Undernutrition Module Variables
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Indicator (Question, measurement)Description of measurement or calculationCategory of measurement (Anthropometric, Biochemical, etc.)Priority to module (Low, Medium, High)Applicable for CHW, clinician or both?Currently used by what organizaitons? (Include codes if applicable)Present in OpenMRS already? If so, list CIEL #LOINC CodeSNOMED IDICD10 code (diseases only)CPT Code (Procedures only)Present in Buendia's spreadsheet?ReferenceValidated/consistent in studies?Type of data entryOptions and/or abnormal values of indicator
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Body weightMass of patient in kilograms. Should be collected upon entry and exit to a program.AnthropometricHighBothAMPATH: 5089;
PIH: 5089;
PIH Malawi: 5089; WHO; CDC; UNHCR
508929463-727113001NA99450YesWHO Working Group & PIH Malnutrition dataYesNumberNA
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Body height (standing)Height in centimeters of patient from head to foot while patient stands up (2 years of age). Should be collected upon entry and exit to a program.AnthropometricHighBothAMPATH: 5090
PIH: 5090
PIH Malawi: 5090; WHO; CDC; UNHCR
50908308-950373000NA99450YesWHO Working Group, SENS, & PIH Malnutrition dataYesNumberNA
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Body length (lying down)Height in centimeters of patient from head to foot while patient lies down (more applicable to infants) (less than 2 years of age). Should be collected upon entry and exit to a program.AnthropometricHighBothWHO; CDC; UNHCR; PIHNo8306-6248334005NANone presentNoWHO Working Group & SENSYesNumberNA
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DemispanUsed for bedridden patients, generally more useful in adults. Measures length in cm from middle of chest to fingertips. Can calculate height with the following two equations: for males, height in cm = (1.40 x demispan (cm)) + 57.8, and for females, height in cm = (1.35 x demispan (cm)) + 60.1. (http://www.rxkinetics.com/height_estimate.html) (collected from AMPATH pediatric form)AnthropometricHighBothAMPATH: 7933, 7949NoNone present248337003NANone presentNoAMPATH formNoNumberNA
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Body Mass Index (BMI)Comparison measure of body weight and height. BMI = weight (kg) / (height (m) ^2), most suitable and valid measure for adults.AnthropometricHighBothAMPATH: 1342
PIH: 2137
134239156-560621009NA3008FNoWHO Working Group, CDC 2005YesNumber (calculated by system from weight and height/length)BMI < 16 = Severely malnourished, 16 <= BMI < 17 = Moderately malnourished, 17 <= BMI < 18 = Mildly malnourished. (Kids aged 2 and older)
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Z-scoreCalculated for each child with mean and SD of his or her corresponding category (e.g. 12 month old male). z-score = (X - M) / S if L = 0; if L ≠ 0, z = ((X/M)^L - 1) / (S*L). X = individual measurement, M = group mean, L = Adjustment factor, S = Standard DeviationAnthropometricHighBothAMPATH;WHO; CDCNoNone present373065002NANone presentNoAny statistics textbookYesNumber (calculated by system from weight and height/length)NA
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Weight-for-heightMeasurement of weight at the measured height. Compared to reference value in CDC Manual. Convert to Z-score or compare weight to reference value to assess undernutrition. AnthropometricHighBothAMPATH: 8238; WHO; CDCNoNANANANone presentYesCDC, 2005YesNumber (calculated by system from weight and height/length)-3 < Z-score < -2 = moderately malnourished, Z-score < -3 = severely malnourished.
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Weight-for-ageMeasurement of weight at the given age. Compared to reference value in CDC Manual. Convert to Z-score or compare weight to reference value to assess undernutrition.AnthropometricHighBothWHO; CDC1854NANANANone presentNoCDC, 2005YesNumber (calculated by system from weight and height/length)-3 < Z-score < -2 = moderately malnourished, Z-score < -3 = severely malnourished.
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Height-for-ageMeasurement of height at the measured age. Compared to reference value in CDC Manual. Convert to Z-score or compare weight to reference value to assess undernutrition. AnthropometricHighBothWHO; CDCNoNANANANone presentNoCDC, 2005YesNumber (calculated by system from weight and height/length)-3 < Z-score < -2 = moderately malnourished, Z-score < -3 = severely malnourished.
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Target weight(Measured in kg) Suggested weight to attain by next visit or certain date.AnthropometricLowBothNoneNoNone present268523001NANone presentYesUnknownNumberNA
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Weight gainMeasured in g/kg/day. Reports the improvement in weight shown by patientAnthropometricHighBothAMPATH: 5544, 5948; UNHCR, CDC, WHO554445736-6427572007R62.8 (Failure to gain weight)None presentYesUnknownCheck boxNA
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Head CircumferenceUsed mostly in children under 3 years of age, using flexible, non-stretchable measuring tape, measure the largest circumference of the head (from the prominant part on the back of the head to just above the eyebrows. Not a recommended measure for identifying nutrition status since it does not change as quickly as wasting.Anthropometric/DevelopmentHighBothAMPATH: 5314531411984-2363811000NANone presentNoWHO Multicentre Growth Reference Study GroupYesNumberNA
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Mid Upper Arm Circumference (MUAC)(See de Onis et al., 2004 for details) At mid arm point (halfway between back of shoulder to elbow), measure circumference around arm without compressing tissue or leaving gap to last completed 1mm. AnthropometricHighBothAMPATH: 1343;
PIH: 1290; CDC; UNHCR
134356072-2284473002NANone presentYesWHO Multicentre Growth Reference Study Group, de Onis, 2004, & PIH Malnutrition dataYesNumberFrom Buendia, <115 = critical, <125 = abnormal. From WHO: Z-score < 3 = severe, 3 < Z-score < 2 = moderate
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Triceps skinfold(See Tanner et al. for details) Pinch skin of back-side of triceps muscle to separate it from underlying tissue. While holding the pinch, a caliper used to measure the thickness of the skin.AnthropometricMediumBothWHO; PIHNo8354-3301851003NANone presentNoWHO Multicentre Growth Reference Study GroupYesNumberFrom WHO: Z-score < 3 = severe, 3 < Z-score < 2 = moderate
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Subscapular skinfold(See Tanner et al. for details) Pinch skin around shoulderblade to separate it from underlying tissue. While holding the pinch, a caliper used to measure the thickness of the skin.AnthropometricMediumBothWHO; PIHNoNone present301852005NANone presentNoWHO Multicentre Growth Reference Study GroupYesNumberFrom WHO: Z-score < 3 = severe, 3 < Z-score < 2 = moderate
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Vitamin A Level - Retinol in blood or serumMeasures concentration of retinol (Vitamin A) in blood or serum/plasma. (Note: Serum retinol levels can change due to inflammatory response). Also assess Vitamin A levels in pregnant women in area to assess Vitamin A deficiency riskBiochemicalMediumClinicianCDC123058 (Vitamin A Deficiency)2922 - 3 -or- 2923 - 176609004E50 (deficiency)84590NoBlack et al. & CDC, 2005YesNumberLevels below 0.10 mg/L or 0.35 umol/L indicate severe deficiency (see LOINC entry). Levels below 20 indicate moderate deficiency (see CDC, 2005)
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Zinc LevelMeasures concentration of zinc in serum or plasma. Can be contaminated by factors such as time of day, age, sex, and systemic infections.BiochemicalMediumClinicianCDC122745 (Zinc Deficiency)5763-8273975003E60 (deficiency)84630NoBlack et al. & De Benoist et al.YesNumberCompared to healthy reference population, 2.5th percentile of zinc in serum represents zinc deficiency.
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Iodine LevelMeasures concentration of iodine in urine. Measured in ug/100mL, according to Dunn et al.BiochemicalMediumClinicianCDC136556 (Iodine Deficiency)2495-0104759008E-1.2 (deficiency-related goitre)None presentNoBlack et al., Dunn et al., & CDC, 2005YesNumberDunn: <50 = severe, <100 = moderate; CDC: <20 = severe, 20-49 = moderate, 50-99 = mild deficiencies
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Iron LevelCDC claims that serum iron is not a good indicator of iron stores. Instead, measure serum ferritin. (Includes iron deficiency)BiochemicalMediumClinicianAMPATH: 6127; CDC126645 (Serum Iron Level Abnormal)2276-4269821003E61.0 (deficiency)82728NoBlack et al. & WHO, 2001YesNumber<15 ug/L is considered iron deficient.
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HaemoglobinCan cause iron deficiency anemia. Measured in g/dL by Hemocue method. BiochemicalHighClinicianAMPATH: 21;
PIH Malawi: 7982; CDC
21718-7441689006NA85018YesCDC, 2005YesNumber<4 = Critical, <7 = abnormal
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Blood sugarLow blood glucose, or hypoglycaemia, is measured in mg/dL. Can lead to brain damage and other nutritional problems. BiochemicalMediumClinicianAMPATH: 887; WHO88714749-622569008E16.2 (hypoglycemia)80048YesWHO, 2011YesNumberWHO: < 54 mg/dL = severely low. Buendia: <57 = critical, >110 = critical (hyperglycemic)
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Blood group/blood typeClassification of blood based on the presence or absence of inherited antigenic substances on the surface of red blood cells (Google search)BiochemicalLowBothAMPATH: 300300882-1365642005NA81403YesNoSelect oneOptions: A positive/negative, B positive/negative, O positive/negative, AB positive/negative
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Malaria Smear testMosquito-borne disease that often causes fever, chills, and flu-like illness. Malaria may increase risk of stunting in children. BiologicalMediumClinicianAMPATH: 32; PIH: 14763232700-761462000B5187207YesKang et alYesSelect oneBuendia: positive, negative, inconclusive, or indeterminant.
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Malaria RDT / Rapid test for MalariaMalaria can also be measured by malaria rapid diagnostic test (rdt), according to WHO. BiologicalHighClinicianAMPATH: 9187, PIH, WHO164332700-761462000B5186750YesKang et al & PIH forms (PNS, PTA)YesSelect oneBuendia: positive, negative, inconclusive
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Sickle cell testGenetic condition in which red blood cells have a sickle shape. These cells die early and cause a shortage of red blood cells and blockages.BiologicalMediumClinicianAMPATH: 9008; PIH Malawi: 7518; CDC1177034621-9127040003D57.3S3850YesCDC, 2014YesSelect oneBuendia: positive, negative, inconclusive
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Tuberculosis screening testSkin test for tuberculosis (TST) or blood test for Tuberculosis using IGRABiologicalMediumClinicianTST: AMPATH: 1506, 5475; PIH: 1435, 1437; CDC; General screening result: PIH: 2136; CDCTST: 5475; General screening result: 160108TST: 39263-9TST: 424489006 ; General screening test: 429599001A15-A19 (Tuberculosis)None presentNoCDC, 2011YesSelect onePositive, negative, or inconclusive
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Tests orderedTests ordered by clinician to address nutritional issuesClinicalHighClinicianAMPATH: 1271; PIH: 12711271None present165332000NANone presentNoPIH Malnutrition dataUnknownSelect oneStool, urinalysis, CBC/Hemocrit, or other (include text box)
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Heart rate/pulseMeasured in beats per minute (bpm). (Ideal range is 80-120, according to Google search)ClinicalLowBothAMPATH: 5087
PIH: 5087
50878867-4364075005NANone presentYesUnknownNumber<80 = critical, <90 = abnormal, >180 = critical
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Body temperatureBody temperature can be reduced as a result of anemia. Measured in degrees Celsius. ClinicalHighBothAMPATH: 5088
PIH: 5088
50888310-5386725007R50.9 (Fever)None presentYesCDC, 2005 & PIH forms (PNS, PTA)UnknownNumber<35 = critical, <36 = abnormal, >40 = Abnormal
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SP O2 Saturation Blood oxygen level, measured in %. ClinicalLowClinicianAMPATH: 509250922713-6103228002NANone presentYesUnknownNumber<95 = critical
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Respiratory rateMeasures breaths per minute. ClinicalLowBothAMPATH: 5242
PIH: 5242
52429279-186290005NANone presentYesUnknownNumber<20 = critical, >45 = critical, >40 = abnormal
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Night blindness assessment (Indirectly measured from questions)Clinical indicator of Vitamin A deficiency. Can be subjectively classified by four questions. 1. Does your child have any problem seeing
in the daytime?
2. Does your child have any problem seeing
at nighttime?
3. If (2) is yes, is this problem different
from other children in your community?
(this question is particularly appropriate
where VAD is not very prevalent)
4. Does your child have night blindness
(use the local term that describes the
symptom)?
