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TX: CodeSystem 907

Properties

Language en
Defining URL http://hl7.org/fhir/sid/icf
Version 2017a
Name ICF2017a
Title International Classification of Functioning, Disability and Health (ICF) 2017a
Status active
Definition

The International Classification of Functioning, Disability and Health, known more commonly as ICF, is a classification of health and health-related domains. As the functioning and disability of an individual occurs in a context, ICF also includes a list of environmental factors.

ICF is the WHO framework for measuring health and disability at both individual and population levels.

ICF was officially endorsed by all 191 WHO Member States in the Fifty-fourth World Health Assembly on 22 May 2001(resolution WHA 54.21 ) as the international standard to describe and measure health and disability.

ICF is based on the same foundation as ICD and ICHI and share the same set of extension codes that enable documentation at a higher level of detail."

Official updates to the ICF are available as annual lists of changes.

These updates are approved annually at the October meeting of the WHO Family of International Classifications (WHO-FIC) Network.

To license ICF, the same rules apply for ICF as for ICD. See http://icd.who.int/ .

For more information, see https://www.who.int/standards/classifications/international-classification-of-functioning-disability-and-health .

Publisher World Health Organization

Properties

This code system defines the following properties for its concepts

Code URI Type Description
inclusion http://hl7.org/fhir/sid/icf#inclusion string Inclusion criteria for the classification
exclusion http://hl7.org/fhir/sid/icf#exclusion string Exclusion criteria for the classification
parent http://hl7.org/fhir/concept-properties#parent code
notSelectable http://hl7.org/fhir/concept-properties#notSelectable boolean

Concepts

This case-sensitive code system http://hl7.org/fhir/sid/icf defines the following codes in a classified-with hierarchy:

