| Component
|
Code
|
Concept
|
Definition
|
| O (Self-Care) |
43.1 |
Activities of Daily Living (ADLs)
| Personal activities to maintain oneself
|
| A (Activity) |
01 |
Activity Care
| Actions performed to carry out physiological or psychological daily activities
|
| Q (Sensory) |
47.1 |
Acute Pain Control
| Actions performed to control physical suffering, hurting, or distress |
| U (Life Cycle) |
76.4 |
Adolescent Care
| Actions performed to support the normal standards of performing developmental skills and behavior of a typical adolescent 12 years through 20 years of age
|
| U (Life Cycle) |
76.5 |
Adult Care
| Actions performed to support the normal standards of performing developmental skills and behavior of a typical adult 21 years through 64 years of age
|
| G (Health Behavioral) |
17.1 |
Adult Day Center
| Actions performed to direct the provision of a day program for adults in a specific location
|
| N (Safety) |
40.2 |
Alcohol Abuse Control
| Actions performed to avoid, minimize, or control the use of distilled liquors |
| I (Metabolic) |
26 |
Allergic Reaction Control
| Actions performed to reduce symptoms or precautions to reduce allergies
|
| A (Activity) |
03.1 |
Ambulation Therapy
| Actions performed to promote walking
|
| A (Activity) |
03.2 |
Assistive Device Therapy
| Actions performed to support the use of products to aid in caring for oneself
|
| A (Activity) |
61 |
Bedbound Care
| Actions performed to support an individual confined to bed
|
| D (Cognitive) |
10 |
Behavior Care
| Actions performed to support observable responses to internal and external stimuli
|
| E (Coping) |
14.1 |
Bereavement Support
| Actions performed to provide comfort to the family/friends of the person who died
|
| G (Health Behavioral) |
19.1 |
Bill of Rights
| Statements related to entitlement during an episode of illness
|
| T (Urinary Elimination) |
58 |
Bladder Care
| Actions performed to control urinary drainage problems
|
| T (Urinary Elimination) |
58.1 |
Bladder Instillation
| Actions performed to pour liquid into a catheter
|
| T (Urinary Elimination) |
58.2 |
Bladder Training
| Actions performed to provide instruction on the care of urinary drainage problems
|
| K (Physical Regulation) |
33.1 |
Blood Pressure
| Actions performed to measure the diastolic and systolic pressure of the blood
|
| K (Physical Regulation) |
32.1 |
Blood Specimen Care
| Actions performed to collect and/or examine a sample of blood
|
| B (Bowel/Gastric) |
06 |
Bowel Care
| Actions performed to control or restore the functioning of the bowel
|
| B (Bowel/Gastric) |
06.1 |
Bowel Training
| Actions performed to provide instruction on bowel elimination conditions
|
| J (Nutritional) |
66 |
Breastfeeding Support
| Actions performed to support nourishment of an infant at the breast
|
| L (Respiratory) |
36.1 |
Breathing Exercises
| Actions performed to provide therapy on respiratory or lung exertion
|
| C (Cardiac) |
08 |
Cardiac Care
| Actions performed to control changes in the heart or blood vessels
|
| C (Cardiac) |
08.1 |
Cardiac Rehabilitation
| Actions performed to restore cardiac health
|
|
| A (Activity) |
02.1 |
Cast Care
| Actions performed to control a rigid dressing
|
| Q (Sensory) |
50.1 |
Cataract Care
| Actions performed to control cataract conditions
|
| H (Medication) |
22 |
Chemotherapy Care
| Actions performed to control and monitor antineoplastic agents
|
| L (Respiratory) |
36.2 |
Chest Physiotherapy
| Exercises to provide postural drainage of lungs
|
| U (Life Cycle) |
76.3 |
Child Care
| Actions performed to support the normal standards of performing developmental skills and behavior of a typical child 1 year through 11 years of age
|
| Q (Sensory) |
47.2 |
Chronic Pain Control
| Actions performed to control physical suffering, hurting, or distress that continues longer than expected |
| S (Tissue Perfusion) |
70 |
Circulatory Care