ClinicalHighBothCDC123633 (Unspecified Night Blindness)79724 - 1 (Not exactly right)65194006E50.5None presentYesCDC, 2005YesSelect one1: Yes or no, 2: Yes or no, 3: Yes or no, 4: Yes or no
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Night blindness (Directly measured from NVTT)Also measurable using NVTT (Night Vision Threshold Test) for older children. Patients are shown flashes of light and are asked if they can see the light. Seeing more light signifies a high score. See Taren et al., 2004 for full details. More objective, quick to administer, cheapClinicalMediumClinicianNone115247 (Diagnosis)79724 - 1 (Not exactly right)65194006E50.5None presentNoTaren et al., 2004YesNumberScore of 1-4 = at risk for night blindness, score of 5-7 = not at risk for night blindness
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Edema (Oedema)Indicator of malnourishment. Caused by accumulation of fluid in the body. Children with edema are always classfified as having severe acute malnutrition. Detected as follows: Moderate pressure is applied to the back of the foot or to the
shin just above the ankle for a full 3 seconds (the survey workers should count slowly,
1… 2… 3, while applying pressure). Oedema is present if, when the pressure
is removed, an indentation remains in the skin.
ClinicalHighBothAMPATH: 460, 5143, 6002; PIH: 460; PIH Malawi: 460; CDC; WHO; UNHCR46044966-079654002E43 (Under severe protein-energy malnutrition)None presentYesCDC, 2005YesSelect oneBuendia: None, Mild, Moderate, Severe, PIH: 0, +, ++, +++
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ConsciousnessReports alertness of patient. Buendia and LOINC have different scales of consciousness, so one may need to be chosen.ClinicalHighBothAMPATH: 2295; PIH16264380288-46942003R40.2 (Unconsciousness)None presentYesPIH (PNS/PTA forms)UnknownSelect oneBuendia: Alert, Responds to voice, Responds to pain, or Unresponsive. LOINC: Alert, Confused, Lethargic, Obtunded, Stuporous, Unresponsive (Note: Confused and lethargic fall into Responds to voice category, while Obtunded and Stuporous fall into Responds to pain category), PNS (PIH): Normal, agitated, Irritable, Passive
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Mental stateOffers increased information for making diagnoses and treatment plans by assessing patient's state of mindClinicalHighClinicianPIH: 6813159531 (Normal mental state)8693-4365928004Z00.42014FYesPIH (PNS/PTA forms)UnknownSelect oneBuendia: Normal, agitated, irritable, or apathetic
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Dehydration levelApparent hydration level in patientClinicalHighBothAMPATH: 509, PIH149745696-234095006E862018FYesPIH (PNS/PTA forms)UnknownSelect oneBuendia: None, Mild, Moderate, Severe, Hypovolemic Shock; PIH: Yes/no, then Moderate or Severe
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Capillary refill timeTime (in seconds) for color to return to external capillary bed after pressure is applied to soft pad of finger (held above heart level). Prolonged refill time indicates shock or dehydration.ClinicalHighBothNone16251344971-015527001NANone presentYesUnknownSelect oneBuendia: <3 seconds or >3 seconds
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Stools (24h count)Counted number of stools in past 24 hoursClinicalHighBothNone1368 (Frequency per day)80272-8 (similar but different format)364689004NANone presentYesUnknownNumberNA
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Vomiting (24h count)Counted episodes of vomiting in past 24 hoursClinicalHighBothAMPATH: 5980; PIH12298345708-5422400008R11None presentYesAMPATH formUnknownNumberNA
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Appetite TestResults of appetite test. Child is given certain quantity of Ready-to-Use Therapeutic Food (RUTF) and given 30 minutes to eat a minimum amount. If child eats within 30 minutes, he or she passed the appetite test. See full details in reference.Social/BehavioralHighBothAMPATH: 8205; PIHNo28387-933911006R63.0 (Lack of appetite)None presentYesFHI 360, AMPATH formUnknownSelect onePass, fail (rejected), fail (vomited), or fail (other reason) (May include text box with other answer)
