PACIO Personal Functioning and Engagement Implementation Guide
1.9.0 - STU1 United States of America flag

PACIO Personal Functioning and Engagement Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 1.9.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-pacio-pfe/ and changes regularly. See the Directory of published versions

CodeSystem: Personal Functioning and Engagement Category

Official URL: http://hl7.org/fhir/us/pacio-pfe/CodeSystem/pfe-category-cs Version: 1.9.0
Draft as of 2024-04-16 Computable Name: PFECategoryCS

Includes codes representing health and health-related domains into which functioning observations can be further categorized.

This Code system is referenced in the content logical definition of the following value sets:

This case-sensitive code system http://hl7.org/fhir/us/pacio-pfe/CodeSystem/pfe-category-cs defines the following codes in a Is-A heirarchy:

LvlCodeDisplayDefinition
1 BlockL1-b11 Body functions Body functions are the physiological functions of body systems (including psychological functions). Impairments are problems in body function or structure as a significant deviation or loss. Broad ranges of percentages are provided for those cases in which calibrated assessment instruments or other standards are available to quantify the impairment in body function. For example, when "no impairment" or "complete impairment" in body function is coded, this scaling may have margin of error of up to 5%. "Moderate impairment" is generally up to half of the scale of total impairment. The percentages are to be calibrated in different domains with reference to population standards as percentiles. For this quantification to be used in a uniform manner, assessment procedures need to be developed through research. For a further explanation of coding conventions in ICF, refer to Annex 2.
2   BlockL2-b11 Mental functions This chapter is about the functions of the brain: both global mental functions, such as consciousness, energy and drive, and specific mental functions, such as memory, language and calculation mental functions.
3     b110 Consciousness functions General mental functions of the state of awareness and alertness, including the clarity and continuity of the wakeful state.
4       b1100 State of consciousness Mental functions that when altered produce states such as clouding of consciousness, stupor or coma. Mental functions that produce consciousness, and when altered produce states such as clouding of consciousness, stupor or coma.
4       b1101 Continuity of consciousness Mental functions that produce sustained wakefulness, alertness and awareness and, when disrupted, may produce fugue, trance or other similar states.
4       b1102 Quality of consciousness Mental functions that when altered effect changes in the character of wakeful, alert and aware sentience, such as druginduced altered states or delirium. Mental functions that produce wakefulness, alertness and awareness sentience, when altered effect changes in the character of the quality of consciousness.
3     b114 Orientation functions General mental functions of knowing and ascertaining one's relation to time to place, to self, to others, to objects, and to space.
4       b1140 Orientation to time Mental functions that produce awareness of time of the day, day of the week, date, month and year.
4       b1141 Orientation to place Mental functions that produce awareness of one's location, such as one's immediate surroundings, one's town or country.
4       b1142 Orientation to person Mental functions that produce awareness of one's own identity and of individuals in the immediate environment.
5         b11420 Orientation to self Mental functions that produce awareness of one's own identity.
5         b11421 Orientation to others Mental functions that produce awareness of the identity of other individuals in one's immediate environment.
4       b1143 Orientation to objects Mental functions that produce awareness of objects or features of objects.
4       b1144 Orientation to space Mental functions that produce awareness of one's body in relationship to the immediate physical space.
3     b117 Intellectual functions General mental functions, required to understand and constructively integrate the various mental functions including all cognitive functions and their development over the life span.
3     b122 Global psychosocial functions General mental functions, as they develop over the life span, required to understand and constructively integrate the mental functions that lead to the formation of the personal skills needed to establish reciprocal social interactions, in terms of both meaning and purpose.
3     b126 Temperament and personality functions General mental functions of constitutional disposition of the individual to react in a particular way to situations, including the set of mental characteristics that makes the individual distinct from others.
4       b1260 Extraversion Mental functions that produce a personal disposition that is outgoing, sociable and demonstrative, as contrasted to being shy, restricted and inhibited.
4       b1261 Agreeableness Mental functions that produce a personal disposition that is cooperative, amicable, and accomodating, as contrasted to being unfriendly, oppositional and defiant.
4       b1262 Conscientiousness Mental functions that produce a personal disposition such as in being hard-working, methodical and scrupulous, as contrasted to mental functions producing dispositions such as being lazy, unreliable and irresponsible.
4       b1263 Psychic stability Mental functions that produce a personal disposition that is even-tempered, calm and composed, as contrasted to being irritable, worried, erratic and moody.
4       b1264 Openness to experience Mental functions that produce a personal disposition that is curious, imaginative, inquisitive and experience-seeking, as contrasted to being stagnant, inattentive and emotionally inexpressive.
4       b1265 Optimism Mental functions that produce a personal disposition that is cheerful, buoyant and hopeful, as contrasted to being downhearted, gloomy and despairing.
4       b1266 Confidence Mental functions that produce a personal disposition that is self-assured, bold and assertive, as contrasted to being timid, insecure and self effacing.
4       b1267 Trustworthiness Mental functions that produce a personal disposition that is dependable and principled, as contrasted to being deceitful and antisocial.
3     b130 Energy and drive functions General mental functions of physiological and psychological mechanisms that cause the individual to move towards satisfy specific needs and general goals in a persistent manner.
4       b1300 Energy level Mental functions that produce vigour and stamina.
4       b1301 Motivation Mental functions that produce the incentive to act; the conscious or unconscious driving force for action.
4       b1302 Appetite Mental functions that produce a natural longing or desire, especially the natural and recurring desire for food and drink.
4       b1303 Craving Mental functions that produce the urge to consume substances, including substances that can be abused.
4       b1304 Impulse control Mental functions that regulate and resist sudden intense urges to do something.
3     b134 Sleep functions General mental functions of periodic, reversible and selective physical and mental disengagement from one's immediate environment accompanied by characteristic physiological changes.
4       b1340 Amount of sleep Mental functions involved in the time spent in the state of sleep in the diurnal cycle or circadian rhythm.
4       b1341 Onset of sleep Mental functions that produce the transition between wakefulness and sleep.
4       b1342 Maintenance of sleep Mental functions that sustain the state of being asleep.
4       b1343 Quality of sleep Mental functions that produce the natural sleep leading to optimal physical and mental rest and relaxation.
4       b1344 Functions involving the sleep cycle Mental functions that produce rapid eye movement (REM) sleep (associated with dreaming) and non-rapid eye movement sleep (NREM) (characterized by the traditional concept of sleep as a time of decreased physiological and psychological activity).
3     b140 Attention functions Specific mental functions of focusing on an external stimulus or internal experience for the required period of time.
4       b1400 Sustaining attention Mental functions that produce concentration for the period of time required.
4       b1401 Shifting attention Mental functions that permit refocusing concentration from one stimulus to another.
4       b1402 Dividing attention Mental functions that permit focusing on two or more stimuli at the same time.
4       b1403 Sharing attention Mental functions that permit focusing on the same stimulus by two or more people, such as a child and a caregiver both focusing on a toy.
3     b144 Memory functions Specific mental functions of registering and storing information and retrieving it as needed.
4       b1440 Short-term memory Mental functions that produce a temporary, disruptable memory store of around 30 seconds duration from which information is lost if not consolidated into long-term memory.
4       b1441 Long-term memory Mental functions that produce a memory system permitting the long-term storage of information from short-term memory and both autobiographical memory for past events and semantic memory for language and facts.
4       b1442 Retrieval and processing of memory Specific mental functions of recalling information stored in long-term memory and bringing it into awareness.
4       b1443 Working memory Mental functions that compare and process information retrieved from both short-term and long-term memory.
3     b147 Psychomotor functions Specific mental functions of control over both motor and psychological events at the body level.
4       b1470 Psychomotor control Mental functions that regulate the speed of behaviour or response time that involves both motor and psychological components, such as in disruption of control producing psychomotor retardation (moving and speaking slowly; decrease in gesturing and spontaneity) or psychomotor excitement (excessive behavioural and cognitive activity, usually nonproductive and often in response to inner tension as in toe-tapping, hand-wringing, agitation, or restlessness).
4       b1471 Quality of psychomotor functions Mental functions that produce nonverbal behaviour in the proper sequence and character of its subcomponents, such as hand and eye coordination, or gait.
3     b152 Emotional functions Specific mental functions related to the feeling and affective components of the processes of the mind.
4       b1520 Appropriateness of emotion Mental functions that produce congruence of feeling or affect with the situation, such as happiness at receiving good news.
4       b1521 Regulation of emotion Mental functions that control the experience and display of affect.
4       b1522 Range of emotion Mental functions that produce the spectrum of experience of arousal of affect or feelings such as love, hate, anxiousness, sorrow, joy, fear and anger.
3     b156 Perceptual functions Specific mental functions of recognizing and interpreting sensory stimuli.
4       b1560 Auditory perception Mental functions involved in discriminating sounds, tones, pitches and other acoustic stimuli.
4       b1561 Visual perception Mental functions involved in discriminating shape, size, colour and other ocular stimuli.
4       b1562 Olfactory perception Mental functions involved in distinguishing differences in smells.
4       b1563 Gustatory perception Mental functions involved in distinguishing differences in tastes, such as sweet, sour, salty and bitter stimuli, detected by the tongue.
4       b1564 Tactile perception Mental functions involved in distinguishing differences in texture, such as rough or smooth stimuli, detected by touch.
4       b1565 Visuospatial perception Mental function involved in distinguishing by sight the relative position of objects in the environment or in relation to oneself.
3     b160 Thought functions Specific mental functions related to the ideational component of the mind.
4       b1600 Pace of thought Mental functions that govern speed of the thinking process.
4       b1601 Form of thought Mental functions that organize the thinking process as to its coherence and logic.
4       b1602 Content of thought Mental functions consisting of the ideas that are present in the thinking process and what is being conceptualized.
4       b1603 Control of thought Mental functions that provide volitional control of thinking and are recognized as such by the person.
3     b164 Higher-level cognitive functions Specific mental functions especially dependent on the frontal lobes of the brain, including complex goal-directed behaviours such as decision-making, abstract thinking, planning and carrying out plans, mental flexibility, and deciding which behaviours are appropriate under what circumstances; often called executive functions.
4       b1640 Abstraction Mental functions of creating general ideas, qualities or characteristics out of, and distinct from, concrete realities, specific objects or actual instances.
4       b1641 Organization and planning Mental functions of coordinating parts into a whole, of systematizing; the mental function involved in developing a method of proceeding or acting.
4       b1642 Time management Mental functions of ordering events in chronological sequence, allocating amounts of time to events and activities.
4       b1643 Cognitive flexibility Mental functions of changing strategies, or shifting mental sets, especially as involved in problem-solving.
4       b1644 Insight Mental functions of awareness and understanding of oneself and one's behaviour.
4       b1645 Judgement Mental functions involved in discriminating between and evaluating different options, such as those involved in forming an opinion.
4       b1646 Problem Solving Mental functions of identifying, analysing, and integrating incongruent or conflicting information into a solution.
3     b167 Mental functions of language Specific mental functions of recognizing and using signs, symbols and other components of a language.
4       b1670 Reception of language Specific mental functions of decoding messages in spoken, written or other forms, such as sign language, to obtain their meaning.
5         b16700 Reception of spoken language Mental functions of decoding spoken messages to obtain their meaning.
5         b16701 Reception of written language Mental functions of decoding written messages to obtain their meaning.
5         b16702 Reception of sign language Mental functions of decoding messages in languages that use signs made by hands and other movements, in order to obtain their meaning.
