FHASM5 ; HISC/REL - Energy/Calorie Factors ;3/20/95 08:18
;;5.5;DIETETICS;**8**;Jan 28, 2005;Build 28
I AGE<19 G PED
S CB="Energy" D GETW G HARRIS:CB=3,KIL^FHASM1:CB=0 W !!,"Calculate Energy Needs by: "
W !!?6,"1 Harris-Benedict",!?6,"2 Kcal/Kg",!?6,"3 Mifflin-St Jeor"
W !,?6,"4 Enter Manually"
E2 W !!,"Choose: " W:CENB CENB_"// " R CM:DTIME S:CM=U FHQUIT=1 G:'$T!(CM["^") KIL^FHASM1
I CM="",CENB S CM=CENB
I "1234"'[CM!(CM'?1N) W !,*7,"Choose Either 1, 2, 3 or 4" G E2
S CENB=CM
S:CM=1 FHCM="Harris-Benedict"
S:CM=2 FHCM="Kcal/Kg"
S:CM=3 FHCM="Mifflin-St Jeor"
S:CM=4 FHCM="Enter Manually"
G HARRIS:CM=1,KCAL:CM=2,MIF:CM=3,MAN
MAN ; Manual Entry
M1 W !!,"Enter Energy Requirements (Kcal/day): " W:KCAL'="" KCAL_"// " R X:DTIME G:'$T!(X["^") KIL^FHASM1
I (X'=""),(KCAL'=X) S KCAL=X
S KCAL=+$J(KCAL,0,0) I KCAL'>0 W *7,!,"KCAL must be greater than 0" G M1
G P5
MIF ;Mifflin - St. Jeor entry; adding this new calculation for cal needs.
I SEX="M" S KCAL=10*(W2)+(6.25*(2.5*HGT))-(5*AGE)+5
I SEX="F" S KCAL=10*(W2)+(6.25*(2.5*HGT))-(5*AGE)-161
S KCAL=$J(KCAL,0,0)
G P5
SUR ;add for s/p bariatic surgery
;S KCAL=20*W2
;S KCAL=KCAL+20,KCAL=$J(KCAL,0,0)
;G P5
PED ; Pediatric
S FHCM=" Pediatric"
I AGE<11 S KCAL=$S(AGE<.6:115,AGE<1:105,AGE<4:100,AGE<7:85,1:86) G P1
I SEX="M" S KCAL=$S(AGE<15:60,1:42) G P1
S KCAL=$S(AGE<15:48,1:38)
P1 S KCAL=+$J(KCAL*WGT/2.2,0,0) G P5
HARRIS ; Harris Method
I SEX="F" S KCAL=(655.10+(9.56*W2)+(1.85*HGT*2.54)-(4.68*AGE))
I SEX="M" S KCAL=(66.47+(13.75*W2)+(5.0*HGT*2.54)-(6.67*AGE))
S KCAL=$J(KCAL,0,0)
H1 W !!,"Is patient confined to bed (Y/N): " W:FHYN'="" FHYN_"//" W:FHYN="" "N //" R AF:DTIME
I '$T!(AF["^") S FHQUIT=1 G KIL^FHASM1
I AF="",FHYN'="" S AF=FHYN
I AF="",FHYN="" S AF="N"
S X=AF D TR^FHASM1 S AF=X
I $P("YES",AF,1)'="",$P("NO",AF,1)'="" W *7,!," Answer YES or NO" G H1
S FHYN=AF
S AF=$S(AF?1"Y".E:1.2,1:1.3) W " (Activity Factor = ",AF,")"
W !!?27,"Injury/Stress Factors",!
