The World Health Organization's (WHO) International Classification of Functioning, Disability and Health, Children and Youth (ICF-CY)
ICF-CY Developmental Code Sets
The ICF-CY is the first universal classification system of child health and disability.
It provides a common framework and language to document functioning at the body, person, and society levels for children up to seventeen years of age. It has multiple purposes such as use in policy planning, surveillance, and documentation of intervention outcomes.
The World Health Organization (WHO) Member States endorsed the International Classification of Functioning, Disability and Health (ICF) as a framework for measuring health and disability on May 22, 2001 (www.who.int/classifications/icf).
Guided by a biopsychosocial conceptualization, the ICF was designed to provide a common standard classification system of adult health and health-related domains including codes which represent functioning at the body, person, and society levels.
In 2007 the WHO published a derived classification system from the ICF specifically for children and youth (i.e., the ICF-CY).
APPLICATION OF THE ICF-CY
Because the ICF-CY is a comprehensive taxonomy of health comprised of 1600 codes for children of all ages, application of this tool is challenging.
While the implications of the ICF-CY for research, practice, and policy are vast, but the expansive content and relative complexity of the system have made efficient application difficult.
DEVELOPMENTAL CODE SETS
Development of ICF-CY age-based reduced item code sets were created to define
standard minimum content areas to document child functioning as one strategy to
increase the utility of the ICF-CY in clinical and research settings.
In 2010, an international study was conducted to derive reduced item developmental code sets from the ICF-CY (Ellingsen, K. E. & Simeonsson, R. J). Professionals from 27 countries and more than 13 disciplines participated in the study to help create four age based reduced item sets from the ICF-CY.
Professionals from major regions of the world participated in a three-round Delphi procedure, prioritizing ICF-CY codes for four different age groups. Age-based reduced item sets were developed by consensus from a diverse international group of experts.Initial surveys were developed fromICF-CY field trial work in Sweden (Björck-Åkesson, Granlund, & Ibragimovaand, 2005) and I-CY-HAB forms 1-3 developed at Mälardalen University (Adolfsson, Pless, Ibragimova, Granlund, & Bjorck-Akesson, 2007).
The derived ICF-CY Developmental Code Sets included agreed upon essential codes from the domains of Activities/Participation, Body Functions and Environmental Factors.