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ID
186
Description
Form from HIS OpenVistA
Keywords
Versions (2)
- 2/17/12 2/17/12 -
- 5/24/17 5/24/17 - Martin Dugas
Uploaded on
February 17, 2012
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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HIS NUTRITION CARE PLAN
Similar models
HIS
- StudyEvent: HIS
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Hypermetabolism (Increased energy needs)
Item
Hypermetabolism (Increased energy needs)
boolean
Hypometabolism (Decreased energy needs)
Item
Hypometabolism (Decreased energy needs)
boolean
Inadequate energy intake
Item
Inadequate energy intake
boolean
Excessive energy intake
Item
Excessive energy intake
boolean
Inadequate oral food/beverage intake
Item
Inadequate oral food/beverage intake
boolean
Excessive oral food/beverage intake
Item
Excessive oral food/beverage intake
boolean
Inadequate intake form enteral/parenteral nutrition
Item
Inadequate intake form enteral/parenteral nutrition
boolean
Excessive intake from enteral/parenteral nutrition
Item
Excessive intake from enteral/parenteral nutrition
boolean
Inadequate infusion of enteral/parenteral nutrition
Item
Inadequate infusion of enteral/parenteral nutrition
boolean
Inadequate fluid intake
Item
Inadequate fluid intake
boolean
Excessive fluid intake
Item
Excessive fluid intake
boolean
Inadequate bioactive substance abuse
Item
Inadequate bioactive substance abuse
boolean
Excessive bioactive substance intake
Item
Excessive bioactive substance intake
boolean
Excessive alcohol intake
Item
Excessive alcohol intake
boolean
Increased nutrient needs-(specify)
Item
Increased nutrient needs-(specify)
boolean
Evident protein energy malnutrition
Item
Evident protein energy malnutrition
boolean
Inadequate protein-energy intake
Item
Inadequate protein-energy intake
boolean
Decreased nutrient needs-(specify)
Item
Decreased nutrient needs-(specify)
boolean
Imbalance of nutrients
Item
Imbalance of nutrients
boolean
Inadequate fat intake
Item
Inadequate fat intake
boolean
Excessive fat intake
Item
Excessive fat intake
boolean
Inappropriate intake of food fats-(specify)
Item
Inappropriate intake of food fats-(specify)
boolean
Inadequate protein intake
Item
Inadequate protein intake
boolean
Excessive protein intake
Item
Excessive protein intake
boolean
Inappropriate intake of amino acids-(specify)
Item
Inappropriate intake of amino acids-(specify)
boolean
Inadequate carbohydrate intake
Item
Inadequate carbohydrate intake
boolean
Excessive carbohydrate intake
Item
Excessive carbohydrate intake
boolean
Inappropriate intake of types of carbohydrates
Item
Inappropriate intake of types of carbohydrates
boolean
Inconsistant carbohydrate intake
Item
Inconsistant carbohydrate intake
boolean
Inadequate fiber intake
Item
Inadequate fiber intake
boolean
Excessive fiber intake
Item
Excessive fiber intake
boolean
Inadequate vitamin intake-(specify)
Item
Inadequate vitamin intake-(specify)
boolean
Excessive vitamin intake of:
Item
Excessive vitamin intake of:
boolean
A
Item
A
boolean
Thiamin
Item
Thiamin
boolean
Riboflavin
Item
Riboflavin
boolean
Niacin
Item
Niacin
boolean
Folate
Item
Folate
boolean
C
Item
C
boolean
D
Item
D
boolean
E
Item
E
boolean
K
Item
K
boolean
Other:
Item
Other:
string
Inadequate mineral intake of:
Item
Inadequate mineral intake of:
boolean
Calcium
Item
Calcium
boolean
Potassium
Item
Potassium
boolean
Iron
Item
Iron
boolean
Zinc
Item
Zinc
boolean
Other:
Item
Other:
string
Excessive mineral intake of:
Item
Excessive mineral intake of:
boolean
Calcium
Item
Calcium
boolean
Potassium
Item
Potassium
boolean
Iron
Item
Iron
boolean
Zinc
Item
Zinc
boolean
Other:
Item
Other:
string
Swallowing difficulty
Item
Swallowing difficulty
boolean
Chewing (masticatory) difficulty
Item
Chewing (masticatory) difficulty
boolean
Breastfeeding difficulty
Item
Breastfeeding difficulty
boolean
Altered GI function
Item
Altered GI function
boolean
Impaired nutrient utilization
Item
Impaired nutrient utilization
boolean
Altered nutrition-related laboratory values
Item
Altered nutrition-related laboratory values
boolean
Food-medication interaction
Item
Food-medication interaction
boolean
Underweight
Item
Underweight
boolean
Involuntary weight loss
Item
Involuntary weight loss
boolean
Overweight/obesity
Item
Overweight/obesity
boolean
Involuntary weight gain
Item
Involuntary weight gain
boolean
Food- and nutrition-related knowledge deficit
Item
Food- and nutrition-related knowledge deficit
boolean
Harmful beliefs/attitudes about food-or
Item
Harmful beliefs/attitudes about food-or
boolean
nutrition related topics(use with caution)
Item
nutrition related topics(use with caution)
boolean
Not ready for diet/lifestyle change
Item
Not ready for diet/lifestyle change
boolean
Self-monitoring deficit
Item
Self-monitoring deficit
boolean
Disordered eating pattern
Item
Disordered eating pattern
boolean
Limited adherance to nutrition related recommendations
Item
Limited adherance to nutrition related recommendations
boolean
Undesirable food choices
Item
Undesirable food choices
boolean
Physical inactivity
Item
Physical inactivity
boolean
Excessive exercise
Item
Excessive exercise
boolean
Inability or lack of desire to manage self-care
Item
