Goal of the Field Test – Coding Fun!

The goal of Coding Fun is twofold:

  • To assess if codes and terms can easily be found in the ICPC-3
  • To assess how precise the selected codes and terms represent the term or concept of the search

The terms and phrases that are used for the testing of the content of ICPC-3 have been derived at random from patient records, and represent what is reported on a daily basis by health professionals.

Expected time required for one search is about 1 minute per term or phrase. You can try to code as many terms or phrases as you like. The more you try to code, the more fun you will experience, and at the same time increase your understanding of ICPC-3.

For the serious Fun Coders there is also a reward, depending on what your own Country or Institute can offer you. In some countries you can earn accreditation point, up to 2 points per person, which compares to 2 hours of coding.

For Countries that do not work with accreditation points, we will offer Certificates if you code at least 100 terms or phrases.

You do not need to code all terms or phrases in one go. The Application keeps count of your progress, and will remember you within a two-week period. After this periode you will need to logon again with your username and password, so please remember both, or let the computer remember them for you!

After the Field Test periode, the application will be available for improving your skills on coding in ICPC-3!

Have Fun!

The ICPC-3 is open for testing until November 15 2020 – 2 weeks more Fun!

ICPC-3 Field Testing instructions:

  • Please, register your Field Test account. You are asked to provide your email address, full name, occupation and country.
  • After registering you will receive an e-mail to activate your account, where you can choose a password. After accepting the Privacy Statement and selecting ‘Submit’, a screen with ‘login to app’ will appear.
  • Login with your account name (e-mail address) and password.
  • The ICPC-3 App is implemented as a Progressive Web Application and can be installed (like any app) on your home screen. Depending on your operating system (Android, Windows or iOS) and web browser an Install button may appear, which can be used to install the app.
  • In case, the Install button is not visible, the app can be installed by using the option ‘Install to home screen’ (or similar) in the menu of the browser.
  • Your account (name and password) can also be used on the ICPC-3 online browser.

BUT! before moving to the Coding Fun! via the ICPC-3 Browser website: Please read this information on ICPC-3 first. It will support the understanding of how ICPC-3 is composed, which is required to assign a phrase or expression to the correct classes within ICPC-3.

There are also instruction video’s on the ICPC-3 Introduction and the Coding Fun.

Introduction to ICPC-3: https://youtu.be/lcTl3HllwmM

Introduction Coding Fun!: https://youtu.be/LzlQBz9i1uw

Introduction on Functioning: https://youtu.be/AelPFnDp88M

Introduction on Chapter A1: https://youtu.be/YfZPDJMBNPM

Introduction on Chapters A – W: https://youtu.be/9-mC388UUk8

Introduction on ICPC-3

ICPC-3 is a classification tailored to Primary Health Care using primary care concepts based on the frequency of use of these concepts in daily practice and linked to other classifications (including ICD-11, ICD-10, ICF, ICHI and Snomed-CT). ICPC-3 is divided into 19 chapters.

There are four chapters for:

  • reasons for visit, such as prevention, family planning, general examination, etc. – Chapter A1
  • social problems – Chapter Z
  • interventions – Chapter I
  • functioning and functioning related issues – Chapter II

The possibility to capture prevention and family planning, social problems, examination and policy making (interventions) and information about activities and participation is a prerequisite to understand what happens in primary care from a patient perspective point of view.

Fourteen chapters represent the localization of the problem and / or disease on a body or body-system level, the Chapters B to W. Each Chapter is subdivided into two Components: S for Complaints and Symptoms, and D for Diagnoses and Diseases.

One Chapter – Chapter A has the same subdivision. This Chapters has the same Components as the Body Chapters. In this Chapter A – General symptoms, complaints and abnormal findings and General diagnoses and diseases) the Complaints and Diagnoses are classified which cannot be classified to only one or more than two body systems. E.g. fatigue AS04, and fever AS03 can be attributed to almost all body system Diseases. This makes it easy to use for healthcare providers.

In addition to the 19 chapters that belong to the core of the classification, there are three additional chapters:

  • a chapter with regional extensions, codes based on the frequency of classes in national and regional primary care registrations – Chapter III,
  • a chapter with codes for emergency use with epidemiological importance for risk of (national or international) spreading of infections – Chapter IV and,
  • a chapter with extension codes – Chapter V. Extension Codes are provided as supplementary codes or additional positions to give more detail or meaning to the initial code, if so desired. The Extension Codes are not to be used without an initial code.

The choice of classes is based on the framework that combines RFEs with diseases / health problems, participation, activities, functions, interventions / procedures and environmental factors.