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Is uji consumed in your household?Uji is a Kenyan porridge that is high in nutrients and fiber, made from maize meal or corn meal flour, millet flour, sorghum flour, and water.Social/BehavioralHighCHWAMPATH: 6820NoNone presentNone presentNANone presentNoAMPATH formNoSelect oneYes or no
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In the last 3 days, how many times has the child eaten any grains, such as ugali, rice, bread, noodles, or any other foods made from millet, sorghum, maize, rice, wheat, or other grains?(3 day food history question from AMPATH pediatric form) Assesses recent nutritional intake. (Carbohydrates)Social/BehavioralHighCHWAMPATH: 1759; UNHCRNoNone presentNone presentNANone presentNoAMPATH form & SENSNoNumberNA
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Grain servings 24 hour Estimated
The amount of grain-based foods consumedSocial/BehavioralLowCHWAMPATH: 1769No80455-9None presentNANone presentNoNoNumberNA
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Grain servings 24 hour Measured
The amount of grain-based foods consumedSocial/BehavioralLowCHWNoneNo80456-7None presentNANone presentNoNoNumberNA
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In the last 3 days, how many times has the child eaten roots, such as sweet potatoes, yams, potatoes, Cassava, Arrowroot, or other foods made from roots or tubers?(3 day food history question from AMPATH pediatric form) Assesses recent nutritional intake. (Carbohydrates)Social/BehavioralHighCHWAMPATH: 1760; UNHCRNoNone presentNone presentNANone presentNoAMPATH form & SENSNoNumberNA
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Carbohydrate intake 24 hourThe carbohydrate consumption from all sourcesSocial/BehavioralLowCHWAMPATH: 1769No9065-4None presentNANone presentNoNoNumberNA
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Carbohydrate intake 24 hour EstimatedThe carbohydrate consumption from all sourcesSocial/BehavioralLowCHWNoneNo75296-4None presentNANone presentNoNoNumberNA
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In the last 3 days, how many times has the child eaten meat, such as goat, sheep, rabbit, wild game, chicken, duck, or other birds, liver, kidney, heart, or other organ meats?(3 day food history question from AMPATH pediatric form) Assesses recent nutritional intake. (Protein)Social/BehavioralHighCHWAMPATH: 1761; UNHCRNoNone presentNone presentNANone presentNoAMPATH form & SENSNoNumberNA
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In the last 3 days, how many times has the child eaten any fish, including fresh or dried fish or shell fish?(3 day food history question from AMPATH pediatric form) Assesses recent nutritional intake. (Protein)Social/BehavioralHighCHWAMPATH: 1762; UNHCRNoNone presentNone presentNANone presentNoAMPATH form & SENSNoNumberNA
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In the last 3 days, how many times has the child eaten beans, such as peas, lentils or nuts?(3 day food history question from AMPATH pediatric form) Assesses recent nutritional intake. (Protein)Social/BehavioralHighCHWAMPATH: 1763; UNHCRNoNone presentNone presentNANone presentNoAMPATH form & SENSNoNumberNA
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In the last 3 days, how many times has the child eaten dairy, such as milk, cheese, yogurt, or other milk products?(3 day food history question from AMPATH pediatric form) Assesses recent nutritional intake. (Protein)Social/BehavioralHighCHWAMPATH: 1764; UNHCRNoNone presentNone presentNANone presentNoAMPATH form & SENSNoNumberNA
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Dairy servings 24 hour EstimatedThe amount of dairy-based foods consumedSocial/BehavioralLowCHWAMPATH: 1769No80461-7None presentNANone presentNoNoNumberNA
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Dairy servings 24 hour MeasuredThe amount of dairy-based foods consumedSocial/BehavioralLowCHWNoneNo80462-5None presentNANone presentNoNoNumberNA
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Protein servings 24 hour EstimatedThe amount of protein-based foods consumedSocial/BehavioralLowCHWAMPATH: 1769No80463-3None presentNANone presentNoNoNumberNA
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Protein servings 24 hour MeasuredThe amount of protein-based foods consumedSocial/BehavioralLowCHWNoneNo80464-1None presentNANone presentNoNoNumberNA