5         b16703 Reception of body language Mental functions of decoding messages in body gestures made by hands and other movements, in order to obtain their meaning.
4       b1671 Expression of language Specific mental functions necessary to produce meaningful messages in spoken, written, signed or other forms of language.
5         b16710 Expression of spoken language Mental functions necessary to produce meaningful spoken messages.
5         b16711 Expression of written language Mental functions necessary to produce meaningful written messages.
5         b16712 Expression of sign language Mental functions to produce meaningful messages in languages that use signs made by hands and other movements.
5         b16713 Expression of body language Mental functions necessary to produce messages using gestures made by hands and other movements.
4       b1672 Integrative language functions Mental functions that organize semantic and symbolic meaning, grammatical structure and ideas for the production of messages in spoken, written or other forms of language.
3     b172 Calculation functions Specific mental functions of determination, approximation and manipulation of mathematical symbols and processes.
4       b1720 Simple calculation Mental functions of computing with numbers, such as addition, subtraction, multiplication and division.
4       b1721 Complex calculation Mental functions of translating word problems into arithmetic procedures, translating mathematical formulas into arithmetic procedures, and other complex manipulations involving numbers.
3     b176 Mental function of sequencing complex movements Specific mental functions of sequencing and co-ordinating complex, purposeful movements.
3     b180 Experience of self and time functions Specific mental functions related to the awareness of one's identity, one's body, one's position in the reality of one's environment and of time.
4       b1800 Experience of self Specific mental functions of being aware of one's own identity and one's position in the reality of one's environment around oneself.
4       b1801 Body image Specific mental functions related to the representation and awareness of one's body.
4       b1802 Experience of time Specific mental functions of the subjective experiences related to the length and passage of time.
2   BlockL2-b21 Sensory functions and pain This chapter is about the functions of the senses, seeing, hearing, tasting and so on, as well as the sensation of pain.
3     b210 Seeing functions Sensory functions relating to sensing the presence of light and sensing the form, size, shape and colour of the visual stimuli.
4       b2100 Visual acuity functions Seeing functions of sensing form and contour, both binocular and monocular, for both distant and near vision.
5         b21000 Binocular acuity of distant vision Seeing functions of sensing size, form and contour using both eyes for objects distant from the eye.
5         b21001 Monocular acuity of distant vision Seeing functions of sensing size, form and contour using either right or left eye alone, for objects distant from the eye.
5         b21002 Binocular acuity of near vision Seeing functions of sensing size, form and contour, using both eyes, for objects close to the eye.
5         b21003 Monocular acuity of near vision Seeing functions of sensing size, form and contour, using either right or left eye alone, for objects close to the eye.
4       b2101 Visual field functions Seeing functions related to the entire area that can be seen with fixation of gaze.
4       b2102 Quality of vision Seeing functions involving light sensitivity, colour vision, contrast sensitivity and the overall quality of the picture.
5         b21020 Light sensitivity Seeing functions of sensing a minimum amount of light (light minimum), and the minimum difference in intensity (light difference).
5         b21021 Colour vision Seeing functions of differentiating and matching colours.
5         b21022 Contrast sensitivity Seeing functions of separating figure from ground, involving the minimum amount of luminance required.
5         b21023 Visual picture quality Seeing functions involving the quality of the picture.
3     b215 Functions of structures adjoining the eye Functions of structures in and around the eye that facilitate seeing functions.
4       b2150 Functions of internal muscles of the eye Functions of the muscles inside the eye, such as the iris, that adjust the shape and size of the pupil and lens of the eye.
4       b2151 Functions of the eyelid Functions of the eyelid, such as the protective reflex.
4       b2152 Functions of external muscles of the eye Functions of the muscles that are used to look in different directions, to follow an object as it moves across the visual field, to produce saccadic jumps to catch up with a moving target, and to fix the eye.
4       b2153 Functions of lachrymal glands Functions of the tear glands and ducts.
3     b220 Sensations associated with the eye and adjoining structures Sensations of tired, dry and itching eye and related feelings.
3     b230 Hearing functions Sensory functions relating to sensing the presence of sounds and discriminating the location, pitch, loudness and quality of sounds.
4       b2300 Sound detection Sensory functions relating to sensing the presence of sounds.
4       b2301 Sound discrimination Sensory functions relating to sensing the presence of sound involving the differentiation of ground and binaural synthesis, separation and blending.
4       b2302 Localization of sound source Sensory functions relating to determining the location of the source of sound.
4       b2303 Lateralization of sound Sensory functions relating to determining whether the sound is coming from right or the left side.
4       b2304 Speech discrimination Sensory functions relating to determining spoken language and distinguishing it from other sounds.
3     b235 Vestibular functions Sensory functions of the inner ear related to position, balance and movement.
4       b2350 Vestibular function of position Sensory functions of the inner ear related to determining the position of the body.
4       b2351 Vestibular function of balance Sensory functions of the inner ear related to determining the balance of the body.
4       b2352 Vestibular function of determination of movement Sensory functions of the inner ear related to determining movement of the body, including its direction and speed.
3     b240 Sensations associated with hearing and vestibular function Sensations of dizziness, falling, tinnitus and vertigo.
4       b2400 Ringing in ears or tinnitus Sensation of low-pitched rushing, hissing or ringing in the ear.
4       b2401 Dizziness Sensation of motion involving either oneself or one's environment; sensation of rotating, swaying or tilting.
4       b2402 Sensation of falling Sensation of losing one's grip and falling.
4       b2403 Nausea associated with dizziness or vertigo Sensation of wanting to vomit that arises from dizziness or vertigo.
4       b2404 Irritation in the ear Sensation of itching or other similar sensations in the ear.
4       b2405 Aural pressure Sensation of pressure in the ear.
3     b250 Taste function Sensory functions of sensing qualities of bitterness, sweetness, sourness and saltiness
3     b255 Smell function Sensory functions of sensing odours and smells.
3     b260 Proprioceptive function Sensory functions of sensing the relative position of body parts.
3     b265 Touch function Sensory functions of sensing surfaces and their texture or quality.
3     b270 Sensory functions related to temperature and other stimuli Sensory functions of sensing temperature, vibration, pressure and noxious stimulus.
4       b2700 Sensitivity to temperature Sensory functions of sensing cold and heat.
4       b2701 Sensitivity to vibration Sensory functions of sensing shaking or oscillation.
4       b2702 Sensitivity to pressure Sensory functions of sensing pressure against or on the skin.
4       b2703 Sensitivity to a noxious stimulus Sensory functions of sensing painful or uncomfortable sensations.
3     b280 Sensation of pain Sensation of unpleasant feeling indicating potential or actual damage to some body structure.
4       b2800 Generalized pain Sensation of unpleasant feeling indicating potential or actual damage to some body structure felt all over, or throughout the body.
4       b2801 Pain in body part Sensation of unpleasant feeling indicating potential or actual damage to some body structure felt in a specific part, or parts, of the body.
5         b28010 Pain in head and neck Sensation of unpleasant feeling indicating potential or actual damage to some body structure felt in the head and neck.
5         b28011 Pain in chest Sensation of unpleasant feeling indicating potential or actual damage to some body structure felt in the chest.
5         b28012 Pain in stomach or abdomen Sensation of unpleasant feeling indicating potential or actual damage to some body structure felt in the stomach or abdomen.
5         b28013 Pain in back Sensation of unpleasant feeling indicating potential or actual damage to some body structure felt in the back.
5         b28014 Pain in upper limb Sensation of unpleasant feeling indicating potential or actual damage to some body structure felt in either one or both upper limbs, including hands.
5         b28015 Pain in lower limb Sensation of unpleasant feeling indicating potential or actual damage to some body structure felt in either one or both lower limbs, including feet.
5         b28016 Pain in joints Sensation of unpleasant feeling indicating potential or actual damage to some body structure felt in one or more joints, including small and big joints.
4       b2802 Pain in multiple body parts Unpleasant sensation indicating potential or actual damage to some body structure located in several body parts.
4       b2803 Radiating pain in a dermatome Unpleasant sensation indicating potential or actual damage to some body structure located in areas of skin served by the same nerve root.
4       b2804 Radiating pain in a segment or region Unpleasant sensation indicating potential or actual damage to some body structure located in areas of skin in different body parts not served by the same nerve root.
2   BlockL2-b31 Voice and speech functions This chapter is about the functions of producing sounds and speech.
3     b310 Voice functions Functions of the production of various sounds by the passage of air through the larynx.
4       b3100 Production of voice Functions of the production of sound made through coordination of the larynx and surrounding muscles with the respiratory system.
4       b3101 Quality of voice Functions of the production of characteristics of voice including pitch, resonance and other features.
3     b320 Articulation functions Functions of the production of speech sounds.
3     b330 Fluency and rhythm of speech functions Functions of the production of flow and tempo of speech.
4       b3300 Fluency of speech Functions of the production of smooth, uninterrupted flow of speech.
4       b3301 Rhythm of speech Functions of the modulated, tempo and stress patterns in speech.
4       b3302 Speed of speech Functions of the rate of speech production.
4       b3303 Melody of speech Functions of modulation of pitch patterns in speech.
3     b340 Alternative vocalization functions Functions of the production of other manners of vocalization.
4       b3400 Production of tones Functions of production of musical vocal sounds.
4       b3401 Making a range of sounds Functions of production of a variety of vocalizations.
2   BlockL2-b41 Functions of the cardiovascular, haematological, immunological and respiratory systems This chapter is about the functions involved in the cardiovascular system (functions of the heart and blood vessels), the haematological and immunological systems (functions of blood production and immunity), and the respiratory system (functions of respiration and exercise tolerance).
3     b410 Heart functions Functions of pumping the blood in adequate or required amounts and pressure throughout the body.
4       b4100 Heart rate Functions related to the number of times the heart contracts every minute.
4       b4101 Heart rhythm Functions related to the regularity of the beating of the heart.
4       b4102 Contraction force of ventricular muscles Functions related to the amount of blood pumped by the ventricular muscles during every beat.
4       b4103 Blood supply to the heart Functions related to the volume of blood available to the heart muscle.
3     b415 Blood vessel functions Functions of transporting blood throughout the body.
4       b4150 Functions of arteries Functions related to blood flow in the arteries.
4       b4151 Functions of capillaries Functions related to blood flow in the capillaries.
4       b4152 Functions of veins Functions related to blood flow in the veins, and the functions of valves of veins.
3     b420 Blood pressure functions Functions of maintaining the pressure of blood within the arteries.
4       b4200 Increased blood pressure Functions related to a rise in systolic or diastolic blood pressure above normal for the age.
4       b4201 Decreased blood pressure Functions related to a fall in systolic or diastolic blood pressure below normal for the age.
4       b4202 Maintenance of blood pressure Functions related to maintaining an appropriate blood pressure in response to changes in the body.
3     b430 Haematological system functions Functions of blood production, oxygen and metabolite carriage, and clotting.
4       b4300 Production of blood Functions related to the production of blood and all its constituents.
4       b4301 Oxygen-carrying functions of the blood Functions related to the blood's capacity to carry oxygen throughout the body.
4       b4302 Metabolite-carrying functions of the blood Functions related to the blood's capacity to carry metabolites throughout the body.
4       b4303 Clotting functions Functions related to the coagulation of blood, such as at a site of injury.
3     b435 Immunological system functions Functions of the body related to protection against foreign substances, including infections, by specific and non-specific immune responses.
4       b4350 Immune response Functions of the body's response of sensitization to foreign substances, including infections.
5         b43500 Specific immune response Functions of the body's response of sensitization to a specific foreign substance.
5         b43501 Non-specific immune response Functions of the body's general response of sensitization to foreign substances, including infections.
4       b4351 Hypersensitivity reactions Functions of the body's response of increased sensitization to foreign substances, such as in sensitivities to different antigens.
4       b4352 Functions of lymphatic vessels Functions related to vascular channels that transport lymph.
4       b4353 Functions of lymph nodes Functions related to glands along the course of lymphatic vessels.
3     b440 Respiration functions Functions of inhaling air into the lungs, the exchange of gases between air and blood, and exhaling air.
4       b4400 Respiration rate Functions related to the number of breaths taken per minute.
4       b4401 Respiratory rhythm Functions related to the periodicity and regularity of breathing.
4       b4402 Depth of respiration Functions related to the volume of expansion of the lungs during breathing.
3     b445 Respiratory muscle functions Functions of the muscles involved in breathing.
4       b4450 Functions of the thoracic respiratory muscles Functions of the thoracic muscles involved in breathing.
4       b4451 Functions of the diaphragm Functions of the diaphragm as involved in breathing.
4       b4452 Functions of accessory respiratory muscles Functions of the additional muscles involved in breathing.
3     b450 Additional functions of the respiratory system Additional functions related to breathing, such as producing and transporting secretion, coughing, sneezing and yawning.
4       b4500 Functions of breathing through the mouth
4       b4501 Functions of coughing
4       b4502 Functions of sneezing
4       b4503 Functions of yawning
4       b4504 Functions related to mucus
5         b45040 Production of mucus Functions of producing mucus of upper and lower airways.
5         b45041 Transportation of mucus Functions of transportation of mucus of upper and lower airways.
3     b455 Exercise tolerance functions Functions related to respiratory and cardiovascular capacity as required for enduring physical exertion.
4       b4550 General physical endurance Functions related to the general level of tolerance of physical exercise or stamina.
4       b4551 Aerobic capacity Functions related to the extent to which a person can exercise without getting out of breath.
4       b4552 Fatiguability Functions related to susceptibility to fatigue, at any level of exertion.
3     b460 Sensations associated with cardiovascular and respiratory functions Sensations such as missing a heart beat, palpitation and shortness of breath.
2   BlockL2-b51 Functions of the digestive, metabolic and endocrine systems This chapter is about the functions of ingestion, digestion and elimination, as well as functions involved in metabolism and the endocrine glands.
3     b510 Ingestion functions Functions related to taking in and manipulating solids or liquids through the mouth into the body.
4       b5100 Sucking Functions of drawing food or liquids into the mouth by a suction force produced by movements of the cheeks, lips and tongue.
4       b5101 Biting Functions of cutting into, piercing or tearing off food with the front teeth.
4       b5102 Chewing Functions of crushing, grinding and masticating food with the back teeth (e.g. molars).
4       b5103 Manipulation of food in the mouth Functions of moving food around the mouth with the teeth and tongue.
4       b5104 Salivation Function of the production of saliva within the mouth.
4       b5105 Swallowing Functions of clearing substances, such as food, drink and saliva through the oral cavity, pharynx and oesophagus into the stomach at an appropriate rate and speed.
5         b51050 Oral swallowing Function of clearing substances through the oral cavity at an appropriate rate and speed.
5         b51051 Pharyngeal swallowing Function of clearing substances through the pharynx at an appropriate rate and speed.
5         b51052 Oesophageal swallowing Function of clearing substances through the oesophagus at an appropriate rate and speed.
4       b5106 Functions of expelling the contents of the stomach, oesophagus or pharynx Functions of moving substances such as food, liquid, medications, objects intentionally or unintentionally swallowed in the reverse direction to ingestion, such as in regurgitation and vomiting.
5         b51060 Vomiting
5         b51061 Regurgitating
3     b515 Digestive functions Functions of transporting food through the gastrointestinal tract, breakdown of food and absorption of nutrients.
4       b5150 Transport of food through stomach and intestines Peristalsis and related functions that mechanically move food through stomach and intestines.
4       b5151 Breakdown of food Functions of mechanically reducing food to smaller particles in the gastrointestinal tract.
4       b5152 Absorption of nutrients Functions of passing food and drink nutrients into the blood stream from along the intestines.
4       b5153 Tolerance to food Functions of accepting suitable food and drink for digestion and rejecting what is unsuitable.
3     b520 Assimilation functions Functions by which nutrients are converted into components of the living body.
3     b525 Defecation functions Functions of elimination of wastes and undigested food as faeces and related functions.
4       b5250 Elimination of faeces Functions of the elimination of waste from the rectum, including the functions of contraction of the abdominal muscles in doing so.
4       b5251 Faecal consistency Consistency of faeces such as hard, firm, soft or watery.
4       b5252 Frequency of defecation Functions involved in the frequency of defecation.
4       b5253 Faecal continence Functions involved in voluntary control over the elimination function.
4       b5254 Flatulence Functions involved in the expulsion of excessive amounts of air or gases from the intestines.
3     b530 Weight maintenance functions Functions of maintaining appropriate body weight, including weight gain during the developmental period.
3     b535 Sensations associated with the digestive system Sensations arising from eating, drinking and related digestive functions.
4       b5350 Sensation of nausea Sensation of needing to vomit.
4       b5351 Feeling bloated Sensation of distension of the stomach or abdomen.
4       b5352 Sensation of abdominal cramp Sensation of spasmodic or painful muscular contractions of the smooth muscles of the gastrointestinal tract.
3     b540 General metabolic functions Functions of regulation of essential components of the body such as carbohydrates, proteins and fats, the conversion of one to another, and their breakdown into energy.
4       b5400 Basal metabolic rate Functions involved in oxygen consumption of the body at specified conditions of rest and temperature.
4       b5401 Carbohydrate metabolism Functions involved in the process by which carbohydrates in the diet are stored and broken down into glucose and subsequently into carbon dioxide and water.
4       b5402 Protein metabolism Functions involved in the process by which proteins in the diet are converted to amino acids and broken down further in the body.
4       b5403 Fat metabolism Functions involved in the process by which fat in the diet is stored and broken down in the body.
3     b545 Water, mineral and electrolyte balance functions Functions of the regulation of water, minerals and electrolytes in the body.
4       b5450 Water balance Functions involved in maintaining the level or amount of water in the body.
5         b54500 Water retention Functions involved in keeping water in the body.
5         b54501 Maintenance of water balance Functions involved in maintaining the optimal amount of water in the body.
4       b5451 Mineral balance Functions involved in maintaining an equilibrium between intake, storage, utilization and excretion of minerals in the body.
4       b5452 Electrolyte balance Functions involved in maintaining an equilibrium between intake, storage, utilization and excretion of electrolytes in the body.
3     b550 Thermoregulatory functions Functions of the regulation of body temperature.
4       b5500 Body temperature Functions involved in regulating the core temperature of the body.
4       b5501 Maintenance of body temperature Functions involved in maintaining optimal body temperature as environmental temperature changes.
3     b555 Endocrine gland functions Functions of production and regulation of hormonal levels in the body, including cyclical changes.
4       b5550 Pubertal functions Functions associated with the onset of puberty and manifestations of primary and secondary sexual characteristics.
5         b55500 Body and pubic hair development Functions associated with development body and pubic hair.
5         b55501 Breast and nipple development Functions associated with breast and nipple development.
5         b55502 Penis, testes and scrotum development Functions associated with development of penis, testes and scrotum.
2   BlockL2-b61 Genitourinary and reproductive functions This chapter is about the functions of urination and the reproductive functions, including sexual and procreative functions.
3     b610 Urinary excretory functions Functions of filtration and collection of the urine.
4       b6100 Filtration of urine Functions of filtration of urine by the kidneys.
4       b6101 Collection of urine Functions of collection and storage of urine by the ureters and bladder.
3     b620 Urination functions Functions of discharge of urine from the urinary bladder.
4       b6200 Urination Functions of voiding the urinary bladder.
4       b6201 Frequency of urination Functions involved in the number of times urination occurs.
4       b6202 Urinary continence Functions of control over urination.
3     b630 Sensations associated with urinary functions Sensations arising from voiding and related urinary functions.
3     b640 Sexual functions Mental and physical functions related to the sexual act, including the arousal, preparatory, orgasmic and resolution stages.
4       b6400 Functions of sexual arousal phase Functions of sexual interest and excitement.
4       b6401 Functions of sexual preparatory phase Functions of engaging in sexual intercourse.
4       b6402 Functions of orgasmic phase Functions of reaching orgasm.
4       b6403 Functions of sexual resolution phase Functions of satisfaction after orgasm and accompanying relaxation.
3     b650 Menstruation functions Functions associated with the menstrual cycle, including regularity of menstruation and discharge of menstrual fluids.
4       b6500 Regularity of menstrual cycle Functions involved in the regularity of the menstrual cycle.
4       b6501 Interval between menstruation Functions relating to the length of time between two menstrual cycles.
4       b6502 Extent of menstrual bleeding Functions involved in the quantity of menstrual flow.
4       b6503 Onset of menstruation Functions related to the onset of the first menstruation (menarche).
4       b6504 Cessation of menstruation Functions related to the temporary or permanent cessation of the menstruation.
3     b660 Procreation functions Functions associated with fertility, pregnancy, childbirth and lactation.
4       b6600 Functions related to fertility Functions related to the ability to produce gametes for procreation.
4       b6601 Functions related to pregnancy Functions involved in becoming pregnant and being pregnant.
4       b6602 Functions related to childbirth Functions involved during childbirth.
4       b6603 Lactation Functions involved in the production of milk and making it available to the child.
3     b670 Sensations associated with genital and reproductive functions Sensations associated with sexual intercourse, menstruation, and related genital or reproductive functions.
4       b6700 Sensations associated with sexual intercourse Sensations associated with sexual arousal, preparation, intercourse, orgasm and resolution.
4       b6701 Sensations associated with the menstrual cycle Sensations involved with menstruation, including pre- and post-menstrual phases.
4       b6702 Sensations associated with menopause Sensations associated with the cessation of menstrual cycle.
4       b6703 Sensations associated with genital functions Functions associated with arousal of the genitals.
2   BlockL2-b71 Neuromusculoskeletal and movement-related functions This chapter is about the functions of movement and mobility, including functions of joints, bones, reflexes and muscles.
3     b710 Mobility of joint functions Functions of the range and ease of movement of a joint.
4       b7100 Mobility of a single joint Functions of the range and ease of movement of one joint.
4       b7101 Mobility of several joints Functions of the range and ease of movement of more than one joint.
4       b7102 Mobility of joints generalized Functions of the range and ease of movement of joints throughout the body.
3     b715 Stability of joint functions Functions of the maintenance of structural integrity of the joints.
4       b7150 Stability of a single joint Functions of the maintenance of structural integrity of one joint.
4       b7151 Stability of several joints Functions of the maintenance of structural integrity of more than one joint.
4       b7152 Stability of joints generalized Functions of the maintenance of structural integrity of joints throughout the body.
3     b720 Mobility of bone functions Functions of the range and ease of movement of the scapula, pelvis, carpal and tarsal bones.
4       b7200 Mobility of scapula Functions of the range and ease of movement of the scapula.
4       b7201 Mobility of pelvis Functions of the range and ease of movement of the pelvis.
4       b7202 Mobility of carpal bones Functions of the range and ease of movement of the carpal bones.
4       b7203 Mobility of tarsal bones Functions of the range and ease of movement of the tarsal bones.
