{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T01:24:25Z","timestamp":1775265865689,"version":"3.50.1"},"reference-count":31,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Texto contexto - enferm."],"abstract":"<jats:p>RESUMO Objetivo: descrever a experi\u00eancia para desenvolver um registro eletr\u00f4nico em fisioterapia baseado na Classifica\u00e7\u00e3o Internacional de Funcionalidade, Incapacidade e Sa\u00fade atrav\u00e9s do mapeamento e cruzamento de informa\u00e7\u00f5es da avalia\u00e7\u00e3o cl\u00ednica, diagn\u00f3stico e interven\u00e7\u00f5es fisioterap\u00eauticas. M\u00e9todo: relato de experi\u00eancia, organizado em quatro etapas: Aprofundamento te\u00f3rico da Classifica\u00e7\u00e3o Internacional de Funcionalidade; Aprofundamento te\u00f3rico da avalia\u00e7\u00e3o em fisioterapia; Estrutura\u00e7\u00e3o dos dados de avalia\u00e7\u00e3o, dos diagn\u00f3sticos e interven\u00e7\u00e3o fisioterap\u00eautica; Informatiza\u00e7\u00e3o e integra\u00e7\u00e3o de forma sistematizada dos dados da avalia\u00e7\u00e3o cl\u00ednica, dos diagn\u00f3sticos e interven\u00e7\u00f5es. Resultados: a estrutura\u00e7\u00e3o dos dados foi dividida por sistemas do corpo humano. Sendo assim, para o sistema respirat\u00f3rio construiu-se 15 t\u00f3picos de avalia\u00e7\u00e3o, 145 diagn\u00f3sticos e 74 interven\u00e7\u00f5es; para o sistema neuromusculoesquel\u00e9tico construiu-se 37 t\u00f3picos de avalia\u00e7\u00e3o, 132 diagn\u00f3sticos e 65 interven\u00e7\u00f5es; para o sistema cardiovascular construiu-se cinco t\u00f3picos de avalia\u00e7\u00e3o, 23 diagn\u00f3sticos e cinco interven\u00e7\u00f5es e para o sistema gastrointestinal e renal construiu-se sete t\u00f3picos de avalia\u00e7\u00e3o, 21 diagn\u00f3sticos e uma interven\u00e7\u00e3o. Desta forma, foram constru\u00eddos 64 itens de avalia\u00e7\u00e3o, 318 diagn\u00f3sticos baseados na Classifica\u00e7\u00e3o de Funcionalidade e 145 interven\u00e7\u00f5es fisioterap\u00eauticas. Conclus\u00e3o: o mapeamento das informa\u00e7\u00f5es sobre avalia\u00e7\u00e3o fisioterap\u00eautica, diagn\u00f3sticos e interven\u00e7\u00f5es para integrar um registro eletr\u00f4nico em fisioterapia tornar\u00e1 o uso da Classifica\u00e7\u00e3o Internacional de Funcionalidade, Incapacidade e Sa\u00fade mais segura e r\u00e1pida possibilitando sua aplicabilidade di\u00e1ria na cl\u00ednica hospitalar.<\/jats:p>","DOI":"10.1590\/0104-07072018004920017","type":"journal-article","created":{"date-parts":[[2018,11,7]],"date-time":"2018-11-07T13:13:43Z","timestamp":1541596423000},"source":"Crossref","is-referenced-by-count":0,"title":["MAPEAMENTO E CRUZAMENTO DAS INFORMA\u00c7\u00d5ES SOBRE AVALIA\u00c7\u00c3O CL\u00cdNICA, DIAGN\u00d3STICO E INTERVEN\u00c7\u00d5ES DE FISIOTERAPIA"],"prefix":"10.1590","volume":"27","author":[{"given":"Nayala Lirio Gomes","family":"Gazola","sequence":"first","affiliation":[{"name":"Universidade Federal de Santa Catarina, Brasil"}]},{"given":"Grace Teresinha Marcon Dal","family":"Sasso","sequence":"additional","affiliation":[{"name":"Universidade Federal de Santa Catarina, Brasil"}]},{"given":"Carolina Luana de","family":"Mello","sequence":"additional","affiliation":[{"name":"Universidade Federal de Santa Catarina, Brasil"}]},{"given":"Paulino Ferreira de","family":"Sousa","sequence":"additional","affiliation":[{"name":"Escola Superior de Enfermagem do Porto, Portugal"}]}],"member":"530","published-online":{"date-parts":[[2018,11,1]]},"reference":[{"issue":"2","key":"ref1","first-page":"49","article-title":"Intensive Care Physical Therapy: a new name for an old specialty","volume":"2","author":"Menezes S","year":"2011","journal-title":"ASSOBRAFIR Ci\u00eancia"},{"issue":"3","key":"ref2","first-page":"113","article-title":"Produ\u00e7\u00e3o cient\u00edfica e atua\u00e7\u00e3o profissional: aspectos que limitam essa integra\u00e7\u00e3o na fisioterapia e na terapia ocupacional","volume":"6","author":"Sampaio RF","year":"2012","journal-title":"Rev Bras Fisioter"},{"key":"ref3","series-title":"Classifica\u00e7\u00e3o Internacional de Funcionalidade, Incapacidade e Sa\u00fade - CIF","year":"2004"},{"issue":"1","key":"ref4","first-page":"58","article-title":"The International Classification of Functioning, Disability and Health (ICF) and its contributions to physical therapy","volume":"12","author":"Bernardes JM","year":"2011","journal-title":"Fisioter Bras"},{"key":"ref5","series-title":"Manual de certifica\u00e7\u00e3o para sistemas de registro eletr\u00f4nico em sa\u00fade (S-RES)","author":"Silva ML","year":"2016"},{"issue":"6","key":"ref6","first-page":"1141","article-title":"Data standards, terminology and classification systems for caring in health and nursing","volume":"64","author":"Barra DCC","year":"2011","journal-title":"Rev Bras Enferm"},{"issue":"1","key":"ref7","first-page":"242","article-title":"Computerized nursing process: methodology to establish associations between clinical assessment, diagnosis, interventions, and outcomes","volume":"47","author":"Sasso GTM","year":"2013","journal-title":"Rer Esc Enferm USP"},{"issue":"3","key":"ref8","article-title":"Method for the modeling and structuring of computerized nursing in intensive care","volume":"25","author":"Barra DCC","year":"2016","journal-title":"Texto Contexto Enferm"},{"issue":"1","key":"ref9","first-page":"4","article-title":"Physical therapy record to evaluate amputee patients","volume":"3","author":"Maggi LE","year":"2010","journal-title":"Rev Movimenta"},{"key":"ref10","article-title":"Possibilities and implications of using the ICF and other vocalurary Standards em electronic health records","author":"Vreeman DJ","year":"2013","journal-title":"Physiother Rev Int"},{"issue":"1","key":"ref11","first-page":"6","article-title":"Physical therapy in critically ill adult patients: recommendations from the Brazilian Association of Intensive Care Medicine Department of Physical Therapy","volume":"24","author":"Fran\u00e7a EET","year":"2012","journal-title":"Rev Bras Ter Intensiva"},{"key":"ref12","series-title":"I Consenso de termos em fisioterapia respirat\u00f3ria. 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