English	French	Notes	Complete/Exclude
ADJUSTED MEASURED			
Average Daily			
Meals/Adj Measured FTEE			
FTEE Summary			
Enter Cumulative Total on the 830 Report of Costs			
  REQUIRED FIELD!			
Tech (1019)			
Dietitians (1018)			
Wageboard (1008)			
Clerical (1002)			
Total Personal Cost			
Subsistence (2610)			
Operating Supp (2660)			
All Other			
COST PER MEAL			
Average Cost Per Meal			
COST PER DIEM			
Avg Tot			
Personal Services			
Select SURVEY CATEGORY			
Select one of the questions on the Dietetic Survey.			
Select SERVICE			
Enter the Service you want to enter or edit.			
Enter Rating String			
Enter More Rating String for another service ? 			
Two spaces found in input			
Illegal String Specification in 			
No number surveyed for 			
Illegal entry in rating 			
 cannot be greater than 9999			
 used more than once.			
There are only 5 ratings.			
List the numbers surveyed by specifying which rating it belongs			
to and separated by a single space.			
Example: E20 V40 G40 F3 U1			
  E = Excellent, V = Very Good, G = Good, F = Fair and U = Unacceptable			
Omit if none surveyed for a certain rating.			
Appetizing			
Foods Preferred			
Hot Enough			
Cold Enough			
Courteous			
Preferences Discussed			
Timeliness			
Enough Time to Eat			
Nutritional Info			
Overall			
GM&S			
DIETETIC SURVEY			
YTD Rtng			
Num Rtng			
ToT  Avg			
Print the Dietetic Annual Report			
This is a very long and time consuming			
report, it must be queued to print.			
October^January January^April April^July July^October			
 Error! Wrong Qtr			
 Qtr   FY 			
Already Purged to 			
Purge To The Year: 			
CANNOT PURGE TO YEAR THAT IS GREATER THAN THE DEFAULT!			
NUTRITION CLASSIFICATIONS			
NUTRITION PLANS			
ENCOUNTER TYPES			
Enter a NEW Encounter (Y/N)? 			
DATE/TIME OF ENCOUNTER: 			
Enter Date of Encounter you want to edit: 			
CHOOSE CLINICIAN or PATIENT			
Select CLINICIAN: 			
No encounter on file on this date			
Select number you want: 			
Select only a number no greater than 			
 or press 			
 or a return to exit.			
<encounter deleted>			
Patient has expired.			
No Encounter on file for this patient.			
Is this correct? Y// 			
 Answer YES or NO			
You can ONLY DELETE an encounter that is entered by you.			
Want to delete encounter? N// 			
Statistics for ALL Clinicians? Y// 			
Break-down by Clinician? Y// 			
List Individual Patient Encounters? N// 			
  [Cannot Start after Today!] 			
  [Must Not enter date greater than Today!] 			
TOTAL ENCOUNTERS			
Subtotal			
Number      Inpatients         Outpatients            Others           Total			
Pat   Col   Units   Pat   Col   Units			
Persn   Units   Persn   Units			
  [ Patient has expired. ]			
No Encounters on file for this patient.			
Display Encounters Since: 			
No Encounters recorded since 			
Clinician: 			
Individual			
Entered  : 			
Reviewed : 			
You may enter an A to calculate weight anthropometrically.			
Date Weight Taken: 			
Usual Weight: 			
Enter height as: 6' 2			
 or 74IN or 6FT 2 IN or 30CM			
Add an S if height is stated rather than measured.			
Add a K if value is a Knee Height measurement.			
Height should be between 12			
Enter Weight as 150# or 150# 6OZ or 800G or 70KG			
Add an S if weight is stated rather than measured.			
Enter an A to determine weight anthropometrically.			
Weight should be between 0 Lbs and 750 Lbs.			
Enter Patient's Name: 			
Enter Patient's Name to be printed on the report.			
Enter Age Less Than 124 in Years or Months (followed by M) but Not Both			
Wrist Circumference (cm): 			
Value should be between 2 and 50cm.; press RETURN to bypass.			
Small			
Medium			
Large			
Frame Size (SMALL,MEDIUM,LARGE) MED// 			
Calculation of Ideal Body Weight			
S   Spinal Cord Injury			
E   Enter Manually			
   You Must Choose from the List Above			
Does Patient have an Amputation? NO// 			
Amputee Types: (may be multiple, e.g: 2,2,5)			
2 Total Leg        (16.1%)			
3 Total Arm         (4.9%)			
5 Forearm and Hand  (2.3%)			
6 Calf and Foot     (5.8%)			
Amputee Types: 			
Total Amputee %: 			
Total % of amputations should be .5% to 50%			
Select IBW after Amputee Correction: 			
Enter a string of types (e.g: 1,1,4); no digit can exceed 6.			
Enter Ideal Body Weight: 			
 heels and clothes weighing 5# for men and 3# for women.			
Extent of Injury:			
Select: 			
Only P or Q are Valid Choices			
Select Ideal Weight (			
No data for your Age Group, the 			
 Group was used.			
Need Arm & Calf Circumference, at a minimum, to compute weight.			
Calculated Weight: 			
Can only calculate knee height for persons aged 60 or older			
Select Ideal Body Weight: 			
Do you wish Anthropometric Assessment? NO// 			
 Enter YES if you have Anthropometric measurements; Otherwise NO			
Triceps Skin Fold (mm): 			
Enter value between 1 and 100; outside values should be assessed manually			
Subscapular Skinfold (mm): 			
Arm Circumference (cm): 			
Enter number between 5 and 100; outside values should be assessed manually			
Calf Circumference (cm): 			
Enter value between 10 and 250; outside values should be assessed manually			
Collecting laboratory data ... 			
LO=			
HI=			
Energy			
Calculate Energy Needs by:  			
3  Enter Manually			
Choose:  			
Choose Either 1, 2, or 3			
Enter Energy Requirements (Kcal/day):  			
KCAL must be greater than 0			
Is patient confined to bed (Y/N)? 			
  (Activity Factor = 			
Injury/Stress Factors			
Skeletal Trauma			
Major Sepsis			
Severe Burn			
Blunt Trauma			
Trauma w/ Steroid			
Starvation			
Trauma on Ventilator			
Mild Infection			
0-20% BSA Burn			
Moderate Infection			
20-40% BSA Burn			
Long Bone Fracture			
>40% BSA Burn			
Peritonitis			
Stress - Low			
Anabolism			
Cancer			
BEE = 			
Select Energy Factor:  			
Energy Factor must be Between .7 and 2.5			
Caloric Factors			
Basal Energy			
Ambulatory w/ Weight Maint.			
Malnutrition w/ Mild Sepsis			
Injuries/ Sepsis - Severe			
Burn - Extensive			
Non-Dialysis Renal Failure			
Dialysis			
Dialysis w/ Diabetes			
Enter Kcal/Kg (10-100):  			
Kcal/Kg Must be Between 10 and 100			
Enter Caloric Requirements (Kcal/day): 			
Enter a value between 1-10000			
 Requirements Based On:			
1  Actual Body Weight			
2  Ideal Body Weight			
3  Obese Calculation			
Choose either 1 or 2			
Calculate Fluid Requirements By:			
Adolescent (40-60 ml/kg/day)			
Children (70-110 ml/kg/day)			
Infant (100-150 ml/kg/day)			
2)  100 ml/kg first 10 kg +			
50 ml/kg second 10 kg +			
25 ml/kg remaining kg			
4)  0.5 ml/Kcal  (Fluid Overload)			
5)  1500 ml/sq meter			
6)  Set Your Own Fluid Level			
7)  Omit Calculation			
Choose: 			
Choose 1 - 7 Only			
Fluid			
Select Level Between 			
Fluid Level is not within range.			
Enter Fluid Requirements (ml/day): 			
Level must be between 0-10000 ml/day			
Select Fluid Requirements (ml/day): 			
Protein			
Protein Requirements (g/kg)			
Acute Burn, Injury,  Trauma			
Convalescent Burn, Injury Trauma			
Malabsorption Syndrome			
Ulcerative Colitis			
Ileocolostomy			
Chronic Liver Disease			
Acute Encephalopathy			
Chronic Renal Failure			
Nephrotic Syndrome			
Burn			
Protein-Sparing			
Enter Protein Level (g/kg) 			
  Level must be .4 to 4.0			
Enter Protein Requirements (gm/day): 			
 Enter a value greater than 0 but not more than 400.			
 % of KCAL			
Do you want to do a NITROGEN BALANCE? NO// 			
Enter Protein Intake (gm/24hr): 			
Enter 0-200 grams of protein intake			
Enter Urinary Nitrogen Output (gm/24hr): 			
Enter 0-30 gms of Urinary Nitrogen output (24 hr UUN)			
Enter Insensible Nitrogen Output (gm/24hr): 4// 			
Insensible Nitrogen output should be between 0-10 grams			
Nitrogen Balance: 			
Appearance: 			
Enter Physical Appearance of patient; cannot exceed 60 characters.			
Do you wish to FILE this Assessment Y// 			
Nutrition Status: 			
No Nutrition Assessments on file			
SELECT Assessment Date: 			
ADT SEX AGE HGT HGP WGT WGP DWGT UWGT IBW FRM AMP X X X KCAL PRO FLD RC XD BMI BMIP			
TSF TSFP SCA SCAP ACIR ACIRP CCIR CCIRP BFAMA BFAMAP			
Age 			
Date of Assessment: 			
Height:       			
knee hgt			
Weight:       			
Weight Taken:    			
Weight/Usual Wt:  			
Ideal Weight: 			
Weight/IBW:       			
Ideal weight adjusted for amputation			
Frame Size:   			
Body Mass Index:  			
Anthropometric Measurements			
Triceps Skinfold (mm)			
Arm Circumference (cm)			
Subscapular Skinfold (mm)			
Bone-free AMA (cm2)			
Calf Circumference (cm)			
Laboratory Data			
Result    units			
Ref.   range			
No laboratory data available last 			
Energy Requirements:  			
Kcal:N  			
Protein Requirements: 			
NPC:N   			
Fluid Requirements:   			
Nutrition Class: 			
Comments			
Entered by: 			
NUTRITION ASSESSMENT			
VAF 10-9034			
(Vice SF 509)			
Press RETURN to continue. 			
Enter a RETURN to Continue.			
NUTRITION STATUS			
Is this a re-screen (Y/N)? 			
Print by CLINICIAN or WARD? WARD// 			
  Answer with C or W			
I     II    III     IV    UNC			
Select one to Display			
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