ID

16748

Beschrijving

Health sector data set specifications from METeOR, Australia's repository for national metadata standards, developed by the Australian Institute of Health and Welfare (http://meteor.aihw.gov.au/content/index.phtml/itemId/345165) Functioning and Disability DSS The Functioning and Disability DSS aims to ensure national consistency in relation to defining and measuring human functioning and disability. This DSS has been developed to be consistent with the International Classification of Functioning, Disability and Health (ICF). Functioning and disability are dual concepts in a broad framework. Functioning is the umbrella term for any or all of: body functions, body structures, activities and participation. Functioning is a multidimensional concept denoting the neutral aspects of the interaction between an individual (with a health condition) and that individual's environmental and personal factors. Disability is the umbrella term for any or all of: an impairment of body structure or function, a limitation in activities, or a restriction in participation. Disability is a multi-dimensional and complex concept and is conceived as a dynamic interaction between health conditions and environmental and personal factors (WHO 2001:6). A health condition may be a disease (acute or chronic), disorder, injury or trauma. Environmental factors make up the physical, social and attitudinal environment in which people live and conduct their lives. Personal factors relate to the individual, such as age, sex and Indigenous status. The components of functioning and disability are classified and defined in the ICF as body structures and body functions, activities and participation and environmental factors. Each component is composed of various domains; these are sets of related physiological functions, anatomical structures, actions, tasks, areas of life, and external influences. Qualifiers, the numeric measures coded after the relevant domain, are usually essential to the meaningful use of the classification because of the neutral terms of the domains. Many different 'definitions' of disability are used in Australia, both in administrative data collections and in Acts of Parliament. The consistent identification of disability in national data collections has been recommended in a number of reports, for instance to enable: • the monitoring of access to generic services by people with disability; • the collection of more consistent data on disability support and related services, including data on service use by different groups; • population data and service data to be related, thereby improving the nation's analytical capacity in relation to the need for and supply of services; and • improved understanding of the relationship between disability, health conditions and other health outcomes. Defining disability makes it possible to determine the number of people in the population with disability, those who are accessing services, both disability specific and generic, and those with a disability in the general population with unmet need. Better definition of disability will aid better targeting of resources to those in need. The concept 'Disability' can be operationalised in a wide variety of settings and for various purposes, using a combination of related metadata items as building blocks. The metadata items selected for a particular application may vary depending on the approach to functioning and disability. For example, in hospital rehabilitation, the focus may be on the impairment and activity dimensions, and in community-based care the focus may be primarily on participation. Some applications may require a broad scope for inclusion (e.g. discrimination legislation). Data collections relating to services will select combinations of the data elements, which best reflect the eligibility criteria for the service. The Functioning and Disability DSS comprises the following four clusters to describe level of human functioning: 1. Body functioning, qualified by extent of impairment 2. Body structure, qualified by extent, nature and location of impairment 3. Activities and participation, qualified by level of difficulty and need for assistance with undertaking activities and extent of and satisfaction with participation 4. Environmental factors, qualified by extent of influence of the environment Data collected using this DSS can be related to national data collections which use ICF concepts such as the Commonwealth State Territory Disability Agreement (CSTDA) NMDS collection and the ABS Survey of Ageing, Disability and Carers and, from 2006, the Census. © Australian Institute of Health and Welfare 2015 Metadata and Classifications Unit Australian Institute of Health and Welfare GPO Box 570 Canberra ACT 2601

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Functioning and Disability DSS Metadata Online Registry (METeOR)

Engels

Functioning and Disability DSS Metadata Online Registry (METeOR)

1 Formulieren  
Activities and Participation cluster
Beschrijving

Activities and Participation cluster

Activity and participation life area
Beschrijving

Person—activity and participation life area, code (ICF 2001) AN[NNN] Identifying and definitional attributes Short name: Activity and participation life area METeOR identifier: 320125 Registration status: Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006 Definition: The life area in which a person participates or undertakes activities, as represented by a code. Context: Human functioning and disability Data Element Concept: Person—activity and participation life area Value domain attributes Representational attributes Classification scheme: International Classification of Functioning, Disability and Health 2001 Representation class: Code Data type: String Format: AN[NNN] Maximum character length: 5 Collection and usage attributes Guide for use: This metadata item contributes to the definition of the concept 'Disability' and gives an indication of the experience of disability for a person. The activities and participation codes are a neutral list that covers the full range of life areas in which a person can be involved. The domains can be used to record positive or neutral experience of functioning as well as limitations and restrictions. Data can be collected at the three digit level in one chapter and at the chapter level in another. However it is only possible to collect data at a single level of the hierarchy in a single chapter to maintain mutual exclusivity. For example, it is not permitted to collect both 'Self care' (chapter level) and 'Looking after one's health' (3 digit level) as the former includes the latter. The value domain below refers to the highest hierarchical level (ICF chapter level). Data collected at this level, in association with respective qualifiers (Activity difficulty level, Activity Need for assistance, Participation extent and Participation satisfaction level) will use the codes as indicated. CODE d1 Learning and applying knowledge CODE d2 General tasks and demands CODE d3 Communication CODE d4 Mobility CODE d5 Self-care CODE d6 Domestic life CODE d7 Interpersonal interactions and relationships CODE d8 Major life areas CODE d9 Community, social and civic life Data collected at this level will provide a general description of functioning for the person and can only be compared with data collected at the same level. Each chapter contains categories at different levels ordered from general to detailed. For specific more detailed information the user should follow the structure of the ICF; the codes should be drawn from the same hierarchical level within any particular chapter. The full range of permissible values is listed in the Activities and Participation component of the ICF. An example of a value domain at the 3 digit level from the Self-care chapter may include: CODE d510 Washing oneself CODE d520 Caring for body parts CODE d530 Toileting CODE d540 Dressing CODE d550 Eating CODE d560 Drinking CODE d570 Looking after one's health An example of value domains at the 4 digit level from the Mobility chapter may include: CODE d4600 Moving around within the home CODE d4601 Moving around within buildings other than home CODE d4602 Moving around outside the home and other buildings CODE d4701 Using private motorized transportation CODE d4702 Using public motorized transportation The prefix d denotes the domains within the component of Activities and Participation. At the user's discretion, the prefix d can be replaced by a or p, to denote activities or participation respectively. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare (AIHW) which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Origin: WHO 2001. ICF: International Classification of Functioning, Disability and Health. Geneva: WHO AIHW 2003. ICF Australian User Guide Version 1.0. Canberra: AIHW Reference documents: Further information on the ICF, including more detailed codes, can be found in the ICF itself and the ICF Australian User Guide (AIHW 2003), at the following websites: • WHO ICF website http://www.who.int/classifications/icf/en/ • Australian Collaborating Centre ICF website http://www.aihw.gov.au/disability/icf/index.cfm Data element attributes Collection and usage attributes Guide for use: This metadata item, in conjunction with Activity difficulty level code N, enables the provision of information about the presence and extent of activity limitation for any given life area; with Activity need for assistance code N, the provision of information about the need for assistance with the given life area. The extent of, and level of satisfaction with, participation in a given area are indicated by the use of this metadata item with the qualifiers Participation extent code N and Participation satisfaction level code N. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare (AIHW) which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Relational attributes Related metadata references: See also Person—extent of participation in a life area, code (ICF 2001) N Health, Standard 29/11/2006, Disability, Standard 13/08/2015, Community Services (retired), Standard 16/10/2006 See also Person—level of difficulty with activities in life areas, code (ICF 2001) N Health, Standard 29/11/2006, Disability, Standard 13/08/2015, Community Services (retired), Standard 16/10/2006 See also Person—level of satisfaction with participation in a life area, code N Health, Standard 29/11/2006, Disability, Standard 13/08/2015, Community Services (retired), Standard 16/10/2006 See also Person—need for assistance with activities in a life area, code N Health, Standard 29/11/2006, Disability, Standard 13/08/2015, Community Services (retired), Standard 16/10/2006 Implementation in Data Set Specifications: Activities and Participation cluster Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006 Child protection and support services (CPSS) client cluster Community Services (retired), Standard 30/04/2008

