This page is part of a downloaded copy of this specification. This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v0.1.0: STU 1 Ballot 1) based on FHIR v3.5.0. . For a full list of available versions, see the Directory of published versions

This is a pre-release version (Ballot 1) of Coverage Requirements Discovery (CRD) R1/STU. There is no current official version.
For a full list of available versions, see the Directory of published versions .

## StructureDefinition: CRD NutritionOrder

The official URL for this profile is:

    http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-nutritionorder-r4

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Text Summary
- Differential Table
- Snapshot Table
- All

This structure is derived from NutritionOrder

Summary

Mandatory: 4 elements
Must-Support: 13 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

- http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient-r4
- http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-encounter-r4
- http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-practitioner-r4

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-insurance

This structure is derived from NutritionOrder

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
NutritionOrder |  | 0..* |  |
ext-insurance | S | 0..* | Reference(CRD Coverage) | Insurance URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-insurance
identifier | S | 0..* | Identifier |
instantiatesCanonical | S | 1..1 | canonical(ActivityDefinition | PlanDefinition) |
instantiatesUri |  | 0..* | uri |
status | S | 1..1 | code | Fixed Value: draft
intent |  | 1..1 | code |
patient | S | 1..1 | Reference(CRD Patient) |
context |  | 0..1 | Reference(CRD Encounter) |
dateTime | S | 1..1 | dateTime |
orderer | S | 1..1 | Reference(CRD Practitioner | CRD PractitionerRole) |
allergyIntolerance | S | 0..* | Reference(AllergyIntolerance) |
foodPreferenceModifier | S | 0..* | CodeableConcept |
excludeFoodModifier | S | 0..* | CodeableConcept |
oralDiet | S | 0..1 | BackboneElement |
supplement | S | 0..* | BackboneElement |
enteralFormula | S | 0..1 | BackboneElement |
note |  | 0..* | Annotation |
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
NutritionOrder | I | 0..* |  | Diet, formula or nutritional supplement request
id | Î£ | 0..1 | id | Logical id of this artifact
meta | Î£ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Î£ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: Common Languages (preferred)
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
ext-insurance | S I | 0..* | Reference(CRD Coverage) | Extension URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-insurance
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S | 0..* | Identifier | Identifiers assigned to this order
instantiatesCanonical | S Î£ | 1..1 | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition
instantiatesUri | Î£ | 0..* | uri | Instantiates external protocol or definition
instantiates |  | 0..* | uri | Instantiates protocol or definition
status | ?!S Î£ | 1..1 | code | proposed | draft | planned | requested | active | on-hold | completed | cancelled | entered-in-error Binding: RequestStatus (required) Fixed Value: draft
intent | ?!Î£ | 1..1 | code | proposal | plan | order Binding: RequestIntent (required)
patient | S Î£ | 1..1 | Reference(CRD Patient) | The person who requires the diet, formula or nutritional supplement
context |  | 0..1 | Reference(CRD Encounter) | The encounter associated with this nutrition order
dateTime | S Î£ | 1..1 | dateTime | Date and time the nutrition order was requested
orderer | S Î£ | 1..1 | Reference(CRD Practitioner | CRD PractitionerRole) | Who ordered the diet, formula or nutritional supplement
allergyIntolerance | S | 0..* | Reference(AllergyIntolerance) | List of the patient's food and nutrition-related allergies and intolerances
