Table 1.

Alarm Symptoms of the Dutch Cancer Society and Cancer Research UK and the Corresponding International Classification of Primary Care (ICPC) Code(s)

Alarm SymptomsICPC Code
Any abnormal bleedingRectal bleeding (D16)
Haematuria (U06)
Post-menopausal bleeding (X12)
Post-coital bleeding (X13)
Intermenstrual bleeding (X08)*
BreathlessnessShortness of breath/dyspnea (R02)
Desquamationed skinSkin texture symptom/complaint (S21)*
New or changing nevus/moleNevus/mole (S82)
Feeling very tired all the timeWeakness/tiredness, general (A04)*
Persistent hoarseness or cough and hemoptysisHemoptysis (R24)
Voice symptom/complaint (R23)*
Cough R05
LumpLump/swelling, localized (S04)*
Breast lump/mass female (X19)
Nipple changesNipple symptom/complaint female (X20)*
Swallowing problemsSwallowing problems (D21)
Unexplained persistent change in bowel habitsChange in feces/bowel movements (D18)
Unexplained weight lossWeight loss (T08)
Urinary tract problems or changing in passing urineDysuria/painful urination (U01)*
Urinary frequency/urgency (U02)*
Urinations problems, other (U05)*
Prostate symptom/complaint (Y06)*
  • * The ICPC code matches only partly with the corresponding alarm symptom.

  • The ICPC code is cough and not persistent cough.