| Actions performed to support the circulation of the blood (blood vessels)
|
| K (Physical Regulation) |
31.4 |
Clinical Measurements
| Actions performed to conduct procedures to evaluate somatic events
|
| Q (Sensory) |
48 |
Comfort Care
| Actions performed to enhance or improve well-being
|
| M (Role Relationship) |
38 |
Communication Care
| Actions performed to exchange verbal information
|
| G (Health Behavioral) |
17 |
Community Special Services
| Actions performed to provide advice or information about special community services
|
| G (Health Behavioral) |
18 |
Compliance Care
| Actions performed to encourage conformity to therapeutic recommendations
|
| G (Health Behavioral) |
18.1 |
Compliance with Diet
| Actions performed to encourage conformity to food or fluid intake
|
| G (Health Behavioral) |
18.2 |
Compliance with Fluid Volume
| Actions performed to encourage conformity to therapeutic intake of liquids
|
| G (Health Behavioral) |
18.3 |
Compliance with Medical Regimen
| Actions performed to encourage conformity to physician's plan of care
|
| G (Health Behavioral) |
18.4 |
Compliance with Medication Regimen
| Actions performed to encourage conformity to follow prescribed course of medicinal substances
|
| G (Health Behavioral) |
18.5 |
Compliance with Safety Precautions
| Actions performed to encourage conformity with measures to protect the self or others from injury, danger, or loss |
| G (Health Behavioral) |
18.6 |
Compliance with Therapeutic Regimen
| Actions performed to encourage conformity with the health team's plan of care
|
| U (Life Cycle) |
74.3 |
Contraception Care
| Actions performed to prevent conception of an offspring/child
|
| E (Coping) |
12.1 |
Coping Support
| Actions performed to sustain a person dealing with responsibilities, problems, or difficulties |
| E (Coping) |
12 |
Counseling Service
| Actions performed to provide advice or instruction to help another
|
| E (Coping) |
12.3 |
Crisis Therapy
| Actions performed to sustain a person dealing with a condition, event. or radical change in status |
| U (Life Cycle) |
75.3 |
Delivery Care
| Actions performed to support the expulsion of an offspring / child at birth
|
| R (Skin Integrity) |
53.1 |
Denture Care
| Actions performed to control the use of artificial teeth
|
| I (Metabolic) |
27 |
Diabetic Care
| Actions performed to control diabetic conditions
|
|
| T (Urinary Elimination) |
59 |
Dialysis Care
| Actions performed to support dialysis treatments
|
| B (Bowel/Gastric) |
06.4 |
Diarrhea Care
| Actions performed to control the abnormal frequency and fluidity of feces
|
| B (Bowel/Gastric) |
06.2 |
Disimpaction
| Actions performed to manually remove feces
|
| R (Skin Integrity) |
55.1 |
Drainage Tube Care
| Actions performed to control drainage from tubes
|
| R (Skin Integrity) |
55.2 |
Dressing Change
| Actions performed to remove and replace new bandage(s) to a wound
|
| N (Safety) |
40.3 |
Drug Abuse Control
| Actions performed to avoid, minimize, or control the use of any habit forming medication |
| E (Coping) |
14.2 |
Dying/Death Measures
| Actions performed to support the dying process
|
| Q (Sensory) |
49 |
Ear Care
| Actions performed to support ear problems
|
| S (Tissue Perfusion) |
69 |
Edema Control
| Actions performed to control excess fluid in tissue
|
| N (Safety) |
41 |
Emergency Care
| Actions performed to support a sudden or unexpected occurrence
|
| E (Coping) |
13 |
Emotional Support
| Actions performed to sustain a positive affective state
|
| B (Bowel/Gastric) |
06.3 |
Enema
| Actions performed to administer fluid rectally
|
| A (Activity) |
01.2 |
Energy Conservation
| Actions performed taken to preserve energy
|
| J (Nutritional) |
29.5 |
Enteral Feeding
| Actions performed to provide nourishment through a gastrointestinal route
|
| J (Nutritional) |
28 |
Enteral Tube Care
| Actions performed to control the use of an enteral drainage tube
