help button home button JAMIA Hate scrolling?
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
First published August 6, 2004 as JAMIA PrePrint; doi:10.1197/jamia.M1462
Journal of the American Medical Informatics Association 2004;11(6):514-522
© 2004 American Medical Informatics Association

A more recent version of this article appeared on November 1, 2004
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
M1462v1
11/6/514    most recent
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Mayo, N. E.
Right arrow Articles by Jaglal, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mayo, N. E.
Right arrow Articles by Jaglal, S.

Submitted on September 22, 2003
Accepted on June 21, 2004

Incorporating the International Classification of Functioning, Disability and Health (ICF) into an Electronic Health Record to Create Indicators of Function: Proof-of-Concept Using the SF-12

Nancy E. Mayo PhD1*, Lise Poissant PhD2, Sara Ahmed MSc3, Lois Finch MSc4, Johanne Higgins MSc1, Nancy M. Salbach MSc3, Judith Soicher MSc5, and Susan Jaglal PhD6

Affiliation of the authors: 1 Department of Clinical Epidemiology and School of Physical and Occupational Therapy, McGill University Health Center, Montreal, Quebec, Canada; 2 Department of Clinical and Health Informatics, McGill University Health Center, Montreal, Quebec, Canada; 3 Department of Clinical Epidemiology, McGill University Health Center, Montreal, Quebec, Canada; 4 School of Physical and Occupational Therapy, McGill University Health Center, Montreal, Quebec, Canada; 5 Respiratory Epidemiology and Clinical Research Unit, McGill University Health Center, Montreal, Quebec, Canada; 6 Department of Physical Therapy, University of Toronto, Toronto, Canada

* To whom correspondence should be addressed.

Objective The purpose of this proof-of-concept study was to assess the feasibility of using a generic health measure to create coded functional status indicators and compare the characterization of a stroke population using coded functional indicators and using HRQL summary measures alone.

Design Multiple raters assigned ICF codes to the items of the SF-12. Data for comparing the information from the SF-12 and from ICF codes were derived from the Montreal Stroke Cohort Study that was set up to examine the long-term impact of stroke. Available for analysis were data from 604 persons with stroke, average age 69 years, and 488 controls, average age 62 years.

Measurement The SF-12 provides two summary scores, one for physical health and one for mental health. Domains of the ICF are coded to 3 digits, prior to the decimal place; specific categorizations of impairments, activity limitations and participation restrictions are coded to 4 digits, prior to the decimal.

Results Persons with stroke scored, on average, about 10 points lower than controls on physical and mental health. The ICF coding indicated that this was attributed, not surprisingly, to greater difficulty in doing moderate activities including housework, climbing stairs and in working and was not attributed to differences in pain. Differences in mental health were attributed most strongly to greater fatigue (impairment in energy), but all areas of mental health were impacted upon to some degree.

Conclusion The ICF coding provided enhanced functional status information in a format compatible with the structure of administrative health databases.




This article has been cited by other articles:


Home page
 J. Am. Med. Inform. Assoc.Home page
R. Kukafka, M. E. Bales, A. Burkhardt, and C. Friedman
Human and Automated Coding of Rehabilitation Discharge Summaries According to the International Classification of Functioning, Disability, and Health
J. Am. Med. Inform. Assoc., September 1, 2006; 13(5): 508 - 515.
[Abstract] [Full Text] [PDF]

Home page
 JCOHome page
B. Gagnon, N. E. Mayo, C. Laurin, J. A. Hanley, and N. McDonald
Identification in Administrative Databases of Women Dying of Breast Cancer
J. Clin. Oncol., February 20, 2006; 24(6): 856 - 862.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Copyright © 1994 by the American Medical Informatics Association.