W !,"Surgery",?25,"1.1 - 1.3",?40,"Skeletal Trauma",?65,"1.35",!,"Major Sepsis",?25,"1.6",?40,"Severe Burn",?65,"2.1"
W !,"Blunt Trauma",?25,"1.35",?40,"Trauma w/ Steroid",?65,"1.68",!,"Starvation",?25,".7",?40,"Trauma on Ventilator",?65,"1.6"
W !,"Mild Infection",?25,"1.2",?40,"0-20% BSA Burn",?65,"1.25",!,"Moderate Infection",?25,"1.4",?40,"20-40% BSA Burn",?65,"1.5"
W !,"Long Bone Fracture",?25,"1.6",?40,">40% BSA Burn",?65,"1.85",!,"Peritonitis",?25,"1.15"
W !,"Stress - Low",?25,"1.3",?40,"Anabolism",?65,"1.5-1.75"
W !," - Moderate",?25,"1.5",?40,"Cancer",?65,"1.6"
W !," - Severe",?25,"2.0"
W !!,"BEE = ",KCAL," Kcal/day"
H2 W !!,"Select Energy Factor: " W:SEF SEF_"// " R EF:DTIME S:EF=U FHQUIT=1 G:'$T!(EF["^") KIL^FHASM1
I EF="",SEF S EF=SEF
I EF<.7!(EF>2.5) W !,*7,"Energy Factor must be Between .7 and 2.5" G H2
S:EF<1 EF=0_EF
S SEF=EF
S FHEF="Energy Factor of "_EF
S KCAL=+$J(KCAL*AF*EF,0,0) G P5
KCAL ; KCAL Method
W !!?35,"Caloric Factors"
W !!,"Basal Energy",?30,"25",!,"Ambulatory w/ Weight Maint.",?30,"30"
W !,"Malnutrition w/ Mild Sepsis",?30,"40",!,"Injuries/ Sepsis - Severe",?30,"50"
W !,"Burn - Extensive",?30,"80",!,"Non-Dialysis Renal Failure",?30,"35"
W !,"Dialysis",?30,"40",!,"Dialysis w/ Diabetes",?30,"30",!,"Anabolism",?30,"35-45"
W !,"Conservative Mgnt Pre-Dialysis:"
W !," (<60 years old)",?30,"35"
W !," (>60 years old)",?30,"30-35"
S FHECAL=""
P4 W !!,"Enter Kcal/Kg (10-100): " W:EKKG'="" EKKG_"// " R FHECAL:DTIME I '$T!(FHECAL["^") S FHQUIT=1 G KIL^FHASM1
I FHECAL="",EKKG'="" S FHECAL=EKKG
I FHECAL'?1.3N!(FHECAL<10)!(FHECAL>100) W !,*7,"Kcal/Kg Must be Between 10 and 100" G P4
I FHECAL'="" S (EKKG,KCAL)=FHECAL
S FHKCAL="Caloric Factor of "_KCAL
S KCAL=+$J(KCAL*W2,0,0)
P5 ;
S FHFEC=""
S:FHEF'="" FHFEC=FHFEC_FHEF_", "
S:FHCM'="" FHFEC=FHFEC_FHCM_", "
S:FHKCAL'="" FHFEC=FHFEC_FHKCAL
S:FHCFRBO'="" FHFEC=FHFEC_" and "_FHCFRBO
W !!,"Enter Caloric Requirements (Kcal/day): ",KCAL,"// " R X:DTIME I '$T!(X["^") G KIL^FHASM1
I X="",KCAL S X=KCAL
I X'="",X'?.N.1".".N!(X<1)!(X>10000) W *7,!?5,"Enter a value between 1-10000" G P5
I X'="",X'=KCAL S KCAL=+$J(X,0,0) S FHFEC="User sets the Calorie data"
NEXT G ^FHASM6
GETW W !!,"Calculate ",CB," Requirements Based On:" S CM="12"
W !!?2,"1 Actual Body Weight",!?2,"2 Target Body Weight"
I WGT/IBW'<1.2 W !?2,"3 Obese Calculation" S CM="123"
E1 W !!,"Choose: " W:CFRBO CFRBO_"// " R CB:DTIME I '$T!(CB["^") S CB=0,FHQUIT=1 Q
I CB="",CFRBO S CB=CFRBO
I CM'[CB!(CB'?1N) W !,*7,"Choose either 1 or 2" W:CM["3" " or 3" G E1
S CFRBO=CB
S W2=$S(CB=2:IBW,CB=3:WGT-IBW*.25+IBW,1:WGT)/2.2 S:CB=3 CM=1
S FHCFRBO=$S(CB=1:"Actual Body Wt",CB=2:"Target Body Wt",CB=3:"Obese Calculation",1:"")
Q
FHASM5 ; HISC/REL - Energy/Calorie Factors ;3/20/95 08:18
+1 ;;5.5;DIETETICS;**8**;Jan 28, 2005;Build 28
+2 IF AGE<19
GOTO PED
+3 SET CB="Energy"
DO GETW
IF CB=3
GOTO HARRIS
IF CB=0
GOTO KIL^FHASM1
WRITE !!,"Calculate Energy Needs by: "
+4 WRITE !!?6,"1 Harris-Benedict",!?6,"2 Kcal/Kg",!?6,"3 Mifflin-St Jeor"
+5 WRITE !,?6,"4 Enter Manually"
E2 WRITE !!,"Choose: "
IF CENB
WRITE CENB_"// "
READ CM:DTIME
IF CM=U
SET FHQUIT=1
IF '$TEST!(CM["^")
GOTO KIL^FHASM1
+1 IF CM=""
IF CENB
SET CM=CENB
+2 IF "1234"'[CM!(CM'?1N)
WRITE !,*7,"Choose Either 1, 2, 3 or 4"
GOTO E2
+3 SET CENB=CM
+4 IF CM=1
SET FHCM="Harris-Benedict"
+5 IF CM=2
SET FHCM="Kcal/Kg"
+6 IF CM=3
SET FHCM="Mifflin-St Jeor"
+7 IF CM=4
SET FHCM="Enter Manually"
+8 IF CM=1
GOTO HARRIS
IF CM=2
GOTO KCAL
IF CM=3
GOTO MIF
GOTO MAN
MAN ; Manual Entry
M1 WRITE !!,"Enter Energy Requirements (Kcal/day): "
IF KCAL'=""
WRITE KCAL_"// "
READ X:DTIME
IF '$TEST!(X["^")
GOTO KIL^FHASM1
+1 IF (X'="")
IF (KCAL'=X)
SET KCAL=X
+2 SET KCAL=+$JUSTIFY(KCAL,0,0)
IF KCAL'>0
WRITE *7,!,"KCAL must be greater than 0"
GOTO M1
+3 GOTO P5
MIF ;Mifflin - St. Jeor entry; adding this new calculation for cal needs.
