1. J Stroke Cerebrovasc Dis. Sep-Oct;20(5) doi: /j. jstrokecerebrovasdis Epub Sep 2. Disabil Rehabil. Apr-Jun;15(2) Functional status in primary care: COOP/WONCA charts. Van Weel C(1). Author information: (1)University of. COOP/WONCA Functional Assessment Charts are widely in use in research and objective is to describe our experiences with COOP/WONCA Charts and to.

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To date the Charts have been published in the following languages: Several have been used in general practice settings. A copy of the Chart is available at the bottom of this file. There are now six charts: It is one of the set of global measures of health status, which also include assessments of clinical status and quality of life.

Only the chart measuring change in health revealed a deterioration in functional ability associated with the onset of pain and wnca improvement in functional status at follow up.

The aim of the PRIMEGE Regional Information System in General Practice Project is to collect anonymized data directly from the consultation software without the doctor’s effort in order to supply a clop for research purposes in general medicine.

Support Center Support Center. These measurements are particularly important in dealing with ageing and those with chronic problems. Measuring functional status in a population survey.

These charts were modified by the classification committee and promoted for use in conjunction with ICPC.

COOP-WONCA charts: a suitable functional status screening instrument in acute low back pain?

National Center for Biotechnology InformationU. Some of these instruments were designed for research not wonnca purposes, for example, the Sickness Impact Profile. Some studies of the charts have suggested that they do not exhibit cross-cultural stability. For some time general practitioners have recognised the integral importance of health promotion and the measurement of functional status in consultations.

For example, hypertension and diabetes in one patient can both impact on functional status, but their relative importance and effects cannot be determined from routine recording. A total of 95 patients presenting with acute wonac back pain were recruited from 15 single-handed general practices in northern Germany.


As the complexity and chronicity of medical problems increase, community medical practitioners will become more reliant on indicators of functioning as well as disease status to monitor their interventions and measure health outcomes.

Similarly, the Duke Health Profile has been used successfully in North American settings In Europe, several other instruments have been used.

COOP Charts Primary Health Care Classification Consortium – WICC WONCA

Do high prescribers diagnose differently? Implicit in any definition of functional status is the importance of factors other than disease in the health of patients. At follow up, strong correlations were found between general practitioners’ assessments of impairment, patients’ ratings of pain and patients’ ratings of recovery for all scales except for those measuring social activities and daily activities.

Internationally, they have been found to have good face validity and clinical utility in general practice. ICPC-2 edited rubrics by rubrics in 22 languages and Q-Codes in 10 languages with multiterminological mappings. Baseline and follow-up measurements of the charts were compared and correlations of chart scores with patients’ measurements of pain intensity on a visual analogue scale, general practitioners’ ratings of impairment and patients’ measurements of recovery were analysed.

Functional status relates to the patient, not to the health problem, disease or episode of care. Of the six charts only the change in health chart proved to be a suitable scale for measuring short-term changes in functional ability among general practice patients with acute low back pain.

Standardisation of test conditions and assessment of inter-rater reliability may improve the results for research projects.

Open in a separate window. A Manual 27provides further information about the development and use of the charts, how to translate the charts, and a contact list for further assistance, including authors of the various translations. The average time for completion is less than five minutes.

For example, Rubric 28 of component one symptoms and complaints of all chapters of ICPC refers to limited function and disabilities. A manual has been edited by the University of Groningen. Version in French updated in the spring of It thus relates less directly to the ICPC codes than does severity of illness. With any measure of functional status, cultural and context issues need to be explored.


Each chart consists of a lead sentence with five options for response. Validity with respect to the change in asthma.

COOP Charts

As a research instrument the test-retest reliability will always be cokp issue for indicators that are global and influenced by so many variables. When the charts are used in new cultural settings, it is important to establish womca the concepts measured are appropriate and specific to that environment. An analysis of German routine data. General practitioners have found the charts easy to use within the consultation and helpful as measures of overall patient status and as outcomes of care.

Functional status is considered an important measure of health status in woca care. This article has been cited by other articles in PMC. The charts ask patients to use the timescale of the past two weeks when rating their condition.

The preferred method of use of these charts is self administration. Appropriate translation is the first step. However, one study has shown a correlation between self-assessment and provider assessment. Please review our privacy policy. Functional status could be coded in this component with the addition of an extra woca. Several studies have woncs at these issues. The measurement of clinical pain intensity: Br J Gen Pract. These drawings have enhanced the applicability of these Charts in settings where there is variability of literacy amongst the general practice patient population.

Two of the other charts indicated a deterioration at follow up.