Datatype

text

Extent of participation
Beschrijving

Person—extent of participation in a life area, code (ICF 2001) N Identifying and definitional attributes Short name: Extent of participation METeOR identifier: 320219 Registration status: Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006 Definition: The degree of participation by an individual in a specified life area, as represented by a code. Context: Human functioning and disability Data Element Concept: Person—extent of participation in a life area Value domain attributes Representational attributes Classification scheme: International Classification of Functioning, Disability and Health 2001 Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 0 Full participation 1 Mild participation restriction 2 Moderate participation restriction 3 Severe participation restriction 4 Complete participation restriction Supplementary values: 8 Not specified 9 Not applicable Collection and usage attributes Guide for use: This metadata item contributes to the definition of the concept 'Disability' and gives an indication of the experience of disability for a person. In the context of health, participation is involvement in a life situation. Participation restrictions are problems an individual may experience in involvement of life situations. This metadata item may be used to describe the extent of participation in life situations for an individual with a health condition. The standard or norm to which an individual's participation is compared is that of an individual without a similar health condition in that particular society. The participation restriction records the discordance between the experienced participation and the expected participation of an individual without a health condition. The definition of 'particular society' is not specified and will inevitably give rise to different interpretations. If limiting the interpretation, it will be necessary to state the factors which are taken into account, for example, age, gender, ethnicity, religion, education, locality (town, state, rural, remote, urban). The user will select the code that most closely summarises, in terms of duration, frequency, manner or outcome, the level of participation of the person for whom the data is recorded. CODE 0 Full participation Used when the person participates in this life area in the same way in terms of duration, frequency, manner or outcome as other individuals without a similar health condition in that particular society CODE 1 Mild participation restriction Used for example, when the person is restricted in their participation less than 25% of the time, and/or with a low alteration in functioning which may happen occasionally over the last 30 days CODE 2 Moderate participation restriction Used for example, when the person is restricted in their participation between 26% and 50% of the time with a significant, and/or with a moderate effect on functioning (Up to half the total scale of performance) which may happen regularly over the last 30 days CODE 3 Severe participation restriction Used for example, when participation in this life area can be achieved, but only rarely and/or with an extreme effect on functioning which may happen often over the last 30 days CODE 4 Complete participation restriction Used when the person can not participate in this life area. This scale has a margin of error of 5% CODE 8 Not specified Used when a person's participation in a life area is restricted but there is insufficient information to use codes 0-4 CODE 9 Not applicable Used when participation in a life area is not relevant, such as employment for an infant. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare (AIHW) which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Origin: WHO 2001. ICF: International Classification of Functioning, Disability and Health. Geneva: WHO AIHW 2003. ICF Australian User Guide Version 1.0. Canberra: AIHW Reference documents: Further information on the ICF, including more detailed codes, can be found in the ICF itself and the ICF Australian User Guide (AIHW 2003), at the following websites: • WHO ICF website http://www.who.int/classifications/icf/en/ • Australian Collaborating Centre ICF website http://www.aihw.gov.au/disability/icf/index.cfm Data element attributes Collection and usage attributes Guide for use: Extent of participation is always associated with a health condition. For example, a restriction in participation in 'community, social and civic life' may be recorded when the person has had a stroke, but not when the restriction is associated only with personal preferences, without a related health condition. A value is attached to restriction of participation (i.e. a participation restriction is a disadvantage). The value is dependent on cultural norms, so that an individual may be disadvantaged in one group or location and not in another place. This data element is used in conjunction with a specified Activities and participation life area (ICF 2001) AN[NNN]. For example, a 'mild restriction in participation in exchange of information'. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare (AIHW) which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Relational attributes Related metadata references: See also Person—activity and participation life area, code (ICF 2001) AN[NNN] Health, Standard 29/11/2006, Disability, Standard 13/08/2015, Community Services (retired), Standard 16/10/2006 Implementation in Data Set Specifications: Activities and Participation cluster Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006

Datatype

integer

Difficulty with activities
Beschrijving

Person—level of difficulty with activities in life areas, code (ICF 2001) N Identifying and definitional attributes Short name: Difficulty with activities METeOR identifier: 320120 Registration status: Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006 Definition: The level of difficulty a person has in performing the tasks and actions involved in specified life areas, as represented by a code. Context: Human functioning and disability Data Element Concept: Person—level of difficulty with activities in a life area Value domain attributes Representational attributes Classification scheme: International Classification of Functioning, Disability and Health 2001 Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 0 No difficulty 1 Mild difficulty 2 Moderate difficulty 3 Severe difficulty 4 Complete difficulty Supplementary values: 8 Not specified 9 Not applicable Collection and usage attributes Guide for use: This metadata item contributes to the definition of the concept 'Disability' and gives an indication of the experience of disability for a person. In the context of health, an activity is the execution of a task or action by an individual. Activity limitations are difficulties an individual may have in executing an activity. Difficulties with activities can arise when there is a qualitative or quantitative alteration in the way in which these activities are carried out. Difficulty includes matters such as 'with pain', 'time taken', 'number of errors', clumsiness', 'modification of manner in which an activity is performed' e.g. sitting to get dressed instead of standing. 'Difficulty' is a combination of the frequency with which the problem exists, the duration of the problem and the intensity of the problem. Activity limitations are assessed against a generally accepted population standard, relative to cultural and social expectations. Activity limitation varies with the environment and is assessed in relation to a particular environment; the absence or presence of assistance, including aids and equipment, is an aspect of the environment. The user will select the code that most closely summarises, in terms of duration, frequency, manner or outcome, the level of difficulty of the person for whom the data is recorded. CODE 0 No difficulty in this life area Is used when there is no difficulty in performing this activity. This scale has a margin of error of 5%. [0-4%] CODE 1 Mild difficulty Is recorded for example, when the level of difficulty is below the threshold for medical intervention, the difficulty is experienced less than 25% of the time, and/or with a low alteration in functioning which may happen occasionally over the last 30 days. [5-24%] CODE 2 Moderate difficulty Is used for example when the level of difficulty is experienced less than 50% of the time and/or with a significant, but moderate effect on functioning (Up to half the scale of total performance) which may happen regularly over the last 30 days. [25-49%] CODE 3 Severe difficulty Is used for example when performance in this life area can be achieved, but with only extreme difficulty, and/or with an extreme effect on functioning which may happen often over the last 30 days. [50-95%] CODE 4 Complete difficulty Is used when the person can not perform in this life area due of the difficulty in doing so. This scale has a margin of error of 5%. [96-100%] CODE 8 Not specified Is used where a person has difficulty with activities in a life area but there is insufficient information to use codes 0-4. CODE 9 Not applicable Is used where a life area is not applicable to this person, e.g. domestic life for a child under 5. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare (AIHW) which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Origin: WHO 2001. ICF: International Classification of Functioning, Disability and Health. Geneva: WHO AIHW 2003. ICF Australian User Guide Version 1.0. Canberra: AIHW Reference documents: Further information on the ICF, including more detailed codes, can be found in the ICF itself and the ICF Australian User Guide (AIHW 2003), at the following websites: • WHO ICF website http://www.who.int/classifications/icf/en/ • Australian Collaborating Centre ICF website http://www.aihw.gov.au/disability/icf/index.cfm Data element attributes Collection and usage attributes Guide for use: This data element, in conjunction with Person—activities and participation life area, code (ICF 2001) AN[NNN], indicates the presence and extent of activity limitation in a given domain of activity. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare (AIHW) which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Relational attributes Related metadata references: See also Person—activity and participation life area, code (ICF 2001) AN[NNN] Health, Standard 29/11/2006, Disability, Standard 13/08/2015, Community Services (retired), Standard 16/10/2006 Implementation in Data Set Specifications: Activities and Participation cluster Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006

