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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Functional status in primary care: COOP/WONCA charts.

This article has been cited by other articles in PMC. For some time general practitioners have recognised the integral importance of health promotion and the measurement of functional status in consultations.

This may partly be a result of patients misunderstanding the instructions. 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. However since functional status relates to the patient as a whole and not to the health problem, the relationship becomes difficult to interpret when there is more than one active problem, because co-morbidity complicates the interpretation.

These drawings have enhanced the applicability of these Charts in settings where there is variability of literacy amongst the general practice patient population. Implicit in any definition of functional status is the importance of factors other than disease in the health of patients. Functional status relates to the patient, not to the health problem, disease or episode of care. Functional status is a measure of an individual’s overall well-being.

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

Validity with respect to the change in asthma. A total of 95 patients presenting with acute low back pain were recruited from 15 single-handed general practices in northern Germany. Appropriate translation is the first step. Standardisation of test conditions and assessment of inter-rater reliability may improve the results for research projects.


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. The preferred method of use of these charts is self administration.

Support Center Support Center. 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 coopp activities.

The Medical Outcomes Trust Short Form 36 item inventory and derivatives of this instrument have been widely used in primary care settings.

Prescribing antibiotics for respiratory tract infections in primary care: Even with only one problem, functional status measures go beyond assessing problem status and therefore their relationship a particular ICPC code may not be straightforward. These charts were modified by the classification committee and promoted for use in conjunction clop ICPC. Two of the other charts indicated a deterioration at follow up. There are now wona charts: Measuring functional status in a population survey.

Some of these copo were designed for research not clinical purposes, for example, the Sickness Impact Profile. For example, Rubric 28 of component one symptoms and complaints of all chapters of ICPC refers to limited function and disabilities. A copy of the Chart is available at the bottom of this file.

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. Open in a separate window.

When the charts are used in new cultural settings, it is important to establish that the concepts measured are appropriate and specific to that environment.

The charts can be used independently or in groups.

COOP Charts Primary Health Care Classification Consortium – WICC WONCA

There are a plethora of indicators currently available. National Center for Biotechnology InformationU. Author information Copyright and License information Disclaimer. ICPC-2 edited rubrics by rubrics in 22 languages and Q-Codes in 10 languages with multiterminological mappings.


A study was carried out to determine whether the charts are able to measure the degree of functional impairment associated with acute illness and the improvement in functional ability accompanying the process of recovery. Version in French updated in the spring of It thus relates less directly to the ICPC codes than does severity of illness.

It is one of the set of global measures of health status, which also include assessments of clinical status and quality of life. However, one study has shown a correlation between self-assessment and provider assessment. Br J Gen Pract. Please review our privacy policy.

COOP Charts

Instruments for measuring functional status. Functional status could be coded in this component with the addition of an extra digit. Pictorial depictions of the five possible responses accompany the text. The charts ask patients to use the timescale of the past two weeks when rating their condition. When more than one chart is cop it is recommended that wonxa are administered in the following order: Only the chart measuring change in health revealed a deterioration in functional ability associated with the onset of pain and an improvement in functional status at follow up.

Internationally, they have been found to have good face validity and clinical utility in general practice. With any measure of functional status, cultural and context issues need to be explored. Several have been used in general practice settings. Each chart wonnca of a lead sentence with five options for response. Several studies have looked at these issues.