This document summarizes the development of the International Classification of Health Interventions (ICHI) between 2014-2018. It discusses meetings held in Freiburg, London, and Chicago to revise the classification's structure and content. The document outlines revisions made to ICHI's axes, actions, targets, means, and extension codes. It notes that the updated 2014 version contains approximately 1790 functioning interventions across body systems, activities/participation, and environmental factors. Going forward, the document mentions testing the updated content with users, consulting stakeholders, and continuing the partnership between organizations developing ICHI to further improve the classification.

1. Development of functioning
interventions-ICHI Alpha2
Updated 2014
Almborg AH, Cumerlato M, Salvador-Carulla L,
Sykes C, Berg L, Madden R, Martinuzzi A

2. Path walked from Bejing
during 2014
 Comments on Alpha 2
 Meetings
 Freiburg
London
Chicago
 Activity of the f-TWG
 What has been achieved?
 Status at ICHI Alpha2 Updated 2014
 Way forward

3. Comments on Alpha2 2013
Comments from
O Speech therapists - Italy
O World Federation of Occupational therapists (9
countries)
O Physiotherapists - Iceland
O RTT research team
O Mental health – Italy
O Child rehabilitation – Canada (FDRG)
O Dietitian – New Zealand
O ICHI functioning – France (FDRG)
O Social care – Sweden (FDRG)

4. Meeting in Freiburg
January 2014
O Implications for fTWG of the suggested path of ICHI
development with AMA partnership
O CPT present structure and content in the functioning area
O Review of all received comments
O Target Axis re-organization (structures & functions
ordered by body system)
O Enrichment of axes
O Functioning content
O • Nursing interventions
O • Public health
O Mental health
O Extension codes

5. Meeting in London
May 3-5
O Discussion of specific items (e.g. exercise,
extension codes)
The role of the FDRG in the development of
ICHI is to:
O Provide expert opinion on functioning
interventions through field trials
O Develop common strategies to include useful
functioning targets in the ICF foundation layer
(e.g. behaviours, caregivers, other environmental
factors)
O Provide review expertise for the next version of
ICHI

6. Meeting in Chicago
O Future work between WHO, American Medical
Association (AMA) and Stanford University
O Development of a content model
O Exercises to link interventions (ICHI and CPT) to
content model
O Expansion of exercise interventions

7. Work done between Beijing to
Barcelona
O Revision of axes
O Actions (diagnostic, therapeutic, managing,
preventing)
O Revised definitions and titles
O Addition and deletion of some actions
O Targets
O Revision of the codes and hierarchial structure
O Means
O Additional means added
O Addition and revision of interventions
O Development of extension codes

8. Actions – diagnostic
Revised description of actions
OAssessment
OTest
OMonitoring
OObservation

9. Actions – therapeutic
Revised descriptions or titles of
actions
O Psychotherapy
O Counselling
O Advising
O Training
O Education
O Performing the task
O Practical support
O Emotional support
O Installation of external device
O Management of external device
or environment
O Prescription
O Making external device
O Preparation and planning
New actions
O Change of external device
O Removal of an external
device use
O Deconditioning from use of
internal or external device
Deleted actions
O Adapting
O Removal and deconditioning
from use of external device
O Supportive conversation (are
included in counselling)

10. Actions – managing
Revised description of actions
OAdvocacy
O Mediating or pleading in favour of a person,
group or issue, in relation to a matter relevant
to health and/or functioning
OBrockerage
O Delegating, managing, coordinating or
monitoring services or care on behalf of a
client

11. Means
New means
O Strength techniques
O Endurance techniques
O Movement skills
techniques
O Flexibility techniques
O Multi-faceted
techniques for exercise
O Other exercise
techniques
O Information technology
O Instructional materials
O Economic instruments
O Media campaign
O Curriculum

12. Extension codes (1)
O Quantifiers
O Number of devices inserted
O Initiating
O Maintaining
O Discontinuing
O Topology
O Laterality
O e.g. Right, Left, Bilateral, ......
O Relational
O e.g. External, Internal, Distal,
Proximal, ..........
O Distribution
O e.g. Anterior, Focal, Difusse,
...
O Regional
O e.g. Cranial, Bracial, .........
O Procedure Types
O Standardised
O Non standardised
O Structured
O Unstructured
O With equipment
O Without equipment
O Chemical
O Emotional
O Physical

13. Extension codes (2)
O Recipient/Patient/Client
O Carer
O Community
O Family
O Group
O Individual
O Organisation
O Population group
O Other and unspecified service
provider
O Pathology Test Types
O Bacterial smear
O Cell block and Papanicolaou
smear
O Culture
O Culture and sensitivity
O Other
O Other pathology test
O Unspecified
O Additional Anatomy
O Temporality
O Antenatal
O Pregnancy
O Perinatal
O Puerperium
O Postpartum
O Neonatal
O Early Neonatal
O Late Neonatal
O Infancy
O Child under 5
O Child over 5
O Middle
Childhood
O Early
Adolescence
O Adolescent
O Middle
Adolescence
O Late
Adolescence
O Young Adult
O Adult
O Early Geriatric
O Late Geriatric
O Death
O Unspecified

14. Functioning interventions in
the Alpha2 Updated 2014
version
The functioning interventions for:
O specific body functions are now included in the
body systems Section 1 e.g respiratory, digestive,
urogenital
O activities and participation (Section 2) and
environmental factors (Section 3) have a hierarchy
based on types of activity

15. Status at the
moment for ICHI
What is ICHI Alpha2 Updated 2014
Upload at the link http://sydney.edu.au/health-sciences/
ncch/resources.shtml

16. Targets – 633

17. Actions and means
Final count of actions: 131
Final count of means: 59

18. Functioning interventions
1490 functioning interventions in alpha 2013 version
≈ 1790 functioning interventions in Alpha2 Updated 2014

19. Way forward
O Tests to evaluate and improve the content by
potential users.
O Consultation with stakeholders on critical areas
O Partnership with ICHI project actors and role of
FDRG
O Manage the bi-directional flux of concepts
between ICF and ICHI

20. From Barcelona to ……….
Thank you for your attention