title: The FIRE project: a milestone for research in primary care in Switzerland.
abstract: OBJECTIVE
  Research is scarce where most patients are found. One of the main reasons is the difficulty in extracting data from traditionally conducted paper-based medical records. Thus, until now most existing patient records have originated from invoicing-tools. Endeavours to truly reflect a doctor's consultation have been rare. FIRE (Family Medicine ICPC-Research using Electronic Medical Records) is an ambitious project to establish a proper knowledge base in primary care by using the ongoing implementation of EPR (electronic patient records). FIRE will enable many questions on epidemiology and performance within the PC (primary care) setting to be answered.
  
  
  METHODS
  GPs (general practitioners) throughout Switzerland working with EPR were eligible for participation. Workshops were held to train and standardise ICPC-coding (International Classification of Primary Care), a classification system especially designed for the PC-setting. The recorded data included administrative information on the GP and patient, vital signs, ICPC codes, laboratory analysis and medication. Data exporter software was developed for extracting anonymised data automatically from the EPR onto a database for further statistical analysis.
  
  
  RESULTS
  From 1.1.2009 until the beginning of April 2010 24 GPs were successfully recruited providing standardised information on 127,922 consultations in 29,398 patients and 159,956 medical problems according to the ICPC-2 classification.
  
  
  CONCLUSIONS
  The project proves the feasibility of standardised ongoing collection of research data embedded in routine clinical practice. FIRE provides a unique database for research in PC and highlights the potential of broad implementation of EPR in a PC-setting. Studies resulting from the ongoing project have the potential to assess the quality of care provided by GP's.
authors.affiliation: Division of Internal Medicine, University Hospital of Zurich, Rämistrasse 100, 8091 Zürich, Switzerland. Corinne.ChmielMoshinsky@usz.ch
authors.forename: Corinne
authors.initials: C
authors.lastname: Chmiel
authors.forename: Heinz
authors.initials: H
authors.lastname: Bhend
authors.forename: Oliver
authors.initials: O
authors.lastname: Senn
authors.forename: Marco
authors.initials: M
authors.lastname: Zoller
authors.forename: Thomas
authors.initials: T
authors.lastname: Rosemann
mesh_terms: D059019:Clinical Coding; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D005260:Female; D006302:Health Services Research / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000379:methods*; D013557:Switzerland