Overview of ICPC-3 Chapters

New chapters in more detail

Chapter A1. General/routine examination, family planning, prevention, and other reasons for visit

In some cases a patient has a contact which the provider cannot interpret as a complaint or diagnosis within the other chapters of ICPC-3. This contact is related to first contact, prevention, screening and case finding, certification, family planning or public health promotion. The classes in this chapter, like the organ/system chapters, are meant to define an episode of care (EoC). Interventions carried out in these episodes of care are to be coded with the Intervention Codes in Chapter I – Interventions and Processes, not by using the classes in Chapter A1!

Chapter II Functioning and functioning related

This chapter allows a description of the Functioning and Functioning related aspects of all persons (first and follow-up) contacts with the Health Care system in Primary- and Community Care settings. The Functioning and Functioning Related items are a for Primary Health Care selected subset of items from the WHO-International Classification of Functioning, Disability and Health (ICF), which provide an overview of a person in a person-in-context approach, on a certain moment in time. Where indicated in the references of the classes, a specific set of items is available in the form of self-administered tools for the assessment of functioning (and disability). These sets can be regarded as implementations of ICF within a specific UseCase.

For specific use in Primary Care health settings the Primary Care Functioning Scale (PCFS) has been developed with an intended population-age group 50+ with multimorbidity. Specially within multimorbidity the problems in Functioning is often the more important focus of care. The PCFS needs further testing.

Also for a specific use the “Arrêts de Travail en médecine générale à partir de la Classification Internationale de Fonctionnement” (ATCIF) has been developed for sick leave prescription. In many countries sick-leave prescriptions are frequently used in Primary Health Care/General Practices. Using the ICF for sick-leave prescription, instead of the traditional medical approach, supports and changes the way health professionals and patients communicate in the work-related context.

Finally there is the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) from WHO, which is available at www.psychiatry.org/dsm5.
The WHODAS 2.0 is a general applicable tool for the assessment of difficulties due to health/mental health conditions. This assessment tool is advised to be used for the collection of disability data on adults age 18 years and older.

The questions from these three questionnaires have been renamed with the original class-names they have been derived from and structured into two components, as shown below in Chapter II. These classes are encouraged to be used whenever relevant, as separate items or scored with the complete WHODAS 2.0, the PCFS, or the ATCIF.
If more detail on Functioning and Functioning related aspects is required than within the presented selection of items, the WHO ICF should be consulted.
Access to ICF classification: http://apps.who.int/classifications/icfbrowser/

Component 2F Functioning

Functioning of a person can be defined by the complexity of components such as the physiological functions of body systems (including psychological functions), anatomical features of parts of the body such as organs, limbs and their components and the execution of tasks or actions by an individual as such or the involvement of a person in a life situation.

Physiological functions of body systems (including psychological functions) are referred to as Body Functions (body and body-system level).
Anatomical features of parts of the body such as organs, limbs and their components are referred to as Body Structures (body-level). Not as such classified in ICPC-3. In ICPC-3 anatomical terms are harmonized with the Foundational Model of Anatomy (FMA), like in the ICD-11.

Execution of tasks or actions by an individual are referred to as Activities (person-level).
The involvement of a person in a life situation is referred to as Participation (person-in-social context level.

From the Primary Health Care point of view, Activities and Participation are the core part for shaping a person-centered approach. This means that in ICPC-3 the Activities and Participation Chapter comes first, followed by the Functions Chapter.

Component 2R Functioning related

Functioning related factors describe the context in which functioning takes place, and how functioning is executed. They are made up by the environmental factors the person lives in (the things outside the person) and the personality functions in which one person differs from another person. Personality Functions require the persons own perception and expression of, and as to which extent a personal characteristic plays a role in the context of the persons health.
Personality Functions should only be used if provided by the person her- or himself and with consent for use or re-use. It is not to express the health providers opinion about the person.

Chapter III Regional Extension

The regional Extension codes, provided here, are based on the frequency of classes and codes in national and regional primary care registrations. Also additional classes and codes from the Global Burden of Disease (GBD) list, needed to achieve the addressing of a world-wide coverage of health problems have been included in the Regional Extensions. There are presently Regional extensions for Africa, Europe and South America. Other Regions will be available where needed.
In principle these classes/codes are always a part of the Inclusions of the Core version of ICPC-3, where the 6-digit code is already presented.

Chapter IV Emergency codes

The Emergency codes (EM) are for emergency use with epidemiological importance for risk of (National or International) spreading of infections. The codes are updated and harmonized in accordance with the ICD10 and ICD11 emergency classes, whenever relevant.

Chapter V Extension Codes

Extension Codes are provided as supplementary codes or additional positions to give more detail or meaning to the initial code, if so desired. The Extension Codes are not to be used without an initial code.