3     b730 Muscle power functions Functions related to the force generated by the contraction of a muscle or muscle groups.
4       b7300 Power of isolated muscles and muscle groups Functions related to the force generated by the contraction of specific and isolated muscles and muscle groups.
4       b7301 Power of muscles of one limb Functions related to the force generated by the contraction of the muscles and muscle groups of one arm or leg.
4       b7302 Power of muscles of one side of the body Functions related to the force generated by the contraction of the muscles and muscle groups found on the left or right side of the body.
4       b7303 Power of muscles in lower half of the body Functions related to the force generated by the contraction of the muscles and muscle groups found in the lower half of the body.
4       b7304 Power of muscles of all limbs Functions related to the force generated by the contraction of muscles and muscle groups of all four limbs.
4       b7305 Power of muscles of the trunk Functions related to the force generated by the contraction of muscles and muscle groups in the trunk.
4       b7306 Power of all muscles of the body Functions related to the force generated by the contraction of all muscles and muscle groups of the body.
3     b735 Muscle tone functions Functions related to the tension present in the resting muscles and the resistance offered when trying to move the muscles passively.
4       b7350 Tone of isolated muscles and muscle groups Functions related to the tension present in the resting isolated muscles and muscle groups and the resistance offered when trying to move those muscles passively.
4       b7351 Tone of muscles of one limb Functions related to the tension present in the resting muscles and muscle groups in one arm or leg and the resistance offered when trying to move those muscles passively.
4       b7352 Tone of muscles of one side of body Functions related to the tension present in the resting muscles and muscle groups of the right or left side of the body and the resistance offered when trying to move those muscles passively.
4       b7353 Tone of muscles of lower half of body Functions related to the tension present in the resting muscles and muscle groups in the lower half of the body and the resistance offered when trying to move those muscles passively.
4       b7354 Tone of muscles of all limbs Functions related to the tension present in the resting muscles and muscle groups in all four limbs and the resistance offered when trying to move those muscles passively.
4       b7355 Tone of muscles of trunk Functions related to the tension present in the resting muscles and muscle groups of the trunk and the resistance offered when trying to move those muscles passively.
4       b7356 Tone of all muscles of the body Functions related to the tension present in the resting muscles and muscle groups of the whole body and the resistance offered when trying to move those muscles passively.
3     b740 Muscle endurance functions Functions related to sustaining muscle contraction for the required period of time.
4       b7400 Endurance of isolated muscles Functions related to sustaining muscle contraction of isolated muscles for the required period of time.
4       b7401 Endurance of muscle groups Functions related to sustaining muscle contraction of isolated muscle groups for the required period of time.
4       b7402 Endurance of all muscles of the body Functions related to sustaining muscle contraction of all muscles of the body for the required period of time.
3     b750 Motor reflex functions Functions of involuntary contraction of muscles automatically induced by specific stimuli.
4       b7500 Stretch motor reflex Functions of involuntary contractions of muscles automatically induced by stretching.
4       b7501 Reflexes generated by noxious stimuli Functions of involuntary contractions of muscles automatically induced by painful or other noxious stimuli.
4       b7502 Reflexes generated by other exteroceptive stimuli Functions of involuntary contractions of muscles automatically induced by external stimuli other than noxious stimuli.
3     b755 Involuntary movement reaction functions Functions of involuntary contractions of large muscles or the whole body induced by body position, balance and threatening stimuli.
3     b760 Control of voluntary movement functions Functions associated with control over and coordination of voluntary movements.
4       b7600 Control of simple voluntary movements Functions associated with control over and coordination of simple or isolated voluntary movements.
4       b7601 Control of complex voluntary movements Functions associated with control over and coordination of complex voluntary movements.
4       b7602 Coordination of voluntary movements Functions associated with coordination of simple and complex voluntary movements, performing movements in an orderly combination.
4       b7603 Supportive functions of arm or leg Functions associated with control over and coordination of voluntary movements by placing weight either on the arms (elbows or hands) or on the legs (knees or feet).
3     b761 Spontaneous movements Functions associated with frequency, fluency and complexity of total and individual body-part movements such as infant spontaneous movements and patterns of movement.
4       b7610 General movements Repertoire and quality of age-specific general spontaneous movements such as "writhing" movements and "fidgety" movements in early life.
4       b7611 Specific spontaneous movements Repertoire and quality of other spontaneous movements normally present in the first postnatal months, such as arm and leg movements toward midline, finger movements and kicking.
3     b765 Involuntary movement functions Functions of unintentional, non- or semi-purposive involuntary contractions of a muscle or group of muscles.
4       b7650 Involuntary contractions of muscles Functions of unintentional, non- or semi-purposive involuntary contractions of a muscle or group of muscles, such as those involved in part of a psychological dysfunction.
4       b7651 Tremor Functions of alternating contraction and relaxation of a group of muscles around a joint, resulting in shakiness.
4       b7652 Tics and mannerisms Functions of repetitive, quasi-purposive, involuntary contractions of a group of muscles.
4       b7653 Stereotypies and motor perseveration Functions of spontaneous, non-purposive movements such as repetively rocking to and fro and nodding the head or wiggling.
3     b770 Gait pattern functions Functions of movement patterns associated with walking, running or other whole body movements.
3     b780 Sensations related to muscles and movement functions Sensations associated with the muscles or muscle groups of the body and their movement.
4       b7800 Sensation of muscle stiffness Sensation of tightness or stiffness of muscles.
4       b7801 Sensation of muscle spasm Sensation of involuntary contraction of a muscle or a group of muscles.
2   BlockL2-b81 Functions of the skin and related structures This chapter is about the functions of skin, nails and hair.
3     b810 Protective functions of the skin Functions of the skin for protecting the body from physical, chemical and biological threats.
3     b820 Repair functions of the skin Functions of the skin for repairing breaks and other damage to the skin.
3     b830 Other functions of the skin Functions of the skin other than protection and repair, such as cooling and sweat secretion.
3     b840 Sensation related to the skin Sensations related to the skin such as itching, burning sensation and tingling.
3     b850 Functions of hair Functions of the hair, such as protection, coloration and appearance.
3     b860 Functions of nails Functions of the nails, such as protection, scratching and appearance.
1 BlockL1-d11 Activities and participation Activity is the execution of a task or action by an individual. Participation is involvement in a life situation. Activity limitations are difficulties an individual may have in executing activities. Participation restrictions are problems an individual may experience in involvement in life situations. The domains for the Activities and Participation component are given in a single list that covers the full range of life areas (from basic learning and watching to composite areas such as social tasks). This component can be used to dedefinition activities (a) or participation (p) or both. The two qualifiers for the Activities and Participation component are the performance qualifier and the capacity qualifier. The performance qualifier describes what an individual does in his or her current environment. Because the current environment brings in a societal context, performance as recorded by this qualifier can also be understood as "involvement in a life situation" or "the lived experience" of people in the actual context in which they live. This context includes the environmental factors - all aspects of the physical, social and attitudinal world, which can be coded using the Environmental Factors component. The capacity qualifier describes an individual's ability to execute a task or an action. This qualifier identifies the highest probable level of functioning that a person may reach in a given domain at a given moment. Capacity is measured in a uniform or standard environment, and thus reflects the environmentally adjusted ability of the individual. The Environmental Factors component can be used to describe the features of this uniform or standard environment. Both capacity and performance qualifiers can be used with and without assistive devices or personal assistance, and in accordance with the following scale:
2   BlockL2-d11 Learning and applying knowledge This chapter is about learning, applying the knowledge that is learned, thinking, solving problems, and making decisions.
3     d110 Watching Using the sense of seeing intentionally to experience visual stimuli, such as visually tracking an object, watching a sporting event, people, or children playing.
3     d115 Listening Using the sense of hearing intentionally to experience auditory stimuli, such as listening to a radio, to the human voice, to music, to a lecture, or to a story told.
3     d120 Other purposeful sensing Using the body's other basic senses intentionally to experience stimuli, such as touching and feeling textures, tasting sweets or smelling flowers.
4       d1200 Mouthing Exploring objects using mouth or lips.
4       d1201 Touching Exploring objects using hands, fingers or other limbs or body parts
4       d1202 Smelling Exploring objects by bringing them to the nose or the nose to objects.
4       d1203 Tasting Exploring the taste of food or liquid by biting, chewing, sucking.
3     d130 Copying Imitating or mimicking as a basic component of learning, such as copying a facial expression, a gesture, a sound or the letters of an alphabet.
3     d131 Learning through actions with objects Learning through simple actions on a single object, two or more objects, symbolic and pretend play, such as in hitting an object, banging blocks and playing with dolls or cars.
4       d1310 Learning through simple actions with a single object Simple actions with a single object or toy by manipulating, banging, moving, dropping, etc.
4       d1311 Learning through actions by relating objects Simple actions relating two or more objects, toys or other materials without regard for the specific features of the objects, toys or materials.
4       d1312 Learning through actions by relating object with regard to specific features Actions relating two or more objects, toys or materials with regard to specific features, e.g., lid on box, cup on saucer.
4       d1313 Learning by relating symbolically to objects Relating to objects, toys or materials symbolically, such as feeding or dressing a doll or using a simulated environment.
3     d132 Acquiring language Developing the competence to represent persons, objects, events, feelings through words, symbols, phrases and sentences.
4       d1320 Acquiring single words or meaningful symbols Learning words or meaningful symbols such as graphic or manual signs or symbols.
4       d1321 Combining words into phrases Learning to combine words into phrases.
4       d1322 Acquiring syntax Learning to produce appropriately constructed sentences or set of sentences.
3     d133 Acquiring additional language Developing the competence to represent persons, objects, events, feelings through words, symbols, phrases and sentences, such as in an additional language or signing.
3     d135 Rehearsing Repeating a sequence of events or symbols as a basic component of learning, such as counting by tens or practising the recitation of a rhyme with gestures or cords on a musical instrument.
3     d137 Acquiring concepts Developing competence to understand and use basic and complex concepts related to characteristics, properties and features defining things, persons or events.
4       d1370 Acquiring basic concepts Learning to use such concepts as size, form, quantity, length, same, opposite.
4       d1371 Acquiring complex concepts Learning to use such concepts as classification, grouping, reversibility, seriation.
3     d138 Acquiring information Obtaining facts about persons, things and events, such as asking why, what, where and how, asking for names.
3     d140 Learning to read Developing the competence to read written material (including Braille and other symbols) with fluency and accuracy, such as recognizing characters and alphabet letters, sounding out written words with correct pronunciation, and understanding written words and phrases.
4       d1400 Acquiring skills to recognize symbols Learning basic actions of deciphering symbols such as figures and icons, characters, alphabet letters and words.
4       d1401 Acquiring skills to sound out written words Learning basic actions of sounding out characters, alfphabet letters symbols and words with correct pronunciation.
4       d1402 Acquiring skills to understanding written words and phrases Learning basic actions to grasp the meaning of written words and texts.
3     d145 Learning to write Developing the competence to produce symbols that represent sounds, words or phrases in order to convey meaning (including Braille writing, and other symbols), such as spelling and effectively using correct grammar.
4       d1450 Acquiring skills to use writing implements Learning basic actions of writing down symbols or alphabet letters, such as holding a pencil, chalk or brush, writing a character or a symbol on a of piece paper, using a brailler, keyboard or peripheral device( mouse).
4       d1451 Acquiring skills to write symbols, characters and alphabet letters Learning basic actions to transpose a sound (morpheme) into a symbol or a character (grapheme).
4       d1452 Acquiring skills to write words and phrases Learning basic actions to transpose spoken words or ideas into written words or phrases.
