Severe or medically significant but not immediately life threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care ADL**
Activities of daily living (ADL).
*Instrumental ADL refer to preparing meals, shopping for groceries or clothes, using the telephone, managing money, and so forth.
**Self-care ADL refer to bathing, dressing, undressing, feeding self, using the toilet, taking medications, and being not bedridden.