Original Articles
18 February 2025
Vol. 41 No. 2 (2019)
[Linking ICF codes to clinical real-life assessments: the challenge of the transition from theory to practice]
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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According to the latest WHO guidelines, the ICD-ICF joint use currently represents the most agreed method to portray a patient's Care Pathway during a hospitalization. On this note, ICS Maugeri carried out an internal project aiming to identify the ICF codes that better describe the rehabilitation pathways in its Italian Institutes. 2 main goals so far have been achieved: 1. To re-conceptualize the Care Pathways thought the lenses of the ICD-ICF frameworks; 2. To link, whenever possible and by means of the WHO-ICF linking rules, each pertinent ICF code to the most appropriate assessment method, harmonizing its outputs to the 0-4 ICF Likert scale. The current project represents a first attempt towards the creation of a standard functioning assessment methodology to be implemented in rehabilitation settings.
Despite being referred to the Maugeri group only, the ICD-ICF procedure described could hopefully be extended to other settings, representing a support for health information technologies.
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1) World Health Organization. ICF, International Classification of Functioning, Disability and Health, 2001.
2) OMS. Organizzazione Mondiale della Sanità. ICF, Classificazione Internazionale del Funzionamento della Disabilità e della Salute, 2001, Erikson
3) Stucki G. Olle Höök lectureship 2015: The World Health Organization's paradigm shift and implementation of the international classification of functioning, disability and health in rehabilitation. J Rehabil Med 2016; 48(6): 486-493. DOI: https://doi.org/10.2340/16501977-2109
4) Wade DT, Halligan PW. The biopsychosocial model of illness: A model whose time has come. Clin Rehabil 2017; 31(8): 995-1004. 5) OMS. Organizzazione Mondiale della Sanità. ICD-9-CM. Classificazione Internazionale delle malattie, nona revisione, Clinical Modification. https://www.cdc.gov/nchs/icd/icd9cm.htm 6) World Health Organization. How to use the ICF: A practical manual for using the International Classification of Functioning, Disability and Health (ICF). Exposure draft for comment. October 2013. Geneva: WHO 7) Cieza A, Brockow T, Ewert T, Amman E, Kollerits B, Chatterji S, Ustün TB, Stucki G. Linking health status measurements to the International Classification of Functioning, Disability and Health. J Rehabil Med 2002; 34(5): 205-210. DOI: https://doi.org/10.1080/165019702760279189
8) Cieza A, Geyh S, Chatterji S, Kostanjsek N, Ustün B, Stucki G. ICF linking rules: An update based on lessons learned. J Rehabil Med 2005; 37(4): 212-218. DOI: https://doi.org/10.1080/16501970510040263
9) Fayed N, Cieza A, Bickenbach JE. Linking health and health-related information to the ICF: A systematic review of the literature from 2001 to 2008. Disabil Rehabil 2011; 33(21-22): 1941-1951. DOI: https://doi.org/10.3109/09638288.2011.553704
10) Cieza A, Fayed N, Bickenbach J, Prodinger B. Refinements of the ICF Linking Rules to strengthen their potential for establishing comparability of health information. Disabil Rehabil 2016; doi: 10.3109/09638 288.2016.11452.
11) Ballert CS, Hopfe M, Kus S, Mader L, Prodinger B. Using the refined ICF linking rules to compare the content of existing instruments and assessments: A systematic review and exemplary analysis of instruments. Disabil Rehabil 2016; doi: 10.1080/09638288.2016.1198433 12) Small JA, Gutman G. Recommended and reported use of communication strategies in Alzheimer caregiving. Alzheimer Dis Assoc Disord 2002; 16(4): 270-278. E corretta questa reference? 13) Marques A, Martins A, Jácome C, Figueiredo D. Linking the EASYCare Standard to the International Classification of Functioning, Disability and Health. Disabil Rehabil 2014; 36(7): 593-599.
