PACIO Personal Functioning and Engagement Implementation Guide
1.0.0-ballot - ballot1 US

This page is part of the PACIO Personal Functioning and Engagement Implementation Guide (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

CodeSystem: Personal Functioning and Engagement Category

Official URL: http://hl7.org/fhir/us/pacio-pfe/CodeSystem/pfe-category-cs Version: 1.0.0-ballot
Active as of 2022-08-05 Computable Name: PFECategoryCS

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

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

This code system http://hl7.org/fhir/us/pacio-pfe/CodeSystem/pfe-category-cs defines the following codes:

LvlCodeDisplayDefinition
1body_functions Body functionsBody functions are the physiological functions of body systems (including psychological functions). Impairments are problems in body function or structure as a significant deviation or loss. Broad ranges of percentages are provided for those cases in which calibrated assessment instruments or other standards are available to quantify the impairment in body function. For example, when "no impairment" or "complete impairment" in body function is coded, this scaling may have margin of error of up to 5%. "Moderate impairment" is generally up to half of the scale of total impairment. The percentages are to be calibrated in different domains with reference to population standards as percentiles. For this quantification to be used in a uniform manner, assessment procedures need to be developed through research. For a further explanation of coding conventions in ICF, refer to Annex 2.
2  mental_functions Mental functionsThis chapter is about the functions of the brain: both global mental functions, such as consciousness, energy and drive, and specific mental functions, such as memory, language and calculation mental functions.
3    consciousness_functions Consciousness functionsGeneral mental functions of the state of awareness and alertness, including the clarity and continuity of the wakeful state.
4      state_of_consciousness State of consciousnessMental functions that when altered produce states such as clouding of consciousness, stupor or coma. Mental functions that produce consciousness, and when altered produce states such as clouding of consciousness, stupor or coma.
4      continuity_of_consciousness Continuity of consciousnessMental functions that produce sustained wakefulness, alertness and awareness and, when disrupted, may produce fugue, trance or other similar states.
4      quality_of_consciousness Quality of consciousnessMental functions that when altered effect changes in the character of wakeful, alert and aware sentience, such as druginduced altered states or delirium. Mental functions that produce wakefulness, alertness and awareness sentience, when altered effect changes in the character of the quality of consciousness.
3    orientation_functions Orientation functionsGeneral mental functions of knowing and ascertaining one's relation to time to place, to self, to others, to objects, and to space.
4      orientation_to_time Orientation to timeMental functions that produce awareness of time of the day, day of the week, date, month and year.
4      orientation_to_place Orientation to placeMental functions that produce awareness of one's location, such as one's immediate surroundings, one's town or country.
4      orientation_to_person Orientation to personMental functions that produce awareness of one's own identity and of individuals in the immediate environment.
5        orientation_to_self Orientation to selfMental functions that produce awareness of one's own identity.
5        orientation_to_others Orientation to othersMental functions that produce awareness of the identity of other individuals in one's immediate environment.
4      orientation_to_objects Orientation to objectsMental functions that produce awareness of objects or features of objects.
4      orientation_to_space Orientation to spaceMental functions that produce awareness of one's body in relationship to the immediate physical space.
3    intellectual_functions Intellectual functionsGeneral mental functions, required to understand and constructively integrate the various mental functions including all cognitive functions and their development over the life span.
3    global_psychosocial_functions Global psychosocial functionsGeneral mental functions, as they develop over the life span, required to understand and constructively integrate the mental functions that lead to the formation of the personal skills needed to establish reciprocal social interactions, in terms of both meaning and purpose.
3    temperament_and_personality_functions Temperament and personality functionsGeneral mental functions of constitutional disposition of the individual to react in a particular way to situations, including the set of mental characteristics that makes the individual distinct from others.
4      extraversion ExtraversionMental functions that produce a personal disposition that is outgoing, sociable and demonstrative, as contrasted to being shy, restricted and inhibited.
4      agreeableness AgreeablenessMental functions that produce a personal disposition that is cooperative, amicable, and accomodating, as contrasted to being unfriendly, oppositional and defiant.
4      conscientiousness ConscientiousnessMental functions that produce a personal disposition such as in being hard-working, methodical and scrupulous, as contrasted to mental functions producing dispositions such as being lazy, unreliable and irresponsible.
4      psychic_stability Psychic stabilityMental functions that produce a personal disposition that is even-tempered, calm and composed, as contrasted to being irritable, worried, erratic and moody.
4      openness_to_experience Openness to experienceMental functions that produce a personal disposition that is curious, imaginative, inquisitive and experience-seeking, as contrasted to being stagnant, inattentive and emotionally inexpressive.
4      optimism OptimismMental functions that produce a personal disposition that is cheerful, buoyant and hopeful, as contrasted to being downhearted, gloomy and despairing.
4      confidence ConfidenceMental functions that produce a personal disposition that is self-assured, bold and assertive, as contrasted to being timid, insecure and self effacing.
4      trustworthiness TrustworthinessMental functions that produce a personal disposition that is dependable and principled, as contrasted to being deceitful and antisocial.
3    energy_and_drive_functions Energy and drive functionsGeneral mental functions of physiological and psychological mechanisms that cause the individual to move towards satisfy specific needs and general goals in a persistent manner.
4      energy_level Energy levelMental functions that produce vigour and stamina.
4      motivation MotivationMental functions that produce the incentive to act; the conscious or unconscious driving force for action.
4      appetite AppetiteMental functions that produce a natural longing or desire, especially the natural and recurring desire for food and drink.
4      craving CravingMental functions that produce the urge to consume substances, including substances that can be abused.
4      impulse_control Impulse controlMental functions that regulate and resist sudden intense urges to do something.
3    sleep_functions Sleep functionsGeneral mental functions of periodic, reversible and selective physical and mental disengagement from one's immediate environment accompanied by characteristic physiological changes.
4      amount_of_sleep Amount of sleepMental functions involved in the time spent in the state of sleep in the diurnal cycle or circadian rhythm.
4      onset_of_sleep Onset of sleepMental functions that produce the transition between wakefulness and sleep.
4      maintenance_of_sleep Maintenance of sleepMental functions that sustain the state of being asleep.
4      quality_of_sleep Quality of sleepMental functions that produce the natural sleep leading to optimal physical and mental rest and relaxation.
4      functions_involving_the_sleep_cycle Functions involving the sleep cycleMental functions that produce rapid eye movement (REM) sleep (associated with dreaming) and non-rapid eye movement sleep (NREM) (characterized by the traditional concept of sleep as a time of decreased physiological and psychological activity).
3    attention_functions Attention functionsSpecific mental functions of focusing on an external stimulus or internal experience for the required period of time.
4      sustaining_attention Sustaining attentionMental functions that produce concentration for the period of time required.
4      shifting_attention Shifting attentionMental functions that permit refocusing concentration from one stimulus to another.
4      dividing_attention Dividing attentionMental functions that permit focusing on two or more stimuli at the same time.
4      sharing_attention Sharing attentionMental functions that permit focusing on the same stimulus by two or more people, such as a child and a caregiver both focusing on a toy.
3    memory_functions Memory functionsSpecific mental functions of registering and storing information and retrieving it as needed.
4      short-term_memory Short-term memoryMental functions that produce a temporary, disruptable memory store of around 30 seconds duration from which information is lost if not consolidated into long-term memory.
4      long-term_memory Long-term memoryMental functions that produce a memory system permitting the long-term storage of information from short-term memory and both autobiographical memory for past events and semantic memory for language and facts.
4      retrieval_and_processing_of_memory Retrieval and processing of memorySpecific mental functions of recalling information stored in long-term memory and bringing it into awareness.
4      working_memory Working memoryMental functions that compare and process information retrieved from both short-term and long-term memory.
3    psychomotor_functions Psychomotor functionsSpecific mental functions of control over both motor and psychological events at the body level.
4      psychomotor_control Psychomotor controlMental functions that regulate the speed of behaviour or response time that involves both motor and psychological components, such as in disruption of control producing psychomotor retardation (moving and speaking slowly; decrease in gesturing and spontaneity) or psychomotor excitement (excessive behavioural and cognitive activity, usually nonproductive and often in response to inner tension as in toe-tapping, hand-wringing, agitation, or restlessness).
4      quality_of_psychomotor_functions Quality of psychomotor functionsMental functions that produce nonverbal behaviour in the proper sequence and character of its subcomponents, such as hand and eye coordination, or gait.
3    emotional_functions Emotional functionsSpecific mental functions related to the feeling and affective components of the processes of the mind.
4      appropriateness_of_emotion Appropriateness of emotionMental functions that produce congruence of feeling or affect with the situation, such as happiness at receiving good news.
4      regulation_of_emotion Regulation of emotionMental functions that control the experience and display of affect.
4      range_of_emotion Range of emotionMental functions that produce the spectrum of experience of arousal of affect or feelings such as love, hate, anxiousness, sorrow, joy, fear and anger.
3    perceptual_functions Perceptual functionsSpecific mental functions of recognizing and interpreting sensory stimuli.
4      auditory_perception Auditory perceptionMental functions involved in discriminating sounds, tones, pitches and other acoustic stimuli.
4      visual_perception Visual perceptionMental functions involved in discriminating shape, size, colour and other ocular stimuli.
4      olfactory_perception Olfactory perceptionMental functions involved in distinguishing differences in smells.
4      gustatory_perception Gustatory perceptionMental functions involved in distinguishing differences in tastes, such as sweet, sour, salty and bitter stimuli, detected by the tongue.
4      tactile_perception Tactile perceptionMental functions involved in distinguishing differences in texture, such as rough or smooth stimuli, detected by touch.
4      visuospatial_perception Visuospatial perceptionMental function involved in distinguishing by sight the relative position of objects in the environment or in relation to oneself.
3    thought_functions Thought functionsSpecific mental functions related to the ideational component of the mind.
4      pace_of_thought Pace of thoughtMental functions that govern speed of the thinking process.
4      form_of_thought Form of thoughtMental functions that organize the thinking process as to its coherence and logic.
4      content_of_thought Content of thoughtMental functions consisting of the ideas that are present in the thinking process and what is being conceptualized.
4      control_of_thought Control of thoughtMental functions that provide volitional control of thinking and are recognized as such by the person.
3    higher-level_cognitive_functions Higher-level cognitive functionsSpecific mental functions especially dependent on the frontal lobes of the brain, including complex goal-directed behaviours such as decision-making, abstract thinking, planning and carrying out plans, mental flexibility, and deciding which behaviours are appropriate under what circumstances; often called executive functions.
4      abstraction AbstractionMental functions of creating general ideas, qualities or characteristics out of, and distinct from, concrete realities, specific objects or actual instances.
4      organization_and_planning Organization and planningMental functions of coordinating parts into a whole, of systematizing; the mental function involved in developing a method of proceeding or acting.
4      time_management Time managementMental functions of ordering events in chronological sequence, allocating amounts of time to events and activities.
4      cognitive_flexibility Cognitive flexibilityMental functions of changing strategies, or shifting mental sets, especially as involved in problem-solving.
4      insight InsightMental functions of awareness and understanding of oneself and one's behaviour.
4      judgement JudgementMental functions involved in discriminating between and evaluating different options, such as those involved in forming an opinion.
4      problem_solving Problem SolvingMental functions of identifying, analysing, and integrating incongruent or conflicting information into a solution.
3    mental_functions_of_language Mental functions of languageSpecific mental functions of recognizing and using signs, symbols and other components of a language.
4      reception_of_language Reception of languageSpecific mental functions of decoding messages in spoken, written or other forms, such as sign language, to obtain their meaning.
5        reception_of_spoken_language Reception of spoken languageMental functions of decoding spoken messages to obtain their meaning.
5        reception_of_written_language Reception of written languageMental functions of decoding written messages to obtain their meaning.
5        reception_of_sign_language Reception of sign languageMental functions of decoding messages in languages that use signs made by hands and other movements, in order to obtain their meaning.
5        reception_of_body_language Reception of body languageMental functions of decoding messages in body gestures made by hands and other movements, in order to obtain their meaning.
4      expression_of_language Expression of languageSpecific mental functions necessary to produce meaningful messages in spoken, written, signed or other forms of language.
5        expression_of_spoken_language Expression of spoken languageMental functions necessary to produce meaningful spoken messages.
5        expression_of_written_language Expression of written languageMental functions necessary to produce meaningful written messages.
5        expression_of_sign_language Expression of sign languageMental functions to produce meaningful messages in languages that use signs made by hands and other movements.
5        expression_of_body_language Expression of body languageMental functions necessary to produce messages using gestures made by hands and other movements.
4      integrative_language_functions Integrative language functionsMental functions that organize semantic and symbolic meaning, grammatical structure and ideas for the production of messages in spoken, written or other forms of language.