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Protein intake 24 hour EstimatedAn individual patient's protein intake from all sourcesSocial/BehavioralLowCHWAMPATH: 1769No75299-8None presentNANone presentNoNoNumberNA
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Protein intake 24 hourAn individual patient's protein intake from all sourcesSocial/BehavioralLowCHWNoneNo9085-2None presentNANone presentNoNoNumberNA
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In the last 3 days, how many times has the child eaten any vegetables, such as sukuma wiki, spinach, managu, kienyeji, tomatoes, cabbage, carrots, pumpkin, or other leafy greens, or vegetables?(3 day food history question from AMPATH pediatric form) Assesses recent nutritional intake. (Vegetables)Social/BehavioralHighCHWAMPATH: 1765; UNHCRNoNone presentNone presentNANone presentNoAMPATH form & SENSNoNumberNA
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Vegetable servings 24 hour EstimatedThe amount of vegetable-based foods consumedSocial/BehavioralLowCHWAMPATH: 1769No80459-1None presentNANone presentNoNoNumberNA
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Vegetable servings 24 hour MeasuredThe amount of vegetable-based foods consumedSocial/BehavioralLowCHWNoneNo80460-9None presentNANone presentNoNoNumberNA
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In the last 3 days, how many times has the child eaten any fruits, such as banana, pineapple, orange, mango, apple or other fruits?(3 day food history question from AMPATH pediatric form) Assesses recent nutritional intake. (Fruits)Social/BehavioralHighCHWAMPATH: 1766; UNHCRNoNone presentNone presentNANone presentNoAMPATH form & SENSNoNumberNA
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Fruit servings 24 hour EstimatedThe amount of fruit-based foods consumedSocial/BehavioralLowCHWAMPATH: 1769No80457-5None presentNANone presentNoNoNumberNA
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Fruit servings 24 hour MeasuredThe amount of fruit-based foods consumedSocial/BehavioralLowCHWNoneNo80458-3None presentNANone presentNoNoNumberNA
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In the last 3 days, how many times has the child eaten any sweet foods, such as sugar or honey?(3 day food history question from AMPATH pediatric form) Assesses recent nutritional intake. (Sweets)Social/BehavioralHighCHWAMPATH: 1768; UNHCRNoNone presentNone presentNANone presentNoAMPATH form & SENSNoNumberNA
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In the last 3 days, how many times has the child consumed anything else, such as coffee, tea, or condiments?(3 day food history question from AMPATH pediatric form) Assesses recent nutritional intake. (Other)Social/BehavioralHighCHWAMPATH: 1767; UNHCRNoNone presentNone presentNANone presentNoAMPATH form & SENSNoNumberNA
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Food quality(From AMPATH pediatric form) Assessment of whether or not food quality is adequate or inadequate. Food is considered inadequate if less than 3 protein rich foods and less than 3 vegetables or fruits were eaten in past 3 days.Social/BehavioralHighCHWAMPATH: 8200NoNone presentNone presentNANone presentNoAMPATH formUnknownSelect oneAdequate or inadequate
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Is the child on replacement feeding?Replacement feeding means not breastfeeding, but instead feeding the baby infant formula or other suitable replacement milksSocial/BehavioralHighCHWAMPATH: 8240NoNone presentNone presentNANone presentNoAMPATH formUnknownSelect oneYes or no
70
How often do you worry about the amount or source of food for the household? (FDS)(Food security) Measures household uncertainty or anxiety over foodSocial/BehavioralMediumCHWNoneNoNone presentNone presentNANone presentNoDeitchler et al. & Coates et al.YesSelect oneOften, sometimes, rarely, or never
71
How often do you run out of food when there is no money to buy more that day? (FDS)(Food security) Measures household uncertainty or anxiety over foodSocial/BehavioralMediumCHWNoneNoNone presentNone presentNANone presentNoDeitchler et al. & Coates et al.YesSelect oneOften, sometimes, rarely, or never
72
