Profile: cqf-nutritionorder

cqf-nutritionorder

Raw XML

<Profile xmlns="http://hl7.org/fhir">
  <id value="cqf-nutritionorder-cqf-nutritionorder"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <url value="http://hl7.org/fhir/Profile/cqf-nutritionorder-cqf-nutritionorder"/>
  <name value="Clinical Quality Framework (CQF) Nutrition Order Profile"/>
  <publisher value="Health Level Seven, Inc. - CQI WG"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/special/committees/CQI"/>
    </telecom>
  </contact>
  <description value="Profile of cqf-nutritionorder for decision support/quality metrics. Indicates which elements
   must be supported by CQF rules and measure engines. : Clinical Quality Framework (CQF)
   Nutrition Order Profile"/>
  <status value="draft"/>
  <date value="2014-11-10"/>
  <type value="NutritionOrder"/>
  <base value="http://hl7.org/fhir/Profile/NutritionOrder"/>
  <snapshot>
    <element>
      <path value="NutritionOrder"/>
      <name value="cqf-nutritionorder"/>
      <short value="A request for a diet, formula or nutritional supplement"/>
      <definition value="A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to
       a patient/resident."/>
      <comments value="Referenced by an Order Request (workflow)."/>
      <synonym value="Diet Order"/>
      <synonym value="Diet"/>
      <synonym value="Nutritional Supplement"/>
      <synonym value="Enteral Nutrition"/>
      <min value="1"/>
      <max value="1"/>
      <constraint>
        <key value="nor-1"/>
        <name value="nutrition item type"/>
        <severity value="error"/>
        <human value="Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class"/>
        <xpath value="exists(f:oralDiet) or exists(f:supplement) or exists(f:enteralFormula)"/>
      </constraint>
      <mapping>
        <identity value="v2"/>
        <map value="ORC / ODS"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.id"/>
      <short value="Logical id of this artefact"/>
      <definition value="The logical id of the resource, as used in the url for the resoure. Once assigned, this
       value never changes."/>
      <comments value="The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation. Bundles always have an id, though it is usually a generated
       UUID."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
    </element>
    <element>
      <path value="NutritionOrder.meta"/>
      <short value="Metadata about the resource"/>
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content may not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Meta"/>
      </type>
    </element>
    <element>
      <path value="NutritionOrder.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content."/>
      <comments value="Asserting this rule set restricts the content to be only understood by a limited set of
       trading partners. This inherently limits the usefulness of the data in the long term.
       However the existing health eco-system is highly fractured, and not yet ready to define,
       collect, and exchange data in a generally computable sense. Wherever possible, implementers
       and/or specification writers should avoid using this element as much as possible."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comments value="Language is provided to support indexing and accessibility (typically, services such as
       text to speech use the language tag). The html language tag in the narrative applies 
       to the narrative. The language tag on the resource may be used to specify the language
       of other presentations generated from the data in the resource  Not all the content has
       to be in the base language. The Resource.language should not be assumed to apply to the
       narrative automatically. If a language is specified, it should it also be specified on
       the div element in the html (see rules in HTML5 for information about the relationship
       between xml:lang and the html lang attribute)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <name value="Language"/>
        <isExtensible value="false"/>
        <conformance value="required"/>
        <description value="A human language"/>
        <referenceUri value="http://tools.ietf.org/html/bcp47"/>
      </binding>
    </element>
    <element>
      <path value="NutritionOrder.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition value="A human-readable narrative that contains a summary of the resource, and may be used to
       represent the content of the resource to a human. The narrative need not encode all the
       structured data, but is required to contain sufficient detail to make it &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety."/>
      <comments value="Contained resources do not have narrative. Resources that are not contained SHOULD have
       a narrative."/>
      <synonym value="narrative"/>
      <synonym value="html"/>
      <synonym value="xhtml"/>
      <synonym value="display"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.contained"/>
      <short value="Contained, inline Resources"/>
      <definition value="These resources do not have an independent existence apart from the resource that contains
       them - they cannot be identified independently, and nor can they have their own independent
       transaction scope."/>
      <comments value="This should never be done when the content can be identified properly, as once identification
       is lost, it is extremely difficult (and context dependent) to restore it again."/>
      <synonym value="inline resources"/>
      <synonym value="anonymous resources"/>
      <synonym value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. In order to make the use of extensions safe and manageable, there is
       a strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource, and that modifies the understanding of the element that contains it.
       Usually modifier elements provide negation or qualification. In order to make the use
       of extensions safe and manageable, there is a strict set of governance applied to the
       definition and use of extensions. Though any implementer is allowed to define an extension,
       there is a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.patient"/>
      <short value="The person who requires the diet, formula or nutritional supplement"/>
      <definition value="The person (patient) who needs the nutrition order for an oral diet, nutritional supplement
       and/or enteral or formula feeding."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Patient"/>
      </type>
      <mustSupport value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=SBJ].role"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.orderer"/>
      <short value="Who ordered the diet, formula or nutritional supplement"/>
      <definition value="The practitioner that holds legal responsibility for ordering the diet, nutritional supplement,
       or formula feedings."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Practitioner"/>
      </type>
      <mustSupport value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=AUT].role"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.identifier"/>
      <short value="Identifiers assigned to this order"/>
      <definition value="Identifiers assigned to this order by the order sender or by the order receiver."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.encounter"/>
      <short value="The encounter associated with that this nutrition order"/>
      <definition value="An encounter that provides additional information about the healthcare context in which
       this request is made."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Encounter"/>
      </type>
      <mustSupport value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.dateTime"/>
      <short value="Date and time the nutrition order was requested"/>
      <definition value="The date and time that this nutrition order was requested."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.allergyIntolerance"/>
      <short value="List of the patient's food and nutrition-related allergies and intolerances"/>
      <definition value="The ability to list substances that may cause allergies or intolerances which should be
       included in the nutrition order."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/AllergyIntolerance"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.foodPreferenceModifier"/>
      <short value="Order-specific modifier about the type of food that should be given"/>
      <definition value="This modifier is used to convey order-specific modifiers about the type of food that should
       be given. These can be derived from patient allergies, intolerances, or preferences such
       as Halal, Vegan or Kosher. This modifier applies to the entire nutrition order inclusive
       of the oral diet, nutritional supplements and enteral formula feedings."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <name value="PatientDiet"/>
        <isExtensible value="true"/>
        <conformance value="preferred"/>
        <description value="Medical, cultural or ethical food preferences to help with catering requirements"/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/encounter-diet"/>
        </referenceReference>
      </binding>
    </element>
    <element>
      <path value="NutritionOrder.excludeFoodModifier"/>
      <short value="Order-specific modifier about the type of food that should not be given"/>
      <definition value="This modifier is used to convey order-specific modifiers about the type of food that should
       NOT be given. These can be derived from patient allergies, intolerances, or preferences
       such as No Red Meat, No Soy or No Wheat or  Gluten-Free. This modifier applies to the
       entire nutrition order inclusive of the oral diet, nutritional supplements and enteral
       formula feedings."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <name value="ExcludeFoodModifier"/>
        <isExtensible value="true"/>
        <conformance value="example"/>
        <description value="TODO"/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/exclude-food-type"/>
        </referenceReference>
      </binding>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet"/>
      <short value="Oral diet components"/>
      <definition value="Class that defines the components of an oral diet order for the patient."/>
      <min value="0"/>
      <max value="1"/>
      <condition value="nor-1"/>
      <mustSupport value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="ODS-3"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <synonym value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.type"/>
      <short value="Type of oral diet or diet restrictions that describe what can be consumed orally"/>
      <definition value="Indicates the type of oral diet or diet restrictions that describe what can be consumed
       orally (i.e., take via the mouth)."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <name value="OralDiet"/>
        <isExtensible value="true"/>
        <conformance value="example"/>
        <description value="TODO"/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/diet-type"/>
        </referenceReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="ODS-3"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.scheduled"/>
      <short value="Scheduled frequency of diet"/>
      <definition value="The time period and frequency at which the diet should be given."/>
      <synonym value="frequency"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Timing"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.nutrients"/>
      <short value="Required  nutrient modifications"/>
      <definition value="Class that defines the details of any nutrient modifications required for the oral diet."/>
      <min value="0"/>
      <max value="*"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.nutrients.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.nutrients.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.nutrients.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <synonym value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.nutrients.modifier"/>
      <short value="Type of nutrient that is being modified"/>
      <definition value="Identifies the type of nutrient that is being modified such as carbohydrate or sodium."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <name value="NutrientModifier"/>
        <isExtensible value="true"/>
        <conformance value="example"/>
        <description value="TODO"/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/nutrient-code"/>
        </referenceReference>
      </binding>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.nutrients.amount"/>
      <short value="Quantity of the specified nutrient"/>
      <definition value="The quantity of the specified nutrient to include in diet."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.texture"/>
      <short value="Required  texture modifications"/>
      <definition value="Class that describes any texture modifications required for the patient to safely consume
       various types of solid foods."/>
      <min value="0"/>
      <max value="*"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.texture.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.texture.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.texture.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <synonym value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.texture.modifier"/>
      <short value="Code to indicate how to alter the texture of the foods, e.g., pureed"/>
      <definition value="Identifies any texture modifications (for solid foods) that should be made, e.g. easy
       to chew, chopped, ground, and pureed."/>
      <comments value="Coupled with the foodType (Meat)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <name value="TextureModifier"/>
        <isExtensible value="true"/>
        <conformance value="example"/>
        <description value="TODO"/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/texture-code"/>
        </referenceReference>
      </binding>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.texture.foodType"/>
      <short value="Concepts that are used to identify an entity that is ingested for nutritional purposes"/>
      <definition value="Indicates what specific type of food (e.g., meats) the texture modification applies to
       or may apply to all foods in the diet."/>
      <comments value="Coupled with the textureModifier; could be (All Foods)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <name value="FoodType"/>
        <isExtensible value="true"/>
        <conformance value="example"/>
        <description value="TODO"/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/food-type"/>
        </referenceReference>
      </binding>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.fluidConsistencyType"/>
      <short value="The required consistency of fluids and liquids provided to the patient"/>
      <definition value="Identifies the required consistency (e.g., honey-thick, nectar-thick, thin, thickened.)
       of liquids or fluids served to the patient."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <name value="FluidConsistencyType"/>
        <isExtensible value="true"/>
        <conformance value="example"/>
        <description value="TODO"/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/consistency-type"/>
        </referenceReference>
      </binding>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.instruction"/>
      <short value="Instructions or additional information about the oral diet"/>
      <definition value="Additional instructions or information pertaining to the oral diet."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="ODS-3"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.supplement"/>
      <short value="Supplement components"/>
      <definition value="Class that defines the components of a supplement order for the patient."/>
      <min value="0"/>
      <max value="1"/>
      <condition value="nor-1"/>
      <mustSupport value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="ODS-2"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.supplement.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.supplement.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.supplement.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <synonym value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.supplement.type"/>
      <short value="Type of supplement product requested"/>
      <definition value="Indicates the type of nutritional supplement product required such as high protein or
       pediatric clear liquid supplement."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <name value="SupplementType"/>
        <isExtensible value="true"/>
        <conformance value="example"/>
        <description value="TODO"/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/supplement-type"/>
        </referenceReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="NutritionalSupplementType"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.supplement.productName"/>
      <short value="Product or brand name of the nutritional supplement"/>
      <definition value="The product or brand name of the nutritional supplement product to be provided to the
       patient."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.supplement.scheduled"/>
      <short value="Scheduled frequency of supplement"/>
      <definition value="The time period and frequency at which the supplement(s) should be given."/>
      <synonym value="frequency"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Timing"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.supplement.quantity"/>
      <short value="Amount of the nutritional supplement"/>
      <definition value="The amount of the nutritional supplement product to provide to the patient."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula"/>
      <short value="Enteral formula components"/>
      <definition value="Class that defines the components of an enteral formula order for the patient."/>
      <min value="0"/>
      <max value="1"/>
      <condition value="nor-1"/>
      <mustSupport value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="ODS-2"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <synonym value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.administrationInstructions"/>
      <short value="Formula feeding instructions expressed as text"/>
      <definition value="Free text formula administration or feeding instructions for cases where the instructions
       are too complex to code."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.baseFormulaType"/>
      <short value="Type of enteral or infant formula"/>
      <definition value="Indicates the type of enteral or infant formula requested such as an adult standard formula
       with fiber or a soy-based infant formula."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <name value="EnteralFormulaType"/>
        <isExtensible value="true"/>
        <conformance value="example"/>
        <description value="TODO"/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/entformula-type"/>
        </referenceReference>
      </binding>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.baseFormulaProductName"/>
      <short value="Product or brand name of the enteral or infant formula"/>
      <definition value="The product or brand name of the enteral or infant formula product to be provided to the
       patient."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.scheduled"/>
      <short value="Scheduled frequency of enteral feeding"/>
      <definition value="The time period and frequency at which the enteral formula should be delivered to the
       patient."/>
      <synonym value="frequency"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Timing"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.additiveType"/>
      <short value="Type of modular component to add to the feeding"/>
      <definition value="Indicates the type of modular component such as protein, carbohydrate, fat or fiber to
       be provided in addition to or mixed with the base formula."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <name value="EnteralFormulaAdditiveType"/>
        <isExtensible value="true"/>
        <conformance value="example"/>
        <description value="TODO"/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/entformula-additive"/>
        </referenceReference>
