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