|
| J (Nutritional) |
28.1 |
Enteral Tube Insertion
| Actions performed in the placement of a enteral drainage tube
|
| J (Nutritional) |
28.2 |
Enteral Tube Irrigation
| Actions performed to flush or wash out an enteral tube
|
| N (Safety) |
42.1 |
Environmental Safety
| Precautions recommended to prevent or reduce environmental injury
|
| N (Safety) |
42.2 |
Equipment Safety
| Precautions recommended to prevent or reduce equipment injury
|
| Q (Sensory) |
50 |
Eye Care
| Actions performed to support eye problems
|
| M (Role Relationship) |
39.3 |
Family Process Analysis
| Actions performed to support the change and/or modification of a related group
|
| J (Nutritional) |
29.2 |
Feeding Technique
| Actions performed to provide special measures to provide nourishment
|
| U (Life Cycle) |
74.1 |
Fertility Care
| Actions performed to increase conception of an offspring/child. |
| F (Fluid Volume) |
15 |
Fluid Therapy
| Actions performed to provide liquid volume intake
|
| S (Tissue Perfusion) |
56 |
Foot Care
| Actions performed to support foot problems
|
|
| A (Activity) |
02 |
Fracture Care
| Actions performed to control broken bones
|
| E (Coping) |
14.3 |
Funeral Arrangements
| Actions performed to direct the preparatory measures for burial
|
| B (Bowel/Gastric) |
62 |
Gastric Care
| Actions performed to control changes in the stomach or intestines
|
| U (Life Cycle) |
76 |
Growth & Development Care
| Actions performed to support the normal standards of performing developmental skills and behavior of an individual typical of any age group
|
| G (Health Behavioral) |
21.1 |
Health Aide
| Actions Performed to support care services by a health aide
|
| K (Physical Regulation) |
31.1 |
Health History
| Actions performed to obtain information about past illness and health status
|
| K (Physical Regulation) |
31.2 |
Health Promotion
| Actions performed to encourage behaviors to enhance health state
|
| Q (Sensory) |
49.1 |
Hearing Aid Care
| Actions performed to control the use of a hearing aid
|
| M (Role Relationship) |
39.1 |
Home Situation Analysis
| Analysis of living environment
|
| G (Health Behavioral) |
17.2 |
Hospice
| Actions performed to support the provision of offering and/or providing care for terminally ill persons
|
| F (Fluid Volume) |
15.1 |
Hydration Control
| Actions performed to control the state of fluid balance
|
| A (Activity) |
02.2 |
Immobilizer Care
| Actions performed to control a splint, cast, or prescribed bed rest |
| I (Metabolic) |
65 |
Immunologic Care
| Actions performed to protect against a particular disease
|
| R (Skin Integrity) |
55.3 |
Incision Care
| Actions performed to support a surgical wound
|
| N (Safety) |
42.3 |
Individual Safety
| Precautions to reduce individual injury
|
| U (Life Cycle) |
76.2 |
Infant Care
| Actions performed to support the normal standards of performing developmental skills and behavior of a typical infant 31 days through 11 month of age
|
| K (Physical Regulation) |
30 |
Infection Control
| Actions performed to contain a communicable illness
|
| U (Life Cycle) |
74.2 |
Infertility Care
| Actions performed to promote conception of the infertile client of an offspring/child |
| F (Fluid Volume) |
16 |
Infusion Care
| Actions performed to support solutions given via vein
|
| L (Respiratory) |
36.3 |
Inhalation Therapy
| Actions performed to support breathing treatments
|
| H (Medication) |
23 |
Injection Administration
| Actions performed to dispense a medication by a hypodermic
|
| O (Self-Care) |
43.2 |
Instrumental Activities of Daily Living (IADLs)
| Complex activities performed to support basic life skills
|
| H (Medication) |
23.1 |
Insulin Injection
| Actions performed to dispense a hypodermic administration of insulin
|
| F (Fluid Volume) |
15.2 |
Intake/Output
| Actions performed to measure the amount of fluids/food and excretion of waste
|
