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Core Content Classification in General Practice/Family Medicine (3CGP). À New indexing system for General Practice Knowledge management

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Marc Jamoulle ( ETMS Gilly – University of Liege, Belgium) marc.jamoulle@gmail.com

Ariana de Oliveira Tavares (University of Coimbra - Portugal) Susana Medeiros (University of Lisboa - Portugal

Luís Miguel Santiago (University of Coimbra - Portugal) Daniel Knupp (SBMFC Curutiba – Brazil)

Core Content Classification in General Practice/Family

Medicine (3CGP).

A New Indexing System for General Practice

Knowledge Management

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Qualitative analysis of GPs production

• Method : 3CGP = ICPC-2 + Q-Codes

www.hetop.eu

http://3cgp.docpatient.net/publications

• Results : WONCA 2007,

CNGE 2013, CNGE 2014,

SBMFC 2017, Coimbra 2018,

Ongoing projects

• Discussion

Jose de Almada self-portrait. Porto. Museo Soares dos Reis.

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A general/unspecified

B blood/blood forming organs/immune mechanism D digestive F eye H ear K circulatory L musculoskeletal N neurological P psychological R respiratory S skin T endocrine/metabolic/nutritional U urinary system

W pregnancy, childbearing, family planning X female genital system including breast Y male genital system including breast Z social problems ICPC-2 17 chapters + Process Clinical issues 734 concepts 22 languages Q-Codes 8 domains Contextual issues QC patient's category QD doctor's issue QE medical ethics QH planetary health QP patient issue QR research QS structure of practice QT knowledge management Q Q-codes 187 concepts 10 languages 3CGP Process www.hetop.eu

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How?

Thesis in GP/FM Portugal, Coimbra (Data Ariana de Oliveira Tavares)

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Results

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Results

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Results

Number of Master theses elaborated on FMUC, number

of Q-codes and ICPC-2 codes applied in its codification

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Results 0 5 10 15 20 25 30 35 40 A B D F H K L N P R S T U W X Y Z

-Distribution of Clinical Concepts ICPC-2

0 2 4 6 8 10 12 14 16 T90 P76 K86 P17 X75 W78 T82

Most coded subcategories

- non-insulin-treated diabetes - depressive disorders

- non-complicated hypertension

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0 20 40 60 80 100 120 QC QD QE QH QP QR QS QT Q0 0 5 10 15 20 25 30 QS1 QD32 QC13 QD41 QD11 QD42 QD12 QP42 QR2 Q01

Distribution of Conceptual Concepts - Q-codes

Results

Most coded subcategories

- works in primary health care - health problems management - non-classified topic

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Why Qualitative analysis of GPs production?

• Identifyng specific knowledge

• Preventing loss of knowledge

• Showing GPs extensive field of action

• Showing GPs intensive workload

• Showing emerging themes

• Showing missing themes

• Making the history of GP/FM

• Make GPs proud of their work

• Network facilitation

• Congress organisation

• Teaching GP/FM

• Bibliographic access

• Prepare GPs knowledge repository

Discussion

Biombos do Barbaro do Sul. 16th century. Porto Museo Soares dos Reis. Detail

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• 3CGP, a new indexing system in GP/FM available in OWL and

free of use for research

• Experiences of human indexing ongoing

• First step of automatic annotation ongoing

• Good face validity, maybe Generalisability,

• Reproductibility, Inter-doctor variations not tested

• Maintenance? Acceptability by the GP community?

Discussion

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Further reading

The full analysis of the present congress, this presentation and Ariana’s master thesis are available on http://3cgp.docpatient.net/publications/

Marc Jamoulle, MD, PhD Qualitative analysis of the communications to the

WONCA group Vasco De Gama annual meeting 2018, Porto. Report to the VDGM

group. January 2018

Ariana de Oliveira Tavares. “Contexto e Clínica nos Trabalhos Finais do Mestrado Integrado em Medicina Geral e Familiar, em Coimbra” Mestrado Integrado em Medicina, Faculdade de Medicina da Universidade de Coimbra. 2018

Marc Jamoulle, Ariana de Oliveira Tavares, Susana Medeiros, Luís Miguel

Santiago, Daniel Knupp. Core Content Classification in General Practice/Family Medicine (3CGP). À New indexing system for General Practice Knowledge

management. Conference proceeding. 5h Vasco De Gama Forum. Porto. 26-27 January 2018

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Jose de Almada. Pen draw Porto. Museo Soares dos Reis.

Thank you

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