Autism spectrum disorder

Description : Autism spectrum disorder is characterized by persistent deficits in the ability to

initiate and to sustain reciprocal social interaction and social communication, and by a range
of restricted, repetitive, and inflexible patterns of behaviour and interests. The onset of the
disorder occurs during the developmental period, typically in early childhood, but symptoms
may not become fully manifest until later, when social demands exceed limited capacities.
Deficits are sufficiently severe to cause impairment in personal, family, social, educational,
occupational or other important areas of functioning and are usually a pervasive feature of the
individual’s functioning observable in all settings, although they may vary according to social,
educational, or other context. Individuals along the spectrum exhibit a full range of
intellectual functioning and language abilities.
Synonyms
 Autistic disorder *
 autistic
 autistic disorder of childhood onset
Narrower Terms
 Pervasive developmental delay *
 childhood autism
 Kanner syndrome
 infantile autism
Exclusions
 Developmental language disorder ⇒
 Schizophrenia or other primary psychotic disorders ⇒
Body Site
 Entire brain (body structure)
 Brain structure (body structure)
Children And Youth Impact
 d140. Learning to read
 d145. Learning to write
 d150. Learning to calculate
 d310-d325. Communicating - receiving written, spoken, non-verbal & formal sign-
language messages
 d335. Producing nonverbal messages
 Attending school
 Taking exams
 Playing with others
Communication Impact
 d310-d325. Communicating - receiving written, spoken, non-verbal & formal sign-
language messages
 d330. Speaking
 d3500. Starting a conversation
 d3501. Sustaining a conversation
Interpersonal Relations Impact
 d7200. Forming relationships or d7500. Informal relationships with friends
 d740. Formal relationships or d750. Informal social relationships
 d760. Family relationships
 d730. Relating with strangers
 d7702. Sexual relationships
Household Activities Impact
 d620. Acquisition of goods and services
 d630. Preparing meals
 d640. Doing housework
 d660. Assisting others
Life Management Activities Impact
 d210. Undertaking a single task
 d220. Undertaking multiple tasks
 d230. Carrying out daily routine
 d240. Handling stress and other psychological demands
School Activities Impact
 d825. Vocational training
 d830. Higher education
 d820. School education
Work Activities Impact
 d850. Remunerative employment
 d8450. Seeking employment
 d8451. Maintaining a job
 d860. Basic economic transactions
Mobility Impact
 d440. Fine hand use
 d445. Hand and arm use
 d4600. Moving around within the home
 d4602. Moving around outside the home and other buildings
 d470. Using transportation
 d475. Driving
 d455. Moving around or d4303. Carrying on shoulders, hip and back
Self Care Impact
 d510. Washing oneself
 d520. Caring for body parts
 d540. Dressing
 d550. Eating
 d560. Drinking
 d570. Looking after one's health
 d5300. Regulating urination
 d5301. Regulating defecation
Social Participation Impact
 d910. Community life
 d9201. Sports
 d920. Recreation and leisure
 d9205. Socializing
 d940. Human rights
 d950. Political life and citizenship
Understanding Impact
 d110. Watching
 d115. Listening
 d130-d155. Basic learning
 d160. Focusing attention
 d166. Reading
  d170. Writing
 d172. Calculating
 d175. Solving problems

Autism spectrum disorder without disorder of intellectual development and with mild or no
impairment of functional language
Fully Specified Name
Autism spectrum disorder without disorder of intellectual development and without
impairment of functional language
Description

All definitional requirements for autism spectrum disorder are met, intellectual functioning
and adaptive behaviour are found to be at least within the average range (approximately
greater than the 2.3rd percentile), and there is only mild or no impairment in the individual's
capacity to use functional language (spoken or signed) for instrumental purposes, such as to
express personal needs and desires.

Narrower Terms
 Asperger syndrome
 Asperger
 Asperger disorder

Autism spectrum disorder with disorder of intellectual development and with mild or no
impairment of functional language
Fully Specified Name
Autism spectrum disorder with disorder of intellectual development and without impairment
of functional language
Description : All definitional requirements for both autism spectrum disorder and disorder of
intellectual development are met and there is only mild or no impairment in the individual's
capacity to use functional language (spoken or signed) for instrumental purposes, such as to
express personal needs and desires.
Additional Information

All definitional requirements for both autism spectrum disorder and disorder of intellectual
development are met but there is only mild or no impairment in the individual's capacity to
use functional language for instrumental purposes (e.g., to express personal needs and
desires). The co-occurring Disorder of intellectual development should be classified
separately, using the appropriate category to designate severity (i.e., mild, moderate, severe,
profound, provisional). Because autism spectrum disorder inherently involves social deficits,
assessment of a co-occurring Disorder of intellectual development should place greater
emphasis on intellectual, conceptual, and practical domains than on social adaptation.

Autism spectrum disorder with disorder of intellectual development and with mild or no
impairment of functional language with loss of previously acquired skills
Description : All definitional requirements for both autism spectrum disorder and disorder of
intellectual development are met and there is only mild or no impairment in the individual's
capacity to use functional language (spoken or signed) for instrumental purposes, such as to
express personal needs and desires. In addition, the individual’s clinical history includes a loss
of previously acquired skills, most commonly the loss of language and social skills during the
second year of life. Loss of previously acquired skills is rare after three years of age, and
when it occurs is more likely to involve cognitive and adaptive skills (e.g., loss of bowel and
bladder control, impaired sleep) and to present together with increasing emotional and
behavioural disturbance.

Autism spectrum disorder with disorder of intellectual development and with mild or no
impairment of functional language without loss of previously acquired skills
Description : All definitional requirements for both autism spectrum disorder and disorder of
intellectual development are met and there is only mild or no impairment in the individual's
capacity to use functional language (spoken or signed) for instrumental purposes, such as to
express personal needs and desires. The clinical history does not include a loss of previously
acquired skills.

Autism spectrum disorder without disorder of intellectual development and with impaired
functional language
Description : All definitional requirements for autism spectrum disorder are met, intellectual
functioning and adaptive behaviour are found to be at least within the average range
(approximately greater than the 2.3rd percentile), and there is marked impairment in
functional language (spoken or signed) relative to the individual’s age, with the individual not
able to use more than single words or simple phrases for instrumental purposes, such as to
express personal needs and desires.

Autism spectrum disorder without disorder of intellectual development and with impaired
functional language with loss of previously acquired skills
Autism spectrum disorder without disorder of intellectual development and with impaired
functional language without loss of previously acquired skills

Autism spectrum disorder with disorder of intellectual development and with impaired
functional language
Description : All definitional requirements for both autism spectrum disorder and disorder of
intellectual development are met and there is marked impairment in functional language
(spoken or signed) relative to the individual’s age, with the individual not able to use more
than single words or simple phrases for instrumental purposes, such as to express personal
needs and desires.
Additional Information

All definitional requirements for both autism spectrum disorder and disorder of intellectual
development are met and there is marked impairment in or complete absence of ability
relative to the individual’s age to use functional language for instrumental purposes (e.g., to
express personal needs and desires). The co-occurring Disorder of intellectual development
should be classified separately, using the appropriate category to designate severity (i.e., mild,
moderate, severe, profound, provisional). Because autism spectrum disorder inherently
involves social deficits, assessment of a co-occurring Disorder of intellectual development
should place greater emphasis on intellectual, conceptual, and practical domains than on
social adaptation

Autism spectrum disorder with disorder of intellectual development and with impaired
functional language with loss of previously acquired skills
Description
All definitional requirements for both autism spectrum disorder and disorder of intellectual
development are met and there is marked impairment in functional language (spoken or
signed) relative to the individual’s age, with the individual not able to use more than single
words or simple phrases for instrumental purposes, such as to express personal needs and
desires. In addition, the individual’s clinical history includes a loss of previously acquired
skills, most commonly the loss of language and social skills during the second year of life.
Loss of previously acquired skills is rare after three years of age, and when it occurs is more
likely to involve cognitive and adaptive skills (e.g., loss of bowel and bladder control,
impaired sleep) and to present together with increasing emotional and behavioural
disturbance.