| M (Role Relationship) |
39.2 |
Interpersonal Dynamics Analysis
| Analysis of the driving forces in a relationship between people
|
|
| F (Fluid Volume) |
16.1 |
Intravenous Care
| Actions performed to administer an infusion via a vein
|
| U (Life Cycle) |
75.2 |
Labor Care
| Actions performed to support the bringing of an offspring/child |
| G (Health Behavioral) |
17.3 |
Meals-on-Wheels
| Actions performed to direct the provision of community program of meals delivered to the home
|
| G (Health Behavioral) |
20.1 |
Medical Regimen Orders
| Actions performed to support the physician's plan of treatment
|
| G (Health Behavioral) |
21.2 |
Medical Social Worker Service
| Actions performed to provide advice or instruction by medical social worker
|
| H (Medication) |
24.1 |
Medication Actions
| Activities related to monitor the use of medicinal substances
|
| H (Medication) |
24 |
Medication Care
| Actions performed to direct the dispensing of prescribed drugs
|
| H (Medication) |
24.2 |
Medication Prefill Preparation
| Activities to ensure the continued supply of prescribed drugs
|
| H (Medication) |
24.3 |
Medication Side Effects
| Actions performed to control untoward reactions or conditions to prescribed drugs
|
| H (Medication) |
24.4 |
Medication Treatment
| Actions performed to administer drugs or remedies regardless of route
|
| D (Cognitive) |
64 |
Memory Loss Care
| Actions performed to control a person's inability to recall ideas and/or events
|
| P (Self-Concept) |
45 |
Mental Health Care
| Actions taken to promote emotional well-being
|
| P (Self-Concept) |
45.1 |
Mental Health History
| Actions performed to obtain information about past and present emotional well-being
|
| P (Self-Concept) |
45.2 |
Mental Health Promotion
| Actions performed to encourage or further emotional well-being
|
| P (Self-Concept) |
45.3 |
Mental Health Screening
| Actions performed to systematically examine the emotional well-being
|
| P (Self-Concept) |
45.4 |
Mental Health Treatment
| Actions performed to support protocols used to treat emotional problems
|
| A (Activity) |
03 |
Mobility Therapy
| Actions performed to advice and instruct on mobility deficits
|
| R (Skin Integrity) |
53 |
Mouth Care
| Actions performed to support oral cavity problems
|
| A (Activity) |
05 |
Musculosketal Care
| Actions performed to restore physical functioning
|
| B (Bowel/Gastric) |
62.1 |
Nausea Care
| Actions performed to control the distaste for food and desire to vomit
|
| S (Tissue Perfusion) |
71 |
Neurovascular Care
| Actions performed to control problems of the nerves and vascular systems
|
| U (Life Cycle) |
76.1 |
Newborn Care
| Actions performed to support the normal standards of performingdevelopment skills and behavior of a typical newborn for the first 30 days of life
|
| G (Health Behavioral) |
21.3 |
Nurse Specialist Service
| Actions performed to obtain advice or instruction by advanced nurse specialists or nurse practitioners
|
| G (Health Behavioral) |
19.2 |
Nursing Care Coordination
| Actions performed to synthesize all plans of care
|
| G (Health Behavioral) |
19 |
Nursing Contact
| Actions performed to communicate with another nurse
|
|
| G (Health Behavioral) |
19.3 |
Nursing Status Report
| Actions performed to document condition by nurse
|
| J (Nutritional) |
29 |
Nutrition Care
| Actions performed to support the intake of food and nutrients
|
| G (Health Behavioral) |
21.4 |
Occupational Therapist Service
| Actions performed to provide advice or instruction by occupational therapist
|
| U (Life Cycle) |
76.6 |
Older Adult Care
| Actions performed to support the normal standards of performing developmental skills and behavior of a typical older adult 65 years of age and over
|
| B (Bowel/Gastric) |
07 |
Ostomy Care
| Actions performed to control the artificial opening which removes waste products
|
| B (Bowel/Gastric) |
07.1 |
Ostomy Irrigation
| Actions performed to flush or wash out an ostomy
|
| L (Respiratory) |
35 |
Oxygen Therapy Care
| Actions performed to support the administration of oxygen treatment
|
| C (Cardiac) |
09 |
Pacemaker Care
| Actions performed to control the use of an electronic device that provides a normal heartbeat
|
| Q (Sensory) |
47 |
Pain Control
| Actions performed to support responses to injury or damage
|
| J (Nutritional) |
29.6 |
Parental Feeding
| Actions performed to provide nourishment through intravenous or subcutaneous routes
|
| U (Life Cycle) |
75 |
Perinatal Care
| Actions performed to support the period before, during, and immediately after the creation of an offspring/child |
| S (Tissue Perfusion) |
57 |
Perineal Care
| Actions performed to support perineal problems
|
| O (Self-Care) |
43 |
Personal Care
| Actions performed to care for oneself
|
| K (Physical Regulation) |
31.3 |
Physical Examination
| Actions performed to observe somatic events
|
| K (Physical Regulation) |
31 |
Physical Health Care
| Actions performed to support somatic problems
|
| G (Health Behavioral) |
21.5 |
Physical Therapist Service
| Actions performed to obtain advice or instruction by physical therapist
|
| G (Health Behavioral) |
20 |
Physician Contact
| Actions performed to communicate with a physician
|
| G (Health Behavioral) |
20.2 |
Physician Status Report
| Actions performed to document condition by physician
|
| A (Activity) |
61.1 |
Positioning Therapy
| Process to support changes in body position
|
| U (Life Cycle) |
75.4 |
Postpartum Care
| Actions performed to support the time period immediately after delivery of an offspring / child
|
| U (Life Cycle) |
75.1 |
Pregnancy Care
| Actions performed to support the gestation period of the formation of an offspring / child (being with child)
|
| R (Skin Integrity) |
51 |
Pressure Ulcer Care
| Actions performed to prevent, detect, and treat skin integrity breakdown caused by pressure |
| R (Skin Integrity) |
51.1 |
Pressure Ulcer Stage 1 Care
| Actions performed to prevent Stage 1 skin breakdown
|
| R (Skin Integrity) |
51.2 |
Pressure Ulcer Stage 2 Care
| Actions performed to prevent Stage 2 skin breakdown
|
| R (Skin Integrity) |
51.3 |
Pressure Ulcer Stage 3 Care
| Actions performed to prevent Stage 3 skin breakdown
|
|
| R (Skin Integrity) |
51.4 |
Pressure Ulcer Stage 4 Care
| Actions performed to prevent Stage 4 skin breakdown
|
| G (Health Behavioral) |
21 |
Professional/Ancillary Services
| Actions performed to support the duties performed by health team members
|
| M (Role Relationship) |
39 |
Psychosocial Care
| Study of psychological and social factors
|
| L (Respiratory) |
36 |
Pulmonary Care
| Actions performed to support pulmonary hygiene
|
| K (Physical Regulation) |
33.3 |
Pulse
| Actions performed to measure rhythmical beats of the heart
|
| H (Medication) |
25 |
Radiation Therapy Care
| Actions performed to control and monitor radiation therapy
|
| A (Activity) |
05.1 |
Range of Motion
| Actions performed to provide the active or passive exercises to maintain joint function
|
| D (Cognitive) |
11 |
Reality Orientation
| Actions performed to promote the ability to locate oneself in environment
|
| J (Nutritional) |
29.3 |
Regular Diet
| Actions performed to support the ingestion of food and nutrients from established nutrition standards
|
| A (Activity) |
05.2 |
Rehabilitation Exercise
| Activities to promote physical functioning
|
| T (Urinary Elimination) |
73 |
Renal Care
| Actions performed to control problems pertaining to the kidney
|
| U (Life Cycle) |
74 |
Reproductive Care
| Actions performed to support the production of an offspring/child |
| K (Physical Regulation) |
33.4 |
Respiration
| Actions performed to measure the function of breathing
|
| N (Safety) |
42 |
Safety Precautions
| Actions performed to advance measures to avoid injury, danger, or harm |
