(3): pp. 277-88.
[10] H. Britt. and G. Miller, "A critical review of the Final Report of the General Practice Coding Jury," 2000, Family Medicine Research Centre, University of Sydney, Australia. pp. 1-24.
[11] S. de Lusignan, "Codes, classifications, terminologies and nomenclatures: definition, development and application in practice," Inform Prim Care, 2005. 13(1): pp. 65-70.
[12] M. Jamoulle, "Des chercheurs au service de la médecine de famille,". Prim Care, 2008. 8(17): pp. 61-2.
[13] J. K. Soler, I. Okkes, M. Wood, and H. Lamberts, "The coming of age of ICPC: celebrating the 21st birthday of the International Classification of Primary Care," Fam Pract, 2008. 25(4): pp. 312-7.
[14] N. F. de Keizer, A. Abu-Hanna, and J.H. Zwetsloot-Schonk, "Understanding terminological systems. I: Terminology and typology," Methods Inf Med, 2000. 39(1): p. 16-21.
[15] R. M. Kamadjeu, E. M. Tapang, and R. N. Moluh, "Designing and implementing an electronic health record system in primary care practice in sub-Saharan Africa: a case study from Cameroon," Inform Prim Care, 2005. 13(3): pp. 179-86.
[16] M. De Jonghe, M. Jamoulle, and D. Porignon, "
[Use and evaluation of the Belgian 3BT thesaurus adapted for Rwanda]," Rev Med Brux, 2006. 27(4): pp. S274-8.
[17] G. Miller, and H. Britt, "ICPC-2-E: the electronic version ICPC-2," Fam Pract, 2000. 17(5): pp. 448.
[18] Y. Wang, J. Patrick, G. Miller, and J. O'Hallaran, "A computational linguistics motivated mapping of ICPC-2 PLUS to SNOMED CT," BMC Med Inform Decis Mak, 2008. 8 Suppl 1: pp. S5.
[19] J. O'Haloran, G. Miller, and H. Britt, "SNOMED CT and its future introduction in Australian general practice," presented at the 2008 WONCA Asia Pacific Regional Conference, Melbourne.
[20] J. J. Cimino, "Desiderata for controlled medical vocabularies in the twenty-first century," Methods Inf Med, 1998. 37(4-5): pp. 394-403.
[21] P. L. Elkin, S. H. Brown, C. S. Husser, B. A. Bauer, D. Wahner- Roedler, S. T. Rosenbloom, and T. Speroff, "Evaluation of the content coverage of SNOMED CT: ability of SNOMED clinical terms to represent clinical problem lists," Mayo Clin Proc, 2006. 81(6): pp. 741- 8.
[22] T. W. Tai, S. Anandarajah, N. Dhoul, and S. de Lusignan, "Variation in clinical coding lists in UK general practice: a barrier to consistent data entry?" Inform Prim Care, 2007. 15(3): pp. 143-50.
[23] E. Falko, "International Classification of Primary Care converted to ICD-10: Extended Danish ICPC," in Medical Informatics Europe '96. 1996: IOS Press.
[24] H. Britt, "A new coding tool for computerised clinical systems in primary care--ICPC plus," Aust Fam Physician, 1997. 26 Suppl 2: pp. S79-82.
[25] J. S. Cridland and S. Koonin, "Use of traditional medicines--towards a classification," S Afr Med J, 2001. 91(6): pp. 489-91.
[26] R. M. Bernstein, G.R. Hollingworth, G. Viner, and P. Miller, "A method of assessment of reliability of coding clinical terms to ICD-10 and ICPC using ENCODE-FM®," J Inform Prim Care, 2000. February: pp. 12-5.