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2020 Nutrition Diagnosis Terminology Sheet

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100% found this document useful (1 vote)
1K views3 pages

2020 Nutrition Diagnosis Terminology Sheet

Uploaded by

narsola
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Nutrition Diagnostic Terminology

Each term is designated with an alpha-numeric NCPT hierarchical code, followed by a five-digit (eg, 99999) Academy SNOMED CT/LOINC unique identifier
(ANDUID). Neither should be used in nutrition documentation. The ANDUID is for data tracking purposes in electronic health records.
NCPT Code ANDUID NCPT Code ANDUID

INTAKE (NI) ❑ Intake of types of fats inconsistent with needs NI-5.5.3 10854
Actual problems related to intake of energy, nutrients, fluids, bioactive substances through (specify) _______________________________
oral diet or nutrition support Protein (5.6)
Energy Balance (1) ❑ Inadequate protein intake NI-5.6.1 10666
Actual or estimated changes in energy (calorie/kcal/kJ) balance ❑ Excessive protein intake NI-5.6.2 10667
❑ Increased energy expenditure NI-1.1 10633 ❑ Intake of types of proteins inconsistent with NI-5.6.3 10855
❑ Inadequate energy intake NI-1.2 10634 needs
❑ Excessive energy intake NI-1.3 10635 (specify) _______________________________
❑ Predicted inadequate energy intake NI-1.4 10636 Amino Acid (5.7)
❑ Predicted excessive energy intake NI-1.5 10637 ❑ Intake of types of amino acids inconsistent with NI-5.7.1 12007
Oral or Nutrition Support Intake (2) needs
Actual or estimated food and beverage intake from oral diet or nutrition support compared (specify) _______________________________
with client goal Carbohydrate and Fiber (5.8)
❑ Inadequate oral intake NI-2.1 10639 ❑ Inadequate carbohydrate intake NI-5.8.1 10670
❑ Excessive oral intake NI-2.2 10640 ❑ Excessive carbohydrate intake NI-5.8.2 10671
❑ Inadequate enteral nutrition infusion NI-2.3 10641 ❑ Intake of types of carbohydrate inconsistent with NI-5.8.3 10856
❑ Excessive enteral nutrition infusion NI-2.4 10642 needs
❑ Enteral nutrition composition inconsistent with NI-2.5 11142 (specify) _______________________________
needs ❑ Inconsistent carbohydrate intake NI-5.8.4 10673
❑ Enteral nutrition administration inconsistent with NI-2.6 11143 ❑ Inadequate fiber intake NI-5.8.5 10675
needs ❑ Excessive fiber intake NI-5.8.6 10676
❑ Inadequate parenteral nutrition infusion NI-2.7 10644 Vitamin (5.9)
❑ Excessive parenteral nutrition infusion NI-2.8 10645 ❑ Inadequate vitamin intake (specify) NI-5.9.1 10678
❑ Parenteral nutrition composition inconsistent NI-2.9 11144 ❑ A (1) 10679
