Classification of Pharmaco-Therapeutic Referrals

The Classification of Pharmaco-Therapeutic Referrals (CPR) is a taxonomy focused on defining and grouping together situations requiring a referral from pharmacists to physicians (and vice versa) regarding the pharmacotherapy used by the patients. It has been published in 2008. It is bilingual: English/Spanish (Clasificación de Derivaciones Fármaco-terapéuticas).[1]

Classification of Pharmaco-Therapeutic Referrals. MEDAFAR
Logo MEDAFAR.jpg
AuthorRaimundo Pastor Sánchez,
Carmen Alberola Gómez-Escolar,
Flor Álvarez de Toledo Saavedra,
Nuria Fernández de Cano Martín,
Nancy Solá Uthurry.
Original titleClasificación de Derivaciones Fármaco-terapéuticas. MEDAFAR
Publication date

It is a simple and efficient classification of pharmaco-therapeutic referrals between physicians and pharmacists permitting a common inter-professional language.[2] 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.[3][4][5][6]

Supporting institutionsEdit

  • Pharmaceutical Care Foundation of Spain (Fundación Pharmaceutical Care España)
  • Spanish Society of Primary Care Doctors (Sociedad Española de Médicos de Atención Primaria) (SEMERGEN)



It is structured in 4 chapters (E, I, N, S) and 38 rubrics. The terminology used follows the rules of ICPC-2.[7]

Each rubric consists in an alphanumeric code (the letter corresponds to the chapters and the number to the component) and each title of the rubric (the assigned name) 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 MEDAFAREdit

E. Effectiveness / efficiencyEdit

I. Information / health educationEdit

N. NeedEdit

S. SafetyEdit

See alsoEdit


  1. ^ Pastor Sánchez R, Alberola Gómez-Escolar C, Álvarez de Toledo Saavedra F, Fernández de Cano Martín N, Solá Uthurry N. Classification of Pharmaco-Terapeutic Referrals (CPR). MEDAFAR. Madrid: IMC; 2008. Archived 2011-07-14 at the Wayback Machine ISBN 978-84-691-8426-4
  2. ^ Álvarez de Toledo F, Pastor Sánchez R. La Clasificación de Derivaciones Fármaco-Terapéuticas: una herramienta para la coordinación entre médicos y farmacéuticos. Ars Pharm. 2011; 52(Supl 1):20-5.
  3. ^ García Cebrián F. La seguridad del paciente y la colaboración entre médicos y farmacéuticos [editorial]. SEMERGEN. 2006; 32(2):55-7.
  4. ^ Pastor Sánchez R, Barbero González A, del Barrio Sánchez H, García Olmos LM, editores. Comunicación interprofesional en atención primaria de salud. Madrid: REAP; 1996.
  5. ^ Uribe G, Martínez de la Hidalga G. Médicos y farmacéuticos: éxitos y fracasos de colaboración profesional. SEMERGEN. 2002;28(2):86-8.
  6. ^ Cervera Barba EJ, Sagredo Pérez J, Martín González MC, Heras Salvat G, Peña Rodríguez E, Suárez del Villar Acebal E, et al. Oficinas de farmacia y centros de salud: podemos trabajar juntos. Una experiencia de colaboración. SEMERGEN. 2004;30(10):491-7.
  7. ^ International Classification Committee of WONCA. ICPC-2 International Classification of Primary care (2 ed.). Oxford: Oxford University Press; 1998.


External linksEdit