Code Display Definition Inclusion criteria for the classification Exclusion criteria for the classification parent
b BODY FUNCTIONS 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.
b1 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. b
b110-b139 Global mental functions (b110-b139) b1
b110 Consciousness functions General mental functions of the state of awareness and alertness, including the clarity and continuity of the wakeful state. functions of the state, continuity and quality of consciousness, loss of consciousness, coma, vegetative states, fugues, trance states, possession states, drug-induced altered consciousness, delirium, stupor orientation functions (b114), energy and drive functions (b130), sleep functions (b134) b110-b139
b1100 State of consciousness Mental functions that when altered produce states such as clouding of consciousness, stupor or coma. b110
b1101 Continuity of consciousness Mental functions that produce sustained wakefulness, alertness and awareness and, when disrupted, may produce fugue, trance or other similar states. b110
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. b110
b1108 Consciousness functions, other specified b110
b1109 Consciousness functions, unspecified b110
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. functions of orientation to time, place and person, orientation to self and others, disorientation to time, place and person consciousness functions (b110), attention functions (b140), memory functions (b144) b110-b139
b1140 Orientation to time Mental functions that produce awareness of time of the day, day of the week, date, month and year. b114
b1141 Orientation to place Mental functions that produce awareness of one's location, such as one's immediate surroundings, one's town or country. b114
b1142 Orientation to person Mental functions that produce awareness of one's own identity and of individuals in the immediate environment. b114
b11420 Orientation to self Mental functions that produce awareness of one's own identity. b1142
b11421 Orientation to others Mental functions that produce awareness of the identity of other individuals in one's immediate environment. b1142
b11428 Orientation to person, other specified b1142
b11429 Orientation to person, unspecified b1142
b1143 Orientation to objects Mental functions that produce awareness of objects or features of objects. b114
b1144 Orientation to space Mental functions that produce awareness of one’s body in relation to the immediate physical space. b114
b1148 Orientation functions, other specified b114
b1149 Orientation functions, unspecified b114
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. functions of intellectual growth, intellectual retardation, mental retardation, dementia memory functions (b144), thought functions (b160), higher level cognitive functions (b164) b110-b139
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. such as in autism b110-b139
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. functions of extraversion, introversion, agreeableness, conscientiousness, psychic and emotional stability, and openness to experience, optimism, novelty seeking, confidence, trustworthiness intellectual functions (b117), energy and drive functions (b130), psychomotor functions (b147), emotional functions (b152) b110-b139
b1260 Extraversion Mental functions that produce a personal disposition that is outgoing, sociable and demonstrative, as contrasted to being shy, restricted and inhibited. b126
b1261 Agreeableness Mental functions that produce a personal disposition that is cooperative, amicable, and accomodating, as contrasted to being unfriendly, oppositional and defiant. b126
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. b126
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. b126
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. b126
b1265 Optimism Mental functions that produce a personal disposition that is cheerful, buoyant and hopeful, as contrasted to being downhearted, gloomy and despairing. b126
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. b126
b1267 Trustworthiness Mental functions that produce a personal disposition that is dependable and principled, as contrasted to being deceitful and antisocial. b126
b1268 Temperament and personality functions, other specified b126
b1269 Temperament and personality functions, unspecified b126
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. functions of energy level, motivation, appetites, craving (including craving for substances that can be abused), and impulse control consciousness functions (b110), temperament and personality functions (b126), sleep functions (b134), psychomotor functions (b147), emotional functions (b152) b110-b139
b1300 Energy level Mental functions that produce vigour and stamina. b130
b1301 Motivation Mental functions that produce the incentive to act; the conscious or unconscious driving force for action. b130
b1302 Appetite Mental functions that produce a natural longing or desire, especially the natural and recurring desire for food and drink. b130
b1303 Craving Mental functions that produce the urge to consume substances, including substances that can be abused. b130
b1304 Impulse control Mental functions that regulate and resist sudden intense urges to do something. b130
b1308 Energy and drive functions, other specified b130
b1309 Energy and drive functions, unspecified b130
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. functions of amount of sleeping, and onset, maintenance and quality of sleep, functions involving the sleep cycle, such as in insomnia, hypersomnia and narcolepsy consciousness functions (b110), energy and drive functions (b130), attention functions (b140), psychomotor functions (b147) b110-b139
b1340 Amount of sleep Mental functions involved in the time spent in the state of sleep in the diurnal cycle or circadian rhythm. b134
b1341 Onset of sleep Mental functions that produce the transition between wakefulness and sleep. b134
b1342 Maintenance of sleep Mental functions that sustain the state of being asleep. b134
b1343 Quality of sleep Mental functions that produce the natural sleep leading to optimal physical and mental rest and relaxation. b134
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). b134
b1348 Sleep functions, other specified b134
b1349 Sleep functions, unspecified b134
b139 Global mental functions, other specified and unspecified b110-b139
b140-b189 Specific mental functions (b140-b189) b1
b140 Attention functions Specific mental functions of focusing on an external stimulus or internal experience for the required period of time. functions of sustaining attention, shifting attention, dividing attention, sharing attention, concentration, distractibility consciousness functions (b110), energy and drive functions (b130), sleep functions (b134), memory functions (b144), psychomotor functions (b147), perceptual functions (b156) b140-b189
b1400 Sustaining attention Mental functions that produce concentration for the period of time required. b140
b1401 Shifting attention Mental functions that permit refocusing concentration from one stimulus to another. b140
b1402 Dividing attention Mental functions that permit focusing on two or more stimuli at the same time. b140
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. b140
b1408 Attention functions, other specified b140
b1409 Attention functions, unspecified b140
b144 Memory functions Specific mental functions of registering and storing information and retrieving it as needed. functions of short-term and long-term memory, immediate, recent and remote memory, memory span, retrieval of memory, remembering, functions used in recalling and learning, such as in nominal, selective and dissociative amnesia consciousness functions (b110), orientation functions (b114), intellectual functioning (b117), attention functions (b140), perceptual functions (b156), thought functions (b160), higher-level cognitive functions (b164), mental functions of language (b167), calculation functions (b172) b140-b189
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. b144
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. b144
b1442 Retrieval and processing of memory Specific mental functions of recalling information stored in long-term memory and bringing it into awareness. b144
b1443 Working memory Mental functions that compare and process information retrieved from both short-term and long-term memory. b144
b1448 Memory functions, other specified b144
b1449 Memory functions, unspecified b144
b147 Psychomotor functions Specific mental functions of control over both motor and psychological events at the body level. functions of psychomotor control, such as in psychomotor retardation, excitement and agitation, posturing, catatonia, negativism, ambitendency, echopraxia and echolalia, quality of psychomotor function. consciousness functions (b110), orientation functions (b114), intellectual functions (b117), energy and drive functions (b130), attention functions (b140), mental functions of language (b167), mental function of sequencing complex movements (b176) b140-b189
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). b147
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. b147
b1478 Psychomotor functions, other specified b147
b1479 Psychomotor functions, unspecified b147
b152 Emotional functions Specific mental functions related to the feeling and affective components of the processes of the mind. functions of appropriateness of emotion, regulation and range of emotion, affect, sadness, happiness, love, fear, anger, hate, tension, anxiety, joy, sorrow, lability of emotion, flattening of affect temperament and personality functions (b126), energy and drive functions (b130) b140-b189
b1520 Appropriateness of emotion Mental functions that produce congruence of feeling or affect with the situation, such as happiness at receiving good news. b152
b1521 Regulation of emotion Mental functions that control the experience and display of affect. b152
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. b152
b1528 Emotional functions, other specified b152
b1529 Emotional functions, unspecified b152
b156 Perceptual functions Specific mental functions of recognizing and interpreting sensory stimuli. functions of auditory, visual, olfactory, gustatory, tactile and visuospatial perception, such as in hallucination or illusion consciousness functions (b110), orientation functions (b114), attention functions (b140), memory functions (b144), mental functions of language (b167), seeing and related functions (b210-b229), hearing and vestibular functions (b230-b249), additional sensory functions (b250-b279) b140-b189
b1560 Auditory perception Mental functions involved in discriminating sounds, tones, pitches and other acoustic stimuli. b156
b1561 Visual perception Mental functions involved in discriminating shape, size, colour and other ocular stimuli. b156
b1562 Olfactory perception Mental functions involved in distinguishing differences in smells. b156
b1563 Gustatory perception Mental functions involved in distinguishing differences in tastes, such as sweet, sour, salty and bitter stimuli, detected by the tongue. b156
b1564 Tactile perception Mental functions involved in distinguishing differences in texture, such as rough or smooth stimuli, detected by touch. b156
b1565 Visuospatial perception Mental function involved in distinguishing by sight the relative position of objects in the environment or in relation to oneself. orientation to objects (b1143) b156
b1568 Perceptual functions, other specified b156
b1569 Perceptual functions, unspecified b156
b160 Thought functions Specific mental functions related to the ideational component of the mind. functions of pace, form, control and content of thought, goaldirected thought functions, non-goal directed thought functions, logical thought functions, such as pressure of thought, flight of ideas, thought block, incoherence of thought, tangentiality, circumstantiality, delusions, obsessions and compulsions intellectual functions (b117), memory functions (b144), psychomotor functions (b147), perceptual functions (b156), higher-level cognitive functions (b164), mental functions of language (b167), calculation functions (b172) b140-b189
b1600 Pace of thought Mental functions that govern speed of the thinking process. b160
b1601 Form of thought Mental functions that organize the thinking process as to its coherence and logic. impairments of ideational perseveration, tangentiality and circumstantiality b160
b1602 Content of thought Mental functions consisting of the ideas that are present in the thinking process and what is being conceptualized. impairments of delusions, overvalued ideas and somatization b160
b1603 Control of thought Mental functions that provide volitional control of thinking and are recognized as such by the person. impairments of rumination, obsession, thought broadcast and thought insertion b160
b1608 Thought functions, other specified b160
b1609 Thought functions, unspecified b160
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. functions of abstraction and organization of ideas, time management, insight and judgement, concept formation, categorization and cognitive flexibility memory functions (b144), thought functions (b160), mental functions of language (b167), calculation functions (b172) b140-b189
b1640 Abstraction Mental functions of creating general ideas, qualities or characteristics out of, and distinct from, concrete realities, specific objects or actual instances. b164
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. b164
b1642 Time management Mental functions of ordering events in chronological sequence, allocating amounts of time to events and activities. b164
b1643 Cognitive flexibility Mental functions of changing strategies, or shifting mental sets, especially as involved in problem-solving. b164
b1644 Insight Mental functions of awareness and understanding of oneself and one's behaviour. b164
b1645 Judgement Mental functions involved in discriminating between and evaluating different options, such as those involved in forming an opinion. b164
b1646 Problem Solving Mental functions of identifying, analysing, and integrating incongruent or conflicting information into a solution. b164
b1648 Higher-level cognitive functions, other specified b164
b1649 Higher-level cognitive functions, unspecified b164
b167 Mental functions of language Specific mental functions of recognizing and using signs, symbols and other components of a language. functions of reception and decryption of spoken, written or other forms of language such as sign language, functions of expression of spoken, written, or other forms of language, integrative language functions spoken and written, such as involved in receptive, expressive, Broca's, Wernicke's and conduction aphasia attention functions (b140), memory functions (b144), perceptual functions (b156), thought functions (b160), higher-level cognitive functions (b164), calculation functions (b172), mental function of complex movements (b176), Chapter 2 Sensory Functions and Pain (b2), Chapter 3 Voice and Speech Functions (b3) b140-b189
b1670 Reception of language Specific mental functions of decoding messages in spoken, written or other forms, such as sign language, to obtain their meaning. b167
b16700 Reception of spoken language Mental functions of decoding spoken messages to obtain their meaning. b1670
b16701 Reception of written language Mental functions of decoding written messages to obtain their meaning. b1670
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. b1670
b16703 Reception of body language Mental functions of decoding messages in body gestures made by hands or other movements, in order to obtain their meaning. b1670
b16708 Reception of language, other specified b1670
b16709 Reception of language, unspecified b1670
b1671 Expression of language Specific mental functions necessary to produce meaningful messages in spoken, written, signed or other forms of language. b167
b16710 Expression of spoken language Mental functions necessary to produce meaningful spoken messages. b1671
b16711 Expression of written language Mental functions necessary to produce meaningful written messages. b1671
b16712 Expression of sign language Mental functions to produce meaningful messages in languages that use signs made by hands and other movements. b1671
b16713 Expression of body language Mental functions necessary to produce messages using body gestures made by hands or other movements. b1671
b16718 Expression of language, other specified b1671
b16719 Expression of language, unspecified b1671
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. b167
b1678 Mental functions of language, other specified b167
b1679 Mental functions of language, unspecified b167
b172 Calculation functions Specific mental functions of determination, approximation and manipulation of mathematical symbols and processes. functions of addition, subtraction, and other simple mathematical calculations, functions of complex mathematical operations attention functions (b140), memory functions (b144), thought functions (b160), higher-level cognitive functions (b164), mental functions of language (b167) b140-b189
b1720 Simple calculation Mental functions of computing with numbers, such as addition, subtraction, multiplication and division. b172
b1721 Complex calculation Mental functions of translating word problems into arithmetic procedures, translating mathematical formulas into arithmetic procedures, and other complex manipulations involving numbers. b172
b1728 Calculation functions, other specified b172
b1729 Calculation functions, unspecified b172
b176 Mental function of sequencing complex movements Specific mental functions of sequencing and co-ordinating complex, purposeful movements. impairements such as in ideation, ideomotor, dressing, oculomotor, speech apraxia psychomotor functions (b147), higher-level cognitive functions (b164), Chapter 7 Neuromusculoskeletal and Movement Related Functions (b7) b140-b189
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. functions of experience of self, body image and time b140-b189
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. impairments such as depersonalization and derealization b180
b1801 Body image Specific mental functions related to the representation and awareness of one's body. impairments such as phantom limb and feeling too fat or too thin b180
b1802 Experience of time Specific mental functions of the subjective experiences related to the length and passage of time. impairments such as jamais vu and déjà vu b180
b1808 Experience of self and time functions, other specified b180
b1809 Experience of self and time functions, unspecified b180
b189 Specific mental functions, other specified and unspecified b140-b189
b198 Mental functions, other specified b1
b199 Mental functions, unspecified b1
b2 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. b
b210-b229 Seeing and related functions (b210-b229) b2
b210 Seeing functions Sensory functions relating to sensing the presence of light and sensing the form, size, shape and colour of the visual stimuli. visual acuity functions, visual field functions, quality of vision, functions of sensing light and colour, visual acuity of distant and near vision, monocular and binocular vision, visual picture quality, impairments such as myopia, hypermetropia, astigmatism, hemianopia, colour-blindness, tunnel vision, central and peripheral scotoma, diplopia, night blindness and impaired adaptability to light perceptual functions (b156) b210-b229
b2100 Visual acuity functions Seeing functions of sensing form and contour, both binocular and monocular, for both distant and near vision. b210
b21000 Binocular acuity of distant vision Seeing functions of sensing size, form and contour using both eyes for objects distant from the eye. b2100
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. b2100
b21002 Binocular acuity of near vision Seeing functions of sensing size, form and contour, using both eyes, for objects close to the eye. b2100
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. b2100
b21008 Visual acuity functions, other specified b2100
b21009 Visual acuity functions, unspecified b2100
b2101 Visual field functions Seeing functions related to the entire area that can be seen with fixation of gaze. impairments such as in scotoma, tunnel vision, anopsia b210
b2102 Quality of vision Seeing functions involving light sensitivity, colour vision, contrast sensitivity and the overall quality of the picture. b210
b21020 Light sensitivity Seeing functions of sensing a minimum amount of light (light minimum), and the minimum difference in intensity (light difference). functions of dark adaptation, impairments such as night blindness (hyposensitivity to light) and photophobia (hypersensitivity to light) b2102
b21021 Colour vision Seeing functions of differentiating and matching colours. b2102
b21022 Contrast sensitivity Seeing functions of separating figure from ground, involving the minimum amount of luminance required. b2102
b21023 Visual picture quality Seeing functions involving the quality of the picture. impairments such as in seeing stray lights, affected picture quality (floaters or webbing), picture distortion, and seeing stars or flashes b2102
b21028 Quality of vision, other specified b2102
b21029 Quality of vision, unspecified b2102
b2108 Seeing functions, other specified b210
b2109 Seeing functions, unspecified b210
b215 Functions of structures adjoining the eye Functions of structures in and around the eye that facilitate seeing functions. functions of internal muscles of the eye, eyelid, external muscles of the eye, including voluntary and tracking movements and fixation of the eye, lachrymal glands, accommodation, pupillary reflex, impairments such as in nystagmus, xerophthalmia and ptosis seeing functions (b210), Chapter 7 Neuromusculoskeletal and Movement-related Functions (b7) b210-b229
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. functions of accommodation, pupillar reflex b215
b2151 Functions of the eyelid Functions of the eyelid, such as the protective reflex. b215
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. nystagmus, cooperation of both eyes b215
b2153 Functions of lachrymal glands Functions of the tear glands and ducts. b215
b2158 Functions of structures adjoining the eye, other specified b215
b2159 Functions of structures adjoining the eye, unspecified b215
b220 Sensations associated with the eye and adjoining structures Sensations of tired, dry and itching eye and related feelings. feelings of pressure behind the eye, of something in the eye, eye strain, burning in the eye, eye irritation sensation of pain (b280) b210-b229
b229 Seeing and related functions, other specified and unspecified b210-b229
b230-b249 Hearing and vestibular functions (b230-b249) b2
b230 Hearing functions Sensory functions relating to sensing the presence of sounds and discriminating the location, pitch, loudness and quality of sounds. functions of hearing, auditory discrimination, localization of sound source, lateralization of sound, speech discrimination, impairments such as deafness, hearing impairment and hearing loss perceptual functions (b156) and mental functions of language (b167) b230-b249
b2300 Sound detection Sensory functions relating to sensing the presence of sounds. b230
b2301 Sound discrimination Sensory functions relating to sensing the presence of sound involving the differentiation of ground and binaural synthesis, separation and blending. b230
b2302 Localization of sound source Sensory functions relating to determining the location of the source of sound. b230
b2303 Lateralization of sound Sensory functions relating to determining whether the sound is coming from right or the left side. b230
b2304 Speech discrimination Sensory functions relating to determining spoken language and distinguishing it from other sounds. b230
b2308 Hearing functions, other specified b230
b2309 Hearing functions, unspecified b230
b235 Vestibular functions Sensory functions of the inner ear related to position, balance and movement. functions of position and positional sense, functions of balance of the body and movement sensation associated with hearing and vestibular functions (b240) b230-b249
b2350 Vestibular function of position Sensory functions of the inner ear related to determining the position of the body. b235
b2351 Vestibular function of balance Sensory functions of the inner ear related to determining the balance of the body. b235
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. b235
b2358 Vestibular functions, other specified b235
b2359 Vestibular functions, unspecified b235
b240 Sensations associated with hearing and vestibular function Sensations of dizziness, falling, tinnitus and vertigo. sensations of ringing in ears, irritation in ear, aural pressure, nausea associated with dizziness or vertigo vestibular functions (b235), sensation of pain (b280) b230-b249
b2400 Ringing in ears or tinnitus Sensation of low-pitched rushing, hissing or ringing in the ear. b240
b2401 Dizziness Sensation of motion involving either oneself or one's environment; sensation of rotating, swaying or tilting. b240
b2402 Sensation of falling Sensation of losing one's grip and falling. b240
b2403 Nausea associated with dizziness or vertigo Sensation of wanting to vomit that arises from dizziness or vertigo. b240
b2404 Irritation in the ear Sensation of itching or other similar sensations in the ear. b240
b2405 Aural pressure Sensation of pressure in the ear. b240
b2408 Sensations associated with hearing and vestibular function, other specified b240
b2409 Sensations associated with hearing and vestibular function, unspecified b240
b249 Hearing and vestibular functions, other specified and unspecified b230-b249
b250-b279 Additional sensory functions (b250-b279) b2
b250 Taste function Sensory functions of sensing qualities of bitterness, sweetness, sourness and saltiness. gustatory functions, impairments such as ageusia and hypogeusia b250-b279
b255 Smell function Sensory functions of sensing odours and smells. functions of smelling, olfactory functions, anosmia, hyposmia b250-b279
b260 Proprioceptive function Sensory functions of sensing the relative position of body parts. functions of statesthesia and kinaesthesia vestibular functions (b235), sensations related to muscles and movement functions (b780) b250-b279
b265 Touch function Sensory functions of sensing surfaces and their texture or quality. functions of touching, feeling of touch, impairments such as numbness, anaesthesia, tingling, paraesthesia and hyperaesthesia sensory functions related to temperature and other stimuli (b270) b250-b279
b270 Sensory functions related to temperature and other stimuli Sensory functions of sensing temperature, vibration, pressure and noxious stimulus. functions of being sensitive to temperature, vibration, shaking or oscillation, superficial pressure, deep pressure, burning sensation or a noxious stimulus touch functions (b265), sensation of pain (b280) b250-b279
b2700 Sensitivity to temperature Sensory functions of sensing cold and heat. b270
b2701 Sensitivity to vibration Sensory functions of sensing shaking or oscillation. b270
b2702 Sensitivity to pressure Sensory functions of sensing pressure against or on the skin. sensitivity to touch, numbness, hypaesthesia, hyperaesthesia, paraesethesia, tingling b270
b2703 Sensitivity to a noxious stimulus Sensory functions of sensing painful or uncomfortable sensations. impairments such as hypalgesia, hyperpathia, allodynia, analgesia and anaesthesia dolorosa b270
b2708 Sensory functions related to temperature and other stimuli, other specified b270
b2709 Sensory functions related to temperature and other stimuli, unspecified b270
b279 Additional sensory functions, other specified and unspecified b250-b279
b280-b289 Pain (b280-b289) b2
b280 Sensation of pain Sensation of unpleasant feeling indicating potential or actual damage to some body structure. sensations of generalized or localized pain, in one or more body part, pain in a dermatome, stabbing pain, burning pain, dull pain, aching pain, impairments such as myalgia, analgesia and hyperalgesia b280-b289
b2800 Generalized pain Sensation of unpleasant feeling indicating potential or actual damage to some body structure felt all over, or throughout the body. b280
