[An online dynamic knowledge base in multiple languages on general medicine and primary care]

Area of Science:

• Primary Care Research
• Medical Informatics
• Family Medicine

Background:

• The International Classification of Primary Care, Second version (ICPC-2) is a standard for primary care epidemiology but lacks standardization for contextual knowledge.
• Existing classifications often reflect expert opinions rather than comprehensive field-specific knowledge in family medicine.

Purpose of the Study:

• To develop a standardized method for capturing contextual concepts in family medicine and primary care.
• To integrate clinical and contextual information for a more holistic understanding of primary care.

Main Methods:

• Qualitative research analyzing Family Medicine congresses to identify contextual concepts.
• Development of Q-codes Version 2.5, a hierarchical classification of contextual concepts.
• Integration of Q-codes with ICPC-2 into the 3CGP (Core Content classification of General Practice) system.

Main Results:

• The 3CGP system, combining ICPC-2 and Q-codes, effectively identifies both clinical and contextual concepts in primary care.
• Pilot uses demonstrate good validity and generalizability of the 3CGP system across different regions.
• The system is accessible via a multilingual semantic server.

Conclusions:

• The 3CGP method highlights the conceptual richness and complexity of primary care.
• It underscores the evolving and dynamic role of general practitioners and family doctors.
• This approach provides a more comprehensive framework for understanding primary care physician roles.