Coenen Michaela, Rudolf Klaus-Dieter, Kus Sandra, Dereskewitz Caroline
Institut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie - IBE, Lehrstuhl für Public Health und Versorgungsforschung, Forschungseinheit für Biopsychosoziale Gesundheit, Pettenkofer School of Public Health, Ludwig-Maximilians-Universität (LMU) München, Marchioninistraße 17, 81377, München, Deutschland.
ICF Research Branch, ein Kooperationspartner innerhalb des WHO Collaboration Centre for the Family of International Classifications in Deutschland (am DIMDI), Nottwil, Schweiz.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2018 Jul;61(7):787-795. doi: 10.1007/s00103-018-2748-5.
The International Classification of Functioning, Disability and Health (ICF) provides a standardized language of almost 1500 ICF categories for coding information about functioning and contextual factors. Short lists (ICF Core Sets) are helpful tools to support the implementation of the ICF in clinical routine. In this paper we report on the implementation of ICF Core Sets in clinical routine using the "ICF Core Sets for Hand Conditions" and the "Lighthouse Project Hand" as an example. Based on the ICF categories of the "Brief ICF Core Set for Hand Conditions", the ICF-based assessment tool (ICF Hand) was developed aiming to guide the assessment and treatment of patients with injuries and diseases located at the hand. The ICF Hand facilitates the standardized assessment of functioning - taking into consideration of a holistic view of the patients - along the continuum of care ranging from acute care to rehabilitation and return to work. Reference points for the assessment of the ICF Hand are determined in treatment guidelines for selected injuries and diseases of the hand along with recommendations for acute treatment and care, procedures and interventions of subsequent treatment and rehabilitation. The assessment of the ICF Hand according to the defined reference points can be done using electronic clinical assessment tools and allows for an automatic generation of a timely medical report of a patient's functioning. In the future, the ICF Hand can be used to inform the coding of functioning in ICD-11.
《国际功能、残疾和健康分类》（ICF）提供了近1500个ICF类别的标准化语言，用于对功能和背景因素的信息进行编码。简短清单（ICF核心集）是支持ICF在临床常规中应用的有用工具。在本文中，我们以“手部疾病ICF核心集”和“灯塔项目手部”为例，报告ICF核心集在临床常规中的应用情况。基于“手部疾病简要ICF核心集”的ICF类别，开发了基于ICF的评估工具（ICF手部），旨在指导对手部受伤和患病患者的评估和治疗。ICF手部有助于在从急性护理到康复及重返工作的连续护理过程中，对功能进行标准化评估，同时考虑患者的整体情况。在手部特定损伤和疾病的治疗指南中确定了ICF手部评估的参考点，以及急性治疗和护理、后续治疗和康复的程序及干预建议。根据定义的参考点使用电子临床评估工具对ICF手部进行评估，并能够自动生成患者功能的及时医疗报告。未来，ICF手部可用于为ICD-11中的功能编码提供信息。