14) Sommer R, Bullinger M, Rohenkohl A, Quitmann J, Brütt AL. Linking a short-stature specific health-related quality of life measure (QoLISSY) to the International Classification of FunctioningChildren and Youth (ICF-CY). DIsabil Rehabil 2015; 37(5): 439-446. 15) Azzopardi RV, Vermeiren S, Gorus E, Habbig AK, Petrovic M, Van Den Noortgate N, De Vriendt P, Bautmans I, Beyer I; Gerontopole Brussels Study Group. Linking Frailty Instruments to the International Classification of Functioning, Disability, and Health: A Systematic Review. J Am Med Dir Assoc 2016: 17(11): 1066.e1-1066.e11. 16) Wong AWK, Lau SCL, Cella D, Lai JS, Xie G, Chen L, Chan CCH, Heinemann AW. Linking of the quality of life in neurological disorders (Neuro-OoL) to the international classification of functioning, disability and health. Qual Life Res 2017; 26(9): 2435-2448. 17) Traversoni S, Jutai J, Fundarò C, Salvini S, Casale R, Giardini A. Linking the Psychosocial Impact of Assistive Devices Scale (PIADS) to the International Classification of Functioning, Disability, and Health. Qual Life Res 2018; 27(12): 3217-3227. 18) Giardini A, Traversoni S, Garbelli C, et al. ICF, digitalizzazione e percorsi clinico-assistenziali in medicina riabilitativa: Una integrazione possibile dalla definizione degli obiettivi alia stesura del programma riabilitativo, alla valutazione dei risultati. G Ital Med Lav Erg 2018; 40: 22-29.
19) Lodigiani A, La Manna S, Traversoni S, Giardini A. Innovazione organizzativa, digitale e tecnologica a supporto del modello clinico e della palestra digitale. G Ital Med Lav Erg 2018; 40:1, Suppl. 20) Giorgi G. Il paziente cronico e le medicine specialistiche riabilitative delle cure correlate. G Ital Med Lav Erg 2018; 40: 6-21.
21) Cieza A, Oberhauser C, Bickenbach J, Chatterji S, Stucki G. Towards a minimal generic set of domains of functioning and health. BMC Public Health 2014: 14: 218. DOI: https://doi.org/10.1186/1471-2458-14-218
22) Ehrmann C, Prodinger B, Stucki G, Cai W, Zhang X, Liu S, Liu S, Li J, Reinhardt JD. ICF Generic Set as new standard for the system wide assessment of functioning in China: a multicentre prospective study on metric properties and responsiveness applying item response theory. BMJ Open 2018; 8(12): e021696. DOI: https://doi.org/10.1136/bmjopen-2018-021696
23) Heinemann AW, Linacre JM, Wright BD, Hamilton BB, Granger C. Relationships between impairment and physical disability as measured by the functional independence measure. Arch Phys Med Rehabil 1993; 74: 566-573. DOI: https://doi.org/10.1016/0003-9993(93)90153-2
24) Vreeman DJ, Richoz C. Possibilities and Implications of Using the ICF and Other Vocabulary Standards in Electronic Health Records. Physiother Res Int 2013; 20(4): 210-219. DOI: https://doi.org/10.1002/pri.1559
25) Kohler F, Selb M, Escorpizo R, Kostanjsek N, Stucki G, Riberto M. Towards the joint use of ICD and ICF: A call for contribution. J Rehabil Med 2012; 44(10): 805-810. DOI: https://doi.org/10.2340/16501977-1062
26) Quaderni del Ministero della Salute. La centralità della Persona in riabilitazione: nuovi modelli organizzativi e gestionali, Ministero della Salute, a cura della Direzione Generale Comunicazione e Relazioni Istituzionali 2011; n. 8 marzo-aprile. Piano di Indirizzo della Riabilitazione (Accordo Stato-Regioni del 10.2.2011, Rep. Atti n. 30/CSR).
27) Haendel MA, Chute CG, Robinson PN. Classification, Ontology, and Precision Medicine. N Engl J Med 2018; 379(15): 1452-1462. 28) Panigazzi M, Capodaglio EM, Prestifilippo E, Traversoni S, Quaccini C, Imbriani M. Il percorso ambulatoriale ICD-ICF in terapia occupazionale. G Ital Med Lav Erg 2019 in corso di stampa. 29) Trabacca A, Moro G, Gennaro L, Russo L. When one plus one equals three: The ICF perspective of health and disability in the third millennium. Eur J Phys Rehabil Med 2012; 48(4): 709-710. DOI: https://doi.org/10.1056/NEJMra1615014
30) Stucki G, Cieza A, Ewert T, Kostanjsek N, Chatterji S, Ustün TB. Application of the International Classification of Functioning, Disability and Health (ICF) in clinical practice. Disabil Rehabil 2002; 24(5): 281-282. 31) Escorpizo R, Kostanjsek N, Kennedy C, Nicol MM, Stucki G, Ustün TB. Harmonizing WHO's International Classification of Diseases (ICD) and International Classification of Functioning, Disability and Health (ICF): Importance and methods to link disease and functioning. BMC Public Health 2013; 13: 742. DOI: https://doi.org/10.1186/1471-2458-13-742
How to Cite
[Linking ICF codes to clinical real-life assessments: the challenge of the transition from theory to practice]. (2025). Giornale Italiano Di Medicina Del Lavoro Ed Ergonomia, 41(2), 78-104. https://doi.org/10.4081/gimle.494
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