Level/ Type |
Code |
Display Name |
Code System |
Description |
0‑L |
0
|
INDEPENDENCE
|
2.16.756.5.30.1.1.1.1.3.6.3.11.7 |
No physical assistance, preparation or supervision is required during each occurrence
|
0‑L |
1
|
INDEPENDENCE WITH AID FOR PREPARATION ONLY
|
2.16.756.5.30.1.1.1.1.3.6.3.11.7 |
Once the object or device is at hand, no physical assistance or supervision is required
during each occurrence
|
0‑L |
2
|
SUPERVISION
|
2.16.756.5.30.1.1.1.1.3.6.3.11.7 |
Monitoring or indications required
|
0‑L |
3
|
LIMITED HELP
|
2.16.756.5.30.1.1.1.1.3.6.3.11.7 |
Physical help to guide limb movements or help without weight support
|
0‑L |
4
|
CONSIDERABLE HELP
|
2.16.756.5.30.1.1.1.1.3.6.3.11.7 |
One caregiver help required to support weight (including limbs), but the individual
performs itself 50% or more of the activity
|
0‑L |
5
|
MAXIMUM ASSISTANCE
|
2.16.756.5.30.1.1.1.1.3.6.3.11.7 |
Two or more caregiver help required to support weight (including limbs), OR support
required to support weight for more than 50% of activity
|
0‑L |
6
|
TOTAL DEPENDENCE
|
2.16.756.5.30.1.1.1.1.3.6.3.11.7 |
Activity done entirely by other persons during each occurrence
|
0‑L |
8
|
ACTIVITY DID NOT HAPPEN DURING THE EVALUATION PERIOD
|
2.16.756.5.30.1.1.1.1.3.6.3.11.7 |
|
|
0‑L |
NASK
|
not asked
|
Null Flavor |
|
0‑L |
NAV
|
temporarily unavailable
|
Null Flavor |
|
0‑L |
ASKU
|
asked but unknown
|
Null Flavor |
|
0‑L |
UNK
|
unknown
|
Null Flavor |
|