University of Wisconsin-Milwaukee, 53201-0413, USA.
Inform Health Soc Care. 2011 Jan;36(1):35-49. doi: 10.3109/17538157.2010.534213.
The WHO Family of International Classifications (FIC) provides a suite of health classifications to promote data exchange and comparisons worldwide. The International Classification of Functioning, Disabilities and Health (ICF) and the International Classification for Nursing Practice (ICNP) are part of WHO-FIC. This study was designed to examine to what extent the ICF and ICNP could be mapped to facilitate unambiguous communication across health settings and professionals. A total of 946 concepts from ICF were mapped to ICNP primitive concepts. Lexical matches generated by machine were examined to find false positive or additional semantic equivalence. Although the semantic mapping increased the number of exact and partial matches by 13%, only less than half of ICF concepts (46%) were able to be mapped to ICNP concepts. ICF concepts were more granular than ICNP concepts in the area of human functioning and body structures. Major challenges in mapping the two classifications resulted from differences in the terminology structure, concept representation and content specificity. A reference terminology model was useful to the mapping effort. The study findings support ongoing advancement in the area of harmonisation of healthcare terminologies. Applications that blend the use of ICF and ICNP concepts in practice should be further tested.
世界卫生组织国际分类家族（FIC）提供了一套健康分类法，以促进全球范围内的数据交换和比较。国际功能、残疾和健康分类（ICF）和国际护理实践分类（ICNP）是世卫组织-FIC 的一部分。本研究旨在探讨 ICF 和 ICNP 在多大程度上可以进行映射，以促进卫生保健环境和专业人员之间的明确沟通。将 ICF 中的 946 个概念映射到了 ICNP 的基本概念上。通过机器生成的词汇匹配来检查是否存在假阳性或额外的语义等价。尽管语义映射使完全匹配和部分匹配的数量增加了 13%，但只有不到一半的 ICF 概念（46%）能够映射到 ICNP 概念。在人类功能和身体结构领域，ICF 概念比 ICNP 概念更加细致。两个分类之间映射的主要挑战来自于术语结构、概念表示和内容特异性的差异。参考术语模型对映射工作很有帮助。研究结果支持医疗保健术语协调领域的持续发展。应进一步测试将 ICF 和 ICNP 概念应用于实践中的混合应用程序。
