Nutrition Assessment Matrix

Parameter (not all-inclusive) Food and Nutrient Intake

Food/Nutrition-Related Nutrition Diagnostic Terminology

Nutrition Diagnostic Terminology NB 1.6 NI 1.5 NI 1.4 NI 2.2 NI 1.4 NI 5.2 Nutrition Assessment and/or ME Code FH-5.1.1, FH-8.1.1

Expected food/nutrition related outcomes are not achieved Excess intake of energy from energy dense or high fat foods/beverages Restriction or omission of energy dense foods Highly variable calorie intake Insufficient intake of energy

NI 2.2

FH-1.2.1.1, FH-1.2.1, FH1.5.1, CS-1.1.1, CS-2.1.1 FH-1.2.1.1, FH-1.3.1, FH1.6.1, CS-1.1.1, CS-2.1.1

Intake inconsistent with estimated, or measured, or recommended needs Excess intake of fluid

NI 1.6 NI 2.5 NC 3.1 NI 3.2 NI 3.1

NI 1.6 NI 5.3

NI 1.7 NI 2.8 NC 3.4 NC 2.2 NC 3.2 NI 5.9.1

NI 2.1 NC 3.1

FH-1.1.1.1

FH-1.1.1.1, CS-1.1.1 FH-1.1, FH-1.2, FH 1.3, FH 1.4, FH-1.5, FH-1.6, CS-1, CS-2, CS-3, CS-4 FH-1.2.1, CS-3.1.1 FH-1.2.1, CS-3.1.1 FH-1.2.2

NI 2.2 NI 5.11.1 NB 1.4

Insufficient intake of fluid

Changes in recent food intake Excess intake of foods without available vitamins

NC 1.2 NC 3.4 NI 5.1 NI 5.9.2 NB 1.2 NI 4.2 NI 2.1 NI 2.9 NI 5.9.1 NC 1.1 NB 2.4 NC 3.2 NC 1.3 NI-2.5 NI-2.5 NI-2.9 NI 1.5

Excess intake of fortified foods and supplements containing vitamins Food group/nutrient imbalance Food additive intolerance Food variety, limited Insufficient intake of foods/food groups and nutrients

FH-1.6.1, CS-4.1 FH-1.6.1, CS-4.1 FH-1.2.2.1, FH-1.2.2.4, FH-1.2.2.5

NB 3.2

FH-1.4.2.4 NI 5.3 NI 5.11.1 NC 3.1 FH-1.2.2

Normal intake of food in the face of illness Enteral or parenteral nutrition therapy

NI 5.1 NI 5.10.1 NC 1.2 NB 3.2

FH-1.2.2.4, FH-1.2.2.5

Mother with small amount of milk when pumping Enteral or parenteral nutrition formula/solution inconsistent with evidence-based practice Enteral or parenteral nutrition support intolerance history Long-term enteral or parenteral nutrition support Excess intake of parenteral or enteral nutrition or components of EN/PN Insufficient intake of fat, essential fatty acids Insufficient intake of parenteral or enteral nutrition Alcohol intake, excessive

FH-1.2.2, CH-2.1 FH-7.1.4 FH-1.3 FH-1.3 FH-1.3, FH-2.1.2.1 NC 3.3 FH-1.3, FH-2.1.2.1 FH-1.3.1.1, FH-1.3.2.1, FH1.5.1, FH-1.5.2, FH-1.5.3, FH-1.5.4, FH 1.6.1, FH-1.6.2, CS-1.1.1, CS-2, CS-4 FH-1.5.1.1, FH-1.5.1.8, CS2.1.1, CS-2.1.2 FH-1.3.1.1, FH-2.3.1, CS1.1.1, CS-2.2.1 FH-1.4.1

NI 5.7.3

NI 2.8 NI 2.8 NI 2.4 NI 5.7.3

NI 5.6.1 NI 1.4 NI 2.1 NI 5.3 NI 2.3 NI 4.3 NC 1.2 NI 2.6 NI 5.2 NC 3.4

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Parameter (not all-inclusive)

Food and Nutrient Intake, contd

Nutrition Diagnostic Terminology NI 4.3 NI 4.3 NI 4.2 NI 4.1 NI 4.2 NI 4.1 NI 4.2 NI 5.4 NI 5.8.6 NI 5.6.3 NI 5.6.2 NI 5.6.3 NI 5.8.5

Nutrition Assessment and/or ME Code FH-1.4.1 FH-1.4 FH-1.4

Excess intake of alcohol and/or binge drinking Excess intake of bioactive substances

Alcohol intake during pregnancy despite knowledge of risk Insufficient intake of bioactive substances

NC 3.4

FH-1.4.1, CH-2.1.6

Excess intake of plant foods containing soluble fiber, -glucan, or plant sterol and stanol esters

Insufficient intake of fiber, soy protein, -glucan, or plant sterol and stanol esters Ready access to available foods/products with bioactive substance Excess intake of fiber Excess intake of fat from high-risk lipids (saturated fat, trans fat, cholesterol)

FH-1.4.2,1, FH-1.4.2.3, FH1.5.4.2, CS-2.4.1, CS-2.4.2

FH-1.4.2, FH-1.5.4, CS-2.4.1, CS-2.4.2 FH-1.4.2, FH-6.1, FH-6.2 FH-1.5.4.1, CS-2.4.1

NI 5.6.2 NI 5.4

Excess intake of fat and/or foods prepared with added fat

FH-1.5.1.2, FH-1.5.1.3, FH1.5.1.7, CS-2.1.2 FH-1.5.1.1, CS-2.1.1 FH-1.5.1.1, FH-1.5.1.4, FH1.5.1.5, FH-1.5.1.6, CS-2.1.1 FH-1.5.2.5, CS-2.2.1, CS-2.2.2 FH-1.5.2, CS-2.2.1 FH-1.5.2, CS-2.2.1

Insufficient intake or incorrect ratio of fat, monounsaturated, polyunsaturated, DHA/ARA, or omega-3 fatty acids Excess intake of amino acids (specify) Excess intake of protein Insufficient intake of protein

NI 5.6.3 NI 5.7.3 NC 2.2 NI 2.1

NI 5.4 NI 5.2 NI 5.7.3

NI 5.7.2 NI 5.7.1

Protein or other supplementation intake different from recommended Insufficient intake of carbohydrate Intake different from recommended carbohydrate

NI 5.7.2 NI 5.8.1 NI 5.8.2 NI 2.4 NI-2.8

FH-1.5.2, CS-2.2.1, CS-2.2.2 FH-1.5.3, CS-2.3.1 FH-1.3.1, FH-1.5

Intake different from recommended, carbohydrate, protein and/or fat intake from enteral and/or parenteral nutrients Insufficient intake of vitamin D intake/sunlight exposure Insufficient intake of vitamins Excess intake of iron Excess intake of manganese Excess intake of zinc Excess intake of minerals or vitamins Excess intake of phosphorus Excess intake of potassium Excess intake of sodium Fasting

NI 5.8.3 NI 2.5

NI 5.8.4 NI 2.7

FH-1.5.3, FH-5.1.1

NI 5.9.1 NI 5.9.1 NI 5.5 NI 5.5 NI 5.5 NI 5.10.2 NI 5.4 NI 3.2

NC 2.2

FH-1.6.1.3, CS-4.1.3 FH-1.6.1, CS-4.1 FH-1.6.2.3, CS-4.2.3 FH-1.6.2.8, CS-4.2.8

FH-1.6.2.11, CS-4.2.9 NI 5.11.2 NC 2.2 NI 5.4 NC 2.2 NI 5.11.2 FH-1.6.1, FH-1.6.2, CS-4.1, CS-4.2 FH-1.6.2.6, CS-4.2.6 FH-1.6.2.7, CS-4.2.5 FH-1.6.2.7, CS-4.2.7 FH-1.6.2, CS-4.2 FH-1.1.1.1, CS-1.1.1 NB 1.5 FH-2.1.2.3, FH-2.1.2.4 FH-2.1.2.2, AD-1.1.4, AD-1.1.6 FH-2.1.2.4 FH-4.2.7

NC 2.2 NI 5.10.1 NB 1.5

Insufficient intake of minerals Food and nutrient administration Chronic dieting behavior Inability to lose weight through conventional weight loss intervention Previous failures to effectively change target behavior

NC 2.2

NI 5.10.1 NC 3.3 NB 1.3

NC 3.1

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Parameter (not all-inclusive)

Food and nutrient administration, contd

Nutrition Diagnostic Terminology NC 1.3 NI 2.2 NI 2.3 NI 2.6 NI 5.8.4 NC 3.2 NI 3.2 NI 5.6.2 NB 2.4

Nutrition Assessment and/or ME Code FH-2.1.3.4 FH-2.1.3.1, FH-1.2.2.2 FH-2.1.4.1 FH-2.1.4.2 FH-3.1.1, FH-3.1.2, FH-3.1.3 FH-3.1, AD-1.1.4, AD-1.1.6 FH-3.1.1, FH-3.1.2, FH-3.1.3

Lack of facilities or accommodations for breastfeeding in community or at work Excess intake of convenience foods, pre-prepared meals, and foods prepared away from home Feeding tube in the wrong position or removed Venous access in the wrong position or removed Insulin or insulin secretagogues Medication, lipid lowering

Medication and herbal supplement use

Medication associated with weight loss Medications administered in large amounts of fluid Medications containing proteins not recommended Medications affecting absorption or metabolism Medications associated with increased appetite Medications that affect appetite Medications that cause altered glucose levels Medications that cause anorexia Medications that impact RMR Medications that cause somnolence and decreased cognition Medications that impair fluid excretion

NI 1.6

NI 5.7.3 NI 5.1 NI 1.7 NI 1.4 NI 2.1 NI 5.8.2 NB 2.1 NC 3.3 NI 3.2 NI 1.2 NI 2.4 NI 3.1 NC 3.4 NI 1.6 NI 5.8.3

FH-3.1,1, FH-1.2.1, FH-3.1, CS-3.1.1 FH-3.1.1,FH-1.6.1, FH-2.1, CS-2.2.1, CS-3.1.1 FH-3.1, BD-1.4, BD-1.8.1, PD-1.1.5, CH-2.1.3 NC 3.1 FH-3.1, PD-1.1.5 FH-3.1, PD-1.1.5 FH-3.1, BD-1.5 FH-3.1, PD-1.1.5 FH-3.1, PD-1.1.7 FH-3.1, BD-1.12 NI 2.7 FH-3.1, BD-1.8, CS-1.1.1 FH-3.1, BD-1.8, CS-1.1.1

NI 5.11.1

NI 5.8.4

Medications that increase energy expenditure

Medications that reduce requirements or impair metabolism of energy, protein, fat or fluid Medications that reduce thirst Medications that require nutrient supplementation that cannot be accomplished with food intake Medications with known food-medication interactions Misuse of laxatives, enemas, diuretics, stimulants, and/or metabolic enhancers Medications that affect appetite or are associated with weight loss

FH-3.1, BD-1.8, CS-1.1.1, CS2.1.1, CS-2.2.1, CS-3.1.1 FH-3.1, BD-1.12, PD-1.1.5 FH-3.1, FH-1.7.1, FH-1.7.2, CS-4 FH-3.1 FH-3.1.3 FH-3.1, AD-1.1.4, AD-1.1.6 FH-3.1, FH-1.7.1, FH-1.7.2, CS-4 FH-3.1 FH-3.1, FH-1.7.1, CS-4.1

NC 2.3 NC 2.3 NB 1.5 NI 1.4 NC 2.3 NC 2.3 NI 5.9.1 NI 2.1 NC 3.4

NC 2.4 NC 2.4

NC 3.2 NC 2.4 NC 2.4

Intake that does not support replacement or mitigation of OTC, prescribed drugs, herbals, botanicals, or dietary supplements

Medication (over the counter or prescribed), herbal, botanical, or dietary supplement intake that is problematic or inconsistent with recommended foods Prolonged use of substances known to increase vitamin requirements or reduce vitamin absorption Drug intake, excessive

NI 5.2

NI 5.3

FH-3.1.3

Supplemental material for International Dietetics and Nutrition Terminology (IDNT) Reference Manual, Third Edition. Copyright 2011 American Dietetic Association.

Parameter (not all-inclusive) Knowledge/Beliefs/Attitudes Avoidance or limitation of estimated total intake or intake of specific food/food groups Uncertainty regarding appropriate foods to prepare based upon nutrition prescription

Nutrition Diagnostic Terminology NI 5.2 NB 1.5 NB 2.4 NB 1.6 NB 1.7 NI 5.3 NC 1.4

Nutrition Assessment and/or ME Code FH-1.2.2 FH-5.2 FH- 4.1, FH-5.1.4, FH5.1.5

Inability to select (e.g., access) or unwillingness to select, or NB 1.7 disinterest in selecting food consistent with guidelines Uncertainty of how to complete monitoring records

Uncertainty as to how to consistently apply food/nutrition information

FH-4.1, FH-5.1.4, FH-5.1.5 FH-4.1, FH-5.1.1, FH-6, CH-2.1.12

Uncertainty regarding changes that could/should be made in NB 1.4 response to data in self-monitoring records Mother has insufficient knowledge of breastfeeding or infant hunger/satiety signals Belief that aging can be slowed by dietary limitations Cultural or religious practices that limit affect intake Defensiveness, hostility, or resistance to change NC 1.3 NB 3.2

NB 1.4

NB 2.3

FH-4.1, FH-5.1.4 FH-4.1, FH-5.1.4 FH-4.1, FH-6.1.4 FH-4.2.11

NI 5.7.1 NB 1.3 NB 1.3 NB 2.6 NC 3.1 NB 1.5 NB 1.5 NB 1.5 NB 1.1 NB 2.5 NB 3.2 NI 1.6 NI-2.8 NI 5.11.1 NB 1.7 NB 1.1 NB 1.5 NB 1.3 NC 1.3 NI 2.4 NC 3.3 NB 1.1 NB 1.5

NI 5.8.2

NI 5.11.1

FH-1.2, FH-1.5, FH-1.6, CH-1.1.3, CH-3.1.7 FH-4.2.7 FH-4.2.7, FH-4.2.11 FH-4.2, FH-5.4

Denial of need for food- and nutrition-related changes Emotional distress, anxiety, or frustration surrounding mealtimes Food faddism Food preoccupation

NB 1.2

FH-4.2.11 FH-4.2.5 FH-4.2.5, FH-4.2.11 FH-4.2.5, FH-4.2.11

Excessive reliance on nutrition terming and preoccupation with nutrient content of food Fear of foods or dysfunctional thoughts regarding food or food experiences Relates concerns about previous attempts to learn information Frustration over lack of control Harmful beliefs and attitudes of parent/caregiver Inaccurate or incomplete knowledge

NB 2.5

FH-2.1.2.2, FH-4.1, FH8.1.1 FH-4.2.7, FH-8.1.1 NI 2.5 NI 5.8.3 NC 2.2 NB 3.3 FH-4.2.11 FH-4.1

NB 3.3

Provides inaccurate or incomplete written response to questionnaire/written tool, or is unable to read written tool Irrational thoughts about foods effect on the body Lack of efficacy to make changes or to overcome barriers to change Mother with lack of confidence in ability to breastfeed Unrealistic expectations of weight gain or ideal weight

NI 1.7 NI 5.1 NI 5.11.2 NB 2.5

FH-4.1.1, CH-1.1.5 FH-4.2.5, FH-4.2.11 FH-4.2.8 FH-4.2.8

NB 1.6

Unwillingness or disinterest in applying nutrition related recommendations Verbalizes unwillingness/disinterest in learning Weight preoccupation

NI 2.7

NB 1.7

NB 2.5

FH-4.2.10

FH-4.2.7, FH-4.2.4, FH-5.1.1, FH-5.1.5 FH-4.2.7 FH-4.2.6

Supplemental material for International Dietetics and Nutrition Terminology (IDNT) Reference Manual, Third Edition. Copyright 2011 American Dietetic Association.

Parameter (not all-inclusive) Behavior Incomplete self-monitoring records

Nutrition Diagnostic Terminology NB 1.4 NB 1.4 NB 1.6 NB 1.3 NB 1.6 NB 1.6 NB 2.5 NB 2.5 NC 1.3 NB 1.5 NC 1.2 NI 1.4 NC 2.1 NB 1.5 NB 1.5 NB 1.5 NB 1.5 NB 1.5 NI 2.1 NB 1.5 NC 1.1 NC 1.2 NC 1.2 NI 5.3 NI 5.8.2 NB 3.2 NB 2.6 NI 5.8.3 NC 3.1 NB 3.3 NI 2.9 NB 1.2 NC 3.1 NB 2.5 NC 1.1

Nutrition Assessment and/or ME Code FH-5.1.4 FH-5.1.1 FH-5.1.2 FH-5.1.3 FH-5.5.1

Embarrassment or anger at need for self-monitoring Failure to complete any agreed homework Failure to keep appointments/schedule or engage in counseling Inability to recall agreed upon changes Lack of social and familial support Lack of compliance or inconsistent compliance with plan Inability to change food or activity related behavior

NB 2.3 NB 1.6

FH-5.1.4, FH-4.2.13

FH-5.1.1, FH-5.1.5

Mother is concerned about breastfeeding/lack of support

FH-5.5.1 FH-5.2, FH-1.2.1, FH-1.2.2 FH-5.2, FH-5.5, CH-1.1.1 FH-5.2, FH-5.4, FH-1.2.2 FH-5.2

Avoidance of food or calorie containing beverages Avoidance of foods of age-appropriate texture Avoidance of foods/food groups, mealtime resistance Avoidance of social events where food is served

Eating alone, feeling embarrassed by the amount of food eaten

Eating much more rapidly than normal, eating until feeling uncomfortably full, consuming large amounts of food when not feeling hungry Excess intake of food in a defined time period Feeling disgusted with oneself, depressed, or guilty after overeating

FH-5.3.1, FH-2.1.3, FH4.2.13 FH-5.3.1 FH-5.3.1

FH-5.3.1, FH-4.2.13 FH-5.4 FH-5.3.1 FH-5.4 FH-5.4

Inappropriate reliance on foods, food groups, supplements, EN/PN Sense of lack of control of overeating during the episode Lack of developmental readiness Prolonged chewing, feeding time, spitting food out

Factors Affecting Access to Food and Food/Nutrition-Related Supplies Economic or transportation constraints that limit availability NI 2.1 of food or supplies NI 5.8.4 NI 5.11.1 NB 2.4 Excess intake of mercury Food insecurity/unwillingness/uncertainty how to use available resources NB 3.1 NB 2.5 NB 3.1 NI 5.3

FH-6.1, FH-6.4, CH-3.1.1.

NB 3.2

FH-6.2.2

FH-6.1, FH-6.4 FH-6.2.2

Food intake includes raw eggs, unpasteurized milk products, soft cheeses, undercooked meats, wild plants, berries and mushrooms Hunger in the face of inadequate access to food supply Lack of suitable support system to access food, water or supplies No self-management equipment Ready access to available foods/products with bioactive substance

NB 3.2 NB 1.4 NI 4.2

NB 3.2 NB 3.3

FH-6.1

FH-6.1, FH-6.3, FH-6.4 FH-6.4.1

FH-6.1, FH-1.4.2 FH-6.2.3, FH-6.2.4, FH6.2.5 FH-6.3.1

Lack of access to appropriate food storage or preparation facility Lack of access to potable water

NB 3.1 NB 3.2 5

Supplemental material for International Dietetics and Nutrition Terminology (IDNT) Reference Manual, Third Edition. Copyright 2011 American Dietetic Association.

Parameter (not all-inclusive)

Physical Activity and Function

Nutrition Diagnostic Terminology NC 1.3 NB 2.6 NI 1.7 NC 3.3 NI 1.2 NI 1.6

Nutrition Assessment and/or ME Code FH-7.1 FH-7.2.7 FH-7.3

Breastfeeding issues, low duration, crying, latch issues, lethargy, feeding resistance Forgets to eat, does not recognize food Decreased or sedentary activity level (due to barriers or other reasons) Increased physical activity

NB 2.1 NI 5.1 NC 3.1 NB 2.2 NB 2.2

FH-7.3 FH-7.3.11

Low level of NEAT (non-exercise activity thermogenesis)

Excessive physical activity (ignoring family, job; exercising NB 1.5 without rest/rehabilitation days, or while injured or sick) Overtraining Low cardiorespiratory fitness and/or low muscle strength Lack of ability to shop, prepare meals NB 2.2 NB 2.1 NI 1.6 NI 5.11.1 NI 2.3 NI 5.2 NI 1.7 NB 2.6 NB 2.6 NB 2.6 NB 2.6 NB 2.5 NB 2.5

NB 2.1

FH-7.3.2, FH-7.3.3, FH7.3.4, FH-7.3.5, FH-7.3.6 FH-7.3 FH-7.3, PD-1.1.3, PD-1.1.4 FH-7.2.1, FH-7.2.6, FH7.2.10 FH-7.3 FH-7.3 FH-7.3 FH-7.2.10, FH-5.4.4, FH-7.2.2, FH-5.4 FH-6.2.2, FH-6.2.3 FH-7.2.2, FH-7.2.3 FH-8.1.1 FH-8.1.1

NI 1.7 NI 2.6

NI 5.3

Physical activity, easy fatigue with increased activity; unable to achieve desired levels Change in physical activity Utensil biting Food, inappropriate use of

Change in functional indicators, e.g., grip strength or others

Foods provided not conducive to self feeding

Nutrition-Related Patient/Client-Centered Measures Unfavorable QOL or other quality of life rating Frustration or dissatisfaction with MNT recommendations
Updated: 2009 Edition

Dropping foods, utensils, lack of strength for feeding

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Nutrition Assessment Matrix

Parameter (not all-inclusive) Height/length Height/length Findings loss

Anthropometric Data and Related Diagnostic Terminology

Nutrition Diagnostic Terminology NI 5.10.1

Nutrition Assessment and/ or ME Code AD-1.1.1 (adults), AD1.1.6 (peds)

Weight change Weight Weight

change, rapid gain

NC 2.2 NI 2.9 NI 3.2 NC 3.4

NB 1.5 NI 1.5 NI 1.7 NC 2.3 NI 2.5 NI 2.2 NC 3.3 NI 2.7

AD-1.1.4 (adults), AD1.1.6 (peds) AD-1.1.4 (adults), AD1.1.6 (peds) AD-1.1.4 (adults), AD1.1.6 (peds) AD-1.1.4 (adults), AD1.1.6 (peds) AD-1.1.4 (adults), AD1.1.6 (peds)

in excess of lean tissue NI 2.4 accretion NI-2.8 interdialytic Weight loss NI 5.4

unintentional decreased Weight failure to gain as planned

NI 1.4 NI 1.6 NI 2.5 NI 2.9 NI 5.2 NC 1.3 NI 5.8.3 NB 2.2 NI 1.2 NI 1.6 NI 2.3

NI 2.1 NI 2.6 NI 3.1 NI 5.3 NC 2.1 NB 2.6 NC 1.4 NB 3.3 NI 2.6 NI 5.1 NB 3.3 NB 2.2 NI 5.2 NI 5.8.3 NB 1.6

NI 2.3 NI-2.8 NI 4.2 NI 5.1 NI 5.6.1 NC 3.2 NB 3.2 NI 5.2 NC 3.2 NC 3.1 NI 5.3 NB 2.2 NB 3.3

AD-1.1.4 (adults), AD1.1.6 (peds) AD-1.1.4 (adults), AD1.1.6 (peds) AD-1.1.4 (adults), AD1.1.6 (peds)

NI 1.6 NB 3.3 NI 1.6 NI 2.3 NI 2.6 NC 1.3 NI 1.5 NB 1.5 NI 1.6 NI 5.1 NC 3.1 NI 5.2

Body Mass Index (BMI) BMI

increased decreased normal delayed

NI 1.7 NB 2.1 NI 2.3 NI 5.2 NB 1.5

NC 3.3 NB 3.2 NI 2.6 NB 3.2 NB 3.3

AD-1.1.5 (adults), AD1.1.6 (peds) AD-1.1.5 (adults), AD1.1.6 (peds)

Growth Pattern Indices/Percentile Ranks Growth pattern indices/ percentile ranks

NI 1.2 NI 1.6 NI 5.1 NI 2.9 NI 5.6.1 NB 3.2 NC 1.4

NI 2.1 NI 5.2 NI 5.7.1 NI 5.7.2 NC 2.1 NC 3.1 NB 2.2

NI 2.3 NI 2.6 NI 5.3 NI 5.8.3 NI 5.9.2 NI 5.11.2 NB 3.3

AD-1.1.6

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Parameter (not all-inclusive) Body fat percentage Body fat percentage

Body Compartment Estimates

Findings increased

Nutrition Diagnostic Terminology NI 1.5 NI 5.1 NI 5.10.1 NI 5.11.1 NI 5.1 NI 5.1 NC 3.3 NC 3.3 NC 1.4 NC 3.1 NC 3.1 NC 2.1

Nutrition Assessment and/ or ME Code AD-1.1.7 AD-1.1.7 AD-1.1.7 AD-1.1.7 AD-1.1.7 AD-1.1.7 AD-1.1.7

Bone mineral density Mid-arm muscle circumference Triceps skinfold

decreased decreased decreased increased increased decreased

Waist circumference
Updated: 2011 Edition

Supplemental material for International Dietetics and Nutrition Terminology (IDNT) Reference Manual, Third Edition. Copyright 2011 American Dietetic Association.

Nutrition Assessment Matrix

Biochemical Data, Medical Tests and Procedures and Related Diagnostic Terminology
Parameter (not all-inclusive) Biochemical data pCO2 pO2 Acid-base balance Findings Nutrition Diagnostic Terminology

Nutrition Assessment and/or ME Code

abnormal abnormal increased elevated

NI 2.4

Electrolyte and renal profile BUN

NC 2.2 NI 3.1 NB 1.5 NI 5.4 NI 2.4

NI 2.7

NC 2.2

BD-1.1.3 BD-1.1.4 BD-1.2.1 BD-1.2.2 BD-1.2.3 BD-1.2.4 BD-1.2.5 BD-1.2.5 BD-1.2.6 BD-1.2.7 BD-1.2.7 BD-1.2.8 BD-1.2.8 BD-1.2.9 BD-1.2.10 BD-1.2.10 BD-1.2.11 BD-1.2.11 BD-1.2.12

Creatinine

NI 5.4 NC 2.2 NC 2.2 NC 2.2 NI 5.7.2 NC 3.4

NI 5.7.2 NI 5.7.3 NI 2.7

BUN:creatinine ratio

GFR, glomerular filtration rate Sodium, serum Chloride, serum

increased

decreased decreased increased decreased decreased increased increased

NI 5.4 NC 2.2 NI 3.2 NI 3.1

NI 5.7.3 NB 1.5

Potassium, serum

NB 1.5 NI 2.5 NC 2.2 NI 5.1 NI 5.1 NI 2.3

NI-2.8 NI 5.1 NI 5.4 NI 5.5 NI 2.6

NI 5.5 NB 1.5 NC 2.2 NI 5.10.1 NI 5.10.1

Magnesium, serum Calcium, serum

decreased decreased decreased increased decreased increased

NI 5.10.2 NI 5.9.1 NI 5.9.2 NI 5.1 NI 5.10.1 NI 2.5 NI 5.11.2 NI 3.2 NI 3.1

NI 5.11.2

Calcium, serum ionized Phosphorus, serum

NI 5.5 NI-2.8 NI 5.4

NI 5.9.1 NI 5.10.2

Osmolality, serum or plasma Parathyroid hormone Essential fatty acid profile Gastrointestinal profile Triene:tetraene ratio

decreased increased increased

NI 5.9.1 NC 2.1 NI 5.6.1 NC 2.2 NI 4.3 NC 2.2 NI 4.3 NI 2.5

NI 5.9.2

NC 1.4

BD-1.2.12 BD-1.2.13

increased increased increased elevated elevated

BD-1.3.1 NC 2.1 NC 2.1 NC 2.1 NI 2.7 NI 5.4 NC 2.2 NC 2.2 NI-2.8 NI 5.6.2 NB 2.2 NC 2.2 BD-1.4.2 BD-1.4.3 BD-1.4.4 BD-1.4.5 BD-1.4.1, BD-1.4.2, BD-1.4.3, BD-1.4.4, BD-1.4.15 BD-1.4.6 BD-1.4.7

ALT, alanine aminotransferase

AST, aspartate aminotransferase GGT, gamma-glutamyl transferase Gastric residual volume, specify Liver enzymes

NB 2.2

increased

Bilirubin, total serum Ammonia, serum

increased increased

NI 1.5 NI 4.2 NI 5.6.3 NI 5.6.2 NI 5.7.3

NI 5.6.3

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Parameter (not all-inclusive) Biochemical data Gastrointestinal profile, contd Toxicology reports (including alcohol) PT, PTT, INR Fat, fecal Lipase

Findings

Nutrition Diagnostic Terminology

Nutrition Assessment and/or ME Code

positive abnormal increased increased increased altered abnormal abnormal abnormal positive abnormal abnormal decreased increased

NI 4.3 NI 2.3 NI 2.6 NI 5.1 NI 5.6.2 NI 5.6.2 NC 1.4 NI 5.1 NC 1.4 NC 1.4 NC 1.4 NC 1.4 NC 1.4 NI 5.8.3 NB 1.5 NI 2.4 NI 5.8.3 NC 2.1 NI 5.8.2 NI 5.8.2 NB 2.2 NB 2.2

NB 3.1 NI 5.9.1 NI 5.6.2 NI 5.6.3 NI 5.6.3 NC 1.4 NI 5.9.2 NC 1.4

BD-1.4.8 BD-1.4.9, BD-1.4.10, BD-1.4.11 BD-1.4.12 BD-1.4.13 BD-1.4.14 BD-1.4.15 BD-1.4.16 BD-1.4.17 BD-1.4.18 BD-1.4.19 BD-1.4.20 BD-1.4.21

Amylase, serum Digestive enzymes D-xylose Hydrogen breath test Intestinal biopsy Stool culture

Gastric emptying study

NB 3.1

Glucose/endocrine profile Glucose, blood

Small bowel transit time

NI 5.8.4 NC 2.1 NI 2.7 NI 5.8.4 NC 2.2 NC 2.2

NC 2.2 NI 5.8.2 NC 3.4

BD-1.5.1, BD-1.5.2 BD-1.5.1, BD-1.5.2 BD-1.5.3 BD-1.5.6 BD-1.5.7 BD-1.5.8 BD-1.5.9

Hemoglobin A1c Cortisol levels

GTT (glucose tolerance test) IGF binding protein

increased increased

abnormal abnormal abnormal

Inflammatory profile Lipid profile C-reactive protein

Thyroid function tests (TSH, T4, T3)

NI 5.10.2

NB 1.5

elevated decreased increased

NI 5.1 NI 4.2

NI 5.6.3 NI 5.1

BD-1.6.1 BD-1.7.1 BD-1.7.1 BD-1.7.2 BD-1.7.3 BD-1.7.7 BD-1.7

Cholesterol, serum

Cholesterol, HDL Cholesterol, LDL Triglycerides Lipid profile, serum Metabolic rate profile Respiratory quotient Copper, serum

decreased increased increased abnormal

NI 4.1 NI 5.6.3

NI 5.4 NI 5.10.2 NI 5.4 NI 5.4

NI 5.4 NB 1.5

NI 5.6.2 NI 5.6.3 NI 5.6.3 NI 5.6.3 NB 1.5

NI 5.6.2 NI 5.6.2 NI 5.6.2 NC 3.4

NC 2.2 NB 1.7 NI 1.2 NI 1.5 NI 2.3 NI 5.10.2 NB 3.3

Resting metabolic rate

increased

Mineral profile

abnormal decreased

NC 3.1 NI 2.3

NI 2.6 NI 5.10.1 NI 5.11.1

BD-1.8.1 BD-1.8.2 BD-1.9.1

NI 2.6 NC 1.4

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Parameter (not all-inclusive) Biochemical data Iodine, urinary Zinc, plasma Nutritional anemia profile Hemoglobin Hematocrit Mineral profile, contd

Findings

Nutrition Diagnostic Terminology

Nutrition Assessment and/or ME Code

decreased decreased

NI 5.10.1 NB 3.3 NI 2.3 NI 5.11.1

NC 1.4 NI 2.6 NC 1.4 NC 2.1 NC 2.1 NC 2.1 NI 5.11.1 NC 1.4 NB 3.3 NC 1.4 NB 3.3 NC 1.4 NC 1.4 NI 5.11.1 NI 2.6 NB 3.3 NI 2.6 NB 3.3

NI 5.11.1 NB 2.2 NB 3.3

BD-1.9.2 BD-1.9.3

decreased increased increased

NI 5.10.1 NB 2.2 NI 4.3

BD-1.10.1 BD-1.10.2 NC 2.1 NC 2.1 NC 2.1 NC 2.1 NC 2.1 BD-1.10.3 BD-1.10.4 BD-1.10.8 BD-1.10.6 BD-1.10.9

Mean corpuscular volume Folate, RBC

decreased decreased decreased increased

Folic acid, serum Vitamin B12, serum Homocysteine, serum Ferritin, serum

NI 5.9.1 NB 3.3

NI 5.9.1 NI 5.11.1 NI 5.9.1 NI 5.11.1 NI 5.9.1 NB 2.2 NB 3.3

decreased increased

BD-1.10.10 BD-1.10.10 BD-1.10.11

Iron Iron binding capacity Protein profile Prealbumin Transferrin Urine profile

decreased decreased

NI 5.10.2 NI 2.3 NI 5.11.1 NI 2.3 NI 5.11.1 NI 5.1 NI 5.1 NI 4.3 NI 5.7.3 NI 3.1

NC 1.4 NC 2.1 NC 1.4 NC 2.1 NC 3.4

BD-1.10.12

Albumin, serum

decreased decreased increased increased decreased

BD-1.11.1 BD-1.11.2 BD-1.11.3 BD-1.11.6 BD-1.12.5 BD-1.12.5

Amino acids (specific levels) Urine volume, specify

NI 5.10.2 NC 2.1

NI 5.11.1

Calcium, urine Vitamin profile Ketones, urine

fewer than six wet diapers in 24 hours decreased present

NC 1.3 NI 5.10.1 NB 1.5 NI 5.11.1

BD-1.12.4 BD-1.12.4 BD-1.13.1 BD-1.13.1 BD-1.13.2 BD-1.13.4 BD-1.13.5 BD-1.13.6 BD-1.13.7 BD-1.13.7 BD-1.13.8 BD-1.13.8

Retinol, serum Vitamin C, plasma

decreased increased decreased decreased increased increased increased increased

NI 5.9.1 NI 5.9.2 NI 5.9.1 NI 5.9.1 NI 5.9.1 NI 5.9.1 NI 5.9.1 NI 5.9.2 NI 5.9.1 NI 5.9.2 11

NI 5.11.1 NI 5.11.2 NI 5.11.1 NI 5.11.1 NI 5.11.1 NI 5.11.1 NI 5.11.1 NI 5.11.2 NI 5.11.1 NI 5.11.2

Alpha tocopherol, plasma

Erythrocyte transketolase activity Nmethyl-nicotanimide

Erythrocyte glutathione reductase

decreased decreased

Pyridoxal 5phosphate, plasma

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Nutrition Assessment Matrix

Nutrition-Focused Physical Findings Data and Related Nutrition Diagnostic Terminology

Parameter (not all-inclusive) Overall appearance Body language Thin, wasted Findings present negative Nutrition Diagnostic Terminology NC 1.4 NB 1.3 NC 2.1 NB 1.6

Nutrition Assessment and/or ME Code PD-1.1.1 PD-1.1.2

Cardiovascular-pulmonary system Edema, pulmonary Shortness of breath Bones, specify

Body language (note: varies by culture), specify

crackles or rales present

NI 3.2 NI 3.2 NI 5.9.2 NI 5.9.1 NI 5.9.2 NC 3.2 NI 2.4 NI 2.8 NI 5.4 NC 2.2 NI 1.6 NI 2.8 NC 3.2 NB 2.2 NI 1.7 NC 3.3 NC 3.4 NB 1.5 NB 1.5 NI 1.4 NI 5.9.1

Extremities, muscles and bones

NB 2.6 NI 5.11.2

NC 2.2

PD-1.1.3 PD-1.1.3 PD-1.1.4 PD-1.1.4 PD-1.1.4 PD-1.1.4 PD-1.1.4

fragility widening at ends

Clothes, fit

other, changes change present

NI 5.11.1 NI 2.5 NI 3.2 NB 1.5 NI 2.5 NI 5.2 NC 3.3 NB 3.3 NB 3.2 NB 1.5 NI 2.7 NI 5.2 NI 5.7.1 NI-2.6 NB 1.5 NB 2.1 NB 1.5 NB 2.2

Edema, peripheral , generalized

Fat, subcutaneous

decreased

PD-1.1.4

increased Fatigue present present cyanosis present

PD-1.1.4 PD-1.1.4 PD-1.1.4 PD-1.1.4 PD-1.1.4 PD-1.1.4 PD-1.1.4

Feeling cold

Hands and feet, specify Joint, arthralgia, effusions, mobility changes Muscle mass, specify

tingling, numbness

NI 5.9.1 NI 2.5 NI 5.1 NB 1.5 NC 3.2 NB 3.3 NB 1.5 NC 1.1 NI 2.6 NI 5.11.1

NI 5.8.1 NI 2.6 NI 5.2 NB 2.1 NB 2.2 NB 2.2

decreased

Muscle soreness, weakness, spasm Nail, nail beds, specify

present blue, clubbing pale

NI 1.6 NI 2.3 NI-2.8 NI 5.7.1 NC 3.1 NI 3.2 NC 3.4 NC 2.2 NI 2.3 NI 5.1

PD-1.1.4 PD-1.1.4 PD-1.1.4 PD-1.1.4 PD-1.1.4

NI 2.9

Digestive system (mouth to rectum) Mouth/throat: cheilosis

Russells sign

other

present present

NI 5.10.2 NB 1.5

NI 5.9.1

NC 2.1

NC 1.4

PD-1.1.5

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12

Parameter (not all-inclusive) Digestive system (mouth to rectum), contd Dry mucous membranes

Findings

Nutrition Diagnostic Terminology

Nutrition Assessment and/or ME Code

present

Feeling of food stuck in throat, regurgitation Gums, gingivitis, bleeding Hoarse or wet voice Lesions

present present present present present dry or cracked edema

NI 2.3 NC 1.1 NB 3.1 NB 3.2 NC 1.1 NI 2.3 NI 5.9.1 NB 2.6 NC 1.2 NC 1.1 NI 3.1 NI 5.8.1 NI 5.9.2 NI 5.9.1

NI 2.6 NI 3.1 NC 1.2 NB 3.3

NI 5.9.2 NB 2.6 NC 1.4

PD-1.1.5

PD-1.1.5 NI 2.9 NI 5.1 PD-1.1.5 PD-1.1.5 PD-1.1.5 PD-1.1.5 PD-1.1.5 PD-1.1.5 NC 1.3 PD-1.1.5 PD-1.1.5 PD-1.1.5

NI 2.6 NI 5.11.1 NC 1.1 NC 2.1 NB 2.6

Ketone smell on breath Lips, specify Mucosa (mouth and pharynx)

NC 1.4

poor closure, drooling present

Pain, difficulty on swallowing, coughing, choking Parotid glands Pouching Teeth Stomatitis

NI 5.11.1 NC 1.1

enlarged Present present

NB 1.5 NC 1.1 NI 1.4 NB 1.5 NI 5.9.1 NI 5.11.1 NI 2.9 NI 5.8.2

PD-1.1.5 NC 1.2 PD-1.1.5 PD-1.1.5

Tongue:

missing, caries, damaged enamel, poorly fitting dentures present present present

Bright red, magenta, glosssitis Impaired tongue movement, extrusion Taste

NI 5.9.1 NI 5.11.1 NC 1.2 NC 1.3 NI 2.1 NC 2.3

NC 1.4 NC 2.1 NB 2.6

PD-1.1.5 NC 1.1 PD-1.1.5 PD-1.1.5 PD-1.1.5 PD-1.1.5

Frenulum abnormality (infants)

alteration present

NC 3.2 NI 5.6.2 NI 5.8.6 NI 5.10.2

NB 1.5 NI 5.6.3 NI 5.8.3 NB 1.5

Abdominal distention, bloating, cramping, pain, gas Self-induced vomiting diarrhea, bloating, constipation, flatulence Appetite, specify

present hunger anorexia denial of hunger present

NI 4.2 NC 1.4 NI 5.9.2 NB 3.1 NB 1.5 NI 5.3 NB 3.2 NB 3.3 NI 1.4 NC 1.4 NC 2.2

PD-1.1.5 NC 1.3 NC 3.1 NI 2.1 NI 5.10.2 NC 3.4 NC 2.3 NI 3.2 NI 5.2 NC 2.3 PD-1.1.5 PD-1.1.5 PD-1.1.5 PD-1.1.5

Ascites

NB 1.5 NI 3.2

NC 2.2

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13

Parameter (not all-inclusive) Bowel function

Digestive system (mouth to rectum), contd

Findings constipation diarrhea NI 4.2 NI 5.8.5 NI 2.3 NI 3.1 NI 5.5 NI 5.8.2 NI 5.8.6 NB 3.1 NI 5.3 NI 5.6.3 NI 5.8.6 NI 5.8.6 NC 1.4 NI 5.5 NI 5.8.3 NI 2.1 NI 2.3 NI 4.2 NI 5.9.2 NC 2.2 NI 2.1 NI 2.3 NI 3.2 NI 5.9.2 NC 1.4

Nutrition Diagnostic Terminology NI 5.5 NB 1.5 NI 5.8.3 NC 1.4 NI 2.6 NI 4.2 NI 5.6.3 NC 1.3 NC 1.4 NC 1.4

Nutrition Assessment and/ or ME Code PD-1.1.5 PD-1.1.5

NI 2.5 NI 5.3 NI 5.6.2 NI 5.8.3 NB 1.5 NI 5.6.2 NB 1.5

steatorrhea flatus

PD-1.1.5 PD-1.1.5 PD-1.1.5 PD-1.1.5 PD-1.1.5 PD-1.1.5 PD-1.1.5

Bowel sounds

volume/ frequency increased abnormal present present present

Epigastric pain Reflux, GERD Nausea

NI 5.6.2 NI 2.5 NI 2.6 NI 5.5 NC 1.4 NI 2.5 NI 2.6 NI 5.5 NB 1.5

NI 5.6.3 NI-2.8 NI 3.2 NI 5.8.6 NB 3.1 NI 5.8.6 NB 3.1 NC 1.3 NC 2.2

Vomiting

present

PD-1.1.5

Eyes and head Eyes: Bitots spots present present present decreased

Night blindness Vision, specify Head: Xeropthalmia

NI 5.9.1 NI 5.9.1 NC 3.2 NI 5.9.1 NI 5.9.2 NI 2.3 NI 5.7.1 NI 5.10.2 NC 1.4 NI 3.2 NB 1.5 NI 5.9.2 NC 3.2 NI 5.2 NI 2.6 NI 5.1 NI 5.9.1 NB 1.5 NI 5.9.2 NI 2.9 NI 5.9.2 NI 5.11.1 NB 2.4 NB 3.1

PD-1.1.6 PD-1.1.6 PD-1.1.6 PD-1.1.6 PD-1.1.6 PD-1.1.6

NI 5.9.2

Fontanelle, bulging or sunken (in infants)

bulging present

Hair, specify, e.g., brittle, lifeless, loss Headache

Lanugo hair formation on face and trunk Mucosa, nasal Olfactory sense, specify Temporal wasting

present present dryness present

PD-1.1.6 PD-1.1.6 PD-1.1.6 PD-1.1.6 PD-1.1.6

decreased

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14

Parameter (not all-inclusive) Nerves and cognition Confusion, loss of concentration Cranial nerve function Dizziness

Findings present altered present present present diminished

Nutrition Diagnostic Terminology NI 5.9.1 NC 1.1 NB 3.1 NI 2.3 NI 4.2 NB 1.5 NC 1.2

Nutrition Assessment and/or ME Code PD-1.1.7 PD-1.1.7 PD-1.1.7 PD-1.1.7 PD-1.1.7 PD-1.1.7

Motor and gait disturbances

Neurological changes, specify Vibratory and position sense, specify Calcification of soft tissues (calcinosis) Ecchymosis Follicular hyperkeratosis Skin, specify

NI 5.9.1

NI 2.6

NI 2.9

NI 5.9.1

Skin

present present present changes consistent with nutrient deficiency/ excess dermatitis dry, scaly dull

NI 5.9.2 NI 5.9.1 NI 5.9.1 NI 5.6.1 NI 5.9.1 NI 5.6.1 NI 2.1 NB 1.5 NB 1.7 NI 5.11.1 NI 5.6.3 NI 3.1 NB 3.2 NC 1.4 NC 1.4

PD-1.1.8 PD-1.1.8 PD-1.1.8 PD-1.1.8

NI 5.6.1

PD-1.1.8 PD-1.1.8 PD-1.1.8 PD-1.1.8

erythema, scaling and peeling Lesions Hives, flushing, rash decreased present present present present present present decreased present decreased increased increased increased increased decreased

NI 5.7.1 NI 5.9.2 NI 5.9.1 NI 4.2 NI 2.1 NI 3.1 NB 3.3 NC 2.2 NI 5.9.2 NI 2.3 NI 5.1 NC 1.4 NI 2.6 NC 1.1

PD-1.1.8 PD-1.1.8 PD-1.1.8 PD-1.1.8 PD-1.1.8 PD-1.1.8 PD-1.1.8 PD-1.1.8 PD-1.1.8 PD-1.1.8 PD-1.1.9 PD-1.1.9 PD-1.1.9 PD-1.1.9 PD-1.1.9 PD-1.1.9 PD-1.1.9

Integrity/turgor Jaundice

Perifolicular hemorrhages Petechiae Pruritis Pressure ulcers, specify Seborrheic or other dermatitis Wound healing, specify Xanthomas Blood pressure Heart rate Respiratory rate Temperature

NI 5.9.1 NI 5.9.1 NI 2.3 NC 2.2 NI 2.6 NI 5.9.1 NI 2.6 NI 5.3 NI 5.1

NI 5.7.3 NI 2.3 NI 5.9.1 NI 5.6.2 NB 1.5 NI 4.2 NB 1.5 NC 3.2 NI 1.5 NI 1.2 NB 1.5

NI 5.1

Vital signs

NI 5.10.1

decreased

NC 3.2 NC 3.2 NB 3.1

Updated: 2011 Edition

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15

Nutrition Assessment Matrix

Parameter (not all-inclusive) Personal history Literacy factors

Client History Data and Related Diagnostic Terminology

Nutrition Diagnostic Terminology NB 1.1 NB 2.5 NI 2.9 NC 3.1 NC 3.3 NB 3.3 NB 2.6 NB 3.2

Nutrition Assessment and/or ME Code CH-1.1.5 CH-1.1.3 CH-1.1.9

Ethnic and cultural related issues

Physical disability, developmental disability or limitation Patient/client/family Medical/Health history Cardiovascular Angina Arrythmias

NI 5.6.2 NI 4.2 NI 5.6.2 NI 3.2 NI 5.2 NI 5.3 NI 5.9.2 NB 3.1 NI 4.2 NI 4.3 NC 3.4 NI 5.6.2

CH-2.1.2 P or F NB 1.5 NI 4.1 NI 5.4 NC 2.2 NB 2.3 CH-2.1.2 P or F CH-2.1.2 P or F NI 4.2 NI 5.6.3 NB 1.2 CH-2.1.2 P or F CH-2.1.2 P or F

Atherosclerosis

Cardiovascular disease

NI 5.6.3

Cardiac changes Hyperlipidemia Hypertension

NI 5.6.3 NI 4.3

CH-2.1.2 P or F NI 5.4 CH-2.1.2 P or F CH-2.1.2 P or F CH-2.1.2 P or F CH-2.1.3 P or F CH-2.1.3 P or F CH-2.1.3 P or F CH-2.1.3 P or F NI 5.8.3 CH-2.1.3 P or F CH-2.1.3 P or F CH-2.1.3 P or F NI 5.8.2 NB 1.4 CH-2.1.3 P or F CH-2.1.3 P or F CH-2.1.3 P or F CH-2.1.3 P or F CH-2.1.5 P or F CH-2.1.3 P or F CH-2.1.3 P or F CH-2.1.4 P or F

Endocrine/metabolism Cushings syndrome Diabetes mellitus

Hypertriglyceridemia

Hyperthyroidism (pre- or untreated) Hypoglycemia Hypothyroidism

NI 5.2 NI 5.8.4 NB 1.4 NC 3.2 NC 3.3 NI 5.8.3 NI 5.7.3 NC 2.1 NI 2.2 NC 3.3

NI 5.6.3 NC 1.2 NC 2.2 NI 5.8.4 NC 3.4 NI 5.8.2 NI 5.8.4 NI 5.2 NI 5.6.3 NC 3.3

NI 5.8.2 NB 1.2 NB 2.3

Inborn errors of metabolism Metabolic syndrome Obesity, childhood Obesity, overweight Obesity, morbid

NI 2.2 NI 5.8.4 NI 5.10.1 NB 2.1 NC 2.1 NB 3.1 NB 3.1 NI 5.5

Other endocrine, pituitary disorders

Poisoning from food stuffs or poisonous plants Refeeding syndrome Kidney stones Renal disease SIADH

Poisoning by drugs, medicinals or biological substances Excretory

Nephrotic syndrome

NI 5.10.1 NI 3.2 NI 3.2 NI 5.7.2 NC 2.2 NI 3.2 16 NI 5.4 NC 2.1 NB 2.3 NI 5.7.3 NI 5.9.2

CH-2.1.4 P or F CH-2.1.4 P or F CH-2.1.4 P or F

Supplemental material for International Dietetics and Nutrition Terminology (IDNT) Reference Manual, Third Edition. Copyright 2011 American Dietetic Association.

Parameter (not all-inclusive) Gastrointestinal Achalasia

NutritionDiagnostic Terminology NC 1.1 NC 1.2

Nutrition Assessment and/ or ME Code CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F

Biliary disease Candidiasis Celiac disease Crohns disease Diverticulitis Dysphasia Encephalopathy, hepatic

NI 5.6.2 NI 5.8.1 NC 1.4 NI 2.3 NI 5.4 NC 1.4 NC 1.1 NI 5.4 NB 3.1 NI 5.2

NI 5.6.3 NC 1.3 NI 5.7.3 NI 5.9.1 NI 2.6 NC 1.2 NC 1.4 NC 3.2 NI 5.10.1 NC 2.1 NI 5.1 NC 2.1

NI 5.8.6

NB 2.6

Foodborne illness, e.g., bacterial, viral, and parasitic infection Gastrointestinal stricture, obstruction Thrush Inflammatory bowel disease Irritable bowel syndrome Lactase deficiency Leukoplakia, oral Liver disease

NC 1.3

NI 5.8.6 NI 5.8.6 NI 5.8.6

NC 1.4 NI 5.10.1 NC 1.4

CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F

NI 5.8.5 NC 1.4 NI 5.4 NI 5.8.2 NC 1.2 NI-2.8 NI 3.2 NI 5.6.2 NI 5.6.3 NI 5.10.2 NI 2.1 NI 5.6.1 NI 5.9.1 NI 5.2 NI 2.3 NI 5.2 NC 1.4 NI 2.8 NI 5.6.2 NI 4.3 NI 5.8.1 NI 5.9.1 NI 5.8.6 NI 5.8.6 NI 5.8.6 NI 5.8.5 NC 1.4 NC 1.2 NB 2.2 NI 4.3 17 NI 5.10.1

Malabsorption Maldigestion Malnutrition

NI 4.3 NI 5.7.2 NI 5.8.1 NB 2.3 NC 2.2 NI 5.2 NI 5.7.1 NC 1.4 NC 1.4 NI 2.6 NI 5.3 NB 3.2 NC 1.4 NI 5.6.3 NI 5.6.1 NI 5.8.2

NI 5.4 NI 5.6.1 NI 5.9.2 NI 5.10.1 NC 2.1 NI 5.3 NI 5.8.1

CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.5 P or F CH-2.1.6 P or F

Other, GI function Pancreatitis Pancreatic disease, insufficiency Pellegra

NI 5.1 NC 3.1 NB 3.3

NI 5.6.2

Phytobezoar

Polyps, colon

Prolapsing hemorrhoids Short bowel syndrome Ulcer disease Vagotomy Wired jaw

NI 5.9.1 NI 5.8.6

NI 5.10.1

Gynecological Amenorrhea Giving birth to an infant with fetal alcohol syndrome

CH-2.1.6 P or F , FH-1.4.1.1, FH-1.4.1.2, FH-1.4.1.3

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Parameter (not all-inclusive) Gynecological, contd Engorgement Mastitis

Nutrition Diagnostic Terminology NC 1.3 NC 1.3 NI 5.10.1 NI 5.10.1 NI 2.3 NC 1.3 NI 2.6 NI 5.1

Nutrition Assessment and/ or ME Code CH-2.1.6 P or F, FH-6.1.4 CH-2.1.6 P or F, FH-6.1.4 CH-2.1.6 P or F CH-2.1.6 P or F CH-2.1.6 P or F CH-2.1.6 P or F

Polycystic ovary disease Premature birth

Postmenopause without estrogen supplementation

Hematology/oncology Anemia

Premenstrual syndrome

NI 5.10.1 NB 1.5 NI 2.5 NC 1.2 NI 5.9.1 NI-2.8 NI 5.10.1 NI 5.2

Cancer, head, neck or pharyngeal Cancer (other) Hyperemia AIDS/HIV Allergies Arthritis Infection Sepsis or severe infection Integumentary Burns

CH-2.1.7 P or F CH-2.1.7 P or F CH-2.1.7 P or F CH-2.1.7 P or F

NI 5.2 NI 5.9.2 NI 5.9.1 NI 2.1 NI 5.1 NC 3.2 NB 2.1 NI 2.1 NB 3.1

NC 3.2

NB 1.2

Immune

NI 2.3 NI 5.6.1 NI 5.8.3 NI 5.3 NI 5.2

NI 2.6 NC 1.2

CH-2.1.8 P or F CH-2.1.8 P or F

NI 5.7.3

NI 5.8.2 NI 5.8.2

CH-2.1.8 P or F CH-2.1.8 P or F CH-2.1.8 P or F

NI 2.1 NI 5.6.1 NI 2.3 NI-2.8 NC 3.2 NC 1.2 NB 2.2 NI 5.10.2 NI 5.9.1 NI 5.9.1 NI 5.9.1 NC 3.4 NI 1.2 NB 2.6 NI 1.2 NB 2.3 NB 2.6 NB 3.3 NI 4.2 NI 5.2

NI 2.5 NI 5.1

NI 2.6 NI 5.2

CH-2.1.9 P or F

Musculo-skeletal

Cleft lip/palate, oral malformation Fractures, stress Fluorosis Osteomalacia Rickets

NC 1.3

CH-2.1.10 P or F CH-2.1.10 P or F CH-2.1.10 P or F CH-2.1.10 P or F CH-2.1.10 P or F CH-2.1.10 P or F CH-2.1.10 P or F NC 1.2 NB 2.4 NI 3.1 NB 3.1 CH-2.1.11 P or F CH-2.1.11 P or F CH-2.1.11 P or F CH-2.1.11 P or F CH-2.1.11 P or F CH-2.1.11 P or F CH-2.1.11 P or F CH-2.1.11 P or F

Rachitic rosary in children Rheumatic conditions Alzheimers disease Cerebral palsy Dementia

Neurological

NC 1.2 NI 3.1 NC 1.2 NB 2.4 NI 1.4 NB 3.2 NB 3.1

Cognitive impairment

Headache

Head injury

Multiple sclerosis

Neurologic changes

NB 2.6 NB 3.1 18

Supplemental material for International Dietetics and Nutrition Terminology (IDNT) Reference Manual, Third Edition. Copyright 2011 American Dietetic Association.

Parameter (not all-inclusive) Neurological Neurological disorders Parkinsons disease Paralysis Paraplegia

Nutrition Diagnostic Terminology NI 2.9 NI 1.2 NB 2.6 NB 2.4 NI 2.9 NI 5.8.1 NB 2.6 NB 2.6 NB 2.6 NB 2.2 NB 2.6 NB 2.6

Nutrition Assessment and/ or ME Code CH-2.1.11 P or F CH-2.1.11 P or F CH-2.1.11 P or F CH-2.1.11 P or F CH-2.1.11 P or F CH-2.1.11 P or F CH-2.1.11 P or F CH-2.1.11 P or F CH-2.1.11 P or F CH-2.1.12 P or F

Seizure disorder Stroke

Sensory processing issues Tardive dyskinesia Psychological Tremors

Addictive, obsessive, or compulsive tendencies Alcoholism, drug abuse

Anxiety disorder Binge eating Depression Bulimia nervosa

NI 2.2

NI 1.4

NB 2.2 NB 2.2 NI 2.1 NC 3.3 NB 1.5 NB 2.3 NI 1.4 NB 1.1 NB 3.1 NB 3.2 NB 1.5 NC 3.1 NC 3.4 NI 1.4 NI 2.1 NI 5.6.1 NI 4.2 NI 1.2 NI 1.2 NC 2.1 NI 2.5 NI 5.3 NI 2.1 NI 5.2 NI 2.5

NB 2.1

NC 2.1

NC 2.2

CH-2.1.12 P or F, FH-3.1.3 CH-2.1.12 P or F CH-2.1.12 P or F CH-2.1.12 P or F CH-2.1.12 P or F CH-2.1.12 P or F CH-2.1.12 P or F

NI 2.2 NI 4.3

NC 3.2 NB 2.1

Emotional impairment Mental illness

NI 2.9 NI 5.8.6 NB 1.2

NC 3.1 NB 1.7 NB 3.3

Personality disorder Pica Psychiatric illness

NB 1.2 NI 5.2 NI 5.8.6 NB 1.5 NI 5.9.2 NI 5.2 NI 5.6.2 NI-2.8 NB 2.2 NC 3.2

CH-2.1.12 P or F CH-2.1.12 P or F CH-2.1.12 P or F CH-2.1.12 P or F

Eating disorders, depression, obsessive compulsive disorders, anxiety disorders Respiratory Asthma Chronic obstructive pulmonary disease Cystic fibrosis

NC 3.4 NC 3.2 NC 1.4 NI 5.2

CH-2.1.13 P or F CH-2.1.13 P or F CH-2.1.13 P or F CH-2.1.13 P or F CH-2.1.13 P or F CH-2.1.13 P or F CH-2.1.13 P or F CH-2.1.13 P or F CH-2.1.14 P or F

Lung injury, ARDS Pulmonary failure Tuberculosis Other Respiratory changes Upper respiratory infections or pneumonia Change in level of care or transfer of care Chronic fatigue syndrome Chronic or acute disease, trauma, organ failure

NB 3.1

NI 5.6.1 NC 1.1 NI-2.8 NI-2.8 NI 5.6.1 NB 3.2 NI 5.2 NI 5.10.1 NC 3.2

NB 2.1 NI 2.5 NI 5.3 NC 3.1 NB 3.3

CH-2.1.14 P or F CH-2.1.14 P or F

Supplemental material for International Dietetics and Nutrition Terminology (IDNT) Reference Manual, Third Edition. Copyright 2011 American Dietetic Association.

19

Parameter (not all-inclusive) Other, contd Critical illness

Nutrition Diagnostic Terminology NI 2.5 NI-2.8

Nutrition Assessment and/or ME Code CH-2.1.14 P or F CH-2.1.14 P or F CH-2.1.14 P or F CH-2.1.14 P or F CH-2.1.14 P or F

Injuries, frequent and prolonged Transplantation Pain, acute or chronic

NB 2.2 NI 1.4

NI 5.6.2 NI 1.6 NI 5.11.2

Treatments/therapy/complementary/alternative medicine Medical treatment/therapy Chemotherapy Esophageal dilatation Radiation therapy Rigorous therapy regimen

Conditions altering energy/nutrient needs or affecting ability to meet needs

NI 2.1 NI 1.7

NI 5.11.1

NC 1.2 NC 1.4 NC 1.2 NB 2.4 NI 1.6 NI 5.11.2 NI 2.3 NI 5.6.1 NC 1.3 NC 1.4 NC 1.4 NC 1.4 NB 2.1 NC 1.2 NB 1.4 NI 2.5 NI 5.3

NC 3.2 NC 2.1 NI 1.7 NI 5.11.1

CH-2.2.1 CH-2.2.1 CH-2.2.1 CH-2.2.1 CH-2.2.1

Surgical treatment

Medical therapy/treatment altering energy/nutrient needs or affecting ability to meet needs Bowel, intestinal resection Breast surgery

NI 2.6 NI 5.7.1

NI 5.1 NC 1.4

CH-2.2.2 CH-2.2.2 CH-2.2.2 CH-2.2.2 CH-2.2.2 CH-2.2.2 CH-2.2.2 CH-2.2.2 CH-2.2.2 CH-2.2.2 CH-2.2.2 CH-2.2.3

Esophagostomy Gastric bypass Gastrectomy Knee surgery Ostomy, new Surgery

Oral surgery, recent major

Surgery requiring recumbent position

Complementary/alternative medicine Palliative/end-of-life care Social history

Surgery altering energy/nutrient needs or affecting ability to NI 1.6 meet needs NI 5.11.2 None identified within the nutrition diagnoses at this time

NB 2.6

NI-2.8 NC 3.2 NI 1.7

NI 5.2 NB 2.4 NI 5.11.1

NI 2.5

NI-2.8 NI 5.7.1

CH-2.2.4 CH-3.1.1 CH-3.1.2 CH-3.1.3 CH-3.1.4 CH-3.1.5 CH-3.1.5 CH-3.1.5 CH-3.1.6 CH-3.1.9 NB 1.1 NB 2.5 CH-3.1.8

Socioeconomic status associated with altered nutrient intake NI 5.2 Change in living environment/independence/isolation Lack of suitable support system to access food Domestic issuesabuse, physical, sexual or emotional Geographic location low sunlight exposure/sunscreen use

NI 5.10.1 NC 3.3 NB 3.2 NI 5.2

NI 5.11.1

Geographic location associated with altered nutrient intake Geographic location associated with risk of environmental emergency/disaster Occupation of athlete, dancer, gymnast Recent other lifestyle or life changes, e.g., quit smoking, initiated exercise, work change, home relocation

NI 5.9.1 NI 5.11.1 NC 3.1 NI 1.6

NI 5.10.1

NB 2.5 NI 4.3 NB 2.3

History of recent crisis, new medical diagnosis or change in existing diagnosis or condition
Updated: 2011 Edition

NI 1.6 NB 1.4 20

Supplemental material for International Dietetics and Nutrition Terminology (IDNT) Reference Manual, Third Edition. Copyright 2011 American Dietetic Association.