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Utility of the Early Delay and Disabilities Code Set for Exploring the Linkage Between ICF-CY and Assessment Reports for Children With Developmental Delay

Pan, Yi-Ling, MSc, PT; Hwang, Ai-Wen, PhD, PT; Simeonsson, Rune J., PhD, MSPH; Lu, Lu, PhD, MD; Liao, Hua-Fang, MSc, PT

doi: 10.1097/IYC.0000000000000144
Original Research/Study
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The International Classification of Functioning, Disability and Health (ICF) offers a universal language of codes to document childhood functioning. The ICF-CY Code Set for Infants with Early Delay and Disabilities (EDD Code Set) has been developed to facilitate the practical application of the ICF for children. The purpose of this study was to examine the utility of the EDD Code Set by exploring the linkage between ICF and children's assessment reports. We reviewed 30 Comprehensive Assessment Reports (CAR) for children with developmental delay (DD), aged 9–34 months in a joint evaluation center. Meaningful concepts in compulsory and supplementary sections of the CAR were identified and linked to the EDD Code Set. Linkage was measured by (a) number of linked codes and (b) average of code-only and code-with-qualifier percentages. Content in the CAR was linked to 72 of the 82 EDD codes with more codes linked from the supplementary (71) than the compulsory section (58). The largest proportion of linked codes was activities and participation (85%). The EDD Code Set can be used to examine the ICF linkage of pediatric assessment reports and guide future development or revision of pediatric documentation and participation-based intervention.

Division of Physical Therapy, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan (Ms Pan); Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan (Dr Hwang); School Psychology and Applied Developmental Science & Special Education, The University of North Carolina at Chapel Hill (Dr Simeonsson); CHILD, Jonkoping University, Jonkoping, Sweden (Dr Simeonsson); Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan (Dr Lu); Taiwan Society of ICF, Taipei, Taiwan (Ms Liao); and School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan (Ms Liao).

Correspondence: Hua-Fang Liao, MSc, PT, School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, 5th Floor, No. 166, Dayei Rd, Baitou District, Taipei City, Taipei 111, Taiwan (hfliao@ntu.edu.tw).

This study was supported by the grants for searching articles and data management in the projects founded by National Taiwan University Hospital, Taiwan (NTUH 101-001873) and by the Ministry of Health and Welfare, Executive Yuan, Taiwan (M06F5054 & M07F5054).

The authors alone are responsible for the content and writing of the article.

The authors report no conflict of interest.

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