Datatype

integer

Satisfaction with participation
Beschrijving

Person—level of satisfaction with participation in a life area, code N Identifying and definitional attributes Short name: Satisfaction with participation METeOR identifier: 320216 Registration status: Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006 Definition: The degree to which a person is satisfied with their involvement in a specified life area, as represented by a code. Context: Human functioning and disability Data Element Concept: Person—level of satisfaction with participation in a life area Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 0 High satisfaction with participation 1 Moderate satisfaction with participation 2 Neither satisfied nor dissatisfied with participation 3 Moderate dissatisfaction with participation 4 Extreme dissatisfaction with participation 5 Complete restriction and dissatisfaction Supplementary values: 8 Not specified 9 Not applicable Collection and usage attributes Guide for use: This metadata item contributes to the definition of the concept 'Disability' and gives an indication of the experience of disability for a person. In the context of health, participation is involvement in a life situation. Participation restrictions are problems an individual may experience in involvement in life situations. This metadata item gives a rating of the person's degree of satisfaction with participation in a domain of life, in relation to their current life goals. Satisfaction with participation corresponds to the person's own perspective on their participation, and reflects their attitude to their participation in the various life areas. It is essentially a summary measure in which are embedded the concepts of choice, opportunity and importance. CODE 0 High satisfaction with participation Used if a person is involved in the specified life situation as he or she wishes to fulfil his or her current life goals in terms of duration, frequency, manner and outcome. CODE 1 Moderate satisfaction with participation Used if the person is reasonably satisfied with their participation in this life situation, in terms of duration, frequency, manner and outcome. This could occur if one of the criteria (duration, frequency, manner or outcome) is not fulfilled and that criterion is not critical to the person's goals. For example, the person does not participate in the specified life situation as frequently as wished, but the other criteria are met and the frequency is not so affected that it is critical to the person's satisfaction. CODE 2 Neither satisfied nor dissatisfied with participation Used if the person is neither satisfied nor dissatisfied with their participation in this life situation, in terms of duration, frequency, manner and outcome. CODE 3 Moderate dissatisfaction with participation Used if two or three criteria (duration, frequency, manner or outcome) are not fulfilled, but are not so badly affected, in relation to the person's goals in that life area, that the person is extremely dissatisfied. For example, a person is able to participate in work, but is placed in supported employment rather than employment in the open labour market. This is not in line with the person's goals, so that the manner and outcome of the participation are not fulfilled. CODE 4 Extreme dissatisfaction with participation Used when all criteria (duration, frequency, manner and outcome) are not fulfilled for the specified life situation, or where any of the criteria are so badly affected in relation to the person's goals that they consider themselves to be extremely dissatisfied with this life area. An example of the latter would arise when a person is extremely dissatisfied with participation in interpersonal activities because his/her goal in terms of duration of social visits is never fulfilled, although other criteria (frequency and manner) may be fulfilled. CODE 5 Complete restriction and dissatisfaction Used when the person does not participate in this life situation in line with his or her own goals, i.e. in an area where they wish to participate and is completely dissatisfied with not participating in this life situation. CODE 9 Not applicable Used when participation in a life situation is not relevant, such as employment of an infant or where there is no participation and the person has no desire to participate in this area. For example, a personal preference not to participate in specific areas of community, social and civic life such as sport or hobbies. The area may not be applicable to the person's current life goals. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare (AIHW) which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Origin: WHO 2001. ICF: International Classification of Functioning, Disability and Health. Geneva: WHO AIHW 2003. ICF Australian User Guide Version 1.0. Canberra: AIHW Reference documents: Further information on the ICF, including more detailed codes, can be found in the ICF itself and the ICF Australian User Guide (AIHW 2003), at the following websites: • WHO ICF website http://www.who.int/classifications/icf/en/ • Australian Collaborating Centre ICF website http://www.aihw.gov.au/disability/icf/index.cfm Data element attributes Collection and usage attributes Guide for use: Satisfaction with participation should be coded from the perspective of the person. This data element should be coded in conjunction with the Person—activities and participation life area, code (ICF 2001) AN[NNN] data element. For example, a person's 'moderate satisfaction with participation in exchange of information'. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare (AIHW) which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Relational attributes Related metadata references: See also Person—activity and participation life area, code (ICF 2001) AN[NNN] Health, Standard 29/11/2006, Disability, Standard 13/08/2015, Community Services (retired), Standard 16/10/2006 Implementation in Data Set Specifications: Activities and Participation cluster Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006

