Severe harm
This means a permanent lessening of bodily, sensory, motor, physiologic or intellectual functions, including removal of the wrong limb or organ or brain damage, that is related directly to the incident and not related to the natural course of an individual's illness or underlying condition.
Moderate harm
This means harm that requires a moderate increase in treatment, and significant, but not permanent, harm.
For example a “moderate increase in treatment” means an unplanned return to surgery, an unplanned readmission, a prolonged episode of care, extra time in hospital or as an outpatient, cancelling of treatment, or transfer to another treatment area (such as intensive care).
Prolonged pain
This means pain which an individual has experienced, or is likely to experience, for a continuous period of at least 28 days.
Prolonged psychological harm
This means psychological harm which an individual has experienced, or is likely to experience, for a continuous period of at least 28 days.
Doing nothing is not an option!
If you are unsure about the level of harm, or it is not yet clear, but it could fall into any of the 4 categories, you need to respond as if the degree of harm is clear under the most relevant category.