How often do any members of the family have to miss out on more preferred foods, such as vegetables instead of fish? (FDS)(Food security) Measures quality of food eaten by one or more household members as perceived by household food managerSocial/BehavioralMediumCHWNoneNoNone presentNone presentNANone presentNoDeitchler et al. & Coates et al.YesSelect oneOften, sometimes, rarely, or never
73
How often are meals limited to only rice and/or spices (chili, salt, onions)? (FDS)(Food security) Measures quality of food eaten by one or more household members as perceived by household food managerSocial/BehavioralMediumCHWNoneNoNone presentNone presentNANone presentNoDeitchler et al. & Coates et al.YesSelect oneOften, sometimes, rarely, or never
74
How often are foods eaten that people usually do not eat (water lilly or small game)? (FDS)(Food security) Measures quality of food eaten by one or more household members as perceived by household food managerSocial/BehavioralMediumCHWNoneNoNone presentNone presentNANone presentNoDeitchler et al. & Coates et al.YesSelect oneOften, sometimes, rarely, or never
75
How often do any household members eat a smaller amount of food at any meal than they felt like they needed? (FDS)(Food security) Measures insufficient quantity or reduction of food intake by one or more household membersSocial/BehavioralMediumCHWNoneNoNone presentNone presentNANone presentNoDeitchler et al. & Coates et al.YesSelect oneOften, sometimes, rarely, or never
76
How often do any household members eat fewer meals than usual (i.e. skip a meal)? (FDS)(Food security) Measures insufficient quantity or reduction of food intake by one or more household membersSocial/BehavioralHighCHWAMPATH: 1417, 1418; UNHCRNoNone presentNone presentNANone presentNoDeitchler et al., Coates et al., AMPATH form, & SENSYesSelect oneOften, sometimes, rarely, or never
77
How often do any household members go day and night without eating? (FDS)(Food security) Measures insufficient quantity or reduction of food intake by one or more household membersSocial/BehavioralMediumCHWNoneNoNone presentNone presentNANone presentNoDeitchler et al. & Coates et al.YesSelect oneOften, sometimes, rarely, or never
78
How often do any household members go to sleep at night hungry (even if something was eaten before bed)? (FDS)(Food security) Examines the consequences of inadequate dietSocial/BehavioralHighCHWAMPATH: 1419, 1420NoNone presentNone presentNANone presentNoDeitchler et al., Coates et al., & AMPATH formYesSelect oneOften, sometimes, rarely, or never
79
How often does the household borrow food or rice?(Food security) Measures frequency with which a household member obtains food from a socially unacceptable or unsustainable source.Social/BehavioralMediumCHWNoneNoNone presentNone presentNANone presentNoCoates et alYesSelect oneOften, sometimes, rarely, or never
80
How often does a household member take out a loan to pay for food?(Food security) Measures frequency with which a household member obtains food from a socially unacceptable or unsustainable source.Social/BehavioralHighCHWUNHCRNoNone presentNone presentNANone presentNoCoates et al & SENSYesSelect oneOften, sometimes, rarely, or never
81
How often is a household member sent to another's house to eat?(Food security) Measures frequency with which a household member obtains food from a socially unacceptable or unsustainable source.Social/BehavioralMediumCHWNoneNoNone presentNone presentNANone presentNoCoates et alYesSelect oneOften, sometimes, rarely, or never
82
Was the child breastfed within the first hour of life?(Breastfeeding) WHO recommends breastfeeding a newborn infant within the first hour of life for propoer immune system development.Social/BehavioralHighCHWUNHCR161543None present431868002NANone presentNoHelen Keller International & SENSNoSelect oneYes or no
83
Was the child fed anything other than breast milk for the first six months of life?
(Breastfeeding) WHO recommends feeding a child with only breast milk up to six months of age.Social/BehavioralMediumCHWNone1398None present710123001NANone presentYesHelen Keller InternationalNoSelect oneBuendia: Not breastfeeding, Partially breastfeeding, and Exclusively breastfeeding
84
(For children under two years of age) Is the child still being fed breast milk? If not, how many months of age was the child when it was no longer breastfed?