Chidhood disintegrative disorder

Synonyms
 Heller syndrome
 Disintegrative psychosis
 Dementia infantilis

Autism spectrum disorder with disorder of intellectual development and impaired functional
language without loss of previously acquired skills
Description : All definitional requirements for both autism spectrum disorder and disorder of
intellectual development are met and there is marked impairment in functional language
relative to the individual’s age, with the individual not able to use more than single words or
simple phrases for instrumental purposes (e.g., to express personal needs and desires). The
clinical history does not include a loss of previously acquired skills.

Autism spectrum disorder without disorder of intellectual development and with absence of
functional language
Description : All definitional requirements for autism spectrum disorder are met, intellectual
functioning and adaptive behaviour are found to be at least within the average range
(approximately greater than the 2.3rd percentile), and there is complete, or almost complete,
absence of ability relative to the individual’s age to use functional language (spoken or
signed) for instrumental purposes, such as to express personal needs and desires.

Autism spectrum disorder without disorder of intellectual development and with absence of
functional language with loss of previously acquired skills
Description : All definitional requirements for autism spectrum disorder are met, intellectual
functioning and adaptive behaviour are found to be at least within the average range
(approximately greater than the 2.3rd percentile), and there is complete, or almost complete,
absence of ability relative to the individual’s age to use functional language (spoken or
signed) for instrumental purposes, such as to express personal needs and desires. In addition,
the individual’s clinical history includes a loss of previously acquired skills, most commonly
the loss of language and social skills during the second year of life. Loss of previously
acquired skills is rare after three years of age, and when it occurs is more likely to involve
cognitive and adaptive skills (e.g., loss of bowel and bladder control, impaired sleep) and to
present together with increasing emotional and behavioural disturbance.

Autism spectrum disorder without disorder of intellectual development and with absence of
functional language without loss of previously acquired skills
Description : All definitional requirements for autism spectrum disorder are met, intellectual
functioning and adaptive behaviour are found to be at least within the average range
(approximately greater than the 2.3rd percentile), and there is complete, or almost complete,
absence of ability relative to the individual’s age to use functional language (spoken or
signed) for instrumental purposes, such as to express personal needs and desires. The clinical
history does not include a loss of previously acquired skills.

Autism spectrum disorder with disorder of intellectual development and with absence of
functional language
Description : All definitional requirements for both autism spectrum disorder and disorder of
intellectual development are met and there is complete, or almost complete, absence of ability
relative to the individual’s age to use functional language (spoken or signed) for instrumental
purposes, such as to express personal needs and desires
Additional Information

All definitional requirements for both autism spectrum disorder and disorder of intellectual
development are met, and there is complete, or almost complete, absence of ability relative to
the individual’s age to use functional language for instrumental purposes (e.g., to express
personal needs and desires). The co-occurring Disorder of intellectual development should be
classified separately, using the appropriate category to designate severity (i.e., mild, moderate,
severe, profound, provisional). Because autism spectrum disorder inherently involves social
deficits, assessment of a co-occurring disorder of intellectual development should place
greater emphasis on intellectual, conceptual, and practical domains than on social adaptation.

Autism spectrum disorder with disorder of intellectual development and absence of functional
language with loss of previously acquired skills
Description

All definitional requirements for both autism spectrum disorder and disorder of intellectual
development are met and there is complete, or almost complete, absence of ability relative to
the individual’s age to use functional language (spoken or signed) for instrumental purposes,
such as to express personal needs and desires. In addition, the individual’s clinical history
includes a loss of previously acquired skills, most commonly the loss of language and social
skills during the second year of life. Loss of previously acquired skills is rare after three years
of age, and when it occurs is more likely to involve cognitive and adaptive skills (e.g., loss of
bowel and bladder control, impaired sleep) and to present together with increasing emotional
and behavioural disturbance.