3    calculation_functions Calculation functionsSpecific mental functions of determination, approximation and manipulation of mathematical symbols and processes.
4      simple_calculation Simple calculationMental functions of computing with numbers, such as addition, subtraction, multiplication and division.
4      complex_calculation Complex calculationMental functions of translating word problems into arithmetic procedures, translating mathematical formulas into arithmetic procedures, and other complex manipulations involving numbers.
3    mental_function_of_sequencing_complex_movements Mental function of sequencing complex movementsSpecific mental functions of sequencing and co-ordinating complex, purposeful movements.
3    experience_of_self_and_time_functions Experience of self and time functionsSpecific mental functions related to the awareness of one's identity, one's body, one's position in the reality of one's environment and of time.
4      experience_of_self Experience of selfSpecific mental functions of being aware of one's own identity and one's position in the reality of one's environment around oneself.
4      body_image Body imageSpecific mental functions related to the representation and awareness of one's body.
4      experience_of_time Experience of timeSpecific mental functions of the subjective experiences related to the length and passage of time.
2  sensory_functions_and_pain Sensory functions and painThis chapter is about the functions of the senses, seeing, hearing, tasting and so on, as well as the sensation of pain.
3    seeing_functions Seeing functionsSensory functions relating to sensing the presence of light and sensing the form, size, shape and colour of the visual stimuli.
4      visual_acuity_functions Visual acuity functionsSeeing functions of sensing form and contour, both binocular and monocular, for both distant and near vision.
5        binocular_acuity_of_distant_vision Binocular acuity of distant visionSeeing functions of sensing size, form and contour using both eyes for objects distant from the eye.
5        monocular_acuity_of_distant_vision Monocular acuity of distant visionSeeing functions of sensing size, form and contour using either right or left eye alone, for objects distant from the eye.
5        binocular_acuity_of_near_vision Binocular acuity of near visionSeeing functions of sensing size, form and contour, using both eyes, for objects close to the eye.
5        monocular_acuity_of_near_vision Monocular acuity of near visionSeeing functions of sensing size, form and contour, using either right or left eye alone, for objects close to the eye.
4      visual_field_functions Visual field functionsSeeing functions related to the entire area that can be seen with fixation of gaze.
4      quality_of_vision Quality of visionSeeing functions involving light sensitivity, colour vision, contrast sensitivity and the overall quality of the picture.
5        light_sensitivity Light sensitivitySeeing functions of sensing a minimum amount of light (light minimum), and the minimum difference in intensity (light difference).
5        colour_vision Colour visionSeeing functions of differentiating and matching colours.
5        contrast_sensitivity Contrast sensitivitySeeing functions of separating figure from ground, involving the minimum amount of luminance required.
5        visual_picture_quality Visual picture qualitySeeing functions involving the quality of the picture.
3    functions_of_structures_adjoining_the_eye Functions of structures adjoining the eyeFunctions of structures in and around the eye that facilitate seeing functions.
4      functions_of_internal_muscles_of_the_eye Functions of internal muscles of the eyeFunctions of the muscles inside the eye, such as the iris, that adjust the shape and size of the pupil and lens of the eye.
4      functions_of_the_eyelid Functions of the eyelidFunctions of the eyelid, such as the protective reflex.
4      functions_of_external_muscles_of_the_eye Functions of external muscles of the eyeFunctions of the muscles that are used to look in different directions, to follow an object as it moves across the visual field, to produce saccadic jumps to catch up with a moving target, and to fix the eye.
4      functions_of_lachrymal_glands Functions of lachrymal glandsFunctions of the tear glands and ducts.
3    sensations_associated_with_the_eye_and_adjoining_structures Sensations associated with the eye and adjoining structuresSensations of tired, dry and itching eye and related feelings.
3    hearing_functions Hearing functionsSensory functions relating to sensing the presence of sounds and discriminating the location, pitch, loudness and quality of sounds.
4      sound_detection Sound detectionSensory functions relating to sensing the presence of sounds.
4      sound_discrimination Sound discriminationSensory functions relating to sensing the presence of sound involving the differentiation of ground and binaural synthesis, separation and blending.
4      localization_of_sound_source Localization of sound sourceSensory functions relating to determining the location of the source of sound.
4      lateralization_of_sound Lateralization of soundSensory functions relating to determining whether the sound is coming from right or the left side.
4      speech_discrimination Speech discriminationSensory functions relating to determining spoken language and distinguishing it from other sounds.
3    vestibular_functions Vestibular functionsSensory functions of the inner ear related to position, balance and movement.
4      vestibular_function_of_position Vestibular function of positionSensory functions of the inner ear related to determining the position of the body.
4      vestibular_function_of_balance Vestibular function of balanceSensory functions of the inner ear related to determining the balance of the body.
4      vestibular_function_of_determination_of_movement Vestibular function of determination of movementSensory functions of the inner ear related to determining movement of the body, including its direction and speed.
3    sensations_associated_with_hearing_and_vestibular_function Sensations associated with hearing and vestibular functionSensations of dizziness, falling, tinnitus and vertigo.
4      ringing_in_ears_or_tinnitus Ringing in ears or tinnitusSensation of low-pitched rushing, hissing or ringing in the ear.
4      dizziness DizzinessSensation of motion involving either oneself or one's environment; sensation of rotating, swaying or tilting.
4      sensation_of_falling Sensation of fallingSensation of losing one's grip and falling.
4      nausea_associated_with_dizziness_or_vertigo Nausea associated with dizziness or vertigoSensation of wanting to vomit that arises from dizziness or vertigo.
4      irritation_in_the_ear Irritation in the earSensation of itching or other similar sensations in the ear.
4      aural_pressure Aural pressureSensation of pressure in the ear.
3    taste_function Taste functionSensory functions of sensing qualities of bitterness, sweetness, sourness and saltiness
3    smell_function Smell functionSensory functions of sensing odours and smells.
3    proprioceptive_function Proprioceptive functionSensory functions of sensing the relative position of body parts.
3    touch_function Touch functionSensory functions of sensing surfaces and their texture or quality.
3    sensory_functions_related_to_temperature_and_other_stimuli Sensory functions related to temperature and other stimuliSensory functions of sensing temperature, vibration, pressure and noxious stimulus.
4      sensitivity_to_temperature Sensitivity to temperatureSensory functions of sensing cold and heat.
4      sensitivity_to_vibration Sensitivity to vibrationSensory functions of sensing shaking or oscillation.
4      sensitivity_to_pressure Sensitivity to pressureSensory functions of sensing pressure against or on the skin.
4      sensitivity_to_a_noxious_stimulus Sensitivity to a noxious stimulusSensory functions of sensing painful or uncomfortable sensations.
3    sensation_of_pain Sensation of painSensation of unpleasant feeling indicating potential or actual damage to some body structure.
4      generalized_pain Generalized painSensation of unpleasant feeling indicating potential or actual damage to some body structure felt all over, or throughout the body.
4      pain_in_body_part Pain in body partSensation of unpleasant feeling indicating potential or actual damage to some body structure felt in a specific part, or parts, of the body.
5        pain_in_head_and_neck Pain in head and neckSensation of unpleasant feeling indicating potential or actual damage to some body structure felt in the head and neck.
5        pain_in_chest Pain in chestSensation of unpleasant feeling indicating potential or actual damage to some body structure felt in the chest.
5        pain_in_stomach_or_abdomen Pain in stomach or abdomenSensation of unpleasant feeling indicating potential or actual damage to some body structure felt in the stomach or abdomen.
5        pain_in_back Pain in backSensation of unpleasant feeling indicating potential or actual damage to some body structure felt in the back.
5        pain_in_upper_limb Pain in upper limbSensation of unpleasant feeling indicating potential or actual damage to some body structure felt in either one or both upper limbs, including hands.
5        pain_in_lower_limb Pain in lower limbSensation of unpleasant feeling indicating potential or actual damage to some body structure felt in either one or both lower limbs, including feet.
5        pain_in_joints Pain in jointsSensation of unpleasant feeling indicating potential or actual damage to some body structure felt in one or more joints, including small and big joints.
4      pain_in_multiple_body_parts Pain in multiple body partsUnpleasant sensation indicating potential or actual damage to some body structure located in several body parts.
4      radiating_pain_in_a_dermatome Radiating pain in a dermatomeUnpleasant sensation indicating potential or actual damage to some body structure located in areas of skin served by the same nerve root.
4      radiating_pain_in_a_segment_or_region Radiating pain in a segment or regionUnpleasant sensation indicating potential or actual damage to some body structure located in areas of skin in different body parts not served by the same nerve root.
2  voice_and_speech_functions Voice and speech functionsThis chapter is about the functions of producing sounds and speech.
3    voice_functions Voice functionsFunctions of the production of various sounds by the passage of air through the larynx.
4      production_of_voice Production of voiceFunctions of the production of sound made through coordination of the larynx and surrounding muscles with the respiratory system.
4      quality_of_voice Quality of voiceFunctions of the production of characteristics of voice including pitch, resonance and other features.
3    articulation_functions Articulation functionsFunctions of the production of speech sounds.
3    fluency_and_rhythm_of_speech_functions Fluency and rhythm of speech functionsFunctions of the production of flow and tempo of speech.
4      fluency_of_speech Fluency of speechFunctions of the production of smooth, uninterrupted flow of speech.
4      rhythm_of_speech Rhythm of speechFunctions of the modulated, tempo and stress patterns in speech.
4      speed_of_speech Speed of speechFunctions of the rate of speech production.
4      melody_of_speech Melody of speechFunctions of modulation of pitch patterns in speech.
3    alternative_vocalization_functions Alternative vocalization functionsFunctions of the production of other manners of vocalization.
4      production_of_tones Production of tonesFunctions of production of musical vocal sounds.
4      making_a_range_of_sounds Making a range of soundsFunctions of production of a variety of vocalizations.
2  functions_of_the_cardiovascular_haematological_immunological_and_respiratory_systems Functions of the cardiovascular, haematological, immunological and respiratory systemsThis chapter is about the functions involved in the cardiovascular system (functions of the heart and blood vessels), the haematological and immunological systems (functions of blood production and immunity), and the respiratory system (functions of respiration and exercise tolerance).
3    heart_functions Heart functionsFunctions of pumping the blood in adequate or required amounts and pressure throughout the body.
4      heart_rate Heart rateFunctions related to the number of times the heart contracts every minute.
4      heart_rhythm Heart rhythmFunctions related to the regularity of the beating of the heart.
4      contraction_force_of_ventricular_muscles Contraction force of ventricular musclesFunctions related to the amount of blood pumped by the ventricular muscles during every beat.
4      blood_supply_to_the_heart Blood supply to the heartFunctions related to the volume of blood available to the heart muscle.
3    blood_vessel_functions Blood vessel functionsFunctions of transporting blood throughout the body.
4      functions_of_arteries Functions of arteriesFunctions related to blood flow in the arteries.
4      functions_of_capillaries Functions of capillariesFunctions related to blood flow in the capillaries.
4      functions_of_veins Functions of veinsFunctions related to blood flow in the veins, and the functions of valves of veins.
3    blood_pressure_functions Blood pressure functionsFunctions of maintaining the pressure of blood within the arteries.
4      increased_blood_pressure Increased blood pressureFunctions related to a rise in systolic or diastolic blood pressure above normal for the age.
4      decreased_blood_pressure Decreased blood pressureFunctions related to a fall in systolic or diastolic blood pressure below normal for the age.
4      maintenance_of_blood_pressure Maintenance of blood pressureFunctions related to maintaining an appropriate blood pressure in response to changes in the body.
3    haematological_system_functions Haematological system functionsFunctions of blood production, oxygen and metabolite carriage, and clotting.
4      production_of_blood Production of bloodFunctions related to the production of blood and all its constituents.
4      oxygen-carrying_functions_of_the_blood Oxygen-carrying functions of the bloodFunctions related to the blood's capacity to carry oxygen throughout the body.
4      metabolite-carrying_functions_of_the_blood Metabolite-carrying functions of the bloodFunctions related to the blood's capacity to carry metabolites throughout the body.
4      clotting_functions Clotting functionsFunctions related to the coagulation of blood, such as at a site of injury.
3    immunological_system_functions Immunological system functionsFunctions of the body related to protection against foreign substances, including infections, by specific and non-specific immune responses.
4      immune_response Immune responseFunctions of the body's response of sensitization to foreign substances, including infections.
5        specific_immune_response Specific immune responseFunctions of the body's response of sensitization to a specific foreign substance.
5        non-specific_immune_response Non-specific immune responseFunctions of the body's general response of sensitization to foreign substances, including infections.
4      hypersensitivity_reactions Hypersensitivity reactionsFunctions of the body's response of increased sensitization to foreign substances, such as in sensitivities to different antigens.
4      functions_of_lymphatic_vessels Functions of lymphatic vesselsFunctions related to vascular channels that transport lymph.
