Use of f th the IC ICF in WHO’s new In International Classification of f Health In Interv rventions Nicola Fortune
What is is IC ICHI? • A classification of health interventions developed by the World Health Organization (WHO) and the WHO Family of International Classifications (WHO-FIC) Network • Development began in 2007 • The ICHI Beta-2 2019 draft is now available for testing • ICHI provides a common tool for reporting and analysing information on health interventions
• ICHI is a member of the WHO Family of International Classifications • ICHI covers: – Medical and surgical – Mental health – Primary care – Allied health – Assistance with functioning – Rehabilitation – Prevention and public health
IC ICHI is is a tr tri-axial cla lassification The classification has three axes: Target – the entity on which the Action is carried out Action – the deed done by an actor to the Target Means – the processes and methods by which the Action is carried out Health intervention – ‘an act performed for, with or on behalf of a person or a population whose purpose is to assess, improve, maintain, promote or modify health, functioning or health conditions’
ICHI’s tri -axial structure Walking (SJA) TARGET Training in walking SJA.PH.ZZ Training (PH) ACTION MEANS Other and unspecified means (ZZ)
ICHI online browser You can explore ICHI by browsing intervention codes and axis categories (left side of screen) or using the search box
IC ICF categories as Targets in in IC ICHI
Hie ierarchical structure of f IC ICHI Targets ICF Targets are hierarchically nested: • ICF chapter-level Target codes have two letters followed by the numeral ‘1’ • ICF block-level Target codes have two letters followed by the numeral ‘2’ • ICF 3-digit Target codes have three letters So interventions can be described at different levels of granularity
Example in interv rventions with IC ICF Targets BTB.AA.ZZ Assessment of seeing functions MVD.PH.ZZ Training motor control SM1.RB.ZZ Practical support with self care SSJ.PP.ZZ Counselling for family relationships UAL.TM.ZZ Environment modification to buildings for private use Provision of products and technology for UAG.RD.ZZ education
e.g e.g., , Ass ssis istin ing and lea leadin ing exercis ise for muscle le fu functio ions
Ext xtension codes • Extension codes can be added on to ICHI intervention codes (‘stem codes’) to provide additional information • ‘&’ (ampersand) is used to join extension codes on to stem codes • Use of extension codes is optional
In Interv rventions in involving assistive products • Stem code with Environmental factors Target, plus • ‘Assistive product’ extension code to record type of product E.g., Prescription of manual wheelchair: UAE.TI.ZZ&XP245.00 UAE.TI.ZZ Prescription of products and technology for personal indoor and outdoor mobility and transportation XP245.00 Manual wheelchairs, other and unspecified
Interventions performed together (‘/ ’) e.g., Training in eating and drinking SMF.PH.ZZ/SMG.PH.ZZ SMF.PH.ZZ Training in eating SMG.PH.ZZ Training in drinking Packages of interventions (‘+ ’) e.g., Prescription and training in use of assistive device for communication UAF.TI.ZZ+UAF.PH.ZZ UAF.TI.ZZ Prescription of products and technology for communication UAF.PH.ZZ Training in the use of products and technology for communication
Using IC ICHI, IC ICF and IC ICD together e.g., coding interventions, level of functioning, functioning goals and diagnosis for a person with communication-related functioning limitations
Contributing via th the IC ICHI online browser Access the online browser without registering to browse the classification or Become a registered user and: 1. Contribute to the development of ICHI by commenting and proposing changes to the classification 2. Read and respond to comments and proposals made by other users
Get in involved! – Browse ICHI Beta-2 2019 online – Add comments and suggestions via the ICHI online browser – Participate in ICHI testing https://mitel.dimi.uniud.it/ichi For further information contact: Megan Cumerlato ICHI Managing Editor megan.cumerlato@hotmail.com
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