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. b280
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. b2801
b28011 Pain in chest Sensation of unpleasant feeling indicating potential or actual damage to some body structure felt in the chest. b2801
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. pain in the pelvic region b2801
b28013 Pain in back Sensation of unpleasant feeling indicating potential or actual damage to some body structure felt in the back. pain in the trunk, low backache b2801
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. b2801
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. b2801
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. pain in the hip, pain in the shoulder b2801
b28018 Pain in body part, other specified b2801
b28019 Pain in body part, unspecified b2801
b2802 Pain in multiple body parts Unpleasant sensation indicating potential or actual damage to some body structure located in several body parts. b280
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. b280
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. b280
b289 Sensation of pain, other specified and unspecified b280-b289
b298 Sensory functions and pain, other specified b2
b299 Sensory functions and pain, unspecified b2
b3 VOICE AND SPEECH FUNCTIONS This chapter is about the functions of producing sounds and speech. b
b310 Voice functions Functions of the production of various sounds by the passage of air through the larynx. functions of production and quality of voice, functions of phonation, pitch, loudness and other qualities of voice, impairments such as aphonia, dysphonia, hoarseness, hypernasality and hyponasality mental functions of language (b167), articulation functions (b320), alternative vocalization functions (b340) b3
b3100 Production of voice Functions of the production of sound made through coordination of the larynx and surrounding muscles with the respiratory system. functions of phonation, loudness, impairment of aphonia b310
b3101 Quality of voice Functions of the production of characteristics of voice including pitch, resonance and other features. functions of high or low pitch, impairments such as hypernasality, hyponasality, dysphonia, hoarseness or harshness b310
b3108 Voice functions, other specified b310
b3109 Voice functions, unspecified b310
b320 Articulation functions Functions of the production of speech sounds. functions of enunciation, articulation of phonemes, spastic, ataxic, flaccid dysarthria, anarthria mental functions of language (b167), voice functions (b310) b3
b330 Fluency and rhythm of speech functions Functions of the production of flow and tempo of speech. functions of fluency, rhythm, speed and melody of speech, prosody and intonation, impairments such as stuttering, stammering, cluttering, bradylalia and tachylalia mental functions of language (b167), voice functions (b310), articulation functions (b320) b3
b3300 Fluency of speech Functions of the production of smooth, uninterrupted flow of speech. functions of smooth connection of speech, impairments such as stuttering, stammering, cluttering, dysfluency, repetition of sounds, words or parts of words and irregular breaks in speech b330
b3301 Rhythm of speech Functions of the modulated, tempo and stress patterns in speech. impairments such as stereotypic or repetitive speech cadence b330
b3302 Speed of speech Functions of the rate of speech production. impairments such as bradylalia and tachylalia b330
b3303 Melody of speech Functions of modulation of pitch patterns in speech. prosody of speech, intonation, melody of speech, impairments such as monotone speech b330
b3308 Fluency and rhythm of speech functions, other specified b330
b3309 Fluency and rhythm of speech functions, unspecified b330
b340 Alternative vocalization functions Functions of the production of other manners of vocalization. functions of the production of tones and range of sounds, such as in singing, chanting, babbling and humming, crying aloud and screaming mental functions of language (b167), voice functions (b310), articulation functions (b320), fluency and rhythm of speech functions (b330) b3
b3400 Production of tones Functions of production of musical vocal sounds. sustaining, modulating and terminating production of single or connected vocalizations with variation in pitch such as in singing, humming and chanting b340
b3401 Making a range of sounds Functions of production of a variety of vocalizations. functions of crying, cooing, gurgling, and babbling, e.g. in children b340
b3408 Alternative vocalization functions, other specified b340
b3409 Alternative vocalization functions, unspecified b340
b398 Voice and speech functions, other specified b3
b399 Voice and speech functions, unspecified b3
b4 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). b
b410-b429 Functions of the cardiovascular system (b410-b429) b4
b410 Heart functions Functions of pumping the blood in adequate or required amounts and pressure throughout the body. functions of heart rate, rhythm and output, contraction force of ventricular muscles, functions of heart valves, pumping the blood through the pulmonary circuit, dynamics of circulation to the heart, impairments such as tachycardia, bradycardia and irregular heart beat and as in heart failure, cardiomyopathy, myocarditis, and coronary insufficiency blood vessel functions (b415), blood pressure functions (b420), exercise tolerance functions (b455) b410-b429
b4100 Heart rate Functions related to the number of times the heart contracts every minute. impairments such as rates that are too fast (tachycardia) or too slow (bradycardia) b410
b4101 Heart rhythm Functions related to the regularity of the beating of the heart. impairments such as arrhythmias b410
b4102 Contraction force of ventricular muscles Functions related to the amount of blood pumped by the ventricular muscles during every beat. impairments such as diminished cardiac output b410
b4103 Blood supply to the heart Functions related to the volume of blood available to the heart muscle. impairments such as coronary ischaemia b410
b4108 Heart functions, other specified b410
b4109 Heart functions, unspecified b410
b415 Blood vessel functions Functions of transporting blood throughout the body. functions of arteries, capillaries and veins, vasomotor function, functions of pulmonary arteries, capillaries and veins, functions of valves of veins, blockage or constriction of arteries, atherosclerosis, arteriosclerosis, thromboembolism and varicose veins heart functions (b410), blood pressure functions (b420), haematological system functions (b430), exercise tolerance functions (b455) b410-b429
b4150 Functions of arteries Functions related to blood flow in the arteries. impairments such as in arterial dilation, arterial constriction such as in intermittent claudication b415
b4151 Functions of capillaries Functions related to blood flow in the capillaries. b415
b4152 Functions of veins Functions related to blood flow in the veins, and the functions of valves of veins. impairments such as venous dilation, venous constriction, insufficient closing of valves as in varicose veins b415
b4158 Blood vessel functions, other specified b415
b4159 Blood vessel functions, unspecified b415
b420 Blood pressure functions Functions of maintaining the pressure of blood within the arteries. functions of maintenance of blood pressure, increased and decreased blood pressure, impairments such as in hypotension, hypertension and postural hypotension heart functions (b410), blood vessel functions (b415), exercise tolerance functions (b455) b410-b429
b4200 Increased blood pressure Functions related to a rise in systolic or diastolic blood pressure above normal for the age. b420
b4201 Decreased blood pressure Functions related to a fall in systolic or diastolic blood pressure below normal for the age. b420
b4202 Maintenance of blood pressure Functions related to maintaining an appropriate blood pressure in response to changes in the body. b420
b4208 Blood pressure functions, other specified b420
b4209 Blood pressure functions, unspecified b420
b429 Functions of the cardiovascular system, other specified and unspecified b410-b429
b430-b439 Functions of the haematological and immunological systems (b430-b439) b4
b430 Haematological system functions Functions of blood production, oxygen and metabolite carriage, and clotting. functions of the production of blood and bone marrow, oxygen-carrying functions of blood, blood-related functions of spleen, metabolite carrying functions of blood, clotting impairments such as anaemia, haemophilia and other clotting dysfunctions functions of the cardiovascular system (b410-b429), immunological system functions (b435), exercise tolerance functions (b455) b430-b439
b4300 Production of blood Functions related to the production of blood and all its constituents. b430
b4301 Oxygen-carrying functions of the blood Functions related to the blood's capacity to carry oxygen throughout the body. b430
b4302 Metabolite-carrying functions of the blood Functions related to the blood's capacity to carry metabolites throughout the body. b430
b4303 Clotting functions Functions related to the coagulation of blood, such as at a site of injury. b430
b4308 Haematological system functions, other specified b430
b4309 Haematological system functions, unspecified b430
b435 Immunological system functions Functions of the body related to protection against foreign substances, including infections, by specific and non-specific immune responses. immune response (specific and non-specific), hypersensitivity reactions, functions of lymphatic vessels and nodes, functions of cell mediated immunity, antibody-mediated immunity, response to immunization, impairments such as in autoimmunity, allergic reactions, lymphadenitis and lymphoedema haematological system functions (b430) b430-b439
b4350 Immune response Functions of the body's response of sensitization to foreign substances, including infections. b435
b43500 Specific immune response Functions of the body's response of sensitization to a specific foreign substance. b4350
b43501 Non-specific immune response Functions of the body's general response of sensitization to foreign substances, including infections. b4350
b43508 Immune response, other specified b4350
b43509 Immune response, unspecified b4350
b4351 Hypersensitivity reactions Functions of the body's response of increased sensitization to foreign substances, such as in sensitivities to different antigens. impairments such as hypersensitivities or allergies tolerance to food (b5153) b435
b4352 Functions of lymphatic vessels Functions related to vascular channels that transport lymph. b435
b4353 Functions of lymph nodes Functions related to glands along the course of lymphatic vessels. b435
b4358 Immunological system functions, other specified b435
b4359 Immunological system functions, unspecified b435
b439 Functions of the haematological and immunological systems, other specified and unspecified b430-b439
b440-b449 Functions of the respiratory system (b440-b449) b4
b440 Respiration functions Functions of inhaling air into the lungs, the exchange of gases between air and blood, and exhaling air. functions of respiration rate, rhythm and depth, impairments such as apnoea, hyperventilation, irregular respiration, paradoxical respiration, and bronchial spasm, and as in pulmonary emphysema, reduction in airflow through upper and lower airways respiratory muscle functions (b445), additional respiratory functions (b450), exercise tolerance functions (b455) b440-b449
b4400 Respiration rate Functions related to the number of breaths taken per minute. impairments such as rates that are too fast (tachypnoea) or too slow (bradypnoea) b440
b4401 Respiratory rhythm Functions related to the periodicity and regularity of breathing. impairments such as irregular breathing b440
b4402 Depth of respiration Functions related to the volume of expansion of the lungs during breathing. impairments such as superficial or shallow respiration b440
b4408 Respiration functions, other specified b440
b4409 Respiration functions, unspecified b440
b445 Respiratory muscle functions Functions of the muscles involved in breathing. functions of thoracic respiratory muscles, functions of the diaphragm, functions of accessory respiratory muscles respiration functions (b440), additional respiratory functions (b450), exercise tolerance functions (b455) b440-b449
b4450 Functions of the thoracic respiratory muscles Functions of the thoracic muscles involved in breathing. b445
b4451 Functions of the diaphragm Functions of the diaphragm as involved in breathing. b445
b4452 Functions of accessory respiratory muscles Functions of the additional muscles involved in breathing. b445
b4458 Respiratory muscle functions, other specified b445
b4459 Respiratory muscle functions, unspecified b445
b449 Functions of the respiratory system, other specified and unspecified b440-b449
b450-b469 Additional functions and sensations of the cardiovascular and respiratory systems (b450-b469) b4
b450 Additional functions of the respiratory system Additional functions related to breathing, such as producing and transporting airway secretions, coughing, sneezing and yawning. functions of blowing, whistling and mouth breathing b450-b469
b4500 Functions of breathing thorugh the mouth functions of blowing and whistling b450
b4501 Functions of coughing b450
b4502 Functions of sneezing b450
b4503 Functions of yawning b450
b4504 Funtions related to mucus b450
b45040 Production of mucus b4504
b45041 Transportation of mucus b4504
b45048 Functions related to mucus, other specified b4504
b45049 Functions related to mucus, not specified b4504
b4508 Additional functions of the respiratory system, other specified b450
b4509 Additional functions of the respiratory system, unspecified b450
b455 Exercise tolerance functions Functions related to respiratory and cardiovascular capacity as required for enduring physical exertion. functions of physical endurance, aerobic capacity, stamina and fatiguability functions of the cardiovascular system (b410-b429), haematological system functions (b430), respiration functions (b440), respiratory muscle functions (b445), additional respiratory functions (b450) b450-b469
b4550 General physical endurance Functions related to the general level of tolerance of physical exercise or stamina. b455
b4551 Aerobic capacity Functions related to the extent to which a person can exercise without getting out of breath. b455
b4552 Fatiguability Functions related to susceptibility to fatigue, at any level of exertion. b455
b4558 Exercise tolerance functions, other specified b455
b4559 Exercise tolerance functions, unspecified b455
b460 Sensations associated with cardiovascular and respiratory functions Sensations such as missing a heart beat, palpitation and shortness of breath. sensations of tightness of chest, feelings of irregular beat, dyspnoea, air hunger, choking, gagging and wheezing sensation of pain (b280) b450-b469
b469 Additional functions and sensations of the cardiovascular and respiratory systems, other specified and unspecified b450-b469
b498 Functions of the cardiovascular, haematological, immunological and respiratory systems, other specified b4
b499 Functions of the cardiovascular, haematological, immunological and respiratory systems, unspecified b4
b5 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. b
b510-b539 Functions related to the digestive system (b510-b539) b5
b510 Ingestion functions Functions related to taking in and manipulating solids or liquids through the mouth into the body. functions of sucking, chewing and biting, manipulating food in the mouth, salivation, swallowing, burping, regurgitation, spitting and vomiting, impairments such as dysphagia, aspiration of food, aerophagia, excessive salivation, drooling and insufficient salivation sensations associated with digestive system (b535) b510-b539
b5100 Sucking Functions of drawing into the mouth by a suction force produced by movements of the cheeks, lips and tongue. b510
b5101 Biting Functions of cutting into, piercing or tearing off food with the front teeth. b510
b5102 Chewing Functions of crushing, grinding and masticating food with the back teeth (e.g. molars). b510
b5103 Manipulation of food in the mouth Functions of moving food around the mouth with the teeth and tongue. b510
b5104 Salivation Function of the production of saliva within the mouth. b510
b5105 Swallowing Functions of clearing substances, such as food, drink or saliva through the oral cavity, pharynx and oesophagus into the stomach at an appropriate rate and speed. oral, pharyngeal or oesophageal dysphagia, impairments in oesophageal passage substances b510
b51050 Oral swallowing Function of clearing substances through the oral cavity at an appropriate rate and speed. drooling b5105
b51051 Pharyngeal swallowing Function of clearing substances through the pharynx at an appropriate rate and speed. b5105
b51052 Oesophageal swallowing Function of clearing substances through the oesophagus at an appropriate rate and speed. b5105
b51058 Swallowing, other specified b5105
b51059 Swallowing, unspecified b5105
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. b510
b51060 Vomiting b5106
b51061 Regurgitation b5106
b51068 Functions of expelling the contents of the stomach, oesophagus, or pharynx, other specified b5106
b51069 Functions of expelling the contents of the stomach,oesophagus, or pharynx, unspecified b5106
b5108 Ingestion functions, other specified b510
b5109 Ingestion functions, unspecified b510
b515 Digestive functions Functions of transporting food through the gastrointestinal tract, breakdown of food and absorption of nutrients. functions of transport of food through the stomach, peristalsis, breakdown of food, enzyme production and action in stomach and intestines, absorption of nutrients and tolerance to food, impairments such as in hyperacidity of stomach, malabsorption, intolerance to food, hypermotility of intestines, intestinal paralysis, intestinal obstruction and decreased bile production ingestion functions (b510), assimilation functions (b520), defecation functions (b525), sensations associated with the digestive system (b535) b510-b539
b5150 Transport of food through stomach and intestines Peristalsis and related functions that mechanically move food through stomach and intestines. b515
b5151 Breakdown of food Functions of mechanically reducing food to smaller particles in the gastrointestinal tract. b515
b5152 Absorption of nutrients Functions of passing food and drink nutrients into the blood stream from along the intestines. b515
b5153 Tolerance to food Functions of accepting suitable food and drink for digestion and rejecting what is unsuitable. impairments such as hypersensitivities, gluten intolerance b515
b5158 Digestive functions, other specified b515
b5159 Digestive functions, unspecified b515
b520 Assimilation functions Functions by which nutrients are converted into components of the living body. functions of storage of nutrients in the body digestive functions (b515), defecation functions (b525), weight maintenance functions (b530), general metabolic functions (b540) b510-b539
b525 Defecation functions Functions of elimination of wastes and undigested food as faeces and related functions. functions of elimination, faecal consistency, frequency of defecation, faecal continence, flatulence, impairments such as constipation, diarrhoea, watery stool and anal sphincter incompetence or incontinence digestive functions (b515), assimilation functions (b520), sensations associated with the digestive system (b535) b510-b539
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. b525
b5251 Faecal consistency Consistency of faeces such as hard, firm, soft or watery. b525
b5252 Frequency of defecation Functions involved in the frequency of defecation. b525
b5253 Faecal continence Functions involved in voluntary control over the elimination function. b525
b5254 Flatulence Functions involved in the expulsion of excessive amounts of air or gases from the intestines. b525
b5258 Defecation functions, other specified b525
b5259 Defecation functions, unspecified b525
b530 Weight maintenance functions Functions of maintaining appropriate body weight, including weight gain during the developmental period. functions of maintenance of acceptable Body Mass Index (BMI), and impairments such as underweight, cachexia, wasting, overweight, emaciation and such as in primary and secondary obesity assimilation functions (b520), general metabolic functions (b540), endocrine gland functions (b555) b510-b539
b535 Sensations associated with the digestive system Sensations arising from eating, drinking and related digestive functions. sensations of nausea, feeling bloated, and the feeling of abdominal cramps, fullness of stomach, globus feeling, spasm of stomach, gas in stomach and heartburn sensation of pain (b280), ingestion functions (b510), digestive functions (b515), defecation functions (b525) b510-b539
b5350 Sensation of nausea Sensation of needing to vomit. b535
b5351 Feeling bloated Sensation of distension of the stomach or abdomen. b535
b5352 Sensation of abdominal cramp Sensation of spasmodic or painful muscular contractions of the smooth muscles of the gastrointestinal tract. b535
b5358 Sensations associated with the digestive system, other specified b535
b5359 Sensations associated with the digestive system, unspecified b535
b539 Functions related to the digestive system, other specified and unspecified b510-b539
b540-b559 Functions related to metabolism and the endocrine system (b540-b559) b5
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. functions of metabolism, basal metabolic rate, metabolism of carbohydrate, protein and fat, catabolism, anabolism, energy production in the body, increase or decrease in metabolic rate assimilation functions (b520), weight maintenance functions (b530), water, mineral and electrolyte balance functions (b545), thermoregulatory functions (b550), endocrine glands functions (b555) b540-b559
b5400 Basal metabolic rate Functions involved in oxygen consumption of the body at specified conditions of rest and temperature. increase or decrease in basic metabolic rate, impairments such as in hyperthyroidism and hypothyroidism b540
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. b540
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. b540
b5403 Fat metabolism Functions involved in the process by which fat in the diet is stored and broken down in the body. b540
b5408 General metabolic functions, other specified b540
b5409 General metabolic functions, unspecified b540
b545 Water, mineral and electrolyte balance functions Functions of the regulation of water, minerals and electrolytes in the body. functions of water balance, balance of minerals such as calcium, zinc and iron, and balance of electrolytes such as sodium and potassium, impairments such as in water retention, dehydration, hypercalcaemia, hypocalcaemia, iron deficiency, hypernatraemia, hyponatraemia, hyperkalaemia and hypokalaemia haematological system functions (b430), general metabolic functions (b540), endocrine gland functions (b555) b540-b559
b5450 Water balance Functions involved in maintaining the level or amount of water in the body. impairments such as in dehydration and rehydration b545
b54500 Water retention Functions involved in keeping water in the body. b5450
b54501 Maintenance of water balance Functions involved in maintaining the optimal amount of water in the body. b5450
b54508 Water balance functions, other specified b5450
b54509 Water balance functions, unspecified b5450
b5451 Mineral balance Functions involved in maintaining an equilibrium between intake, storage, utilization and excretion of minerals in the body. b545
b5452 Electrolyte balance Functions involved in maintaining an equilibrium between intake, storage, utilization and excretion of electrolytes in the body. b545
b5458 Water, mineral and electrolyte balance functions, other specified b545
b5459 Water, mineral and electrolyte balance functions, unspecified b545
b550 Thermoregulatory functions Functions of the regulation of body temperature. functions of maintenance of body temperature, impairments such as hypothermia, hyperthermia general metabolic functions (b540), endocrine gland functions (b555) b540-b559
b5500 Body temperature Functions involved in regulating the core temperature of the body. impairments such as hyperthermia or hypothermia b550
b5501 Maintenance of body temperature Functions involved in maintaining optimal body temperature as environmental temperature changes. tolerance to heat or cold b550
b5508 Thermoregulatory functions, other specified b550
b5509 Thermoregulatory functions, unspecified b550
b555 Endocrine gland functions Functions of production and regulation of hormonal levels in the body, including cyclical changes. functions of hormonal balance, hyperpituitarism, hypopituitarism, hyperthyroidism, hypothyroidism, hyperadrenalism, hypoadrenalism, hyperparathyroidism, hypoparathyroidism, hypergonadism, hypogonadism general metabolic functions (b540), water, mineral and electrolyte balance functions (b545), thermoregulatory functions (b550), sexual functions (b640), menstruation functions (b650) b540-b559
b5550 Pubertal functions Functions associated with the onset of puberty and manifestations of primary and secondary sexual characteristics. b555
b55500 Body and pubic hair development Functions associated with development of body and pubic hair. b5550
b55501 Breast and nipple development Functions associated with breast and nipple development. b5550
b55502 Penis, testes and scrotum development Functions associated with development of penis, testes and scrotum. b5550
b55508 Pubertal functions, other specified b5550
b55509 Pubertal functions, unspecified b5550
b559 Functions related to metabolism and the endocrine system, other specified and unspecified b540-b559
b598 Functions of the digestive, metabolic and endocrine systems, other specified b5
b599 Functions of the digestive, metabolic and endocrine systems, unspecified b5
b6 GENITOURINARY AND REPRODUCTIVE FUNCTIONS This chapter is about the functions of urination and the reproductive functions, including sexual and procreative functions. b
b610-b639 Urinary functions (b610-b639) b6
b610 Urinary excretory functions Functions of filtration and collection of the urine. functions of urinary filtration, collection of urine, impairments such as in renal insufficiency, anuria, oliguria, hydronephrosis, hypotonic urinary bladder and ureteric obstruction urination functions (b620) b610-b639
b6100 Filtration of urine Functions of filtration of urine by the kidneys. b610
b6101 Collection of urine Functions of collection and storage of urine by the ureters and bladder. b610
b6108 Urinary excretory functions, other specified b610
b6109 Urinary excretory functions, unspecified b610
b620 Urination functions Functions of discharge of urine from the urinary bladder. functions of urination, frequency of urination, urinary continence, impairments such as in stress, urge, reflex, overflow, continuous incontinence, dribbling, automatic bladder, polyuria, urinary retention and urinary urgency urinary excretory functions (b610), sensations associated with urinary functions (b630) b610-b639
b6200 Urination Functions of voiding the urinary bladder. impairments such as in urine retention b620
b6201 Frequency of urination Functions involved in the number of times urination occurs. b620
b6202 Urinary continence Functions of control over urination. impairments such as in stress, urge, reflex, continuous and mixed incontinence b620
b6208 Urination functions, other specified b620
b6209 Urination functions, unspecified b620
b630 Sensations associated with urinary functions Sensations arising from voiding and related urinary functions. sensations of incomplete voiding of urine, feeling of fullness of bladder sensations of pain (b280), urination functions (b620) b610-b639
b639 Urinary functions, other specified and unspecified b610-b639
b640-b679 Genital and reproductive functions (b640-b679) b6