Datatype

integer

Assistance with activities
Beschrijving

Person—need for assistance with activities in a life area, code N Identifying and definitional attributes Short name: Assistance with activities METeOR identifier: 320213 Registration status: Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006 Definition: The level of help and/or supervision a person requires (or would require if the person currently helping/supervising was not available) to perform tasks and actions in a specified life area, as represented by a code. Context: Human functioning and disability Data Element Concept: Person—need for assistance with activities in a life area Value domain attributes Representational attributes Classification scheme: International Classification of Functioning, Disability and Health 2001 Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 0 Does not need help/supervision 1 Sometimes needs help/supervision 2 Always needs help/supervision 3 Unable to do this task or action, even with assistance Supplementary values: 8 Not specified 9 Not applicable Collection and usage attributes Guide for use: This metadata item contributes to the definition of the concept 'Disability' and gives an indication of the experience of disability for a person. In the context of health, an activity is the execution of a task or action by an individual. Activity limitations are difficulties an individual may have in executing an activity. Activity limitation varies with the environment and is assessed in relation to a particular environment; the absence or presence of assistance, including aids and equipment, is an aspect of the environment. This value domain records the level of a person's need for help or supervision, in a specified domain, in their overall life. This means that the need for assistance may not be directly relevant to the health or community care service being provided. Where a life area includes a range of examples, (e.g. domestic life includes cooking, cleaning and shopping), if a person requires assistance in any of the areas then the highest level of assistance should be recorded. Where need for assistance varies markedly over time (e.g. episodic psychiatric conditions) please record the average level of assistance needed. The presence of an activity limitation with a given domain is indicated by a non-zero response in this value domain. Activity is limited when an individual, in the context of a health condition, either has need for assistance in performing an activity in an expected manner, or cannot perform the activity at all. CODE 0 is used when the person has no need for supervision or help and can undertake the activity independently. CODE 1 is used when the person sometimes needs assistance to perform an activity. CODE 2 is used when the person always needs assistance to undertake the activity and cannot do the activity without assistance. CODE 3 is used when the person cannot do the activity even with assistance CODE 8 is used when a person's need for assistance to undertake the activity is unknown or there is insufficient information to use codes 0-3. CODE 9 is used where the need for help or supervision is due to the person's age. For example, Education for persons less than 5 years and work for persons less than 15 years. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare (AIHW) which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Origin: WHO 2001. ICF: International Classification of Functioning, Disability and Health. Geneva: WHO AIHW 2003. ICF Australian User Guide Version 1.0. Canberra: AIHW Reference documents: Further information on the ICF, including more detailed codes, can be found in the ICF itself and the ICF Australian User Guide (AIHW 2003), at the following websites: • WHO ICF website http://www.who.int/classifications/icf/en/ • Australian Collaborating Centre ICF website http://www.aihw.gov.au/disability/icf/index.html Data element attributes Collection and usage attributes Guide for use: This data element, in conjunction with Person—activities and participation life area, code (ICF 2001) AN[NNN], indicates a person's need for assistance in a given domain of activity. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare (AIHW) which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Relational attributes Related metadata references: See also Person—activity and participation life area, code (ICF 2001) AN[NNN] Health, Standard 29/11/2006, Disability, Standard 13/08/2015, Community Services (retired), Standard 16/10/2006 Implementation in Data Set Specifications: Activities and Participation cluster Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006 Child protection and support services (CPSS) client cluster Community Services (retired), Standard 30/04/2008

Datatype

integer

Body functions cluster
Beschrijving

Body functions cluster

Body function
Beschrijving

Person—body function, code (ICF 2001) AN[NNNN] Identifying and definitional attributes Short name: Body function Synonymous names: Body function code METeOR identifier: 320141 Registration status: Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006 Definition: The physiological or psychological function of a person's body system, as represented by a code. Data Element Concept: Person—body function Value domain attributes Representational attributes Classification scheme: International Classification of Functioning, Disability and Health 2001 Representation class: Code Data type: String Format: AN[NNNN] Maximum character length: 6 Collection and usage attributes Guide for use: This metadata item contributes to the definition of the concept 'Disability' and gives an indication of the experience of disability for a person. Data can be collected at the three digit level in one chapter and at the chapter level in another. However it is only possible to collect data at a single level of the hierarchy in a single chapter to maintain mutual exclusivity. For example, it is not permitted to collect both Exercise tolerance functions (3 digit level) and 'fatigability' (4-digit level) as the former includes the latter. The value domain below refers to the highest hierarchical level (ICF chapter level). Data collected at this level, in association with Impairment extent code N will use the codes as indicated. CODE b1 Mental functions CODE b2 Sensory functions and pain CODE b3 Voice and speech functions CODE b4 Functions of the cardiovascular, haematological, immunological and respiratory systems CODE b5 Functions of the digestive, metabolic and the endocrine system CODE b6 Genitourinary and reproductive functions CODE b7 Neuromusculoskeletal and movement-related functions CODE b8 Functions of the skin and related structures Data collected at this level will provide a general description of the structures and can only be compared with data collected at the same level. Each chapter contains categories at different levels ordered from general to detailed. For more detailed information the user should follow the structure of the ICF; the codes should be drawn from the same hierarchical level within any particular chapter. The full range of permissible values together, with definitions is listed in the Body Functions component of the ICF. An example of a value domain at the 3 digit level from the Sensory functions and pain chapter may include: CODE b210 Seeing functions CODE b230 Hearing functions CODE b235 Vestibular functions CODE b250 Taste functions CODE b255 Smell functions CODE b260 Proprioceptive functions CODE b265 Touch functions CODE b270 Sensory functions related to temperature and other stimuli CODE b279 Additional sensory functions, other specified and unspecified An example of a value domain at the 4 digit level from the body function component may include: CODE b1300 Energy level CODE b1400 Sustaining attention CODE b1442 Retrieval of memory CODE b1521 Regulation of emotion CODE b1641 Organization and planning The prefix b denotes the domains within the component of Body Functions. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Origin: WHO 2001. ICF: International Classification of Functioning, Disability and Health. Geneva: WHO AIHW 2003. ICF Australian User Guide Version 1.0. Canberra: AIHW Reference documents: Further information on the ICF, including more detailed codes, can be found in the ICF itself and the ICF Australian User Guide (AIHW 2003), at the following websites: • WHO ICF website http://www.who.int/classifications/icf/en/ • Australian Collaborating Centre ICF website http://www.aihw.gov.au/disability/icf/index.cfm Data element attributes Collection and usage attributes Guide for use: This data element can be used to record positive or neutral body function, as well as impairment of body function when used in conjunction with the metadata item Person—extent of impairment of body function, code (ICF 2001)N. Where multiple body functions or impairments of body functions are recorded, the following prioritising system should be useful. • The first recorded body function or impairment of body function is the one having the greatest impact on the individual. • Second and subsequent body function or impairment of body function is also of relevance to the individual. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare (AIHW) which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Relational attributes Related metadata references: See also Person—extent of impairment of body function, code (ICF 2001) N Health, Standard 29/11/2006, Disability, Standard 13/08/2015, Community Services (retired), Standard 16/10/2006 Implementation in Data Set Specifications: Body functions clusterHealth, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006

Datatype

text

Impairment of body function
Beschrijving

Person—extent of impairment of body function, code (ICF 2001) N Identifying and definitional attributes Short name: Impairment of body function METeOR identifier: 320138 Registration status: Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006 Definition: A person's degree of impairment in a specified body function, as represented by a code. Context: Human functioning and disability Data Element Concept: Person—extent of impairment of body function Value domain attributes Representational attributes Classification scheme: International Classification of Functioning, Disability and Health 2001 Representation class: Code Data type: String Format: N Maximum character length: 1 Permissible values: Value Meaning 0 No impairment 1 Mild impairment 2 Moderate impairment 3 Severe impairment 4 Complete impairment Supplementary values: 8 Not specified 9 Not applicable Collection and usage attributes Guide for use: This metadata item contributes to the definition of the concept 'Disability' and gives an indication of the experience of disability for a person. Impairments of body structure or body function are problems in body structure or function such as a loss or significant departure from population standards or averages. CODE 0 No impairment Used when there is no significant variation from accepted population standards in the biomedical status of the body structure or its functions [0-4%]. CODE 1 Mild impairment Used when there is a slight or low variation from accepted population standards in the biomedical status of the body structure or its functions [5-24%]. CODE 2 Moderate impairment Used when there is a medium (significant but not severe) variation from accepted population standards in the biomedical status of the body structure or its functions [25-49%]. CODE 3 Severe impairment Used when there is an extreme variation from accepted population standards in the biomedical status of the body structure or its functions [50-95%]. CODE 4 Complete impairment Used when there is a total variation from accepted population standards in the biomedical status of the body structure or its functions [96-100%]. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Origin: World Health Organization (WHO) 2001. ICF: International Classification of Functioning, Disability and Health. Geneva: WHO Australian Institute of Health and Welfare (AIHW) 2003. ICF Australian User Guide Version 1.0. Canberra: AIHW Reference documents: Further information on the ICF including more detailed codes, can be found in the ICF itself and the ICF Australian User Guide (AIHW 2003), at the following websites: • WHO ICF website http://www.who.int/classifications/icf/en/ • Australian Collaborating Centre ICF website http://www.aihw.gov.au/disability/icf/index.cfm Data element attributes Collection and usage attributes Guide for use: This coding is to be used in conjunction with specified Body Functions domains. For example, 'a mild impairment of functions related to the brain' to indicate the area of impairment and, potentially, the sorts of interventions that may result in improved functioning. The body function in which an individual experiences an impairment is indicated using the metadata item Person—body function, code (ICF 2001) AN[NNNN]. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare (AIHW) which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Relational attributes Related metadata references: See also Person—body function, code (ICF 2001) AN[NNNN] Health, Standard 29/11/2006, Disability, Standard 13/08/2015, Community Services (retired), Standard 16/10/2006 Implementation in Data Set Specifications: Body functions cluster Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006

