| 1 | English French  Notes   Complete/Exclude | 
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| 2 | Select WARD (or ALL): | 
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| 3 | [Greater than Today?] | 
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| 4 | [Must End after Start] | 
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| 5 | This Report shows the status change on the starting date and on the ending date. | 
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| 6 | Excludes any Admission starting from the starting date. | 
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| 7 | The response must be a number from 3-99 | 
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| 8 | Enter # of Days from Admission: | 
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| 9 | Shows Status Change on Start Date and End Date | 
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| 10 | (Excludes Any Admission from the starting date) | 
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| 11 | BEG STATUS | 
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| 12 | END STATUS | 
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| 13 | I     II    III     IV    UNC   SAME | 
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| 14 | Days to | 
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| 15 | No status on file for this patient. | 
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| 16 | Select ADMISSION | 
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| 17 | (or C for CURRENT) | 
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| 18 | Starting Date: FIRST// | 
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| 19 | [Must not be before Admission!] | 
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| 20 | Ending Date: LAST// | 
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| 21 | [Must not be before Starting Date!] | 
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| 22 | [Must not exceed the length of stay of this admission!] | 
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| 23 | No Status on file on this Admission. | 
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| 24 | II | 
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| 25 | IV | 
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| 26 | WARD | 
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| 27 | RM | 
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| 28 | Status Level | 
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| 29 | Clinician Who Entered | 
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| 30 | Choose a Nutrition Status Level | 
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| 31 | Current Inpatients At Nutrition Status: | 
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| 32 | Unclassified | 
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| 33 | There are No current inpatients with | 
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| 34 | nutrition status. | 
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| 35 | Ward           Room | 
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| 36 | Nutrition Status Average | 
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| 37 | This is a very time consuming report, | 
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| 38 | it must be queued to print. | 
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| 39 | Grand Total | 
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| 40 | Would you like to display ALL monitors | 
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| 41 | How many monitors would you like to display? | 
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| 42 | Inpatient admitted | 
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| 43 | None on file | 
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| 44 | Nutrition Assessments | 
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| 45 | No assessments on file. | 
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| 46 | Recent Assessments: | 
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| 47 | ADT HGT HGP WGT WGP DWGT UWGT IBW XD | 
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| 48 | Usual Wt: | 
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| 49 | Weight/Usual Wt: | 
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| 50 | Ideal Wt: | 
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| 51 | Weight/IBW: | 
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| 52 | Date Taken: | 
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| 53 | Medications | 
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| 54 | No current medications in selected drug classes. | 
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| 55 | No selected laboratory data available last | 
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| 56 | NUTRITION PROFILE | 
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| 57 | Dietetic Encounters Last Three Years | 
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| 58 | No Encounters recorded last three years. | 
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| 59 | Admission Monitors | 
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| 60 | No Monitors on file. | 
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| 61 | Food Preferences | 
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| 62 | Future Clinic Appointments | 
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| 63 | No scheduled appointments. | 
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| 64 | Likes | 
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| 65 | DisLikes | 
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| 66 | No Food Preferences on file | 
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| 67 | 1~All Meals | 
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| 68 | Noon | 
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| 69 | Even | 
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| 70 | Adm. Dx: | 
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| 71 | Current Diet: | 
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| 72 | No current order | 
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| 73 | Comment: | 
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| 74 | Tray | 
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| 75 | Dining Room | 
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| 76 | Expires: | 
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| 77 | Tubefeed Ordered: | 
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| 78 | Total Quantity: | 
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| 79 | Total KCAL: | 
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| 80 | Supplemental Feeding: | 
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| 81 | No Order | 
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| 82 | Reviewed: | 
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| 83 | Print by PATIENT or COMMUNICATION OFFICE or ALL or WARD? WARD// | 
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| 84 | COMMUNICATION OFFICE | 
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| 85 | Answer with P or C or A or W | 
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| 86 | Select COMMUNICATION OFFICE: | 
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| 87 | Select DIETETIC WARD: | 
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| 88 | Admissions since Date/Time: | 
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| 89 | [ DATE CANNOT BE MORE THAN 5 DAYS IN PAST ] | 
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| 90 | Include Nutrition Profiles? (Y/N): | 
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| 91 | S:  Chewing Problems: Y N | 
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| 92 | Pre-Admission Diet: | 
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| 93 | Dysphagia: Y N | 
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| 94 | Wt. + - ____ # in last ___ months | 
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| 95 | Appetite: + - | 
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| 96 | Nausea: Y N | 
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| 97 | Vomiting: Y N | 
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| 98 | Feeding Assistance Required: Y N | 
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| 99 | Diarrhea: Y N | 
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| 100 | Constipation: Y N | 
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| 101 | Food Allergies: | 
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| 102 | O:  Current Diet: | 
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| 103 | Adm. Date: | 
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| 104 | Prior Assessment: | 
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| 105 | Frame Size: | 
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| 106 | Curr. Weight: | 
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| 107 | Amputation %: | 
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| 108 | Last Weight: | 
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| 109 | Weight Taken: | 
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| 110 | Usual Weight: | 
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| 111 | Ideal Weight: | 
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| 112 | Weight/IBW: | 
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| 113 | A:  Nutrition Status | 
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| 114 | Nutrition Education | 
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| 115 | Further Education Required: Y N | 
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| 116 | P:  Nutrition Plan | 
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| 117 | Recommendations: | 
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| 118 | NUTRITION SCREENING | 
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| 119 | Press RETURN to continue. | 
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| 120 | Select COMMUNICATION OFFICE (or ALL): | 
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| 121 | Birthday DATE: | 
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| 122 | Select LIST Printer: | 
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| 123 | Room | 
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| 124 | Birthday | 
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| 125 | Enter Month/Year of Cost of Meals Served: | 
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| 126 | You Must enter a Month and a Year. | 
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| 127 | Month/Year must not be in the future. | 
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| 128 | Starting Month/Year: | 
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| 129 | Month/Year Must Start before Current Month/Year! | 
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| 130 | You Must enter a Month and a Year. | 
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| 131 | Ending Month/Year: | 
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| 132 | Month/Year Must be before Current Month/Year. | 
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| 133 | End Cannot be before Start Month/Year. | 
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| 134 | Enter a Month and a Year such as 6 2000, 6/2000, 6-2000, or June 2000. | 
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| 135 | You can even enter T-1 or type in a date. | 
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| 136 | I II III IV V VI | 
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| 137 | COST  OF  MEALS  SERVED  WORKSHEET | 
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| 138 | Costs | 
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| 139 | Beg | 
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| 140 | Inv | 
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| 141 | Issue | 
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| 142 | Usage | 
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| 143 | Act | 
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| 144 | Dev | 
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| 145 | Date/Time: | 
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| 146 | [ Date must be in Future ] | 
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| 147 | Enter 1-60 character comment | 
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| 148 | Select CLINICIAN (or ALL): | 
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| 149 | Through Date: | 
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| 150 | Select LIST PRINTER: | 
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| 151 | No Tickler File Entries | 
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| 152 | Consult | 
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| 153 | SF Review | 
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| 154 | Diet Review | 
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| 155 | Tubefeed | 
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| 156 | to exit. | 
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| 157 | Enter Return or | 
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| 158 | Thru: | 
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| 159 | Is Order OK? Y// | 
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| 160 | Disposition (C=Complete, X=Cancelled, R=Reassign, RETURN to bypass): | 
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| 161 | Enter C, X or R or Press RETURN to bypass | 
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| 162 | REASSIGN to Clinician: | 
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| 163 | Current Status: | 
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| 164 | Is Status OK? Y// | 
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| 165 | Action Taken: | 
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| 166 | Required entry: document action (up to 60 characters) or ^ to bypass. | 
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| 167 | SUPPLEMENTAL FEEDING | 
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| 168 | DIETETIC CONSULTATION | 
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| 169 | DIET ORDER | 
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| 170 | Monitor: BMI < 21 | 
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| 171 | Monitor: On Tubefeeding | 
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| 172 | Monitor: On Hyperals | 
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| 173 | Monitor: Albumin < 3.2 | 
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| 174 | Monitor: NPO+Clr Liq > 3 days | 
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| 175 | CLEAR LIQUID | 
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| 176 | CLR LIQ | 
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| 177 | Sort Patients: (A=Alphabetically  R=Room-Bed) R// | 
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| 178 | Select Date: | 
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| 179 | Print Three Per Page? N// | 
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| 180 | Select MEAL (B,N,E,or ALL): | 
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| 181 | Select B for Breakfast, N for Noon, or E for Evening or ALL for all meals | 
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| 182 | Print Only Ones With Order Changes related to the Diet Card? N // | 
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| 183 | ALLGS.: | 
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| 184 | Breakfast                Noon               Evening | 
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| 185 | (More Items Next Pg) | 
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| 186 | No Dietetic Information Available | 
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| 187 | Food Preferences Currently on file: | 
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| 188 | Dislikes | 
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| 189 | Starting Date | 
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| 190 | Dietetic Ward: | 
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| 191 | Room-Bed: | 
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| 192 | Current Diet Order: | 
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| 193 | Current Service: | 
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| 194 | Current Isolation: | 
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| 195 | Current Tubefeed Order: | 
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| 196 | Last Label Ward: | 
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| 197 | Current Supp. Fdg. Order: | 
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| 198 | Last Label Room: | 
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| 199 | No Diet Orders for this Admission | 
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| 200 | No Diet Order Sequence for this Admission | 
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| 201 | Effective: | 
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| 202 | Ordered by: | 
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| 203 | Ordered: | 
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| 204 | Diet: | 
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| 205 | Prod. Diet: | 
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| 206 | Canc. By: | 
