This page is part of the FHIR Specification (v0.0.82: DSTU 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
Generated Questionnaire for NutritionOrder
{
"resourceType": "Questionnaire",
"id": "qs1",
"identifier": [
{
"system": "urn:ietf:rfc:3986"
}
],
"status": "draft",
"date": "2015-03-27T00:13:00+11:00",
"publisher": "HL7 FHIR Project (Orders and Observations)",
"group": {
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to a patient/resident."
}
],
"linkId": "NutritionOrder",
"title": "A request for a diet, formula or nutritional supplement",
"text": "Referenced by an Order Request (workflow).",
"required": true,
"repeats": false,
"group": [
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The logical id of the resource, as used in the url for the resoure. Once assigned, this value never changes. 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."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "string"
}
],
"linkId": "NutritionOrder.id",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.id.value",
"text": "Logical id of this artefact",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "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."
}
],
"linkId": "NutritionOrder.meta",
"text": "Metadata about the resource",
"required": false,
"repeats": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. 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."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "uri"
}
],
"linkId": "NutritionOrder.implicitRules",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.implicitRules.value",
"text": "A set of rules under which this content was created",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The base language in which the resource is written. 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\n\nNot 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)."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "code"
}
],
"linkId": "NutritionOrder.language",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.language.value",
"text": "language",
"type": "choice",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "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 \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative."
}
],
"linkId": "NutritionOrder.text",
"text": "Text summary of the resource, for human interpretation",
"required": false,
"repeats": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "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. 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."
}
],
"linkId": "NutritionOrder.contained",
"text": "Contained, inline Resources",
"required": false,
"repeats": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The person (patient) who needs the nutrition order for an oral diet, nutritional supplement and/or enteral or formula feeding."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "Reference"
}
],
"linkId": "NutritionOrder.patient",
"required": true,
"repeats": true,
"question": [
{
"extension": [
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
"valueString": "/Patient?subject=$subj&patient=$subj&encounter=$encounter"
}
],
"linkId": "NutritionOrder.patient.value",
"text": "The person who requires the diet, formula or nutritional supplement",
"type": "reference",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The practitioner that holds legal responsibility for ordering the diet, nutritional supplement, or formula feedings."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "Reference"
}
],
"linkId": "NutritionOrder.orderer",
"required": false,
"repeats": true,
"question": [
{
"extension": [
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
"valueString": "/Practitioner?subject=$subj&patient=$subj&encounter=$encounter"
}
],
"linkId": "NutritionOrder.orderer.value",
"text": "Who ordered the diet, formula or nutritional supplement",
"type": "reference",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "Identifiers assigned to this order by the order sender or by the order receiver."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "Identifier"
}
],
"linkId": "NutritionOrder.identifier",
"text": "Identifiers assigned to this order",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.identifier.label",
"text": "label:",
"type": "string",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.identifier.system",
"text": "system:",
"type": "string",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.identifier.value",
"text": "value:",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "An encounter that provides additional information about the healthcare context in which this request is made."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "Reference"
}
],
"linkId": "NutritionOrder.encounter",
"required": false,
"repeats": true,
"question": [
{
"extension": [
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
"valueString": "/Encounter?subject=$subj&patient=$subj&encounter=$encounter"
}
],
"linkId": "NutritionOrder.encounter.value",
"text": "The encounter associated with that this nutrition order",
"type": "reference",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The date and time that this nutrition order was requested."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "datetime"
}
],
"linkId": "NutritionOrder.dateTime",
"required": true,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.dateTime.value",
"text": "Date and time the nutrition order was requested",
"type": "dateTime",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The workflow status of the nutrition order/request. 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."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "code"
}
],
"linkId": "NutritionOrder.status",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.status.value",
"text": "status",
"type": "choice",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "A link to a record of allergies or Intolerances which should be included in the nutrition order. Information on a patient's food allergies and intolerances, inform healthcare personnel about the type of foods that the patient should receive or consume."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "Reference"
}
],
"linkId": "NutritionOrder.allergyIntolerance",
"required": false,
"repeats": true,
"question": [
{
"extension": [
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#reference",
"valueString": "/AllergyIntolerance?subject=$subj&patient=$subj&encounter=$encounter"
}
],
"linkId": "NutritionOrder.allergyIntolerance.value",
"text": "List of the patient's food and nutrition-related allergies and intolerances",
"type": "reference",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "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. Information on a patient's food preferences inform healthcare personnel about the food that the patient should receive or consume."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "CodeableConcept"
}
],
"linkId": "NutritionOrder.foodPreferenceModifier",
"text": "Order-specific modifier about the type of food that should be given",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.foodPreferenceModifier.coding",
"text": "code:",
"type": "open-choice",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.foodPreferenceModifier.text",
"text": "text:",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "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. 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."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "CodeableConcept"
}
],
"linkId": "NutritionOrder.excludeFoodModifier",
"text": "Order-specific modifier about the type of food that should not be given",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.excludeFoodModifier.coding",
"text": "code:",
"type": "open-choice",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.excludeFoodModifier.text",
"text": "text:",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "Diet given orally in contrast to enteral (tube) feeding."