Datatype

integer

Body structures cluster
Beschrijving

Body structures cluster

Body structure
Beschrijving

Person—body structure, code (ICF 2001) AN[NNNN] Identifying and definitional attributes Short name: Body structure Synonymous names: Body structure code METeOR identifier: 320147 Registration status: Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006 Definition: An anatomical part of a person's body such as organs, limbs or their components, as represented by a code. Data Element Concept: Person—body structure Value domain attributes Representational attributes Classification scheme: International Classification of Functioning, Disability and Health 2001 Representation class: Code Data type: String Format: AN[NNNN] Maximum character length: 6 Collection and usage attributes Guide for use: This metadata item contributes to the definition of the concept disability and gives an indication of the experience of disability for a person. Data can be collected at the three digit level in one chapter and at the chapter level in another. However it is only possible to collect data at a single level of the hierarchy in a single chapter to maintain mutual exclusivity. For example, it is not permitted to collect both 'Skin and related structures' (chapter level) and 'Structure of nails' (3 digit level) as the former includes the latter. The value domain below refers to the highest hierarchical level (ICF chapter level). Data collected at this level, in association with respective qualifiers (Impairment extent code N, Impairment nature code N, Impairment location code N) will use the codes as indicated. CODE s1 Structures of the nervous system CODE s2 The eye, ear and related structures CODE s3 Structures involved in voice and speech CODE s4 Structures of the cardiovascular, immunological and respiratory systems CODE s5 Structures related to the digestive, metabolic and endocrine systems CODE s6 Structures related to the genitourinary and reproductive systems CODE s7 Structures related to movement CODE s8 Skin and related structures Data collected at this level will provide a general description of the structures and can only be compared with data collected at the same level. Each chapter contains categories at different levels ordered from general to detailed. For more detailed information the user should follow the structure of the ICF; the codes should be drawn from the same hierarchical level within any particular chapter. The full range of permissible values together with definitions is listed in the Body Structures component of the ICF. An example of a value domain at the 3 digit level from the Structures of the nervous system chapter may include: CODE s110 Structure of the brain CODE s120 Spinal cord and related structures CODE s130 Structure of the meninges CODE s140 Structure of sympathetic nervous system CODE s150 Structure of parasympathetic nervous system CODE s198 Structure of the nervous system, other specified CODE s199 Structure of the nervous system, unspecified An example of a value domain at the 4 digit level from the Structures related to movement chapter may include: CODE s7300 Structure of upper arm CODE s7301 Structure of forearm CODE s7302 Structure of hand CODE s7500 Structure of thigh CODE s7501 Structure of lower leg CODE s7502 Structure of ankle and foot CODE s7600 Structure of vertebral column The prefix s denotes the domains within the component of Body Structures. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Origin: WHO 2001. ICF: International Classification of Functioning, Disability and Health. Geneva: WHO AIHW 2003. ICF Australian User Guide Version 1.0. Canberra: AIHW Reference documents: Further information on the ICF, including more detailed codes, can be found in the ICF itself and the ICF Australian User Guide (AIHW 2003), at the following websites: • WHO ICF website http://www.who.int/classifications/icf/en/ • Australian Collaborating Centre ICF website http://www.aihw.gov.au/disability/icf/index.cfm Data element attributes Collection and usage attributes Guide for use: This data element consists of a single, neutral list of body structures that can be used to record positive or neutral body function. In conjunction with Impairment extent code N, it enables the provision of information about the presence and extent of impairment for any given body structures; with Impairment nature code N, the provision of information about the nature of the impairment for given body functions; and Impairment location code N, the location of the impairment for given body functions. Where multiple body structures or impairments of body structures are recorded, the following prioritising system should be useful: • The first recorded body structure or impairment of body function is the one having the greatest impact on the individual. • Second and subsequent body structure or impairment of body function is also of relevance to the individual. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare (AIHW) which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Relational attributes Implementation in Data Set Specifications: Body structures cluster Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006

Datatype

text

Impairment of body structure
Beschrijving

Person—extent of impairment of body structure, code (ICF 2001) N Identifying and definitional attributes Short name: Impairment of body structure METeOR identifier: 320165 Registration status: Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006 Definition: A person's degree of impairment in a specified body structure, as represented by a code. Data Element Concept: Person—extent of impairment of body structure Value domain attributes Representational attributes Classification scheme: International Classification of Functioning, Disability and Health 2001 Representation class: Code Data type: String Format: N Maximum character length: 1 Permissible values: Value Meaning 0 No impairment 1 Mild impairment 2 Moderate impairment 3 Severe impairment 4 Complete impairment Supplementary values: 8 Not specified 9 Not applicable Collection and usage attributes Guide for use: This metadata item contributes to the definition of the concept 'Disability' and gives an indication of the experience of disability for a person. Impairments of body structure or body function are problems in body structure or function such as a loss or significant departure from population standards or averages. CODE 0 No impairment Used when there is no significant variation from accepted population standards in the biomedical status of the body structure or its functions [0-4%]. CODE 1 Mild impairment Used when there is a slight or low variation from accepted population standards in the biomedical status of the body structure or its functions [5-24%]. CODE 2 Moderate impairment Used when there is a medium (significant but not severe) variation from accepted population standards in the biomedical status of the body structure or its functions [25-49%]. CODE 3 Severe impairment Used when there is an extreme variation from accepted population standards in the biomedical status of the body structure or its functions [50-95%]. CODE 4 Complete impairment Used when there is a total variation from accepted population standards in the biomedical status of the body structure or its functions [96-100%]. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Origin: World Health Organization (WHO) 2001. ICF: International Classification of Functioning, Disability and Health. Geneva: WHO Australian Institute of Health and Welfare (AIHW) 2003. ICF Australian User Guide Version 1.0. Canberra: AIHW Reference documents: Further information on the ICF including more detailed codes, can be found in the ICF itself and the ICF Australian User Guide (AIHW 2003), at the following websites: • WHO ICF website http://www.who.int/classifications/icf/en/ • Australian Collaborating Centre ICF website http://www.aihw.gov.au/disability/icf/index.cfm Data element attributes Collection and usage attributes Guide for use: This data element is used in conjunction with specified body structures, for example 'mild impairment of structures related to movement'. This data element may also be used in conjunction with Person—nature of impairment of body structure, code (ICF 2001) N and Person—location of impairment of body structure, code (ICF 2001) N. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare (AIHW) which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Relational attributes Related metadata references: See also Person—location of impairment of body structure, code (ICF 2001) N Health, Standard 29/11/2006, Disability, Standard 13/08/2015, Community Services (retired), Standard 16/10/2006 See also Person—nature of impairment of body structure, code (ICF 2001) N Health, Standard 29/11/2006, Disability, Standard 13/08/2015, Community Services (retired), Standard 16/10/2006 Implementation in Data Set Specifications: Body structures cluster Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006

