This page is part of the FHIR Specification (v0.5.0: DSTU 2 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2
Detailed Descriptions for the elements in the NutritionOrder resource.
NutritionOrder | |
Definition | A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to a patient/resident. |
Control | 1..1 |
Alternate Names | Diet Order; Diet; Nutritional Supplement; Enteral Nutrition |
Comments | Referenced by an Order Request (workflow). |
Invariants | Defined on this element nor-1: Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class (xpath: exists(f:oralDiet) or exists(f:supplement) or exists(f:enteralFormula)) |
NutritionOrder.patient | |
Definition | The person (patient) who needs the nutrition order for an oral diet, nutritional supplement and/or enteral or formula feeding. |
Control | 1..1 |
Type | Reference(Patient) |
Summary | true |
NutritionOrder.orderer | |
Definition | The practitioner that holds legal responsibility for ordering the diet, nutritional supplement, or formula feedings. |
Control | 0..1 |
Type | Reference(Practitioner) |
Summary | true |
NutritionOrder.identifier | |
Definition | Identifiers assigned to this order by the order sender or by the order receiver. |
Note | This is a business identifer, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
NutritionOrder.encounter | |
Definition | An encounter that provides additional information about the healthcare context in which this request is made. |
Control | 0..1 |
Type | Reference(Encounter) |
NutritionOrder.dateTime | |
Definition | The date and time that this nutrition order was requested. |
Control | 1..1 |
Type | dateTime |
Summary | true |
NutritionOrder.status | |
Definition | The workflow status of the nutrition order/request. |
Control | 0..1 |
Binding | NutritionOrderStatus: Required: http://hl7.org/fhir/nutrition-order-status (Codes specifying the state of the request. Describes the lifecycle of the nutrition order.) |
Type | code |
Is Modifier | true |
Summary | true |
Comments | 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. |
NutritionOrder.allergyIntolerance | |
Definition | A link to a record of allergies or Intolerances which should be included in the nutrition order. |
Control | 0..* |
Type | Reference(AllergyIntolerance) |
Comments | Information on a patient's food allergies and intolerances, inform healthcare personnel about the type of foods that the patient should receive or consume. |
NutritionOrder.foodPreferenceModifier | |
Definition | 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. |
Control | 0..* |
Binding | PatientDiet: Example: See http://hl7.org/fhir/vs/encounter-diet (Medical, cultural or ethical food preferences to help with catering requirements) |
Type | CodeableConcept |
Comments | Information on a patient's food preferences inform healthcare personnel about the food that the patient should receive or consume. |
NutritionOrder.excludeFoodModifier | |
Definition | 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. |
Control | 0..* |
Binding | FoodType: Example: See http://hl7.org/fhir/vs/food-type (Codes used to indicate the type of food that should NOT be given to the patient.) |
Type | CodeableConcept |
Comments | Information on a patient's food allergies and intolerances, and preferences inform healthcare personnel about the type of foods that the patient should receive or consume. |
NutritionOrder.oralDiet | |
Definition | Diet given orally in contrast to enteral (tube) feeding. |
Control | 0..1 |
Invariants | Affect this element nor-1: Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class (xpath: exists(f:oralDiet) or exists(f:supplement) or exists(f:enteralFormula)) |
NutritionOrder.oralDiet.type | |
Definition | The kind of diet or dietary restriction such as fiber restricted diet or diabetic diet. |
Control | 0..* |
Binding | OralDiet: Example: See http://hl7.org/fhir/vs/diet-type (Codes used to indicate the type of diet being ordered for a patient.) |
Type | CodeableConcept |
Summary | true |
NutritionOrder.oralDiet.scheduled | |
Definition | The time period and frequency at which the diet should be given. |
Control | 0..1 |
Type | Timing |
Alternate Names | frequency |
NutritionOrder.oralDiet.nutrient | |
Definition | Class that defines the quantity and type of nutrient modifications required for the oral diet. |
Control | 0..* |
NutritionOrder.oralDiet.nutrient.modifier | |
Definition | The nutrient that is being modified such as carbohydrate or sodium. |
Control | 0..1 |
Binding | NutrientModifier: Example: See http://hl7.org/fhir/vs/nutrient-code (Codes for types of nutrient that is being modified such as carbohydrate or sodium.) |
Type | CodeableConcept |
NutritionOrder.oralDiet.nutrient.amount | |
Definition | The quantity of the specified nutrient to include in diet. |
Control | 0..1 |
Type | Quantity |
NutritionOrder.oralDiet.texture | |
Definition | Class that describes any texture modifications required for the patient to safely consume various types of solid foods. |
Control | 0..* |
NutritionOrder.oralDiet.texture.modifier | |
Definition | Any texture modifications (for solid foods) that should be made, e.g. easy to chew, chopped, ground, and pureed. |
Control | 0..1 |
Binding | TextureModifier: Example: See http://hl7.org/fhir/vs/texture-code (Codes for food consistency types or texture modifications to apply to foods.) |
Type | CodeableConcept |
Comments | Coupled with the foodType (Meat). |
NutritionOrder.oralDiet.texture.foodType | |
Definition | The food type(s) (e.g., meats, all foods) that the texture modification applies to. This could be all foods types. |
Control | 0..1 |
Binding | TextureModifiedFoodType: Example: See http://hl7.org/fhir/vs/modified-foodtype (Codes for types of foods that are texture modified.) |