+1 IF SEX="M"
SET KCAL=10*(W2)+(6.25*(2.5*HGT))-(5*AGE)+5
+2 IF SEX="F"
SET KCAL=10*(W2)+(6.25*(2.5*HGT))-(5*AGE)-161
+3 SET KCAL=$JUSTIFY(KCAL,0,0)
+4 GOTO P5
SUR ;add for s/p bariatic surgery
+1 ;S KCAL=20*W2
+2 ;S KCAL=KCAL+20,KCAL=$J(KCAL,0,0)
+3 ;G P5
PED ; Pediatric
+1 SET FHCM=" Pediatric"
+2 IF AGE<11
SET KCAL=$SELECT(AGE<.6:115,AGE<1:105,AGE<4:100,AGE<7:85,1:86)
GOTO P1
+3 IF SEX="M"
SET KCAL=$SELECT(AGE<15:60,1:42)
GOTO P1
+4 SET KCAL=$SELECT(AGE<15:48,1:38)
P1 SET KCAL=+$JUSTIFY(KCAL*WGT/2.2,0,0)
GOTO P5
HARRIS ; Harris Method
+1 IF SEX="F"
SET KCAL=(655.10+(9.56*W2)+(1.85*HGT*2.54)-(4.68*AGE))
+2 IF SEX="M"
SET KCAL=(66.47+(13.75*W2)+(5.0*HGT*2.54)-(6.67*AGE))
+3 SET KCAL=$JUSTIFY(KCAL,0,0)
H1 WRITE !!,"Is patient confined to bed (Y/N): "
IF FHYN'=""
WRITE FHYN_"//"
IF FHYN=""
WRITE "N //"
READ AF:DTIME
+1 IF '$TEST!(AF["^")
SET FHQUIT=1
GOTO KIL^FHASM1
+2 IF AF=""
IF FHYN'=""
SET AF=FHYN
+3 IF AF=""
IF FHYN=""
SET AF="N"
+4 SET X=AF
DO TR^FHASM1
SET AF=X
+5 IF $PIECE("YES",AF,1)'=""
IF $PIECE("NO",AF,1)'=""
WRITE *7,!," Answer YES or NO"
GOTO H1
+6 SET FHYN=AF
+7 SET AF=$SELECT(AF?1"Y".E:1.2,1:1.3)
WRITE " (Activity Factor = ",AF,")"
+8 WRITE !!?27,"Injury/Stress Factors",!