Datatype

integer

Location of impairment
Beschrijving

Person—location of impairment of body structure, code (ICF 2001) N Identifying and definitional attributes Short name: Location of impairment METeOR identifier: 320177 Registration status: Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006 Definition: The location of a person's impairment in a specified body structure, as represented by a code. Context: Human functioning and disability Data Element Concept: Person—location of impairment of body structure Value domain attributes Representational attributes Classification scheme: International Classification of Functioning, Disability and Health 2001 Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 0 More than one region 1 Right 2 Left 3 Both sides 4 Front 5 Back 6 Proximal 7 Distal Supplementary values: 8 Not specified 9 Not applicable Collection and usage attributes Guide for use: This metadata item contributes to the definition of the concept 'Disability' and gives an indication of the experience of disability for a person. Impairments of body structure are problems in body structure such as a loss or significant departure from population standards or averages. Use only one code. Select the one that best describes the situation with this structure. Combinations are not possible. CODE 0 More than one region (except both sides) Used when the impairment is present in more than one body location (but not bilaterally see code 3); for example when burn scars affect many areas of skin. CODE 1 Right Used when the impairment is present to the right of the midline of the person's body. CODE 2 Left Used when the impairment is present to the left of the midline of the person's body. CODE 3 Both sides (bilateral) Used when the impairment is two-sided and disposed on opposite sides of the midline axis of the body, for example bilateral joint deformities. CODE 4 Front Used when the impairment is present in front of a line passing through the midline of the body when viewed from the side. CODE 5 Back Used when the impairment is present behind a line passing through the midline of the body when viewed from the side. CODE 6 Proximal Used when the impairment is situated towards the point of origin or attachment, as of a limb or bone (opposed to distal), for example the end of the structure that is closer to the centre of the body. CODE 7 Distal Used when the impairment is situated away from the point of origin or attachment, as of a limb or bone (opposed to proximal), for example the end of structure that is further away from the centre of the body. CODE 8 Not specified Used when there is an impairment of body structure but the location of the impairment is not recorded. CODE 9 Not applicable Used when it is not appropriate to code the location of an impairment of body structure. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare (AIHW) which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Origin: WHO 2001. ICF: International Classification of Functioning, Disability and Health. Geneva: WHO AIHW 2003. ICF Australian User Guide Version 1.0. Canberra: AIHW Reference documents: Further information on the ICF, including more detailed codes, can be found in the ICF itself and the ICF Australian User Guide (AIHW 2003), at the following websites: • WHO ICF website http://www.who.int/classifications/icf/en/ • Australian Collaborating Centre ICF website http://www.aihw.gov.au/disability/icf/index.cfm Data element attributes Collection and usage attributes Guide for use: This data element is to be used in conjunction with specified body structures, for example, 'impairment of proximal structures related to movement'. This data element may also be used in conjunction with Person—extent of impairment of body structure, code (ICF 2001) N and Person—nature of impairment of body structure, code (ICF 2001). Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare (AIHW) which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Relational attributes Related metadata references: See also Person—extent of impairment of body structure, code (ICF 2001) N Health, Standard 29/11/2006, Disability, Standard 13/08/2015, Community Services (retired), Standard 16/10/2006 See also Person—nature of impairment of body structure, code (ICF 2001) N Health, Standard 29/11/2006, Disability, Standard 13/08/2015, Community Services (retired), Standard 16/10/2006 Implementation in Data Set Specifications: Body structures cluster Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006

Datatype

integer

Change to body structure
Beschrijving

Person—nature of impairment of body structure, code (ICF 2001) N Identifying and definitional attributes Short name: Change to body structure METeOR identifier: 320171 Registration status: Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006 Definition: The qualitative or quantitative change of a person's impairment in a specified body structure, as represented by a code. Data Element Concept: Person—nature of impairment of body structure Value domain attributes Representational attributes Classification scheme: International Classification of Functioning, Disability and Health 2001 Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 0 No change in structure 1 Total absence 2 Partial absence 3 Additional part 4 Aberrant dimensions 5 Discontinuity 6 Deviating position 7 Qualitative changes in structure Supplementary values: 8 Not specified 9 Not applicable Collection and usage attributes Guide for use: This metadata item contributes to the definition of the concept 'Disability' and gives an indication of the experience of disability for a person. Impairments of body structure are problems in body structure such as a loss or significant departure from population standards or averages. CODE 0 No change in structure Used when the structure of the body part is within the range of the population standard. CODE 1 Total absence Used when the body structure is not present. For example total absence of the structures of the lower leg following a thorough knee amputation. CODE 2 Partial absence Used when only part of a body structure is present. For example partial absence of the bones of the lower leg following below knee amputation. CODE 3 Additional part Used when a structure, not usually present in the population is present, for example a sixth lumbar vertebra or an sixth digit on one hand. CODE 4 Aberrant dimensions Used when the shape and size of a body structure is significantly different from the population standard. For example radial aplasia where the shape and size of the radial bone does not develop. CODE 5 Discontinuity Used when parts of a body structure are separated, for example cleft palate or fracture. CODE 6 Deviating position Used when the location of a structure is not according to population standard; for example, transposition of the great vessels, where the aorta arises from the right ventricle and the pulmonary vessels from the left ventricle. CODE 7 Qualitative changes in structure Used when the structure of a body part is altered from the population standard. This includes accumulation of fluid, changes in bone structure as a result of osteoporosis or Paget’s disease. CODE 8 Not specified Used when there is a change to a body structure, but the nature of the change is not described. CODE 9 Not applicable Used when it is not appropriate to code the nature of the change to a body structure. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare (AIHW) which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Origin: WHO 2001. ICF: International Classification of Functioning, Disability and Health. Geneva: WHO AIHW 2003. ICF Australian User Guide Version 1.0. Canberra: AIHW Reference documents: Further information on the ICF, including more detailed codes, can be found in the ICF itself and the ICF Australian User Guide (AIHW 2003), at the following websites: • WHO ICF website http://www.who.int/classifications/icf/en/ • Australian Collaborating Centre ICF website http://www.aihw.gov.au/disability/icf/index.cfm Data element attributes Collection and usage attributes Guide for use: This data element is used in conjunction with specified body structures, for example ‘partial absence of structures related to movement’. This data element may also be used in conjunction with Person—extent of impairment of body structure, code (ICF 2001) N and Person—location of impairment of body structure, code (ICF 2001) N. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare (AIHW) which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Relational attributes Related metadata references: See also Person—extent of impairment of body structure, code (ICF 2001) N Health, Standard 29/11/2006, Disability, Standard 13/08/2015, Community Services (retired), Standard 16/10/2006 See also Person—location of impairment of body structure, code (ICF 2001) N Health, Standard 29/11/2006, Disability, Standard 13/08/2015, Community Services (retired), Standard 16/10/2006 Implementation in Data Set Specifications: Body structures cluster Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006

