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ICPC as a standard classification in Norway

S Brage1, B G Bentsen, T Bjerkedal

  • 1Institute of General Practice and Community Medicine, University of Oslo, Norway.

Family Practice
|August 1, 1996
PubMed
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The International Classification for Primary Care (ICPC) coding in Norway shows promising data quality for sickness absence analysis. While most doctors code accurately, the use of symptom codes in follow-up encounters needs attention.

Area of Science:

  • Primary Care Medicine
  • Health Informatics
  • Public Health

Background:

  • The International Classification for Primary Care (ICPC) has been Norway's standard for sickness certification and billing since 1992.
  • Compulsory ICPC coding is mandated for all general practitioners in Norway.

Purpose of the Study:

  • To document the implementation of ICPC in Norway.
  • To identify challenges encountered during ICPC implementation.
  • To assess the compliance and accuracy of ICPC coding.

Main Methods:

  • Analysis of sickness certification episodes from the National Benefit Absence Register.
  • Statistical examination of coding practices and data quality.

Main Results:

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  • In 1994, 98% of sickness absence episodes exceeding two weeks had a coded medical diagnosis.
  • Component 1 (symptom) codes were utilized in 23% of episodes, aligning with previous practice study rates (26-31%).

Conclusions:

  • ICPC-coded data from a large Norwegian register offer valuable insights for sickness absence analysis.
  • Physician coding accuracy is generally high, yielding acceptable data quality.
  • The 23% rate of component 1 code usage during follow-up encounters warrants concern and further investigation.
  • ICPC implementation facilitates broader research on sickness absence and enables multi-practice studies.