(Breastfeeding) WHO recommends breastfeeding a child up to two years of age, although solid foods can be introduced as early as six months of age.Social/BehavioralHighCHWAMPATH: 56325632, 160603None present413712001NANone presentNoHelen Keller International & AMPATH formNoSelect one then maybe numberYes or no, then, if no, number. WHO: <6 = Abnormal, >2 = abnormal
85
Breast milk feeding attempts 24 hourThe number of times a baby attempted to breast feedSocial/BehavioralLowCHWNoneNo80482-3None presentNANone presentNoNoNumberNA
86
Breast milk intake volume 24 hour EstimatedThe amount of breast milk consumedSocial/BehavioralLowCHWNoneNo80483-1None presentNANone presentNoNoNumberNA
87
Breast milk intake volume 24 hour MeasuredThe amount of breast milk consumedSocial/BehavioralLowCHWNoneNo80484-9None presentNANone presentNoNoNumberNA
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Breast milk intake adequacyA qualitative judgement of the breast milk intake in relation to nutrient needsSocial/BehavioralLowCHWNoneNo80485-6None presentNANone presentNoNoNumberNA
89
(For children six months of age or older) Has any solid or semi-solid food been introduced into the child's diet? If so, at how many months did this begin? (May probe more into nutrition and safety of food)(Breastfeeding) WHO recommends introducing solid or semi-solid foods to children at six months of age, ensuring that complementary feeding is timely (occurs immediately after child reacher six months of age), adequate in terms of energy and nutrients, safe and hygienic, and responsively fed.Social/BehavioralHighCHWUNHCR5633None present169743001NANone presentNoHelen Keller International & SENSNoSelect one then maybe numberYes or no, then, if yes, number. WHO: <6 = Abnormal
90
Are there any barriers that may inhibit the mother from breastfeeding her child, such as culture, lack of knowledge, or availability of bottles?(Breastfeeding) Threats to breastfeeding include limited understanding or availability of bottle and breast milk substitutes, along with limited knowledge or cultural hindrances to proper breastfeeding practices. From Buendia, asks if mother has any difficulties breastfeedingSocial/BehavioralMediumCHWAMPATH: 5633NoNone present405104007NANone presentYesHelen Keller InternationalNoText entryNA
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Was the child given any liquids to drink yesterday? If so, what kinds? This can include water, infant formula, milk other than breastmilk, juice, clear broth, thin porridge, tea/coffee with milk, or any other water-based liquids? (SENS)(Breastfeeding) Assesses liquids fed to child within last 24 hours.Social/BehavioralHighCHWAMPATH: 1403; UNHCR159934 (Different question format)None presentNone presentNANone presentNoSENSUnknownText entryNA
92
Did the child drink from a bottle with a nipple in the last 24 hours? (SENS)(Breastfeeding) Assesses food intake habits in young childrenSocial/BehavioralHighCHWUNHCRNoNone present288996002NANone presentNoSENSUnknownSelect oneYes, no, or unknown
93
Infant formula intake 24 hour EstimatedThe amount of infant forumla consumedSocial/BehavioralLowCHWNoneNo80474-0None presentNANone presentNoNoNumberNA
94
Infant formula intake 24 hour MeasuredThe amount of infant forumla consumedSocial/BehavioralLowCHWNoneNo80469-0None presentNANone presentNoNoNumberNA
95
Infant formula feedings 24 hourThe number of infant foruma feedingsSocial/BehavioralLowCHWNoneNo80488-0None presentNANone presentNoNoNumberNA
96
Adequacy of infant forumla intakeAdequacy of infant formula intake in relation to nutrient needsSocial/BehavioralLowCHWNoneNo80449-2None presentNANone presentNoNoNumberNA
97
How many people live in your household and slept there last night? (SENS)Assesses household sizeSocial/BehavioralHighCHWUNHCR; AMPATH: 56115611None present365470003NANone presentNoSENSUnknownNumberNA
98
What is the main source of drinking water for members of your household? (SENS)Water source for child and housematesSocial/BehavioralHighCHWUNHCR; AMPATH: 6386; PIH: 18351511None presentNone presentNANone presentNoSENSUnknownSelect oneSENS: Piped water, public tap/standpipe, tubewell/borehole, protected dug well, protected spring, rain water collection, tanker, unprotected spring, unprotected dug well, small water vendor, bottled water, surface water (river, pond, etc), other (text box), or unknown
99
Are you satisfied with the water supply? If not, what is the main reason for your dissatisfaction? (SENS)Satisfaction in the child's current water supplySocial/BehavioralHighCHWUNHCRNoNone presentNone presentNANone presentNoSENSUnknownSelect one, then select oneYes, no, partially, or unknown; then Not enough, Long waiting queue, Long distance, Irregular supply, Bad taste, Water too warm, Bad quality, Have to pay, Other (text box), or unknown
100
What kind of toilet facility does this household use? (SENS)Subject to local area, assesses commonly utilized disposal of human wasteSocial/BehavioralHighCHWUNHCR; AMPATH: 6390159741 (Requires updated answers)None present225735004NANone presentNoSENSUnknownSelect oneFlush to piped sewer system, Flush to septic system, Pour-flush to pit, VIP/simple pit latrine with floor/slab, Composting/dry latrine, Flush or pour-flush elsewhere, Pit latrine without floor/slab, Service or bucket latrine, Hanging toilet/latrine, or no facility/field/bush/plastic bag
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Variable List
Diagnoses
Signs and symptoms
Physical exam finding
Treatment
Immunizations
Demographics
Discharge
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