Datatype

integer

Environmental factors cluster
Beschrijving

Environmental factors cluster

Environmental factor
Beschrijving

Person—environmental factor, code (ICF 2001) AN[NNN] Identifying and definitional attributes Short name: Environmental factor METeOR identifier: 320207 Registration status: Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006 Definition: The physical, social and attitudinal environment in which people live and conduct their lives, as represented by a code. Context: The environment in which a person functions or experiences disability. Data Element Concept: Person—environmental factor Value domain attributes Representational attributes Classification scheme: International Classification of Functioning, Disability and Health 2001 Representation class: Code Data type: String Format: AN[NNN] Maximum character length: 5 Collection and usage attributes Guide for use: This metadata item contributes to the definition of the concept 'Disability' and gives an indication of the experience of disability for a person. Environmental factors represent the circumstances in which the individual lives. These factors are conceived as immediate (e.g. physical features of the environment, social environment) and societal (formal and informal social structures, services and systems). Different environments may have a very different impact on the same individual with a given health condition. Facilitators are features of the environment that have a positive effect on disability. Barriers are features of the environment that have a negative effect on disability. Data can be collected at the three digit level in one chapter and at the chapter level in another. However it is only possible to collect data at a single level of the hierarchy in a single chapter to maintain mutual exclusivity. For example, it is not permitted to collect both 'Attitudes' (chapter level) and 'Social, norms, practices and ideology' (3 digit level) as the former includes the latter. The value domain below refers to the highest hierarchical level (ICF chapter level). Data collected at this level, in association with Extent of environmental factor influence code [X]N will use the codes as indicated. The full range of the permissible values together with definitions can be found in the Environmental Factors component of the ICF. CODE e1 Products and technology CODE e2 Natural environment and human-made changes to environment CODE e3 Support and relationships CODE e4 Attitudes CODE e5 Services, systems and policies Data collected at this level will provide a general description of the environmental factors and can only be compared with data collected at the same level. An example of a value domain at the 3 digit level from the Environmental factors component may include: CODE e225 Climate CODE e240 Light CODE e250 Sound CODE e255 Vibration CODE e260 Air quality An example of a value domain at the 4 digit level from the environmental factors component may include: CODE e1151 Assistive products and technology for personal use in daily life CODE e1201 Assistive products and technology for personal indoor and outdoor mobility and transportation CODE e2151 Assistive products and technology for communication CODE e1301 Assistive products and technology for education CODE e1351 Assistive products and technology for employment CODE e1401 Assistive products and technology for culture, recreation and sport CODE e1451 Assistive products and technology for the practice of religion and spirituality The prefix e denotes the domains within the component of Environmental Factors. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Origin: WHO 2001. ICF: International Classification of Functioning, Disability and Health. Geneva: WHO AIHW 2003. ICF Australian User Guide Version 1.0. Canberra: AIHW Reference documents: Further information on the ICF, including more detailed codes, can be found in the ICF itself and the ICF Australian User Guide (AIHW 2003), at the following websites: • WHO ICF website http://www.who.int/classifications/icf/en/ • Australian Collaborating Centre ICF website http://www.aihw.gov.au/disability/icf/index.cfm Data element attributes Collection and usage attributes Guide for use: This data element is a neutral list of environmental factors. It may be used, in conjunction with Person—extent of environmental factor influence, code (ICF 2001) [X]N, in health, community services and other disability-related data collections to record the environmental factors that facilitate or inhibit optimum functioning at the body, person or societal level. Identification of environmental factors may assist in determining appropriate interventions to support the person to achieve optimum functioning. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare (AIHW) which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Relational attributes Related metadata references: See also Person—extent of environmental factor influence, code (ICF 2001) [X]N Health, Standard 29/11/2006, Disability, Standard 13/08/2015, Community Services (retired), Standard 16/10/2006 Implementation in Data Set Specifications: Environmental factors cluster Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006

Datatype

text

Influence of environmental factor
Beschrijving

Person—extent of environmental factor influence, code (ICF 2001) [X]N Identifying and definitional attributes Short name: Influence of environmental factor METeOR identifier: 320198 Registration status: Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006 Definition: The degree to which a specified environmental factor influences the body function or structure, the activity or participation of a person, as represented by a code. Context: The environment in which a person functions or experiences disability. Data Element Concept: Person—extent of environmental factor influence Value domain attributes Representational attributes Classification scheme: International Classification of Functioning, Disability and Health 2001 Representation class: Code Data type: String Format: [X]N Maximum character length: 2 Permissible values: Value Meaning 0 No barrier 1 Mild barrier 2 Moderate barrier 3 Severe barrier 4 Complete barrier +0 No facilitator +1 Mild facilitator +2 Moderate facilitator +3 Substantial facilitator +4 Complete facilitator Supplementary values: 8 Barrier not specified +8 Facilitator not specified 9 Not applicable Collection and usage attributes Guide for use: This metadata item contributes to the definition of the concept 'Disability' and gives an indication of the experience of disability for a person. Extent of influence of environmental factors corresponds to the degree, strength or magnitude of the influence and the amount of time the influence is experienced by the person. It is essentially a summary measure, in which are embedded the concepts of availability, quality and importance, that indicates the effect the specified environmental factor has on the person. Whether, and by how much, environmental factors are influencing an individual's level of functioning, and whether the influence is a facilitator or barrier, may indicate the sorts of interventions that will optimise the individual's functioning. This information may be for policy development, service provision, or advocacy purposes. Preventative strategies could be indicated by this information. This value domain can be used to collect information across the whole spectrum of influence, for example, tactile flooring may be a facilitator to a person with visual impairment and a barrier to a person with mobility impairments. In line with the ICF approach to functioning and disability, this value domain recognises, and gives the means to record, the positive influence of environmental factors as well as those factors that limit the level of functioning of a person. The codes are mutually exclusive. The choice of codes depends on the context of the data collection. For example; if collecting information about the positive influence of an environmental factor such as a community service it would be appropriate to use Code 0 No facilitator if the service was not influencing the person's level of functioning (even if the service were not a barrier to the person's functioning). Code +0 No facilitator: Used when the environment factor does not impact in a positive way on the body structure or function, activity or participation of a person. Code +1 Mild facilitator: Used when the environmental factor impacts in a positive way on the body structure or function, activity or participation of a person between 5-24% of the time the person participates in the specified domain of functioning or has a low level of impact on the person's functioning. Code +2 Moderate facilitators: Used when the environmental factor impacts in a positive way on the body structure or function, activity or participation of a person between 25-49% of the time the person participates in the specified domain of functioning or has a significant, but moderate impact on the person's functioning. Code +3 Substantial facilitators: Used when the environmental factor impacts in a positive way on the body structure or function, activity or participation of a person between 50-95% of the time the person participates in the specified domain of functioning or has an extreme effect on the person's functioning. Code +4 Complete facilitators: Used when the environmental factor impacts in a positive way on the body structure or function, activity or participation of a person between 96-100% of the time the person participates in the specified domain of functioning or the person functions optimally with this environmental factor. Code +8 Facilitator not specified: Used when there is insufficient information to record the Extent of environmental influence code (ICF 2001) N in classes +1 to +4. Code 0 No barrier: Used when the environment factor does not impact in a negative way on the body structure or function, activity or participation of a person. Code 1 Mild barriers: Used when the environmental factor impacts in a negative way on the body structure or function, activity or participation of a person between 5-24% of the time the person participates in the specified domain of functioning or has a low level of impact on the person's functioning. Code 2 Moderate barriers: Used when the environmental factor impacts in a negative way on the body structure or function, activity or participation of a person between 25-49% of the time the person participates in that specified domain of functioning or has a significant, but moderate impact on the person's functioning. Code 3 Severe barriers: Used when the environmental factor impacts in a negative way on the body structure or function, activity or participation of a person between 50-95% of the time the person participates in that specified domain of functioning or has an extreme effect on the person's functioning. Code 4 Complete barriers: Used when the environmental factor impacts in a negative way on the body structure or function, activity or participation of a person between 96-100% of the time the person participates in the specified domain of functioning or is of such magnitude that the person is unable to function. Code 8 Barrier not specified: Used when there is insufficient information to record the Extent of environmental influence code (ICF 2001) N in classes 1 to 4. Code 9 Not applicable: Used when environmental factors impacts in neither a positive or negative way on the body structure or function, activity or participation of a person or for between 0-4% of the time the person participates in that specified area and has minimal impact on the person's level of functioning in the specified domain. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare (AIHW) which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Origin: WHO 2001. ICF: International Classification of Functioning, Disability and Health. Geneva: WHO AIHW 2003. ICF Australian User Guide Version 1.0. Canberra: AIHW Reference documents: Further information on the ICF, including more detailed codes, can be found in the ICF itself and the ICF Australian User Guide (AIHW 2003), at the following websites: • WHO ICF website http://www.who.int/classifications/icf/en/ • Australian Collaborating Centre ICF website http://www.aihw.gov.au/disability/icf/index.cfm Data element attributes Collection and usage attributes Guide for use: Environmental factors represent the circumstances in which the individual lives. These factors are conceived as immediate (e.g. physical features of the environment, social environment) and societal (formal and informal social structures, services and systems). Different environments may have a very different impact on the same individual with a given health condition. The influence of environmental factors may be positive, increasing the level of functioning (a facilitator), or negative, decreasing the level of functioning (a barrier). The extent of influence of the Environmental factors is affected both by the degree, strength of influence, and the amount of time the influence is experienced by the person. This metadata item is recorded in conjunction with Environmental factor code N to indicate the extent to which specified environmental factors influence the body function or structure, the activity or participation of a person. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare which is the Australian Collaborating Centre for the World Health Organization Family of International Classifications. Relational attributes Related metadata references: See also Person—environmental factor, code (ICF 2001) AN[NNN] Health, Standard 29/11/2006, Disability, Standard 13/08/2015, Community Services (retired), Standard 16/10/2006 Implementation in Data Set Specifications: Environmental factors cluster Health, Standard 29/11/2006 Disability, Standard 13/08/2015 Community Services (retired), Standard 16/10/2006

