Moving from a manual, paper process for documenting in the medical record to a computerized process is a major adjustment for caregivers also faced with changes imposed by the differences in presenting and handling data through electronic means. The disciplines involved in the interdisciplinary assessment process are Dietetics, Nursing, Respiratory Therapy, Physical Therapy, Occupational Therapy, Speech Therapy, and Social Work. Underlying the design of the assessment pathways is the consensus among disciplines that patient data would flow to a common data base used by all caregivers, with an objective of minimizing duplicate data collection from the patient. Impacting the design of the actual patient applications, e.g. automated assessments, vital signs, intake & output are the larger system design constraints that impose boundaries on design creativity for computer information system staff and practitioners. These include, for example: phased implementation over many years (combination of manual and electronic systems), hardware features, software constraints (preset screen format for data entry and data presentation), number of characters per data field, capabilities for manipulating data, e.g. calculating body mass index, and the strength of the word processing feature. Information will be shared on the components of the electronic patient information system, the conversion from manual to automated nutrition screening and assessment, and what we have learned from the process. A demonstration using a laptop computer of the nutrition screening and assessment pathways used by the clinical dietitians and dietetic technicians will be included along with paper samples of the screens.