3     d150 Learning to calculate Developing the competence to manipulate numbers and perform simple and complex mathematical operations, such as using mathematical signs for addition and subtraction and applying the correct mathematical operation to a problem.
4       d1500 Acquiring skills of numeracy Learning elementary skills of numeracy such as counting, ordering and grouping.
4       d1501 Acquiring skills to recognize numerals, arithmetic signs and symbols Learning to recognize and use numbers.
4       d1502 Acquiring skills in using basic operations Learning to recognize symbols related to and use operations of addition, subtraction, multiplication and division.
3     d155 Acquiring skills Developing basic and complex competencies in integrated sets of actions or tasks so as to initiate and follow through with the acquisition of a skill, such as manipulating tools or toys or playing games.
4       d1550 Acquiring basic skills Learning elementary, purposeful actions, such as learning to use simple tools, such as pencils or eating utensils.
4       d1551 Acquiring complex skills Learning integrated sets of actions so as to follow rules, and to sequence and coordinate one's movements, such as learning to play games (e.g. football or chess) and to use a building tool.
3     d160 Focusing attention Intentionally focusing on specific stimuli, such as by filtering out distracting noises.
4       d1600 Focusing attention on the person Intentionally attending to features of other persons such as their face, touch or voice.
4       d1601 Focusing attention on the environment Intentionally attending to some element of the environment such as changes in the quality quantity or intensity of physical or social stimuli.
3     d163 Thinking Formulating and manipulating ideas, concepts, and images, whether goal-oriented or not, either alone or with others, such as creating fiction, proving a theorem, playing with ideas, brainstorming, meditating, pondering, speculating, or reflecting.
3     d166 Reading Performing activities involved in the comprehension and interpretation of written language (e.g. books, instructions or newspapers in text or Braille), for the purpose of obtaining general knowledge or specific information.
3     d170 Writing Using or producing symbols or language to convey information, such as producing a written record of events or ideas or drafting a letter.
4       d1700 Using general skills and strategies of the writing process Applying words which convey appropriate meaning, employing conventional sentence structure.
4       d1701 Using grammatical and mechanical conventions in written compositions Applying standard spelling, punctuation and proper case forms etc.
4       d1702 Using general skills and strategies to complete compositions Applying words and sentences to convey complex meaning and abstract ideas.
3     d172 Calculating Performing computations by applying mathematical principles to solve problems that are described in words and producing or displaying the results, such as computing the sum of three numbers or finding the result of dividing one number by another.
4       d1720 Using skills and strategies to perform simple numeric calculations Perform simple numeric operations such as counting, grouping, ordering and arithmetic calculations.
4       d1721 Using skills and strategies to perform complex numeric operations and calculations Applying mathematical procedures and methods such as algebra, calculus and geometry to solve problems.
3     d175 Solving problems Finding solutions to questions or situations by identifying and analysing issues, developing options and solutions, evaluating potential effects of solutions, and executing a chosen solution, such as in resolving a dispute between two people.
4       d1750 Solving simple problems Finding solutions to a simple problem involving a single issue or question, by identifying and analysing the issue, developing solutions, evaluating the potential effects of the solutions and executing a chosen solution.
4       d1751 Solving complex problems Finding solutions to a complex problem involving multiple and interrelated issues, or several related problems, by identifying and analysing the issue, developing solutions, evaluating the potential effects of the solutions and executing a chosen solution.
3     d177 Making decisions Making a choice among options, implementing the choice, and evaluating the effects of the choice, such as selecting and purchasing a specific item, or deciding to undertake and undertaking one task from among several tasks that need to be done.
2   BlockL2-d21 General tasks and demands This chapter is about general aspects of carrying out single or multiple tasks, organizing routines and handling stress. These items can be used in conjunction with more specific tasks or actions to identify the underlying features of the execution of tasks under different circumstances.
3     d210 Undertaking a single task Carrying out simple or complex and coordinated actions related to the mental and physical components of a single task, such as initiating a task, organizing time, space and materials for a task, pacing task performance, and carrying out, completing, and sustaining a task.
4       d2100 Undertaking a simple task Preparing, initiating and arranging the time and space required for a simple task; executing a simple task with a single major component, such as reading a book, writing a letter, or making one's bed.
4       d2101 Undertaking a complex task Preparing, initiating and arranging the time and space for a single complex task; executing a complex task with more than one component, which may be carried out in sequence or simultaneously, such as arranging the furniture in one's home or completing an assignment for school.
4       d2102 Undertaking a single task independently Preparing, initiating and arranging the time and space for a simple or complex task; managing and executing a task on one's own and without the assistance of others.
4       d2103 Undertaking a single task in a group Preparing, initiating and arranging the time and space for a single task, simple or complex; managing and executing a task with people who are involved in some or all steps of the task.
3     d220 Undertaking multiple tasks Carrying out simple or complex and coordinated actions as components of multiple, integrated and complex tasks in sequence or simultaneously.
4       d2200 Carrying out multiple tasks Preparing, initiating and arranging the time and space needed for several tasks, and managing and executing several tasks, together or sequentially.
4       d2201 Completing multiple tasks Completing several tasks, together or sequentially.
4       d2202 Undertaking multiple tasks independently Preparing, initiating and arranging the time and space for multiple tasks, and managing and executing several tasks together or sequentially, on one's own and without the assistance of others.
4       d2203 Undertaking multiple tasks in a group Preparing, initiating and arranging the time and space for multiple tasks, and managing and executing several tasks together or sequentially with others who are involved in some or all steps of the multiple tasks.
3     d230 Carrying out daily routine Carrying out simple or complex and coordinated actions in order to plan, manage and complete the requirements of day-to-day procedures or duties, such as budgeting time and making plans for separate activities throughout the day.
4       d2301 Managing daily routine Carrying out simple or complex and coordinated actions in order to plan and manage the requirements of day-to-day procedures or duties.
4       d2302 Completing the daily routine Carrying out simple or complex and coordinated actions in order to complete the requirements of usual day-to-day procedures or duties, such as getting dressed, eating breakfast, leaving for school or work and returning home at the end of the day.
4       d2303 Managing one's own activity level Carrying out actions and behaviours to arrange the requirements in energy and time day-to-day procedures or duties.
4       d2304 Adapting to changes in daily routine Interrupting and shifting tasks and actions in response to new requirements or making a transition from a usual pattern of activities to a new set of activities as a means of fulfilling daily tasks.
3     d240 Handling stress and other psychological demands Carrying out simple or complex and coordinated actions to manage and control the psychological demands required to carry out tasks demanding significant responsibilities and involving stress, distraction, or crises, such as driving a vehicle during heavy traffic or taking care of many children.
4       d2400 Handling responsibilities Carrying out simple or complex and coordinated actions to manage the duties of task performance and to assess the requirements of these duties.
4       d2401 Handling stress Carrying out simple or complex and coordinated actions to cope with pressure, emergencies or stress associated with task performance.
4       d2402 Handling crisis Carrying out simple or complex and coordinated actions to cope with decisive turning points in a situation or times of acute danger or difficulty.
2   BlockL2-d31 Communication This chapter is about general and specific features of communicating by language, signs and symbols, including receiving and producing messages, carrying on conversations, and using communication devices and techniques.
3     d310 Communicating with - receiving - spoken messages Comprehending literal and implied meanings of messages in spoken language, such as understanding that a statement asserts a fact or is an idiomatic expression.
4       d3101 Communicating with - receiving - simple spoken messages Comprehending the literal meaning conveyed by simple spoken messages.
4       d3102 Communicating with - receiving - complex spoken messages Comprehending the literal and implied meaning conveyed by complex spoken messages.
3     d315 Communicating with - receiving - nonverbal messages Comprehending the literal and implied meanings of messages conveyed by gestures, symbols and drawings, such as realizing that a child is tired when she rubs her eyes or that a warning bell means that there is a fire.
4       d3150 Communicating with - receiving - body gestures Comprehending the meaning conveyed by facial expressions, hand movements or signs, body postures, and other forms of body language.
4       d3151 Communicating with - receiving - general signs and symbols Comprehending the meaning represented by public signs and symbols, such as traffic signs, warning symbols, musical or scientific notations, and icons.
4       d3152 Communicating with - receiving - drawings and photographs Comprehending the meaning represented by drawings (e.g. line drawings, graphic designs, paintings, three-dimensional representations, pictograms), graphs, charts and photographs, such as understanding that an upward line on a height chart indicates that a child is growing.
3     d320 Communicating with - receiving - formal sign language messages Receiving and comprehending messages in formal sign language with literal and implied meaning.
3     d325 Communicating with - receiving - written messages Comprehending the literal and implied meanings of messages that are conveyed through written language (including Braille), such as following political events in the daily newspaper or understanding the intent of religious scripture.
3     d330 Speaking Producing words, phrases and longer passages in spoken messages with literal and implied meaning, such as expressing a fact or telling a story in oral language.
3     d331 Non-speech vocal expression Vocalising when aware of another person in the proximal environment, such as making a sound when the mother is close; babbling; babbling in turn-taking activities. Vocalising in response to speech through imitating speech-sounds in a turn taking procedure.
3     d332 Singing Producing tones in a sequence resulting in a melody to convey messages.
3     d335 Producing nonverbal messages Using gestures, symbols and drawings to convey messages, such as shaking one's head to indicate disagreement or drawing a picture or diagram to convey a fact or complex idea.
4       d3350 Producing body language Conveying messages by intentional movements of the body, such as facial gestures (e.g. smiling, frowning, wincing), by arm and hand movements, and by postures (e.g. embracing to indicate affection or pointing to receive attention or an object).
4       d3351 Producing signs and symbols Conveying meaning by using signs and symbols (e.g. icons, Bliss board, scientific symbols) and symbolic notation systems, such as using musical notation to convey a melody.
4       d3352 Producing drawings and photographs Conveying meaning by drawing, painting, sketching, and making diagrams, pictures or photographs, such as drawing a map to give someone directions to a location.
3     d340 Producing messages in formal sign language Conveying, with formal sign language, literal and implied meaning.
3     d345 Writing messages Producing the literal and implied meanings of messages that are conveyed through written language, such as writing a letter to a friend.
3     d350 Conversation Starting, sustaining and ending an interchange of thoughts and ideas, carried out by means of spoken, written, signed or other forms of language, with one or more people one knows or who are strangers, in formal or casual settings.
4       d3500 Starting a conversation Beginning an interchange, such as initiating turn-taking activity through eye-contact or other means, that leads to communication or dialogue, such as by introducing oneself, expressing customary greetings, or by introducing a topic or asking questions.
4       d3501 Sustaining a conversation Continuing an interchange by taking turns in vocalising, speaking or signing, by adding ideas, introducing a new topic or retrieving a topic that has been previously mentioned.
4       d3502 Ending a conversation Finishing a dialogue or interchange with customary termination statements or expressions and by bringing closure to the topic under discussion.
4       d3503 Conversing with one person Initiating, maintaining, shaping and terminating a dialogue or interchange with one person, such as in discussing the weather with a friend.
4       d3504 Conversing with many people Initiating, maintaining, shaping and terminating a dialogue or interchange with more than one individual, such as in starting and participating in a group interchange.
3     d355 Discussion Starting, sustaining and ending an examination of a matter, with arguments for or against, or debate carried out by means of spoken, written, sign or other forms of language, with one or more people one knows or who are strangers, in formal or casual settings.
4       d3550 Discussion with one person Initiating, maintaining, shaping or terminating an argument or debate with one person.
4       d3551 Discussion with many people Initiating, maintaining, shaping or terminating an argument or debate with more than one individual.
3     d360 Using communication devices and techniques Using devices, techniques and other means for the purposes of communicating, such as calling a friend on the telephone.
4       d3600 Using telecommunication devices Using telephones, computers and other electronic devices as a means of telecommunication.
4       d3601 Using writing machines Using machines for writing, such as typewriters, computers and Braille writers, as a means of communication.
4       d3602 Using communication techniques Performing actions and tasks involved in techniques for communicating, such as reading lips.
2   BlockL2-d41 Mobility This chapter is about moving by changing body position or location or by transferring from one place to another, by carrying, moving or manipulating objects, by walking, running or climbing, and by using various forms of transportation.
3     d410 Changing basic body position Getting into and out of a body position and moving from one location to another, such as getting up out of a chair to lie down on a bed, and getting into and out of positions of sitting, standing, kneeling or squatting.
4       d4100 Lying down Getting into and out of a lying down position or changing body position, from horizontal to any other position, such as standing up or sitting down.
4       d4101 Squatting Getting into and out of the seated or crouched posture on one's haunches with knees closely drawn up or sitting on one's heels, such as may be necessary in toilets that are at floor level, or changing body position from squatting to any other position, such as standing up.
4       d4102 Kneeling Getting into and out of a position where the body is supported by the knees with legs bent, such as during prayers, or changing body position from kneeling to any other position, such as standing up.
4       d4103 Sitting Getting into and out of a seated position and changing body position from sitting down to any other position, such as standing up or lying down.
4       d4104 Standing Getting into and out of a standing position or changing body position from standing to any other position, such as lying down or sitting down.
4       d4105 Bending Tilting the back downwards or to the side, at the torso, such as in bowing or reaching down for an object.
4       d4106 Shifting the body's centre of gravity Adjusting or moving the weight of the body from one position to another while sitting, standing or lying, such as moving from one foot to another while standing.
4       d4107 Rolling over Moving the body from one position to another while lying such as turning from side to side or from stomach to back.
3     d415 Maintaining body position Staying in the same body position as required, such as remaining seated or remaining standing for carrying out a task, in play, work or school.
4       d4150 Maintaining a lying position Staying in a lying position for some time as required, such as remaining in a prone position in a bed.
4       d4151 Maintaining a squatting position Staying in a squatting position such as when sitting on the floor without a seat.
4       d4152 Maintaining a kneeling position Staying in a kneeling position where the body is supported by the knees with legs bent for some time such as during prayers in church.
4       d4153 Maintaining a sitting position Staying in a seated position, on a seat or the floor, for some time such as when sitting at a desk or table.
4       d4154 Maintaining a standing position Staying in a standing position for some time such as when standing in a queue.
4       d4155 Maintaining head position Controlling the position of the head and supporting its weight for a determined period of time.
3     d420 Transferring oneself Moving from one surface to another, such as sliding along a bench or moving from a bed to a chair, without changing body position.
4       d4200 Transferring oneself while sitting Moving from a sitting position on one seat to another seat on the same or a different level, such as moving from a chair to a bed.
4       d4201 Transferring oneself while lying Moving from one lying position to another on the same or a different level, such as moving from one bed to another.
3     d430 Lifting and carrying objects Raising up an object or taking something from one place to another, such as when lifting a cup or toy or carrying a box, or a child from one room to another.
4       d4300 Lifting Raising up an object in order to move it from a lower to a higher level, such as when lifting a glass from the table.
4       d4301 Carrying in the hands Taking or transporting an object from one place to another using the hands, such as when carrying a drinking glass or a suitcase.
4       d4302 Carrying in the arms Taking or transporting an object from one place to another using the arms and hands, such as when carrying a pet or a child or other large object.
4       d4303 Carrying on shoulders, hip and back Taking or transporting an object from one place to another using the shoulders, hip or back, or some combination of these, such as when carrying a large parcel or school-bag.
4       d4304 Carrying on the head Taking or transporting an object from one place to another using the head, such when as carrying a container of water on the head.
4       d4305 Putting down objects Using hands, arms or other parts of the body to place an object down on a surface or place, such as when lowering a container of water to the ground.
3     d435 Moving objects with lower extremities Performing coordinated actions aimed at moving an object by using the legs and feet, such as kicking a ball or pushing pedals on a bicycle.
4       d4350 Pushing with lower extremities Using the legs and feet to exert a force on an object to move it away, such as pushing a chair away with a foot.
4       d4351 Kicking Using the legs and feet to propel something away, such as kicking a ball.
3     d440 Fine hand use Performing the coordinated actions of handling objects, picking up, manipulating and releasing them using one's hand, fingers and thumb, such as required to lift coins off a table or turn a dial or knob.
4       d4400 Picking up Lifting or taking up a small object with hands and fingers, such as when picking up a pencil.
4       d4401 Grasping Using one or both hands to seize and hold something, such as when grasping a tool or a door knob.
4       d4402 Manipulating Using fingers and hands to exert control over, direct or guide something, such as when handling coins or other small objects, such as scissors, shoe laces, pencils, chop sticks, knives and forks.
4       d4403 Releasing Using fingers and hands to let go or set free something so that it falls or changes position, such as when dropping an item of clothing or a piece of food for a pet.
3     d445 Hand and arm use Performing the coordinated actions required to move objects or to manipulate them by using hands and arms, such as when turning door handles or throwing or catching an object.
4       d4450 Pulling Using fingers, hands and arms to bring an object towards oneself, or to move it from place to place, such as when pulling on a string or pulling a door closed.
4       d4451 Pushing Using fingers, hands and arms to move something from oneself, or to move it from place to place, such as when pushing a toy or an animal away.
4       d4452 Reaching Using the hands and arms to extend outwards and touch and grasp something, such as when reaching across a table or desk for a book.
4       d4453 Turning or twisting the hands or arms Using fingers, hands or arms to rotate, turn or bend an object, as is required to open a jar or use tools such as toothbrush or screwdriver.
4       d4454 Throwing Using fingers, hands and arms to lift something and propel it with some force through the air, such as when tossing a ball.
4       d4455 Catching Using fingers, hands and arms to grasp a moving object in order to bring it to a stop and hold it, such as when catching a ball.
3     d446 Fine foot use Performing the coordinated actions to move or manipulate objects using one's foot and toes.
3     d450 Walking Moving along a surface on foot, step by step, so that one foot is always on the ground, such as when strolling, sauntering, walking forwards, backwards, or sideways.
4       d4500 Walking short distances Walking for less than a kilometre, such as walking around rooms or hallways, within a building or for short distances outside.
4       d4501 Walking long distances Walking for more than a kilometre, such as across a village or town, between villages or across open areas.
4       d4502 Walking on different surfaces Walking on sloping, uneven, or moving surfaces, such as on grass, gravel or ice and snow, or walking aboard a ship, train or other vehicle.
4       d4503 Walking around obstacles Walking in ways required to avoid moving and immobile objects, people, animals, and vehicles, such as walking around a marketplace or shop, around or through traffic or other crowded areas.
3     d451 Going up and down stairs Moving upwards and downwards so that at least one foot is always on the ground such as ascending and descending stairs or curbs.
3     d455 Moving around Moving the whole body from one place to another by means other than walking, such as climbing over a rock or running down a street, skipping, scampering, jumping, somersaulting or running around obstacles.
4       d4550 Crawling Moving the whole body in a prone position from one place to another on hands, or hands and arms, and knees.
4       d4551 Climbing Moving the whole body upwards or downwards, over surfaces or objects, such as climbing steps, rocks, ladders or stairs, curbs or other objects.
4       d4552 Running Moving with quick steps so that both feet may be simultaneously off the ground.
4       d4553 Jumping Moving up off the ground by bending and extending the legs, such as jumping on one foot, hopping, skipping and jumping or diving into water.
4       d4554 Swimming Propelling the whole body through water by means of limb and body movements without taking support from the ground underneath.
3     d460 Moving around in different locations Walking and moving around in various places and situations, such as walking between rooms in a house, within a building, or down the street of a town.
4       d4600 Moving around within the home Walking and moving around in one's home, within a room, between rooms, and around the whole residence or living area.
4       d4601 Moving around within buildings other than home Walking and moving around within buildings other than one's residence, such as moving around other people's homes, other private buildings, community and public buildings and enclosed areas.
4       d4602 Moving around outside the home and other buildings Walking and moving around close to or far from one's home and other buildings, without the use of transportation, public or private, such as walking for short or long distances around a town or village.
3     d465 Moving around using equipment Moving the whole body from place to place, on any surface or space, by using specific devices designed to facilitate moving or create other ways of moving around, such as with skates, skis, or scuba equipment, or moving down the street in a self-propelled wheelchair or a walker.
3     d470 Using transportation Using transportation to move around as a passenger, such as being driven in a car, bus, rickshaw, jitney, pram or stroller, wheelchair, animal-powered vehicle, private or public taxi, train, tram, subway, boat or aircraft and using humans for transportation.
4       d4700 Using human-powered vehicles Being transported as a passenger by a mode of transportation powered by one or more people, such as riding in a pram or stroller, wheelchair propelled by another, rickshaw or rowboat.
4       d4701 Using private motorized transportation Being transported as a passenger by private motorized vehicle over land, sea or air, such as by car, taxi or privately owned aircraft or boat.
4       d4702 Using public motorized transportation Being transported as a passenger by a motorized vehicle over land, sea or air designed for public transportation, such as being a passenger on a bus, train, subway or aircraft.
4       d4703 Using humans for transportation Being transported by another person, such as being crried in he arms, in a sheet, in a backpack or a transportation device.
3     d475 Driving Being in control of and moving a vehicle or the animal that draws it, travelling under one's own direction or having at one's disposal any form of transportation appropriate for age, such as a car , bicycle, boat or animal powered vehicles.
4       d4750 Driving human-powered transportation Driving a human-powered vehicle, such as a bicycle, tricycle, or rowboat.
4       d4751 Driving motorized vehicles Driving a vehicle with a motor, such as an automobile, motorcycle, motorboat or aircraft.
4       d4752 Driving animal-powered vehicles Driving a vehicle powered by an animal, such as a horse-drawn cart or carriage.
3     d480 Riding animals for transportation Travelling on the back of an animal, such as a horse, ox, camel or elephant.
2   BlockL2-d51 Self-care This chapter is about caring for oneself, washing and drying oneself, caring for one's body and body parts, dressing, eating and drinking, and looking after one's health.
3     d510 Washing oneself Washing and drying one's whole body, or body parts, using water and appropriate cleaning and drying materials or methods, such as bathing, showering, washing hands and feet, face and hair, and drying with a towel.
4       d5100 Washing body parts Applying water, soap and other substances to body parts, such as hands, face, feet, hair or nails, in order to clean them.
4       d5101 Washing whole body Applying water, soap and other substances to the whole body in order to clean oneself, such as taking a bath or shower.
4       d5102 Drying oneself Using a towel or other means for drying some part or parts of one's body, or the whole body, such as after washing.
3     d520 Caring for body parts Looking after those parts of the body, such as skin, face, teeth, scalp, nails and genitals, that require more than washing and drying.
4       d5200 Caring for skin Looking after the texture and hydration of one's skin, such as by removing calluses or corns and using moisturizing lotions or cosmetics.
4       d5201 Caring for teeth Looking after dental hygiene, such as by brushing teeth, flossing, and taking care of a dental prosthesis or orthosis.
4       d5202 Caring for hair Looking after the hair on the head and face, such as by combing, styling, shaving, or trimming
4       d5203 Caring for fingernails Cleaning, trimming or polishing the nails of the fingers.
4       d5204 Caring for toenails Cleaning, trimming or polishing the nails of the toes.
4       d5205 Caring for nose Cleaning the nose, looking after nasal hygiene.
3     d530 Toileting Planning and carrying out the elimination of human waste (menstruation, urination and defecation), and clean oneself afterwards.
4       d5300 Regulating urination Coordinating and managing urination, such as by indicating need, getting into the proper position, choosing and getting to an appropriate place for urination, manipulating clothing before and after urination, and cleaning oneself after urination.
4       d5301 Regulating defecation Coordinating and managing defecation such as by indicating need, getting into the proper position, choosing and getting to an appropriate place for defecation, manipulating clothing before and after defecation, and cleaning oneself after defecation.
4       d5302 Menstrual care Coordinating, planning and caring for menstruation, such as by anticipating menstruation and using sanitary towels and napkins.
3     d540 Dressing Carrying out the coordinated actions and tasks of putting on and taking off clothes and footwear in sequence and in keeping with climatic and social conditions, such as by putting on, adjusting and removing shirts, skirts, blouses, pants, undergarments, saris, kimono, tights, hats, gloves, coats, shoes, boots, sandals and slippers.
4       d5400 Putting on clothes Carrying out the coordinated tasks of putting clothes on various parts of the body, such as putting clothes on over the head, over the arms and shoulders, and on the lower and upper halves of the body; putting on gloves and headgear.
4       d5401 Taking off clothes Carrying out the coordinated tasks of taking clothes off various parts of the body, such as pulling clothes off and over the head, off the arms and shoulders, and off the lower and upper halves of the body; taking off gloves and headgear.
4       d5402 Putting on footwear Carrying out the coordinated tasks of putting on socks, stockings and footwear.
4       d5403 Taking off footwear Carrying out the coordinated tasks of taking off socks, stockings and footwear.
4       d5404 Choosing appropriate clothing Following implicit or explicit dress codes and conventions of one's society or culture and dressing in keeping with climatic conditions.
3     d550 Eating Carrying out the coordinated tasks and actions of eating food that has been served, bringing it to the mouth and consuming it in culturally acceptable ways, cutting or breaking food into pieces, opening containers and packets, using eating implements, having meals, feasting or dining.
3     d560 Drinking Taking hold of a drink, bringing it to the mouth, and consuming the drink in culturally acceptable ways, mixing, stirring and pouring liquids for drinking, opening bottles and cans, drinking through a straw or drinking running water such as from a tap or a spring; feeding from the breast.
3     d570 Looking after one's health Ensuring physical comfort, health and physical and mental well-being, such as by maintaining a balanced diet, and an appropriate level of physical activity, keeping warm or cool, avoiding harms to health, following safe sex practices, including such as using condoms, getting immunizations and regular physical examinations.
4       d5700 Ensuring one's physical comfort Caring for oneself by being aware that one needs to ensure, and ensuring, that one's body is in a comfortable position, that one is not feeling too hot, cold or wet, and that one has adequate lighting.
4       d5701 Managing diet and fitness Caring for oneself by being aware of the need and by selecting and consuming nutritious foods and maintaining physical fitness.
4       d5702 Maintaining one's health Caring for oneself by being aware of the need and doing what is required to look after one's health, both to respond to risks to health and to prevent ill-health, such as by seeking assistance (professional and non professional); following medical and other health advice; and managing risks to health such as injuries, communicable diseases, drug-taking and sexual transmitted diseases.
2   BlockL2-d61 Domestic life This chapter is about carrying out domestic and everyday actions and tasks. Areas of domestic life include, caring for one's belongings and space, acquiring food, clothing and other necessities, household cleaning and repairing, caring for personal and other household objects, and assisting others.
3     d610 Acquiring a place to live Buying, renting, furnishing and arranging a room, house, apartment or other dwelling.
4       d6100 Buying a place to live Acquiring ownership of a house, apartment or other dwelling.
4       d6101 Renting a place to live Acquiring the use of a house, apartment or other dwelling belonging to another in exchange for payment.
4       d6102 Furnishing a place to live Equipping and arranging a living space with furniture, fixtures and other fittings and decorating rooms, arranging ones own space, room.
3     d620 Acquisition of goods and services Selecting, procuring and transporting all goods and services required for daily living, such as selecting, procuring, transporting and storing food, drink, clothing, cleaning materials, fuel, household items, utensils, cooking ware, play and recreational materials, domestic appliances and tools; procuring utilities and other household services, and picking up and delivering paper mail or packages.
4       d6200 Shopping Obtaining, in exchange for money, goods and services required for daily living (including instructing and supervising an intermediate to do the shopping), such as selecting food, drink, cleaning materials, household items, play and recreational materials or clothing in a shop or market; comparing quality and price of the items required, negotiating and paying for selected goods or services and transporting goods.
4       d6201 Gathering daily necessities Obtaining, without exchange of money, goods and services required for daily living (including instructing and supervising an intermediate to gather daily necessities), such as by harvesting vegetable and fruits, getting water and fuel and picking up and delivering paper mail or packages.
3     d630 Preparing meals Planning, organizing, cooking and serving simple and complex meals for oneself and others, such as by making a menu, selecting edible food and drink, getting together ingredients for preparing meals,cooking with heat and preparing cold foods and drinks, and serving the food.
4       d6300 Preparing simple meals Planning, organizing, cooking and serving meals with small number of ingredients that require easy methods of preparation and serving, such as making a snack or small meal, and transforming food ingredients by cutting and stirring, boiling and heating food such as rice or potatoes.
4       d6301 Preparing complex meals Planning, organizing, cooking and serving meals with large number of ingredients that require complex methods of preparation and serving, such as planning a meal with serveral dishes, and transforming food ingredients by combined actions of peeling, slicing, mixing, kneading, stirring, presenting and serving food in a manner appropriate to the occasion and culture.
3     d640 Doing housework Managing a household by cleaning the house, washing clothes, using household appliances, storing food and disposing of garbage, such as by sweeping, mopping, washing counters, walls and other surfaces; collecting and disposing of household garbage; tidying rooms, closets and drawers; collecting, washing, drying, folding and ironing clothes; cleaning footwear; using brooms, brushes and vacuum cleaners; using washing machines, dryers and irons.
4       d6400 Washing and drying clothes and garments Washing clothes and garments by hand and hanging them out to dry in the air.
4       d6401 Cleaning cooking area and utensils Cleaning up after cooking, such as by washing dishes, pans, pots and cooking utensils, and cleaning tables and floors around cooking and eating area.
4       d6402 Cleaning living area Cleaning the living areas of the household, such as by tidying and dusting, sweeping, swabbing, mopping floors, cleaning windows and walls, cleaning bathrooms and toilets, cleaning household furnishings.
4       d6403 Using household appliances Using all kinds of household appliances, such as washing machines, driers, irons, vacuum cleaners, dishwashers.
4       d6404 Storing daily necessities Storing food, drinks, clothes and other household goods required for daily living; preparing food for conservation by canning, salting or refrigerating, keeping food fresh and out of the reach of animals.
4       d6405 Disposing of garbage Disposing of household garbage such as by collecting trash and rubbish around the house, preparing garbage for disposal, using garbage disposal appliances; burning garbage.
3     d650 Caring for household objects Maintaining and repairing household and other personal objects, including play material, house and contents, clothes, play and recreational materials, vehicles and assistive devices, and caring for plants and animals, such as painting or wallpapering rooms, fixing furniture, repairing plumbing, ensuring the proper working order of vehicles, watering plants, grooming and feeding pets and domestic animals and taking care of entrances, walkways and driveways.
4       d6500 Making and repairing clothes Making and repairing clothes, such as by sewing, producing or mending clothes; reattaching buttons and fasteners; ironing clothes, fixing and polishing footwear.
4       d6501 Maintaining dwelling and furnishings Repairing and taking care of dwelling, its exterior, interior and contents, such as by painting, repairing fixtures and furniture, and using required tools for repair work.
4       d6502 Maintaining domestic appliances Repairing and taking care of all domestic appliances for cooking, cleaning and repairing, such as by oiling and repairing tools and maintaining the washing machine.
4       d6503 Maintaining vehicles Repairing and taking care of motorized and non-motorized vehicles for personal use, including bicycles, carts, automobiles and boats.
4       d6504 Maintaining assistive devices Repairing and taking care of assistive devices such as prostheses, orthoses and specialized tools and aids for housekeeping and personal care; maintaining and repairing aids for personal mobility such as canes, walkers, wheelchairs and scooters; and maintaining communication and recreational aids.
4       d6505 Taking care of plants, indoors and outdoors Taking care of plants inside and outside the house, such as by planting, watering and fertilizing plants; gardening and growing foods for personal use.
4       d6506 Taking care of animals Taking care of domestic animals and pets, such as by feeding, cleaning, grooming and exercising pets; watching over the health of animals or pets; planning for the care of animals or pets in one's absence.
4       d6507 Taking care of walkways and driveways Taking care of domestic pathways such as walkways and driveways or entrances to houses (covered or uncovered) for example removing snow, leaves, rubble or sand from enrances as well as spreading sand or other material.
3     d660 Assisting others Assisting household members and others with their learning, communicating, self-care, movement, within the house or outside; being concerned about the well-being of household members and others.
4       d6600 Assisting others with self-care Assisting household members and others in performing self-care, including helping others with eating, bathing and dressing; taking care of children or members of the household who are sick or have difficulties with basic self-care; helping others with their toileting.
4       d6601 Assisting others in movement Assisting household members and others in movements and in moving outside the home, such as in the neighbourhood or city, to or from school, place of employment or other destination.
4       d6602 Assisting others in communication Assisting household members and others with their communication, such as by helping with speaking, writing or readings.
4       d6603 Assisting others in interpersonal relations Assisting household members and others with their interpersonal interactions, such as by helping them to initiate, maintain or terminate relationships.
4       d6604 Assisting others in nutrition Assisting household members and others with their nutrition, such as by helping them to prepare and eat meals.
4       d6605 Assisting others in health maintenance Assisting household members and others with formal and informal health care, such as by ensuring that a child gets regular medical check-ups, or that an elderly relative takes required medication.
2   BlockL2-d71 Interpersonal interactions and relationships This chapter is about carrying out the actions and tasks required for basic and complex interactions with people (strangers, friends, relatives, family members and lovers) in a contextually and socially appropriate manner.
3     d710 Basic interpersonal interactions Interacting with people in a contextually and socially appropriate manner, such as by showing consideration and esteem when appropriate, or responding to the feelings of others.
4       d7100 Respect and warmth in relationships Showing and responding to consideration and esteem, in a contextually and socially appropriate manner.
4       d7101 Appreciation in relationships Showing and responding to satisfaction and gratitude, in a contextually and socially appropriate manner.
4       d7102 Tolerance in relationships Showing and responding to understanding and acceptance of behaviour, in a contextually and socially appropriate manner.
4       d7103 Criticism in relationships Providing and responding to implicit and explicit differences of opinion or disagreement, in a contextually and socially appropriate manner.
4       d7104 Social cues in relationships Giving and reacting appropriately to signs and hints that occur in social interactions.
4       d7105 Physical contact in relationships Making and responding to bodily contact with others, in a contextually and socially appropriate manner.
4       d7106 Differentiation of familiar persons Showing differential responses to individuals, such as by reaching out for the familiar person and differentiating them from strangers and reacting in an appropriate manner.
