| Value | Code Name | Code | Code System | Code Description |
|---|---|---|---|---|
| 0 | Normal | Normal | ||
| 1 | Somewhat slow, but no help needed | Somewhat slow, but no help needed | ||
| 2 | Needs help to shower or bathe| or very slow in hygienic care | Needs help to shower or bathe| or very slow in hygienic care | ||
| 3 | Requires assistance for washing, brushing teeth, combing hair, going to bathroom | Requires assistance for washing, brushing teeth, combing hair, going to bathroom | ||
| 4 | Foley catheter or other mechanical aids | Foley catheter or other mechanical aids |