0.3.0 - Second STU ballot

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 (v0.3.0: STU 1 Ballot 2) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

## StructureDefinition: NutritionOrderSTU3

The official URL for this profile is:

    http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/profile-nutritionorder-stu3

### 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/STU3/StructureDefinition/profile-patient-stu3
- http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/profile-encounter-stu3
- http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/profile-practitioner-stu3

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/ext-insurance
- http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/ext-instantiates

This structure is derived from NutritionOrder

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
NutritionOrder |  | 0..* |  |
ext-insurance | S | 0..* | Reference(CoverageSTU3) | Insurance URL: http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/ext-insurance
ext-instantiates | S | 1..1 | Reference(ActivityDefinition | PlanDefinition) | Extension URL: http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/ext-instantiates
identifier | S | 0..* | Identifier |
status | S | 1..1 | code | Fixed Value: draft
patient | S | 1..1 | Reference(PatientSTU3) |
encounter |  | 0..1 | Reference(EncounterSTU3) |
dateTime | S | 1..1 | dateTime |
orderer | S | 1..1 | Reference(PractitionerSTU3) |
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 |
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
NutritionOrder | I | 0..* |  | Diet, formula or nutritional supplement request
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 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 (extensible) Max Binding: All Languages
text | I | 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(CoverageSTU3) | Insurance URL: http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/ext-insurance
ext-instantiates | S I | 1..1 | Reference(ActivityDefinition | PlanDefinition) | Extension URL: http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/ext-instantiates
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S | 0..* | Identifier | Identifiers assigned to this order
status | ?!S Σ | 1..1 | code | proposed | draft | planned | requested | active | on-hold | completed | cancelled | entered-in-error Binding: NutritionOrderStatus (required) Fixed Value: draft
patient | S Σ | 1..1 | Reference(PatientSTU3) | The person who requires the diet, formula or nutritional supplement
encounter |  | 0..1 | Reference(EncounterSTU3) | The encounter associated with this nutrition order
dateTime | S Σ | 1..1 | dateTime | Date and time the nutrition order was requested
orderer | S Σ | 1..1 | Reference(PractitionerSTU3) | 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: Food Type Codes (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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
type | Σ | 0..* | CodeableConcept | Type of oral diet or diet restrictions that describe what can be consumed orally Binding: Diet Codes (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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
modifier |  | 0..1 | CodeableConcept | Type of nutrient that is being modified Binding: Nutrient Modifier Codes (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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
modifier |  | 0..1 | CodeableConcept | Code to indicate how to alter the texture of the foods, e.g. pureed Binding: Texture Modifier Codes (example)
foodType |  | 0..1 | CodeableConcept | Concepts that are used to identify an entity that is ingested for nutritional purposes Binding: Texture Modified Food Type Codes (example)
fluidConsistencyType |  | 0..* | CodeableConcept | The required consistency of fluids and liquids provided to the patient Binding: Fluid Consistency Type Codes (example)
instruction | Σ | 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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
type | Σ | 0..1 | CodeableConcept | Type of supplement product requested Binding: Supplement Type Codes (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 | Σ | 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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
baseFormulaType | Σ | 0..1 | CodeableConcept | Type of enteral or infant formula Binding: Enteral Formula Type Codes (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: Enteral Formula Additive Type Code (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: Enteral Route Codes (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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
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 | Σ | 0..1 | string | Formula feeding instructions expressed as text
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/STU3/StructureDefinition/profile-patient-stu3
- http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/profile-encounter-stu3
- http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/profile-practitioner-stu3

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/ext-insurance
- http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/ext-instantiates

Differential View

This structure is derived from NutritionOrder

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
NutritionOrder |  | 0..* |  |
ext-insurance | S | 0..* | Reference(CoverageSTU3) | Insurance URL: http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/ext-insurance
ext-instantiates | S | 1..1 | Reference(ActivityDefinition | PlanDefinition) | Extension URL: http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/ext-instantiates
identifier | S | 0..* | Identifier |
status | S | 1..1 | code | Fixed Value: draft
patient | S | 1..1 | Reference(PatientSTU3) |
encounter |  | 0..1 | Reference(EncounterSTU3) |
dateTime | S | 1..1 | dateTime |
orderer | S | 1..1 | Reference(PractitionerSTU3) |
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 |
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
NutritionOrder | I | 0..* |  | Diet, formula or nutritional supplement request
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 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 (extensible) Max Binding: All Languages
text | I | 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(CoverageSTU3) | Insurance URL: http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/ext-insurance
ext-instantiates | S I | 1..1 | Reference(ActivityDefinition | PlanDefinition) | Extension URL: http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/ext-instantiates
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S | 0..* | Identifier | Identifiers assigned to this order
status | ?!S Σ | 1..1 | code | proposed | draft | planned | requested | active | on-hold | completed | cancelled | entered-in-error Binding: NutritionOrderStatus (required) Fixed Value: draft
patient | S Σ | 1..1 | Reference(PatientSTU3) | The person who requires the diet, formula or nutritional supplement
encounter |  | 0..1 | Reference(EncounterSTU3) | The encounter associated with this nutrition order
dateTime | S Σ | 1..1 | dateTime | Date and time the nutrition order was requested
orderer | S Σ | 1..1 | Reference(PractitionerSTU3) | 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: Food Type Codes (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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
type | Σ | 0..* | CodeableConcept | Type of oral diet or diet restrictions that describe what can be consumed orally Binding: Diet Codes (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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
modifier |  | 0..1 | CodeableConcept | Type of nutrient that is being modified Binding: Nutrient Modifier Codes (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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
modifier |  | 0..1 | CodeableConcept | Code to indicate how to alter the texture of the foods, e.g. pureed Binding: Texture Modifier Codes (example)
foodType |  | 0..1 | CodeableConcept | Concepts that are used to identify an entity that is ingested for nutritional purposes Binding: Texture Modified Food Type Codes (example)
fluidConsistencyType |  | 0..* | CodeableConcept | The required consistency of fluids and liquids provided to the patient Binding: Fluid Consistency Type Codes (example)
instruction | Σ | 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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
type | Σ | 0..1 | CodeableConcept | Type of supplement product requested Binding: Supplement Type Codes (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 | Σ | 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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
baseFormulaType | Σ | 0..1 | CodeableConcept | Type of enteral or infant formula Binding: Enteral Formula Type Codes (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: Enteral Formula Additive Type Code (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: Enteral Route Codes (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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
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 | Σ | 0..1 | string | Formula feeding instructions expressed as text
Documentation for this format

Other representations of profile: Schematron

### Terminology Bindings

Path | Conformance | ValueSet / Code
NutritionOrder.status | required | Fixed Value: draft
NutritionOrder.foodPreferenceModifier | example | Diet
NutritionOrder.excludeFoodModifier | example | Food Type Codes

### 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-1 | NutritionOrder | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.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 : contained.where(('#'+id in %resource.descendants().reference).not()).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() | (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() | (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() | (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() | (children().count() > id.count()) |
ele-1 | NutritionOrder.oralDiet.nutrient | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) |
ele-1 | NutritionOrder.oralDiet.texture | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) |
ele-1 | NutritionOrder.supplement | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) |
ele-1 | NutritionOrder.enteralFormula | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) |
ele-1 | NutritionOrder.enteralFormula.administration | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) |