What is a Referral (Medicine)?

Introduction

In medicine, referral is the transfer of care for a patient from one clinician or clinic to another by request.

Refer to Classification of Pharmaco-Therapeutic Referrals and International Classification of Primary Care.

Other Examples

  • Tertiary care is usually done by referral from primary or secondary medical care personnel.
  • In the field of sexually transmitted diseases (STDs), referral also means the informing of a partner of a patient diagnosed STD of the potential exposure.
  • Patient referral is where patients directly inform their partners of their exposure to infection.
  • An alternative is provider referral, where trained health department personnel locate partners on the basis of the names, descriptions, and addresses provided by the patient to inform the partner.

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What is ICPC-2 Plus?

Introduction

ICPC-2 PLUS is an extended terminology classified to ICPC-2 (International Classification of Primary Care), which aids data entry, retrieval and analysis.

Background

ICPC-2 PLUS takes into account the frequency distribution of problems seen in primary health care. It allows for the classification of the patient’s reason for encounter (RFE), the problems/diagnosis managed, primary care interventions, and the ordering of the data of the primary care session in an episode of care structure.

ICPC-2 PLUS provides a list of possible terms matching a keyword (or start of a keyword) entered by the user. The user then selects the most appropriate term. Each term is already classified to ICPC-2 rubrics and a system of additional groupers that may include terms from multiple ICPC-2 rubrics.

Each term has one or more keywords linked to it which may include abbreviations, synonyms, generics or specifics. The keyword searching is thus much broader, faster and better controlled than text mining of free text and labels. Instead of guessing what the physician meant by a term (in free text) prior to classification, the physician is actually prompted with a small list of terms to select from which are already classified.

The product also includes a “natural language” label for each term which can be used for reports and letters.

Note: The PLUS extension mentioned here is not part of the ICPC-2 standard. The World Organisation of Family Doctors (WONCA) and the WONCA International Classification Committee (WICC) have no control over it although they do have control over the ICPC classification which the PLUS extension makes use of. It is similar to the difference between a car and fuel.

Brief History

ICPC-2 PLUS was the successor to ‘ICPC PLUS’ and were both designed by the Family Medicine Research Centre(FMRC) for use in Australia. ICPC 2 PLUS responsibility was transferred to the NCCH in July 2016 which continues to update and support ICPC-2 PLUS.

ICPC is being developed by the WONCA International Classification Committee (WICC), and the first version was published as ICPC-1 in 1987 by Oxford University Press (OUP), and a revision and inclusion of criteria and definitions, was published in 1998 as ICPC-2.

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What is the International Classification of Primary Care?

Introduction

The International Classification of Primary Care (ICPC) is a classification method for primary care encounters. It allows for the classification of the patient’s reason for encounter (RFE), the problems/diagnosis managed, primary or general health care interventions, and the ordering of the data of the primary care session in an episode of care structure.

Refer to ICPC-2 Plus.

It was developed by the WONCA International Classification Committee (WICC), and was first published in 1987 by Oxford University Press (OUP). A revision and inclusion of criteria and definitions was published in 1998. The second revision was accepted within the World Health Organisation’s (WHO) Family of International Classifications.

The classification was developed in a context of increasing demand for quality information on primary care as part of growing worldwide attention to global primary health care objectives, including the WHO’s target of “health for all”.

Brief History

The first version of ICPC, which was published in 1987, is referred to as ICPC-1. A subsequent revision which was published in the 1993 publication The International Classification of Primary Care in the European Community: With a Multi-Language Layer is known as ICPC-E.

The 1998 publication, of version 2, is referred to as ICPC-2. The acronym ICPC-2-E, refers to a revised electronic version, which was released in 2000. Subsequent revisions of ICPC-2 are also labelled with a release date.

Refer to ICPC-2 Plus.

Structure

Chapters

The ICPC contains 17 chapters:

  • A General and unspecified.
  • B Blood, blood forming organs, lymphatics, spleen.
  • D Digestive.
  • F Eye.
  • H Ear.
  • K Circulatory.
  • L Musculoskeletal.
  • N Neurological.
  • P Psychological.
  • R Respiratory.
  • S Skin.
  • T Endocrine, metabolic and nutritional.
  • U Urology.
  • W Pregnancy, childbirth, family planning.
  • X Female genital system and breast.
  • Y Male genital system.
  • Z Social problems.

Components

The ICPC classification, within each chapter, is based on 3 components coming from 3 different classifications:

  • Reason for Encounter Classification (1981).
  • International Classification of Process in Primary Care (IC-Process-PC) (1985).
  • International Classification of Health Problem in Primary Care (ICHPPC-2-d) (1976, 1983).

This page is based on the copyrighted Wikipedia article < https://en.wikipedia.org/wiki/International_Classification_of_Primary_Care >; it is used under the Creative Commons Attribution-ShareAlike 3.0 Unported License (CC-BY-SA). You may redistribute it, verbatim or modified, providing that you comply with the terms of the CC-BY-SA.