foodPreferenceModifier | S | 0..* | CodeableConcept | Order-specific modifier about the type of food that should be given Binding: Diet (example)
excludeFoodModifier | S | 0..* | CodeableConcept | Order-specific modifier about the type of food that should not be given Binding: FoodTypeCodes (example)
oralDiet | S I | 0..1 | BackboneElement | Oral diet components
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored if unrecognized
type | Î£ | 0..* | CodeableConcept | Type of oral diet or diet restrictions that describe what can be consumed orally Binding: DietCodes (example)
schedule |  | 0..* | Timing | Scheduled frequency of diet
nutrient | I | 0..* | BackboneElement | Required nutrient modifications
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored if unrecognized
modifier |  | 0..1 | CodeableConcept | Type of nutrient that is being modified Binding: NutrientModifierCodes (example)
amount |  | 0..1 | SimpleQuantity | Quantity of the specified nutrient
texture | I | 0..* | BackboneElement | Required texture modifications
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored if unrecognized
modifier |  | 0..1 | CodeableConcept | Code to indicate how to alter the texture of the foods, e.g. pureed Binding: TextureModifierCodes (example)
foodType |  | 0..1 | CodeableConcept | Concepts that are used to identify an entity that is ingested for nutritional purposes Binding: TextureModifiedFoodTypeCodes (example)
fluidConsistencyType |  | 0..* | CodeableConcept | The required consistency of fluids and liquids provided to the patient Binding: FluidConsistencyTypeCodes (example)
instruction | Î£ | 0..1 | string | Instructions or additional information about the oral diet
supplement | S I | 0..* | BackboneElement | Supplement components
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored if unrecognized
type | Î£ | 0..1 | CodeableConcept | Type of supplement product requested Binding: SupplementTypeCodes (example)
productName |  | 0..1 | string | Product or brand name of the nutritional supplement
schedule |  | 0..* | Timing | Scheduled frequency of supplement
quantity |  | 0..1 | SimpleQuantity | Amount of the nutritional supplement
instruction | Î£ | 0..1 | string | Instructions or additional information about the oral supplement
enteralFormula | S I | 0..1 | BackboneElement | Enteral formula components
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored if unrecognized
baseFormulaType | Î£ | 0..1 | CodeableConcept | Type of enteral or infant formula Binding: EnteralFormulaTypeCodes (example)
baseFormulaProductName |  | 0..1 | string | Product or brand name of the enteral or infant formula
additiveType |  | 0..1 | CodeableConcept | Type of modular component to add to the feeding Binding: EnteralFormulaAdditiveTypeCode (example)
additiveProductName |  | 0..1 | string | Product or brand name of the modular additive
caloricDensity |  | 0..1 | SimpleQuantity | Amount of energy per specified volume that is required
routeofAdministration |  | 0..1 | CodeableConcept | How the formula should enter the patient's gastrointestinal tract Binding: EnteralRouteCodes (extensible)
administration | I | 0..* | BackboneElement | Formula feeding instruction as structured data
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored if unrecognized
schedule |  | 0..1 | Timing | Scheduled frequency of enteral feeding
quantity |  | 0..1 | SimpleQuantity | The volume of formula to provide
rate[x] |  | 0..1 | SimpleQuantity, Ratio | Speed with which the formula is provided per period of time
maxVolumeToDeliver |  | 0..1 | SimpleQuantity | Upper limit on formula volume per unit of time
administrationInstruction | Î£ | 0..1 | string | Formula feeding instructions expressed as text
note |  | 0..* | Annotation | Comments
Documentation for this format

