| Inbound Relationships |
Type |
Active |
Source |
Characteristic |
Refinability |
Group |
| This level includes drinks that flow like water with a fast flow and can be drunk through any type of teat/nipple, cup or straw as appropriate for age and skills. IDDSI (International Dysphagia Diet Standardisation Initiative) Flow Test result shows less than 1 ml of test liquid remaining in the 10 ml slip tip syringe after 10 seconds of flow. |
Is a |
True |
International Dysphagia Diet Standardisation Initiative Framework levels (qualifier value) |
Inferred relationship |
Some |
|
| This level includes drinks that are thicker than water and require a little more effort to drink than thin liquids. It flows through a straw, syringe, teat/nipple. Similar to the thickness of most commercially available anti-regurgitation (AR) infant formulas. IDDSI (International Dysphagia Diet Standardisation Initiative) Flow Test result shows that test liquid flows through a 10 ml slip tip syringe leaving 1-4 ml in the syringe after 10 seconds. |
Is a |
True |
International Dysphagia Diet Standardisation Initiative Framework levels (qualifier value) |
Inferred relationship |
Some |
|
| This level includes drinks that flow off a spoon and are sippable, pour quickly from a spoon, but slower than thin drinks. Mild effort is required to drink this thickness through standard bore straw (standard bore straw = 0.209 inch or 5.3 mm diameter). |
Is a |
True |
International Dysphagia Diet Standardisation Initiative Framework levels (qualifier value) |
Inferred relationship |
Some |
|
| This level includes drinks that can be drunk from a cup. Moderate effort is required to suck through a standard bore or wide bore straw (wide bore straw = 0.275 inch or 6.9 mm). Cannot be piped, layered or molded on a plate because it will not retain its shape. Cannot be eaten with a fork because it drips slowly in dollops through the prongs. Can be eaten with a spoon. No oral processing or chewing required - can be swallowed directly. Smooth texture with no "bits" (lumps, fibers, bits of shell or skin, husk, particles of gristle or bone). |
Is a |
True |
International Dysphagia Diet Standardisation Initiative Framework levels (qualifier value) |
Inferred relationship |
Some |
|
| This level includes liquidised foods that can be drunk from a cup. Moderate effort is required to suck through a standard bore or wide bore straw (wide bore straw = 0.275 inch or 6.9 mm). Cannot be piped, layered or molded on a plate because it will not retain its shape. Cannot be eaten with a fork because it drips slowly in dollops through the prongs. Can be eaten with a spoon. No oral processing or chewing required - can be swallowed directly. Smooth texture with no "bits" (lumps, fibres, bits of shell or skin, husk, particles of gristle or bone). |
Is a |
True |
International Dysphagia Diet Standardisation Initiative Framework levels (qualifier value) |
Inferred relationship |
Some |
|
| This level includes drinks that are usually eaten with a spoon (a fork is possible). Cannot be drunk from a cup because it does not flow easily. Cannot be sucked through a straw and does not require chewing. Can be piped, layered or molded because it retains its shape, but should not require chewing if presented in this form. Shows some very slow movement under gravity but cannot be poured. Falls off spoon in a single spoonful when tilted and continues to hold shape on a plate. No lumps, not sticky and liquid must not separate from solid. |
Is a |
True |
International Dysphagia Diet Standardisation Initiative Framework levels (qualifier value) |
Inferred relationship |
Some |
|
| This level includes pureed food that is usually eaten with a spoon (a fork is possible). Cannot be drunk from a cup because it does not flow easily. Cannot be sucked through a straw and does not require chewing. Can be piped, layered or molded because it retains its shape, but should not require chewing if presented in this form. Shows some very slow movement under gravity but cannot be poured. Falls off spoon in a single spoonful when tilted and continues to hold shape on a plate. No lumps, not sticky and liquid must not separate from solid. |
Is a |
True |
International Dysphagia Diet Standardisation Initiative Framework levels (qualifier value) |
Inferred relationship |
Some |
|
| This level includes foods that can be eaten with a fork or spoon and could be eaten with chopsticks in some cases, if the individual has very good hand control. Can be scooped and shaped (e.g. into a ball shape) on a plate. Soft and moist with no separate thin liquid. Small lumps visible within the food - pediatric, equal to or less than 2 mm width and no longer than 8mm in length and adult, equal to or less than 4mm width and no longer than 15mm in length. Lumps are easy to squash with tongue. |
Is a |
True |
International Dysphagia Diet Standardisation Initiative Framework levels (qualifier value) |
Inferred relationship |
Some |
|
| This level includes foods that can be eaten with a fork, spoon or chopsticks and can be mashed or broken down with pressure from fork, spoon or chopsticks. A knife is not required to cut this food, but may be used to help load a fork or spoon. Soft, tender and moist throughout but with no separate thin liquid. Chewing is required before swallowing. Bite-sized pieces as appropriate for size and oral processing skills - pediatric 8mm pieces (no larger than) and adults 15 mm = 1.5 cm pieces (no larger than). |
Is a |
True |
International Dysphagia Diet Standardisation Initiative Framework levels (qualifier value) |
Inferred relationship |
Some |
|
| This level includes normal everyday foods of soft/tender textures that are developmentally and age appropriate. Any method may be used to eat these foods and sample size is not restricted at Level 7 therefore foods may be of a range of sizes: Smaller or greater than 8mm pieces (paediatric) smaller or greater than 15 mm = 1.5 cm pieces (adults). Does not include hard, tough, chewy, fibrous, stringy, crunchy or crumbly bits, pips, seeds, fibrous parts of fruit, husks or bones. May include dual consistency or mixed consistency foods and liquids if also safe for Level 0 and at clinician discretion. If unsafe for Level 0 Thin, liquid portion can be thickened to clinician's recommended thickness level. |
Is a |
True |
International Dysphagia Diet Standardisation Initiative Framework levels (qualifier value) |
Inferred relationship |
Some |
|
| This level includes normal, everyday foods of various textures that are developmentally and age appropriate. Any method may be used to eat these foods and foods may be hard and crunchy or naturally soft. Sample size is not restricted at Level 7, therefore, foods may be of a range of sizes - paediatric smaller or greater than 8mm pieces and adult smaller or greater than 15 mm = 1.5 cm pieces. Includes hard, tough, chewy, fibrous, stringy, dry, crispy, crunchy, or crumbly bits. Includes food that contains pips, seeds, pith inside skin, husks or bones. Includes dual consistency or mixed consistency foods and liquids. |
Is a |
True |
International Dysphagia Diet Standardisation Initiative Framework levels (qualifier value) |
Inferred relationship |
Some |
|
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