b640 Sexual functions Mental and physical functions related to the sexual act, including the arousal, preparatory, orgasmic and resolution stages. functions of the sexual arousal, preparatory, orgasmic and resolution phase, functions related to sexual interest, performance, penile erection, clitoral erection, vaginal lubrication, ejaculation, orgasm, impairments such as in impotence, frigidity, vaginismus, premature ejaculation, priaprism and delayed ejaculation procreation functions (b660), sensations associated with genital and reproductive functions (b670) b640-b679
b6400 Functions of sexual arousal phase Functions of sexual interest and excitement. b640
b6401 Functions of sexual preparatory phase Functions of engaging in sexual intercourse. b640
b6402 Functions of orgasmic phase Functions of reaching orgasm. b640
b6403 Functions of sexual resolution phase Functions of satisfaction after orgasm and accompanying relaxation. impairments such as dissatisfaction with orgasm b640
b6408 Sexual functions, other specified b640
b6409 Sexual functions, unspecified b640
b650 Menstruation functions Functions associated with the menstrual cycle, including regularity of menstruation and discharge of menstrual fluids. functions of regularity and interval of menstruation, extent of menstrual bleeding, menarche, menopause, impairments such as primary and secondary amenorrhoea, menorrhagia, polymenorrhoea, retrograde menstruation and premenstrual tension sexual functions (b640), procreation functions (b660), sensations associated with genital and reproductive functions (b670), sensation of pain (b280) b640-b679
b6500 Regularity of menstrual cycle Functions involved in the regularity of the menstrual cycle. too frequent or too few occurrences of menstruation b650
b6501 Interval between menstruation Functions relating to the length of time between two menstrual cycles. b650
b6502 Extent of menstrual bleeding Functions involved in the quantity of menstrual flow. too little menstrual flow (hypomenorrhoea), too much menstrual flow (menorrhagia, hypermenorrhoea) b650
b6503 Onset of menstruation Functions related to the onset of the first menstruation (menarche). b650
b6504 Cessation of menstruation Functions related to the temporary or permanent cessation of menstruation. amenorrhea, menopause, praecoxial menopause b650
b6508 Menstruation functions, other specified b650
b6509 Menstruation functions, unspecified b650
b660 Procreation functions Functions associated with fertility, pregnancy, childbirth and lactation. functions of male fertility and female fertility, pregnancy and childbirth, and lactation, impairments such as azoospermia, oligozoospermia, agalactorrhoea, galactorrhoea, alactation and such as in subfertility, sterility, spontaneous abortions, ectopicpregnancy, miscarriage, small fetus, hydramnios and premature childbirth, and delayed childbirth sexual functions (b640), menstruation functions (b650) b640-b679
b6600 Functions related to fertility Functions related to the ability to produce gametes for procreation. impairments such as in subfertility and sterility Sexual functions (b640) b660
b6601 Functions related to pregnancy Functions involved in becoming pregnant and being pregnant. b660
b6602 Functions related to childbirth Functions involved during childbirth. b660
b6603 Lactation Functions involved in the production of milk and making it available to the child. b660
b6608 Procreation functions, other specified b660
b6609 Procreation functions, unspecified b660
b670 Sensations associated with genital and reproductive functions Sensations associated with sexual intercourse, menstruation, and related genital or reproductive functions sensations of dyspareunia, dysmenorrhoea, hot flushes during menopause and night sweats during menopause, sensations associated with self-stimulation of the genitals sensation of pain (b280), sensations associated with urinary functions (b630), sexual functions (b640), menstruation functions (b650), procreation functions (b660) b640-b679
b6700 Sensations associated with sexual intercourse Sensations associated with sexual arousal, preparation, intercourse, orgasm and resolution. b670
b6701 Sensations associated with the menstrual cycle Sensations involved with menstruation, including pre- and post-menstrual phases. b670
b6702 Sensations associated with menopause Sensations associated with the cessation of menstrual cycle. hot flushes and night sweats during menopause b670
b6703 Sensations associated with genital functions Sensations associated with arousal of the genitals. sensations associated with self-stimulation of the genitals sexual functions (b640), procreation functions (b660) b670
b6708 Sensations associated with genital and reproductive functions, other specified b670
b6709 Sensations associated with genital and reproductive functions, unspecified b670
b679 Genital and reproductive functions, other specified and unspecified b640-b679
b698 Genitourinary and reproductive functions, other specified b6
b699 Genitourinary and reproductive functions, unspecified b6
b7 NEUROMUSCULOSKELETAL AND MOVEMENT-RELATED FUNCTIONS This chapter is about the functions of movement and mobility, including functions of joints, bones, reflexes and muscles. b
b710-b729 Functions of the joints and bones (b710-b729) b7
b710 Mobility of joint functions Functions of the range and ease of movement of a joint. functions of mobility of single or several joints, vertebral, shoulder, elbow, wrist, hip, knee, ankle, small joints of hands and feet, mobility of joints generalized, impairments such as in hypermobility of joints, frozen joints, frozen shoulder, arthritis stability of joint functions (b715), control of voluntary movement functions (b760) b710-b729
b7100 Mobility of a single joint Functions of the range and ease of movement of one joint. b710
b7101 Mobility of several joints Functions of the range and ease of movement of more than one joint. b710
b7102 Mobility of joints generalized Functions of the range and ease of movement of joints throughout the body. b710
b7108 Mobility of joint functions, other specified b710
b7109 Mobility of joint functions, unspecified b710
b715 Stability of joint functions Functions of the maintenance of structural integrity of the joints. functions of the stability of a single joint, several joints, and joints generalized, impairments such as in unstable shoulder joint, dislocation of a joint, dislocation of shoulder and hip mobility of joint functions (b710) b710-b729
b7150 Stability of a single joint Functions of the maintenance of structural integrity of one joint. b715
b7151 Stability of several joints Functions of the maintenance of structural integrity of more than one joint. b715
b7152 Stability of joints generalized Functions of the maintenance of structural integrity of joints throughout the body. b715
b7158 Stability of joint functions, other specified b715
b7159 Stability of joint functions, unspecified b715
b720 Mobility of bone functions Functions of the range and ease of movement of the scapula, pelvis, carpal and tarsal bones. impairments such as frozen scapula and frozen pelvis mobility of joints functions (b710) b710-b729
b7200 Mobility of scapula Functions of the range and ease of movement of the scapula. impairments such as protraction, retraction, laterorotation and medial rotation of the scapula b720
b7201 Mobility of pelvis Functions of the range and ease of movement of the pelvis. rotation of the pelvis b720
b7202 Mobility of carpal bones Functions of the range and ease of movement of the carpal bones. b720
b7203 Mobility of tarsal bones Functions of the range and ease of movement of the tarsal bones. b720
b7208 Mobility of bone functions, other specified b720
b7209 Mobility of bone functions, specified b720
b729 Functions of the joints and bones, other specified and unspecified b710-b729
b730-b749 Muscle functions (b730-b749) b7
b730 Muscle power functions Functions related to the force generated by the contraction of a muscle or muscle groups. functions associated with the power of specific muscles and muscle groups, muscles of one limb, one side of the body, the lower half of the body, all limbs, the trunk and the body as a whole, impairments such as weakness of small muscles in feet and hands, muscle paresis, muscle paralysis, monoplegia, hemiplegia, paraplegia, quadriplegia and akinetic mutism functions of structures adjoining the eye (b215), muscle tone functions (b735), muscle endurance functions (b740) b730-b749
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. impairments such as weakness of small muscles of feet or hands b730
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. impairments such as monoparesis and monoplegia b730
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. impairments such as hemiparesis and hemiplegia b730
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. impairments such as paraparesis and paraplegia b730
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. impairments such as tetraparesis and tetraplegia b730
b7305 Power of muscles of the trunk Functions related to the force generated by the contraction of muscles and muscle groups in the trunk. b730
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. impairments such as akinetic mutism b730
b7308 Muscle power functions, other specified b730
b7309 Muscle power functions, unspecified b730
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. functions associated with the tension of isolated muscles and muscle groups, muscles of one limb, one side of the body and the lower half of the body, muscles of all limbs, muscles of the trunk, and all muscles of the body, impairments such as hypotonia, hypertonia and muscle spasticity, myotonia and paramyotonia muscle power functions (b730), muscle endurance functions (b740) b730-b749
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. impairments such as in focal dystonias, e.g. torticollis b735
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. impairments associated with monoparesis and monoplegia b735
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. impairments associated with hemiparesis and hemiplegia b735
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. impairments associated with paraparesis and paraplegia b735
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. impairments associated with tetraparesis and tetraplegia b735
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. b735
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. impairments such as in generalized dystonias and Parkinson's disease, or general paresis and paralysis b735
b7358 Muscle tone functions, other specified b735
b7359 Muscle tone functions, unspecified b735
b740 Muscle endurance functions Functions related to sustaining muscle contraction for the required period of time. functions associated with sustaining muscle contraction for isolated muscles and muscle groups, and all muscles of the body, impairments such as in myasthenia gravis exercise tolerance functions (b455), muscle power functions (b730), muscle tone functions (b735) b730-b749
b7400 Endurance of isolated muscles Functions related to sustaining muscle contraction of isolated muscles for the required period of time. b740
b7401 Endurance of muscle groups Functions related to sustaining muscle contraction of isolated muscle groups for the required period of time. impairments associated with monoparesis, monoplegia, hemiparesis and hemiplegia, paraparesis and paraplegia b740
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. impairments associated with tetraparesis, tetraplegia, general paresis and paralysis b740
b7408 Muscle endurance functions, other specified b740
b7409 Muscle endurance functions, unspecified b740
b749 Muscle functions, other specified and unspecified b730-b749
b750-b789 Movement functions (b750-b789) b7
b750 Motor reflex functions Functions of involuntary contraction of muscles automatically induced by specific stimuli. functions of stretch motor reflex, automatic local joint reflex, reflexes generated by noxious stimuli and other exteroceptive stimuli, withdrawal reflex, biceps reflex, radius reflex, quadriceps reflex, patellar reflex, ankle reflex, emergence and persistence of reflexes b750-b789
b7500 Stretch motor reflex Functions of involuntary contractions of muscles automatically induced by stretching. b750
b7501 Reflexes generated by noxious stimuli Functions of involuntary contractions of muscles automatically induced by painful or other noxious stimuli. withdrawal reflex b750
b7502 Reflexes generated by other exteroceptive stimuli Functions of involuntary contractions of muscles automatically induced by external stimuli other than noxious stimuli. rooting, grasping, sucking and other primitive reflexes b750
b7508 Motor reflex functions, other specified b750
b7509 Motor reflex functions, unspecified b750
b755 Involuntary movement reaction functions Functions of involuntary contractions of large muscles or the whole body induced by body position, balance and threatening stimuli. functions of postural reactions, righting reactions, body adjustment reactions, balance reactions, supporting reactions, defensive reactions motor reflex functions (b750) b750-b789
b760 Control of voluntary movement functions Functions associated with control over and coordination of voluntary movements. functions of control of simple voluntary movements and of complex voluntary movements, coordination of voluntary movements, supportive functions of arm or leg, right left motor coordination, eye hand coordination, eye foot coordination, impairments such as control and coordination problems, e.g. dysdiadochokinesia muscle power functions (b730), involuntary movement functions (b765), gait pattern functions (b770) b750-b789
b7600 Control of simple voluntary movements Functions associated with control over and coordination of simple or isolated voluntary movements. b760
b7601 Control of complex voluntary movements Functions associated with control over and coordination of complex voluntary movements. b760
b7602 Coordination of voluntary movements Functions associated with coordination of simple and complex voluntary movements, performing movements in an orderly combination. right left coordination, coordination of visually directed movements, such as eye hand coordination and eye foot coordination, impairments such as dysdiadochokinesia b760
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). b760
b7608 Control of voluntary movement functions, other specified b760
b7609 Control of voluntary movement functions, unspecified b760
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. Note: this code should be applied only to infants aged less than corrected age 6 months. motor reflex functions (b750), involuntary movement reaction functions (b755), involuntary movement functions (b765) b750-b789
b7610 General movements Repertoire and quality of age-specific general spontaneous movements such as "writhing" movements and "fidgety" movements in early life. b761
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. b761
b7618 Spontaneous movements, other specified b761
b7619 Spontaneous movements, unspecified b761
b765 Involuntary movement functions Functions of unintentional, non- or semi-purposive involuntary contractions of a muscle or group of muscles. involuntary contractions of muscles, impairments such as tremors, tics, mannerisms, stereotypies, motor perserveration, chorea, athetosis, vocal tics, dystonic movements and dyskinesia control of voluntary movement functions (b760), gait pattern functions (b770) b750-b789
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. impairments such as choreatic and athethotic movements, sleep-related movement disorders b765
b7651 Tremor Functions of alternating contraction and relaxation of a group of muscles around a joint, resulting in shakiness. b765
b7652 Tics and mannerisms Functions of repetitive, quasi-purposive, involuntary contractions of a group of muscles. impairments such as vocal tics, coprolalia and bruxism b765
b7653 Stereotypies and motor perseveration Functions of spontaneous, non-purposive movements such as repetively rocking to and fro and nodding the head or wiggling. b765
b7658 Involuntary movement functions, other specified b765
b7659 Involuntary movement functions, unspecified b765
b770 Gait pattern functions Functions of movement patterns associated with walking, running or other whole body movements. walking patterns and running patterns, impairments such as spastic gait, hemiplegic gait, paraplegic gait, asymmetric gait, limping and stiff gait pattern muscle power functions (b730), muscle tone functions (b735), control of voluntary movement functions (b760), involuntary movement functions (b765) b750-b789
b780 Sensations related to muscles and movement functions Sensations associated with the muscles or muscle groups of the body and their movement. sensations of muscle stiffness and tightness of muscles, muscle spasm or constriction, and heaviness of muscles sensation of pain (b280) b750-b789
b7800 Sensation of muscle stiffness Sensation of tightness or stiffness of muscles. b780
b7801 Sensation of muscle spasm Sensation of involuntary contraction of a muscle or a group of muscles. b780
b7808 Sensations related to muscles and movement functions, other specified b780
b7809 Sensations related to muscles and movement functions, unspecified b780
b789 Movement functions, other specified and unspecified b750-b789
b798 Neuromusculoskeletal and movement-related functions, other specified b7
b799 Neuromusculoskeletal and movement-related functions, unspecified b7
b8 FUNCTIONS OF THE SKIN AND RELATED STRUCTURES This chapter is about the functions of skin, nails and hair. b
b810-b849 Functions of the skin (b810-b849) b8
b810 Protective functions of the skin Functions of the skin for protecting the body from physical, chemical and biological threats. functions of protecting against the sun and other radiation, photosensitivity, pigmentation, quality of skin, insulating function of skin, callus formation, hardening, impairments such as broken skin, ulcers, bedsores and thinning of skin repair functions of the skin (b820), other functions of the skin (b830) b810-b849
b820 Repair functions of the skin Functions of the skin for repairing breaks and other damage to the skin. functions of scab formation, healing, scarring, bruising and keloid formation protective functions of the skin (b810), other functions of the skin (b830) b810-b849
b830 Other functions of the skin Functions of the skin other than protection and repair, such as cooling and sweat secretion. functions of sweating, glandular functions of the skin and resulting body odour protective functions of the skin (b810), repair functions of the skin (b820) b810-b849
b840 Sensation related to the skin Sensations related to the skin such as itching, burning sensation and tingling. impairments such as pins and needles sensation and crawling sensation sensation of pain (b280) b810-b849
b849 Functions of the skin, other specified and unspecified b810-b849
b850-b869 Functions of the hair and nails (b850-b869) b8
b850 Functions of hair Functions of the hair, such as protection, coloration and appearance. functions of growth of hair, pigmentation of hair, location of hair, impairments such as loss of hair or alopecia b850-b869
b860 Functions of nails Functions of the nails, such as protection, scratching and appearance. growth and pigmentation of nails, quality of nails b850-b869
b869 Functions of the hair and nails, other specified and unspecified b850-b869
b898 Functions of the skin and related structures, other specified b8
b899 Functions of the skin and related structures, unspecified b8
d ACTIVITIES AND PARTICIPATION 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 denote 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. Broad ranges of percentages are provided for those cases in which calibrated assessment instruments or other standards are available to quantify the performance problem or capacity limitation. For example, when no performance problem or a complete performance problem is coded, this scaling has a margin of error of up to 5%. A moderate performance problem is defined as up to half of the scale of total performance problem. 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.
d1 LEARNING AND APPLYING KNOWLEDGE This chapter is about learning, applying the knowledge that is learned, thinking, solving problems, and making decisions. d
d110-d129 Purposeful sensory experiences (d110-d129) d1
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. d110-d129
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. d110-d129
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. d110-d129
d1200 Mouthing Exploring objects using mouth or lips. d120
d1201 Touching Exploring objects using hands, fingers or other limbs or body parts. mouthing (d1200) d120
d1202 Smelling Sensing objects by bringing them to the nose or the nose to objects. d120
d1203 Tasting Exploring the taste of food or liquid by biting, chewing or sucking. d120
d1208 Other purposeful sensing, other specified d120
d1209 Other purposeful sensing, unspecified d120
d129 Purposeful sensory experiences, other specified and unspecified d110-d129
d130-d159 Basic learning (d130-d159) d1
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. d130-d159
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. play (d9200), carrying, moving and handling objects d430-d449 d130-d159
d1310 Learning through simple actions with a single object Simple actions with a single object or toy by manipulating, banging, moving, dropping, etc. d131
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. d131
d1312 Learning through actions by relating objects with regard tospecific features Actions relating two or more objects, toys or materials with regard to specific features, e.g. lid on box, cup on saucer. d131
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. d131
d1318 Learning through actions with objects, other specified d131
d1319 Learning through actions with objects, unspecified d131
d132 Acquiring language Developing the competence to represent persons, objects, events, or feelings through words, symbols, phrases, and sentences. re-acquisition of language acquiring an additional language (d133), communication (d310-d399) d130-d159
d1320 Acquiring single words or meaningful symbols Learning words or meaningful symbols such as graphic or manual signs or symbols. d132
d1321 Combining words into phrases Learning to combine words into phrases. d132
d1322 Acquiring syntax Learning to produce appropriately constructed sentences or set of sentences. d132
d1328 Acquiring language, other specified d132
d1329 Acquiring language, unspecified d132
d133 Acquiring an additional language Developing the competence to represent persons, objects, events, feelings through words, symbols, phrases and sentences, in an additional language such as a foreign language or signing. acquiring language (d132), communication (d310-d399) d130-d159
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 chords on a musical instrument. d130-d159
d137 Acquiring concepts Developing competence to understand and use basic and complex concepts related to characteristics of things, persons or events. d130-d159
d1370 Acquiring basic concepts Learning to use such concepts as size, form, quantity, length, same, or opposite. d137
d1371 Acquiring complex concepts Learning to use such concepts as classification, grouping, reversibility, or seriation. d137
d1378 Acquiring concepts, other specified d137
d1379 Acquiring concepts, unspecified d137
d138 Acquiring information Obtaining facts about persons, things and events, such as asking why, what, where and how, asking for names. acquiring concepts (d137), acquiring skills (d155) d130-d159
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. d130-d159
d1400 Acquiring skills to recognize symbols Learning basic actions of deciphering symbols such as figures, icons, characters, alphabet letters and words. d140
d1401 Acquiring skills to sound out written words Learning basic actions of sounding out characters, alphabet letters, symbols and words with correct pronunciation. d140
d1402 Acquiring skills to understanding written words and phrases Learning basic actions to grasp the meaning of written words and texts. d140
d1408 Learning to read, other specified d140
d1409 Learning to read, unspecified d140
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 effectively and using correct grammar. d130-d159
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 piece of paper, using a brailler, keyboard or peripheral device (mouse). d145
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). d145
d1452 Acquiring skills to write words and phrases Learning basic actions to transpose spoken words or ideas into written words or phrases. d145
d1458 Learning to write, other specified d145
d1459 Learning to write, unspecified d145
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. d130-d159
d1500 Acquiring basic skills of numeracy Learning elementary skills of numeracy such as counting, ordering and grouping. d150
d1501 Acquiring skills to recognize numerals, arithmetic signs and symbols Learning to recognize and use numbers. d150
d1502 Acquiring skills in using basic operations Learning to recognise symbols related to and to use operations of addition, subtraction, multiplication and division. d150
d1508 Learning to calculate, other specified d150
d1509 Learning to calculate, unspecified d150
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. acquiring basic and complex skills d130-d159
d1550 Acquiring basic skills Learning elementary, purposeful actions, such as learning to use simple tools, such as pencils or eating utensils. d155
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. d155
d1558 Acquiring skills, other specified d155
d1559 Acquiring skills, unspecified d155
d159 Basic learning, other specified and unspecified d130-d159
d160-d179 Applying knowledge (d160-d179) d1
d160 Focusing attention Intentionally focusing on specific stimuli, such as by filtering out distracting noises. d160-d179
d1600 Focusing attention on the person Intentionally attending to features of other persons such as their face, touch or voice. d160
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. d160
d1608 Focusing attention, other specified d160
d1609 Focusing attention, unspecified d160
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. solving problems (d175), making decisions (d177) d160-d179
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. learning to read (d140) d160-d179
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. learning to write (d145) d160-d179
d1700 Using general skills and strategies of the writing process Applying words which convey appropriate meaning, employing conventional sentence structure. d170
d1701 Using grammatical conventions in writing compositions Applying standard spelling, punctuation and proper case forms etc. d170
d1702 Using general skills and strategies to write compositions Applying words and sentences to convey complex meaning and abstract ideas. d170
d1708 Writing, other specified d170
d1709 Writing, unspecified d170
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. learning to calculate (d150) d160-d179
d1720 Using skills and strategies to perform simple numeric calculations Performing simple numeric operations such as counting, grouping, ordering and arithmetic calculations. d172
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. d172
d1728 Calculating, other specified d172
d1729 Calculating, unspecified d172
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. solving simple and complex problems thinking (d163), making decisions (d177) d160-d179
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. d175
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. d175
d1758 Solving problems, other specified d175
d1759 Solving problems, unspecified d175
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. thinking (d163), solving problems (d175) d160-d179
d179 Applying knowledge, other specified and unspecified d160-d179
d198 Learning and applying knowledge, other specified d1
d199 Learning and applying knowledge, unspecified d1
d2 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. d
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. undertaking a simple or complex task, undertaking a single task independently or in a group acquiring skills (d155), solving problems (d175), making decisions (d177), undertaking multiple tasks (d220) d2
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. d210
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. d210
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. d210
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. d210
d2108 Undertaking single tasks, other specified d210
d2109 Undertaking single tasks, unspecified d210
d220 Undertaking multiple tasks Carrying out simple or complex and coordinated actions as components of multiple, integrated and complex tasks in sequence or simultaneously. undertaking multiple tasks, completing multiple tasks, undertaking multiple tasks independently and in a group acquiring skills (d155), solving problems (d175), making decisions (d177), undertaking a single task (d210) d2
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. d220
d2201 Completing multiple tasks Completing several tasks, together or sequentially. d220
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. d220
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. d220
d2208 Undertaking multiple tasks, other specified d220
d2209 Undertaking multiple tasks, unspecified d220
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. managing and completing the daily routine, managing one's own activity level undertaking multiple tasks (d220) d2
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. d230
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. d230
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. d230
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. d230
d2308 Carrying out daily routine, other specified d230
d2309 Carrying out daily routine, unspecified d230
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. handling responsibilities, handling stress and crisis d2
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. d240
d2401 Handling stress Carrying out simple or complex and coordinated actions to cope with pressure, emergencies or stress associated with task performance. d240
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. d240
d2408 Handling stress and other psychological demands, other specified d240
d2409 Handling stress and other psychological demands, unspecified d240
d298 General tasks and demands, other specified d2
d299 General tasks and demands, unspecified d2
d3 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. d
d310-d329 Communicating - receiving (d310-d329) d3
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. communicating with - receiving - simple spoken messages, complex spoken messages d310-d329
d3100 Communicating with - receiving - simple spoken messages Comprehending the literal meaning conveyed by simple spoken messages. d310
d3101 Communicating with - receiving - complex spoken messages Comprehending the literal and implied meaning conveyed by complex spoken messages. d310
d3108 Communicating with - receiving - spoken messages, other specified d310
d3109 Communicating with - receiving - spoken messages,unspecified d310
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. communicating with - receiving - body gestures, general signs and symbols, drawings and photographs d310-d329
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. d315
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. d315
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. d315
d3158 Communicating with - receiving - nonverbal messages, other specified d315
d3159 Communicating with - receiving - nonverbal messages, unspecified d315
d320 Communicating with - receiving - formal sign language messages Receiving and comprehending messages in formal sign language with literal and implied meaning. d310-d329
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. d310-d329
d329 Communicating - receiving, other specified and unspecified d310-d329
d330-d349 Communicating - producing (d330-d349) d3
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. d330-d349
d3300 Producing meaningful sounds Using single words to label objects, persons or actions such as ball, mommy, bye-bye. d330
d3301 Producing simple spoken messages Using words to produce simple spoken messages such as single or few words or expressing a need (e.g. I want ...) or feeling (e.g., I like ...). d330
d3302 Producing complex spoken messages Using words to produce complex spoken messages (complete sentences) such as giving an explanation or asking for directions. d330
d3308 Speaking, other specified d330
d3309 Speaking, unspecified d330
d331 Non-speech vocal expression Vocalising when aware of another person in the proximal environment, such as producing sounds 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. singing (d332) d330-d349
d332 Singing Using tones in a sequence resulting in a melody to convey messages. humming, chanting d330-d349
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. producing body gestures, signs, symbols, drawings and photographs d330-d349
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). d335
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. d335
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. d335
d3358 Producing nonverbal messages, other specified d335
d3359 Producing nonverbal messages, unspecified d335
d340 Producing messages in formal sign language Conveying, with formal sign language, literal and implied meaning. d330-d349
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. d330-d349
d349 Communication - producing, other specified and unspecified d330-d349
d350-d369 Conversation and use of communication devices and techniques (d350-d369) d3
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. starting, sustaining and ending a conversation, conversing with one or many people d350-d369
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. d350
d3501 Sustaining a conversation Continuing and shaping a dialogue or 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. d350
d3502 Ending a conversation Finishing a dialogue or interchange with customary termination statements or expressions and by bringing closure to the topic under discussion. d350
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. d350
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. d350
d3508 Conversation, other specified d350
d3509 Conversation, unspecified d350
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. discussion with one person or many people d350-d369
d3550 Discussion with one person Initiating, maintaining, shaping or terminating an argument or debate with one person. d355
d3551 Discussion with many people Initiating, maintaining, shaping or terminating an argument or debate with more than one individual. d355
d3558 Discussion, other specified d355
d3559 Discussion, unspecified d355
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. using telecommunication devices, using writing machines and communication techniques d350-d369
d3600 Using telecommunication devices Using telephones, computer, and other electronic devices as means of telecommunication. d360
d3601 Using writing machines Using machines for writing, such as typewriters, computers and Braille writers, as a means of communication. d360
d3602 Using communication techniques Performing actions and tasks involved in techniques for communicating, such as reading lips. d360
d3608 Using communication devices and techniques, other specified d360
d3609 Using communication devices and techniques, unspecified d360
d369 Conversation and use of communication devices and techniques, other specified and unspecified d350-d369
d398 Communication, other specified d3
d399 Communication, unspecified d3
d4 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. d
d410-d429 Changing and maintaining body position (d410-d429) d4
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. changing body position from lying down, from squatting or kneeling, from sitting or standing, rolling over, bending and shifting the body's centre of gravity transferring oneself (d420) d410-d429
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. getting into a prostrate position d410
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. d410
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. d410
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. getting into a sitting position with bent legs or cross-legged, getting into a sitting position with feet supported or unsupported d410
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. d410
d4105 Bending Tilting the back downwards or to the side, at the torso, such as in bowing or reaching down for an object. d410
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. transferring oneself (d420), walking (d450) d410
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. d410
d4108 Changing basic body position, other specified d410
d4109 Changing basic body position, unspecified d410
d415 Maintaining a 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. maintaining a lying, squatting, kneeling, sitting and standing position d410-d429
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. staying in a prone (face down or prostrate), supine (face upwards) or side-lying position d415
d4151 Maintaining a squatting position Staying in a squatting position such as when sitting on the floor without a seat. d415
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. d415
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. staying in a sitting position with straight legs or cross-legged, with feet supported or unsupported d415
d4154 Maintaining a standing position Staying in a standing position for some time as required, such as when standing in a queue. staying in a standing position on a slope, on slippery or hard surfaces d415
d4155 Maintaining head position controlling the position of the head and supporting its weight for a determined period of time. d415
d4158 Maintaining a body position, other specified d415
d4159 Maintaining a body position, unspecified d415
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. transferring oneself while sitting or lying changing basic body position (d410) d410-d429
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. moving from a chair to another seat, such as a toilet seat, moving from a wheelchair to a car seat changing basic body position (d410) d420
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. changing basic body position (d410) d420
d4208 Transferring oneself, other specified d420
d4209 Transferring oneself, unspecified d420
d429 Changing and maintaining body position, other specified and unspecified d410-d429
d430-d449 Carrying, moving and handling objects (d430-d449) d4
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. lifting, carrying in the hands or arms, or on shoulders, hip, back, or head, putting down d430-d449
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. d430
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. d430
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. d430
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. d430
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. d430
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. d430
d4308 Lifting and carrying, other specified d430
d4309 Lifting and carrying, unspecified d430
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. pushing with lower extremities, kicking d430-d449
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. d435
d4351 Kicking Using the legs and feet to propel something away, such as kicking a ball. d435
d4358 Moving objects with lower extremities, other specified d435
d4359 Moving objects with lower extremities, unspecified d435
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. picking up, grasping, manipulating and releasing lifting and carrying objects (d430) d430-d449
d4400 Picking up Lifting or taking up a small object with hands and fingers, such as when picking up a pencil. d440
d4401 Grasping Using one or both hands to seize and hold something, such as when grasping a tool or a door knob. d440
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, chopsticks, knives and forks. d440
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. d440
d4408 Fine hand use, other specified d440
d4409 Fine hand use, unspecified d440
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. pulling or pushing objects, reaching, turning or twisting the hands or arms, throwing, catching fine hand use (d440) d430-d449
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. d445
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. d445
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. d445
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 a toothbrush or screwdriver. d445
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. d445
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. d445
d4458 Hand and arm use, other specified d445
d4459 Hand and arm use, unspecified d445
d446 Fine foot use Performing the coordinated actions of picking up, manipulating and releasing objects using one's foot and toes. moving objects with lower extremities (d435) d430-d449
d449 Carrying, moving and handling objects, other specified and unspecified d430-d449
d450-d469 Walking and moving (d450-d469) d4
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. walking short or long distances, walking on different surfaces, walking around obstacles transferring oneself (d420), moving around (d455) d450-d469
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. d450
d4501 Walking long distances Walking for more than a kilometre, such as across a village or town, between villages or across open areas. d450
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. d450
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. d450
d4508 Walking, other specified d450
d4509 Walking, unspecified d450
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. crawling, climbing, running, jogging, jumping, and swimming transferring oneself (d420), walking (d450) d450-d469
d4550 Crawling Moving the whole body in a prone position from one place to another on hands, or hands and arms, and knees. d455
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. d455
d4552 Running Moving with quick steps so that both feet may be simultaneously off the ground. d455
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. d455
d4554 Swimming Propelling the whole body through water by means of limb and body movements without taking support from the ground underneath. d455
d4558 Moving around, other specified d455
d4559 Moving around, unspecified d455
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. moving around within the home, crawling or climbing within the home, walking or moving within buildings other than the home, and outside the home and other buildings d450-d469
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. moving from floor to floor, on an attached balcony, moving in a restricted area such as a courtyard, porch or garden d460
d4601 Moving around within buildings other than home Walking and moving around within buildings other than one's residence, such as other people's homes, other private buildings, community and public buildings and enclosed areas. moving throughout all parts of buildings and enclosed areas, between floors, inside, outside and around buildings, both public and private d460
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. walking or moving down streets in the neighbourhood, town, village or city, moving between cities, without using transportation d460
d4608 Moving around in different locations, other specified d460
d4609 Moving around in different locations, unspecified d460
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. transferring oneself (d420), walking (d450), moving around (d455), using transportation (d470), driving (d475) d450-d469
d469 Walking and moving, other specified and unspecified d450-d469
d470-d489 Moving around using transportation (d470-d489) d4
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. using human-powered transportation, using private motorized or public transportation, using humans for transportation moving around using equipment (d465), driving (d475) d470-d489
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. d470
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. d470
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. d470
d4703 Using humans for transportation Being transported by another person, such as being carried in the arms, in a sheet or in a backpack. d470
d4708 Using transportation, other specified d470
d4709 Using transportation, unspecified d470
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. driving human-powered transportation, motorized vehicles, animal-powered vehicles moving around using equipment (d465), using transportation (d470) d470-d489
d4750 Driving human-powered transportation Driving a human-powered vehicle, such as a bicycle, tricycle, or rowboat. d475
d4751 Driving motorized vehicles Driving a vehicle with a motor, such as an automobile, motorcycle, motorboat or aircraft. d475
d4752 Driving animal-powered vehicles Driving a vehicle powered by an animal, such as a horse-drawn cart or carriage. d475
d4758 Driving, other specified d475
d4759 Driving, unspecified d475
d480 Riding animals for transportation Travelling on the back of an animal, such as a horse, ox, camel or elephant. d470-d489
d489 Moving around using transportation, other specified and unspecified d470-d489
d498 Mobility, other specified d4
d499 Mobility, unspecified d4
d5 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. d
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. washing body parts, the whole body, and drying oneself caring for body parts (d520), toileting (d530) d5
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. d510
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. d510
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. d510
d5108 Washing oneself, other specified d510
d5109 Washing oneself, unspecified d510
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. caring for skin, teeth, hair, finger and toe nails, and nose washing oneself (d510), toileting (d530) d5
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. d520
d5201 Caring for teeth Looking after dental hygiene, such as by brushing teeth, flossing, and taking care of a dental prosthesis or orthosis. d520
d5202 Caring for hair Looking after the hair on the head and face, such as by combing, styling, shaving, or trimming. d520
d5203 Caring for fingernails Cleaning, trimming or polishing the nails of the fingers. d520
d5204 Caring for toenails Cleaning, trimming or polishing the nails of the toes. d520
d5205 Caring for nose Cleaning the nose, looking after nasal hygiene. d520
d5208 Caring for body parts, other specified d520
d5209 Caring for body parts, unspecified d520
d530 Toileting Planning and carrying out the elimination of human waste (menstruation, urination and defecation), and clean oneself afterwards. regulating urination, defecation and menstrual care washing oneself (d510), caring for body parts (d520) d5
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. d530
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. d530
d5302 Menstrual care Coordinating, planning and caring for menstruation, such as by anticipating menstruation and using sanitary towels and napkins. d530
d5308 Toileting, other specified d530
d5309 Toileting, unspecified d530
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. putting on or taking off clothes and footwear and choosing appropriate clothing d5
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. d540
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. d540
d5402 Putting on footwear Carrying out the coordinated tasks of putting on socks, stockings and footwear. d540
d5403 Taking off footwear Carrying out the coordinated tasks of taking off socks, stockings and footwear. d540
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. d540
d5408 Dressing, other specified d540
d5409 Dressing, unspecified d540
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 bottles and cans, using eating implements, having meals, feasting or dining. drinking (d560) d5
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. eating (d550) d5
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. ensuring one's physical comfort, managing diet and fitness, maintaining one's health d5
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. d570
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. d570
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. d570
d5708 Looking after one's health, other specified d570
d5709 Looking after one's health, unspecified d570
d598 Self-care, other specified d5
d599 Self-care, unspecified d5
d6 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. d
d610-d629 Acquisition of necessities (d610-d629) d6
d610 Acquiring a place to live Buying, renting, furnishing and arranging a room, house, apartment or other dwelling. buying or renting a place to live and furnishing a place to live acquisition of goods and services (d620), caring for household objects (d650) d610-d629
d6100 Buying a place to live Acquiring ownership of a house, apartment or other dwelling. d610
d6101 Renting a place to live Acquiring the use of a house, apartment or other dwelling belonging to another in exchange for payment. d610
d6102 Furnishing a place to live Equipping and arranging a living space with furniture, fixtures and other fittings and decorating rooms, arranging one's own space or room. d610
d6108 Acquiring a place to live, other specified d610
d6109 Acquiring a place to live, unspecified d610
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. shopping and gathering daily necessities acquiring a place to live (d610) d610-d629
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. d620
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 and getting water and fuel. d620
d6208 Acquisition of goods and services, other specified d620
d6209 Acquisition of goods and services, unspecified d620
d629 Acquisition of necessities, other specified and unspecified d610-d629
d630-d649 Household tasks (d630-d649) d6
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. preparing simple and complex meals eating (d550), drinking (d560), acquisition of goods and services (d620), doing housework (d640), caring for household objects (d650), caring for others (d660) d630-d649
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. d630
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. using household appliances (d6403) d630
d6308 Preparing meals, other specified d630
d6309 Preparing meals, unspecified d630
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. washing and drying clothes and garments, cleaning cooking area and utensils, cleaning living area, using household appliances, storing daily necessities and disposing of garbage acquiring a place to live (d610), acquisition of goods and services (d620), preparing meals (d630), caring for household objects (d650), caring for others (d660) d630-d649
d6400 Washing and drying clothes and garments Washing clothes and garments by hand and hanging them out to dry in the air. d640
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. d640
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. d640
d6403 Using household appliances Using all kinds of household appliances, such as washing machines, driers, irons, vacuum cleaners, dishwashers. d640
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. d640
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. d640
d6408 Doing housework, other specified d640
d6409 Doing housework, unspecified d640
d649 Household tasks, other specified and unspecified d630-d649
d650-d669 Caring for household objects and assisting others (d650-d669) d6
d650 Caring for household objects Maintaining and repairing household and other personal objects, including 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. making and repairing clothes, maintaining dwelling, furnishings and domestic appliances, maintaining vehicles, maintaining assistive devices, taking care of plants (indoor and outdoor) and animals acquiring a place to live (d610), acquisition of goods and services (d620), doing housework (d640), caring for others (d660), remunerative employment (d850) d650-d669
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. using household appliances (d6403) d650
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. d650
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. d650
d6503 Maintaining vehicles Repairing and taking care of motorized and non-motorized vehicles for personal use, including bicycles, carts, automobiles and boats. d650
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. d650
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. d650
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. d650
d6508 Caring for household objects, other specified d650
d6509 Caring for household objects, unspecified d650
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. assisting others with self-care, movement, communication, interpersonal relations, nutrition and health maintenance remunerative employment (d850) d650-d669
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. d660
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. d660
d6602 Assisting others in communication Assisting household members and others with their communication, such as by helping with speaking, writing or readings. d660
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. d660
d6604 Assisting others in nutrition Assisting household members and others with their nutrition, such as by helping them to prepare and eat meals. d660
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. d660
d6608 Assisting others, other specified d660
d6609 Assisting others, unspecified d660
d669 Caring for household objects and assisting others, other specified and unspecified d650-d669
d698 Domestic life, other specified d6
d699 Domestic life, unspecified d6
d7 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. d
d710-d729 General interpersonal interactions (d710-d729) d7
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. showing respect, warmth, appreciation, and tolerance in relationships, responding to criticism and social cues in relationships, and using appropriate physical contact in relationships d710-d729
d7100 Respect and warmth in relationships Showing and responding to consideration and esteem, in a contextually and socially appropriate manner. d710
d7101 Appreciation in relationships Showing and responding to satisfaction and gratitude, in a contextually and socially appropriate manner. d710
d7102 Tolerance in relationships Showing and responding to understanding and acceptance of behaviour, in a contextually and socially appropriate manner. d710
d7103 Criticism in relationships Providing and responding to implicit and explicit differences of opinion or disagreement, in a contextually and socially appropriate manner. d710
d7104 Social cues in relationships Giving and reacting appropriately to signs and hints that occur in social interactions. d710
d7105 Physical contact in relationships Making and responding to bodily contact with others, in a contextually and socially appropriate manner. d710
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. d710
d7108 Basic interpersonal interactions, other specified d710
d7109 Basic interpersonal interactions, unspecified d710
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. forming and terminating relationship, regulating behaviours within interactions, interacting according to social rules, and maintaining social space. d710-d729
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. d720
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. d720
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. d720
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. d720
d7204 Maintaining social space Being aware of and maintaining a distance between oneself and others that is contextually, socially and culturally appropriate. d720
d7208 Complex interpersonal interactions, other specified d720
d7209 Complex interpersonal interactions, unspecified d720
d729 General interpersonal interactions, other specified and unspecified d710-d729
d730-d779 Particular interpersonal relationships (d730-d779) d7
d730 Relating with strangers Engaging in temporary contacts and links with strangers for specific purposes, when asking for directions or other information, or making a purchase. d730-d779
d740 Formal relationships Creating and maintaining specific relationships in formal settings, such as with teachers, employers, professionals or service providers. relating with persons in authority, with subordinates and with equals d730-d779