This structure is derived from NutritionOrder

Summary

Mandatory: 4 elements
Must-Support: 13 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

- http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient-r4
- http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-encounter-r4
- http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-practitioner-r4

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-insurance

Differential View

This structure is derived from NutritionOrder

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
NutritionOrder |  | 0..* |  |
ext-insurance | S | 0..* | Reference(CRD Coverage) | Insurance URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-insurance
identifier | S | 0..* | Identifier |
instantiatesCanonical | S | 1..1 | canonical(ActivityDefinition | PlanDefinition) |
instantiatesUri |  | 0..* | uri |
status | S | 1..1 | code | Fixed Value: draft
intent |  | 1..1 | code |
patient | S | 1..1 | Reference(CRD Patient) |
context |  | 0..1 | Reference(CRD Encounter) |
dateTime | S | 1..1 | dateTime |
orderer | S | 1..1 | Reference(CRD Practitioner | CRD PractitionerRole) |
allergyIntolerance | S | 0..* | Reference(AllergyIntolerance) |
foodPreferenceModifier | S | 0..* | CodeableConcept |
excludeFoodModifier | S | 0..* | CodeableConcept |
oralDiet | S | 0..1 | BackboneElement |
supplement | S | 0..* | BackboneElement |
enteralFormula | S | 0..1 | BackboneElement |
note |  | 0..* | Annotation |
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
NutritionOrder | I | 0..* |  | Diet, formula or nutritional supplement request
id | Î£ | 0..1 | id | Logical id of this artifact
meta | Î£ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Î£ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: Common Languages (preferred)
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
ext-insurance | S I | 0..* | Reference(CRD Coverage) | Extension URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-insurance
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S | 0..* | Identifier | Identifiers assigned to this order
instantiatesCanonical | S Î£ | 1..1 | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition
instantiatesUri | Î£ | 0..* | uri | Instantiates external protocol or definition
instantiates |  | 0..* | uri | Instantiates protocol or definition
status | ?!S Î£ | 1..1 | code | proposed | draft | planned | requested | active | on-hold | completed | cancelled | entered-in-error Binding: RequestStatus (required) Fixed Value: draft
intent | ?!Î£ | 1..1 | code | proposal | plan | order Binding: RequestIntent (required)
patient | S Î£ | 1..1 | Reference(CRD Patient) | The person who requires the diet, formula or nutritional supplement
context |  | 0..1 | Reference(CRD Encounter) | The encounter associated with this nutrition order
dateTime | S Î£ | 1..1 | dateTime | Date and time the nutrition order was requested
orderer | S Î£ | 1..1 | Reference(CRD Practitioner | CRD PractitionerRole) | Who ordered the diet, formula or nutritional supplement
allergyIntolerance | S | 0..* | Reference(AllergyIntolerance) | List of the patient's food and nutrition-related allergies and intolerances
foodPreferenceModifier | S | 0..* | CodeableConcept | Order-specific modifier about the type of food that should be given Binding: Diet (example)
excludeFoodModifier | S | 0..* | CodeableConcept | Order-specific modifier about the type of food that should not be given Binding: FoodTypeCodes (example)
oralDiet | S I | 0..1 | BackboneElement | Oral diet components
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored if unrecognized
type | Î£ | 0..* | CodeableConcept | Type of oral diet or diet restrictions that describe what can be consumed orally Binding: DietCodes (example)
schedule |  | 0..* | Timing | Scheduled frequency of diet
nutrient | I | 0..* | BackboneElement | Required nutrient modifications
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored if unrecognized
modifier |  | 0..1 | CodeableConcept | Type of nutrient that is being modified Binding: NutrientModifierCodes (example)
amount |  | 0..1 | SimpleQuantity | Quantity of the specified nutrient
texture | I | 0..* | BackboneElement | Required texture modifications
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored if unrecognized
modifier |  | 0..1 | CodeableConcept | Code to indicate how to alter the texture of the foods, e.g. pureed Binding: TextureModifierCodes (example)
foodType |  | 0..1 | CodeableConcept | Concepts that are used to identify an entity that is ingested for nutritional purposes Binding: TextureModifiedFoodTypeCodes (example)
fluidConsistencyType |  | 0..* | CodeableConcept | The required consistency of fluids and liquids provided to the patient Binding: FluidConsistencyTypeCodes (example)
instruction | Î£ | 0..1 | string | Instructions or additional information about the oral diet
supplement | S I | 0..* | BackboneElement | Supplement components
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored if unrecognized
type | Î£ | 0..1 | CodeableConcept | Type of supplement product requested Binding: SupplementTypeCodes (example)
productName |  | 0..1 | string | Product or brand name of the nutritional supplement
schedule |  | 0..* | Timing | Scheduled frequency of supplement
quantity |  | 0..1 | SimpleQuantity | Amount of the nutritional supplement
instruction | Î£ | 0..1 | string | Instructions or additional information about the oral supplement
enteralFormula | S I | 0..1 | BackboneElement | Enteral formula components
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored if unrecognized
baseFormulaType | Î£ | 0..1 | CodeableConcept | Type of enteral or infant formula Binding: EnteralFormulaTypeCodes (example)
baseFormulaProductName |  | 0..1 | string | Product or brand name of the enteral or infant formula
additiveType |  | 0..1 | CodeableConcept | Type of modular component to add to the feeding Binding: EnteralFormulaAdditiveTypeCode (example)
additiveProductName |  | 0..1 | string | Product or brand name of the modular additive
caloricDensity |  | 0..1 | SimpleQuantity | Amount of energy per specified volume that is required
routeofAdministration |  | 0..1 | CodeableConcept | How the formula should enter the patient's gastrointestinal tract Binding: EnteralRouteCodes (extensible)
administration | I | 0..* | BackboneElement | Formula feeding instruction as structured data
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored if unrecognized
schedule |  | 0..1 | Timing | Scheduled frequency of enteral feeding
quantity |  | 0..1 | SimpleQuantity | The volume of formula to provide
rate[x] |  | 0..1 | SimpleQuantity, Ratio | Speed with which the formula is provided per period of time
maxVolumeToDeliver |  | 0..1 | SimpleQuantity | Upper limit on formula volume per unit of time
administrationInstruction | Î£ | 0..1 | string | Formula feeding instructions expressed as text
note |  | 0..* | Annotation | Comments
Documentation for this format