Datatype

text

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Similar models

Functioning and Disability DSS Metadata Online Registry (METeOR)

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Activities and Participation cluster
Activity and participation life area (ICF 2001)
Item
Activity and participation life area
text
Item
Extent of participation
integer
Extent of participation in a life area (ICF 2001)
Code List
Extent of participation
CL Item
Full participation (0)
CL Item
Mild participation restriction (1)
CL Item
Moderate participation restriction (2)
CL Item
Severe participation restriction (3)
CL Item
Complete participation restriction (4)
CL Item
Not specified (8)
CL Item
Not applicable (9)
Item
Difficulty with activities
integer
Difficulty with activities (ICF 2001)
Code List
Difficulty with activities
CL Item
No difficulty (0)
CL Item
Mild difficulty (1)
CL Item
Moderate difficulty (2)
CL Item
Severe difficulty (3)
CL Item
Complete difficulty (4)
CL Item
Not specified (8)
CL Item
Not applicable (9)
Item
Satisfaction with participation
integer
Satisfaction with participation
Code List
Satisfaction with participation
CL Item
High satisfaction with participation (0)
CL Item
Moderate satisfaction with participation (1)
CL Item
Neither satisfied nor dissatisfied with participation (2)
CL Item
Moderate dissatisfaction with participation (3)
CL Item
Extreme dissatisfaction with participation (4)
CL Item
Complete restriction and dissatisfaction (5)
CL Item
Not specified (8)
CL Item
Not applicable (9)
Item
Assistance with activities
integer
Need for assistance with activities
Code List
Assistance with activities
CL Item
Does not need help/supervision (0)
CL Item
Sometimes needs help/supervision (1)
CL Item
Always needs help/supervision (2)
CL Item
Unable to do this task or action, even with assistance (3)
CL Item
Not specified (8)
CL Item
Not applicable (9)
Item Group
Body functions cluster
Body function (ICF 2001)
Item
Body function
text
Item
Impairment of body function
integer
Impairment of body function (ICF 2001)
Code List
Impairment of body function
CL Item
No impairment (0)
CL Item
Mild impairment (1)
CL Item
Moderate impairment (2)
CL Item
Severe impairment (3)
CL Item
Complete impairment (4)
CL Item
Not specified (8)
CL Item
Not applicable (9)
Item Group
Body structures cluster
Body structure (ICF 2001)
Item
Body structure
text
Item
Impairment of body structure
integer
Impairment of body structure (ICF 2001)
Code List
Impairment of body structure
CL Item
No impairment (0)
CL Item
Mild impairment (1)
CL Item
Moderate impairment (2)
CL Item
Severe impairment (3)
CL Item
Complete impairment (4)
CL Item
Not specified (8)
CL Item
Not applicable (9)
Item
Location of impairment
integer
Location of impairment (ICF 2001)
Code List
Location of impairment
CL Item
More than one region (0)
CL Item
Right (1)
CL Item
Left (2)
CL Item
Both sides (3)
CL Item
Front (4)
CL Item
Back (5)
CL Item
Proximal (6)
CL Item
Distal (7)
CL Item
Not specified (8)
CL Item
Not applicable (9)
Item
Change to body structure
integer
Nature of impairment (ICF 2001)
Code List
Change to body structure
CL Item
No change in structure (0)
CL Item
Total absence (1)
CL Item
Partial absence (2)
CL Item
Additional part (3)
CL Item
Aberrant dimensions (4)
CL Item
Discontinuity (5)
CL Item
Deviating position (6)
CL Item
Qualitative changes in structure (7)
CL Item
Not specified (8)
CL Item
Not applicable (9)
Item Group
Environmental factors cluster
Environmental factor (ICF 2001)
Item
Environmental factor
text
Item
Influence of environmental factor
text
Environmental factor influence (ICF 2001)
Code List
Influence of environmental factor
CL Item
No barrier (0)
CL Item
Mild barrier (1)
CL Item
Moderate barrier (2)
CL Item
Severe barrier (3)
CL Item
Complete barrier (4)
CL Item
No facilitator (+0)
CL Item
Mild facilitator (+1)
CL Item
Moderate facilitator (+2)
CL Item
Substantial facilitator (+3)
CL Item
Complete facilitator (+4)
CL Item
Barrier not specified (8)
CL Item
Facilitator not specified (+8)
CL Item
Not applicable (9)
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