The ICF Assessment Sheet provides a comprehensive overview of the patient’s functioning state by presenting the assessment results in all the components of functioning, environmental and personal factors with input from both the health professional and the patient. The ICF Assessment Sheet can help the rehabilitation team to understand the patient's functioning and to identify the needs to be addressed in rehabilitation.
To illustrate the patient’s and health professional’s perspective, the components of functioning are divided into an upper (patient’s perspective) and a lower (health professional’s perspective) section. The environmental and personal factors reflect both the patient's as well as the health professional's perspective.
ICF Assessment Sheet
To describe the patient’s experience of functioning, his or her own words are used to fill in the patient’s perspective. To reflect the health professional’s perspective, all results from the clinical assessment relevant to the description of the patient's functioning status at the time of assessment are entered in the lower part of the sheet, ideally using ICF categories. In order to use the common language of the ICF, the original technical terminology of the clinical assessment has to be translated or ‘linked’ to the corresponding ICF categories. Established linking rules can greatly facilitate this process. Environmental factors can also be indicated using ICF categories.
If appropriate, the rehabilitation team can use a relevant ICF Core Set for documentation in the ICF Assessment Sheet, specifically for the health professional perspective and the environmental factors. Each ICF Core Set category can then be rated with an ICF qualifier. This information can serve as the basis for completing the next ICF-based documentation tool - the ICF Categorical profile.
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