+9 WRITE !,"Surgery",?25,"1.1 - 1.3",?40,"Skeletal Trauma",?65,"1.35",!,"Major Sepsis",?25,"1.6",?40,"Severe Burn",?65,"2.1"
+10 WRITE !,"Blunt Trauma",?25,"1.35",?40,"Trauma w/ Steroid",?65,"1.68",!,"Starvation",?25,".7",?40,"Trauma on Ventilator",?65,"1.6"
+11 WRITE !,"Mild Infection",?25,"1.2",?40,"0-20% BSA Burn",?65,"1.25",!,"Moderate Infection",?25,"1.4",?40,"20-40% BSA Burn",?65,"1.5"
+12 WRITE !,"Long Bone Fracture",?25,"1.6",?40,">40% BSA Burn",?65,"1.85",!,"Peritonitis",?25,"1.15"
+13 WRITE !,"Stress - Low",?25,"1.3",?40,"Anabolism",?65,"1.5-1.75"
+14 WRITE !," - Moderate",?25,"1.5",?40,"Cancer",?65,"1.6"
+15 WRITE !," - Severe",?25,"2.0"
+16 WRITE !!,"BEE = ",KCAL," Kcal/day"
H2 WRITE !!,"Select Energy Factor: "
IF SEF
WRITE SEF_"// "
READ EF:DTIME
IF EF=U
SET FHQUIT=1
IF '$TEST!(EF["^")
GOTO KIL^FHASM1
+1 IF EF=""
IF SEF
SET EF=SEF
+2 IF EF<.7!(EF>2.5)
WRITE !,*7,"Energy Factor must be Between .7 and 2.5"
GOTO H2
+3 IF EF<1
SET EF=0_EF
+4 SET SEF=EF
+5 SET FHEF="Energy Factor of "_EF
+6 SET KCAL=+$JUSTIFY(KCAL*AF*EF,0,0)
GOTO P5
KCAL ; KCAL Method
+1 WRITE !!?35,"Caloric Factors"
+2 WRITE !!,"Basal Energy",?30,"25",!,"Ambulatory w/ Weight Maint.",?30,"30"
+3 WRITE !,"Malnutrition w/ Mild Sepsis",?30,"40",!,"Injuries/ Sepsis - Severe",?30,"50"
+4 WRITE !,"Burn - Extensive",?30,"80",!,"Non-Dialysis Renal Failure",?30,"35"
+5 WRITE !,"Dialysis",?30,"40",!,"Dialysis w/ Diabetes",?30,"30",!,"Anabolism",?30,"35-45"
+6 WRITE !,"Conservative Mgnt Pre-Dialysis:"
+7 WRITE !," (<60 years old)",?30,"35"
+8 WRITE !," (>60 years old)",?30,"30-35"
+9 SET FHECAL=""
P4 WRITE !!,"Enter Kcal/Kg (10-100): "
IF EKKG'=""
WRITE EKKG_"// "
READ FHECAL:DTIME
IF '$TEST!(FHECAL["^")
SET FHQUIT=1
GOTO KIL^FHASM1
+1 IF FHECAL=""
IF EKKG'=""
SET FHECAL=EKKG
+2 IF FHECAL'?1.3N!(FHECAL<10)!(FHECAL>100)
WRITE !,*7,"Kcal/Kg Must be Between 10 and 100"
GOTO P4
+3 IF FHECAL'=""
SET (EKKG,KCAL)=FHECAL
+4 SET FHKCAL="Caloric Factor of "_KCAL
+5 SET KCAL=+$JUSTIFY(KCAL*W2,0,0)
P5 ;
+1 SET FHFEC=""
+2 IF FHEF'=""
SET FHFEC=FHFEC_FHEF_", "
+3 IF FHCM'=""
SET FHFEC=FHFEC_FHCM_", "
+4 IF FHKCAL'=""
SET FHFEC=FHFEC_FHKCAL
+5 IF FHCFRBO'=""
SET FHFEC=FHFEC_" and "_FHCFRBO
+6 WRITE !!,"Enter Caloric Requirements (Kcal/day): ",KCAL,"// "
READ X:DTIME
IF '$TEST!(X["^")
GOTO KIL^FHASM1
+7 IF X=""
IF KCAL
SET X=KCAL
+8 IF X'=""
IF X'?.N.1".".N!(X<1)!(X>10000)
WRITE *7,!?5,"Enter a value between 1-10000"
GOTO P5
+9 IF X'=""
IF X'=KCAL
SET KCAL=+$JUSTIFY(X,0,0)
SET FHFEC="User sets the Calorie data"
NEXT GOTO ^FHASM6
GETW WRITE !!,"Calculate ",CB," Requirements Based On:"
SET CM="12"
+1 WRITE !!?2,"1 Actual Body Weight",!?2,"2 Target Body Weight"
+2 IF WGT/IBW'<1.2
WRITE !?2,"3 Obese Calculation"
SET CM="123"
E1 WRITE !!,"Choose: "
IF CFRBO
WRITE CFRBO_"// "
READ CB:DTIME
IF '$TEST!(CB["^")
SET CB=0
SET FHQUIT=1
QUIT
+1 IF CB=""
IF CFRBO
SET CB=CFRBO
+2 IF CM'[CB!(CB'?1N)
WRITE !,*7,"Choose either 1 or 2"
IF CM["3"
WRITE " or 3"
GOTO E1
+3 SET CFRBO=CB
+4 SET W2=$SELECT(CB=2:IBW,CB=3:WGT-IBW*.25+IBW,1:WGT)/2.2
IF CB=3
SET CM=1
+5 SET FHCFRBO=$SELECT(CB=1:"Actual Body Wt",CB=2:"Target Body Wt",CB=3:"Obese Calculation",1:"")
+6 QUIT
