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Table 1 The relationship of Schedule 1B of the Social Security Act with ICF (examples)

From: Eligibility, the ICF and the UN Convention: Australian perspectives

Schedule 1B of SS Act (Table headings for assessment of ‘work related impairment’ for DSP)

ICF Body Functions & Body Structures (Chapter headings)

ICF Activities and Participation (Chapters mentioned in Schedule 1B assessment instructions)

1. Loss of cardiovascular and/or respiratory function: exercise tolerance

4 (BF) Functions of the cardiovascular, immunological and respiratory systems

4 (BS) Structures of the cardiovascular, immunological and respiratory systems

4. Mobility

6. Domestic life

8. Major life areas (manual work)

9. Community, social and civic life (recreation)

3. Upper limb function

7 (BF) Neuromusculoskelatal and movement-related functions1

7 (BS) Structures related to movement

5. Spinal function (assessed mainly on movement)

7 (BF) Neuromusculoskelatal and movement-related functions

1 (BS) Structures of the nervous system (for spinal cord)

7 (BS) Structures related to movement (for vertebral column)

4. Mobility

6. Psychiatric impairment

7. Alcohol and drug dependence

Both the AMA Guides and the SS Act Schedule describe the assessment in terms of ‘health conditions’ (assessed by psychiatrists with reference to DSM-IV) and to various domains of Activities and Participation in ICF i.e. not ‘impairment’

2. General tasks and demands

3. Communication

6. Domestic life

7. Interpersonal interactions and relationships

8. Major life areas

9 Community, social and civic life

8. Neurological function: memory, problem solving, decision making abilities & comprehension

9. Communication function- receptive and expressive language competency1

10. Intellectual disability

1 (BF) Mental functions

1 (BS) Structures of the nervous system

1.Learning and applying knowledge

2. General tasks and demands

3. Communication

5. Self care

8. Major life areas (e.g. financial transactions)

13. Visual acuity in the better eye

14. Miscellaneous eye conditions

15. Visual fields

2 (BF) Sensory functions and pain2

2 (BS) The eye, ear and related structures

  1. Notes:
  2. 1. ICF Chapter 7(BF) does not distinguish upper and lower limbs, while 7(BS) does so.
  3. 2. The ICF chapters have blocks relating separately, e.g. Chapter 2 (BF) Sensory functions and pain has separate blocks on ‘seeing and related functions’, ‘hearing and vestibular functions’ and ‘additional sensory functions’.