The Clinical Classification System - Evidence Based Coding
CCC Manual

Terminology Tables

Nursing Diagnosis: Sorted by Code

The table below represents Nursing Diagnoses in the CCC System, sorted by Code. Within this table, 59 Major Categories and 123 Subcategories (182 total) are represented. Note that the sort order may be changed by clicking on the column headings in the table. For more information, please visit the "Nursing Diagnoses" and "Framework" sections of this website.

Component Code Sort arrow pointing down Concept Definition
A (Activity) 01 Activity Alteration Change in or modification of energy used by the body
A (Activity) 01.1 Activity Intolerance Incapacity to carry out physiological or psychological daily activities
A (Activity) 01.2 Activity Intolerance Risk Increased chance of an incapacity to carry out physiological or psychological daily activities
A (Activity) 01.3 Diversional Activity Deficit Lack of interest or engagement in leisure activities
A (Activity) 01.4 Fatigue Exhaustion that interferes with physical and mental activities
A (Activity) 01.5 Physical Mobility Impairment Diminished ability to perform independent movement
A (Activity) 01.6 Sleep Pattern Disturbance Imbalance in the normal sleep/wake cycle
A (Activity) 01.7 Sleep Deprivation Lack of the normal sleep / wake cycle
A (Activity) 02 Musculoskeletal Alteration Change in or modification of the muscles, bones or support structures
B (Bowel/Gastric) 03 Bowel Elimination Alteration Change in or modification of the gastrointestinal system
B (Bowel/Gastric) 03.1 Bowel Incontinence Involuntary defecation
B (Bowel/Gastric) 03.2 Colonic Constipation Infrequent or difficult passage of hard, dry feces
B (Bowel/Gastric) 03.3 Diarrhea Abnormal frequency and fluidity of feces
B (Bowel/Gastric) 03.4 Fecal Impaction Feces wedged in intestine
B (Bowel/Gastric) 03.5 Perceived Constipation Belief and treatment of infrequent or difficult passage of feces without cause
B (Bowel/Gastric) 03.6 Unspecified Constipation Other forms of abnormal feces or difficult passage of feces
B (Bowel/Gastric) 04 Gastrointestinal Alteration Change in or modification of the stomach or intestines
C (Cardiac) 05 Cardiac Output Alteration Change in or modification of the pumping action of the heart or blood vessels
C (Cardiac) 06 Cardiovascular Alteration Change in or modification of the heart or blood vessels
C (Cardiac) 06.1 Blood Pressure Alteration Change in or modification of the systolic or diastolic pressure
D (Cognitive) 07 Cerebral Alteration Change in or modification of thought processes or mentation
D (Cognitive) 07.1 Confusion State of being disoriented (mixed-up)
D (Cognitive) 08 Knowledge Deficit Lack of information, understanding, or comprehension
D (Cognitive) 08.1 Knowledge Deficit of Diagnostic Test Lack of information on tests to identify disease or assess health condition
D (Cognitive) 08.2 Knowledge Deficit of Dietary Regimen Lack of information on the prescribed food or fluid intake
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D (Cognitive) 08.3 Knowledge Deficit of Disease Process Lack of information on the morbidity, course, or treatment of the health,condition
D (Cognitive) 08.4 Knowledge Deficit of Fluid Volume Lack of information on fluid volume intake requirements
D (Cognitive) 08.5 Knowledge Deficit of Medication Regimen Lack of information on prescribed regulated course of medicinal,substances
D (Cognitive) 08.6 Knowledge Deficit of Safety Precautions Lack of information on measures to prevent injury, danger, or loss
D (Cognitive) 08.7 Knowledge Deficit of Therapeutic Regimen Lack of information on regulated course of treating disease
D (Cognitive) 09 Thought Processes Alteration Change in or modification of cognitive processes
D (Cognitive) 09.1 Memory Impairment Diminished or inability to recall past events
E (Coping) 10 Dying Process Physical and behavioral responses associated with death
E (Coping) 11 Family Coping Impairment Inadequate family response to problems or difficulties
E (Coping) 11.1 Compromised Family Coping Inability of family to function optimally
E (Coping) 11.2 Disabled Family Coping Dysfunctional ability of family to function
E (Coping) 12 Individual Coping Impairment Inadequate personal response to problems or difficulties
E (Coping) 12.1 Adjustment Impairment Inadequate adaptation to condition or change in health status
E (Coping) 12.2 Decisional Conflict Struggle related to determining a course of action
E (Coping) 12.3 Defensive Coping Self-protective strategies to guard against threats to self
E (Coping) 12.4 Denial Attempt to reduce anxiety by refusal to accept thoughts, feelings, or facts
E (Coping) 13 Post-Trauma Response Sustained behavior related to a traumatic event
E (Coping) 13.1 Rape Trauma Syndrome Group of symptoms related to a forced sexual act
E (Coping) 14 Spiritual State Alteration Change in or modification of the spirit or soul
E (Coping) 14.1 Spiritual Distress Anguish related to the spirit or soul
F (Fluid Volume) 15 Fluid Volume Alteration Change in or modification of bodily fluid
F (Fluid Volume) 15.1 Fluid Volume Deficit Dehydration
F (Fluid Volume) 15.2 Fluid Volume Deficit Risk Increased chance of dehydration
F (Fluid Volume) 15.3 Fluid Volume Excess Fluid retention, overload, or edema
F (Fluid Volume) 15.4 Fluid Volume Excess Risk Increased chance of fluid retention, overload, or edema
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G (Health Behavioral) 17 Health Maintenance Alteration Change in or modification of ability to manage health-related needs
G (Health Behavioral) 17.1 Failure to Thrive Inability to grow and develop normally
G (Health Behavioral) 18 Health Seeking Behavior Alteration Change in or modification of actions needed to improve health state
G (Health Behavioral) 19 Home Maintenance Alteration Inability to sustain a safe, healthy environment
G (Health Behavioral) 20 Noncompliance Failure to follow therapeutic recommendations
G (Health Behavioral) 20.1 Noncompliance of Diagnostic Test Failure to follow therapeutic recommendations on tests to identify disease or assess health condition.