Type | CodeableConcept |
Comments | Coupled with the textureModifier; could be (All Foods). |
NutritionOrder.oralDiet.fluidConsistencyType | |
Definition | The required consistency (e.g., honey-thick, nectar-thick, thin, thickened.) of liquids or fluids served to the patient. |
Control | 0..* |
Binding | FluidConsistencyType: Example: See http://hl7.org/fhir/vs/consistency-type (Codes used to represent the consistency of fluids and liquids provided to the patient.) |
Type | CodeableConcept |
NutritionOrder.oralDiet.instruction | |
Definition | Free text or additional instructions or information pertaining to the oral diet. |
Control | 0..1 |
Type | string |
Comments | Free text dosage instructions can be used for cases where the instructions are too complex to code. |
NutritionOrder.supplement | |
Definition | Oral nutritional products given in order to add further nutritional value to the patient's diet. |
Control | 0..* |
Invariants | Affect this element nor-1: Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class (xpath: exists(f:oralDiet) or exists(f:supplement) or exists(f:enteralFormula)) |
NutritionOrder.supplement.type | |
Definition | The kind of nutritional supplement product required such as a high protein or pediatric clear liquid supplement. |
Control | 0..1 |
Binding | SupplementType: Example: See http://hl7.org/fhir/vs/supplement-type (Codes for nutritional supplements to be provided to the patient) |
Type | CodeableConcept |
Summary | true |
NutritionOrder.supplement.productName | |
Definition | The product or brand name of the nutritional supplement such as "Acme Protein Shake". |
Control | 0..1 |
Type | string |
NutritionOrder.supplement.scheduled | |
Definition | The time period and frequency at which the supplement(s) should be given. |
Control | 0..1 |
Type | Timing |
Alternate Names | frequency |
NutritionOrder.supplement.quantity | |
Definition | The amount of the nutritional supplement to be given. |
Control | 0..1 |
Type | Quantity |
NutritionOrder.supplement.instruction | |
Definition | Free text or additional instructions or information pertaining to the oral supplement. |
Control | 0..1 |
Type | string |
Comments | Free text dosage instructions can be used for cases where the instructions are too complex to code. |
NutritionOrder.enteralFormula | |
Definition | Feeding provided through the gastrointestinal tract via a tube, catheter, or stoma that delivers nutrition distal to the oral cavity. |
Control | 0..1 |
Invariants | Affect this element nor-1: Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class (xpath: exists(f:oralDiet) or exists(f:supplement) or exists(f:enteralFormula)) |
NutritionOrder.enteralFormula.administrationInstructions | |
Definition | Free text formula administration, feeding instructions or additional instructions or information. |
Control | 0..1 |
Type | string |
Comments | Free text dosage instructions can be used for cases where the instructions are too complex to code. |
NutritionOrder.enteralFormula.baseFormulaType | |
Definition | The type of enteral or infant formula such as an adult standard formula with fiber or a soy-based infant formula. |
Control | 0..1 |
Binding | EnteralFormulaType: Example: See http://hl7.org/fhir/vs/entformula-type (Codes for type of enteral formula to be administered to patient.) |
Type | CodeableConcept |
Summary | true |
NutritionOrder.enteralFormula.baseFormulaProductName | |
Definition | The product or brand name of the enteral or infant formula product such as "ACME Adult Standard Formula". |
Control | 0..1 |
Type | string |
NutritionOrder.enteralFormula.scheduled | |
Definition | The time period and frequency at which the enteral formula should be delivered to the patient. |
Control | 0..1 |
Type | Timing |
Alternate Names | frequency |
NutritionOrder.enteralFormula.additiveType | |
Definition | 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. |
Control | 0..1 |
Binding | EnteralFormulaAdditiveType: Example: See http://hl7.org/fhir/vs/entformula-additive (Codes for the type of modular component such as protein, carbohydrate or fiber to be provided in addition to or mixed with the base formula.) |
Type | CodeableConcept |
NutritionOrder.enteralFormula.additiveProductName | |
Definition | The product or brand name of the type of modular component to be added to the formula. |
Control | 0..1 |
Type | string |
NutritionOrder.enteralFormula.caloricDensity | |
Definition | 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. |
Control | 0..1 |
Type | Quantity |
NutritionOrder.enteralFormula.routeofAdministration | |
Definition | The route or physiological path of administration into the patient 's gastrointestinal tract for purposes of providing the formula feeding, e.g., nasogastric tube. |
Control | 0..1 |
Binding | EnteralRouteOfAdministration: Required: See http://hl7.org/fhir/vs/enteral-route (Codes specifying the route of administration of enteral formula.) |
Type | CodeableConcept |
NutritionOrder.enteralFormula.quantity | |
Definition | The volume of formula to provide to the patient per the specified administration schedule. |
Control | 0..1 |
Type | Quantity |
NutritionOrder.enteralFormula.rate | |
Definition | The rate of administration of formula via a feeding pump, e.g., 60 mL per hour, according to the specified schedule. |
Control | 0..1 |
Type | Ratio |
NutritionOrder.enteralFormula.rateAdjustment | |
Definition | The change in the rate of administration over a given time, e.g. increase by 10 mL/hour every 4 hours. |
Control | 0..1 |
Type | Quantity |
NutritionOrder.enteralFormula.maxVolumeToDeliver | |
Definition | 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. |
Control | 0..1 |
Type | Quantity |