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| 207 | Canc.  : | 
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| 208 | No Supplemental Feedings for this Admission | 
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| 209 | Menu: | 
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| 210 | Ordered: | 
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| 211 | By: | 
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| 212 | Reviewed: | 
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| 213 | Cancelled: | 
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| 214 | Dietary | 
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| 215 | Therapeutic | 
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| 216 | Diet Associated: | 
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| 217 | No Tubefeedings ordered for this Admission | 
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| 218 | No Consultations ordered for this Admission | 
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| 219 | No Early or Late Trays ordered for this Admission | 
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| 220 | Order # | 
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| 221 | Daily CC's: | 
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| 222 | Daily KCals: | 
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| 223 | Comment: | 
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| 224 | Ordered: | 
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| 225 | Cancelled: | 
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| 226 | Product: | 
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| 227 | Product CC's: | 
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| 228 | Water CC's: | 
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| 229 | Request: | 
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| 230 | Complete | 
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| 231 | Comment: | 
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| 232 | Type: | 
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| 233 | Initial | 
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| 234 | Cleared: | 
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| 235 | Order: | 
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| 236 | Meal: | 
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| 237 | Breakfast | 
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| 238 | Bagged: | 
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| 239 | No Standing Orders for this Admission | 
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| 240 | No Additional Orders for this Admission | 
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| 241 | Order #: | 
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| 242 | All Meals | 
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| 243 | Meals: | 
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| 244 | Order: | 
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| 245 | By: | 
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| 246 | Saved | 
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| 247 | By: | 
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| 248 | Select Patient (Name or SSN): | 
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| 249 | Inp | 
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| 250 | atient Not Selected | 
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| 251 | NOT CURRENTLY AN INPATIENT! | 
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| 252 | FH*5.0*6 | 
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| 253 | ** INACTIVE COMM OFFICE ** | 
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| 254 | Print report for all Communications Offices Y or N: | 
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| 255 | Total All Communications Offices | 
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| 256 | ALL Total | 
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| 257 | Select Communication Offices: | 
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| 258 | Print report all Communications Offices Y or N: | 
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| 259 | Total all Communications Offices | 
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| 260 | All Total | 
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| 261 | All Avg. | 
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| 262 | All % Paid | 
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| 263 | All Adjustment for Unscheduled and Intermittent | 
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| 264 | All UNS/INT Total | 
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| 265 | All Adjusted Measured FTEE | 
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| 266 | All Avg Measured FTEE | 
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| 267 | T O T A L | 
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| 268 | TOTAL ENCOUNTERS | 
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| 269 | ALL COMMUNICATIONS OFFICES | 
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| 270 | Print report for all Communication Offices Y or N: | 
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| 271 | TOTAL ADMISSIONS: | 
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| 272 | TOTAL WITH MONITORS: | 
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| 273 | Percentage of Admissions with Monitors: | 
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| 274 | Dietetics Monitor Report | 
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| 275 | ALL COMMUNICATION OFFICES | 
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| 276 | ALL TOTAL ADMISSIONS: | 
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| 277 | MONITOR BRIEF REPORT | 
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| 278 | Monitor? | 
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| 279 | Select type of movement for this report: | 
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| 280 | TOTAL | 
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| 281 | Percentage of | 
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| 282 | Admissions | 
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| 283 | Discharges | 
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| 284 | with Monitors: | 
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| 285 | ALL TOTAL | 
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| 286 | DIETETIC MONITOR REPORT (Monitoring | 
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| 287 | Communication Offices: | 
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| 288 | NO PATIENTS WITH MONITORS IN GIVEN DATE RANGE | 
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| 289 | ** TOTAL COMMUNICATIONS OFFICE - Admissions.....: | 
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| 290 | Totals for ALL | 
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| 291 | Clinicians.......: | 
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| 292 | Wards............: | 
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| 293 | Monitor: Albumin < 3.2..........: | 
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| 294 | Monitor: BMI < 21...............: | 
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| 295 | Monitor: NPO+Clr Liq > 3 days...: | 
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| 296 | Monitor: On Hyperals............: | 
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| 297 | Monitor: On Tubefeeding.........: | 
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| 298 | *** TOTAL PATIENTS WITH MONITORS ALL COMMUNICATION OFFICES....: | 
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| 299 | TOTAL ADMISSIONS....: | 
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| 300 | TOTAL MONITORS......: | 
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| 301 | PERCENTAGE..........: | 
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| 302 | Albumin | 
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| 303 | ####################    ####################    #################### | 
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| 304 | ####################    ####################    #################### | 
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| 305 | ####################    ####################    #################### | 
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| 306 | ####################    ####################    #################### | 
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| 307 | ####################    ####################    #################### | 
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