Juin 2005
In 1983, the GPs of the French Society of General Practice (SFMG) want a tool to describe health problems they take care in general practice. They look everywhere but they cannot find what they want. So they start a 15 years work for the creation of the Dictionary of Consultation Results.
SFMG developed its works starting from Robert Braun concepts who analysed his practice for several decades. The SFMG has set up an updating committee composed of 24 members. A first work of validation in 1996 allowed the publication of the Dictionary of the Consultation Results (CR). It was first updated in 1998 and then in 2001 and 2003.
SFMG set up the Observatory of General Practice (125 computerised doctors who collect in real time and on going medical data) who allows for ten years to test the use of the DCR in daily practice and to develop epidemiological analysis. The GP of this observatory use the DCR
The 2002 edition of the DRC contains 274 Consultation Results.
The dictionary is a list of denominations (CR) describing the morbid entities in primary care. Each CR contains:
- a title, - inclusive criteria: they are indispensable to justify the choice,
- a list of Avoidable Critical Risk (ACR): make sure that no other diagnosis (whose serious evolution would be avoidable) could be evoked,
- semiologic complements: preceded by the sign +-, they present taxonomic interest (for case classification) but are also useful to pinpoint the site, the side, a symptom or a sign frequently associated with the CR,
- a diagnostic position (A for symptom, B for syndrome, C for disease picture and D for certified diagnosis),
- a list of “see also”: who are close CR.
An update of the DCR is published every 2 years. You can see box 1 the validation process of definitions.
The 2003 data of the SFMG Observatory network concern:
- 106,672 patients (56,637 women and 50,035 men),
- 276,476 consultations,
- 528,248 consultation results,
- 902,245 lines of medication.
The DRC is a validated tool which, thanks to it adaptation to the doctor's practice, allows him to complete his electronic medical record without losing too much time. Its incessant use makes it possible to analyse the practice and the production of epidemiological data.
[lire la publication]
SFMG developed its works starting from Robert Braun concepts who analysed his practice for several decades. The SFMG has set up an updating committee composed of 24 members. A first work of validation in 1996 allowed the publication of the Dictionary of the Consultation Results (CR). It was first updated in 1998 and then in 2001 and 2003.
SFMG set up the Observatory of General Practice (125 computerised doctors who collect in real time and on going medical data) who allows for ten years to test the use of the DCR in daily practice and to develop epidemiological analysis. The GP of this observatory use the DCR
The 2002 edition of the DRC contains 274 Consultation Results.
The dictionary is a list of denominations (CR) describing the morbid entities in primary care. Each CR contains:
- a title, - inclusive criteria: they are indispensable to justify the choice,
- a list of Avoidable Critical Risk (ACR): make sure that no other diagnosis (whose serious evolution would be avoidable) could be evoked,
- semiologic complements: preceded by the sign +-, they present taxonomic interest (for case classification) but are also useful to pinpoint the site, the side, a symptom or a sign frequently associated with the CR,
- a diagnostic position (A for symptom, B for syndrome, C for disease picture and D for certified diagnosis),
- a list of “see also”: who are close CR.
An update of the DCR is published every 2 years. You can see box 1 the validation process of definitions.
The 2003 data of the SFMG Observatory network concern:
- 106,672 patients (56,637 women and 50,035 men),
- 276,476 consultations,
- 528,248 consultation results,
- 902,245 lines of medication.
The DRC is a validated tool which, thanks to it adaptation to the doctor's practice, allows him to complete his electronic medical record without losing too much time. Its incessant use makes it possible to analyse the practice and the production of epidemiological data.
[lire la publication]