Implementations Around the World

Organizations around the world (20+ countries!) have recognized the benefits of the CCC. Not only is it free to use, but it tracks more than just the nursing diagnosis. It also tracks nursing actions, expected outcomes, and the actual outcome. All in one code! The CCC has also been translated into nine languages. Below the map you will find a few examples where it has been put into action. To have your health organization listed, please contact us.

Image of the world with where the CCC has been implemented


Facility: Henan Honliv Hospital.
Location: Changyuan City, Henan Province, P.R. China
Description: Henan Hongli Hospital provides medical services in obstetrics, gynecology, cardiovascular medicine, and orthopedics.
Year Implemented: 2017.
Additional Resources: Yang, L., Ji, X., Chung, P., Cao, C., & Wu, Z. (2021). Analysis of the Clinical Care Classification System Used in an Intensive Care Unit of a General Hospital in China. CIN: Computers, Informatics, Nursing, 39(12), p.837-842. https:/



Facility: All Finnish healthcare organizations.
Location: Nation-wide.
Description: The standardized nursing terminology, the Finnish Care Classification (FinCC), originally based on the Clinical Care Classification (CCC), was developed in Finland for over 20 years, and further developed and widely used in Finnish healthcare organizations. Like the CCC, the FinCC has a three-level hierarchy: the Finnish Classification of Nursing Diagnoses (FiCND), the Finnish Classification of Nursing Interventions (FiCNI), and the Finnish Classification of Nursing Outcomes (FiCNO).
Year Implemented: 2003.
Additional Resources: The Finnish Care Classification System, FinCC 4.0:User Guide:V.1.1 ( Mykkanen, M., Kinnunen, U.M., Liljamo, P., Ahonem, O., Kuusito, A., & Saranto, K. (2022). Using standardized nursing data for knowledge generation – Ward level analysis of point of care nursing documentation. International Journal of Medical Informatics, 167(7/8):104879. DOI:10.1016/j.ijmedinf.2022.104879


Facility: All Italian healthcare organizations.
Location: Nation-wide.
Description: A CCC translation into Italian with cross-cultural adaptation performed following four phases: forward-translation, back-translation, review, and dissemination.
Year Implemented: 2020
Resources: Zeffiro, V., Sanson, G., Vanalli, M., Cocchieri, A., Ausili, D., Alvaro, R., & D’Agostino, F. (2021). Translation and cross-cultural adaption of the Clinical Care Classification system. International Journal of Medical Informatics, 153: 104534.  


Facility: Bumrungrad International Hospital.
Location: Bangkok, Thailand.
Description: Bumrungrad International Hospital: 580+bed multi-specialty hospital. In Thai, Bumrungrad means “care for the people.” Bumrungrad International Hospital annually serves approximately 1.1 million local patients and over 550,000 international patients.
Year Implemented: 2015.
Additional Resources: