Pediatric Nutrition Assessment Tool

⚡ PediaTime NutriAssess Clinical Tool

📅 History

Date

Age (Y / M)

Sex Male Female

Weight (kg)

Height (cm)

Birth Wt (kg)

Start Assessment

Enter Age in the Patient Strip above to begin.

🍼 Infant Feeding (< 6 Months)

Detailed Log

Breastfeeding (Freq/24h)

Avg Duration (min/feed)

Formula Volume (ml/day)

Concentration Standard (0.67 kcal/ml) H.E. (0.8 kcal/ml) H.E. (1.0 kcal/ml)

🍽️ 24-Hour Intake Log

Add Feed / Meal

Time

AM PM

Item -- Search/Select --

Quantity

Duration (mins)

unit

Custom Item Details

Food Name

Cals/Unit

Prot/Unit

Time	Item	Qty/Dur	Kcal	Prot
No entries yet.

🩺 Nutrient Deficiency Assessment

▼

🚽 Output & Excretion Assessment

▼

Growth Analysis

BMI: --

--

Exp Wt: --

Exp Ht: --

Wt/Ht: --

Daily Gain: --

Daily Requirements

Energy: --

Protein: --

Fluids: --

Intake Summary

Formula: 0 kcal

Energy: 0 kcal

Protein: 0 g

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PediaTime NutriAssess © 2026.
Disclaimer: Calculations are estimates based on standard formula approximations (Weech, Holliday-Segar, etc.) for clinical screening. Verification with growth charts is recommended.