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General Clinical Nutrition Assessment

This tool is designed to support dietitians, nurses, and healthcare professionals in assessing patients’ dietary intake in general clinical settings. It may be used for inpatients or outpatients and, under professional guidance, may also be used by patients themselves.

By entering basic demographic information and recent dietary records, the system generates a nutrition assessment focusing on overall energy intake, macronutrients, and selected micronutrients. The results aim to identify potential nutritional risks and provide supportive information for further clinical evaluation and decision-making.

⚠ Please note:
This tool is intended for dietary nutrition assessment and risk screening only. It does not replace medical diagnosis, laboratory testing, or clinical treatment decisions. All results should be interpreted in conjunction with the patient’s medical condition and professional judgment.

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Basic Information

1. Name
2.Age
5. Females only: specific period
3.Physical Activity Level
6. Height
cm
4. Gender
7. Weight
kg

Nutrition-Related Conditions (Optional)

8. Appetite
Appetite
9. Dietary Preferences / Restrictions
Diet Preferences
10. Nutrition-relevant conditions (Multiple Selection)
Comorbidities
11. Recent Weight Change
Weight Change
12. Nutrition Support
Nutrition Support

Dietary Records

To accurately assess the nutritional status of dialysis patients, please record all foods consumed per meal, including breakfast, lunch, dinner, and snacks.

Whenever possible, we recommend weighing each food item. If weighing is not feasible, refer to the standard portion size guide to assist with estimation. The more accurate the entry, the more reliable the analysis.

For each food entry, please provide:

  • Food Name: Type keywords and select the best match from the suggestion list

  • Amount (in grams): e.g., “Fried egg 60g”, “Whole wheat bread 40g”

  • Day: If recording 2–3 days of intake, use the “Which day?” dropdown to specify whether the item belongs to Day 1, Day 2, or Day 3

We recommend selecting 1 to 3 representative days from the current dialysis cycle. Up to 12 food entries per meal are supported, which is sufficient for a complete nutritional analysis.

The final report will be based on the average daily intake and include targeted nutrient evaluations and practical dietary recommendations.

How many days would you record?
Breakfast

Food Name

Quantity (g)

Day

suggestions

suggestions

suggestions

lunch

Food Name

Quantity (g)

Day

suggestions

suggestions

suggestions

Dinner

Food Name

Quantity (g)

Day

suggestions

suggestions

suggestions

Other Intake (snack or non-meal intake)

Food Name

Quantity (g)

Day

suggestions

suggestions

suggestions

Water/Liquid Intake

ml

*If you record more than one day, please enter the total amount of beverages consumed across all recorded days
(water, tea, coffee, drinks; excluding water from foods).

report

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