}
],
"linkId": "NutritionOrder.oralDiet",
"title": "Oral diet components",
"required": false,
"repeats": false,
"group": [
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "unique id for the element within a resource (for internal references)."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "string"
}
],
"linkId": "NutritionOrder.oralDiet.id",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.oralDiet.id.value",
"text": "xml:id (or equivalent in JSON)",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The kind of diet or dietary restriction such as fiber restricted diet or diabetic diet."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "CodeableConcept"
}
],
"linkId": "NutritionOrder.oralDiet.type",
"text": "Type of oral diet or diet restrictions that describe what can be consumed orally",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.oralDiet.type.coding",
"text": "code:",
"type": "open-choice",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.oralDiet.type.text",
"text": "text:",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The time period and frequency at which the diet should be given."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "Schedule"
}
],
"linkId": "NutritionOrder.oralDiet.scheduled",
"text": "Scheduled frequency of diet",
"required": false,
"repeats": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "Class that defines the quantity and type of nutrient modifications required for the oral diet."
}
],
"linkId": "NutritionOrder.oralDiet.nutrient",
"title": "Required nutrient modifications",
"required": false,
"repeats": true,
"group": [
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "unique id for the element within a resource (for internal references)."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "string"
}
],
"linkId": "NutritionOrder.oralDiet.nutrient.id",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.oralDiet.nutrient.id.value",
"text": "xml:id (or equivalent in JSON)",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The nutrient that is being modified such as carbohydrate or sodium."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "CodeableConcept"
}
],
"linkId": "NutritionOrder.oralDiet.nutrient.modifier",
"text": "Type of nutrient that is being modified",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.oralDiet.nutrient.modifier.coding",
"text": "code:",
"type": "open-choice",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.oralDiet.nutrient.modifier.text",
"text": "text:",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The quantity of the specified nutrient to include in diet."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "Quantity"
}
],
"linkId": "NutritionOrder.oralDiet.nutrient.amount",
"text": "Quantity of the specified nutrient",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.oralDiet.nutrient.amount.comparator",
"text": "comp:",
"type": "choice",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.oralDiet.nutrient.amount.value",
"text": "value:",
"type": "decimal",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.oralDiet.nutrient.amount.units",
"text": "units:",
"type": "string",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.oralDiet.nutrient.amount.code",
"text": "coded units:",
"type": "string",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.oralDiet.nutrient.amount.system",
"text": "units system:",
"type": "string",
"required": false,
"repeats": false
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "Class that describes any texture modifications required for the patient to safely consume various types of solid foods."
}
],
"linkId": "NutritionOrder.oralDiet.texture",
"title": "Required texture modifications",
"required": false,
"repeats": true,
"group": [
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "unique id for the element within a resource (for internal references)."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "string"
}
],
"linkId": "NutritionOrder.oralDiet.texture.id",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.oralDiet.texture.id.value",
"text": "xml:id (or equivalent in JSON)",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "Any texture modifications (for solid foods) that should be made, e.g. easy to chew, chopped, ground, and pureed. Coupled with the foodType (Meat)."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "CodeableConcept"
}
],
"linkId": "NutritionOrder.oralDiet.texture.modifier",
"text": "Code to indicate how to alter the texture of the foods, e.g., pureed",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.oralDiet.texture.modifier.coding",
"text": "code:",
"type": "open-choice",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.oralDiet.texture.modifier.text",
"text": "text:",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The food type(s) (e.g., meats, all foods) that the texture modification applies to. This could be all foods types. Coupled with the textureModifier; could be (All Foods)."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "CodeableConcept"
}
],
"linkId": "NutritionOrder.oralDiet.texture.foodType",
"text": "Concepts that are used to identify an entity that is ingested for nutritional purposes",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.oralDiet.texture.foodType.coding",
"text": "code:",
"type": "open-choice",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.oralDiet.texture.foodType.text",
"text": "text:",
"type": "string",
"required": false,
"repeats": false
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The required consistency (e.g., honey-thick, nectar-thick, thin, thickened.) of liquids or fluids served to the patient."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "CodeableConcept"
}
],
"linkId": "NutritionOrder.oralDiet.fluidConsistencyType",
"text": "The required consistency of fluids and liquids provided to the patient",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.oralDiet.fluidConsistencyType.coding",
"text": "code:",
"type": "open-choice",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.oralDiet.fluidConsistencyType.text",
"text": "text:",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "Free text or additional instructions or information pertaining to the oral diet. Free text dosage instructions can be used for cases where the instructions are too complex to code."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "string"
}
],
"linkId": "NutritionOrder.oralDiet.instruction",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.oralDiet.instruction.value",
"text": "Instructions or additional information about the oral diet",
"type": "string",
"required": false,
"repeats": false
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "Oral nutritional products given in order to add further nutritional value to the patient's diet."
}
],
"linkId": "NutritionOrder.supplement",
"title": "Supplement components",
"required": false,
"repeats": true,
"group": [
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "unique id for the element within a resource (for internal references)."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "string"
}
],
"linkId": "NutritionOrder.supplement.id",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.supplement.id.value",
"text": "xml:id (or equivalent in JSON)",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The kind of nutritional supplement product required such as a high protein or pediatric clear liquid supplement."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "CodeableConcept"
}
],
"linkId": "NutritionOrder.supplement.type",
"text": "Type of supplement product requested",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.supplement.type.coding",
"text": "code:",
"type": "open-choice",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.supplement.type.text",
"text": "text:",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The product or brand name of the nutritional supplement such as \"Acme Protein Shake\"."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "string"
}
],
"linkId": "NutritionOrder.supplement.productName",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.supplement.productName.value",
"text": "Product or brand name of the nutritional supplement",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The time period and frequency at which the supplement(s) should be given."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "Schedule"
}
],
"linkId": "NutritionOrder.supplement.scheduled",
"text": "Scheduled frequency of supplement",
"required": false,
"repeats": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The amount of the nutritional supplement to be given."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "Quantity"
}
],
"linkId": "NutritionOrder.supplement.quantity",
"text": "Amount of the nutritional supplement",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.supplement.quantity.comparator",
"text": "comp:",
"type": "choice",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.supplement.quantity.value",
"text": "value:",
"type": "decimal",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.supplement.quantity.units",
"text": "units:",
"type": "string",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.supplement.quantity.code",
"text": "coded units:",
"type": "string",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.supplement.quantity.system",
"text": "units system:",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "Free text or additional instructions or information pertaining to the oral supplement. Free text dosage instructions can be used for cases where the instructions are too complex to code."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "string"
}
],
"linkId": "NutritionOrder.supplement.instruction",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.supplement.instruction.value",
"text": "Instructions or additional information about the oral supplement",
"type": "string",
"required": false,
"repeats": false
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "Feeding provided through the gastrointestinal tract via a tube, catheter, or stoma that delivers nutrition distal to the oral cavity."
}
],
"linkId": "NutritionOrder.enteralFormula",
"title": "Enteral formula components",
"required": false,
"repeats": false,
"group": [
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "unique id for the element within a resource (for internal references)."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "string"
}
],
"linkId": "NutritionOrder.enteralFormula.id",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.enteralFormula.id.value",
"text": "xml:id (or equivalent in JSON)",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "Free text formula administration, feeding instructions or additional instructions or information. Free text dosage instructions can be used for cases where the instructions are too complex to code."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "string"
}
],
"linkId": "NutritionOrder.enteralFormula.administrationInstructions",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.enteralFormula.administrationInstructions.value",
"text": "Formula feeding instructions expressed as text",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The type of enteral or infant formula such as an adult standard formula with fiber or a soy-based infant formula."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "CodeableConcept"
}
],
"linkId": "NutritionOrder.enteralFormula.baseFormulaType",
"text": "Type of enteral or infant formula",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.enteralFormula.baseFormulaType.coding",
"text": "code:",
"type": "open-choice",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.enteralFormula.baseFormulaType.text",
"text": "text:",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The product or brand name of the enteral or infant formula product such as \"ACME Adult Standard Formula\"."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "string"
}
],
"linkId": "NutritionOrder.enteralFormula.baseFormulaProductName",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.enteralFormula.baseFormulaProductName.value",
"text": "Product or brand name of the enteral or infant formula",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The time period and frequency at which the enteral formula should be delivered to the patient."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "Schedule"
}
],
"linkId": "NutritionOrder.enteralFormula.scheduled",
"text": "Scheduled frequency of enteral feeding",
"required": false,
"repeats": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "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."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "CodeableConcept"
}
],
"linkId": "NutritionOrder.enteralFormula.additiveType",
"text": "Type of modular component to add to the feeding",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.enteralFormula.additiveType.coding",
"text": "code:",
"type": "open-choice",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.enteralFormula.additiveType.text",
"text": "text:",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The product or brand name of the type of modular component to be added to the formula."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "string"
}
],
"linkId": "NutritionOrder.enteralFormula.additiveProductName",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.enteralFormula.additiveProductName.value",
"text": "Product or brand name of the modular additive",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "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."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "Quantity"
}
],
"linkId": "NutritionOrder.enteralFormula.caloricDensity",
"text": "Amount of energy per specified volume that is required",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.enteralFormula.caloricDensity.comparator",
"text": "comp:",
"type": "choice",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.enteralFormula.caloricDensity.value",
"text": "value:",
"type": "decimal",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.enteralFormula.caloricDensity.units",
"text": "units:",
"type": "string",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.enteralFormula.caloricDensity.code",
"text": "coded units:",
"type": "string",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.enteralFormula.caloricDensity.system",
"text": "units system:",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The route or physiological path of administration into the patient 's gastrointestinal tract for purposes of providing the formula feeding, e.g., nasogastric tube."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "CodeableConcept"
}
],
"linkId": "NutritionOrder.enteralFormula.routeofAdministration",
"text": "How the formula should enter the patient's gastrointestinal tract",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.enteralFormula.routeofAdministration.coding",
"text": "code:",
"type": "choice",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.enteralFormula.routeofAdministration.text",
"text": "text:",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The volume of formula to provide to the patient per the specified administration schedule."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "Quantity"
}
],
"linkId": "NutritionOrder.enteralFormula.quantity",
"text": "The volume of formula to provide",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.enteralFormula.quantity.comparator",
"text": "comp:",
"type": "choice",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.enteralFormula.quantity.value",
"text": "value:",
"type": "decimal",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.enteralFormula.quantity.units",
"text": "units:",
"type": "string",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.enteralFormula.quantity.code",
"text": "coded units:",
"type": "string",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.enteralFormula.quantity.system",
"text": "units system:",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The rate of administration of formula via a feeding pump, e.g., 60 mL per hour, according to the specified schedule."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "Ratio"
}
],
"linkId": "NutritionOrder.enteralFormula.rate",
"text": "Speed with which the formula is provided per period of time",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.enteralFormula.rate.numerator",
"text": "numerator:",
"type": "decimal",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.enteralFormula.rate.denominator",
"text": "denominator:",
"type": "decimal",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.enteralFormula.rate.units",
"text": "units:",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "The change in the rate of administration over a given time, e.g. increase by 10 mL/hour every 4 hours."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "Quantity"
}
],
"linkId": "NutritionOrder.enteralFormula.rateAdjustment",
"text": "Change in the rate of administration over a given time",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.enteralFormula.rateAdjustment.comparator",
"text": "comp:",
"type": "choice",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.enteralFormula.rateAdjustment.value",
"text": "value:",
"type": "decimal",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.enteralFormula.rateAdjustment.units",
"text": "units:",
"type": "string",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.enteralFormula.rateAdjustment.code",
"text": "coded units:",
"type": "string",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.enteralFormula.rateAdjustment.system",
"text": "units system:",
"type": "string",
"required": false,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/Profile/questionnaire-extensions#flyover",
"valueString": "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."
},
{
"url": "http://www.healthintersections.com.au/fhir/Profile/metadata#type",
"valueString": "Quantity"
}
],
"linkId": "NutritionOrder.enteralFormula.maxVolumeToDeliver",
"text": "Upper limit on formula volume per unit of time",
"required": false,
"repeats": true,
"question": [
{
"linkId": "NutritionOrder.enteralFormula.maxVolumeToDeliver.comparator",
"text": "comp:",
"type": "choice",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.enteralFormula.maxVolumeToDeliver.value",
"text": "value:",
"type": "decimal",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.enteralFormula.maxVolumeToDeliver.units",
"text": "units:",
"type": "string",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.enteralFormula.maxVolumeToDeliver.code",
"text": "coded units:",
"type": "string",
"required": false,
"repeats": false
},
{
"linkId": "NutritionOrder.enteralFormula.maxVolumeToDeliver.system",
"text": "units system:",
"type": "string",
"required": false,
"repeats": false
}
]
}
]
}
]
}
}
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
© HL7.org 2011+. FHIR DSTU (v0.4.0-4902) generated on Fri, Mar 27, 2015 00:21+1100.
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