3     d720 Complex interpersonal interactions Maintaining and managing interactions with other people, in a contextually and socially appropriate manner, such as by regulating emotions and impulses, controlling verbal and physical aggression, acting independently in social interactions, and acting in accordance with social rules and conventions, when for example playing, studying or working with others.
4       d7200 Forming relationships Beginning and maintaining interactions with others for a short or long period of time, in a contextually and socially appropriate manner, such as by introducing oneself, finding and establishing friendships and professional relationships, starting a relationship that may become permanent, romantic or intimate.
4       d7201 Terminating relationships Bringing interactions to a close in a contextually and socially appropriate manner, such as by ending temporary relationships at the end of a visit, ending long-term relationships with friends when moving to a new town or ending relationships with work colleagues, professional colleagues and service providers, and ending romantic or intimate relationships.
4       d7202 Regulating behaviours within interactions Regulating emotions and impulses, verbal aggression and physical aggression in interactions with others, in a contextually and socially appropriate manner.
4       d7203 Interacting according to social rules Acting independently in social interactions and complying with social conventions governing one's role, position or other social status in interactions with others.
4       d7204 Maintaining social space Being aware of and maintaining a distance between oneself and others that is contextually, socially and culturally appropriate.
3     d730 Relating with strangers Engaging in temporary contacts and links with strangers for specific purposes, such as asking for directions or making a purchase. Engaging in temporary contacts and links with strangers for specific purposes, such as when asking for information, directions or making a purchase.
3     d740 Formal relationships Creating and maintaining specific relationships in formal settings, such as with teachers, employers, professionals or service providers.
4       d7400 Relating with persons in authority Creating and maintaining formal relations with people in positions of power of a higher rank or prestige relative to one's own position, such as an employer.
4       d7401 Relating with subordinates Creating and maintaining formal relations with people in positions of lower rank or prestige relative to one's own social position, such as an employee or servant.
4       d7402 Relating with equals Creating and maintaining formal relations with people in the same position of authority, rank or prestige relative to one's own social position.
3     d750 Informal social relationships Entering into relationships with others, such as casual relationships with people living in the same community or residence, or with co-workers, students, playmates, people with similar backgrounds or professions.
4       d7500 Informal relationships with friends Creating and maintaining friendship relationships that are characterized by mutual esteem an common interests.
4       d7501 Informal relationships with neighbours Creating and maintaining informal relationships with people who live in nearby dwellings or living areas.
4       d7502 Informal relationships with acquaintances Creating and maintaining informal relationships with people whom one knows but who are not close friends.
4       d7503 Informal relationships with co-inhabitants Creating and maintaining informal relationships with people who are co-inhabitants of a house or other dwelling, privately or publicly run, for any purpose.
4       d7504 Informal relationships with peers Creating and maintaining informal relationships with people who share the same age, interest or other common feature.
3     d760 Family relationships Creating and maintaining kinship relationships, such as those with members of the nuclear family, extended family, foster and adopted family and step-relationships, more distant relationships such as second cousins, or legal guardians.
4       d7600 Parent-child relationships Becomming and being a parent, both natural and adoptive, such as by having a child and relating to it as a parent or creating and maintaining a parental relationships with an adoptive child, and providing physical, intellectual and emotional nurture to one's natural or adoptive child.
4       d7601 Child-parent relationships Creating and maintaining relationships with one's parent, such as a young child obeying his or her parents or an adult child taking care of his or her elderly parents.
4       d7602 Sibling relationships Creating and maintaining a brotherly or sisterly relationship with a person who shares one or both parents by birth, adoption or marriage.
4       d7603 Extended family relationships Creating and maintaining a family relationship with members of one's extended family, such as with cousins, aunts and uncles and grandparents.
3     d770 Intimate relationships Creating and maintaining close or romantic relationships between individuals, such as husband and wife, lovers or sexual partners.
4       d7700 Romantic relationships Creating and maintaining a relationship based on emotional and physical attraction, potentially leading to long-term intimate relationships.
4       d7701 Spousal relationships Creating and maintaining an intimate relationship of a legal nature with another person, such as in a legal marriage, including becoming and being a legally maried wife or husband or an unmarried spouse.
4       d7702 Sexual relationships Creating and maintaining a relationship of a sexual nature, with a spouse or other partner.
2   BlockL2-d81 Major life areas This chapter is about carrying out the tasks and actions required to engage in education, work and employment and to conduct economic transactions.
3     d810 Informal education Learning at home or in some other non-institutional setting, such as learning crafts and other skills from parents or family members, or home schooling.
3     d815 Preschool education Learning at an initial level of organized instruction, designed primarily to introduce a child to the school-type environment and prepare it for compulsory education, such as by acquiring skills in a day-care or similar setting as preparation for advancement to school.
3     d820 School education Gaining admission to school, education, engaging in all school-related responsibilities and privileges, and learning the course material, subjects and other curriculum requirements in a primary or secondary education programme, including attending school regularly, working cooperatively with other students, taking directions from teachers, organizing, studying and completing assigned tasks and projects, and advancing to other stages of education.
3     d825 Vocational training Engaging in all activities of a vocational programme and learning the curriculum material for preparation for employment in a trade, job or profession.
3     d830 Higher education Engaging in the activities of advanced educational programmes in universities, colleges and professional schools and learning all aspects of the curriculum required for degrees, diplomas, certificates and other accreditations, such as completing a university bachelor's or master's course of study, medical school or other professional school.
3     d835 Education life Engaging in aspects of life of education institutions, such as university and school related associations, including: clubs, sports, related civic bodies (e.g. school council), and other institutionally-organized initiatives that are not part of the academic curriculum.
3     d840 Apprenticeship (work preparation) Engaging in programmes related to preparation for employment, such as performing the tasks required of an apprenticeship, internship, articling and in-service training.
3     d845 Acquiring, keeping and terminating a job Seeking, finding and choosing employment, being hired and accepting employment, maintaining and advancing through a job, trade, occupation or profession, and leaving a job in an appropriate manner.
4       d8450 Seeking employment Locating and choosing a job, in a trade, profession or other form of employment, and performing the required tasks to get hired, such as showing up at the place of employment or participating in a job interview.
4       d8451 Maintaining a job Performing job-related tasks to keep an occupation, trade, profession or other form of employment, and obtaining promotion and other advancements in employment.
4       d8452 Terminating a job Leaving or quitting a job in the appropriate manner.
3     d850 Remunerative employment Engaging in all aspects of work, as an occupation, trade, profession or other form of employment, for payment, as an employee, full or part time, or self-employed, such as seeking employment and getting a job, doing the required tasks of the job, attending work on time as required, supervising other workers or being supervised, and performing required tasks alone or in groups.
4       d8500 Self employment Engaging in remunerative work sought or generated by the individual, or contracted from others without a formal employment relationship, such as migratory agricultural work, working as a free-lance writer or consultant, short-term contract work, working as an artist or crafts person, owning and running a shop or other business.
4       d8501 Part-time employment Engaging in all aspects of work for payment on a part-time basis, as an employee, such as seeking employment and getting a job, doing the tasks required of the job, attending work on time as required, supervising other workers or being supervised, and performing required tasks alone or in groups.
4       d8502 Full-time employment Engaging in all aspects of work for payment on a full-time basis, as an employee, such as seeking employment and getting a job, doing the required tasks of the job, attending work on time as required, supervising other workers or being supervised, and performing required tasks alone or in groups.
3     d855 Non-remunerative employment Engaging in all aspects of work in which pay is not provided, full-time or part-time, including organized work activities, doing the required tasks of the job, attending work on time as required, supervising other workers or being supervised, and performing required tasks alone or in groups, such as volunteer work, charity work, working for a community or religious group without remuneration, working around the home without remuneration.
3     d860 Basic economic transactions Engaging in any form of simple economic transaction, such as using money to purchase food or bartering, exchanging goods or services; or saving money.
3     d865 Complex economic transactions Engaging in any form of complex economic transaction that involves the exchange of capital or property, and the creation of profit or economic value, such as buying a business, factory, or equipment, maintaining a bank account, or trading in commodities.
3     d870 Economic self-sufficiency Having command over economic resources, from private or public sources, in order to ensure economical security for present and future needs.
4       d8700 Personal economic resources Having command over personal or private economic resources, in order to ensure economical security for present and future needs.
4       d8701 Public economic entitlements Having command over public economic resources, in order to ensure economical security for present and future needs.
2   BlockL2-d91 Community, social and civic life This chapter is about the actions and tasks required to engage in organized social life outside the family, in community, social and civic areas of life.
3     d910 Community life Engaging in aspects of community social life, such as engaging in charitable organizations, services clubs or professional social organizations.
4       d9100 Informal associations Engaging in social or community associations organized by people with common interests, such as local social clubs or ethics groups.
4       d9101 Formal associations Engaging in professional or other exclusive social groups, such as associations of lawyers, physicians, or academics.
4       d9102 Ceremonies Engaging in non-religious rites or social ceremonies, such as marriages, funerals or initiation ceremonies.
3     d920 Recreation and leisure Engaging in any form of play, recreational or leisure activity, such as informal or organized play and sports, programmes of physical fitness, relaxation, amusement or diversion, going to art galleries, museums, cinemas or theatres; engaging in crafts or hobbies, reading for enjoyment, playing musical instruments; sightseeings, tourism and travelling for pleasure.
4       d9200 Play Engaging in games with rules or unstructured or unorganized games and spontaneous recreation, such as playing chess or cards or children's play.
4       d9201 Sports Engaging in competitive and informal or formally organized games or athletic events, performed alone or in a group, such as bowling, gymnastics or soccer.
4       d9202 Arts and culture Engaging in, or appreciating, fine arts or cultural events, such as going to the theatre, cinema, museum or art gallery, or acting in a play, reading, being read to, dancing, singing or playing a musical instrument for enjoyment.
4       d9203 Crafts Engaging in handicrafts, such as pottery or knitting.
4       d9204 Hobbies Engaging in pastimes such as stamp collecting, coins or antiques.
4       d9205 Socializing Engaging in informal or casual gatherings with others, such as visiting friends or relatives or meeting informally in public places.
3     d930 Religion and spirituality Engaging in religious or spiritual activities, organizations and practices for self-fulfilment, finding meaning, religious or spiritual value and establishing connection with a divine power, such as is involved in attending a church, temple, mosque or synagogue, praying or chanting for a religious purpose, and spiritual contemplation.
4       d9300 Organized religion Engaging in organized religious ceremonies, activities and events.
4       d9301 Spirituality Engaging in spiritual activities or events, outside of a organized religion.
3     d940 Human rights Enjoying all nationally and internationally recognized rights that are accorded to people by virtue of their humanity alone, such as human rights as recognized by the United Nations Universal Declaration of Human Rights (1948), the United Nations Convention on the Rights of the Child (1989), the United Nations Standard Rules for the Equalization of Opportunities for Persons with Disabilities (1993), and the United Nations Convention on the Rights of Persons with Disabilities (2006); the right to self-determination or autonomy; and the right to control over one's destiny.
3     d950 Political life and citizenship Engaging in the social, political, governmental life of a citizen, having legal status as a citizen and enjoying the rights, protections, privileges and duties associated with that role, such as the right to vote and run for political office, to form political associations, enjoying the rights and freedoms associated with citizenship (e.g. the rights of freedom of speech, association, religion, protections against unreasonable search and seizure, the right to counsel, to a trial and other legal rights and protections against discrimination); having legal standing as a citizen.