Classification of Pharmaco-Therapeutic Referrals
The Classification of Pharmaco-Therapeutic Referrals is a taxonomy that defines and groups situations requiring a referral between pharmacists and physicians regarding patients’ pharmacotherapy. It has been published in 2008. It is bilingual: English/Spanish.
It is a simple and efficient classification of pharmaco-therapeutic referrals between physicians and pharmacists permitting a common inter-professional language. It is adapted to any type of referrals among health professionals, and to increase its specificity it can be combined with ATC codes, ICD-10, and ICPC-2 PLUS.
It is a part of the MEDAFAR Project, whose objective is to improve, through different scientific activities, the coordination processes between physicians and pharmacists working in primary health care.
Supporting institutions
- Pharmaceutical Care Foundation of Spain
- Spanish Society of Primary Care Doctors
Authors
- Raimundo Pastor Sánchez
- Carmen Alberola Gómez-Escolar
- Flor Álvarez de Toledo Saavedra
- Nuria Fernández de Cano Martín
- Nancy Solá Uthurry
Structure
It is structured in 4 chapters and 38 rubrics. The terminology used follows the rules of ICPC-2.Each rubric consists in an alphanumeric code and each title of the rubric is expressed and explained by:
– A series of terms related with the title of the rubric.
– A definition expressing the meaning of the rubric.
– A list of inclusion criteria and another list with exclusion criteria to select and qualify the contents corresponding to a rubric.
– Some example to illustrate every term.
It also includes a glossary of 51 terms defined by consensus, an alphabetical index with 350 words used in the rubrics; and a standardized model of inter-professional referral form, to facilitate referrals from community pharmacists to primary care physicians.
Classification of Pharmaco-Therapeutic Referrals MEDAFAR
E. Effectiveness / efficiency
- E 0. Effectiveness / Efficiency, unspecified
- E 1. Indication
- E 2. Prescription and dispensing conditions
- E 3. Active substance / excipient
- E 4. Pharmaceutical form / how supplied
- E 5. Dosage
- E 6. Quality
- E 7. Storage
- E 8. Consumption
- E 9. Outcome.
I. Information / health education
- I 0. Information / Health education, unspecified
- I 1. Situation / reason for encounter
- I 2. Health problem
- I 3. Complementary examination
- I 4. Risk
- I 5. Pharmacological treatment
- I 6. No pharmacological treatment
- I 7. Treatment goal
- I 8. Socio-healthcare system.
N. Need
- N 0. Need, unspecified
- N 1. Treatment based on symptoms and/or signs
- N 2. Treatment based on socio–economic-work issues
- N 3. Treatment based on public health issues
- N 4. Prevention
- N 5. Healthcare provision
- N 6. Complementary test for treatment control
- N 7. Administrative activity
- N 8. On patient request.
S. Safety
- S 0. Safety, unspecified
- S 1. Toxicity
- S 2. Interaction
- S 3. Allergy
- S 4. Addiction
- S 5. Other side effects
- S 6. Contraindication
- S 7. Medicalisation
- S 8. Non-regulate substance
- S 9. Data / confidentiality.