1. Victorian ADIME/IDNT Working Party Version 3: May 2014
Introduction to International Dietetics & Nutrition Terminology (IDNT) and ADIME Documentation Method
Presented by
Victorian ADIME/IDNT Working Party Version 3: May 2014

2. Outline Introduction to IDNT What is IDNT
How does it fit into e-Health
Benefits of IDNT
Using IDNT today
Introduction to ADIME
What is the ADIME
Comparing ADIME documentation to current documentation formats
Victorian ADIME/IDNT Working Party
Version 3: May 2014

3. What is IDNT? (International Dietetic & Nutrition Terminology)
Developed by ADA and is supported by the International Confederation of Dietetic Association.
IDNT is a standardised language for dietitians:
standard , specific terms used to document patient assessment information in medical records
Adds structure to the dietetic process
same work process, different language
Victorian ADIME/IDNT Working Party
Version 3: May 2014

4. Examples of IDNT Excessive Carbohydrate Intake (NI_5.8.2)
Inadequate Oral intake (NI_2.1)
Excessive Energy Intake (NI_1.3)
Malnutrition (NI_5.2)
Swallowing Difficulties (NC_1.1)
Physical Inactivity (NB_2.1)
Overweight/Obesity (NC_3.3)
Excessive Alcohol Intake (NI_4.3)
Imbalance of Nutrients (NI_5.5)
Victorian ADIME/IDNT Working Party Version 3: May 2014

5. Benefits of IDNT
Clearer linking between diagnosis, interventions and outcomes
Solving patients nutritional problems
Optimising reimbursement possibilities
Easier to assess outcomes and performance to prove efficacy
Improve communication between health care team members
Part of evidence based approach to health care
Better statistical reporting
Prepares Department/dietitians for students who have been trained in IDNT
Victorian ADIME/IDNT Working Party Version 3: May 2014

6. Benefits of IDNT
Better assessment of cost analysis across or within practices or dietetic departments.
Will benefit population health-based nutrition programs and research
World wide use of accepted definitions and wordings : provides common ground for facilitation of information exchange
Prepares for transition to E-health
Improve professional recognition
Victorian ADIME/IDNT Working Party Version 3: May 2014

7. Implementing IDNT across Victoria
DAA supportive and encouraging: voluntary uptake
Several states have or will be implementing
Some Victorian health organisations have commenced
Universities are starting to teach 3rd years in 2012
Victorian ADIME/IDNT Working Party Version 3: May 2014

8. Nutrition Care Process Model : ADIME
Victorian ADIME/IDNT Working Party Version 3: May 2014

9. What is ADIME?
ADIME refers to the steps of the ADA standardised Nutrition Care Process
The Nutrition Care Process describes documentation of Assessment, Diagnosis, Intervention, Monitoring, and Evaluation (ADIME) steps
In Victoria the focus will be on the “D” or Diagnosis step of the ADIME
Nutritional Diagnosis will be written in PES format (explained in next presentation)
Victorian ADIME/IDNT Working Party Version 3: May 2014

10. Nutrition Care Process & Model
Lacey, K and Pritchett, E. (2003). Nutrition Care Process Part II: Using the International Dietetics and Nutrition Terminology to Document the Nutrition Care Process JADA, 108(8):
Victorian ADIME/IDNT Working Party Version 3: May 2014

11. Nutrition Assessment Categories
Nutrition Assessment is divided into 5 categories:
food/nutrient–related history
anthropometric measurements
biochemical data, medical tests and procedures
nutrition-focused physical findings
client history

12. Nutrition Care Process & Model
Lacey, K and Pritchett, E. (2003). Nutrition Care Process Part II: Using the International Dietetics and Nutrition Terminology to Document the Nutrition Care Process JADA, 108(8):
Victorian ADIME/IDNT Working Party Version 3: May 2014 12

13. Nutrition Intervention Categories
Nutrition Intervention is divided into 4 categories:
Food and Nutrient Delivery
Nutrition Education
Nutrition Counselling
Coordination of Nutrition Care

14. Nutrition Care Process & Model
Lacey, K and Pritchett, E. (2003). Nutrition Care Process Part II: Using the International Dietetics and Nutrition Terminology to Document the Nutrition Care Process JADA, 108(8):
Victorian ADIME/IDNT Working Party Version 3: May 2014 14