4      functions_of_lymph_nodes Functions of lymph nodesFunctions related to glands along the course of lymphatic vessels.
3    respiration_functions Respiration functionsFunctions of inhaling air into the lungs, the exchange of gases between air and blood, and exhaling air.
4      respiration_rate Respiration rateFunctions related to the number of breaths taken per minute.
4      respiratory_rhythm Respiratory rhythmFunctions related to the periodicity and regularity of breathing.
4      depth_of_respiration Depth of respirationFunctions related to the volume of expansion of the lungs during breathing.
3    respiratory_muscle_functions Respiratory muscle functionsFunctions of the muscles involved in breathing.
4      functions_of_the_thoracic_respiratory_muscles Functions of the thoracic respiratory musclesFunctions of the thoracic muscles involved in breathing.
4      functions_of_the_diaphragm Functions of the diaphragmFunctions of the diaphragm as involved in breathing.
4      functions_of_accessory_respiratory_muscles Functions of accessory respiratory musclesFunctions of the additional muscles involved in breathing.
3    additional_functions_of_the_respiratory_system Additional functions of the respiratory systemAdditional functions related to breathing, such as producing and transporting secretion, coughing, sneezing and yawning.
4      functions_of_breathing_through_the_mouth Functions of breathing through the mouth
4      functions_of_coughing Functions of coughing
4      functions_of_sneezing Functions of sneezing
4      functions_of_yawning Functions of yawning
4      functions_related_to_mucus Functions related to mucus
5        production_of_mucus Production of mucusFunctions of producing mucus of upper and lower airways.
5        transportation_of_mucus Transportation of mucusFunctions of transportation of mucus of upper and lower airways.
3    exercise_tolerance_functions Exercise tolerance functionsFunctions related to respiratory and cardiovascular capacity as required for enduring physical exertion.
4      general_physical_endurance General physical enduranceFunctions related to the general level of tolerance of physical exercise or stamina.
4      aerobic_capacity Aerobic capacityFunctions related to the extent to which a person can exercise without getting out of breath.
4      fatiguability FatiguabilityFunctions related to susceptibility to fatigue, at any level of exertion.
3    sensations_associated_with_cardiovascular_and_respiratory_functions Sensations associated with cardiovascular and respiratory functionsSensations such as missing a heart beat, palpitation and shortness of breath.
2  functions_of_the_digestive_metabolic_and_endocrine_systems Functions of the digestive, metabolic and endocrine systemsThis chapter is about the functions of ingestion, digestion and elimination, as well as functions involved in metabolism and the endocrine glands.
3    ingestion_functions Ingestion functionsFunctions related to taking in and manipulating solids or liquids through the mouth into the body.
4      sucking SuckingFunctions of drawing food or liquids into the mouth by a suction force produced by movements of the cheeks, lips and tongue.
4      biting BitingFunctions of cutting into, piercing or tearing off food with the front teeth.
4      chewing ChewingFunctions of crushing, grinding and masticating food with the back teeth (e.g. molars).
4      manipulation_of_food_in_the_mouth Manipulation of food in the mouthFunctions of moving food around the mouth with the teeth and tongue.
4      salivation SalivationFunction of the production of saliva within the mouth.
4      swallowing SwallowingFunctions of clearing substances, such as food, drink and saliva through the oral cavity, pharynx and oesophagus into the stomach at an appropriate rate and speed.
5        oral_swallowing Oral swallowingFunction of clearing substances through the oral cavity at an appropriate rate and speed.
5        pharyngeal_swallowing Pharyngeal swallowingFunction of clearing substances through the pharynx at an appropriate rate and speed.
5        oesophageal_swallowing Oesophageal swallowingFunction of clearing substances through the oesophagus at an appropriate rate and speed.
4      functions_of_expelling_the_contents_of_the_stomach_oesophagus_or_pharynx Functions of expelling the contents of the stomach, oesophagus or pharynxFunctions of moving substances such as food, liquid, medications, objects intentionally or unintentionally swallowed in the reverse direction to ingestion, such as in regurgitation and vomiting.
5        vomiting Vomiting
5        regurgitating Regurgitating
3    digestive_functions Digestive functionsFunctions of transporting food through the gastrointestinal tract, breakdown of food and absorption of nutrients.
4      transport_of_food_through_stomach_and_intestines Transport of food through stomach and intestinesPeristalsis and related functions that mechanically move food through stomach and intestines.
4      breakdown_of_food Breakdown of foodFunctions of mechanically reducing food to smaller particles in the gastrointestinal tract.
4      absorption_of_nutrients Absorption of nutrientsFunctions of passing food and drink nutrients into the blood stream from along the intestines.
4      tolerance_to_food Tolerance to foodFunctions of accepting suitable food and drink for digestion and rejecting what is unsuitable.
3    assimilation_functions Assimilation functionsFunctions by which nutrients are converted into components of the living body.
3    defecation_functions Defecation functionsFunctions of elimination of wastes and undigested food as faeces and related functions.
4      elimination_of_faeces Elimination of faecesFunctions of the elimination of waste from the rectum, including the functions of contraction of the abdominal muscles in doing so.
4      faecal_consistency Faecal consistencyConsistency of faeces such as hard, firm, soft or watery.
4      frequency_of_defecation Frequency of defecationFunctions involved in the frequency of defecation.
4      faecal_continence Faecal continenceFunctions involved in voluntary control over the elimination function.
4      flatulence FlatulenceFunctions involved in the expulsion of excessive amounts of air or gases from the intestines.
3    weight_maintenance_functions Weight maintenance functionsFunctions of maintaining appropriate body weight, including weight gain during the developmental period.
3    sensations_associated_with_the_digestive_system Sensations associated with the digestive systemSensations arising from eating, drinking and related digestive functions.
4      sensation_of_nausea Sensation of nauseaSensation of needing to vomit.
4      feeling_bloated Feeling bloatedSensation of distension of the stomach or abdomen.
4      sensation_of_abdominal_cramp Sensation of abdominal crampSensation of spasmodic or painful muscular contractions of the smooth muscles of the gastrointestinal tract.
3    general_metabolic_functions General metabolic functionsFunctions of regulation of essential components of the body such as carbohydrates, proteins and fats, the conversion of one to another, and their breakdown into energy.
4      basal_metabolic_rate Basal metabolic rateFunctions involved in oxygen consumption of the body at specified conditions of rest and temperature.
4      carbohydrate_metabolism Carbohydrate metabolismFunctions involved in the process by which carbohydrates in the diet are stored and broken down into glucose and subsequently into carbon dioxide and water.
4      protein_metabolism Protein metabolismFunctions involved in the process by which proteins in the diet are converted to amino acids and broken down further in the body.
4      fat_metabolism Fat metabolismFunctions involved in the process by which fat in the diet is stored and broken down in the body.
3    water_mineral_and_electrolyte_balance_functions Water, mineral and electrolyte balance functionsFunctions of the regulation of water, minerals and electrolytes in the body.
4      water_balance Water balanceFunctions involved in maintaining the level or amount of water in the body.
5        water_retention Water retentionFunctions involved in keeping water in the body.
5        maintenance_of_water_balance Maintenance of water balanceFunctions involved in maintaining the optimal amount of water in the body.
4      mineral_balance Mineral balanceFunctions involved in maintaining an equilibrium between intake, storage, utilization and excretion of minerals in the body.
4      electrolyte_balance Electrolyte balanceFunctions involved in maintaining an equilibrium between intake, storage, utilization and excretion of electrolytes in the body.
3    thermoregulatory_functions Thermoregulatory functionsFunctions of the regulation of body temperature.
4      body_temperature Body temperatureFunctions involved in regulating the core temperature of the body.
4      maintenance_of_body_temperature Maintenance of body temperatureFunctions involved in maintaining optimal body temperature as environmental temperature changes.
3    endocrine_gland_functions Endocrine gland functionsFunctions of production and regulation of hormonal levels in the body, including cyclical changes.
4      pubertal_functions Pubertal functionsFunctions associated with the onset of puberty and manifestations of primary and secondary sexual characteristics.
5        body_and_pubic_hair_development Body and pubic hair developmentFunctions associated with development body and pubic hair.
5        breast_and_nipple_development Breast and nipple developmentFunctions associated with breast and nipple development.
5        penis_testes_and_scrotum_development Penis, testes and scrotum developmentFunctions associated with development of penis, testes and scrotum.
2  genitourinary_and_reproductive_functions Genitourinary and reproductive functionsThis chapter is about the functions of urination and the reproductive functions, including sexual and procreative functions.
3    urinary_excretory_functions Urinary excretory functionsFunctions of filtration and collection of the urine.
4      filtration_of_urine Filtration of urineFunctions of filtration of urine by the kidneys.
4      collection_of_urine Collection of urineFunctions of collection and storage of urine by the ureters and bladder.
3    urination_functions Urination functionsFunctions of discharge of urine from the urinary bladder.
4      urination UrinationFunctions of voiding the urinary bladder.
4      frequency_of_urination Frequency of urinationFunctions involved in the number of times urination occurs.
4      urinary_continence Urinary continenceFunctions of control over urination.
3    sensations_associated_with_urinary_functions Sensations associated with urinary functionsSensations arising from voiding and related urinary functions.
3    sexual_functions Sexual functionsMental and physical functions related to the sexual act, including the arousal, preparatory, orgasmic and resolution stages.
4      functions_of_sexual_arousal_phase Functions of sexual arousal phaseFunctions of sexual interest and excitement.
4      functions_of_sexual_preparatory_phase Functions of sexual preparatory phaseFunctions of engaging in sexual intercourse.
4      functions_of_orgasmic_phase Functions of orgasmic phaseFunctions of reaching orgasm.
4      functions_of_sexual_resolution_phase Functions of sexual resolution phaseFunctions of satisfaction after orgasm and accompanying relaxation.
3    menstruation_functions Menstruation functionsFunctions associated with the menstrual cycle, including regularity of menstruation and discharge of menstrual fluids.
4      regularity_of_menstrual_cycle Regularity of menstrual cycleFunctions involved in the regularity of the menstrual cycle.
4      interval_between_menstruation Interval between menstruationFunctions relating to the length of time between two menstrual cycles.
4      extent_of_menstrual_bleeding Extent of menstrual bleedingFunctions involved in the quantity of menstrual flow.
4      onset_of_menstruation Onset of menstruationFunctions related to the onset of the first menstruation (menarche).
4      cessation_of_menstruation Cessation of menstruationFunctions related to the temporary or permanent cessation of the menstruation.
3    procreation_functions Procreation functionsFunctions associated with fertility, pregnancy, childbirth and lactation.
4      functions_related_to_fertility Functions related to fertilityFunctions related to the ability to produce gametes for procreation.
4      functions_related_to_pregnancy Functions related to pregnancyFunctions involved in becoming pregnant and being pregnant.
4      functions_related_to_childbirth Functions related to childbirthFunctions involved during childbirth.
4      lactation LactationFunctions involved in the production of milk and making it available to the child.
3    sensations_associated_with_genital_and_reproductive_functions Sensations associated with genital and reproductive functionsSensations associated with sexual intercourse, menstruation, and related genital or reproductive functions.
4      sensations_associated_with_sexual_intercourse Sensations associated with sexual intercourseSensations associated with sexual arousal, preparation, intercourse, orgasm and resolution.
4      sensations_associated_with_the_menstrual_cycle Sensations associated with the menstrual cycleSensations involved with menstruation, including pre- and post-menstrual phases.
4      sensations_associated_with_menopause Sensations associated with menopauseSensations associated with the cessation of menstrual cycle.
4      sensations_associated_with_genital_functions Sensations associated with genital functionsFunctions associated with arousal of the genitals.
2  neuromusculoskeletal_and_movement-related_functions Neuromusculoskeletal and movement-related functionsThis chapter is about the functions of movement and mobility, including functions of joints, bones, reflexes and muscles.
3    mobility_of_joint_functions Mobility of joint functionsFunctions of the range and ease of movement of a joint.
4      mobility_of_a_single_joint Mobility of a single jointFunctions of the range and ease of movement of one joint.
4      mobility_of_several_joints Mobility of several jointsFunctions of the range and ease of movement of more than one joint.
4      mobility_of_joints_generalized Mobility of joints generalizedFunctions of the range and ease of movement of joints throughout the body.
3    stability_of_joint_functions Stability of joint functionsFunctions of the maintenance of structural integrity of the joints.
4      stability_of_a_single_joint Stability of a single jointFunctions of the maintenance of structural integrity of one joint.
4      stability_of_several_joints Stability of several jointsFunctions of the maintenance of structural integrity of more than one joint.
4      stability_of_joints_generalized Stability of joints generalizedFunctions of the maintenance of structural integrity of joints throughout the body.