Autism spectrum disorder with disorder of intellectual development and absence of functional
language with loss of previously acquired skills
Description

All definitional requirements for both autism spectrum disorder and disorder of intellectual
development are met and there is complete, or almost complete, absence of ability relative to
the individual’s age to use functional language (spoken or signed) for instrumental purposes,
such as to express personal needs and desires. In addition, the individual’s clinical history
includes a loss of previously acquired skills, most commonly the loss of language and social
skills during the second year of life. Loss of previously acquired skills is rare after three years
of age, and when it occurs is more likely to involve cognitive and adaptive skills (e.g., loss of
bowel and bladder control, impaired sleep) and to present together with increasing emotional
and behavioural disturbance.
…………………………

6A02 Autism spectrum disorder

Description : Autism spectrum disorder is characterized by persistent deficits in the ability to
initiate and to sustain reciprocal social interaction and social communication, and by a range
of restricted, repetitive, and inflexible patterns of behaviour and interests. The onset of the
disorder occurs during the developmental period, typically in early childhood, but symptoms
may not become fully manifest until later, when social demands exceed limited capacities.
Deficits are sufficiently severe to cause impairment in personal, family, social, educational,
occupational or other important areas of functioning and are usually a pervasive feature of the
individual’s functioning observable in all settings, although they may vary according to social,
educational, or other context. Individuals along the spectrum exhibit a full range of
intellectual functioning and language abilities.

Inclusions

 Autistic disorder
 Pervasive developmental delay

6A02.0 Autism spectrum disorder without disorder of intellectual development and with mild
or no impairment of functional language
Fully Specified Name : Autism spectrum disorder without disorder of intellectual
development and without impairment of functional language
Description

All definitional requirements for autism spectrum disorder are met, intellectual functioning
and adaptive behaviour are found to be at least within the average range (approximately
greater than the 2.3rd percentile), and there is only mild or no impairment in the individual's
capacity to use functional language (spoken or signed) for instrumental purposes, such as to
express personal needs and desires.

All Index Terms

 Autism spectrum disorder without disorder of intellectual development and with mild
or no impairment of functional language
 Asperger syndrome
 Asperger
 Asperger disorder
 Autism spectrum disorder without disorder of intellectual development and without
impairment of functional language

6A02.1 Autism spectrum disorder with disorder of intellectual development and with mild or
no impairment of functional language
Fully Specified Name
Autism spectrum disorder with disorder of intellectual development and without impairment
of functional language
Description : All definitional requirements for both autism spectrum disorder and disorder of
intellectual development are met and there is only mild or no impairment in the individual's
capacity to use functional language (spoken or signed) for instrumental purposes, such as to
express personal needs and desires.
Additional Information

All definitional requirements for both autism spectrum disorder and disorder of intellectual
development are met but there is only mild or no impairment in the individual's capacity to
use functional language for instrumental purposes (e.g., to express personal needs and
desires). The co-occurring Disorder of intellectual development should be classified
separately, using the appropriate category to designate severity (i.e., mild, moderate, severe,
profound, provisional). Because autism spectrum disorder inherently involves social deficits,
assessment of a co-occurring Disorder of intellectual development should place greater
emphasis on intellectual, conceptual, and practical domains than on social adaptation.

All Index Terms

 Autism spectrum disorder with disorder of intellectual development and with mild or
no impairment of functional language
 Autism spectrum disorder with disorder of intellectual development and without
impairment of functional language
 Autism spectrum disorder with disorder of intellectual development and with mild or
no impairment of functional language with loss of previously acquired skills ⇒
 Autism spectrum disorder with disorder of intellectual development and with mild or
no impairment of functional language without loss of previously acquired skills ⇒

6A02.2 Autism spectrum disorder without disorder of intellectual development and with
impaired functional language
Description : All definitional requirements for autism spectrum disorder are met, intellectual
functioning and adaptive behaviour are found to be at least within the average range
(approximately greater than the 2.3rd percentile), and there is marked impairment in
functional language (spoken or signed) relative to the individual’s age, with the individual not
able to use more than single words or simple phrases for instrumental purposes, such as to
express personal needs and desires.