Other representations of profile: Schematron

### Terminology Bindings

Path | Name | Conformance | ValueSet
NutritionOrder.language | Language | preferred | Common Languages
NutritionOrder.status | RequestStatus | required | RequestStatus
NutritionOrder.intent | RequestIntent | required | RequestIntent
NutritionOrder.foodPreferenceModifier | Diet | example | Diet
NutritionOrder.excludeFoodModifier | Food Type Codes | example | FoodTypeCodes
NutritionOrder.oralDiet.type | Diet Codes | example | DietCodes
NutritionOrder.oralDiet.nutrient.modifier | Nutrient Modifier Codes | example | NutrientModifierCodes
NutritionOrder.oralDiet.texture.modifier | Texture Modifier Codes | example | TextureModifierCodes
NutritionOrder.oralDiet.texture.foodType | Texture Modified Food Type Codes | example | TextureModifiedFoodTypeCodes
NutritionOrder.oralDiet.fluidConsistencyType | Fluid Consistency Type Codes | example | FluidConsistencyTypeCodes
NutritionOrder.supplement.type | Supplement Type Codes | example | SupplementTypeCodes
NutritionOrder.enteralFormula.baseFormulaType | Enteral Formula Type Codes | example | EnteralFormulaTypeCodes
NutritionOrder.enteralFormula.additiveType | Enteral Formula Additive Type Code | example | EnteralFormulaAdditiveTypeCode
NutritionOrder.enteralFormula.routeofAdministration | Enteral Route Codes | extensible | EnteralRouteCodes

### Constraints

Id | Path | Details | Requirements
dom-2 | NutritionOrder | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-4 | NutritionOrder | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-3 | NutritionOrder | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-6 | NutritionOrder | A resource should have narrative for robust management : text.div.exists() |
dom-5 | NutritionOrder | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
nor-1 | NutritionOrder | Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class : oralDiet.exists() or supplement.exists() or enteralFormula.exists() |
ele-1 | NutritionOrder.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | NutritionOrder.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | NutritionOrder.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | NutritionOrder.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | NutritionOrder.oralDiet | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | NutritionOrder.oralDiet.nutrient | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | NutritionOrder.oralDiet.texture | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | NutritionOrder.supplement | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | NutritionOrder.enteralFormula | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | NutritionOrder.enteralFormula.administration | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |