Nutrition Assessment and Monitoring and Evaluation Terminology
FOOD/NUTRITION-Related HISTORY
(FH)
Food and nutrient intake, food and nutrient administration, medication and
complementary/alternative medicine use, knowledge/beliefs/attitudes, behavior, food
and supply availability, physical activity and function, nutrition-related patient/
client-centered measures.
Food and Nutrient Intake (1)
Composition and adequacy of food and nutrient intake, meal and snack patterns,
current and previous diets and/or food modifications, and eating environment.
Energy Intake (1.1)
Total energy intake from all sources including food, beverages, breastmilk/formula,
supplements, and via enteral and parenteral routes.
Energy intake (1.1.1)
q Total energy intake
FH-1.1.1.1
10005
Fluid/beverage intake (1.2.1)
q Oral fluids
q Food-derived fluids
q Liquid meal replacement or supplement
FH-1.2.1.1
FH-1.2.1.2
FH-1.2.1.3
10008
10009
10010
Breastmilk/infant formula intake (1.2.3)
q Breastmilk intake
q Infant formula intake
FH-1.2.2.1
FH-1.2.2.2
FH-1.2.2.3
FH-1.2.2.4
FH-1.2.2.5
10012
10013
10014
10015
10016
FH-1.2.3.1
FH-1.2.3.2
10018
10019
Enteral nutrition intake (1.3.1)
q Formula/solution
q Feeding tube flush
Parenteral nutrition intake (1.3.2)
q Formula/solution
q IV fluids
FH-1.3.1.1
FH-1.3.1.2
10022
10023
FH-1.3.2.1
FH-1.3.2.2
10025
10026
Alcohol intake (1.4.1)
q Drink size/volume
q Frequency
q Pattern of alcohol consumption
FH-1.4.1.1
FH-1.4.1.2
FH-1.4.1.3
10029
10030
10031
FH-1.4.2.1
FH-1.4.2.2
FH-1.4.2.3
FH-1.4.2.4
FH-1.4.2.5
FH-1.4.2.6
FH-1.4.2.7
10034
10807
10035
10827
10037
10038
10039
FH-1.4.3.1
10041
Food and Beverage Intake (1.2)
Type, amount, and pattern of intake of foods and food groups, indices of diet quality,
intake of fluids, breastmilk and infant formula
Food intake (1.2.2)
q Amount of food
q Types of food/meals
q Meal/snack pattern
q Diet quality index
q Food variety
Vitamin intake (1.6.1)
q A (1)
q C (2)
q D (3)
q E (4)
q K (5)
q Thiamin (6)
q Riboflavin (7)
FH-1.5.1.1
FH-1.5.1.2
FH-1.5.1.3
10047
10048
10049
10050
10051
FH-1.5.2.1
FH-1.5.2.2
FH-1.5.2.3
FH-1.5.2.4
FH-1.5.2.5
FH-1.5.2.6
10053
10054
10055
10056
10057
10058
FH-1.5.3.1
FH-1.5.3.2
FH-1.5.3.3
FH-1.5.3.4
FH-1.5.3.5
FH-1.5.3.6
FH-1.5.3.7
10060
10061
10062
10063
10064
10065
10066
FH-1.5.4.1
FH-1.5.4.2
FH-1.5.4.3
10068
10069
10070
10073
10074
10075
10076
10077
10078
10079
Mineral/element intake (1.6.2)
q Calcium (1)
10089
q Chloride (2)
10090
q Iron (3)
10091
q Magnesium (4)
10092
q Potassium (5)
10093
q Phosphorus (6)
10094
q Sodium (7)
10095
q Zinc (8)
10096
q Sulfate (9)
10097
q Fluoride (10)
10098
q
q
q
q
q
q
q
Niacin (8)
Folate (9)
B6 (10)
B12 (11)
Pantothenic acid (12)
Biotin (13)
Multivitamin (14)
10080
10081
10082
10083
10084
10085
10086
q
q
q
q
q
q
q
q
q
q
Copper (11)
Iodine (12)
Selenium (13)
Manganese (14)
Chromium (15)
Molybdenum (16)
Boron (17)
Cobalt (18)
Multi-mineral (19)
Multi-trace element (20)
10099
10100
10101
10102
10103
10104
10105
10106
10107
10108
Food and Nutrient Administration (2)
Current and previous diets and/or food modifications, eating environment, and
enteral and parenteral nutrition administration.
Diet History (2.1)
Description of food and drink regularly provided or consumed, past diets followed
or prescribed and counseling received, and the eating environment.
Diet order (2.1.1)
q General, healthful diet
q Modified diet
q Enteral nutrition order
q Parenteral nutrition order
Macronutrient Intake (1.5)
Fat and cholesterol, protein, carbohydrate, and fiber intake from all sources
including food, beverages, supplements, and via enteral and parenteral routes.
Fat and cholesterol intake (1.5.1)
q Total fat
q Saturated fat
q Trans fatty acids
Carbohydrate intake (1.5.3)
q Total carbohydrate
q Sugar
q Starch
q Glycemic index
q Glycemic load
q Source of carbohydrate
q Insulin-to-carbohydrate ratio
FH-1.5.1.4
FH-1.5.1.5
FH-1.5.1.6
FH-1.5.1.7
FH-1.5.1.8
Micronutrient Intake (1.6)
Vitamin and mineral intake from all sources, e.g., food, beverages, supplements, and
via enteral and parenteral routes.
Bioactive Substance Intake (1.4)
Alcohol, plant stanol and sterol esters, soy protein, psyllium and b-glucan, and
caffeine intake from all sources, e.g., food, beverages, supplements, and via enteral
and parenteral routes.
Caffeine intake (1.4.3)
q Total caffeine
Protein intake (1.5.2)
q Total protein
q High biological value protein
q Casein
q Whey
q Amino acids
q Essential amino acids
Fiber intake (1.5.4)
q Total fiber
q Soluble fiber
q Insoluble fiber
Enteral and Parenteral Nutrition Intake (1.3)
Specialized nutrition support intake from all sources, e.g., enteral and parenteral
routes.
Bioactive substance intake (1.4.2)
q Plant stanol esters
q Plant sterol esters
q Soy protein
q Psyllium
q b-glucan
q Food additives (specify)
q Other (specify)
Fat and cholesterol intake (1.5.1), cont’d
q Polyunsaturated fat
q Monounsaturated fat
q Omega-3 fatty acids
q Dietary cholesterol
q Essential fatty acids
Diet experience (2.1.2)
q Previously prescribed diets
q Previous diet/nutrition education/counseling
q Self-selected diet/s followed
q Dieting attempts
q Food allergies
q Food intolerance
10044
10045
10046
415
FH-2.1.1.1
FH-2.1.1.2
FH-2.1.1.3
FH-2.1.1.4
10113
10114
10115
10116
FH-2.1.2.1
FH-2.1.2.2
FH-2.1.2.3
FH-2.1.2.4
FH-2.1.2.5
FH-2.1.2.6
10118
10119
10120
10121
10805
10806
4th Edition
Assessment &
Montioring & Evaluation
This is a combined list of Nutrition Assessment and Monitoring and Evaluation terms. Indicators that are shaded are used ONLY for nutrition
assessment. The rest of the indicators are used for assessment and monitoring and evaluation. Each term has an Academy unique identifier, a five-digit
number (e.g., 99999) following the alpha-numeric IDNT code. Neither should be visible in nutrition documentation. The Academy unique identifier is
for data tracking purposes in electronic health records.
Nutrition Assessment and Monitoring and Evaluation Terminology, cont’d
Eating environment (2.1.3)
q Location
q Atmosphere
q Caregiver/companion
q Appropriate breastfeeding accommodations/facility
q Eats alone
FH-2.1.3.1
FH-2.1.3.2
FH-2.1.3.3
FH-2.1.3.4
FH-2.1.3.5
Enteral and parenteral nutrition administration (2.1.4)
q Enteral access
FH-2.1.4.1
q Parenteral access
FH-2.1.4.2
q Body position, EN
FH-2.1.4.3
10123
10124
10125
10126
10127
10129
10130
10804
Medication and Complementary/Alternative Medicine Use (3)
Prescription and over-the-counter medications, including herbal preparations and
complementary/alternative medicine products used.
Assessment &
Montioring & Evaluation
Medications (3.1)
q Prescription medication use
q OTC medication use
q Misuse of medication
Complementary/Alternative Medicine (3.2)
q Nutrtion-related complementary/alternative
medicine use
FH-3.1.1
FH-3.1.2
FH-3.1.3
10820
10134
10135
FH-3.2.1
10137
Knowledge/Beliefs/Attitudes (4)
Understanding of nutrition-related concepts and conviction of the truth and feelings/
emotions toward some nutrition-related statement or phenomenon, along with
readiness to change nutrition-related behaviors.
Food and nutrition knowledge/skill (4.1)
q Area(s) and level of knowledge/skill
q Diagnosis specific or global nutrition-related
knowledge score
Beliefs and attitudes (4.2)
q Conflict with personal/family value system
q Distorted body image
q End-of-life decisions
q Motivation
q Preoccupation with food/nutrients
q Preoccupation with weight
q Readiness to change nutrition-related behaviors
q Self-efficacy
q Self-talk/cognitions
q Unrealistic nutrition-related goals
q Unscientific beliefs/attitudes
q Food preferences
q Emotions
Bingeing and purging behavior (5.3)
q Binge eating behavior
q Purging behavior
Mealtime behavior (5.4)
q Meal duration
q Percent of meal time spent eating
q Preference to drink rather than eat
q Refusal to eat/chew
q Spitting food out
q Rumination
q Patient/client/caregiver fatigue during feeding
process resulting in inadequate intake
4th Edition
10180
10181
10182
FH-5.5.1
10184
Factors Affecting Access to Food and Food/Nutrition-Related
Supplies (6)
Factors that affect intake and availability of a sufficient quantity of safe, healthful
food as well as food/nutrition-related supplies.
Food/nutrition program participation (6.1)
q Eligibility for government programs
q Participation in government programs
q Eligibility for community programs
q Participation in community programs
Safe food/meal availability (6.2)
q Availability of shopping facilities
q Procurement of safe food
q Appropriate meal preparation facilities
q Availability of safe food storage
q Appropriate storage technique
q Identification of safe food
Safe water availability (6.3)
q Availability of potable water
q Appropriate water decontamination
FH-6.1.1
FH-6.1.2
FH-6.1.3
FH-6.1.4
10187
10188
10189
10190
FH-6.2.1
FH-6.2.2
FH-6.2.3
FH-6.2.4
FH-6.2.5
FH-6.2.6
10192
10800
10194
10195
10196
10801
FH-6.3.1
FH-6.3.2
10198
10199
10848
10143
Food and nutrition-related supplies availability (6.4)
q Access to food and nutrition-related supplies
FH-6.4.1
q Access to assistive eating devices
FH-6.4.2
q Access to assistive food preparation devices
FH 6.4.3
FH-4.2.1
FH-4.2.2
FH-4.2.3
FH-4.2.4
FH-4.2.5
FH-4.2.6
FH-4.2.7
FH-4.2.8
FH-4.2.9
FH-4.2.10
FH-4.2.11
FH-4.2.12
FH-4.2.13
10145
10146
10147
10148
10149
10150
10151
10152
10153
10154
10155
10156
10157
Physical Activity and Function (7)
Patient/client activities and actions, which influence achievement of nutrition-related
goals.
Avoidance behavior (5.2)
q Avoidance
q Restrictive eating
q Cause of avoidance behavior
Social network (5.5)
q Ability to build and utilize social network
FH-5.4.8
FH-5.4.9
FH-5.4.10
FH-4.1.1
FH-4.1.2
Behavior (5)
Adherence (5.1)
q Self-reported adherence score
q Nutrition visit attendance
q Ability to recall nutrition goals
q Self-monitoring at agreed upon rate
q Self-management as agreed upon
Mealtime behavior (5.4), cont’d
q Willingness to try new foods
q Limited number of accepted foods
q Rigid sensory preferences
FH-5.1.1
FH-5.1.2
FH-5.1.3
FH-5.1.4
FH-5.1.5
10160
10161
10162
10163
10164
FH-5.2.1
FH-5.2.2
FH-5.2.3
10166
10167
10168
FH-5.3.1
FH-5.3.2
10170
10171
FH-5.4.1
FH-5.4.2
FH-5.4.3
FH-5.4.4
FH-5.4.5
FH-5.4.6
FH-5.4.7
10173
10174
10175
10176
10177
10178
10179
10201
10202
10203
Physical activity, cognitive and physical ability to engage in specific tasks, e.g.,
breastfeeding, self-feeding.
Breastfeeding (7.1)
q Initiation of breastfeeding
q Duration of breastfeeding
q Exclusive breastfeeding
q Breastfeeding problems
Nutrition-related ADLs and IADLs (7.2)
q Physical ability to complete tasks for
meal preparation
q Physical ability to self-feed
q Ability to position self in relation to plate
q Receives assistance with intake
q Ability to use adaptive eating devices
q Cognitive ability to complete tasks for
meal preparation
q Remembers to eat
q Recalls eating
q Mini Mental State Examination Score
q Nutrition-related activities of daily living
(ADL) score
q Nutrition-related instrumental activities of
daily living (IADL) score
Physical activity (7.3)
q Physical activity history
q Consistency
q Frequency
q Duration
q Intensity
q Type of physical activity
q Strength
q TV/screen time
q Other sedentary activity time
q Involuntary physical movement
q NEAT
416
FH-7.1.1
FH-7.1.2
FH-7.1.3
FH-7.1.4
10206
10207
10208
10209
FH-7.2.1
10211
FH-7.2.2
FH-7.2.3
FH 7.2.4
FH 7.2.5
FH-7.2.6
10212
10213
10214
10215
10216
FH-7.2.7
FH-7.2.8
FH-7.2.9
FH-7.2.10
10139
10218
10219
10220
FH-7.2.11
10221
FH-7.3.1
FH-7.3.2
FH-7.3.3
FH-7.3.4
FH-7.3.5
FH-7.3.6
FH-7.3.7
FH-7.3.8
FH-7.3.9
FH-7.3.10
FH-7.3.11
10223
10224
10225
10226
10227
10228
10229
10230
10231
10232
10233
Factors affecting access to physical activity (7.4)
q Neighborhood safety
q Walkability of neighborhood
q Proximity to parks/green space
q Access to physical activity facilities/programs
FH-7.4.1
FH-7.4.2
FH-7.4.3
FH-7.4.4
Gastrointestinal profile (1.4), cont’d
q Gastric emptying time
q Small bowel transit time
q Abdominal films
q Swallow study
10822
10823
10824
10825
Nutrition-Related Patient/Client-Centered Measures (8)
Patient/client’s perception of his or her nutrition intervention and its impact on life.
Nutrition quality of life (8.1)
q Nutrition quality of life responses
FH-8.1.1
Anthropometric Measurements
10236
(AD)
Height, weight, body mass index (BMI), growth pattern indices/percentile ranks, and
weight history.
Body composition/growth/weight history (1.1)
q Height/length
q Weight
q Frame size
q Weight change
q Body mass index
q Growth pattern indices/percentile ranks
q Body compartment estimates
AD-1.1.1
AD-1.1.2
AD-1.1.3
AD-1.1.4
AD-1.1.5
AD-1.1.6
AD-1.1.7
Biochemical Data, Medical Tests
and PROCEDURES
10239
10240
10241
10242
10243
10244
10245
Inflammatory profile (1.6)
q C-reactive protein
(BD)
Laboratory data, (e.g., electrolytes, glucose, and lipid panel) and tests (e.g., gastric
emptying time, resting metabolic rate).
Acid-base balance (1.1)
q Arterial pH
q Arterial bicarbonate
q Partial pressure of carbon dioxide in arterial
blood, PaCO2
q Partial pressure of oxygen in arterial blood, PaO2
q Venous pH
q Venous bicarbonate
Electrolyte and renal profile (1.2)
q BUN
q Creatinine
q BUN:creatinine ratio
q Glomerular filtration rate
q Sodium
q Chloride
q Potassium
q Magnesium
q Calcium, serum
q Calcium, ionized
q Phosphorus
q Serum osmolality
q Parathyroid hormone
Essential fatty acid profile (1.3)
q Triene:Tetraene ratio
Gastrointestinal profile (1.4)
q Alkaline phosphatase
q Alanine aminotransferase, ALT
q Aspartate aminotransferase, AST
q Gamma glutamyl transferase, GGT
q Gastric residual volume
q Bilirubin, total
q Ammonia, serum
q Toxicology report, including alcohol
q Prothrombin time, PT
q Partial thromboplastin time, PTT
q INR (ratio)
q Fecal fat
q Amylase
q Lipase
q Other digestive enzymes (specify)
q D-xylose
q Hydrogen breath test
q Intestinal biopsy
q Stool culture
BD-1.1.1
BD-1.1.2
BD-1.1.3
10248
10249
10250
BD-1.1.4
BD-1.1.5
BD-1.1.6
10251
10252
10253
BD-1.2.1
BD-1.2.2
BD-1.2.3
BD-1.2.4
BD-1.2.5
BD-1.2.6
BD-1.2.7
BD-1.2.8
BD-1.2.9
BD-1.2.10
BD-1.2.11
BD-1.2.12
BD-1.2.13
10255
10256
10257
10258
10259
10260
10261
10262
10263
10264
10265
10266
10267
BD-1.3.1
10269
BD-1.4.1
BD-1.4.2
BD-1.4.3
BD-1.4.4
BD-1.4.5
BD-1.4.6
BD-1.4.7
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
10271
10272
10273
10274
10275
10276
10277
10278
10279
10280
10281
10282
10283
10284
10285
10286
10287
10288
10289
Glucose/endocrine profile (1.5)
q Glucose, fasting
q Glucose, casual
q HgbA1c
q Preprandial capillary plasma glucose
q Peak postprandial capillary plasma glucose
q Glucose tolerance test
q Cortisol level
q IGF-binding protein
q Thyroid function tests (TSH, T4, T3)
q Pituitary hormone tests (GH, ACTH, LH, FSH)
Lipid profile (1.7)
q Cholesterol, serum
q Cholesterol, HDL
q Cholesterol, LDL
q Cholesterol, non-HDL
q Total cholesterol:HDL cholesterol
q LDL:HDL
q Triglycerides, serum
Metabolic rate profile (1.8)
q Resting metabolic rate, measured
q Respiratory quotient, measured
Mineral profile (1.9)
q Copper, serum or plasma
q Iodine, urinary excretion
q Zinc, serum or plasma
q Boron, serum or plasma
q Chromium, serum or urinary
q Fluoride, plasma
q Manganese, urinary, blood, plasma
q Molybdenum, serum
q Selenium, serum or urinary
Nutritional anemia profile (1.10)
q Hemoglobin
q Hematocrit
q Mean corpuscular volume
q Red blood cell folate
q Red cell distribution width
q B12, serum
q Methylmalonic acid, serum
q Folate, serum
q Homocysteine, serum
q Ferritin, serum
q Iron, serum
q Total iron-binding capacity
q Transferrin saturation
Protein profile (1.11)
q Albumin
q Prealbumin
q Transferrin
q Phenylalanine, plasma
q Tyrosine, plasma
q Amino acid, other, specify
q Antibody level, specify
q Carbohydrate-deficient transferrin
Urine profile (1.12)
q Urine color
q Urine osmolality
q Urine specific gravity
q Urine test, specify
q Urine volume
417
BD-1.4.20
BD-1.4.21
BD-1.4.22
BD-1.4.23
10290
10291
10292
10293
BD-1.5.1
BD-1.5.2
BD-1.5.3
BD-1.5.4
BD-1.5.5
BD-1.5.6
BD-1.5.7
BD-1.5.8
BD-1.5.9
BD-1.5.10
10295
10296
10297
10298
10299
10300
10301
10302
10303
10826
BD-1.6.1
10305
BD-1.7.1
BD-1.7.2
BD-1.7.3
BD-1.7.4
BD-1.7.5
BD-1.7.6
BD-1.7.7
10307
10308
10309
10310
10311
10312
10313
BD-1.8.1
BD-1.8.2
10315
10316
BD-1.9.1
BD-1.9.2
BD-1.9.3
BD-1.9.4
BD-1.9.5
BD-1.9.6
BD-1.9.7
BD-1.9.8
BD-1.9.9
10318
10319
10320
10841
10842
10843
10844
10845
10846
BD-1.10.1
BD-1.10.2
BD-1.10.3
BD-1.10.4
BD-1.10.5
BD-1.10.6
BD-1.10.7
BD-1.10.8
BD-1.10.9
BD-1.10.10
BD-1.10.11
BD-1.10.12
BD-1.10.13
10323
10324
10325
10326
10327
10328
10329
10330
10331
10332
10333
10334
10335
BD-1.11.1
BD-1.11.2
BD-1.11.3
BD-1.11.4
BD-1.11.5
BD-1.11.6
BD-1.11.7
BD-1.11.8
10337
10338
10339
10340
10341
10342
10343
10847
BD-1.12.1
BD-1.12.2
BD-1.12.3
BD-1.12.4
BD-1.12.5
10345
10346
10347
10348
10349
4th Edition
Assessment &
Montioring & Evaluation
Nutrition Assessment and Monitoring and Evaluation Terminology, cont’d
Nutrition Assessment and Monitoring and Evaluation Terminology, cont’d
Vitamin profile (1.13)
q Vitamin A, serum or plasma retinol
q Vitamin C, plasma or serum
q Vitamin D, 25-hydroxy
q Vitamin E, plasma alpha-tocopherol
q Thiamin, activity coefficient for erythrocyte
transketolase activity
q Riboflavin, activity coefficient for erythrocyte
glutathione reductase activity
q Niacin, urinary N’methyl-nicotinamide
concentration
q Vitamin B6, plasma or serum pyridoxal
5’phosphate concentration
q Pantothenic acid, urinary pantothenate
excretion, plasma
q Biotin, urinary 3-hydroxyisovaleric acid
excretion or lymphocyte propionyl-CoA
carboxylase in pregnancy, serum
BD-1.13.1
BD-1.13.2
BD-1.13.3
BD-1.13.4
BD-1.13.5
10351
10352
10353
10354
10355
BD-1.13.6
10356
BD-1.13.7
10357
BD-1.13.8
10358
BD-1.13.9
10850
BD-1.13.10
10851
Assessment &
Montioring & Evaluation
Nutrition-Focused Physical Findings
(PD)
Findings from an evaluation of body systems, muscle and subcutaneous fat wasting,
oral health, suck/swallow/breathe ability, appetite, and affect.
Nutrition-focused physical findings (1.1)
q Overall appearance
(specify) ___________________________________
q Body language
(specify) ___________________________________
q Cardiovascular-pulmonary
(specify) ___________________________________
q Extremities, muscles and bones
(specify) ___________________________________
q Digestive system (mouth to rectum)
(specify) ___________________________________
q Head and eyes
(specify) ___________________________________
q Nerves and cognition
(specify) ___________________________________
q Skin
(specify) ___________________________________
q Vital signs
(specify) ___________________________________
PD-1.1.1
10362
PD-1.1.2
10363
PD-1.1.3
10364
PD-1.1.4
10365
PD-1.1.5
10366
PD-1.1.6
10367
PD-1.1.7
10368
PD-1.1.8
10369
PD-1.1.9
10370
Client History
(CH)
Current and past information related to personal, medical, family, and social history.
Personal History (1)
General patient/client information such as age, gender, race/ethnicity, language,
education, and role in family.
Personal data (1.1)
q Age
q Gender
q Race/Ethnicity
q Language
q Literacy factors
q Education
q Role in family
q Tobacco use
q Physical disability
q Mobility
CH-1.1.1
CH-1.1.2
CH-1.1.3
CH-1.1.4
CH-1.1.5
CH-1.1.6
CH-1.1.7
CH-1.1.8
CH-1.1.9
CH-1.1.10
10374
10375
10376
10377
10378
10379
10380
10381
10382
10383
Patient/Client/Family Medical/Health History (2)
Patient/client or family disease states, conditions, and illnesses that may have
nutritional impact.
Patient/client OR family nutrition-oriented medical/health history (2.1)
Specify issue(s) and whether it is patient/client history (P) or family history (F)
q Patient/client chief nutrition complaint
CH-2.1.1
10386
(specify) __________________________________ P or F
q Cardiovascular
CH-2.1.2
10387
(specify) ___________________________________ P or F
q Endocrine/metabolism
CH-2.1.3
10388
(specify) ___________________________________ P or F
q Excretory
CH-2.1.4
10389
(specify) ___________________________________ P or F
4th Edition
Patient/client OR family nutrition-oriented medical/health history (2.1), cont’d
Specify issue(s) and whether it is patient/client history (P) or family history (F)
q Gastrointestinal
CH-2.1.5
10390
(specify) ___________________________________ P or F
q Gynecological
CH-2.1.6
10391
(specify) ___________________________________ P or F
q Hematology/oncology
CH-2.1.7
10392
(specify) ___________________________________ P or F
q Immune (e.g., food allergies)
CH-2.1.8
10393
(specify) ___________________________________ P or F
q Integumentary
CH-2.1.9
10394
(specify) ___________________________________ P or F
q Musculoskeletal
CH-2.1.10
10395
(specify) ___________________________________ P or F
q Neurological
CH-2.1.11
10396
(specify) ___________________________________ P or F
q Psychological
CH-2.1.12
10397
(specify) ___________________________________ P or F
q Respiratory
CH-2.1.13
10398
(specify) ___________________________________ P or F
q Other
CH-2.1.14
10399
(specify) ___________________________________ P or F
Treatments/therapy (2.2)
Documented medical or surgical treatments that may impact nutritional status of the
patient
q Medical treatment/therapy
CH-2.2.1
10401
(specify) ___________________________________
q Surgical treatment
CH-2.2.2
10402
(specify) ___________________________________
q Palliative/end-of-life care
CH-2.2.3
10404
(specify) ___________________________________
Social History (3)
Patient/client socioeconomic status, housing situation, medical care support and
involvement in social groups.
Social history (3.1)
q Socioeconomic factors
(specify) ___________________________________
q Living/housing situation
(specify) ___________________________________
q Domestic issues
(specify) ___________________________________
q Social and medical support
(specify) ___________________________________
q Geographic location of home
(specify) ___________________________________
q Occupation
(specify) ___________________________________
q Religion
(specify) ___________________________________
q History of recent crisis
(specify) ___________________________________
q Daily stress level
CH-3.1.1
10407
CH-3.1.2
10408
CH-3.1.3
10409
CH-3.1.4
10410
CH-3.1.5
10411
CH-3.1.6
10412
CH-3.1.7
10413
CH-3.1.8
10414
CH-3.1.9
10415
COMPARATIVE STANDARDS
(CS)
Energy Needs (1)
Estimated energy needs (1.1)
q Total energy estimated needs
q Method for estimating needs
CS-1.1.1
CS-1.1.2
10419
10420
CS-2.1.1
CS-2.1.2
CS-2.1.3
10423
10424
10425
CS-2.2.1
CS-2.2.2
CS-2.2.3
10427
10428
10429
Macronutrient Needs (2)
Estimated fat needs (2.1)
q Total fat estimated needs
q Type of fat needed
q Method for estimating needs
Estimated protein needs (2.2)
q Total protein estimated needs
q Type of protein needed
q Method for estimating needs
418
Nutrition Assessment and Monitoring and Evaluation Terminology, cont’d
Estimated carbohydrate needs (2.3)
q Total carbohydrate estimated needs
q Type of carbohydrate needed
q Method for estimating needs
Estimated fiber needs (2.4)
q Total fiber estimated needs
q Type of fiber needed
q Method for estimating needs
CS-2.3.1
CS-2.3.2
CS-2.3.3
10431
10432
10433
CS-2.4.1
CS-2.4.2
CS-2.4.3
10435
10436
10437
Estimated fluid needs (3.1)
q Total fluid estimated needs
q Method for estimating needs
CS-3.1.1
CS-3.1.2
10440
10441
Fluid Needs (3)
Estimated mineral needs (4.2)
q Calcium (1)
10460
q Chloride (2)
10461
q Iron (3)
10462
q Magnesium (4)
10463
q Potassium (5)
10464
q Phosphorus (6)
10465
q Sodium (7)
10466
q Zinc (8)
10467
q Sulfate (9)
10469
q Fluoride (10)
10470
Niacin (8)
Folate (9)
B6 (10)
B12 (11)
Pantothenic acid (12)
Biotin (13)
Method for estimating
needs (14)
10471
10473
10474
10475
10476
10477
10478
10479
10480
Recommended body weight/body mass Index/growth (5.1)
q Ideal/reference body weight (IBW)
CS-5.1.1
q Recommended body mass index (BMI)
CS-5.1.2
q Desired growth pattern
CS-5.1.3
10451
10452
10453
10454
10455
10456
10458
10483
10484
10485
Assessment &
Montioring & Evaluation
q
q
q
q
q
q
q
Copper (11)
Iodine (12)
Selenium (13)
Manganese (14)
Chromium (15)
Molybdenum (16)
Boron (17)
Cobalt (18)
Method for estimating
needs (19)
Weight and Growth Recommendation (5)
Micronutrient Needs (4)
Estimated vitamin needs (4.1)
q A (1)
10444
q C (2)
10445
q D (3)
10446
q E (4)
10447
q K (5)
10448
q Thiamin (6)
10449
q Riboflavin (7)
10450
q
q
q
q
q
q
q
q
q
419
4th Edition