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. d740
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. d740
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. d740
d7408 Formal relationships, other specified d740
d7409 Formal relationships, unspecified d740
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. informal relationships with friends, neighbours, acquaintances, co-inhabitants and peers d730-d779
d7500 Informal relationships with friends Creating and maintaining friendship relationships that are characterized by mutual esteem an common interests. d750
d7501 Informal relationships with neighbours Creating and maintaining informal relationships with people who live in nearby dwellings or living areas. d750
d7502 Informal relationships with acquaintances Creating and maintaining informal relationships with people whom one knows but who are not close friends. d750
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. d750
d7504 Informal relationships with peers Creating and maintaining informal relationships with people who share the same age, interest or other common feature. d750
d7508 Informal social relationships, other specified d750
d7509 Informal social relationships, unspecified d750
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. parent-child and child-parent relationships, sibling and extended family relationships d730-d779
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. d760
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. d760
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. d760
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. d760
d7608 Family relationships, other specified d760
d7609 Family relationships, unspecified d760
d770 Intimate relationships Creating and maintaining close or romantic relationships between individuals, such as husband and wife, lovers or sexual partners. romantic, spousal and sexual relationships d730-d779
d7700 Romantic relationships Creating and maintaining a relationship based on emotional and physical attraction, potentially leading to long-term intimate relationships. d770
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. d770
d7702 Sexual relationships Creating and maintaining a relationship of a sexual nature, with a spouse or other partner. d770
d7708 Intimate relationships, other specified d770
d7709 Intimate relationships, unspecified d770
d779 Particular interpersonal relationships, other specified and unspecified d730-d779
d798 Interpersonal interactions and relationships, other specified d7
d799 Interpersonal interactions and relationships, unspecified d7
d8 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. d
d810-d839 Education (d810-d839) d8
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. d810-d839
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. d810-d839
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. d810-d839
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. d810-d839
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. d810-d839
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. d810-d839
d838 Education, other specified d810-d839
d839 Education unspecified d810-d839
d840-d859 Work and employment (d840-d859) d8
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. vocational training (d825) d840-d859
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. seeking employment, preparing a resume or curriculum vitae, contacting employers and preparing interviews, maintaining a job, monitoring one's own work performance, giving notice, and terminating a job d840-d859
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. d845
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. d845
d8452 Terminating a job Leaving or quitting a job in the appropriate manner. d845
d8458 Acquiring, keeping and terminating a job, other specified d845
d8459 Acquiring, keeping and terminating a job, unspecified d845
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. self-employment, part-time and full-time employment d840-d859
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. part-time and full-time employment (d8501, d8502) d850
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. d850
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. d850
d8508 Remunerative employment, other specified d850
d8509 Remunerative employment, unspecified d850
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. Chapter 6 Domestic Life (d6) d840-d859
d859 Work and employment, other specified and unspecified d840-d859
d860-d879 Economic life (d860-d879) d8
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. d860-d879
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. d860-d879
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. personal economic resources and public economic entitlements d860-d879
d8700 Personal economic resources Having command over personal or private economic resources, in order to ensure economical security for present and future needs. d870
d8701 Public economic entitlements Having command over public economic resources, in order to ensure economical security for present and future needs. d870
d8708 Economic self-sufficiency, other specified d870
d8709 Economic self-sufficiency, unspecified d870
d879 Economic life, other specified and unspecified d860-d879
d898 Major life areas, other specified d8
d899 Major life areas, unspecified d8
d9 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. d
d910 Community life Engaging in aspects of community social life, such as engaging in charitable organizations, services clubs or professional social organizations. informal and formal associations, ceremonies non-remunerative employment (d855), recreation and leisure (d920), religion and spirituality (d930), political life and citizenship (d950) d9
d9100 Informal associations Engaging in social or community associations organized by people with common interests, such as local social clubs or ethics groups. d910
d9101 Formal associations Engaging in professional or other exclusive social groups, such as associations of lawyers, physicians, or academics. d910
d9102 Ceremonies Engaging in non-religious rites or social ceremonies, such as marriages, funerals or initiation ceremonies. d910
d9108 Community life, other specified d910
d9109 Community life, unspecified d910
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. play, sports, arts and culture, crafts, hobbies and socializing riding animals for transportation (d480), remunerative and non-remunerative work (d850 and d855), religion and spirituality (d930), political life and citizenship (d950) d9
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. d920
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. d920
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. d920
d9203 Crafts Engaging in handicrafts, such as pottery or knitting. d920
d9204 Hobbies Engaging in pastimes such as stamp collecting, coins or antiques. d920
d9205 Socializing Engaging in informal or casual gatherings with others, such as visiting friends or relatives or meeting informally in public places. d920
d9208 Recreation and leisure, other specified d920
d9209 Recreation and leisure, unspecified d920
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. organized religion and spirituality d9
d9300 Organized religion Engaging in organized religious ceremonies, activities and events. d930
d9301 Spirituality Engaging in spiritual activities or events, outside of a organized religion. d930
d9308 Religion and spirituality, other specified d930
d9309 Religion and spirituality, unspecified d930
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 Equalisation 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. Political life and citizenship (d950) d9
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. human rights (d940) d9
d998 Community, social and civic life, other specified d9
d999 Community, social and civic life, unspecified d9
e ENVIRONMENTAL FACTORS Environmental Factors is a component of Part 2 (Contextual factors) of the classification. These factors must be considered for each component of functioning and coded accordingly (see Annex 2). Environmental factors are to be coded from the perspective of the person whose situation is being described. For example, kerb cuts without textured paving may be coded as a facilitator for a wheelchair user but as a barrier for a blind person. The first qualifier indicates the extent to which a factor is a facilitator or a barrier. There are several reasons why an environmental factor may be a facilitator or a barrier, and to what extent. For facilitators, the coder should keep in mind issues such as the accessibility of a resource, and whether access is dependable or variable, of good or poor quality and so on. In the case of barriers, it might be relevant how often a factor hinders the person, whether the hindrance is great or small, or avoidable or not. It should also be kept in mind that an environmental factor can be a barrier either because of its presence (for example, negative attitudes towards people with disabilities) or its absence (for example, the unavailability of a needed service). The effects that environmental factors have on the lives of people with health conditions are varied and complex, and it is hoped that future research will lead to better understanding of this interaction and, possibly, show the usefulness of a second qualifier for these factors. In some instances, a diverse collection of environmental factors is summarized with a single term, such as poverty, development, rural or urban setting or social capital. These summary terms are not themselves found in the classification. Rather, the coder should separate the constituent factors and code these. Once again, further research is required to determine whether there are clear and consistent sets of environmental factors that make up each of these summary terms. Broad ranges of percentages are provided for those cases in which calibrated assessment instruments or other standards are available to quantify the extent of the barrier or facilitator in the environment. For example, when "no barrier" or a "complete barrier" is coded, this scaling has a margin of error of up to 5%. "Moderate barrier" is designed as up to half of the scale of total barrier. 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.
e1 PRODUCTS AND TECHNOLOGY This chapter is about the natural or human-made products or systems of products, equipment and technology in an individual's immediate environment that are gathered, created, produced or manufactured. The ISO 9999 classification of technical aids defines these as "any product, instrument, equipment or technical system used by a disabled person, especially produced or generally available, preventing, compensating, monitoring, relieving or neutralizing" disability. It is recognized that any product or technology can be assistive. (See ISO 9999: Technical aids for disabled persons - Classification (second version); ISO/TC 173/SC 2; ISO/DIS 9999 (rev.).) For the purposes of this classification of environmental factors, however, assistive products and technology are defined more narrowly as "any product, instrument, equipment or technology adapted or specially designed for improving the functioning of a disabled person". e
e110 Products or substances for personal consumption Any natural or human-made object or substance gathered, processed or manufactured for ingestion. food and drugs e1
e1100 Food Any natural or human-made object or substance gathered, processed or manufactured to be consumed, such as raw, processed and prepared food and liquids of different consistencies (including breast milk), herbs and minerals (vitamin and other supplements). e110
e1101 Drugs Any natural or human-made object or substance gathered, processed or manufactured for medicinal purposes, such as allopathic and naturopathic medication. e110
e1108 Products or substances for personal consumption, other specified e110
e1109 Products or substances for personal consumption, unspecified e110
e115 Products and technology for personal use in daily living Equipment, products and technologies used by people in daily activities, including those adapted or specially designed, located in, on or near the person using them. general and assistive products and technology for personal use products and technology for personal indoor and outdoor mobility and transportation (e120), products and technology for communication (e125) e1
e1150 General products and technology for personal use in daily living Equipment, products and technologies used by people in daily activities, such as clothes, textiles, furniture, appliances, cleaning products and tools, not adapted or specially designed. e115
e1151 Assistive products and technology for personal use in daily living Adapted or specially designed equipment, products and technologies that assist people in daily living, such as prosthetic and orthotic devices, neural prostheses (e.g. functional stimulation devices that control bowels, bladder, breathing and heart rate), and environmental control units aimed at facilitating individuals' control over their indoor setting (scanners, remote control systems, voice-controlled systems, timer switches). e115
e1158 Products and technology for personal use in daily living, other specified e115
e1159 Products and technology for personal use in daily living, unspecified e115
e120 Products and technology for personal indoor and outdoor mobility and transportation Equipment, products and technologies used by people in activities of moving inside and outside buildings, including those adapted or specially designed, located in, on or near the person using them. general and assistive products and technology for personal indoor and outdoor mobility and transportation e1
e1200 General products and technology for personal indoor and outdoor mobility and transportation Equipment, products and technologies used by people in activities of moving inside and outside buildings, such as motorized and non-motorized vehicles used for the transportation of people over ground, water and air (e.g. buses, cars, vans, other motor-powered vehicles and animal-powered transporters), not adapted or specially designed. e120
e1201 Assistive products and technology for personal indoor and outdoor mobility and transportation Adapted or specially designed equipment, products and technologies that assist people to move inside and outside buildings, such as walking devices (such as canes or crutches), special cars and vans, adaptations to vehicles, wheelchairs, scooters and transfer devices. e120
e1208 Products and technology for personal indoor and outdoor mobility and transportation, other specified e120
e1209 Products and technology for personal indoor and outdoor mobility and transportation, unspecified e120
e125 Products and technology for communication Equipment, products and technologies used by people in activities of sending and receiving information, including those adapted or specially designed, located in, on or near the person using them. general and assistive products and technology for communication e1
e1250 General products and technology for communication Equipment, products and technologies used by people in activities of sending and receiving information, such as optical and auditory devices, audio recorders and receivers, television and video equipment, telephone devices, sound transmission systems and face-to-face communication devices, not adapted or specially designed. e125
e1251 Assistive products and technology for communication Adapted or specially designed equipment, products and technologies that assist people to send and receive information, such as specialized vision devices, drawing or handwriting devices, signalling systems and special computer software and hardware, cochlear implants, hearing aids, FM auditory trainers, voice prostheses, communication boards, glasses and contact lenses. e125
e1258 Products and technology for communication, other specified e125
e1259 Products and technology for communication, unspecified e125
e130 Products and technology for education Equipment, products, methods and technology used for acquisition of knowledge, expertise or skill, including those adapted or specially designed. general and assistive products and technology for education e1
e1300 General products and technology for education Equipment, products, methods and technology used for acquisition of knowledge, expertise or skill at any level, such as books, manuals, educational toys, computer hardware or software, not adapted or specially designed. e130
e1301 Assistive products and technology for education Adapted and specially designed equipment, products, processes, methods and technology used for acquisition of knowledge, expertise or skill, such as specialized computer technology. e130
e1308 Products and technology for education, other specified e130
e1309 Products and technology for education, unspecified e130
e135 Products and technology for employment Equipment, products and technology used for employment to facilitate work activities. general and assistive products and technology for employment e1
e1350 General products and technology for employment Equipment, products and technology used for employment to facilitate work activities, not adapted or specially designed. e135
e1351 Assistive products and technology for employment Adapted or specially designed equipment, products and technology used for employment to facilitate work activities, such as adjustable table, desks and filing cabinets; remote control entry and exit of office doors; computer hardware, software, accessories and environmental control units aimed at facilitating an individual's conduct of work-related tasks and aimed at control of the work environment (e.g. scanners, remote control systems, voice controlled systems, timer switches). e135
e1358 Products and technology for employment, other specified e135
e1359 Products and technology for employment, unspecified e135
e140 Products and technology for culture, recreation and sport Equipment, products and technology used for the conduct and enhancement of cultural, recreational and sporting activities, including those adapted or specially designed. general and assistive products and technology for culture, recreation and sport e1
e1400 General products and technology for culture, recreation and sport Equipment, products and technology used for the conduct and enhancement of cultural, recreational and sporting activities, not adapted or specially designed. e140
e1401 Assistive products and technology for culture, recreation and sport Adapted or specially designed equipment, products and technology used for the conduct and enhancement of cultural, recreational and sporting activities, such as modified mobility devices for sports, adaptations for musical and other artistic performance. e140
e1408 Products and technology for culture, recreation and sport, other specified e140
e1409 Products and technology for culture, recreation and sport, unspecified e140
e145 Products and technology for the practice of religion and spirituality Products and technology, unique or mass-produced, that are given or take on a symbolic meaning in the context of the practice of religion or spirituality, including those adapted or specially designed. general and assistive products and technology for the practice of religion and spirituality e1
e1450 General products and technology for the practice of religion or spirituality Products and technology, unique or mass-produced, that are given or take on a symbolic meaning in the context of the practice of religion or spirituality, such as spirit houses, maypoles, headdress, masks, crucifixes, menorahs and prayer mats, not adapted or specially designed. e145
e1451 Assistive products and technology for the practice of religion or spirituality Adapted or specially designed products and technology that are given, or take on a symbolic meaning in the context of the practice of religion or spirituality, such as Braille religious books, Braille tarot cards, and special protection for wheelchair wheels when entering temples. e145
e1458 Products and technology for the practice of religion or spirituality, other specified e145
e1459 Products and technology for the practice of religion or spirituality, unspecified e145
e150 Design, construction and building products and technology of buildings for public use Products and technology that constitute an individual's indoor and outdoor human-made environment that is planned, designed and constructed for public use, including those adapted or specially designed. design, construction and building products and technology of entrances and exits, facilities and routing e1
e1500 Design, construction and building products and technology for entering and exiting buildings for public use Products and technology of entry and exit from the human-made environment that is planned, designed and constructed for public use, such as design, building and construction of entries and exits to buildings for public use (e.g. child care settings, schools, workplaces, shops and theatres), public buildings, portable and stationary ramps, power-assisted doors, lever door handles and level door thresholds. e150
e1501 Design, construction and building products and technology for gaining access to facilities inside buildings for public use Products and technology of indoor facilities in design, building and construction for public use, such as washroom facilities, telephones, audio loops, lifts or elevators, escalators, thermostats (for temperature regulation) and dispersed accessible seating in auditoriums or stadiums. e150
e1502 Design, construction and building products and technology for way finding, path routing and designation of locations in buildings for public use Indoor and outdoor products and technology in design, building and construction for public use to assist people to find their way inside and immediately outside buildings and locate the places they want to go to, such as signage, in Braille or writing, size of corridors, floor surfaces, accessible kiosks and other forms of directories. e150
e1503 Design, construction and building products and technology for physical safety of persons in buildings for public use Indoor and outdoor products and technology for public use to assure safety, such as guardrails and emergency signals. e150
e1508 Design, construction and building products and technology of buildings for public use, other specified e150
e1509 Design, construction and building products and technology of buildings for public use, unspecified e150
e155 Design, construction and building products and technology of buildings for private use Product and technology that constitute an individual's indoor and outdoor human-made environment that is planned, designed and constructed for private use (e.g. home, dwelling), including those adapted or specially designed. entry and exits, facilities and routing e1
e1550 Design, construction and building products and technology for entering and exiting of buildings for private use Products and technology of entry and exit from the human-made environment that is planned, designed and constructed for private use, such as entries and exits to private homes, portable and stationary ramps, power-assisted doors, lever door handles and level door thresholds. e155
e1551 Design, construction and building products and technology for gaining access to facilities in buildings for private use Products and technology related to design, building and construction inside buildings for private use, such as washroom facilities, telephones, audio loops, kitchen cabinets, appliances and electronic controls in private homes. e155
e1552 Design, construction and building products and technology for way finding, path routing and designation of locations in buildings for private use Indoor and outdoor products and technology in design, building and construction of path routing for private use, to assist people to find their way inside and immediately outside buildings and locate the places they want to go to, such as signage, in Braille or writing, size of corridors and floor surfaces. e155
e1553 Design, construction and building products and technology for physical safety of persons in buildings for private use Indoor and outdoor products and technology for private use (e.g. home, dwelling) to assure safety, such as guardrails, emergency signals and to assure secure storage of hazardous objects (e.g. weapons) or materials (e.g. solvents, insecticides). e155
e1558 Design, construction and building products and technology of buildings for private use, other specified e155
e1559 Design, construction and building products and technology of buildings for private use, unspecified e155
e160 Products and technology of land development Products and technology of land areas, as they affect an individual's outdoor environment through the implementation of land use policies, design, planning and development of space, including those adapted or specially designed. products and technologies of land areas that have been organized by the implementation of land use policies, such as rural areas, suburban areas, urban areas, parks, conservation areas and wildlife reserves e1
e1600 Products and technology of rural land development Products and technology in rural land areas, as they affect an individual's outdoor environment through the implementation of rural land use policies, design, planning and development of space, such as farmlands, pathways and signposting. e160
e1601 Products and technology of suburban land development Products and technology in suburban land areas, as they affect an individual's outdoor environment through the implementation of suburban land use policies, design, planning and development of space, such as curb cuts, pathways, signposting and street lighting. e160
e1602 Products and technology of urban land development Products and technology in urban land areas as they affect an individuals s outdoor environment through the implementation of urban land use policies, design, planning and development of space, such as curb cuts, ramps, signposting and street lighting. e160
e1603 Products and technology of parks, conservation and wildlife areas Products and technology in land areas making up parks, conservation and wildlife areas, as they affect an individual's outdoor environment through the implementation of land use policies and design, planning and development of space, such as park signage and wildlife trails. e160
e1608 Products and technology of land development, other specified e160
e1609 Products and technology of land development, unspecified e160
e165 Assets Products or objects of economic exchange such as money, goods, property and other valuables that an individual owns or of which he or she has rights of use. tangible and intangible products and goods, financial assets e1
e1650 Financial assets Products, such as money and other financial instruments, which serve as a medium of exchange for labour, capital goods and services. e165
e1651 Tangible assets Products or objects, such as houses and land, clothing, food and technical goods, which serve as a medium of exchange for labour, capital goods and services. e165
e1652 Intangible assets Products, such as intellectual property, knowledge and skills, which serve as a medium of exchange for labour, capital goods and services. e165
e1658 Assets, other specified e165
e1659 Assets, unspecified e165
e198 Products and technology, other specified e1
e199 Products and technology, unspecified e1
e2 NATURAL ENVIRONMENT AND HUMAN-MADE CHANGES TO ENVIRONMENT This chapter is about animate and inanimate elements of the natural or physical environment, and components of that environment that have been modified by people, as well as characteristics of human populations within that environment. e
e210 Physical geography Features of landforms and bodies of water. features of geography included within orography (relief, quality and expanse of land and landforms including altitude) and hydrography (bodies of water such as lakes, rivers, sea) e2
e2100 Landforms Features of land forms, such as mountains, hills, valleys and plains. e210