3    mobility_of_bone_functions Mobility of bone functionsFunctions of the range and ease of movement of the scapula, pelvis, carpal and tarsal bones.
4      mobility_of_scapula Mobility of scapulaFunctions of the range and ease of movement of the scapula.
4      mobility_of_pelvis Mobility of pelvisFunctions of the range and ease of movement of the pelvis.
4      mobility_of_carpal_bones Mobility of carpal bonesFunctions of the range and ease of movement of the carpal bones.
4      mobility_of_tarsal_bones Mobility of tarsal bonesFunctions of the range and ease of movement of the tarsal bones.
3    muscle_power_functions Muscle power functionsFunctions related to the force generated by the contraction of a muscle or muscle groups.
4      power_of_isolated_muscles_and_muscle_groups Power of isolated muscles and muscle groupsFunctions related to the force generated by the contraction of specific and isolated muscles and muscle groups.
4      power_of_muscles_of_one_limb Power of muscles of one limbFunctions related to the force generated by the contraction of the muscles and muscle groups of one arm or leg.
4      power_of_muscles_of_one_side_of_the_body Power of muscles of one side of the bodyFunctions related to the force generated by the contraction of the muscles and muscle groups found on the left or right side of the body.
4      power_of_muscles_in_lower_half_of_the_body Power of muscles in lower half of the bodyFunctions related to the force generated by the contraction of the muscles and muscle groups found in the lower half of the body.
4      power_of_muscles_of_all_limbs Power of muscles of all limbsFunctions related to the force generated by the contraction of muscles and muscle groups of all four limbs.
4      power_of_muscles_of_the_trunk Power of muscles of the trunkFunctions related to the force generated by the contraction of muscles and muscle groups in the trunk.
4      power_of_all_muscles_of_the_body Power of all muscles of the bodyFunctions related to the force generated by the contraction of all muscles and muscle groups of the body.
3    muscle_tone_functions Muscle tone functionsFunctions related to the tension present in the resting muscles and the resistance offered when trying to move the muscles passively.
4      tone_of_isolated_muscles_and_muscle_groups Tone of isolated muscles and muscle groupsFunctions related to the tension present in the resting isolated muscles and muscle groups and the resistance offered when trying to move those muscles passively.
4      tone_of_muscles_of_one_limb Tone of muscles of one limbFunctions related to the tension present in the resting muscles and muscle groups in one arm or leg and the resistance offered when trying to move those muscles passively.
4      tone_of_muscles_of_one_side_of_body Tone of muscles of one side of bodyFunctions related to the tension present in the resting muscles and muscle groups of the right or left side of the body and the resistance offered when trying to move those muscles passively.
4      tone_of_muscles_of_lower_half_of_body Tone of muscles of lower half of bodyFunctions related to the tension present in the resting muscles and muscle groups in the lower half of the body and the resistance offered when trying to move those muscles passively.
4      tone_of_muscles_of_all_limbs Tone of muscles of all limbsFunctions related to the tension present in the resting muscles and muscle groups in all four limbs and the resistance offered when trying to move those muscles passively.
4      tone_of_muscles_of_trunk Tone of muscles of trunkFunctions related to the tension present in the resting muscles and muscle groups of the trunk and the resistance offered when trying to move those muscles passively.
4      tone_of_all_muscles_of_the_body Tone of all muscles of the bodyFunctions related to the tension present in the resting muscles and muscle groups of the whole body and the resistance offered when trying to move those muscles passively.
3    muscle_endurance_functions Muscle endurance functionsFunctions related to sustaining muscle contraction for the required period of time.
4      endurance_of_isolated_muscles Endurance of isolated musclesFunctions related to sustaining muscle contraction of isolated muscles for the required period of time.
4      endurance_of_muscle_groups Endurance of muscle groupsFunctions related to sustaining muscle contraction of isolated muscle groups for the required period of time.
4      endurance_of_all_muscles_of_the_body Endurance of all muscles of the bodyFunctions related to sustaining muscle contraction of all muscles of the body for the required period of time.
3    motor_reflex_functions Motor reflex functionsFunctions of involuntary contraction of muscles automatically induced by specific stimuli.
4      stretch_motor_reflex Stretch motor reflexFunctions of involuntary contractions of muscles automatically induced by stretching.
4      reflexes_generated_by_noxious_stimuli Reflexes generated by noxious stimuliFunctions of involuntary contractions of muscles automatically induced by painful or other noxious stimuli.
4      reflexes_generated_by_other_exteroceptive_stimuli Reflexes generated by other exteroceptive stimuliFunctions of involuntary contractions of muscles automatically induced by external stimuli other than noxious stimuli.
3    involuntary_movement_reaction_functions Involuntary movement reaction functionsFunctions of involuntary contractions of large muscles or the whole body induced by body position, balance and threatening stimuli.
3    control_of_voluntary_movement_functions Control of voluntary movement functionsFunctions associated with control over and coordination of voluntary movements.
4      control_of_simple_voluntary_movements Control of simple voluntary movementsFunctions associated with control over and coordination of simple or isolated voluntary movements.
4      control_of_complex_voluntary_movements Control of complex voluntary movementsFunctions associated with control over and coordination of complex voluntary movements.
4      coordination_of_voluntary_movements Coordination of voluntary movementsFunctions associated with coordination of simple and complex voluntary movements, performing movements in an orderly combination.
4      supportive_functions_of_arm_or_leg Supportive functions of arm or legFunctions associated with control over and coordination of voluntary movements by placing weight either on the arms (elbows or hands) or on the legs (knees or feet).
3    spontaneous_movements Spontaneous movementsFunctions associated with frequency, fluency and complexity of total and individual body-part movements such as infant spontaneous movements and patterns of movement.
4      general_movements General movementsRepertoire and quality of age-specific general spontaneous movements such as "writhing" movements and "fidgety" movements in early life.
4      specific_spontaneous_movements Specific spontaneous movementsRepertoire and quality of other spontaneous movements normally present in the first postnatal months, such as arm and leg movements toward midline, finger movements and kicking.
3    involuntary_movement_functions Involuntary movement functionsFunctions of unintentional, non- or semi-purposive involuntary contractions of a muscle or group of muscles.
4      involuntary_contractions_of_muscles Involuntary contractions of musclesFunctions of unintentional, non- or semi-purposive involuntary contractions of a muscle or group of muscles, such as those involved in part of a psychological dysfunction.
4      tremor TremorFunctions of alternating contraction and relaxation of a group of muscles around a joint, resulting in shakiness.
4      tics_and_mannerisms Tics and mannerismsFunctions of repetitive, quasi-purposive, involuntary contractions of a group of muscles.
4      stereotypies_and_motor_perseveration Stereotypies and motor perseverationFunctions of spontaneous, non-purposive movements such as repetively rocking to and fro and nodding the head or wiggling.
3    gait_pattern_functions Gait pattern functionsFunctions of movement patterns associated with walking, running or other whole body movements.
3    sensations_related_to_muscles_and_movement_functions Sensations related to muscles and movement functionsSensations associated with the muscles or muscle groups of the body and their movement.
4      sensation_of_muscle_stiffness Sensation of muscle stiffnessSensation of tightness or stiffness of muscles.
4      sensation_of_muscle_spasm Sensation of muscle spasmSensation of involuntary contraction of a muscle or a group of muscles.
2  functions_of_the_skin_and_related_structures Functions of the skin and related structuresThis chapter is about the functions of skin, nails and hair.
3    protective_functions_of_the_skin Protective functions of the skinFunctions of the skin for protecting the body from physical, chemical and biological threats.
3    repair_functions_of_the_skin Repair functions of the skinFunctions of the skin for repairing breaks and other damage to the skin.
3    other_functions_of_the_skin Other functions of the skinFunctions of the skin other than protection and repair, such as cooling and sweat secretion.
3    sensation_related_to_the_skin Sensation related to the skinSensations related to the skin such as itching, burning sensation and tingling.
3    functions_of_hair Functions of hairFunctions of the hair, such as protection, coloration and appearance.
3    functions_of_nails Functions of nailsFunctions of the nails, such as protection, scratching and appearance.
1activities_and_participation Activities and participationActivity is the execution of a task or action by an individual. Participation is involvement in a life situation. Activity limitations are difficulties an individual may have in executing activities. Participation restrictions are problems an individual may experience in involvement in life situations. The domains for the Activities and Participation component are given in a single list that covers the full range of life areas (from basic learning and watching to composite areas such as social tasks). This component can be used to dedefinition activities (a) or participation (p) or both. The two qualifiers for the Activities and Participation component are the performance qualifier and the capacity qualifier. The performance qualifier describes what an individual does in his or her current environment. Because the current environment brings in a societal context, performance as recorded by this qualifier can also be understood as "involvement in a life situation" or "the lived experience" of people in the actual context in which they live. This context includes the environmental factors - all aspects of the physical, social and attitudinal world, which can be coded using the Environmental Factors component. The capacity qualifier describes an individual's ability to execute a task or an action. This qualifier identifies the highest probable level of functioning that a person may reach in a given domain at a given moment. Capacity is measured in a uniform or standard environment, and thus reflects the environmentally adjusted ability of the individual. The Environmental Factors component can be used to describe the features of this uniform or standard environment. Both capacity and performance qualifiers can be used with and without assistive devices or personal assistance, and in accordance with the following scale:
2  learning_and_applying_knowledge Learning and applying knowledgeThis chapter is about learning, applying the knowledge that is learned, thinking, solving problems, and making decisions.
3    watching WatchingUsing the sense of seeing intentionally to experience visual stimuli, such as visually tracking an object, watching a sporting event, people, or children playing.
3    listening ListeningUsing the sense of hearing intentionally to experience auditory stimuli, such as listening to a radio, to the human voice, to music, to a lecture, or to a story told.
3    other_purposeful_sensing Other purposeful sensingUsing the body's other basic senses intentionally to experience stimuli, such as touching and feeling textures, tasting sweets or smelling flowers.
4      mouthing MouthingExploring objects using mouth or lips.
4      touching TouchingExploring objects using hands, fingers or other limbs or body parts
4      smelling SmellingExploring objects by bringing them to the nose or the nose to objects.
4      tasting TastingExploring the taste of food or liquid by biting, chewing, sucking.
3    copying CopyingImitating or mimicking as a basic component of learning, such as copying a facial expression, a gesture, a sound or the letters of an alphabet.
3    learning_through_actions_with_objects Learning through actions with objectsLearning through simple actions on a single object, two or more objects, symbolic and pretend play, such as in hitting an object, banging blocks and playing with dolls or cars.
4      learning_through_simple_actions_with_a_single_object Learning through simple actions with a single objectSimple actions with a single object or toy by manipulating, banging, moving, dropping, etc.
4      learning_through_actions_by_relating_objects Learning through actions by relating objectsSimple actions relating two or more objects, toys or other materials without regard for the specific features of the objects, toys or materials.
4      learning_through_actions_by_relating_object_with_regard_to_specific_features Learning through actions by relating object with regard to specific featuresActions relating two or more objects, toys or materials with regard to specific features, e.g., lid on box, cup on saucer.
4      learning_by_relating_symbolically_to_objects Learning by relating symbolically to objectsRelating to objects, toys or materials symbolically, such as feeding or dressing a doll or using a simulated environment.
3    acquiring_language Acquiring languageDeveloping the competence to represent persons, objects, events, feelings through words, symbols, phrases and sentences.
4      acquiring_single_words_or_meaningful_symbols Acquiring single words or meaningful symbolsLearning words or meaningful symbols such as graphic or manual signs or symbols.
4      combining_words_into_phrases Combining words into phrasesLearning to combine words into phrases.
4      acquiring_syntax Acquiring syntaxLearning to produce appropriately constructed sentences or set of sentences.
3    acquiring_additional_language Acquiring additional languageDeveloping the competence to represent persons, objects, events, feelings through words, symbols, phrases and sentences, such as in an additional language or signing.
3    rehearsing RehearsingRepeating a sequence of events or symbols as a basic component of learning, such as counting by tens or practising the recitation of a rhyme with gestures or cords on a musical instrument.
3    acquiring_concepts Acquiring conceptsDeveloping competence to understand and use basic and complex concepts related to characteristics, properties and features defining things, persons or events.
4      acquiring_basic_concepts Acquiring basic conceptsLearning to use such concepts as size, form, quantity, length, same, opposite.
4      acquiring_complex_concepts Acquiring complex conceptsLearning to use such concepts as classification, grouping, reversibility, seriation.
3    acquiring_information Acquiring informationObtaining facts about persons, things and events, such as asking why, what, where and how, asking for names.
3    learning_to_read Learning to readDeveloping the competence to read written material (including Braille and other symbols) with fluency and accuracy, such as recognizing characters and alphabet letters, sounding out written words with correct pronunciation, and understanding written words and phrases.
4      acquiring_skills_to_recognize_symbols Acquiring skills to recognize symbolsLearning basic actions of deciphering symbols such as figures and icons, characters, alphabet letters and words.
4      acquiring_skills_to_sound_out_written_words Acquiring skills to sound out written wordsLearning basic actions of sounding out characters, alfphabet letters symbols and words with correct pronunciation.
4      acquiring_skills_to_understanding_written_words_and_phrases Acquiring skills to understanding written words and phrasesLearning basic actions to grasp the meaning of written words and texts.
3    learning_to_write Learning to writeDeveloping the competence to produce symbols that represent sounds, words or phrases in order to convey meaning (including Braille writing, and other symbols), such as spelling and effectively using correct grammar.
4      acquiring_skills_to_use_writing_implements Acquiring skills to use writing implementsLearning basic actions of writing down symbols or alphabet letters, such as holding a pencil, chalk or brush, writing a character or a symbol on a of piece paper, using a brailler, keyboard or peripheral device( mouse).
4      acquiring_skills_to_write_symbols_characters_and_alphabet_letters Acquiring skills to write symbols, characters and alphabet lettersLearning basic actions to transpose a sound (morpheme) into a symbol or a character (grapheme).
4      acquiring_skills_to_write_words_and_phrases Acquiring skills to write words and phrasesLearning basic actions to transpose spoken words or ideas into written words or phrases.
3    learning_to_calculate Learning to calculateDeveloping the competence to manipulate numbers and perform simple and complex mathematical operations, such as using mathematical signs for addition and subtraction and applying the correct mathematical operation to a problem.
4      acquiring_skills_of_numeracy Acquiring skills of numeracyLearning elementary skills of numeracy such as counting, ordering and grouping.
4      acquiring_skills_to_recognize_numerals_arithmetic_signs_and_symbols Acquiring skills to recognize numerals, arithmetic signs and symbolsLearning to recognize and use numbers.
4      acquiring_skills_in_using_basic_operations Acquiring skills in using basic operationsLearning to recognize symbols related to and use operations of addition, subtraction, multiplication and division.
3    acquiring_skills Acquiring skillsDeveloping basic and complex competencies in integrated sets of actions or tasks so as to initiate and follow through with the acquisition of a skill, such as manipulating tools or toys or playing games.
4      acquiring_basic_skills Acquiring basic skillsLearning elementary, purposeful actions, such as learning to use simple tools, such as pencils or eating utensils.
4      acquiring_complex_skills Acquiring complex skillsLearning integrated sets of actions so as to follow rules, and to sequence and coordinate one's movements, such as learning to play games (e.g. football or chess) and to use a building tool.
3    focusing_attention Focusing attentionIntentionally focusing on specific stimuli, such as by filtering out distracting noises.
4      focusing_attention_on_the_person Focusing attention on the personIntentionally attending to features of other persons such as their face, touch or voice.
4      focusing_attention_on_the_environment Focusing attention on the environmentIntentionally attending to some element of the environment such as changes in the quality quantity or intensity of physical or social stimuli.
3    thinking ThinkingFormulating and manipulating ideas, concepts, and images, whether goal-oriented or not, either alone or with others, such as creating fiction, proving a theorem, playing with ideas, brainstorming, meditating, pondering, speculating, or reflecting.
3    reading ReadingPerforming activities involved in the comprehension and interpretation of written language (e.g. books, instructions or newspapers in text or Braille), for the purpose of obtaining general knowledge or specific information.
3    writing WritingUsing or producing symbols or language to convey information, such as producing a written record of events or ideas or drafting a letter.
4      using_general_skills_and_strategies_of_the_writing_process Using general skills and strategies of the writing processApplying words which convey appropriate meaning, employing conventional sentence structure.
4      using_grammatical_and_mechanical_conventions_in_written_compositions Using grammatical and mechanical conventions in written compositionsApplying standard spelling, punctuation and proper case forms etc.
4      using_general_skills_and_strategies_to_complete_compositions Using general skills and strategies to complete compositionsApplying words and sentences to convey complex meaning and abstract ideas.
3    calculating CalculatingPerforming computations by applying mathematical principles to solve problems that are described in words and producing or displaying the results, such as computing the sum of three numbers or finding the result of dividing one number by another.
4      using_skills_and_strategies_to_perform_simple_numeric_calculations Using skills and strategies to perform simple numeric calculationsPerform simple numeric operations such as counting, grouping, ordering and arithmetic calculations.
4      using_skills_and_strategies_to_perform_complex_numeric_operations_and_calculations Using skills and strategies to perform complex numeric operations and calculationsApplying mathematical procedures and methods such as algebra, calculus and geometry to solve problems.
3    solving_problems Solving problemsFinding solutions to questions or situations by identifying and analysing issues, developing options and solutions, evaluating potential effects of solutions, and executing a chosen solution, such as in resolving a dispute between two people.
4      solving_simple_problems Solving simple problemsFinding solutions to a simple problem involving a single issue or question, by identifying and analysing the issue, developing solutions, evaluating the potential effects of the solutions and executing a chosen solution.
4      solving_complex_problems Solving complex problemsFinding solutions to a complex problem involving multiple and interrelated issues, or several related problems, by identifying and analysing the issue, developing solutions, evaluating the potential effects of the solutions and executing a chosen solution.
3    making_decisions Making decisionsMaking a choice among options, implementing the choice, and evaluating the effects of the choice, such as selecting and purchasing a specific item, or deciding to undertake and undertaking one task from among several tasks that need to be done.
2  general_tasks_and_demands General tasks and demandsThis chapter is about general aspects of carrying out single or multiple tasks, organizing routines and handling stress. These items can be used in conjunction with more specific tasks or actions to identify the underlying features of the execution of tasks under different circumstances.
3    undertaking_a_single_task Undertaking a single taskCarrying out simple or complex and coordinated actions related to the mental and physical components of a single task, such as initiating a task, organizing time, space and materials for a task, pacing task performance, and carrying out, completing, and sustaining a task.
4      undertaking_a_simple_task Undertaking a simple taskPreparing, initiating and arranging the time and space required for a simple task; executing a simple task with a single major component, such as reading a book, writing a letter, or making one's bed.
4      undertaking_a_complex_task Undertaking a complex taskPreparing, initiating and arranging the time and space for a single complex task; executing a complex task with more than one component, which may be carried out in sequence or simultaneously, such as arranging the furniture in one's home or completing an assignment for school.
4      undertaking_a_single_task_independently Undertaking a single task independentlyPreparing, initiating and arranging the time and space for a simple or complex task; managing and executing a task on one's own and without the assistance of others.
4      undertaking_a_single_task_in_a_group Undertaking a single task in a groupPreparing, initiating and arranging the time and space for a single task, simple or complex; managing and executing a task with people who are involved in some or all steps of the task.
3    undertaking_multiple_tasks Undertaking multiple tasksCarrying out simple or complex and coordinated actions as components of multiple, integrated and complex tasks in sequence or simultaneously.
4      carrying_out_multiple_tasks Carrying out multiple tasksPreparing, initiating and arranging the time and space needed for several tasks, and managing and executing several tasks, together or sequentially.
4      completing_multiple_tasks Completing multiple tasksCompleting several tasks, together or sequentially.
4      undertaking_multiple_tasks_independently Undertaking multiple tasks independentlyPreparing, initiating and arranging the time and space for multiple tasks, and managing and executing several tasks together or sequentially, on one's own and without the assistance of others.
4      undertaking_multiple_tasks_in_a_group Undertaking multiple tasks in a groupPreparing, initiating and arranging the time and space for multiple tasks, and managing and executing several tasks together or sequentially with others who are involved in some or all steps of the multiple tasks.
3    carrying_out_daily_routine Carrying out daily routineCarrying out simple or complex and coordinated actions in order to plan, manage and complete the requirements of day-to-day procedures or duties, such as budgeting time and making plans for separate activities throughout the day.
4      managing_daily_routine Managing daily routineCarrying out simple or complex and coordinated actions in order to plan and manage the requirements of day-to-day procedures or duties.
4      completing_the_daily_routine Completing the daily routineCarrying out simple or complex and coordinated actions in order to complete the requirements of usual day-to-day procedures or duties, such as getting dressed, eating breakfast, leaving for school or work and returning home at the end of the day.
4      managing_one's_own_activity_level Managing one's own activity levelCarrying out actions and behaviours to arrange the requirements in energy and time day-to-day procedures or duties.
4      adapting_to_changes_in_daily_routine Adapting to changes in daily routineInterrupting and shifting tasks and actions in response to new requirements or making a transition from a usual pattern of activities to a new set of activities as a means of fulfilling daily tasks.
3    handling_stress_and_other_psychological_demands Handling stress and other psychological demandsCarrying out simple or complex and coordinated actions to manage and control the psychological demands required to carry out tasks demanding significant responsibilities and involving stress, distraction, or crises, such as driving a vehicle during heavy traffic or taking care of many children.
4      handling_responsibilities Handling responsibilitiesCarrying out simple or complex and coordinated actions to manage the duties of task performance and to assess the requirements of these duties.
4      handling_stress Handling stressCarrying out simple or complex and coordinated actions to cope with pressure, emergencies or stress associated with task performance.
4      handling_crisis Handling crisisCarrying out simple or complex and coordinated actions to cope with decisive turning points in a situation or times of acute danger or difficulty.
2  communication CommunicationThis chapter is about general and specific features of communicating by language, signs and symbols, including receiving and producing messages, carrying on conversations, and using communication devices and techniques.
3    communicating_with_receiving_spoken_messages Communicating with - receiving - spoken messagesComprehending literal and implied meanings of messages in spoken language, such as understanding that a statement asserts a fact or is an idiomatic expression.
4      communicating_with_receiving_simple_spoken_messages Communicating with - receiving - simple spoken messagesComprehending the literal meaning conveyed by simple spoken messages.
4      communicating_with_receiving_complex_spoken_messages Communicating with - receiving - complex spoken messagesComprehending the literal and implied meaning conveyed by complex spoken messages.
3    communicating_with_receiving_nonverbal_messages Communicating with - receiving - nonverbal messagesComprehending the literal and implied meanings of messages conveyed by gestures, symbols and drawings, such as realizing that a child is tired when she rubs her eyes or that a warning bell means that there is a fire.
4      communicating_with_receiving_body_gestures Communicating with - receiving - body gesturesComprehending the meaning conveyed by facial expressions, hand movements or signs, body postures, and other forms of body language.
4      communicating_with_receiving_general_signs_and_symbols Communicating with - receiving - general signs and symbolsComprehending the meaning represented by public signs and symbols, such as traffic signs, warning symbols, musical or scientific notations, and icons.
4      communicating_with_receiving_drawings_and_photographs Communicating with - receiving - drawings and photographsComprehending the meaning represented by drawings (e.g. line drawings, graphic designs, paintings, three-dimensional representations, pictograms), graphs, charts and photographs, such as understanding that an upward line on a height chart indicates that a child is growing.
3    communicating_with_receiving_formal_sign_language_messages Communicating with - receiving - formal sign language messagesReceiving and comprehending messages in formal sign language with literal and implied meaning.
3    communicating_with_receiving_written_messages Communicating with - receiving - written messagesComprehending the literal and implied meanings of messages that are conveyed through written language (including Braille), such as following political events in the daily newspaper or understanding the intent of religious scripture.
3    speaking SpeakingProducing words, phrases and longer passages in spoken messages with literal and implied meaning, such as expressing a fact or telling a story in oral language.
3    non-speech_vocal_expression Non-speech vocal expressionVocalising when aware of another person in the proximal environment, such as making a sound when the mother is close; babbling; babbling in turn-taking activities. Vocalising in response to speech through imitating speech-sounds in a turn taking procedure.
3    singing SingingProducing tones in a sequence resulting in a melody to convey messages.
3    producing_nonverbal_messages Producing nonverbal messagesUsing gestures, symbols and drawings to convey messages, such as shaking one's head to indicate disagreement or drawing a picture or diagram to convey a fact or complex idea.
4      producing_body_language Producing body languageConveying messages by intentional movements of the body, such as facial gestures (e.g. smiling, frowning, wincing), by arm and hand movements, and by postures (e.g. embracing to indicate affection or pointing to receive attention or an object).
4      producing_signs_and_symbols Producing signs and symbolsConveying meaning by using signs and symbols (e.g. icons, Bliss board, scientific symbols) and symbolic notation systems, such as using musical notation to convey a melody.
4      producing_drawings_and_photographs Producing drawings and photographsConveying meaning by drawing, painting, sketching, and making diagrams, pictures or photographs, such as drawing a map to give someone directions to a location.
3    producing_messages_in_formal_sign_language Producing messages in formal sign languageConveying, with formal sign language, literal and implied meaning.
