CRD Nutrition Order - Da Vinci - Coverage Requirements Discovery v2.1.0

Da Vinci - Coverage Requirements Discovery
2.1.0 - STU 2.1 United States of America flag

This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v2.1.0: STU 2.1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: CRD Nutrition Order

Official URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-nutritionorder		Version: 2.1.0
Standards status: Trial-use	Maturity Level: 1	Computable Name: CRDNutritionOrder
Other Identifiers: OID:2.16.840.1.113883.4.642.40.18.42.13

This profile specifies extensions and constraints on the NutritionOrder resource to support coverage requirements discovery.

Usage

CRD Clients SHALL use this profile to resolve references to NutritionOrder resources passed to CRD Servers (e.g. selections context references) and to populate draftOrders context objects when invoking the when invoking the following CDS Hooks:

Information provided in Must Support elements will commonly be required for CRD Servers to perform coverage requirements discovery.

Usage:

Refer to this Resource Profile: Coverage Information

Formal Views of Profile Content

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

Differential Table
Key Elements Table
Snapshot Table
Statistics/References
All

This structure is derived from NutritionOrder

Name	Flags	Card.	Type	Description & Constraints
NutritionOrder		0..*	NutritionOrder	Diet, formula or nutritional supplement request
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	S	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
identifier	S	0..*	Identifier	Identifiers assigned to this order
status	S	1..1	code	draft \| active \| on-hold \| revoked \| completed \| entered-in-error \| unknown Example General: draft
patient	S	1..1	Reference(CRD Patient)	The person who requires the diet, formula or nutritional supplement
encounter	S	0..1	Reference(CRD Encounter)	The encounter associated with this nutrition order
dateTime	S	1..1	dateTime	Date and time the nutrition order was requested
orderer	S	1..1	Reference(US Core Practitioner Profile(7.0.0) S \| HRex PractitionerRole Profile S)	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
excludeFoodModifier	S	0..*	CodeableConcept	Order-specific modifier about the type of food that should not be given
oralDiet	S	0..1	BackboneElement	Oral diet components
supplement	S	0..*	BackboneElement	Supplement components
enteralFormula	S	0..1	BackboneElement	Enteral formula components
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
NutritionOrder	C	0..*	NutritionOrder	Diet, formula or nutritional supplement request dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management nor-1: Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Coverage-Information	SC	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both crd-ci-q1: Questionnaire is only allowed when doc-needed exists crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' must not exist. crd-ci-q3: 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. crd-ci-q6: If 'info-needed' is Other, then reason must be specified crd-ci-q7: If reason.coding is present and is not from the extensible value set, then reason.text must be present
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	S	0..*	Identifier	Identifiers assigned to this order ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	draft \| active \| on-hold \| revoked \| completed \| entered-in-error \| unknown Binding: RequestStatus (required): Codes identifying the lifecycle stage of the nutrition order. ele-1: All FHIR elements must have a @value or children Example General: draft
intent	?!Σ	1..1	code	proposal \| plan \| directive \| order \| original-order \| reflex-order \| filler-order \| instance-order \| option Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a nutrition order. ele-1: All FHIR elements must have a @value or children
patient	SΣ	1..1	Reference(CRD Patient)	The person who requires the diet, formula or nutritional supplement ele-1: All FHIR elements must have a @value or children
encounter	S	0..1	Reference(CRD Encounter)	The encounter associated with this nutrition order ele-1: All FHIR elements must have a @value or children
dateTime	SΣ	1..1	dateTime	Date and time the nutrition order was requested ele-1: All FHIR elements must have a @value or children
orderer	SΣ	1..1	Reference(US Core Practitioner Profile(7.0.0) \| HRex PractitionerRole Profile)	Who ordered the diet, formula or nutritional supplement ele-1: All FHIR elements must have a @value or children
allergyIntolerance	S	0..*	Reference(AllergyIntolerance)	List of the patient's food and nutrition-related allergies and intolerances ele-1: All FHIR elements must have a @value or children
foodPreferenceModifier	S	0..*	CodeableConcept	Order-specific modifier about the type of food that should be given Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements. ele-1: All FHIR elements must have a @value or children
excludeFoodModifier	S	0..*	CodeableConcept	Order-specific modifier about the type of food that should not be given Binding: FoodTypeCodes (example): Codes used to indicate the type of food that should NOT be given to the patient. ele-1: All FHIR elements must have a @value or children
oralDiet	SC	0..1	BackboneElement	Oral diet components ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
supplement	SC	0..*	BackboneElement	Supplement components ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
enteralFormula	SC	0..1	BackboneElement	Enteral formula components ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
NutritionOrder.status	required	RequestStatus `http://hl7.org/fhir/ValueSet/request-status\|4.0.1` from the FHIR Standard
NutritionOrder.intent	required	RequestIntent `http://hl7.org/fhir/ValueSet/request-intent\|4.0.1` from the FHIR Standard
NutritionOrder.foodPreferenceModifier	example	Diet `http://hl7.org/fhir/ValueSet/encounter-diet` from the FHIR Standard
NutritionOrder.excludeFoodModifier	example	FoodTypeCodes `http://hl7.org/fhir/ValueSet/food-type` from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
crd-ci-q1	error	NutritionOrder.extension:Coverage-Information	Questionnaire is only allowed when doc-needed exists : extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
crd-ci-q2	error	NutritionOrder.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' must not exist. : extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
crd-ci-q3	error	NutritionOrder.extension:Coverage-Information	'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. : extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
crd-ci-q4	error	NutritionOrder.extension:Coverage-Information	If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')
crd-ci-q5	error	NutritionOrder.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
crd-ci-q6	error	NutritionOrder.extension:Coverage-Information	If 'info-needed' is Other, then reason must be specified : extension.where(url = 'info-needed' and value = 'Other').exists() implies extension.where(url = 'reason').exists()
crd-ci-q7	error	NutritionOrder.extension:Coverage-Information	If reason.coding is present and is not from the extensible value set, then reason.text must be present : extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
dom-2	error	NutritionOrder	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	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-4	error	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-5	error	NutritionOrder	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	NutritionOrder	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	ALL extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
nor-1	warning	NutritionOrder	Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class : oralDiet.exists() or supplement.exists() or enteralFormula.exists()