Files > NUTRITION ASSESSMENT

parent
115
name
NUTRITION ASSESSMENT
number
115.011
Fields
#NameLocationTypeDetailsIndexDescription
.01nutrition assessment0;1DATE-TIMEBThis field contains the date the nutrition assessment was performed.
1sex(+)0;2SET OF CODESM:MALE
F:FEMALE
This field contains a M or F corresponding to the sex of the subject.
2age(+)0;3NUMERICThis field contains the age, in years, of the subject at the time of the assessment.
3height0;4NUMERICThis field contains the height, in inches, of the subject.
4height parameters0;5SET OF CODESS:STATED
K:KNEE HEIGHT
This field contains parameters relating to height; in particular, an S would mean stated rather than measured.
5weight0;6NUMERICThis field contains the weight, in pounds, of the subject.
6weight parameters0;7SET OF CODESA:ANTHROPOMETRIC
S:STATED
This field contains parameters relating to weight; in particular, an S would mean stated rather than measured.
7date weight taken0;8DATE-TIMEThis is the date the weight was determined.
8usual weight0;9NUMERICThis is the usual weight, in pounds, of the subject.
9ideal body weight0;10NUMERICThis is the ideal body weight, in pounds, of the subject.
10frame size0;11SET OF CODESS:SMALL
M:MEDIUM
L:LARGE
This is the frame size of the individual, expressed as Small, Medium or Large.
11amputation %0;12NUMERICThis is the percentage of total body weight missing due to amputations.
15kcal required0;16NUMERICThis is the total energy needs of the patient expressed in calories.
16protein (gm) required0;17NUMERICThis is the protein requirements of the person.
17fluid (ml/day) required0;18NUMERICThis is the fluid requirements, in ml/day, of the person.
18risk category0;19POINTER115.4This is a pointer to the Nutrition Status file (115.4) indicating the current status of the patient for this assessment.
19nutrition problem0;20POINTER115.3This is a pointer to the Nutrition Classification file (115.3) indicating the current classification of the patient for this assessment.
20appearance2;1FREE TEXTThis field is used to store the a free-text description of the appearance of the patient when such notation may be of importance in understanding or treating the patient.
21body mass index0;21NUMERICThis field contains the Body Mass Index calculated from the height and weight.
22body mass index %0;22NUMERICThis field contains the percentile rank of the Body Mass Index value.
23nitrogen balance0;25NUMERICThis field contains the value of the Nitrogen Balance calculated during the assessment.
40triceps skin fold (mm)1;1NUMERICThis is the triceps skin fold measurement in mm.
41triceps %1;2NUMERICThis is the percentile rank of the triceps skin fold measurement.
42subscapular skinfold (mm)1;3NUMERICThis is the subscapular skin fold measurement in mm.
43subscapular %1;4NUMERICThis is the percentile rank of the subscapular skin fold measurement.
44arm circumference (cm)1;5NUMERICThis is the arm circumference in cm.
45arm circumference %1;6NUMERICThis is the percentile rank of the arm circumference.
46calf circumference (cm)1;7NUMERICThis is the calf circumference in cm.
47calf circumference %1;8NUMERICThis is the percentile rank of the calf circumference.
48bone-free ama (cm2)1;9NUMERICThis is the calculated bone-free arm muscle area in sq. cm.
49bone-free ama %1;10NUMERICThis is the percentile rank of the bone-free AMA.
50wccm1;11NUMERIC
51cibw1;12FREE TEXT
52cerbo1;13NUMERIC
53cenb1;14NUMERIC
54pctb1;15NUMERIC
55sef1;16NUMERIC
56cfrb1;17NUMERIC
57cfrbo1;18NUMERIC
58cprbo1;19NUMERIC
59ekkg1;20NUMERIC
60diagnosis from problem listDI;1FREE TEXTThis is a diagnosis selected from the Problem List package for a patient.
61date entered in problem listDI;2DATE-TIMEThis is the date when a diagnosis from Problem List was entered.
62diagnosis entered by nfsDI;3FREE TEXTThis is a diagnosis entered by NFS personnel.
63nfs diagnosis dateDI;4DATE-TIMEThis is the date when a NFS diagnosis was entered by NFS personnel.
64assessment follow-up dateDI;5DATE-TIMEEThis is a date that a patient's assessment needs to be checked by a dietitian or other provider.
65assessment statusDI;6SET OF CODESC:COMPLETED
S:SIGNED
W:WORK IN PROGRESS
This is a status field for nutrition assessment. When the status is completed, a progress note will be created in TIU and eventually visible in CPRS. Once it is signed in CPRS, the assessment status will be updated to SIGNED.
66assessment dietDI;7FREE TEXTPatient diet at the time the Nutrition Assessment was created.
67assessment tf dateDI;8DATE-TIMEPatient's Tubefeeding Order Date/Time at the time the Nutrition Assessment was created.
67.1assessment tf productTF;0MULTIPLE115.031
67.2assessment tf comment4;1FREE TEXTPatient's Tubefeeding Comment at the time the Nutrition Assessment was created.
67.3assessment tf total ml'sDI;10NUMERICPatient's Tubefeeding Total ML's at the time the Nutrition Assessment was created.
67.4assessment tf total kcals/dayDI;11NUMERICPatient's Tubefeeding Total KCALS/Day at the time the Nutrition Assessment was created.
68alert dateDI;9DATE-TIMEThis is the last date an assessment alert was created.
70lab dataL;0MULTIPLE115.021This multiple contains laboratory data available for the nutrition assessment.
71commentsX;0WORD-PROCESSINGThis multiple contains comments relating to the assessment.
80pt confined in bed3;1BOOLEANY:YES
N:NO
81energy cal3;2FREE TEXT
82protein cal3;3FREE TEXT
83nfs problem3;4FREE TEXT
84food/drug interaction3;5BOOLEANY:YES
N:NO
85food/drug comment3;6FREE TEXT
86protein level3;7NUMERICThis is a protein level used in calculation of protein requirements.
87spinal cord3;8SET OF CODESP:Paraplegic
Q:Quadriplegic
This is a spinal cord code for Paraplegic and Quadriplegic.
101entering clinician(+)0;23POINTER200This field points to the person entering the nutrition assessment.
102date/time entered(+)0;24DATE-TIMEThis field contains the date/time the assessment was actually entered.

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