Technological advances have permitted the integration of information systems and the medical record creating multiple changes to the documentation and communication processes for clinical nutrition services in a pediatric burn setting. Interdisciplinary online charting was officially initiated in June of 1996. Clinical nutrition personnel were intricately involved in the planning and implementation phases beginning approximately one year earlier. Patient information necessary for comprehensive nutrition assessments is available directly from the computer terminal in the Nutrition Office, as well as bedside terminals, physician terminals, etc. All charting by the Dietitian or Dietetic Technician is completed online. Progress notes and care plans are preprogrammed although allow for changes to denote individual variances among patients. Multiple users may be logged onto one patient's record simultaneously, thereby avoiding delays in chart access. The computerized medical record has decreased the amount of time necessary for completion of nutrition assessments as well as documentation. The query option has decreased the amount of time necessary to prepare quality management reports and the records of discharged patients are readily at the clinician's disposal. However, computerized charting has not improved the interest of the physician in seeking written nutrition assessment information. This has mandated that personal communication between clinical nutrition personnel and the physician be increased. The response time to nutrition recommendations has ultimately improved, positively impacting patient care. Furthermore, the role of the nutrition clinician has been increasingly recognized by the physician supporting increased nutrition consultations. The introduction of the computerized medical record has positively impacted the clinical services of the Nutrition Department by decreasing the time necessary for assessment and documentation completion; by permitting enhanced access to the chart for multiple purposes; and by indirectly improving communication with the physician thus enhancing response time to nutrition assessments and care plan recommendations.