e2101 Bodies of water Features of bodies of water, such as lakes, dams, rivers and streams. e210
e2108 Physical geography, other specified e210
e2109 Physical geography, unspecified e210
e215 Population Groups of people living in a given environment who share the same pattern of environmental adaptation. demographic change, population density e2
e2150 Demographic change Changes occurring within groups of people, such as the composition and variation in the total number of individuals in an area caused by birth, death, ageing of a population and migration. e215
e2151 Population density Number of people per unit of land area, including features such as high and low density. e215
e2158 Population, other specified e215
e2159 Population, unspecified e215
e220 Flora and fauna Plants and animals. domesticated animals (e350), population (e215) e2
e2200 Plants Any of various photosynthetic, eukaryotic, multicellular organisms of the kingdom Plantae characteristically producing embryos, containing chloroplasts, having cellulose cell walls, and lacking the power of locomotion, such as trees, flowers, shrubs and vines. e220
e2201 Animals Multicellular organisms of the kingdom Animalia, differing from plants in certain typical characteristics such as capacity for locomotion, non-photosynthetic metabolism, pronounced response to stimuli, restricted growth, and fixed bodily structure, such as wild or farm animals, reptiles, birds, fish and mammals. assets (e165), domesticated animals (e350) e220
e2208 Fauna and flora, other specified e220
e2209 Fauna and flora, unspecified e220
e225 Climate Meteorological features and events, such as the weather. temperature, humidity, atmospheric pressure, precipitation, wind and seasonal variations e2
e2250 Temperature Degree of heat or cold, such as high and low temperature, normal or extreme temperature. e225
e2251 Humidity Level of moisture in the air, such as high or low humidity. e225
e2252 Atmospheric pressure Pressure of the surrounding air, such as pressure related to height above sea level or meteorological conditions. e225
e2253 Precipitation Falling of moisture, such as rain, dew, snow, sleet and hail. e225
e2254 Wind Air in more or less rapid natural motion, such as a breeze, gale or gust. e225
e2255 Seasonal variation Natural, regular and predictable changes from one season to the next, such as summer, autumn, winter and spring. e225
e2258 Climate, other specified e225
e2259 Climate, unspecified e225
e230 Natural events Geographic and atmospheric changes that cause disruption in an individual's physical environment, occurring regularly or irregularly, such as earthquakes and severe or violent weather conditions, e.g. tornadoes, hurricanes, typhoons, floods, forest fires and ice-storms. e2
e235 Human-caused events Alterations or disturbances in the natural environment, caused by humans, that may result in the disruption of people's day-to-day lives, including events or conditions linked to conflict and wars, such as the displacement of people, destruction of social infrastructure, homes and lands, environmental disasters and land, water or air pollution (e.g. toxic spills). e2
e240 Light Electromagnetic radiation by which things are made visible by either sunlight or artificial lighting (e.g. candles, oil paraffin lamps and electricity), and which may provide useful or distracting information about the world. light intensity, light quality, colour contrasts e2
e2400 Light intensity Level or amount of energy being emitted by either a natural (e.g. sun) or an artificial source of light. e240
e2401 Light quality The nature of the light being provided and related colour contrasts created in the visual surroundings, and which may provide useful information about the world (e.g. visual information on the presence of stairs or a door) or distractions (e.g. too many visual images). e240
e2408 Light, other specified e240
e2409 Light, unspecified e240
e245 Time-related changes Natural, regular or predictable temporal change. day/night and lunar cycles e2
e2450 Day/night cycles Natural, regular and predictable changes from day through to night and back to day, such as day, night, dawn and dusk. e245
e2451 Lunar cycles Natural, regular and predictable changes of the moon's position in relation to the earth. e245
e2458 Time-related changes, other specified e245
e2459 Time-related changes, unspecified e245
e250 Sound A phenomenon that is or may be heard, such as banging, ringing, thumping, whistling, yelling or buzzing, in any volume, timbre or tone, and that may provide useful or distracting information about the world. sound intensity, sound quality e2
e2500 Sound intensity Level or volume of auditory phenomenon determined by the amount of energy being generated, where high energy levels are perceived as loud sounds and low energy levels as soft sounds. e250
e2501 Sound quality Nature of a sound as determined by wavelength and wave pattern of the sound and perceived as the timbre and tone, such as harshness or melodiousness, and which may provide useful of the world (e.g. sound of dog barking versus a cat miaowing) or distractions (e.g. background noises). e250
e2508 Sound, other specified e250
e2509 Sound, unspecified e250
e255 Vibration Regular or irregular to and fro motion of an object or an individual caused by a physical disturbance, such as shaking, quivering, quick jerky movements of things, buildings or people caused by small or large equipment, aircraft, and explosion. natural events (e230), such as vibration or shaking of the earth caused by earthquakes e2
e260 Air quality Characteristics of the atmosphere (outside buildings) or enclosed areas of air (inside buildings), and which may provide useful or distracting information about the world. indoor and outdoor air quality e2
e2600 Indoor air quality Nature of the air inside buildings or enclosed areas, as determined by odour, smoke, humidity, air conditioning (controlled air quality) or uncontrolled air quality, and which may provide useful information about the world (e.g. smell of leaking gas) or distractions (e.g. overpowering smell of perfume). e260
e2601 Outdoor air quality Nature of the air outside buildings or enclosed areas, as determined by odour, smoke, humidity, ozone levels, and other features of the atmosphere, and which may provide useful information about the world (e.g. smell of rain) or distractions (e.g. toxic smells). e260
e2608 Air quality, other specified e260
e2609 Air quality, unspecified e260
e298 Natural environment and human-made changes to environment, other specified e2
e299 Natural environment and human-made changes to environment, unspecified e2
e3 SUPPORT AND RELATIONSHIPS This chapter is about people or animals that provide practical physical or emotional support, nurturing, protection, assistance and relationships to other persons, in their home, place of work, school or at play or in other aspects of their daily activities. The chapter does not encompass the attitudes of the person or people that are providing the support. The environmental factor being described is not the person or animal, but the amount of physical and emotional support the person or animal provides. e
e310 Immediate family Individuals related by birth, marriage or other relationship recognized by the culture as immediate family, such as spouses, partners, parents, siblings, children, foster parents, adoptive parents and grandparents. extended family (e315), personal care providers and personal assistants (e340) e3
e315 Extended family Individuals related through family or marriage or other relationships recognized by the culture as extended family, such as aunts, uncles, nephews and nieces. immediate family (e310) e3
e320 Friends Individuals who are close and ongoing participants in relationships characterized by trust and mutual support. e3
e325 Acquaintances, peers, colleagues, neighbours and community members Individuals who are familiar to each other as acquaintances, peers, colleagues, neighbours, and community members, in situations of work, school, recreation, or other aspects of life, and who share demographic features such as age, gender, religious creed or ethnicity or pursue common interests. associations and organizational services (e5550) e3
e330 People in positions of authority Individuals who have decision-making responsibilities for others and who have socially defined influence or power based on their social, economic, cultural or religious roles in society, such as teachers, employers, supervisors, religious leaders, substitute decision-makers, guardians or trustees. e3
e335 People in subordinate positions Individuals whose day-to-day life is influenced by people in positions of authority in work, school or other settings, such as students, workers, and members of a religious group. immediate family (e310) e3
e340 Personal care providers and personal assistants Individuals who provide services to support individuals in their daily activities and maintenance of performance at work, education or other life situation, provided either through public or private funds, or else on a voluntary basis, such as providers of support for home-making and maintenance, personal assistants, transport assistant, paid help, nannies and others who function as primary caregivers. immediate family (e310), extended family (e315), friends (e320), general social support services (e5750), health professionals (e355) e3
e345 Strangers Individuals who are unfamiliar and unrelated, or those who have not yet established a relationship or association, including persons unknown to the individual but who are sharing a life situation with them, such as substitute teachers, co-workers or care providers. e3
e350 Domesticated animals Animals that provide physical, emotional, or psychological support, such as pets (dogs, cats, birds, fish, etc.) and animals for personal mobility and transportation. animals (e2201), assets (e165) e3
e355 Health professionals All service providers working within the context of the health system, such as doctors, nurses, physiotherapists, occupational therapists, speech therapists, audiologists, orthotist-prosthetists, medical social workers. other professionals (e360) e3
e360 Other professionals All service providers working outside of the health system, including social workers, lawyers, teachers, architects and designers. health professionals (e355) e3
e398 Support and relationships, other specified e3
e399 Support and relationships, unspecified e3
e4 ATTITUDES This chapter is about the attitudes that are the observable consequences of customs, practices, ideologies, values, norms, factual beliefs and religious beliefs. These attitudes influence individual behaviour and social life at all levels, from interpersonal relationships, community associations to political, economic and legal structures; for example, individual or societal attitudes about a person's trustworthiness and value as a human being may motivate positive, honorific practices or negative and discriminatory practices (e.g. stigmatizating, stereotyping and marganilizing or neglect of the person). The attitudes classified are those of people external to the person whose situation is being described. They are not those of the person themselves. The individual attitudes are categorized according to the kinds of relationships listed in Environmental Factors Chapter 3. Values and beliefs are not coded separately from attitudes as they are assumed to be the driving forces behind the attitudes. e
e410 Individual attitudes of immediate family members General or specific opinions and beliefs of immediate family members about the person or about other matters (e.g. social, political and economic issues), that influence individual behaviour and actions. e4
e415 Individual attitudes of extended family members General or specific opinions and beliefs of extended family members about the person or about other matters, (e.g. social, political and economic issues), that influence individual behaviour and actions. e4
e420 Individual attitudes of friends General or specific opinions and beliefs of friends about the person or about other matters, (e.g. social, political and economic issues), that influence individual behaviour and actions. e4
e425 Individual attitudes of acquaintances, peers, colleagues, neighbours and community members General or specific opinions and beliefs of acquaintances, peers, colleagues, neighbours and community members about the person or about other matters, (e.g. social, political and economic issues), that influence individual behaviour and actions. e4
e430 Individual attitudes of people in positions of authority General or specific opinions and beliefs of people in positions of authority about the person or about other matters, (e.g. social, political and economic issues), that influence individual behaviour and actions. e4
e435 Individual attitudes of people in subordinate positions General or specific opinions and beliefs of people in subordinate positions about the person or about other matters, (e.g. social, political and economic issues), that influence individual behaviour and actions. e4
e440 Individual attitudes of personal care providers and personal assistants General or specific opinions and beliefs of personal care providers and personal assistants about the person or about other matters, (e.g. social, political and economic issues), that influence individual behaviour and actions. e4
e445 Individual attitudes of strangers General or specific opinions and beliefs of strangers about the person or about other matters, (e.g. social, political and economic issues), that influence individual behaviour and actions. e4
e450 Individual attitudes of health professionals General or specific opinions and beliefs of health professionals about the person or about other matters, (e.g. social, political and economic issues), that influence individual behaviour and actions. e4
e455 Individual attitudes of other professionals General or specific opinions and beliefs of health-related professionals about the person or about other matters, (e.g. social, political and economic issues), that influence individual behaviour and actions. e4
e460 Societal attitudes General or specific opinions and beliefs generally held by people of a culture, society, sub-cultural or other social group about other individuals or about other social, political and economic issues, that influence group or individual behaviour and actions. e4
e465 Social norms, practices and ideologies Customs, practices, rules and abstract systems of values and normative beliefs (e.g.ideologies, normative world views and moral philosophies) that arise within social contexts and that affect or create societal and individual practices and behaviours, such as social norms of moral and religious behaviour or etiquette; religious doctrine and resulting norms and practices; norms governing rituals or social gatherings. e4
e498 Attitudes, other specified e4
e499 Attitudes, unspecified e4
e5 SERVICES, SYSTEMS AND POLICIES This chapter is about: 1. Services that provide benefits, structured programmes and operations, in various sectors of society, designed to meet the needs of individuals. (Included in services are the people who provide them.) Services may be public, private or voluntary, and may be established at a local, community, regional, state, provincial, national or international level by individuals, associations, organizations, agencies or governments. The goods provided by these services may be general or adapted and specially designed. 2. Systems that are administrative control and organizational mechanisms, and are established by governments at the local, regional, national, and international levels, or by other recognized authorities. These systems are designed to organize, control and monitor services that provide benefits, structured programmes and operations in various sectors of society. 3. Policies constituted by rules, regulations, conventions and standards established by governments at the local, regional, national, and international levels, or by other recognized authorities. Policies govern and regulate the systems that organize, control and monitor services, structured programmes and operations in various sectors of society. e
e510 Services, systems and policies for the production of consumer goods Services, systems and policies that govern and provide for the production of objects and products consumed or used by people. e5
e5100 Services for the production of consumer goods Services and programmes for the collection, creation, production and manufacturing of consumer goods and products, such as for products and technology used for mobility, communication, education, transportation, employment and housework, including those who provide these services. education and training services (e5850), communication services (e5350), Chapter 1 Products and Technology (e1) e510
e5101 Systems for the production of consumer goods Administrative control and monitoring mechanisms, such as regional, national or international organizations that set standards (e.g. International Organization for Standardization) and consumer bodies, that govern the collection, creation, production and manufacturing of consumer goods and products. e510
e5102 Policies for the production of consumer goods Legislation, regulations and standards for the collection, creation, production and manufacturing of consumer goods and products, such as which standards to adopt. e510
e5108 Services, systems and policies for the production of consumer goods, other specified e510
e5109 Services, systems and policies for the production of consumer goods, unspecified e510
e515 Architecture and construction services, systems and policies Services, systems and policies for the design and construction of buildings, public and private. open space planning services, systems and policies (e520) e5
e5150 Architecture and construction services Services and programmes for design, construction and maintenance of residential, commercial, industrial and public buildings, such as house-building, the operationalization of design principles, building codes, regulations and standards, including those who provide these services. e515
e5151 Architecture and construction systems Administrative control and monitoring mechanisms that govern the planning, design, construction and maintenance of residential, commercial, industrial and public buildings, such as for implementing and monitoring building codes, construction standards, and fire and life safety standards. e515
e5152 Architecture and construction policies Legislation, regulations and standards that govern the planning, design, construction and maintenance of residential, commercial, industrial and public buildings, such as policies on building codes, construction standards, and fire and life safety standards. e515
e5158 Architecture and construction services, systems and policies, other specified e515
e5159 Architecture and construction services, systems and policies, unspecified e515
e520 Open space planning services, systems and policies Services, systems and policies for the planning, design, development and maintenance of public lands, (e.g. parks, forests, shorelines, wetlands) and private lands in the rural, suburban and urban context. architecture and construction services, systems and policies (e515) e5
e5200 Open space planning services Services and programmes aimed at planning, creating and maintaining urban, suburban, rural, recreational, conservation and environmental space, meeting and commercial open spaces (plazas, open- air markets) and pedestrian and vehicular transportation routes for intended uses, including those who provide these services. products for design, building and construction for public (e150) and private (e155) use, products of land development (e160) e520
e5201 Open space planning systems Administrative control and monitoring mechanisms, such as for the implementation of local, regional or national planning acts, design codes, heritage or conservation policies and environmental planning policy, that govern the planning, design, development and maintenance of open space, including rural, suburban and urban land, parks, conservation areas and wildlife reserves. e520
e5202 Open space planning policies Legislation, regulations and standards that govern the planning, design, development and maintenance of open space, including rural land, suburban land, urban land, parks, conservation areas and wildlife reserves, such as local, regional or national planning acts, design codes, heritage or conservation policies, and environmental planning policies. e520
e5208 Open space planning services, systems and policies, other specified e520
e5209 Open space planning services, systems and policies, unspecified e520
e525 Housing services, systems and policies Services, systems and policies for the provision of shelters, dwellings or lodging for people. e5
e5250 Housing services Services and programmes aimed at locating, providing and maintaining houses or shelters for persons to live in, such as estate agencies, housing organizations, shelters for homeless people, including those who provide these services. e525
e5251 Housing systems Administrative control and monitoring mechanisms that govern housing or sheltering of people, such as systems for implementing and monitoring housing policies. e525
e5252 Housing policies Legislation, regulations and standards that govern housing or sheltering of people, such as legislation and policies for determination of eligibility for housing or shelter, policies concerning government involvement in developing and maintaining housing, and policies concerning how and where housing is developed. e525
e5258 Housing services, systems and policies, other specified e525
e5259 Housing services, systems and policies, unspecified e525
e530 Utilities services, systems and policies Services, systems and policies for publicly provided utilities, such as water, fuel, electricity, sanitation, public transportation and essential services. civil protection services, systems and policies (e545) e5
e5300 Utilities services Services and programmes supplying the population as a whole with essential energy (e.g. fuel and electricity), sanitation, water and other essential services (e.g. emergency repair services) for residential and commercial consumers, including those who provide these services. e530
e5301 Utilities systems Administrative control and monitoring mechanisms that govern the provision of utilities services, such as health and safety boards and consumer councils. e530
e5302 Utilities policies Legislation, regulations and standards that govern the provision of utilities services, such as health and safety standards governing delivery and supply of water and fuel, sanitation practices in communities, and policies for other essential services and supply during shortages or natural disasters. e530
e5308 Utilities services, systems and policies, other specified e530
e5309 Utilities services, systems and policies, unspecified e530
e535 Communication services, systems and policies Services, systems and policies for the transmission and exchange of information. e5
e5350 Communication services Services and programmes aimed at transmitting information by a variety of methods such as telephone, fax, surface and air mail, electronic mail and other computer-based systems (e.g. telephone relay, teletype, teletext, and internet services), including those who provide these services. media services (e5600) e535
e5351 Communication systems Administrative control and monitoring mechanisms, such as telecommunication regulation authorities and other such bodies, that govern the transmission of information by a variety of methods, including telephone, fax, surface and air mail, electronic mail and computer-based systems. e535
e5352 Communication policies Legislation, regulations and standards that govern the transmission of information by a variety of methods including telephone, fax, post office, electronic mail and computer-based systems, such as eligibility for access to communication services, requirements for a postal address, and standards for provision of telecommunications. e535
e5358 Communication services, systems and policies, other specified e535
e5359 Communication services, systems and policies, unspecified e535
e540 Transportation services, systems and policies Services, systems and policies for enabling people or goods to move or be moved from one location to another. e5
e5400 Transportation services Services and programmes aimed at moving persons or goods by road, paths, rail, air or water, by public or private transport, including those who provide these services. products for personal mobility and transportation (e115) e540
e5401 Transportation systems Administrative control and monitoring mechanisms that govern the moving of persons or goods by road, paths, rail, air or water, such as systems for determining eligibility for operating vehicles and, implementation and monitoring of health and safety standards related to use of different types of transportation. social security services, systems and policies (e570) e540
e5402 Transportation policies Legislation, regulations and standards that govern the moving of persons or goods by road, paths, rail, air or water, such as transportation planning acts and policies, policies for the provision and access to public transportation. e540
e5408 Transportation services, systems and policies, other specified e540
e5409 Transportation services, systems and policies, unspecified e540
e545 Civil protection services, systems and policies Services, systems and policies aimed at safeguarding people and property. utilities services, systems and policies (e530) e5
e5450 Civil protection services Services and programmes organized by the community and aimed at safeguarding people and property, such as fire, police, emergency and ambulance services, including those who provide these services. e545
e5451 Civil protection systems Administrative control and monitoring mechanisms that govern the safeguarding of people and property, such as systems by which provision of police, fire, emergency and ambulance services are organized. e545
e5452 Civil protection policies Legislation, regulations and standards that govern the safeguarding of people and property, such as policies governing provision of police, fire, emergency and ambulance services. e545
e5458 Civil protection services, systems and policies, other specified e545
e5459 Civil protection services, systems and policies, unspecified e545
e550 Legal services, systems and policies Services, systems and policies concerning the legislation and other law of a country. e5
e5500 Legal services Services and programmes aimed at providing the authority of the state as defined in law, such as courts, tribunals and other agencies for hearing and settling civil litigation and criminal trials, attorney representation, services of notaries, mediation, arbitration and correctional or penal facilities, including those who provide these services. e550
e5501 Legal systems Administrative control and monitoring mechanisms that govern the administration of justice, such as systems for implementing and monitoring formal rules (e.g. laws, regulations, customary law, religious law, international laws and conventions). e550
e5502 Legal policies Legislation, regulations and standards, such as laws, customary law, religious law, international laws and conventions, that govern the administration of justice. e550
e5508 Legal services, systems and policies, other specified e550
e5509 Legal services, systems and policies, unspecified e550
e555 Associations and organizational services, systems and policies Services, systems and policies relating to groups of people who have joined together in the pursuit of common, non-commercial interests, often with an associated membership structure. e5
e5550 Associations and organizational services Services and programmes provided by people who have joined together in the pursuit of common, non-commercial interests with people who have the same interests, where the provision of such services may be tied to membership, such as associations and organizations providing recreation and leisure, sporting, cultural, religious and mutual aid services. e555