with needs
❑ C (2) 10680
❑ Parenteral nutrition administration inconsistent NI-2.10 11145
with needs ❑ D (3) 10681
❑ Limited food acceptance NI-2.11 10647 ❑ E (4) 10682
Fluid Intake (3) ❑ K (5) 10683
❑ Thiamin (6) 10684
Actual or estimated fluid intake compared with client goal
❑ Riboflavin (7) 10685
❑ Inadequate fluid intake NI-3.1 10649
❑ Niacin (8) 10686
❑ Excessive fluid intake NI-3.2 10650
❑ Folate (9) 10687
Bioactive Substances (4)
❑ B6 (10) 10688
Actual or estimated intake of bioactive substances, including single or multiple functional
food components, ingredients, dietary supplements, alcohol ❑ B12 (11) 10689
❑ Inadequate bioactive substance intake NI-4.1 10859 ❑ Pantothenic acid (12) 10690
❑ Inadequate plant stanol ester intake NI-4.1.1 11077 ❑ Biotin (13) 10691
❑ Inadequate plant sterol ester intake NI-4.1.2 11078 ❑ Excessive vitamin intake (specify) NI-5.9.2 10693
❑ Inadequate soy protein intake NI-4.1.3 11080 ❑ A (1) 10694
❑ Inadequate psyllium intake NI-4.1.4 11079 ❑ C (2) 10695
❑ Inadequate beta glucan intake NI-4.1.5 11076 ❑ D (3) 10696
❑ Excessive bioactive substance intake NI-4.2 10653 ❑ E (4) 10697
❑ Excessive plant stanol ester intake NI-4.2.1 11084 ❑ K (5) 10698
❑ Excessive plant sterol ester intake NI-4.2.2 11085 ❑ Thiamin (6) 10699
❑ Excessive soy protein intake NI-4.2.3 11087 ❑ Riboflavin (7) 10700
❑ Excessive psyllium intake NI-4.2.4 11086 ❑ Niacin (8) 10701
❑ Excessive beta glucan intake NI-4.2.5 11081 ❑ Folate (9) 10702
❑ Excessive food additive intake NI-4.2.6 11083 ❑ B6 (10) 10703
❑ Excessive caffeine intake NI-4.2.7 11082 ❑ B12 (11) 10704
❑ Excessive alcohol intake NI-4.3 10654 ❑ Pantothenic acid (12) 10705
❑ Biotin (13) 10706
Nutrient (5)
Actual or estimated intake of specific nutrient groups or single nutrients as compared with Mineral (5.10)
desired levels ❑ Inadequate mineral intake (specify) NI-5.10.1 10709
❑ Increased nutrient needs NI-5.1 10656 ❑ Calcium (1) 10710
(specify) _______________________________ ❑ Chloride (2) 10711
❑ Inadequate protein energy intake NI-5.2 10658 ❑ Iron (3) 10712
❑ Decreased nutrient needs NI-5.3 10659 ❑ Magnesium (4) 10713
(specify) _______________________________ ❑ Potassium (5) 10714
❑ Imbalance of nutrients NI-5.4 10660 ❑ Phosphorus (6) 10715
Fat and Cholesterol (5.5) ❑ Sodium (7) 10716
❑ Inadequate fat intake NI-5.5.1 10662 ❑ Zinc (8) 10717
❑ Excessive fat intake NI-5.5.2 10663 ❑ Sulfate (9) 10718
❑ Fluoride (10) 10719
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Nutrition Care Process Terminology (eNCPT), 2020 Edition. Copyright 2020 Academy of Nutrition and Dietetics.
Nutrition Diagnostic Terminology
NCPT Code ANDUID NCPT Code ANDUID