      </binding>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.additiveProductName"/>
      <short value="Product or brand name of the modular additive"/>
      <definition value="The product or brand name of the type of modular component to be added to the formula."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.caloricDensity"/>
      <short value="Amount of energy per specified volume that is required"/>
      <definition value="The amount of energy (Calories) that the formula should provide per specified volume,
       typically per mL or fluid oz.  For example, an infant may require a formula the provides
       24 Calories per fluid ounce or an adult may require an enteral formula that provides 1.5
       Calorie/mL."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.routeofAdministration"/>
      <short value="How the formula should enter the patient's gastrointestinal tract"/>
      <definition value="A coded concept specifying the route or physiological path of administration into the
       patient 's gastrointestinal  tract for purposes of providing the formula feeding, e.g.,
       nasogastric tube."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <name value="EnteralRouteOfAdministration"/>
        <isExtensible value="true"/>
        <conformance value="preferred"/>
        <description value="This value set contains concepts to support administration of formula feeding via oral
         or enteral feeding tubes"/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/enteral-route"/>
        </referenceReference>
      </binding>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.quantity"/>
      <short value="The volume of formula to provide"/>
      <definition value="The volume of formula to provide to the patient per the specified administration schedule."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.rate"/>
      <short value="Speed with which the formula is provided per period of time"/>
      <definition value="Identifies the speed with which the formula is introduced into the subject via a feeding
       pump, e.g., 60 mL per hour, according to the specified schedule."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Ratio"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.rateAdjustment"/>
      <short value="Change in the rate of administration over a given time"/>
      <definition value="The change in the administration rate over a given time, e.g. increase by 10 mL/hour every
       4 hours."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.maxVolumeToDeliver"/>
      <short value="Upper limit on formula volume per unit of time"/>
      <definition value="The maximum total quantity of formula that may be administered to a subject over the period
       of time, e.g., 1440 mL over 24 hours."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.status"/>
      <short value="requested | active | inactive | held"/>
      <definition value="requested | active | inactive | held."/>
      <comments value="Typically the system placing the order sets the status to requested. There after, the
       order is maintained by the receiver that updates the status as the request is handled."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="true"/>
      <binding>
        <name value="NutritionOrderStatusNotCanceled"/>
        <isExtensible value="false"/>
        <conformance value="required"/>
        <description value="Value set for a NutritionOrder status which excludes Canceled code"/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/nutritionorder-status-notcanceled"/>
        </referenceReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".statusCode"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="NutritionOrder"/>
      <name value="cqf-nutritionorder"/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element>
      <path value="NutritionOrder.patient"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Patient"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.orderer"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Practitioner"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.encounter"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Encounter"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.dateTime"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.allergyIntolerance"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/AllergyIntolerance"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.foodPreferenceModifier"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.excludeFoodModifier"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet"/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.type"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.scheduled"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Timing"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.nutrients"/>
      <min value="0"/>
      <max value="*"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.nutrients.modifier"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.nutrients.amount"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.texture"/>
      <min value="0"/>
      <max value="*"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.texture.modifier"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.texture.foodType"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.oralDiet.fluidConsistencyType"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.supplement"/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.supplement.type"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.supplement.productName"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.supplement.scheduled"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Timing"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.supplement.quantity"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula"/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.baseFormulaType"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.baseFormulaProductName"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.scheduled"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Timing"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.additiveType"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.additiveProductName"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.caloricDensity"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.routeofAdministration"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.quantity"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.rate"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Ratio"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.rateAdjustment"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.enteralFormula.maxVolumeToDeliver"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="NutritionOrder.status"/>
      <short value="requested | active | inactive | held"/>
      <definition value="requested | active | inactive | held."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <name value="NutritionOrderStatusNotCanceled"/>
        <isExtensible value="false"/>
        <conformance value="required"/>
        <description value="Value set for a NutritionOrder status which excludes Canceled code"/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/nutritionorder-status-notcanceled"/>
        </referenceReference>
      </binding>
    </element>
  </differential>
</Profile>