e5551 Associations and organizational systems Administrative control and monitoring mechanisms that govern the relationships and activities of people coming together with common noncommercial interests and the establishment and conduct of associations and organizations such as mutual aid organizations, recreational and leisure organizations, cultural and religious associations and not-for profit organizations. e555
e5552 Associations and organizational policies Legislation, regulations and standards that govern the relationships and activities of people coming together with common noncommercial interests, such as policies that govern the establishment and conduct of associations and organizations, including mutual aid organizations, recreational and leisure organizations, cultural and religious associations and not-for-profit organizations. e555
e5558 Associations and organizational services, systems and policies, other specified e555
e5559 Associations and organizational services, systems and policies, unspecified e555
e560 Media services, systems and policies Services, systems and policies for the provision of mass communication through radio, television, newspapers and internet. e5
e5600 Media services Services and programmes aimed at providing mass communication, such as radio, television, closed captioning services, press reporting services, newspapers, Braille services and computer-based mass communication (world wide web, internet), including those who provide these services. communication services (e5350) e560
e5601 Media systems Administrative control and monitoring mechanisms that govern the provision of news and information to the general public, such as standards that govern the content, distribution, dissemination, access to and methods of communicating via radio, television, press reporting services, newspapers and computer-based mass communication (world wide web, internet). requirements to provide closed captions on television, Braille versions of newspapers or other publications, and teletext radio transmissions. communication systems (e5351) e560
e5602 Media policies Legislation, regulations and standards that govern the provision of news and information to the general public, such as policies that govern the content, distribution, dissemination, access to and methods of communicating via radio, television, press reporting services, newspapers and computer-based mass communication (world wide web, internet). communication policies (e5352) e560
e5608 Media services, systems and policies, other specified e560
e5609 Media services, systems and policies, unspecified e560
e565 Economic services, systems and policies Services, systems and policies related to the overall system of production, distribution, consumption and use of goods and services. social security services, systems and policies (e570) e5
e5650 Economic services Services and programmes aimed at the overall production, distribution, consumption and use of goods and services, such as the private commercial sector (e.g. businesses, corporations, private for-profit ventures), the public sector (e.g. public, commercial services such as cooperatives and corporations), financial organizations (e.g. banks and insurance services), including those who provide these services. utilities services (e5300), labour and employment services (e5900) e565
e5651 Economic systems Administrative control and monitoring mechanisms that govern the production, distribution, consumption and use of goods and services, such as systems for implementing and monitoring economic policies. utilities systems (e5301), labour and employment systems (e5901) e565
e5652 Economic policies Legislation, regulations and standards that govern the production, distribution, consumption and use of goods and services, such as economic doctrines adopted and implemented by governments. utilities policies (e5302), labour and employment policies (e5902) e565
e5658 Economic services, systems and policies, other specified e565
e5659 Economic services, systems and policies, unspecified e565
e570 Social security services, systems and policies Services, systems and policies aimed at providing income support to people who, because of age, poverty, unemployment, health condition or disability, require public assistance that is funded either by general tax revenues or contributory schemes. e5
e5700 Social security services Services and programmes aimed at providing income support to people who, because of age, poverty, unemployment, health condition or disability, require public assistance that is funded either by general tax revenues or contributory schemes, such as services for determining eligibility, delivering or distributing assistance payments for the following types of programmes: social assistance programmes (e.g. non-contributory welfare, poverty or other needs-based compensation), social insurance programmes (e.g. contributory accident or unemployment insurance), and disability and related pension schemes (e.g. income replacement), including those who provide these services. health services (e5800) e570
e5701 Social security systems Administrative control and monitoring mechanisms that govern the programmes and schemes that provide income support to people who, because of age, poverty, unemployment, health condition or disability, require public assistance, such as systems for the implementation of rules and regulations governing the eligibility for social assistance, welfare, unemployment insurance payments, pensions and disability benefits. e570
e5702 Social security policies Legislation, regulations and standards that govern the programmes and schemes that provide income support to people who, because of age, poverty, unemployment, health condition or disability, require public assistance, such as legislation and regulations governing the eligibility for social assistance, welfare, unemployment insurance payments, disability and related pensions and disability benefits. e570
e5708 Social security services, systems and policies, other specified e570
e5709 Social security services, systems and policies, unspecified e570
e575 General social support services, systems and policies Services, systems and policies aimed at providing support to those requiring assistance in areas such as shopping, housework, transport, child care, self-care and care of others, in order to function more fully in society. social security services, systems and policies (e570), personal care providers and personal assistants (e340), health services, systems and policies (e580) e5
e5750 General social support services Services and programmes aimed at providing social support to people who, because of age, poverty, unemployment, health condition or disability, require public assistance in the areas of shopping, housework, transport, self-care and care of others, in order to function more fully in society. e575
e5751 General social support systems Administrative control and monitoring mechanisms that govern the programmes and schemes that provide social support to people who, because of age, poverty, unemployment, health condition or disability, require such support, including systems for the implementation of rules and regulations governing eligibility for social support services and the provision of these services. e575
e5752 General social support policies Legislation, regulations and standards that govern the programme and schemes that provide social support to people who, because of age, poverty, unemployment, health condition or disability, require such support, including legislation and regulations governing eligibility for social support. e575
e5758 General social support services, systems and policies, other specified e575
e5759 General social support services, systems and policies, unspecified e575
e580 Health services, systems and policies Services, systems and policies for preventing and treating health problems, providing medical rehabilitation and promoting a healthy lifestyle. general social support services, systems and policies (e575) e5
e5800 Health services Services and programmes at a local, community, regional, state or national level, aimed at delivering interventions to individuals for their physical, psychological and social wellbeing, such as health promotion and disease prevention services, primary care services, acute care, rehabilitation and long-term care services; services that are publicly or privately funded, delivered on a short-term, long-term, periodic or onetime basis, in a variety of service settings such as community, home-based, school and work settings, general hospitals, specialty hospitals, clinics, and residential and non-residential care facilities, including those who provide these services. e580
e5801 Health systems Administrative control and monitoring mechanisms that govern the range of services provided to individuals for their physical, psychological and social well-being, in a variety of settings including community, home-based, school and work settings, general hospitals, specialty hospitals, clinics, and residential and non-residential care facilities, such as systems for implementing regulations and standards that determine eligibility for services, provision of devices, assistive technology or other adapted equipment, and legislation such as health acts that govern features of a health system such as accessibility, universality, portability, public funding and comprehensiveness. e580
e5802 Health policies Legislation, regulations and standards that govern the range of services provided to individuals for their physical, psychological and social well-being, in a variety of settings including community, home-based, school and work settings, general hospitals, specialty hospitals, clinics, and residential and non-residential care facilities, such as policies and standards that determine eligibility for services, provision of devices, assistive technology or other adapted equipment, and legislation such as health acts that govern features of a health system such as accessibility, universality, portability, public funding and comprehensiveness. e580
e5808 Health services, systems and policies, other specified e580
e5809 Health services, systems and policies, unspecified e580
e585 Education and training services, systems and policies Services, systems and policies for the acquisition, maintenance and improvement of knowledge, expertise and vocational or artistic skills. See UNESCO's International Standard Classification of Education [ISCED-1997]. e5
e5850 Education and training services Services and programmes concerned with education and the acquisition, maintenance and improvement of knowledge, expertise and vocational or artistic skills, such as those provided for different levels of education (e.g. preschool, primary school, secondary school, post-secondary institutions, professional programmes, training and skills programmes, apprenticeships and continuing education), including those who provide these services. e585
e5851 Education and training systems Administrative control and monitoring mechanisms that govern the delivery of general education programmes, such as systems for the implementation of policies and standards that determine eligibility for public or private education and special needs-based programmes; local, regional or national boards of education or other authoritative bodies that govern features of the education systems, including curricula, size of classes, numbers of schools in a region, fees and subsidies, special meal programmes and after-school care services. e585
e5852 Education and training policies Legislation, regulations and standards that govern the delivery of general education programme, such as policies and standards that determine eligibility for public or private education and special needs-based programmes, and dictate the structure of local, regional or national boards of education or other authoritative bodies that govern features of the education system, including curricula, size of classes, numbers of schools in a region, fees and subsidies, special meal programmes and after-school care services. e585
e5858 Education and training services, systems and policies, other specified e585
e5859 Education and training services, systems and policies, unspecified e585
e590 Labour and employment services, systems and policies Services, systems and policies related to finding suitable work for persons who are unemployed or looking for different work, or to support individuals already employed who are seeking promotion. economic services, systems and policies (e565) e5
e5900 Labour and employment services Services and programmes provided by local, regional or national governments, or private organizations to find suitable work for persons who are unemployed or looking for different work, or to support individuals already employed, such as services of employment search and preparation, reemployment, job placement, outplacement, vocational follow-up, occupational health and safety services, and work environment services (e.g. ergonomics, human resources and personnel management services, labour relations services, professional association services), including those who provide these services. e590
e5901 Labour and employment systems Administrative control and monitoring mechanisms that govern the distribution of occupations and other forms of remunerative work in the economy, such as systems for implementing policies and standards for employment creation, employment security, designated and competitive employment, labour standards and law, and trade unions. e590
e5902 Labour and employment policies Legislation, regulations and standards that govern the distribution of occupations and other forms of remunerative work in the economy, such as standards and policies for employment creation, employment security, designated and competitive employment, labour standards and law, and trade unions. e590
e5908 Labour and employment services, systems and policies, other specified e590
e5909 Labour and employment services, systems and policies, unspecified e590
e595 Political services, systems and policies Services, systems and policies related to voting, elections and governance of countries, regions and communities, as well as international organizations. e5
e5950 Political services Services and structures such as local, regional and national governments, international organizations and the people who are elected or nominated to positions within these structures, such as the United Nations, European Union, governments, regional authorities, local village authorities, traditional leaders. e595
e5951 Political systems Structures and related operations that organise political and economic power in a society, such as executive and legislative branches of government, and the constitutional or other legal sources from which they derive their authority, such as political organizational doctrine, constitutions, agencies of executive and legislative branches of government, the military. e595
e5952 Political policy Laws and policies formulated and enforced through political systems that govern the operation of the political system, such as policies governing election campaigns, registration of political parties, voting, and members in international political organizations, including treaties, constitutional and other law governing legislation and regulation. e595
e5958 Political services, systems and policies, other specified e595
e5959 Political services, systems and policies, unspecified e595
e598 Services, systems and policies, other specified e5
e599 Services, systems and policies, unspecified e5
s BODY STRUCTURES 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 structure. For example, when "no impairment" or "complete impairment" in body structure 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.
s1 STRUCTURES OF THE NERVOUS SYSTEM s
s110 Structure of brain s1
s1100 Structure of cortical lobes s110
s11000 Frontal lobe s1100
s11001 Temporal lobe s1100
s11002 Parietal lobe s1100
s11003 Occipital lobe s1100
s11008 Structure of cortical lobes, other specified s1100
s11009 Structure of cortical lobes, unspecified s1100
s1101 Structure of midbrain s110
s1102 Structure of diencephalon s110
s1103 Basal ganglia and related structures s110
s1104 Structure of cerebellum s110
s1105 Structure of brain stem s110
s11050 Medulla oblongata s1105
s11051 Pons s1105
s11058 Structure of brain stem, other specified s1105
s11059 Structure of brain stem, unspecified s1105
s1106 Structure of cranial nerves s110
s1108 Structure of brain, other specified s110
s1109 Structure of brain, unspecified s110
s120 Spinal cord and related structures s1
s1200 Structure of spinal cord s120
s12000 Cervical spinal cord s1200
s12001 Thoracic spinal cord s1200
s12002 Lumbosacral spinal cord s1200
s12003 Cauda equina s1200
s12008 Structure of spinal cord, other specified s1200
s12009 Structure of spinal cord, unspecified s1200
s1201 Spinal nerves s120
s1208 Spinal cord and related structures, other specified s120
s1209 Spinal cord and related structures, unspecified s120
s130 Structure of meninges s1
s140 Structure of sympathetic nervous system s1
s150 Structure of parasympathetic nervous system s1
s198 Structure of the nervous system, other specified s1
s199 Structure of the nervous system, unspecified s1
s2 THE EYE, EAR AND RELATED STRUCTURES s
s210 Structure of eye socket s2
s220 Structure of eyeball s2
s2200 Conjunctiva, sclera, choroid s220
s2201 Cornea s220
s2202 Iris s220
s2203 Retina s220
s2204 Lens of eyeball s220
s2205 Vitreous body s220
s2208 Structure of eyeball, other specified s220
s2209 Structure of eyeball, unspecified s220
s230 Structures around eye facial hair (s8401) s2
s2300 Lachrymal gland and related structures s230
s2301 Eyelid s230
s2302 External ocular muscles s230
s2308 Structures around eye, other specified s230
s2309 Structures around eye, unspecified s230
s240 Structure of external ear head hair (s8400) s2
s250 Structure of middle ear s2
s2500 Tympanic membrane s250
s2501 Eustachian canal s250
s2502 Ossicles s250
s2508 Structure of middle ear, other specified s250
s2509 Structure of middle ear, unspecified s250
s260 Structure of inner ear s2
s2600 Cochlea s260
s2601 Vestibular labyrinth s260
s2602 Semicircular canals s260
s2603 Internal auditory meatus s260
s2608 Structure of inner ear, other specified s260
s2609 Structure of inner ear, unspecified s260
s298 Eye, ear and related structures, other specified s2
s299 Eye, ear and related structures, unspecified s2
s3 STRUCTURES INVOLVED IN VOICE AND SPEECH s
s310 Structure of nose facial hair (s8401) s3
s3100 External nose s310
s3101 Nasal septum s310
s3102 Nasal fossae s310
s3108 Structure of nose, other specified s310
s3109 Structure of nose, unspecified s310
s320 Structure of mouth s3
s3200 Teeth s320
s32000 Primary dentition s3200
s32001 Permanent dentition s3200
s32008 Teeth, other specified s3200
s32009 Teeth, unspecified s3200
s3201 Gums s320
s3202 Structure of palate s320
s32020 Hard palate s3202
s32021 Soft palate s3202
s3203 Tongue s320
s3204 Structure of lips s320
s32040 Upper lip s3204
s32041 Lower lip s3204
s3205 Philtrum s320
s3208 Structure of mouth, other specified s320
s3209 Structure of mouth, unspecified s320
s330 Structure of pharynx s3
s3300 Nasal pharynx s330
s3301 Oral pharynx s330
s3308 Structure of pharynx, other specified s330
s3309 Structure of pharynx, unspecified s330
s340 Structure of larynx s3
s3400 Vocal folds s340
s3408 Structure of larynx, other specified s340
s3409 Structure of larynx, unspecified s340
s398 Structures involved in voice and speech, other specified s3
s399 Structures involved in voice and speech, unspecified s3
s4 STRUCTURES OF THE CARDIOVASCULAR, IMMUNOLOGICAL AND RESPIRATORY SYSTEMS s
s410 Structure of cardiovascular system s4
s4100 Heart s410
s41000 Atria s4100
s41001 Ventricles s4100
s41008 Structure of heart, other specified s4100
s41009 Structure of heart, unspecified s4100
s4101 Arteries s410
s4102 Veins s410
s4103 Capillaries s410
s4108 Structure of cardiovascular system, other specified s410
s4109 Structure of cardiovascular system, unspecified s410
s420 Structure of immune system s4
s4200 Lymphatic vessels s420
s4201 Lymphatic nodes s420
s4202 Thymus s420
s4203 Spleen s420
s4204 Bone marrow s420
s4208 Structure of immune system, other specified s420
s4209 Structure of immune system, unspecified s420
s430 Structure of respiratory system s4
s4300 Trachea s430
s4301 Lungs s430
s43010 Bronchial tree s4301
s43011 Alveoli s4301
s43018 Structure of lungs, other specified s4301
s43019 Structure of lungs, unspecified s4301
s4302 Thoracic cage s430
s4303 Muscles of respiration s430
s43030 Intercostal muscles s4303
s43031 Diaphragm s4303
s43038 Muscles of respiration, other specified s4303
s43039 Muscles of respiration, unspecified s4303
s4308 Structure of respiratory system, other specified s430
s4309 Structure of respiratory system, unspecified s430
s498 Structures of the cardiovascular, immunological and respiratory systems, other specified s4
s499 Structures of the cardiovascular, immunological and respiratory systems, unspecified s4
s5 STRUCTURES RELATED TO THE DIGESTIVE, METABOLIC AND ENDOCRINE SYSTEMS s
s510 Structure of salivary glands s5
s520 Structure of oesophagus s5
s530 Structure of stomach s5
s540 Structure of intestine s5
s5400 Small intestine s540
s5401 Large intestine s540
s5408 Structure of intestine, other specified s540
s5409 Structure of intestine, unspecified s540
s550 Structure of pancreas s5
s560 Structure of liver s5
s570 Structure of gall bladder and ducts s5
s580 Structure of endocrine glands s5
s5800 Pituitary gland s580
s5801 Thyroid gland s580
s5802 Parathyroid gland s580
s5803 Adrenal gland s580
s5808 Structure of endocrine glands, other specified s580
s5809 Structure of endocrine glands, unspecified s580
s598 Structures related to the digestive, metabolic and endocrine systems, other specified s5
s599 Structures related to the digestive, metabolic and endocrine systems, unspecified s5
s6 STRUCTURES RELATED TO THE GENITOURINARY AND REPRODUCTIVE SYSTEMS s
s610 Structure of urinary system s6
s6100 Kidney s610
s6101 Ureters s610
s6102 Urinary bladder s610
s6103 Urethra s610
s6108 Structure of urinary system, other specified s610
s6109 Structure of urinary system, unspecified s610
s620 Structure of pelvic floor s6
s630 Structure of reproductive system s6
s6300 Ovaries s630
s6301 Structure of uterus s630
s63010 Body of uterus s6301
s63011 Cervix s6301
s63012 Fallopian tubes s6301
s63018 Structure of uterus, other specified s6301
s63019 Structure of uterus, unspecified s6301
s6302 Breast and nipple s630
s6303 Structure of vagina and external genitalia s630
s63030 Clitoris s6303
s63031 Labia majora s6303
s63032 Labia minora s6303
s63033 Vaginal canal s6303
s6304 Testes and scrotum s630
s6305 Structure of the penis s630
s63050 Glans penis s6305
s63051 Shaft of penis s6305
s63058 Structure of penis, other specified s6305
s63059 Structure of penis, unspecified s6305
s6306 Prostate s630
s6308 Structures of reproductive system, other specified s630
s6309 Structures of reproductive system, unspecified s630
s698 Structures related to the genitourinary and reproductive systems, other specified s6
s699 Structures related to the genitourinary and reproductive systems, unspecified s6
s7 STRUCTURES RELATED TO MOVEMENT s
s710 Structure of head and neck region s7
s7100 Bones of cranium s710
s7101 Bones of face s710
s7102 Bones of neck region s710
s7103 Joints of head and neck region s710
s7104 Muscles of head and neck region s710
s7105 Ligaments and fasciae of head and neck region s710
s7108 Structure of head and neck region, other specified s710
s7109 Structure of head and neck region, unspecified s710
s720 Structure of shoulder region s7
s7200 Bones of shoulder region s720
s7201 Joints of shoulder region s720
s7202 Muscles of shoulder region s720
s7203 Ligaments and fasciae of shoulder region s720
s7208 Structure of shoulder region, other specified s720
s7209 Structure of shoulder region, unspecified s720
s730 Structure of upper extremity s7
s7300 Structure of upper arm s730
s73000 Bones of upper arm s7300
s73001 Elbow joint s7300
s73002 Muscles of upper arm s7300
s73003 Ligaments and fasciae of upper arm s7300
s73008 Structure of upper arm, other specified s7300
s73009 Structure of upper arm, unspecified s7300
s7301 Structure of forearm s730
s73010 Bones of forearm s7301
s73011 Wrist joint s7301
s73012 Muscles of forearm s7301
s73013 Ligaments and fasciae of forearm s7301
s73018 Structure of forearm, other specified s7301
s73019 Structure of forearm, unspecified s7301
s7302 Structure of hand s730
s73020 Bones of hand s7302
s73021 Joints of hand and fingers s7302
s73022 Muscles of hand s7302
s73023 Ligaments and fasciae of hand s7302
s73028 Structure of hand, other specified s7302
s73029 Structure of hand, unspecified s7302
s7308 Structure of upper extremity, other specified s730
s7309 Structure of upper extremity, unspecified s730
s740 Structure of pelvic region s7
s7400 Bones of pelvic region s740
s7401 Joints of pelvic region s740
s7402 Muscles of pelvic region s740
s7403 Ligaments and fasciae of pelvic region s740
s7408 Structure of pelvic region, other specified s740
s7409 Structure of pelvic region, unspecified s740
s750 Structure of lower extremity s7
s7500 Structure of thigh s750
s75000 Bones of thigh s7500
s75001 Hip joint s7500
s75002 Muscles of thigh s7500
s75003 Ligaments and fasciae of thigh s7500
s75008 Structure of thigh, other specified s7500
s75009 Structure of thigh, unspecified s7500
s7501 Structure of lower leg s750
s75010 Bones of lower leg s7501
s75011 Knee joint s7501
s75012 Muscles of lower leg s7501
s75013 Ligaments and fasciae of lower leg s7501
s75018 Structure of lower leg, other specified s7501
s75019 Structure of lower leg, unspecified s7501
s7502 Structure of ankle and foot s750
s75020 Bones of ankle and foot s7502
s75021 Ankle joint and joints of foot and toes s7502
s75022 Muscles of ankle and foot s7502
s75023 Ligaments and fasciae of ankle and foot s7502
s75028 Structure of ankle and foot, other specified s7502
s75029 Structure of ankle and foot, unspecified s7502
s7508 Structure of lower extremity, other specified s750
s7509 Structure of lower extremity, unspecified s750
s760 Structure of trunk s7
s7600 Structure of vertebral column s760
s76000 Cervical vertebral column s7600
s76001 Thoracic vertebral column s7600
s76002 Lumbar vertebral column s7600
s76003 Sacral vertebral column s7600
s76004 Coccyx s7600
s76008 Structure of vertebral column, other specified s7600
s76009 Structure of vertebral column, specified s7600
s7601 Muscles of trunk s760
s7602 Ligaments and fasciae of trunk s760
s7608 Structure of trunk, other specified s760
s7609 Structure of trunk, unspecified s760
s770 Additional musculoskeletal structures related to movement s7
s7700 Bones s770
s7701 Joints s770
s7702 Muscles s770
s7703 Extra-articular ligaments, fasciae, extramuscular aponeuroses, retinacula, septa, bursae, unspecified s770
s7708 Additional musculoskeletal structures related to movement, other specified s770
s7709 Additional musculoskeletal structures related to movement, unspecified s770
s798 Structures related to movement, other specified s7
s799 Structures related to movement, unspecified s7
s8 SKIN AND RELATED STRUCTURES s
s810 Structure of areas of skin s8
s8100 Skin of head and neck region s810
s8101 Skin of shoulder region s810
s8102 Skin of upper extremity s810
s8103 Skin of pelvic region s810
s8104 Skin of lower extremity s810
s8105 Skin of trunk and back s810
s8108 Structure of areas of skin, other specified s810
s8109 Structure of areas of skin, unspecified s810
s820 Structure of skin glands s8
s8200 Sweat glands s820
s8201 Sebaceous glands s820
s8208 Structure of skin glands, other specified s820
s8209 Structure of skin glands, unspecified s820
s830 Structure of nails s8
s8300 Finger nails s830
s8301 Toe nails s830
s8308 Structure of nails, other specified s830
s8309 Structure of nails, unspecified s830
s840 Structure of hair vellus and terminal hair s8
s8400 Head hair hair in ear facial hair (s8401) s840
s8401 Facial hair s840
s8402 Axillary hair s840
s8403 Pubic hair s840
s8404 Body Hair torso, chest and back hair axillary hair (s8402), pubic hair (s8403) s840
s8408 Structure of hair, other specified s840
s8409 Structure of hair, unspecified s840
s898 Skin and related structures, other specified s8
s899 Skin and related structures, unspecified s8