3    writing_messages Writing messagesProducing the literal and implied meanings of messages that are conveyed through written language, such as writing a letter to a friend.
3    conversation ConversationStarting, sustaining and ending an interchange of thoughts and ideas, carried out by means of spoken, written, signed or other forms of language, with one or more people one knows or who are strangers, in formal or casual settings.
4      starting_a_conversation Starting a conversationBeginning an interchange, such as initiating turn-taking activity through eye-contact or other means, that leads to communication or dialogue, such as by introducing oneself, expressing customary greetings, or by introducing a topic or asking questions.
4      sustaining_a_conversation Sustaining a conversationContinuing an interchange by taking turns in vocalising, speaking or signing, by adding ideas, introducing a new topic or retrieving a topic that has been previously mentioned.
4      ending_a_conversation Ending a conversationFinishing a dialogue or interchange with customary termination statements or expressions and by bringing closure to the topic under discussion.
4      conversing_with_one_person Conversing with one personInitiating, maintaining, shaping and terminating a dialogue or interchange with one person, such as in discussing the weather with a friend.
4      conversing_with_many_people Conversing with many peopleInitiating, maintaining, shaping and terminating a dialogue or interchange with more than one individual, such as in starting and participating in a group interchange.
3    discussion DiscussionStarting, sustaining and ending an examination of a matter, with arguments for or against, or debate carried out by means of spoken, written, sign or other forms of language, with one or more people one knows or who are strangers, in formal or casual settings.
4      discussion_with_one_person Discussion with one personInitiating, maintaining, shaping or terminating an argument or debate with one person.
4      discussion_with_many_people Discussion with many peopleInitiating, maintaining, shaping or terminating an argument or debate with more than one individual.
3    using_communication_devices_and_techniques Using communication devices and techniquesUsing devices, techniques and other means for the purposes of communicating, such as calling a friend on the telephone.
4      using_telecommunication_devices Using telecommunication devicesUsing telephones, computers and other electronic devices as a means of telecommunication.
4      using_writing_machines Using writing machinesUsing machines for writing, such as typewriters, computers and Braille writers, as a means of communication.
4      using_communication_techniques Using communication techniquesPerforming actions and tasks involved in techniques for communicating, such as reading lips.
2  mobility MobilityThis chapter is about moving by changing body position or location or by transferring from one place to another, by carrying, moving or manipulating objects, by walking, running or climbing, and by using various forms of transportation.
3    changing_basic_body_position Changing basic body positionGetting into and out of a body position and moving from one location to another, such as getting up out of a chair to lie down on a bed, and getting into and out of positions of sitting, standing, kneeling or squatting.
4      lying_down Lying downGetting into and out of a lying down position or changing body position, from horizontal to any other position, such as standing up or sitting down.
4      squatting SquattingGetting into and out of the seated or crouched posture on one's haunches with knees closely drawn up or sitting on one's heels, such as may be necessary in toilets that are at floor level, or changing body position from squatting to any other position, such as standing up.
4      kneeling KneelingGetting into and out of a position where the body is supported by the knees with legs bent, such as during prayers, or changing body position from kneeling to any other position, such as standing up.
4      sitting SittingGetting into and out of a seated position and changing body position from sitting down to any other position, such as standing up or lying down.
4      standing StandingGetting into and out of a standing position or changing body position from standing to any other position, such as lying down or sitting down.
4      bending BendingTilting the back downwards or to the side, at the torso, such as in bowing or reaching down for an object.
4      shifting_the_body's_centre_of_gravity Shifting the body's centre of gravityAdjusting or moving the weight of the body from one position to another while sitting, standing or lying, such as moving from one foot to another while standing.
4      rolling_over Rolling overMoving the body from one position to another while lying such as turning from side to side or from stomach to back.
3    maintaining_body_position Maintaining body positionStaying in the same body position as required, such as remaining seated or remaining standing for carrying out a task, in play, work or school.
4      maintaining_a_lying_position Maintaining a lying positionStaying in a lying position for some time as required, such as remaining in a prone position in a bed.
4      maintaining_a_squatting_position Maintaining a squatting positionStaying in a squatting position such as when sitting on the floor without a seat.
4      maintaining_a_kneeling_position Maintaining a kneeling positionStaying in a kneeling position where the body is supported by the knees with legs bent for some time such as during prayers in church.
4      maintaining_a_sitting_position Maintaining a sitting positionStaying in a seated position, on a seat or the floor, for some time such as when sitting at a desk or table.
4      maintaining_a_standing_position Maintaining a standing positionStaying in a standing position for some time such as when standing in a queue.
4      maintaining_head_position Maintaining head positionControlling the position of the head and supporting its weight for a determined period of time.
3    transferring_oneself Transferring oneselfMoving from one surface to another, such as sliding along a bench or moving from a bed to a chair, without changing body position.
4      transferring_oneself_while_sitting Transferring oneself while sittingMoving from a sitting position on one seat to another seat on the same or a different level, such as moving from a chair to a bed.
4      transferring_oneself_while_lying Transferring oneself while lyingMoving from one lying position to another on the same or a different level, such as moving from one bed to another.
3    lifting_and_carrying_objects Lifting and carrying objectsRaising up an object or taking something from one place to another, such as when lifting a cup or toy or carrying a box, or a child from one room to another.
4      lifting LiftingRaising up an object in order to move it from a lower to a higher level, such as when lifting a glass from the table.
4      carrying_in_the_hands Carrying in the handsTaking or transporting an object from one place to another using the hands, such as when carrying a drinking glass or a suitcase.
4      carrying_in_the_arms Carrying in the armsTaking or transporting an object from one place to another using the arms and hands, such as when carrying a pet or a child or other large object.
4      carrying_on_shoulders_hip_and_back Carrying on shoulders, hip and backTaking or transporting an object from one place to another using the shoulders, hip or back, or some combination of these, such as when carrying a large parcel or school-bag.
4      carrying_on_the_head Carrying on the headTaking or transporting an object from one place to another using the head, such when as carrying a container of water on the head.
4      putting_down_objects Putting down objectsUsing hands, arms or other parts of the body to place an object down on a surface or place, such as when lowering a container of water to the ground.
3    moving_objects_with_lower_extremities Moving objects with lower extremitiesPerforming coordinated actions aimed at moving an object by using the legs and feet, such as kicking a ball or pushing pedals on a bicycle.
4      pushing_with_lower_extremities Pushing with lower extremitiesUsing the legs and feet to exert a force on an object to move it away, such as pushing a chair away with a foot.
4      kicking KickingUsing the legs and feet to propel something away, such as kicking a ball.
3    fine_hand_use Fine hand usePerforming the coordinated actions of handling objects, picking up, manipulating and releasing them using one's hand, fingers and thumb, such as required to lift coins off a table or turn a dial or knob.
4      picking_up Picking upLifting or taking up a small object with hands and fingers, such as when picking up a pencil.
4      grasping GraspingUsing one or both hands to seize and hold something, such as when grasping a tool or a door knob.
4      manipulating ManipulatingUsing fingers and hands to exert control over, direct or guide something, such as when handling coins or other small objects, such as scissors, shoe laces, pencils, chop sticks, knives and forks.
4      releasing ReleasingUsing fingers and hands to let go or set free something so that it falls or changes position, such as when dropping an item of clothing or a piece of food for a pet.
3    hand_and_arm_use Hand and arm usePerforming the coordinated actions required to move objects or to manipulate them by using hands and arms, such as when turning door handles or throwing or catching an object.
4      pulling PullingUsing fingers, hands and arms to bring an object towards oneself, or to move it from place to place, such as when pulling on a string or pulling a door closed.
4      pushing PushingUsing fingers, hands and arms to move something from oneself, or to move it from place to place, such as when pushing a toy or an animal away.
4      reaching ReachingUsing the hands and arms to extend outwards and touch and grasp something, such as when reaching across a table or desk for a book.
4      turning_or_twisting_the_hands_or_arms Turning or twisting the hands or armsUsing fingers, hands or arms to rotate, turn or bend an object, as is required to open a jar or use tools such as toothbrush or screwdriver.
4      throwing ThrowingUsing fingers, hands and arms to lift something and propel it with some force through the air, such as when tossing a ball.
4      catching CatchingUsing fingers, hands and arms to grasp a moving object in order to bring it to a stop and hold it, such as when catching a ball.
3    fine_foot_use Fine foot usePerforming the coordinated actions to move or manipulate objects using one's foot and toes.
3    walking WalkingMoving along a surface on foot, step by step, so that one foot is always on the ground, such as when strolling, sauntering, walking forwards, backwards, or sideways.
4      walking_short_distances Walking short distancesWalking for less than a kilometre, such as walking around rooms or hallways, within a building or for short distances outside.
4      walking_long_distances Walking long distancesWalking for more than a kilometre, such as across a village or town, between villages or across open areas.
4      walking_on_different_surfaces Walking on different surfacesWalking on sloping, uneven, or moving surfaces, such as on grass, gravel or ice and snow, or walking aboard a ship, train or other vehicle.
4      walking_around_obstacles Walking around obstaclesWalking in ways required to avoid moving and immobile objects, people, animals, and vehicles, such as walking around a marketplace or shop, around or through traffic or other crowded areas.
3    going_up_and_down_stairs Going up and down stairsMoving upwards and downwards so that at least one foot is always on the ground such as ascending and descending stairs or curbs.
3    moving_around Moving aroundMoving the whole body from one place to another by means other than walking, such as climbing over a rock or running down a street, skipping, scampering, jumping, somersaulting or running around obstacles.
4      crawling CrawlingMoving the whole body in a prone position from one place to another on hands, or hands and arms, and knees.
4      climbing ClimbingMoving the whole body upwards or downwards, over surfaces or objects, such as climbing steps, rocks, ladders or stairs, curbs or other objects.
4      running RunningMoving with quick steps so that both feet may be simultaneously off the ground.
4      jumping JumpingMoving up off the ground by bending and extending the legs, such as jumping on one foot, hopping, skipping and jumping or diving into water.
4      swimming SwimmingPropelling the whole body through water by means of limb and body movements without taking support from the ground underneath.
3    moving_around_in_different_locations Moving around in different locationsWalking and moving around in various places and situations, such as walking between rooms in a house, within a building, or down the street of a town.
4      moving_around_within_the_home Moving around within the homeWalking and moving around in one's home, within a room, between rooms, and around the whole residence or living area.
4      moving_around_within_buildings_other_than_home Moving around within buildings other than homeWalking and moving around within buildings other than one's residence, such as moving around other people's homes, other private buildings, community and public buildings and enclosed areas.
4      moving_around_outside_the_home_and_other_buildings Moving around outside the home and other buildingsWalking and moving around close to or far from one's home and other buildings, without the use of transportation, public or private, such as walking for short or long distances around a town or village.
3    moving_around_using_equipment Moving around using equipmentMoving the whole body from place to place, on any surface or space, by using specific devices designed to facilitate moving or create other ways of moving around, such as with skates, skis, or scuba equipment, or moving down the street in a self-propelled wheelchair or a walker.
3    using_transportation Using transportationUsing transportation to move around as a passenger, such as being driven in a car, bus, rickshaw, jitney, pram or stroller, wheelchair, animal-powered vehicle, private or public taxi, train, tram, subway, boat or aircraft and using humans for transportation.
4      using_human-powered_vehicles Using human-powered vehiclesBeing transported as a passenger by a mode of transportation powered by one or more people, such as riding in a pram or stroller, wheelchair propelled by another, rickshaw or rowboat.
4      using_private_motorized_transportation Using private motorized transportationBeing transported as a passenger by private motorized vehicle over land, sea or air, such as by car, taxi or privately owned aircraft or boat.
4      using_public_motorized_transportation Using public motorized transportationBeing transported as a passenger by a motorized vehicle over land, sea or air designed for public transportation, such as being a passenger on a bus, train, subway or aircraft.
4      using_humans_for_transportation Using humans for transportationBeing transported by another person, such as being crried in he arms, in a sheet, in a backpack or a transportation device.
3    driving DrivingBeing in control of and moving a vehicle or the animal that draws it, travelling under one's own direction or having at one's disposal any form of transportation appropriate for age, such as a car , bicycle, boat or animal powered vehicles.
4      driving_human-powered_transportation Driving human-powered transportationDriving a human-powered vehicle, such as a bicycle, tricycle, or rowboat.
4      driving_motorized_vehicles Driving motorized vehiclesDriving a vehicle with a motor, such as an automobile, motorcycle, motorboat or aircraft.
4      driving_animal-powered_vehicles Driving animal-powered vehiclesDriving a vehicle powered by an animal, such as a horse-drawn cart or carriage.
3    riding_animals_for_transportation Riding animals for transportationTravelling on the back of an animal, such as a horse, ox, camel or elephant.
2  self-care Self-careThis chapter is about caring for oneself, washing and drying oneself, caring for one's body and body parts, dressing, eating and drinking, and looking after one's health.
3    washing_oneself Washing oneselfWashing and drying one's whole body, or body parts, using water and appropriate cleaning and drying materials or methods, such as bathing, showering, washing hands and feet, face and hair, and drying with a towel.
4      washing_body_parts Washing body partsApplying water, soap and other substances to body parts, such as hands, face, feet, hair or nails, in order to clean them.
4      washing_whole_body Washing whole bodyApplying water, soap and other substances to the whole body in order to clean oneself, such as taking a bath or shower.
4      drying_oneself Drying oneselfUsing a towel or other means for drying some part or parts of one's body, or the whole body, such as after washing.
3    caring_for_body_parts Caring for body partsLooking after those parts of the body, such as skin, face, teeth, scalp, nails and genitals, that require more than washing and drying.
4      caring_for_skin Caring for skinLooking after the texture and hydration of one's skin, such as by removing calluses or corns and using moisturizing lotions or cosmetics.
4      caring_for_teeth Caring for teethLooking after dental hygiene, such as by brushing teeth, flossing, and taking care of a dental prosthesis or orthosis.
4      caring_for_hair Caring for hairLooking after the hair on the head and face, such as by combing, styling, shaving, or trimming
4      caring_for_fingernails Caring for fingernailsCleaning, trimming or polishing the nails of the fingers.
4      caring_for_toenails Caring for toenailsCleaning, trimming or polishing the nails of the toes.
4      caring_for_nose Caring for noseCleaning the nose, looking after nasal hygiene.
3    toileting ToiletingPlanning and carrying out the elimination of human waste (menstruation, urination and defecation), and clean oneself afterwards.
4      regulating_urination Regulating urinationCoordinating and managing urination, such as by indicating need, getting into the proper position, choosing and getting to an appropriate place for urination, manipulating clothing before and after urination, and cleaning oneself after urination.
4      regulating_defecation Regulating defecationCoordinating and managing defecation such as by indicating need, getting into the proper position, choosing and getting to an appropriate place for defecation, manipulating clothing before and after defecation, and cleaning oneself after defecation.
4      menstrual_care Menstrual careCoordinating, planning and caring for menstruation, such as by anticipating menstruation and using sanitary towels and napkins.
3    dressing DressingCarrying out the coordinated actions and tasks of putting on and taking off clothes and footwear in sequence and in keeping with climatic and social conditions, such as by putting on, adjusting and removing shirts, skirts, blouses, pants, undergarments, saris, kimono, tights, hats, gloves, coats, shoes, boots, sandals and slippers.
4      putting_on_clothes Putting on clothesCarrying out the coordinated tasks of putting clothes on various parts of the body, such as putting clothes on over the head, over the arms and shoulders, and on the lower and upper halves of the body; putting on gloves and headgear.
4      taking_off_clothes Taking off clothesCarrying out the coordinated tasks of taking clothes off various parts of the body, such as pulling clothes off and over the head, off the arms and shoulders, and off the lower and upper halves of the body; taking off gloves and headgear.
4      putting_on_footwear Putting on footwearCarrying out the coordinated tasks of putting on socks, stockings and footwear.
4      taking_off_footwear Taking off footwearCarrying out the coordinated tasks of taking off socks, stockings and footwear.
4      choosing_appropriate_clothing Choosing appropriate clothingFollowing implicit or explicit dress codes and conventions of one's society or culture and dressing in keeping with climatic conditions.
3    eating EatingCarrying out the coordinated tasks and actions of eating food that has been served, bringing it to the mouth and consuming it in culturally acceptable ways, cutting or breaking food into pieces, opening containers and packets, using eating implements, having meals, feasting or dining.
3    drinking DrinkingTaking hold of a drink, bringing it to the mouth, and consuming the drink in culturally acceptable ways, mixing, stirring and pouring liquids for drinking, opening bottles and cans, drinking through a straw or drinking running water such as from a tap or a spring; feeding from the breast.
3    looking_after_one's_health Looking after one's healthEnsuring physical comfort, health and physical and mental well-being, such as by maintaining a balanced diet, and an appropriate level of physical activity, keeping warm or cool, avoiding harms to health, following safe sex practices, including such as using condoms, getting immunizations and regular physical examinations.
4      ensuring_one's_physical_comfort Ensuring one's physical comfortCaring for oneself by being aware that one needs to ensure, and ensuring, that one's body is in a comfortable position, that one is not feeling too hot, cold or wet, and that one has adequate lighting.
4      managing_diet_and_fitness Managing diet and fitnessCaring for oneself by being aware of the need and by selecting and consuming nutritious foods and maintaining physical fitness.
4      maintaining_one's_health Maintaining one's healthCaring for oneself by being aware of the need and doing what is required to look after one's health, both to respond to risks to health and to prevent ill-health, such as by seeking assistance (professional and non professional); following medical and other health advice; and managing risks to health such as injuries, communicable diseases, drug-taking and sexual transmitted diseases.
2  domestic_life Domestic lifeThis chapter is about carrying out domestic and everyday actions and tasks. Areas of domestic life include, caring for one's belongings and space, acquiring food, clothing and other necessities, household cleaning and repairing, caring for personal and other household objects, and assisting others.
3    acquiring_a_place_to_live Acquiring a place to liveBuying, renting, furnishing and arranging a room, house, apartment or other dwelling.
4      buying_a_place_to_live Buying a place to liveAcquiring ownership of a house, apartment or other dwelling.
4      renting_a_place_to_live Renting a place to liveAcquiring the use of a house, apartment or other dwelling belonging to another in exchange for payment.
4      furnishing_a_place_to_live Furnishing a place to liveEquipping and arranging a living space with furniture, fixtures and other fittings and decorating rooms, arranging ones own space, room.
3    acquisition_of_goods_and_services Acquisition of goods and servicesSelecting, procuring and transporting all goods and services required for daily living, such as selecting, procuring, transporting and storing food, drink, clothing, cleaning materials, fuel, household items, utensils, cooking ware, play and recreational materials, domestic appliances and tools; procuring utilities and other household services, and picking up and delivering paper mail or packages.
4      shopping ShoppingObtaining, in exchange for money, goods and services required for daily living (including instructing and supervising an intermediate to do the shopping), such as selecting food, drink, cleaning materials, household items, play and recreational materials or clothing in a shop or market; comparing quality and price of the items required, negotiating and paying for selected goods or services and transporting goods.
4      gathering_daily_necessities Gathering daily necessitiesObtaining, without exchange of money, goods and services required for daily living (including instructing and supervising an intermediate to gather daily necessities), such as by harvesting vegetable and fruits, getting water and fuel and picking up and delivering paper mail or packages.
3    preparing_meals Preparing mealsPlanning, organizing, cooking and serving simple and complex meals for oneself and others, such as by making a menu, selecting edible food and drink, getting together ingredients for preparing meals,cooking with heat and preparing cold foods and drinks, and serving the food.
4      preparing_simple_meals Preparing simple mealsPlanning, organizing, cooking and serving meals with small number of ingredients that require easy methods of preparation and serving, such as making a snack or small meal, and transforming food ingredients by cutting and stirring, boiling and heating food such as rice or potatoes.
4      preparing_complex_meals Preparing complex mealsPlanning, organizing, cooking and serving meals with large number of ingredients that require complex methods of preparation and serving, such as planning a meal with serveral dishes, and transforming food ingredients by combined actions of peeling, slicing, mixing, kneading, stirring, presenting and serving food in a manner appropriate to the occasion and culture.
3    doing_housework Doing houseworkManaging a household by cleaning the house, washing clothes, using household appliances, storing food and disposing of garbage, such as by sweeping, mopping, washing counters, walls and other surfaces; collecting and disposing of household garbage; tidying rooms, closets and drawers; collecting, washing, drying, folding and ironing clothes; cleaning footwear; using brooms, brushes and vacuum cleaners; using washing machines, dryers and irons.
4      washing_and_drying_clothes_and_garments Washing and drying clothes and garmentsWashing clothes and garments by hand and hanging them out to dry in the air.
4      cleaning_cooking_area_and_utensils Cleaning cooking area and utensilsCleaning up after cooking, such as by washing dishes, pans, pots and cooking utensils, and cleaning tables and floors around cooking and eating area.
4      cleaning_living_area Cleaning living areaCleaning the living areas of the household, such as by tidying and dusting, sweeping, swabbing, mopping floors, cleaning windows and walls, cleaning bathrooms and toilets, cleaning household furnishings.
4      using_household_appliances Using household appliancesUsing all kinds of household appliances, such as washing machines, driers, irons, vacuum cleaners, dishwashers.
4      storing_daily_necessities Storing daily necessitiesStoring food, drinks, clothes and other household goods required for daily living; preparing food for conservation by canning, salting or refrigerating, keeping food fresh and out of the reach of animals.
4      disposing_of_garbage Disposing of garbageDisposing of household garbage such as by collecting trash and rubbish around the house, preparing garbage for disposal, using garbage disposal appliances; burning garbage.
3    caring_for_household_objects Caring for household objectsMaintaining and repairing household and other personal objects, including play material, house and contents, clothes, play and recreational materials, vehicles and assistive devices, and caring for plants and animals, such as painting or wallpapering rooms, fixing furniture, repairing plumbing, ensuring the proper working order of vehicles, watering plants, grooming and feeding pets and domestic animals and taking care of entrances, walkways and driveways.
4      making_and_repairing_clothes Making and repairing clothesMaking and repairing clothes, such as by sewing, producing or mending clothes; reattaching buttons and fasteners; ironing clothes, fixing and polishing footwear.
4      maintaining_dwelling_and_furnishings Maintaining dwelling and furnishingsRepairing and taking care of dwelling, its exterior, interior and contents, such as by painting, repairing fixtures and furniture, and using required tools for repair work.
4      maintaining_domestic_appliances Maintaining domestic appliancesRepairing and taking care of all domestic appliances for cooking, cleaning and repairing, such as by oiling and repairing tools and maintaining the washing machine.
4      maintaining_vehicles Maintaining vehiclesRepairing and taking care of motorized and non-motorized vehicles for personal use, including bicycles, carts, automobiles and boats.
4      maintaining_assistive_devices Maintaining assistive devicesRepairing and taking care of assistive devices such as prostheses, orthoses and specialized tools and aids for housekeeping and personal care; maintaining and repairing aids for personal mobility such as canes, walkers, wheelchairs and scooters; and maintaining communication and recreational aids.
4      taking_care_of_plants_indoors_and_outdoors Taking care of plants, indoors and outdoorsTaking care of plants inside and outside the house, such as by planting, watering and fertilizing plants; gardening and growing foods for personal use.
4      taking_care_of_animals Taking care of animalsTaking care of domestic animals and pets, such as by feeding, cleaning, grooming and exercising pets; watching over the health of animals or pets; planning for the care of animals or pets in one's absence.
4      taking_care_of_walkways_and_driveways Taking care of walkways and drivewaysTaking care of domestic pathways such as walkways and driveways or entrances to houses (covered or uncovered) for example removing snow, leaves, rubble or sand from enrances as well as spreading sand or other material.
3    assisting_others Assisting othersAssisting household members and others with their learning, communicating, self-care, movement, within the house or outside; being concerned about the well-being of household members and others.
4      assisting_others_with_self-care Assisting others with self-careAssisting household members and others in performing self-care, including helping others with eating, bathing and dressing; taking care of children or members of the household who are sick or have difficulties with basic self-care; helping others with their toileting.
4      assisting_others_in_movement Assisting others in movementAssisting household members and others in movements and in moving outside the home, such as in the neighbourhood or city, to or from school, place of employment or other destination.
4      assisting_others_in_communication Assisting others in communicationAssisting household members and others with their communication, such as by helping with speaking, writing or readings.
4      assisting_others_in_interpersonal_relations Assisting others in interpersonal relationsAssisting household members and others with their interpersonal interactions, such as by helping them to initiate, maintain or terminate relationships.
4      assisting_others_in_nutrition Assisting others in nutritionAssisting household members and others with their nutrition, such as by helping them to prepare and eat meals.
4      assisting_others_in_health_maintenance Assisting others in health maintenanceAssisting household members and others with formal and informal health care, such as by ensuring that a child gets regular medical check-ups, or that an elderly relative takes required medication.
2  interpersonal_interactions_and_relationships Interpersonal interactions and relationshipsThis chapter is about carrying out the actions and tasks required for basic and complex interactions with people (strangers, friends, relatives, family members and lovers) in a contextually and socially appropriate manner.
3    basic_interpersonal_interactions Basic interpersonal interactionsInteracting with people in a contextually and socially appropriate manner, such as by showing consideration and esteem when appropriate, or responding to the feelings of others.
4      respect_and_warmth_in_relationships Respect and warmth in relationshipsShowing and responding to consideration and esteem, in a contextually and socially appropriate manner.
4      appreciation_in_relationships Appreciation in relationshipsShowing and responding to satisfaction and gratitude, in a contextually and socially appropriate manner.
4      tolerance_in_relationships Tolerance in relationshipsShowing and responding to understanding and acceptance of behaviour, in a contextually and socially appropriate manner.
4      criticism_in_relationships Criticism in relationshipsProviding and responding to implicit and explicit differences of opinion or disagreement, in a contextually and socially appropriate manner.
4      social_cues_in_relationships Social cues in relationshipsGiving and reacting appropriately to signs and hints that occur in social interactions.
4      physical_contact_in_relationships Physical contact in relationshipsMaking and responding to bodily contact with others, in a contextually and socially appropriate manner.
4      differentiation_of_familiar_persons Differentiation of familiar personsShowing differential responses to individuals, such as by reaching out for the familiar person and differentiating them from strangers and reacting in an appropriate manner.
3    complex_interpersonal_interactions Complex interpersonal interactionsMaintaining and managing interactions with other people, in a contextually and socially appropriate manner, such as by regulating emotions and impulses, controlling verbal and physical aggression, acting independently in social interactions, and acting in accordance with social rules and conventions, when for example playing, studying or working with others.
4      forming_relationships Forming relationshipsBeginning and maintaining interactions with others for a short or long period of time, in a contextually and socially appropriate manner, such as by introducing oneself, finding and establishing friendships and professional relationships, starting a relationship that may become permanent, romantic or intimate.
4      terminating_relationships Terminating relationshipsBringing interactions to a close in a contextually and socially appropriate manner, such as by ending temporary relationships at the end of a visit, ending long-term relationships with friends when moving to a new town or ending relationships with work colleagues, professional colleagues and service providers, and ending romantic or intimate relationships.
4      regulating_behaviours_within_interactions Regulating behaviours within interactionsRegulating emotions and impulses, verbal aggression and physical aggression in interactions with others, in a contextually and socially appropriate manner.
4      interacting_according_to_social_rules Interacting according to social rulesActing independently in social interactions and complying with social conventions governing one's role, position or other social status in interactions with others.
4      maintaining_social_space Maintaining social spaceBeing aware of and maintaining a distance between oneself and others that is contextually, socially and culturally appropriate.
3    relating_with_strangers Relating with strangersEngaging in temporary contacts and links with strangers for specific purposes, such as asking for directions or making a purchase. Engaging in temporary contacts and links with strangers for specific purposes, such as when asking for information, directions or making a purchase.
3    formal_relationships Formal relationshipsCreating and maintaining specific relationships in formal settings, such as with teachers, employers, professionals or service providers.
4      relating_with_persons_in_authority Relating with persons in authorityCreating and maintaining formal relations with people in positions of power of a higher rank or prestige relative to one's own position, such as an employer.
4      relating_with_subordinates Relating with subordinatesCreating and maintaining formal relations with people in positions of lower rank or prestige relative to one's own social position, such as an employee or servant.
4      relating_with_equals Relating with equalsCreating and maintaining formal relations with people in the same position of authority, rank or prestige relative to one's own social position.
3    informal_social_relationships Informal social relationshipsEntering into relationships with others, such as casual relationships with people living in the same community or residence, or with co-workers, students, playmates, people with similar backgrounds or professions.
4      informal_relationships_with_friends Informal relationships with friendsCreating and maintaining friendship relationships that are characterized by mutual esteem an common interests.
4      informal_relationships_with_neighbours Informal relationships with neighboursCreating and maintaining informal relationships with people who live in nearby dwellings or living areas.
4      informal_relationships_with_acquaintances Informal relationships with acquaintancesCreating and maintaining informal relationships with people whom one knows but who are not close friends.
4      informal_relationships_with_co-inhabitants Informal relationships with co-inhabitantsCreating and maintaining informal relationships with people who are co-inhabitants of a house or other dwelling, privately or publicly run, for any purpose.
4      informal_relationships_with_peers Informal relationships with peersCreating and maintaining informal relationships with people who share the same age, interest or other common feature.
3    family_relationships Family relationshipsCreating and maintaining kinship relationships, such as those with members of the nuclear family, extended family, foster and adopted family and step-relationships, more distant relationships such as second cousins, or legal guardians.
4      parent-child_relationships Parent-child relationshipsBecomming and being a parent, both natural and adoptive, such as by having a child and relating to it as a parent or creating and maintaining a parental relationships with an adoptive child, and providing physical, intellectual and emotional nurture to one's natural or adoptive child.
4      child-parent_relationships Child-parent relationshipsCreating and maintaining relationships with one's parent, such as a young child obeying his or her parents or an adult child taking care of his or her elderly parents.
4      sibling_relationships Sibling relationshipsCreating and maintaining a brotherly or sisterly relationship with a person who shares one or both parents by birth, adoption or marriage.
4      extended_family_relationships Extended family relationshipsCreating and maintaining a family relationship with members of one's extended family, such as with cousins, aunts and uncles and grandparents.
3    intimate_relationships Intimate relationshipsCreating and maintaining close or romantic relationships between individuals, such as husband and wife, lovers or sexual partners.
4      romantic_relationships Romantic relationshipsCreating and maintaining a relationship based on emotional and physical attraction, potentially leading to long-term intimate relationships.
4      spousal_relationships Spousal relationshipsCreating and maintaining an intimate relationship of a legal nature with another person, such as in a legal marriage, including becoming and being a legally maried wife or husband or an unmarried spouse.
4      sexual_relationships Sexual relationshipsCreating and maintaining a relationship of a sexual nature, with a spouse or other partner.
2  major_life_areas Major life areasThis chapter is about carrying out the tasks and actions required to engage in education, work and employment and to conduct economic transactions.
3    informal_education Informal educationLearning at home or in some other non-institutional setting, such as learning crafts and other skills from parents or family members, or home schooling.
3    preschool_education Preschool educationLearning at an initial level of organized instruction, designed primarily to introduce a child to the school-type environment and prepare it for compulsory education, such as by acquiring skills in a day-care or similar setting as preparation for advancement to school.
3    school_education School educationGaining admission to school, education, engaging in all school-related responsibilities and privileges, and learning the course material, subjects and other curriculum requirements in a primary or secondary education programme, including attending school regularly, working cooperatively with other students, taking directions from teachers, organizing, studying and completing assigned tasks and projects, and advancing to other stages of education.
3    vocational_training Vocational trainingEngaging in all activities of a vocational programme and learning the curriculum material for preparation for employment in a trade, job or profession.
3    higher_education Higher educationEngaging in the activities of advanced educational programmes in universities, colleges and professional schools and learning all aspects of the curriculum required for degrees, diplomas, certificates and other accreditations, such as completing a university bachelor's or master's course of study, medical school or other professional school.
3    education_life Education lifeEngaging in aspects of life of education institutions, such as university and school related associations, including: clubs, sports, related civic bodies (e.g. school council), and other institutionally-organized initiatives that are not part of the academic curriculum.
3    apprenticeship_(work_preparation) Apprenticeship (work preparation)Engaging in programmes related to preparation for employment, such as performing the tasks required of an apprenticeship, internship, articling and in-service training.
3    acquiring_keeping_and_terminating_a_job Acquiring, keeping and terminating a jobSeeking, finding and choosing employment, being hired and accepting employment, maintaining and advancing through a job, trade, occupation or profession, and leaving a job in an appropriate manner.
4      seeking_employment Seeking employmentLocating and choosing a job, in a trade, profession or other form of employment, and performing the required tasks to get hired, such as showing up at the place of employment or participating in a job interview.
4      maintaining_a_job Maintaining a jobPerforming job-related tasks to keep an occupation, trade, profession or other form of employment, and obtaining promotion and other advancements in employment.
4      terminating_a_job Terminating a jobLeaving or quitting a job in the appropriate manner.
3    remunerative_employment Remunerative employmentEngaging in all aspects of work, as an occupation, trade, profession or other form of employment, for payment, as an employee, full or part time, or self-employed, such as seeking employment and getting a job, doing the required tasks of the job, attending work on time as required, supervising other workers or being supervised, and performing required tasks alone or in groups.
4      self_employment Self employmentEngaging in remunerative work sought or generated by the individual, or contracted from others without a formal employment relationship, such as migratory agricultural work, working as a free-lance writer or consultant, short-term contract work, working as an artist or crafts person, owning and running a shop or other business.
4      part-time_employment Part-time employmentEngaging in all aspects of work for payment on a part-time basis, as an employee, such as seeking employment and getting a job, doing the tasks required of the job, attending work on time as required, supervising other workers or being supervised, and performing required tasks alone or in groups.
4      full-time_employment Full-time employmentEngaging in all aspects of work for payment on a full-time basis, as an employee, such as seeking employment and getting a job, doing the required tasks of the job, attending work on time as required, supervising other workers or being supervised, and performing required tasks alone or in groups.
3    non-remunerative_employment Non-remunerative employmentEngaging in all aspects of work in which pay is not provided, full-time or part-time, including organized work activities, doing the required tasks of the job, attending work on time as required, supervising other workers or being supervised, and performing required tasks alone or in groups, such as volunteer work, charity work, working for a community or religious group without remuneration, working around the home without remuneration.
3    basic_economic_transactions Basic economic transactionsEngaging in any form of simple economic transaction, such as using money to purchase food or bartering, exchanging goods or services; or saving money.
3    complex_economic_transactions Complex economic transactionsEngaging in any form of complex economic transaction that involves the exchange of capital or property, and the creation of profit or economic value, such as buying a business, factory, or equipment, maintaining a bank account, or trading in commodities.
3    economic_self-sufficiency Economic self-sufficiencyHaving command over economic resources, from private or public sources, in order to ensure economical security for present and future needs.
4      personal_economic_resources Personal economic resourcesHaving command over personal or private economic resources, in order to ensure economical security for present and future needs.
4      public_economic_entitlements Public economic entitlementsHaving command over public economic resources, in order to ensure economical security for present and future needs.
2  community_social_and_civic_life Community, social and civic lifeThis chapter is about the actions and tasks required to engage in organized social life outside the family, in community, social and civic areas of life.
3    community_life Community lifeEngaging in aspects of community social life, such as engaging in charitable organizations, services clubs or professional social organizations.
4      informal_associations Informal associationsEngaging in social or community associations organized by people with common interests, such as local social clubs or ethics groups.
4      formal_associations Formal associationsEngaging in professional or other exclusive social groups, such as associations of lawyers, physicians, or academics.
4      ceremonies CeremoniesEngaging in non-religious rites or social ceremonies, such as marriages, funerals or initiation ceremonies.
3    recreation_and_leisure Recreation and leisureEngaging in any form of play, recreational or leisure activity, such as informal or organized play and sports, programmes of physical fitness, relaxation, amusement or diversion, going to art galleries, museums, cinemas or theatres; engaging in crafts or hobbies, reading for enjoyment, playing musical instruments; sightseeings, tourism and travelling for pleasure.
4      play PlayEngaging in games with rules or unstructured or unorganized games and spontaneous recreation, such as playing chess or cards or children's play.
4      sports SportsEngaging in competitive and informal or formally organized games or athletic events, performed alone or in a group, such as bowling, gymnastics or soccer.
4      arts_and_culture Arts and cultureEngaging in, or appreciating, fine arts or cultural events, such as going to the theatre, cinema, museum or art gallery, or acting in a play, reading, being read to, dancing, singing or playing a musical instrument for enjoyment.
4      crafts CraftsEngaging in handicrafts, such as pottery or knitting.
4      hobbies HobbiesEngaging in pastimes such as stamp collecting, coins or antiques.
4      socializing SocializingEngaging in informal or casual gatherings with others, such as visiting friends or relatives or meeting informally in public places.
3    religion_and_spirituality Religion and spiritualityEngaging in religious or spiritual activities, organizations and practices for self-fulfilment, finding meaning, religious or spiritual value and establishing connection with a divine power, such as is involved in attending a church, temple, mosque or synagogue, praying or chanting for a religious purpose, and spiritual contemplation.
4      organized_religion Organized religionEngaging in organized religious ceremonies, activities and events.
4      spirituality SpiritualityEngaging in spiritual activities or events, outside of a organized religion.
3    human_rights Human rightsEnjoying all nationally and internationally recognized rights that are accorded to people by virtue of their humanity alone, such as human rights as recognized by the United Nations Universal Declaration of Human Rights (1948), the United Nations Convention on the Rights of the Child (1989), the United Nations Standard Rules for the Equalization of Opportunities for Persons with Disabilities (1993), and the United Nations Convention on the Rights of Persons with Disabilities (2006); the right to self-determination or autonomy; and the right to control over one's destiny.
3    political_life_and_citizenship Political life and citizenshipEngaging 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.