2018 Volume 67 Issue 5 Pages 480-490
The newly published ICD -11 includes an additional section on vital function assessment (V. Supplementary section for functioning assessment).
This is based on the International Classification of Functioning of Life (ICF: International Classification of Functioning, Disability and Health) adopted by the WHO General Assembly in May 2001, and it can be said that the importance of assessing vital functions in conjunction with diseases has been emphasized, as well as enhancing the linkage between the International Classification of Functioning of Life (WHO International Classification Family) prepared by WHO.
The supplementary section V of ICD -11 consists of three main categories that extract the key elements of ICF items from the WHO-DAS 2.0 (WHO-Disability Assessment Schedule 2.0) and MDS (Model Disability Survey) developed by WHO based on the concept of ICF and other ICF core set projects called the Common Functional Area of Life (Generic functioning domains). There are 61 evaluation items, Except for unknown details and others.
At present, studies using the ICF concept in Japan often summarize survey items, research content, and practices that make use of the concept. However, there have been some studies using the ICF core set and the WHO-DAS 2.0, that utilize the ICF items and evaluation rules as they are, and the development of evaluation tools that utilize the ICF items and evaluation rules.
In the future, WHO is planning to map various big data in the field of health care including medical care, nursing care and welfare to the WHO-FIC (ICD, ICF, ICHI, etc.), and to develop measures to promote the construction of the global health information system (HIS: Health Information System). In 2020 Japan, how to collect data utilizing the ICF items and how to link the collected data with other data is planned.