| M (Role Relationship) |
39.4 |
Sexual Behavior Analysis
| Actions performed to support the change and/or modification of a person's sexual response
|
| R (Skin Integrity) |
54.1 |
Skin Breakdown Control
| Actions performed to support integument/skin problems |
| R (Skin Integrity) |
54 |
Skin Care
| Actions performed to control the integument/skin
|
| A (Activity) |
04 |
Sleep Pattern Control
| Actions performed to support the sleep and wake cycles
|
| M (Role Relationship) |
39.5 |
Social Network Analysis
| Actions performed to improve the quantity or quality of personal relationships
|
| J (Nutritional) |
29.4 |
Special Diet
| Actions performed to support the ingestion of food and nutrients prescribed for a specific purpose
|
| K (Physical Regulation) |
32 |
Specimen Care
| Actions performed to direct the collection and/or examination of a bodily specimen
|
| G (Health Behavioral) |
21.6 |
Speech Therapist Service
| Actions performed to provide advice or instruction by speech therapist
|
| E (Coping) |
13.1 |
Spiritual Comfort
| Actions performed to console, restore, or promote spiritual health |
| K (Physical Regulation) |
32.5 |
Sputum Specimen Care
| Actions performed tp collect and/or examine a sample of sputum
|
| K (Physical Regulation) |
32.2 |
Stool Specimen Care
| Actions performed to collect and/or examine a sample of feces
|
|
| E (Coping) |
12.2 |
Stress Control
| Actions performed to support the physiological response of the body to a stimulus
|
| N (Safety) |
40 |
Substance Abuse Control
| Actions performed to control situations to avoid, detect, or minimize harm |
| K (Physical Regulation) |
33.2 |
Temperature
| Actions performed to measure body temperature
|
| E (Coping) |
14 |
Terminal Care
| Actions performed in the period of time surrounding death
|
| N (Safety) |
40.1 |
Tobacco Abuse Control
| Actions performed to avoid, minimize, or control the use of tobacco products |
| L (Respiratory) |
37 |
Tracheostomy Care
| Actions performed to support a tracheostomy
|
| A (Activity) |
03.3 |
Transfer Care
| Actions performed to assist in moving from one place to another
|
| K (Physical Regulation) |
30.1 |
Universal Precautions
| Practices to prevent spread of infection and infectious diseases
|
| T (Urinary Elimination) |
60 |
Urinary Catheter Care
| Actions performed to control the use of a urinary catheter
|
| T (Urinary Elimination) |
60.1 |
Urinary Catheter Insertion
| Actions performed to place a urinary catheter in bladder
|
| T (Urinary Elimination) |
60.2 |
Urinary Catheter Irrigation
| Actions performed to flush out a urinary catheter
|
| T (Urinary Elimination) |
72 |
Urinary Incontinence Care
| Actions performed to control the inability to retain and/or involuntary retain urine
|
| K (Physical Regulation) |
32.3 |
Urine Specimen Care
| Actions performed to collect and//or examine a sample of urine
|
| F (Fluid Volume) |
16.2 |
Venous Catheter Care
| Actions performed to control the use of infusion equipment
|
| L (Respiratory) |
36.4 |
Ventilator Care
| Actions performed to control and monitor the use of a ventilator
|
| N (Safety) |
68 |
Violence Control
| Actions performed to control behaviors which may cause harm to oneself or others
|
| Q (Sensory) |
50.2 |
Vision Care
| Actions performed to control vision problems
|
| K (Physical Regulation) |
33 |
Vital Signs
| Actions performed to measure temperature, pulse, respirations, and blood pressure |
| H (Medication) |
23.2 |
Vitamin B12 Injection
| Actions performed to administer a hypodermic of Vitamin B12
|
| D (Cognitive) |
63 |
Wandering Control
| Actions performed to control abnormal movability
|
| Q (Sensory) |
49.2 |
Wax Removal
| Actions performed to remove cerumen from ear
|
| J (Nutritional) |
67 |
Weight Control
| Actions performed to control obesity or debilitation
|
| R (Skin Integrity) |
55 |
Wound Care
| Actions performed to support open skin areas
|
|