15. Nutrition Monitoring & Evaluation Categories
Nutrition Monitoring & Evaluation is divided into 4 categories:
Food/Nutrition History Outcomes
Anthropometric Measurement Outcomes
Biochemical data, medical tests and Procedure Outcomes
Nutrition-Focused Physical Finding Outcomes

16. Nutrition Care Process & Model
Lacey, K and Pritchett, E. (2003). Nutrition Care Process Part II: Using the International Dietetics and Nutrition Terminology to Document the Nutrition Care Process JADA, 108(8):
Victorian ADIME/IDNT Working Party Version 3: May 2014 16

17. Comparison of Documentation Formats
Nutrition Care Process Steps
SOAP
ABCD
ADIME
Assess
Collect data
Subjective and Objective
(Anthro, Bio, Clinical , Diet etc)
Anthropometry
Biochemistry
Clinical
Diet
Assessment (Anthro, Bio, Clinical , Diet etc)
2. Diagnose
Identify issues
Assessment
Diagnosis
3. Intervene
Management
Plan
Intervention
4. Monitor and Evaluate
Follow-up plan
Refine Information
Refine information
Monitoring and Evaluation f
Victorian ADIME/IDNT Working Party Version 3: May 2014

18. The Nutrition Care Process Steps: ADIME
Nutrition Assessment A
Nutrition Diagnosis D
Nutrition Intervention I
Nutrition Monitoring M
Nutrition Evaluation E
By following this nutrition care process and achieving outcomes Dietitians can show that quality care is provided
Todays focus is on the nutritional diagnosis
Victorian ADIME/IDNT Working Party Version 3: May 2014

19. What Next?
This presentation is the first of a series of user friendly presentations for your department. The following presentations are:
Creating a PES statement: the nutrition diagnosis
Introduction to E-Health
Case Study 1: Poor oral intake
Case Study 2: Weight Management
Case Study 3: Diabetes Management
Case Study 4: Hypertension
Case Study 5: Hypercholesterolemia
Case Study 6: High Fibre and Diverticulosis
Case Study 7: Low Fibre and Diverticulitis
Case Study 8: Not meeting core foods group
Case Study 9: Re-feeding
Case Study 10: Enteral Nutrition
Case Study 11: TPN
Case Study 12: Mental Health Physical Inactivity
Case Study 13: Coeliac
Case Study 14: Food Allergy
Case Study 15: Palliative Care
Case Study 16: Predicted loss of weight
Case Study 17: Renal Failure
Case Study 18: Haemodialysis/Peritoneal Dialysis
Victorian ADIME/IDNT Working Party Version 3: May 2014

20. Online reference manual
-Requires DAA membership for access
Link on DAA:
Victorian ADIME/IDNT Working Party Version 3: May 2014

21. References PowerPoint Presentations
Ferguson M, et al. Webinar 3: Implementation, DAA IDNT Working Party,
Vivanti A, Micallef N. Webinar 2: Diagnoses, PES statements and Case Study, DAA IDNT Working Party,
Capra S, Ferguson M, et al. Standardised Language: A powerful tool for dietetic professionals,
Voevodin M. IDNT – International Dietetics and Nutrition Terminology, Monash University, 2010
Bufalino L, et al. Introduction to IDNT, Victorian Wide IDNT Working Party, 2011
Journals
Bueche J, et al. Nutrition Care Process and Model Part 1: The 2008 update, Journal of the American Dietetic Association, 2008
O’Sullivan T, et al. Just what the Doctor Ordered; Moving Forward with Electronic Health Records, Journal of Nutrition and Dietetics 2011; 68:
Manuals
ADA, (2013) International Dietetics and Nutrition Terminology (IDNT) Reference Manual: Standardized Language for the Nutrition Care Process, Fourth Edition, American Dietetic Association, 2013
ADA, (2010) International Dietetics and Nutrition Terminology (IDNT) Reference Manual: Standardized Language for the Nutrition Care Process, American Dietetic Association, 2010
PES FAQ and Terminology IDNT Edition 3, v4, Nutrition and Dietetics Department, Princess Alexandra Hospital, Queensland
Victorian ADIME/IDNT Working Party Version 3: May 2014