All Index Terms

 Autism spectrum disorder without disorder of intellectual development and with

impaired functional language
 Autism spectrum disorder without disorder of intellectual development and with
impaired functional language with loss of previously acquired skills ⇒
 Autism spectrum disorder without disorder of intellectual development and with
impaired functional language without loss of previously acquired skills ⇒

6A02.3 Autism spectrum disorder with disorder of intellectual development and with
impaired functional language
Description : All definitional requirements for both autism spectrum disorder and disorder of
intellectual development are met and there is marked impairment in functional language
(spoken or signed) relative to the individual’s age, with the individual not able to use more
than single words or simple phrases for instrumental purposes, such as to express personal
needs and desires.
Additional Information

All definitional requirements for both autism spectrum disorder and disorder of intellectual
development are met and there is marked impairment in or complete absence of ability
relative to the individual’s age to use functional language for instrumental purposes (e.g., to
express personal needs and desires). The co-occurring Disorder of intellectual development
should be classified separately, using the appropriate category to designate severity (i.e., mild,
moderate, severe, profound, provisional). Because autism spectrum disorder inherently
involves social deficits, assessment of a co-occurring Disorder of intellectual development
should place greater emphasis on intellectual, conceptual, and practical domains than on
social adaptation

All Index Terms

 Autism spectrum disorder with disorder of intellectual development and with impaired
functional language
 Autism spectrum disorder with disorder of intellectual development and with impaired
functional language with loss of previously acquired skills ⇒

 Chidhood disintegrative disorder ⇒

o Heller syndrome

o Disintegrative psychosis

o Dementia infantilis

 Autism spectrum disorder with disorder of intellectual development and impaired

functional language without loss of previously acquired skills ⇒

6A02.4 Autism spectrum disorder without disorder of intellectual development and with
absence of functional language
Description : All definitional requirements for autism spectrum disorder are met, intellectual
functioning and adaptive behaviour are found to be at least within the average range
(approximately greater than the 2.3rd percentile), and there is complete, or almost complete,
absence of ability relative to the individual’s age to use functional language (spoken or
signed) for instrumental purposes, such as to express personal needs and desires.

All Index Terms

 Autism spectrum disorder without disorder of intellectual development and with

absence of functional language
 Autism spectrum disorder without disorder of intellectual development and with
absence of functional language with loss of previously acquired skills ⇒
 Autism spectrum disorder without disorder of intellectual development and with
absence of functional language without loss of previously acquired skills ⇒
6A02.5 Autism spectrum disorder with disorder of intellectual development and with absence
of functional language
Description : All definitional requirements for both autism spectrum disorder and disorder of
intellectual development are met and there is complete, or almost complete, absence of ability
relative to the individual’s age to use functional language (spoken or signed) for instrumental
purposes, such as to express personal needs and desires
Additional Information

All definitional requirements for both autism spectrum disorder and disorder of intellectual
development are met, and there is complete, or almost complete, absence of ability relative to
the individual’s age to use functional language for instrumental purposes (e.g., to express
personal needs and desires). The co-occurring Disorder of intellectual development should be
classified separately, using the appropriate category to designate severity (i.e., mild, moderate,
severe, profound, provisional). Because autism spectrum disorder inherently involves social
deficits, assessment of a co-occurring disorder of intellectual development should place
greater emphasis on intellectual, conceptual, and practical domains than on social adaptation.

All Index Terms

 Autism spectrum disorder with disorder of intellectual development and with absence
of functional language
 Autism spectrum disorder with disorder of intellectual development and absence of
functional language with loss of previously acquired skills ⇒
 Autism spectrum disorder with disorder of intellectual development and absence of
functional language without loss of previously acquired skills ⇒

6A02.Y Other specified autism spectrum disorder

This category is an 'other specified' residual category.

All Index Terms

 Other specified autism spectrum disorder

6A02.Z Autism spectrum disorder, unspecified

This category is an 'unspecified' residual category.

All Index Terms

 Autism spectrum disorder, unspecified

 Autism spectrum disorder
o Autistic disorder

o autistic
o autistic disorder of childhood onset

o Pervasive developmental delay

o childhood autism

o Kanner syndrome

o infantile autism