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Harmonization of ICF Body Structures and ICD-11 Anatomic Detail: One foundation for multiple classifications

The Family of International Classifications of the World Health Organization (WHO-FIC) currently includes three reference classifications, namely International Classification of Diseases (ICD), International Classification of Functioning, Disability, and Health (ICF), and International Classificatio...

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Autores principales: Della Mea, Vincenzo, Almborg, Ann-Helene, Martinuzzi, Michela, Tu, Samson W., Martinuzzi, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10374130/
https://www.ncbi.nlm.nih.gov/pubmed/37498874
http://dx.doi.org/10.1371/journal.pone.0280106
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author Della Mea, Vincenzo
Almborg, Ann-Helene
Martinuzzi, Michela
Tu, Samson W.
Martinuzzi, Andrea
author_facet Della Mea, Vincenzo
Almborg, Ann-Helene
Martinuzzi, Michela
Tu, Samson W.
Martinuzzi, Andrea
author_sort Della Mea, Vincenzo
collection PubMed
description The Family of International Classifications of the World Health Organization (WHO-FIC) currently includes three reference classifications, namely International Classification of Diseases (ICD), International Classification of Functioning, Disability, and Health (ICF), and International Classification of Health Interventions (ICHI). Recently, the three classifications have been incorporated into a single WHO-FIC Foundation that serves as the repository of all concepts in the classifications. Each classification serves a specific classification need. However, they share some common concepts that are present, in different forms, in two or all of them. For the WHO-FIC Foundation to be a logically consistent repository without duplicates, these common concepts must be reconciled. One important set of shared concepts is the representation of human anatomy entities, which are not always modeled in the same way and with the same level of detail. To understand the relationships among the three anatomical representations, an effort is needed to compare them, identifying common areas, gaps, and compatible and incompatible modeling. The work presented here contributes to this effort, focusing on the anatomy representations in ICF and ICD-11. For this aim, three experts were asked to identify, for each entity in the ICF Body Structures, one or more entities in the ICD-11 Anatomic Detail that could be considered identical, broader or narrower. To do this, they used a specifically developed web application, which also automatically identified the most obvious equivalences. A total of 631 maps were independently identified by the three mappers for 218 ICF Body Structures, with an interobserver agreement of 93.5%. Together with 113 maps identified by the software, they were then consolidated into 434 relations. The results highlight some differences between the two classifications: in general, ICF is less detailed than ICD-11; ICF favors lumping of structures; in very few cases, the two classifications follow different anatomic models. For these issues, solutions have to be found that are compliant with the WHO approach to classification modeling and maintenance.
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spelling pubmed-103741302023-07-28 Harmonization of ICF Body Structures and ICD-11 Anatomic Detail: One foundation for multiple classifications Della Mea, Vincenzo Almborg, Ann-Helene Martinuzzi, Michela Tu, Samson W. Martinuzzi, Andrea PLoS One Research Article The Family of International Classifications of the World Health Organization (WHO-FIC) currently includes three reference classifications, namely International Classification of Diseases (ICD), International Classification of Functioning, Disability, and Health (ICF), and International Classification of Health Interventions (ICHI). Recently, the three classifications have been incorporated into a single WHO-FIC Foundation that serves as the repository of all concepts in the classifications. Each classification serves a specific classification need. However, they share some common concepts that are present, in different forms, in two or all of them. For the WHO-FIC Foundation to be a logically consistent repository without duplicates, these common concepts must be reconciled. One important set of shared concepts is the representation of human anatomy entities, which are not always modeled in the same way and with the same level of detail. To understand the relationships among the three anatomical representations, an effort is needed to compare them, identifying common areas, gaps, and compatible and incompatible modeling. The work presented here contributes to this effort, focusing on the anatomy representations in ICF and ICD-11. For this aim, three experts were asked to identify, for each entity in the ICF Body Structures, one or more entities in the ICD-11 Anatomic Detail that could be considered identical, broader or narrower. To do this, they used a specifically developed web application, which also automatically identified the most obvious equivalences. A total of 631 maps were independently identified by the three mappers for 218 ICF Body Structures, with an interobserver agreement of 93.5%. Together with 113 maps identified by the software, they were then consolidated into 434 relations. The results highlight some differences between the two classifications: in general, ICF is less detailed than ICD-11; ICF favors lumping of structures; in very few cases, the two classifications follow different anatomic models. For these issues, solutions have to be found that are compliant with the WHO approach to classification modeling and maintenance. Public Library of Science 2023-07-27 /pmc/articles/PMC10374130/ /pubmed/37498874 http://dx.doi.org/10.1371/journal.pone.0280106 Text en © 2023 Della Mea et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Della Mea, Vincenzo
Almborg, Ann-Helene
Martinuzzi, Michela
Tu, Samson W.
Martinuzzi, Andrea
Harmonization of ICF Body Structures and ICD-11 Anatomic Detail: One foundation for multiple classifications
title Harmonization of ICF Body Structures and ICD-11 Anatomic Detail: One foundation for multiple classifications
title_full Harmonization of ICF Body Structures and ICD-11 Anatomic Detail: One foundation for multiple classifications
title_fullStr Harmonization of ICF Body Structures and ICD-11 Anatomic Detail: One foundation for multiple classifications
title_full_unstemmed Harmonization of ICF Body Structures and ICD-11 Anatomic Detail: One foundation for multiple classifications
title_short Harmonization of ICF Body Structures and ICD-11 Anatomic Detail: One foundation for multiple classifications
title_sort harmonization of icf body structures and icd-11 anatomic detail: one foundation for multiple classifications
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10374130/
https://www.ncbi.nlm.nih.gov/pubmed/37498874
http://dx.doi.org/10.1371/journal.pone.0280106
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