❑ Copper (11) 10720 ❑ Obese, Class II NC-3.3.4 10818


❑ Iodine (12) 10721 ❑ Obese, Class III NC-3.3.5 10819
❑ Selenium (13) 10722 ❑ Unintended weight gain NC-3.4 10770
❑ Manganese (14) 10723 ❑ Growth rate below expected NC-3.5 10802
❑ Chromium (15) 10724 ❑ Excessive growth rate NC-3.6 10803
❑ Molybdenum (16) 10725 Malnutrition Disorders (4)
❑ Boron (17) 10726 Health consequences resulting from insufficient or excessive energy and/or nutrient intake
❑ Cobalt (18) 10727 compared to physiologic needs and/or utilization
❑ Excessive mineral intake (specify) NI-5.10.2 10729 ❑ Malnutrition (undernutrition) NC-4.1 10657
❑ Calcium (1) 10730 ❑ Starvation related malnutrition NC-4.1.1 11130
❑ Chloride (2) 10731 ❑ Moderate starvation related NC-4.1.1.1 13210
❑ Iron (3) 10732 malnutrition
❑ Magnesium (4) 10733 ❑ Severe starvation related malnutrition NC-4.1.1.2 13211
❑ Potassium (5) 10734 ❑ Chronic disease or condition related NC-4.1.2 11131
malnutrition
❑ Phosphorus (6) 10735
❑ Moderate chronic disease or condition NC-4.1.2.1 13212
❑ Sodium (7) 10736 related malnutrition
❑ Zinc (8) 10737 ❑ Severe chronic disease or condition NC-4.1.2.2 13213
❑ Sulfate (9) 10738 related malnutrition
❑ Fluoride (10) 10739 ❑ Acute disease or injury related malnutrition NC-4.1.3 11132
❑ Copper (11) 10740 ❑ Moderate acute disease or injury related NC-4.1.3.1 13214
❑ Iodine (12) 10741 malnutrition
❑ Selenium (13) 10742 ❑ Severe acute disease or injury related NC-4.1.3.2 13215
malnutrition
❑ Manganese (14) 10743
❑ Non illness related pediatric malnutrition NC-4.1.4 13017
❑ Chromium (15) 10744
❑ Mild non illness related pediatric NC-4.1.4.1 13216
❑ Molybdenum (16) 10745
malnutrition
❑ Boron (17) 10746
❑ Moderate non illness related pediatric NC-4.1.4.2 13217
❑ Cobalt (18) 10747 malnutrition
Multinutrient (5.11) ❑ Severe non illness related pediatric NC-4.1.4.3 13218
❑ Predicted inadequate nutrient intake NI-5.11.1 10750 malnutrition
(specify) _______________________________ ❑ Illness related pediatric malnutrition NC-4.1.5 13018
❑ Predicted excessive nutrient intake NI-5.11.2 10751 ❑ Mild illness related pediatric NC-4.1.5.1 13219
malnutrition
(specify) _______________________________
❑ Moderate illness related pediatric NC-4.1.5.2 13220
malnutrition
❑ Severe illness related pediatric NC-4.41.5.3 13221
CLINICAL (NC) malnutrition
Nutritional findings/problems identified that relate to medical or physical conditions
Functional (1)
Change in physical or mechanical functioning that interferes with or prevents desired BEHAVIORAL-ENVIRONMENTAL (NB)
nutritional consequences Nutritional findings/problems identified that relate to knowledge, attitudes/beliefs,
❑ Swallowing difficulty NC-1.1 10754 physical environment, access to food, or food safety
❑ Biting/Chewing (masticatory) difficulty NC-1.2 10755 Knowledge and Beliefs (1)
❑ Breastfeeding difficulty NC-1.3 10756 Actual knowledge and beliefs as related, observed, or documented
❑ Altered GI function NC-1.4 10757 ❑ Food and nutrition related knowledge deficit NB-1.1 10773
❑ Predicted breastfeeding difficulty NC-1.5 11146 ❑ Unsupported beliefs/attitudes about food or NB-1.2 10857
Biochemical (2) nutrition related topics (use with caution)
Change in capacity to metabolize nutrients as a result of medications, surgery, or as ❑ Not ready for diet/lifestyle change NB-1.3 10775
indicated by altered laboratory values ❑ Self monitoring deficit NB-1.4 10776
❑ Impaired nutrient utilization NC-2.1 10759 ❑ Disordered eating pattern NB-1.5 10777
❑ Altered nutrition related laboratory values NC-2.2 10760 ❑ Limited adherence to nutrition related NB-1.6 10778
(specify) _______________________________ recommendations
❑ Food medication interaction NC-2.3 10761 ❑ Undesirable food choices NB-1.7 10779
(specify) _______________________________ Physical Activity and Function (2)
❑ Predicted food medication interaction NC-2.4 10762 Actual physical activity, self care, and quality of life problems as reported, observed, or
(specify) _______________________________ documented
Weight (3) ❑ Physical inactivity NB-2.1 10782
Chronic weight or changed weight status when compared with usual or desired body ❑ Excessive physical activity NB-2.2 10783
weight ❑ Inability to manage self care NB-2.3 10780
❑ Underweight NC-3.1 10764 ❑ Impaired ability to prepare foods/meals NB-2.4 10785
❑ Unintended weight loss NC-3.2 10765 ❑ Poor nutrition quality of life NB-2.5 10786
❑ Overweight/obesity NC-3.3 10766 ❑ Self feeding difficulty NB-2.6 10787
❑ Overweight, adult or pediatric NC-3.3.1 10767
❑ Obese, pediatric NC-3.3.2 10768
❑ Obese, Class I NC-3.3.3 10769
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Nutrition Care Process Terminology (eNCPT), 2020 Edition. Copyright 2020 Academy of Nutrition and Dietetics.
Nutrition Diagnostic Terminology
NCPT Code ANDUID NCPT Code ANDUID

Food Safety and Access (3)


Actual problems with food safety or access to food, water, or nutrition related supplies Other (NO)
❑ Intake of unsafe food NB-3.1 10789 Nutrition findings that are not classified as intake, clinical or behavioral-environmental
❑ Limited access to food NB-3.2 12009 problems.
❑ Limited access to nutrition related supplies NB-3.3 10791 Other (1)
❑ Limited access to potable water NB-3.4 12010 ❑ No nutrition diagnosis at this time NO-1.1 10795

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Nutrition Care Process Terminology (eNCPT), 2020 Edition. Copyright 2020 Academy of Nutrition and Dietetics.

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