To develop functioning indicators from ICF codes for public health policies, the ICF must first be introduced to primary care professionals. They should create a simple form to collect ICF codes, qualifiers, and other variables. The coded data should then be entered into an Excel database and converted to a ".dbf" file readable by the TabWin program. TabWin can tabulate the ICF codes to generate statistics on functioning levels across variables like age, gender, and neighborhood. This will provide the first step toward an ICF-based health information system representing population functioning beyond just disabilities.

1. Introduction
Title
It is known that information about
death, about diseases and about
health interventions are not enough to
a complete diagnosis of the population
health status1. People are submitted to
a large number of environment factors,
including, technologies, ecological,
social and politics barriers or
facilitators2. Body structures and body
functions determinate the human
capacity to learn, to communicate, to
move out, to take care about the own
body, to take care about home, to
interact with other people, to study, to
work and to have fun. But, only the
relationship between body and
environmental factors can, in fact,
determinates the human
performance3. This is what turns the
disability experience a truth fact in
people life. Everybody will have any
disability experience while live4. Then,
the human functioning evaluation,
monitoring and control are an essential
point to the real complete health
information system.
The International Classification of
Functioning, Disability and Health (ICF)
is the tool to describe de human
functioning including the relationship
between body and environment5. It is
necessary to create a way to use ICF
easily, collect data about functional
health status of the population and
show them throw health indicators6.
This paper will show, step by step, how
to make it true.
ICF WIN-S – ICF TabWin-
based System
30 June 2017
Cape Town, South Africa
Second International Symposium: ICF Education, 2017
Eduardo Santana de Araujo (COFFITO)
Title
CONTACTS
contato@cifbrasil.com.br
hodu.santana@gmail.com
Acknowledgements or Notes
Method
1. Araujo ES, Buchalla CM. The use of the
International Classification of Functioning,
Disability and Health in health surveys: a
reflexion on its limits and possibilities. Revista
Brasileira de Epidemiologia. 2015; 18(3): 720-
724.
2. Lima A, Viegas CS, Paula MEM, Silva FCM,
Sampaio RF. A qualitative approach of
interactions between the domains of the
International Classification of Functionality,
Disability, and Health. Acta fisiátrica. 2010;
17(3): 94 – 102.
3. Francescutti C, Gongolo F, Simoncello A,
Frattura L. Description of the person-
environment interaction: methodological
issues and empirical results of an Italian large-
scale disability assessment study using an ICF-
based protocol. BMC Public Health. 2011;
11(4):S11.
Results and conclusions
If the TabWin is installed in a machine, it uses the
“.dbf” bank as a search source to create definition
files and other bank files. So, the users can get
information about how often is an ICF code per
neighborhood, per gender, per age or per other
variables chosen. It is enough to provide health
indicator about human functioning.
The configured TabWin to ICF data is now called
ICFWIN-S: ICF TabWin-based System. The tool can
be used by health systems and managers to
provide information that can be used in public
policies.
The TabWin is a free application and the
epidemiological use of ICF is needed. If we did not
come to a statistic approach of human functioning, we
are going to lose the main goal of ICF existence. So, the
researchers must start the route that will make possible
the human functioning protection and the human
functioning promotion.
References
The main reason to ICF implementation is the creation of public policies by the presentation of indicators about functional health. For this, it is necessary
that functioning indicators be constructed from the tabulation of ICF codes. This tabulation can be done with the use of the TabWin program, after the
application of the ICF in Primary Care. TabWin can be an easy way to develop the first step in this area, what should be an important point for the ICF
researchers in the next years. Key words: functioning, health information systems, health indicators
To get ICF into a health information system, first,
we have to present ICF to health professionals.
The ICF must be applied in primary care just
because we must have information about all the
population7. Everybody is at risk to develop
some king of disability. In the other hand, it is
very important to know the levels of population
functioning, not only the frequency of
disabilities in the population8.
We have many possibilities using ICF, but to
collect data have to be an easy form. Then, the
example of the annex 9 from ICF is a good way
to make it easier. Health professionals must
create a form with the main categories for
primary care. It cannot be a core set based on
diseases, but just like the ICF sugestions. Core
sets based on diseases are not according the
biopsychosocial and spiritual model because
they make people understand that functioning
problems are always consequences of diseases,
what is not true9.
The first step is to turn the ICF known by the
health professionals of primary care. It can be
done using online courses, for example. After
training, they have to create the easy form. The
form should contain variables such as
neighborhood, gender, age, ICF categories, ICF
qualifiers and others that are necessary,
according to models already described in
previous studies10.
1. McIntyre A, Tempest S. Disease specific core
sets of the International Classification of
Functioning, Disability and Health (ICF): two
steps forward and one step back? Disability and
Rehabilitation. 2007; 29(18):1475-1479.
2. Araujo ES, Biz MCP. Practices for planning
Health Sector. Revista Científica CIF Brasil. 2016;
5(5):24-30.
3. Araujo ES, Neves SFP. International
Classification of Functioning, Disability and
Health, e-SUS and TABWIN: experiences of
Barueri and Santo André, São Paulo. Revista
Baiana de Saúde Pública. 2015; 39(2):470-477.
1. World Health Organization. International
Classification of Functioning Disability and
Health. Genebra, 2001.
2. Araujo ES. CIF: uma discussão sobre linearidade
no modelo biopsicossocial. Revista Fisioterapia
& Saúde Funcional. 2013; 2(1): 6-13.
3. Araujo ES, Araujo MAM. Using the ICF: A tool
for obtaining data on functionality. Ed.
Lambert, 2014.
4. Araujo ES. Neves SFP. ICF or ICPC: what is
missing for primary care? Acta Fisiátrica.
2014;21(1):46-48.
5. Castro SS, Castaneda L, Araujo ES, Buchalla CM.
Functioning assessment in Brazilian health
surveys: discussions about International
Classification of Functioning, Disability and
Health-based tools. Revista Brasileira de
Epidemiologia.Revista Brasileira de
Epidemiologia. 2016; 19(3): 679-687
For the tabulation, there is an option called
TabWin, an old app used for health statistics,
available at
http://datasus.saude.gov.br/download-do-
tabwin. This application is based on data base
files (“.dbf”). To get the .dbf, all of the classified
cases must be into an excel plan. It has to be
one person registered per line and one variable
per column. Then, each form written by the
health professionals must be on the data bank,
using an excel plan. When the bank is ready, the
excel file (“.xlsx”) must be converted to a “.dbf”
to be read by the TabWin11.