IDDSI Level 4 is the pureed food level in the IDDSI framework. It's smooth, holds its shape on a spoon, and needs no chewing. Residents with dysphagia may be prescribed it by a speech-language pathologist.
Two products in this guide state IDDSI Level 4 on their product pages: Hospital Food French Toast Bulk Puree and Apetito Puree Pasta Primavera. For the rest, confirm the level on the label before it goes on the menu.





