Degree of Impairment2/ Interval for Review Profile Levels Potential for At Risk Condition Definition / Example and Other Actions Driving 1. No diagnosed condition No known disorder N/A Any pulmonary condition, recovered or cured; or 2. Condition fully recovered N/A Minimal, reversible, episodic, controlled pulmonary condition. 3. Active impairment Pulmonary disease Gold A-B, mild dyspnea; or Gold C-D, maintains O2 sat 89% or greater on room air. Moderate dyspnea, no hypoxia less than 89%; or a. Mild 4 years Restrictive or other pulmonary disease of mild severity, maintains O2 sat 89% or greater on room air. 2 year Gold C-D, moderate dyspnea. O2 sat 88% or less, or PO2 55 or less on room air, but If O2 sat less than able to maintain O2 sat 89% or greater on 88% (on room air) oxygen supplementation; or while at rest or Restrictive or other pulmonary disease of driving must use O2 b. Moderate while driving. Note: moderate severity, O2 sat 88% or less on Those with only sleep room air but able to maintain O2 sat 89% or exercise induced or greater on oxygen supplementation; or hypoxia are not Exercise or sleep induced O2 sat 88% or required to use O2 less. while driving. Gold D, hypoxia cannot be controlled to maintain O2 sat 89% or greater, or PO2 56 or greater; or severe restrictive or other c. Severe pulmonary disease, cannot maintain O2 sat No driving 89% or greater; or new condition under investigation, unable to maintain O2 sat 89% or greater on room air. 1 For further discussion regarding PULMONARY DISORDER, please refer to NARRATIVE found at beginning of this section. 2 For further explanation of degree of impairment, please refer to SECTION 3. DEMENTIA
Profile Levels Degree of Impairment2/ Potential for At Risk Driving Condition Definition / Example Interval for Review and Other Actions 1. No diagnosed condition No known disorder N/A 2. Condition fully recovered Any pulmonary condition, recovered or cured; or Minimal, reversible, episodic, controlled pulmonary condition. N/A 3. Active impairment Pulmonary disease a. Mild Gold A-B, mild dyspnea; or Gold C-D, maintains O2 sat 89% or greater on room air. Moderate dyspnea, no hypoxia less than 89%; or Restrictive or other pulmonary disease of mild severity, maintains O2 sat 89% or greater on room air. 4 years b. Moderate Gold C-D, moderate dyspnea. O2 sat 88% or less, or PO2 55 or less on room air, but able to maintain O2 sat 89% or greater on oxygen supplementation; or Restrictive or other pulmonary disease of moderate severity, O2 sat 88% or less on room air but able to maintain O2 sat 89% or greater on oxygen supplementation; or Exercise or sleep induced O2 sat 88% or less. 2 year If O2 sat less than 88% (on room air) while at rest or driving must use O2 while driving. Note: Those with only sleep or exercise induced hypoxia are not required to use O2 while driving. c. Severe Gold D, hypoxia cannot be controlled to maintain O2 sat 89% or greater, or PO2 56 or greater; or severe restrictive or other pulmonary disease, cannot maintain O2 sat 89% or greater; or new condition under investigation, unable to maintain O2 sat 89% or greater on room air. No driving 1 For further discussion regarding PULMONARY DISORDER, please refer to NARRATIVE found at beginning of this section. 2 For further explanation of degree of impairment, please refer to SECTION 3. DEMENTIA
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