G (Health Behavioral) 20.2 Noncompliance of Dietary Regimen Failure to follow the prescribed food or fluid intake
G (Health Behavioral) 20.3 Noncompliance of Fluid Volume Failure to follow fluid volume intake requirements
G (Health Behavioral) 20.4 Noncompliance of Medication Regimen Failure to follow prescribed regulated course of medicinal substances
G (Health Behavioral) 20.5 Noncompliance of Safety Precautions Failure to follow measures to prevent injury, danger, or loss
G (Health Behavioral) 20.6 Noncompliance of Therapeutic Regimen Failure to follow regulated course of treating disease
H (Medication) 21 Medication Risk Increased chance of negative response to medicinal substance
H (Medication) 21.1 Polypharmacy Use of two or more drugs together
I (Metabolic) 22 Endocrine Alteration Change in or modification of internal secretions or hormones
I (Metabolic) 23 Immunologic Alteration Change in or modification of the immune system
I (Metabolic) 23.1 Protection Alteration Change in or modification of the ability to guard against internal or external threats to the body
J (Nutritional) 24 Nutrition Alteration Change in or modification of food or nutrients
J (Nutritional) 24.1 Body Nutrition Deficit Less than adequate intake or absorption of food or nutrients
J (Nutritional) 24.2 Body Nutrition Deficit Risk Increased chance of less than adequate intake or absorption of food or nutrients
J (Nutritional) 24.3 Body Nutrition Excess More than adequate intake or absorption of food or nutrients
J (Nutritional) 24.4 Body Nutrition Excess Risk Increased chance of more than adequate intake or absorption of food or,nutrients
J (Nutritional) 24.5 Swallowing Impairment Inability to move food from mouth to stomach
K (Physical Regulation) 25 Physical Regulation Alteration Change in or modification of somatic control
K (Physical Regulation) 25.1 Autonomic Dysreflexia Life threatening inhibited sympathetic response to a noxious stimuli in a person with a spinal cord injury at T7 or above
K (Physical Regulation) 25.2 Hyperthermia Abnormal high body temperature
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K (Physical Regulation) 25.3 Hypothermia Abnormal low body temperature
K (Physical Regulation) 25.4 Thermoregulation Impairment Fluctuation of temperature between hypothermia and hyperthermia
K (Physical Regulation) 25.5 Infection Risk Increased change of contamination with disease-producing germs
K (Physical Regulation) 25.6 Infection Unspecified Unknown contamination with disease-producing germs
K (Physical Regulation) 25.7 Intracranial Adaptive Capacity Impairment Intracranial fluid volumes are compromised
L (Respiratory) 26 Respiration Alteration Change in or modification of the breathing function
L (Respiratory) 26.1 Airway Clearance Impairment Inability to clear secretions/obstructions in airway
L (Respiratory) 26.2 Breathing Pattern Impairment Inadequate inhalation or exhalation
L (Respiratory) 26.3 Gas Exchange Impairment Imbalance of oxygen and carbon dioxide transfer between lung and vascular system
M (Role Relationship) 27 Role Performance Alteration Change in or modification of carrying out responsibilities
M (Role Relationship) 27.1 Parental Role Conflict Struggle with parental position and responsibilities
M (Role Relationship) 27.2 Parenting Alteration Change in or modification of nurturing figures ability to promote growth and development of infant/child
M (Role Relationship) 27.3 Sexual Dysfunction Deleterious change in sex response
M (Role Relationship) 27.4 Caregiver Role Strain Excessive tension of one who gives physical or emotional care and support to another person or patient
M (Role Relationship) 28 Communication Impairment Diminished ability to exchange thoughts, opinions, or information
M (Role Relationship) 28.1 Verbal Impairment Diminished ability to exchange thoughts, opinions, or information through, speech
M (Role Relationship) 29 Family Processes Alteration Change in or modification of usual functioning of a related group
M (Role Relationship) 31 Sexuality Patterns Alteration Change in or modification of persons's sexual response
M (Role Relationship) 32 Socialization Alteration Change in or modification of personal identity
M (Role Relationship) 32.1 Social Interaction Alteration Inadequate quantity or quality of personal relations
M (Role Relationship) 32.2 Social Isolation State of aloneness; lack of interaction with others
M (Role Relationship) 32.3 Relocation Stress Syndrome Excessive tension from moving to a new location
N (Safety) 33 Injury Risk Increased chance of danger or loss
N (Safety) 33.1 Aspiration Risk Increased chance of material into trachea-bronchial passages
N (Safety) 33.2 Disuse Syndrome Group of symptoms related to effects of immobility
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N (Safety) 33.3 Poisoning Risk Exposure to or ingestion of dangerous products
N (Safety) 33.4 Suffocation Risk Increase chance of inadequate air for breathing
N (Safety) 33.5 Trauma Risk Increased chance of accidental tissue injury
N (Safety) 34 Violence Risk Increased chance of harming self or others
N (Safety) 34.1 Suicide Risk Increased chance of taking one's life intentionally
N (Safety) 34.2 Self mutilation Risk Increased chance of destroying a limb or essential part of the body
O (Self-Care) 35 Bathing/Hygiene Deficit Impaired ability to cleanse oneself
O (Self-Care) 36 Dressing/Grooming Deficit Impaired ability to clothe and groom oneself
O (Self-Care) 37 Feeding Deficit Impaired ability to feed oneself
O (Self-Care) 38 Self Care Deficit Impaired ability to maintain oneself
O (Self-Care) 38.1 Activities of Daily Living (ADLs) Alteration Change in modification of ability to maintain oneself
O (Self-Care) 38.2 Instrumental Activities of Daily Living (IADLs) Alteration Change in or modification of more complex activities than those needed to maintain oneself
O (Self-Care) 39 Toileting Deficit Impaired ability to urinate or defecate for oneself
P (Self-Concept) 40 Anxiety Feeling of distress or apprehension whose source is unknown
P (Self-Concept) 41 Fear Feeling of dread or distress whose cause can be identified
P (Self-Concept) 42 Meaningfulness Alteration Change in or modification of the ability to see the significance, purpose, or,value in something
P (Self-Concept) 42.1 Hopelessness Feeling of despair or futility and passive abandonment
P (Self-Concept) 42.2 Powerlessness Feeling of helplessness, or inability to act
P (Self-Concept) 43 Self Concept Alteration Change in or modification of ability to maintain one's image of self
P (Self-Concept) 43.1 Body Image Disturbance Imbalance in the perception of the way one's body looks
P (Self-Concept) 43.2 Personal Identity Disturbance Imbalance in the ability to distinguish between the self and the non-self
P (Self-Concept) 43.3 Chronic Low Self-Esteem Disturbance Persistent negative evaluation of oneself
P (Self-Concept) 43.4 Situational Self-Esteem Disturbance Negative evaluation of oneself in response to a loss or change
Q (Sensory) 44 Sensory Perceptual Alteration Change in or modification of the response to stimuli
Q (Sensory) 44.1 Auditory Alteration Diminished ability to hear
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Q (Sensory) 44.2 Gustatory Alteration Diminished ability to taste
Q (Sensory) 44.3 Kinesthetic Alteration Diminished ability to move
Q (Sensory) 44.4 Olfactory Alteration Diminished ability to smell
Q (Sensory) 44.5 Tactile Alteration Diminished ability to feel
Q (Sensory) 44.6 Unilateral Neglect Lack of awareness of one side of the body
Q (Sensory) 44.7 Visual Alteration A diminished ability to see
Q (Sensory) 45 Comfort Alteration Change in or modification of sensation that is distressing
Q (Sensory) 45.1 Acute Pain Physical suffering or distress; to hurt
Q (Sensory) 45.2 Chronic Pain Pain that continues for longer than expected
Q (Sensory) 45.3 Unspecified Pain Pain that is difficult to pinpoint
R (Skin Integrity) 46 Skin Integrity Alteration Change in or modification of skin conditions
R (Skin Integrity) 46.1 Oral Mucous Membranes Impairment Diminished ability to maintain the tissues of the oral cavity
R (Skin Integrity) 46.2 Skin Integrity Impairment Diminished ability to maintain the integument
R (Skin Integrity) 46.3 Skin Integrity Impairment Risk Increased chance of skin breakdown
R (Skin Integrity) 46.4 Skin Incision Cutting of the integument/skin
R (Skin Integrity) 46.5 Latex Allergy Response Pathological reaction to latex products
R (Skin Integrity) 47 Peripheral Alteration Change in or modification of vascularization of the extremities
S (Tissue Perfusion) 48 Tissue Perfusion Alteration Change in or modification of the oxygenation of tissues
T (Urinary Elimination) 49 Urinary Elimination Alteration Change in or modification of excretion of the waste matter of the kidneys
T (Urinary Elimination) 49.1 Functional Urinary Incontinence Involuntary, unpredictable passage of urine
T (Urinary Elimination) 49.2 Reflex Urinary Incontinence Involuntary passage of urine occurring at predictable intervals
T (Urinary Elimination) 49.3 Stress Urinary Incontinence Loss of urine occurring with increased abdominal pressure
T (Urinary Elimination) 49.4 Total Urinary Incontinence Continuous and unpredictable loss of urine
T (Urinary Elimination) 49.5 Urge Urinary Incontinence Involuntary passage of urine following a sense of urgency to void
T (Urinary Elimination) 49.6 Urinary Retention Incomplete emptying of the bladder
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T (Urinary Elimination) 50 Renal Alteration Change in or modification of the kidney function
B (Bowel/Gastric) 51 Nausea Distaste for food / fluids and an urge to vomit
E (Coping) 52 Community Coping Impairment Inadequate community response to problems or difficulties
E (Coping) 53 Grieving Feeling of great sorrow
E (Coping) 53.1 Anticipatory Grieving Feeling great sorrow before the event or loss
E (Coping) 53.2 Dysfunctional Grieving Prolonged feeling of great sorrow
J (Nutritional) 54 Infant Feeding Pattern Impairment Imbalance in the normal feeding habits of an infant
J (Nutritional) 55 Breastfeeding Impairment Diminished ability to nourish infant at the breast
L (Respiratory) 56 Ventilatory Weaning Impairment Inability to tolerate decreased levels of ventilator support
N (Safety) 57 Perioperative Injury Risk Increased chance of injury during the operative processes
N (Safety) 57.1 Perioperative Positioning Injury Damages from operative process positioning
N (Safety) 57.2 Surgical Recovery Delay Slow or delayed recovery from a surgical procedure
N (Safety) 58 Substance Abuse Excessive use of harmful bodily materials
N (Safety) 58.1 Tobacco Abuse Excessive use of tobacco products
N (Safety) 58.2 Alcohol Abuse Excessive use of distilled liquors
N (Safety) 58.3 Drug Abuse Excessive use of habit forming medications
U (Life Cycle) 59 Reproductive Risk Increased chance of harm in the process of replicating or giving rise to an offspring/child
U (Life Cycle) 59.1 Fertility Risk Increased chance of conception to develop an offspring/child
U (Life Cycle) 59.2 Infertility Risk Decreased chance of conception to develop an offspring/child
U (Life Cycle) 59.3 Contraception Risk Increased chance of harm by preventing the conception of an offspring/child
U (Life Cycle) 60 Perinatal Risk Increased chance of harm before, during, and immediately after the creation of an offspring / child
U (Life Cycle) 60.1 Pregnancy Risk Increased chance of harm during the gestational period of the formation of an offspring / child
U (Life Cycle) 60.2 Labor Risk Increased chance of harm during the period supporting the bringing forth of an offspring / child
U (Life Cycle) 60.3 Delivery Risk Increased chance of harm during the period supporting the expulsion of an offspring / child at birth
U (Life Cycle) 60.4 Postpartum Risk Increased chance of harm during the time period immediately following the delivery of an offspring / child
U (Life Cycle) 61 Growth and Development Alteration Change in or modification of the norms for an individual's age
U (Life Cycle) 61.1 Newborn Behavior Alteration Change in or modification of the normal standards of performing developmental skills and behavior of a typical newborn the first 30 days of life
U (Life Cycle) 61.2 Infant Behavior Alteration Change in or modification of normal standards of performing developmental skills and behavior of a typical infant from 31 days through 11 months of age
U (Life Cycle) 61.3 Child Behavior Alteration Change in or modification of normal standards of performing developmental skills and behavior of a typical child from 1 year through 11 years of age
U (Life Cycle) 61.4 Adolescent Behavior Alteration Change in or modification of normal standards of performing developmental skills and behavior of a typical adolescent from 12 years through 20 years of age
U (Life Cycle) 61.5 Adult Behavior Alteration Change in or modification of normal standards of performing developmental skills and behavior of a typical adult from 21 years through 64 years of age
U (Life Cycle) 61.6 Older Adult Behavior Alteration Change in or modification of normal standards of performing developmental skills and behavior of a typical older adult from 65 years of age and over
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