Inability or lack of desire to manage self-care
boolean
Impaired ability to prepare foods/meals
Item
Impaired ability to prepare foods/meals
boolean
Poor nutrition quality of life
Item
Poor nutrition quality of life
boolean
Self-feeding difficulty
Item
Self-feeding difficulty
boolean
Intake of unsafe food
Item
Intake of unsafe food
boolean
Limited access to food
Item
Limited access to food
boolean
Nutritional Status
Item
Nutritional Status (1= Normal, 2= Mildly compromised, 3= Moderately compromised, 4= Severely compromised, Comfort measures only - follow as needed)
integer
Goals
Item
Goals
string
General/healthful diet
Item
General/healthful diet
boolean
Modify distributions, type, or amount of food and nutrients within meals or at specified time
Item
Modify distributions, type, or amount of food and nutrients within meals or at specified time
boolean
Specific foods/beverage or groups
Item
Specific foods/beverage or groups
boolean
Initiate enteral or parenteral nutrition
Item
Initiate enteral or parenteral nutrition
boolean
Modify rate, concentration, composition or schedule
Item
Modify rate, concentration, composition or schedule
boolean
Discontinue enteral or parenteral nutrition
Item
Discontinue enteral or parenteral nutrition
boolean
Insert enteral feeding tube
Item
Insert enteral feeding tube
boolean
Site Care
Item
Site Care
boolean
Other-(specify)
Item
Other-(specify)
string
Commercial beverage
Item
Commercial beverage
boolean
Commercial food
Item
Commercial food
boolean
Modified beverage
Item
Modified beverage
boolean
Modified food
Item
Modified food
boolean
Multivitamin / mineral
Item
Multivitamin / mineral
boolean
Vitamin
Item
Vitamin
boolean
Thiamin
Item
Thiamin
boolean
Riboflavin
Item
Riboflavin
boolean
Niacin
Item
Niacin
boolean
A
Item
A
boolean
C
Item
C
boolean
D
Item
D
boolean
E
Item
E
boolean
K
Item
K
boolean
Folate
Item
Folate
boolean
Multivitamin
Item
Multivitamin
boolean
Other-(specify)
Item
Other-(specify)
string
Mineral
Item
Mineral
boolean
Calcium
Item
Calcium
boolean
Potassium
Item
Potassium
boolean
Iron
Item
Iron
boolean
Zinc
Item
Zinc
boolean
Phosphorus
Item
Phosphorus
boolean
Magnesium
Item
Magnesium
boolean
Multi-trace elements
Item
Multi-trace elements
boolean
Other-(specify)
Item
Other-(specify)
string
Initiate
Item
Initiate
boolean
Dose change
Item
Dose change
boolean
Form change
Item
Form change
boolean
Route change
Item
Route change
boolean
Administration schedule
Item
Administration schedule
boolean
Discontinue-(specify)
Item
Discontinue-(specify)
string
Adaptive equipment
Item
Adaptive equipment
boolean
Feeding position
Item
Feeding position
boolean
Meal set-up
Item
Meal set-up
boolean
Mouth Care
Item
Mouth Care
boolean
Other-(specify)
Item
Other-(specify)
string
Lighting
Item
Lighting
boolean
Odors
Item
Odors
boolean
Distraction
Item
Distraction
boolean
Table height
Item
Table height
boolean
Table service / setup
Item
Table service / setup
boolean
Room temperature
Item
Room temperature
boolean
Other-(specify)
Item
Other-(specify)
string
Purpose of the nutrition education
Item
Purpose of the nutrition education
string
Priority information
Item
Priority information
string
Survival information
Item
Survival information
string
Other-(specify)
Item
Other-(specify)
string
Recommended modifications
Item
Recommended modifications
string
Advanced or related topics
Item
Advanced or related topics
string
Result interpretation
Item
Result interpretation
string
Other-(specify)
Item
Other-(specify)
string
Theory or approach
Item
Theory or approach
string
Behavior modification
Item
Behavior modification
boolean
Cognitive-behavioral theory
Item
Cognitive-behavioral theory
boolean
Social learning theory
Item
Social learning theory
boolean
Transtheoretical
Item
Transtheoretical
boolean
Other-(specify)
Item
Other-(specify)
string
Strategies
Item
Strategies
boolean
Cognitive restructuring
Item
Cognitive restructuring
boolean
Goal setting
Item
Goal setting
boolean
Motivational interviewing
Item
Motivational interviewing
boolean
Problem solving
Item
Problem solving
boolean
Rewards/reinforcement
Item
Rewards/reinforcement
boolean
Self-monitoring
Item
Self-monitoring
boolean
Social support
Item
Social support
boolean
Stimulates control / contingency management
Item
Stimulates control / contingency management
boolean
Stress management
Item
Stress management
boolean
Other-(specify)
Item
Other-(specify)
string
Phase
Item
Phase
boolean
Involving
Item
Involving
boolean
Exploring
Item
Exploring
boolean
Resolving
Item
Resolving
boolean
Closing
Item
Closing
boolean
Collaboration/referral to other providers
Item
Collaboration/referral to other providers
string
Referral to community agencies/programs
Item
Referral to community agencies/programs
string
Team meeting
Item
Team meeting
boolean
Referral to RD with different expertise
Item
Referral to RD with different expertise
boolean
Collaboration/referral to other providers
Item
Collaboration/referral to other providers
boolean
Referral to community agencies / program
Item
Referral to community agencies / program
boolean
(specify)-
Item
(specify)-
string
PROBLEM
Item
PROBLEM
string
ETIOLOGY
Item
ETIOLOGY
string
SIGNS/SYMPTOMS
Item
SIGNS/SYMPTOMS
string
MONITOR & EVALUATION
Item
MONITOR & EVALUATION
string