PACIO Personal Functioning and Engagement Implementation Guide
2.0.0-ballot - STU2 Ballot
PACIO Personal Functioning and Engagement Implementation Guide
2.0.0-ballot - STU2 Ballot
This page is part of the PACIO Personal Functioning and Engagement Implementation Guide (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-nutrition-order | Version: 2.0.0-ballot | |||
| Active as of 2024-08-13 | Computable Name: PFENutritionOrder | |||
An exchange of post-acute care nutrition order for a patient. This profile is used for exchanging a personal functioning and engagement nutrition order for oral diet, supplement, or enteral formula.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from NutritionOrder
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  NutritionOrder |
0..* | NutritionOrder | Diet, formula or nutritional supplement request | |
  encounter |
S | 0..1 | Reference(Encounter) | The encounter associated with this nutrition order |
| orderer |
S | 0..1 | Reference(Practitioner | PractitionerRole) | Who ordered the diet, formula or nutritional supplement |
| allergyIntolerance |
1..* | 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 |
 type |
S | 0..* | CodeableConcept | Type of oral diet or diet restrictions that describe what can be consumed orally |
| nutrient |
S | 0..* | BackboneElement | Required nutrient modifications |
| modifier |
S | 0..1 | CodeableConcept | Type of nutrient that is being modified |
 amount |
S | 0..1 | SimpleQuantity | Quantity of the specified nutrient |
| texture |
S | 0..* | BackboneElement | Required texture modifications |
| modifier |
S | 0..1 | CodeableConcept | Code to indicate how to alter the texture of the foods, e.g. pureed |
| foodType |
S | 0..1 | CodeableConcept | Concepts that are used to identify an entity that is ingested for nutritional purposes |
| fluidConsistencyType |
S | 0..* | CodeableConcept | The required consistency of fluids and liquids provided to the patient |
| instruction |
S | 0..1 | string | Instructions or additional information about the oral diet |
| supplement |
S | 0..* | BackboneElement | Supplement components |
| type |
S | 0..1 | CodeableConcept | Type of supplement product requested |
| schedule |
S | 0..* | Timing | Scheduled frequency of supplement |
| quantity |
S | 0..1 | SimpleQuantity | Amount of the nutritional supplement |
| instruction |
S | 0..1 | string | Instructions or additional information about the oral supplement |
 enteralFormula |
S | 0..1 | BackboneElement | Enteral formula components |
 baseFormulaType |
S | 0..1 | CodeableConcept | Type of enteral or infant formula |
| additiveType |
S | 0..1 | CodeableConcept | Type of modular component to add to the feeding |
| caloricDensity |
S | 0..1 | SimpleQuantity | Amount of energy per specified volume that is required |
| routeofAdministration |
S | 0..1 | CodeableConcept | How the formula should enter the patient's gastrointestinal tract |
| administration |
S | 0..* | BackboneElement | Formula feeding instruction as structured data |
| schedule |
S | 0..1 | Timing | Scheduled frequency of enteral feeding |
| quantity |
S | 0..1 | SimpleQuantity | The volume of formula to provide |
| rate[x] |
S | 0..1 | SimpleQuantity, Ratio | Speed with which the formula is provided per period of time |
| administrationInstruction |
S | 0..1 | string | Formula feeding instructions expressed as text |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| NutritionOrder |
C | 0..* | NutritionOrder | Diet, formula or nutritional supplement request 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 |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 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. |
| 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. |
 patient |
Σ | 1..1 | Reference(Patient) | The person who requires the diet, formula or nutritional supplement |
| encounter |
S | 0..1 | Reference(Encounter) | The encounter associated with this nutrition order |
| dateTime |
Σ | 1..1 | dateTime | Date and time the nutrition order was requested |
| orderer |
SΣ | 0..1 | Reference(Practitioner | PractitionerRole) | Who ordered the diet, formula or nutritional supplement |
| allergyIntolerance |
1..* | 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): Medical, cultural or ethical food preferences to help with catering requirements. |
| 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. |
| oralDiet |
SC | 0..1 | BackboneElement | Oral diet components |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| type |
SΣ | 0..* | CodeableConcept | Type of oral diet or diet restrictions that describe what can be consumed orally Binding: DietCodes (example): Codes used to indicate the type of diet being ordered for a patient. |
| nutrient |
S | 0..* | BackboneElement | Required nutrient modifications |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| modifier |
S | 0..1 | CodeableConcept | Type of nutrient that is being modified Binding: NutrientModifierCodes (example): Codes for types of nutrients that are being modified such as carbohydrate or sodium. |
| amount |
S | 0..1 | SimpleQuantity | Quantity of the specified nutrient |
| texture |
S | 0..* | BackboneElement | Required texture modifications |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| modifier |
S | 0..1 | CodeableConcept | Code to indicate how to alter the texture of the foods, e.g. pureed Binding: TextureModifierCodes (example): Codes for food consistency types or texture modifications to apply to foods. |
| foodType |
S | 0..1 | CodeableConcept | Concepts that are used to identify an entity that is ingested for nutritional purposes Binding: TextureModifiedFoodTypeCodes (example): Codes for types of foods that are texture-modified. |
| fluidConsistencyType |
S | 0..* | CodeableConcept | The required consistency of fluids and liquids provided to the patient Binding: FluidConsistencyTypeCodes (example): Codes used to represent the consistency of fluids and liquids provided to the patient. |
| instruction |
SΣ | 0..1 | string | Instructions or additional information about the oral diet |
| supplement |
SC | 0..* | BackboneElement | Supplement components |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| type |
SΣ | 0..1 | CodeableConcept | Type of supplement product requested Binding: SupplementTypeCodes (example): Codes for nutritional supplements to be provided to the patient. |
| schedule |
S | 0..* | Timing | Scheduled frequency of supplement |
| quantity |
S | 0..1 | SimpleQuantity | Amount of the nutritional supplement |
| instruction |
SΣ | 0..1 | string | Instructions or additional information about the oral supplement |
| enteralFormula |
SC | 0..1 | BackboneElement | Enteral formula components |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| baseFormulaType |
SΣ | 0..1 | CodeableConcept | Type of enteral or infant formula Binding: EnteralFormulaTypeCodes (example): Codes for type of enteral formula to be administered to patient. |
| additiveType |
S | 0..1 | CodeableConcept | Type of modular component to add to the feeding Binding: EnteralFormulaAdditiveTypeCode (example): Codes for the type of modular component such as protein, carbohydrate or fiber to be provided in addition to or mixed with the base formula. |
| caloricDensity |
S | 0..1 | SimpleQuantity | Amount of energy per specified volume that is required |
| routeofAdministration |
S | 0..1 | CodeableConcept | How the formula should enter the patient's gastrointestinal tract Binding: EnteralRouteCodes (extensible): Codes specifying the route of administration of enteral formula. |
| administration |
S | 0..* | BackboneElement | Formula feeding instruction as structured data |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| schedule |
S | 0..1 | Timing | Scheduled frequency of enteral feeding |
| quantity |
S | 0..1 | SimpleQuantity | The volume of formula to provide |
 rate[x] |
S | 0..1 | Speed with which the formula is provided per period of time | |
| rateQuantity |
Quantity(SimpleQuantity) | |||
| rateRatio |
Ratio | |||
| administrationInstruction |
SΣ | 0..1 | string | Formula feeding instructions expressed as text |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| NutritionOrder.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | |
| NutritionOrder.intent | required | RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1from the FHIR Standard | |
| NutritionOrder.foodPreferenceModifier | example | Diethttp://hl7.org/fhir/ValueSet/encounter-dietfrom the FHIR Standard | |
| NutritionOrder.excludeFoodModifier | example | FoodTypeCodeshttp://hl7.org/fhir/ValueSet/food-typefrom the FHIR Standard | |
| NutritionOrder.oralDiet.type | example | DietCodeshttp://hl7.org/fhir/ValueSet/diet-typefrom the FHIR Standard | |
| NutritionOrder.oralDiet.nutrient.modifier | example | NutrientModifierCodeshttp://hl7.org/fhir/ValueSet/nutrient-codefrom the FHIR Standard | |
| NutritionOrder.oralDiet.texture.modifier | example | TextureModifierCodeshttp://hl7.org/fhir/ValueSet/texture-codefrom the FHIR Standard | |
| NutritionOrder.oralDiet.texture.foodType | example | TextureModifiedFoodTypeCodeshttp://hl7.org/fhir/ValueSet/modified-foodtypefrom the FHIR Standard | |
| NutritionOrder.oralDiet.fluidConsistencyType | example | FluidConsistencyTypeCodeshttp://hl7.org/fhir/ValueSet/consistency-typefrom the FHIR Standard | |
| NutritionOrder.supplement.type | example | SupplementTypeCodeshttp://hl7.org/fhir/ValueSet/supplement-typefrom the FHIR Standard | |
| NutritionOrder.enteralFormula.baseFormulaType | example | EnteralFormulaTypeCodeshttp://hl7.org/fhir/ValueSet/entformula-typefrom the FHIR Standard | |
| NutritionOrder.enteralFormula.additiveType | example | EnteralFormulaAdditiveTypeCodehttp://hl7.org/fhir/ValueSet/entformula-additivefrom the FHIR Standard | |
| NutritionOrder.enteralFormula.routeofAdministration | extensible | EnteralRouteCodeshttp://hl7.org/fhir/ValueSet/enteral-routefrom the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| NutritionOrder |
C | 0..* | NutritionOrder | Diet, formula or nutritional supplement request nor-1: Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class | ||||
| 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: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
0..* | Identifier | Identifiers assigned to this order | |||||
| instantiatesCanonical |
Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| instantiates |
0..* | uri | Instantiates protocol or definition | |||||
| status |
?!Σ | 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. | ||||
| 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. | ||||
| patient |
Σ | 1..1 | Reference(Patient) | The person who requires the diet, formula or nutritional supplement | ||||
| encounter |
S | 0..1 | Reference(Encounter) | The encounter associated with this nutrition order | ||||
| dateTime |
Σ | 1..1 | dateTime | Date and time the nutrition order was requested | ||||
| orderer |
SΣ | 0..1 | Reference(Practitioner | PractitionerRole) | Who ordered the diet, formula or nutritional supplement | ||||
| allergyIntolerance |
1..* | 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): Medical, cultural or ethical food preferences to help with catering requirements. | ||||
| 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. | ||||
| oralDiet |
SC | 0..1 | BackboneElement | Oral diet components | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type |
SΣ | 0..* | CodeableConcept | Type of oral diet or diet restrictions that describe what can be consumed orally Binding: DietCodes (example): Codes used to indicate the type of diet being ordered for a patient. | ||||
| schedule |
0..* | Timing | Scheduled frequency of diet | |||||
| nutrient |
S | 0..* | BackboneElement | Required nutrient modifications | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| modifier |
S | 0..1 | CodeableConcept | Type of nutrient that is being modified Binding: NutrientModifierCodes (example): Codes for types of nutrients that are being modified such as carbohydrate or sodium. | ||||
| amount |
S | 0..1 | SimpleQuantity | Quantity of the specified nutrient | ||||
| texture |
S | 0..* | BackboneElement | Required texture modifications | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| modifier |
S | 0..1 | CodeableConcept | Code to indicate how to alter the texture of the foods, e.g. pureed Binding: TextureModifierCodes (example): Codes for food consistency types or texture modifications to apply to foods. | ||||
| foodType |
S | 0..1 | CodeableConcept | Concepts that are used to identify an entity that is ingested for nutritional purposes Binding: TextureModifiedFoodTypeCodes (example): Codes for types of foods that are texture-modified. | ||||
| fluidConsistencyType |
S | 0..* | CodeableConcept | The required consistency of fluids and liquids provided to the patient Binding: FluidConsistencyTypeCodes (example): Codes used to represent the consistency of fluids and liquids provided to the patient. | ||||
| instruction |
SΣ | 0..1 | string | Instructions or additional information about the oral diet | ||||
| supplement |
SC | 0..* | BackboneElement | Supplement components | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type |
SΣ | 0..1 | CodeableConcept | Type of supplement product requested Binding: SupplementTypeCodes (example): Codes for nutritional supplements to be provided to the patient. | ||||
| productName |
0..1 | string | Product or brand name of the nutritional supplement | |||||
| schedule |
S | 0..* | Timing | Scheduled frequency of supplement | ||||
| quantity |
S | 0..1 | SimpleQuantity | Amount of the nutritional supplement | ||||
| instruction |
SΣ | 0..1 | string | Instructions or additional information about the oral supplement | ||||
| enteralFormula |
SC | 0..1 | BackboneElement | Enteral formula components | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| baseFormulaType |
SΣ | 0..1 | CodeableConcept | Type of enteral or infant formula Binding: EnteralFormulaTypeCodes (example): Codes for type of enteral formula to be administered to patient. | ||||
| baseFormulaProductName |
0..1 | string | Product or brand name of the enteral or infant formula | |||||
| additiveType |
S | 0..1 | CodeableConcept | Type of modular component to add to the feeding Binding: EnteralFormulaAdditiveTypeCode (example): Codes for the type of modular component such as protein, carbohydrate or fiber to be provided in addition to or mixed with the base formula. | ||||
| additiveProductName |
0..1 | string | Product or brand name of the modular additive | |||||
| caloricDensity |
S | 0..1 | SimpleQuantity | Amount of energy per specified volume that is required | ||||
| routeofAdministration |
S | 0..1 | CodeableConcept | How the formula should enter the patient's gastrointestinal tract Binding: EnteralRouteCodes (extensible): Codes specifying the route of administration of enteral formula. | ||||
| administration |
S | 0..* | BackboneElement | Formula feeding instruction as structured data | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| schedule |
S | 0..1 | Timing | Scheduled frequency of enteral feeding | ||||
| quantity |
S | 0..1 | SimpleQuantity | The volume of formula to provide | ||||
| rate[x] |
S | 0..1 | Speed with which the formula is provided per period of time | |||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||
| rateRatio |
Ratio | |||||||
| maxVolumeToDeliver |
0..1 | SimpleQuantity | Upper limit on formula volume per unit of time | |||||
| administrationInstruction |
SΣ | 0..1 | string | Formula feeding instructions expressed as text | ||||
| note |
0..* | Annotation | Comments | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| NutritionOrder.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| NutritionOrder.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | ||||
| NutritionOrder.intent | required | RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1from the FHIR Standard | ||||
| NutritionOrder.foodPreferenceModifier | example | Diethttp://hl7.org/fhir/ValueSet/encounter-dietfrom the FHIR Standard | ||||
| NutritionOrder.excludeFoodModifier | example | FoodTypeCodeshttp://hl7.org/fhir/ValueSet/food-typefrom the FHIR Standard | ||||
| NutritionOrder.oralDiet.type | example | DietCodeshttp://hl7.org/fhir/ValueSet/diet-typefrom the FHIR Standard | ||||
| NutritionOrder.oralDiet.nutrient.modifier | example | NutrientModifierCodeshttp://hl7.org/fhir/ValueSet/nutrient-codefrom the FHIR Standard | ||||
| NutritionOrder.oralDiet.texture.modifier | example | TextureModifierCodeshttp://hl7.org/fhir/ValueSet/texture-codefrom the FHIR Standard | ||||
| NutritionOrder.oralDiet.texture.foodType | example | TextureModifiedFoodTypeCodeshttp://hl7.org/fhir/ValueSet/modified-foodtypefrom the FHIR Standard | ||||
| NutritionOrder.oralDiet.fluidConsistencyType | example | FluidConsistencyTypeCodeshttp://hl7.org/fhir/ValueSet/consistency-typefrom the FHIR Standard | ||||
| NutritionOrder.supplement.type | example | SupplementTypeCodeshttp://hl7.org/fhir/ValueSet/supplement-typefrom the FHIR Standard | ||||
| NutritionOrder.enteralFormula.baseFormulaType | example | EnteralFormulaTypeCodeshttp://hl7.org/fhir/ValueSet/entformula-typefrom the FHIR Standard | ||||
| NutritionOrder.enteralFormula.additiveType | example | EnteralFormulaAdditiveTypeCodehttp://hl7.org/fhir/ValueSet/entformula-additivefrom the FHIR Standard | ||||
| NutritionOrder.enteralFormula.routeofAdministration | extensible | EnteralRouteCodeshttp://hl7.org/fhir/ValueSet/enteral-routefrom the FHIR Standard |
This structure is derived from NutritionOrder
Differential View
This structure is derived from NutritionOrder
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| NutritionOrder |
0..* | NutritionOrder | Diet, formula or nutritional supplement request | |
| encounter |
S | 0..1 | Reference(Encounter) | The encounter associated with this nutrition order |
| orderer |
S | 0..1 | Reference(Practitioner | PractitionerRole) | Who ordered the diet, formula or nutritional supplement |
| allergyIntolerance |
1..* | 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 |
| type |
S | 0..* | CodeableConcept | Type of oral diet or diet restrictions that describe what can be consumed orally |
| nutrient |
S | 0..* | BackboneElement | Required nutrient modifications |
| modifier |
S | 0..1 | CodeableConcept | Type of nutrient that is being modified |
| amount |
S | 0..1 | SimpleQuantity | Quantity of the specified nutrient |
| texture |
S | 0..* | BackboneElement | Required texture modifications |
| modifier |
S | 0..1 | CodeableConcept | Code to indicate how to alter the texture of the foods, e.g. pureed |
| foodType |
S | 0..1 | CodeableConcept | Concepts that are used to identify an entity that is ingested for nutritional purposes |
| fluidConsistencyType |
S | 0..* | CodeableConcept | The required consistency of fluids and liquids provided to the patient |
| instruction |
S | 0..1 | string | Instructions or additional information about the oral diet |
| supplement |
S | 0..* | BackboneElement | Supplement components |
| type |
S | 0..1 | CodeableConcept | Type of supplement product requested |
| schedule |
S | 0..* | Timing | Scheduled frequency of supplement |
| quantity |
S | 0..1 | SimpleQuantity | Amount of the nutritional supplement |
| instruction |
S | 0..1 | string | Instructions or additional information about the oral supplement |
| enteralFormula |
S | 0..1 | BackboneElement | Enteral formula components |
| baseFormulaType |
S | 0..1 | CodeableConcept | Type of enteral or infant formula |
| additiveType |
S | 0..1 | CodeableConcept | Type of modular component to add to the feeding |
| caloricDensity |
S | 0..1 | SimpleQuantity | Amount of energy per specified volume that is required |
| routeofAdministration |
S | 0..1 | CodeableConcept | How the formula should enter the patient's gastrointestinal tract |
| administration |
S | 0..* | BackboneElement | Formula feeding instruction as structured data |
| schedule |
S | 0..1 | Timing | Scheduled frequency of enteral feeding |
| quantity |
S | 0..1 | SimpleQuantity | The volume of formula to provide |
| rate[x] |
S | 0..1 | SimpleQuantity, Ratio | Speed with which the formula is provided per period of time |
| administrationInstruction |
S | 0..1 | string | Formula feeding instructions expressed as text |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| NutritionOrder |
C | 0..* | NutritionOrder | Diet, formula or nutritional supplement request 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 |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 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. |
| 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. |
| patient |
Σ | 1..1 | Reference(Patient) | The person who requires the diet, formula or nutritional supplement |
| encounter |
S | 0..1 | Reference(Encounter) | The encounter associated with this nutrition order |
| dateTime |
Σ | 1..1 | dateTime | Date and time the nutrition order was requested |
| orderer |
SΣ | 0..1 | Reference(Practitioner | PractitionerRole) | Who ordered the diet, formula or nutritional supplement |
| allergyIntolerance |
1..* | 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): Medical, cultural or ethical food preferences to help with catering requirements. |
| 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. |
| oralDiet |
SC | 0..1 | BackboneElement | Oral diet components |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| type |
SΣ | 0..* | CodeableConcept | Type of oral diet or diet restrictions that describe what can be consumed orally Binding: DietCodes (example): Codes used to indicate the type of diet being ordered for a patient. |
| nutrient |
S | 0..* | BackboneElement | Required nutrient modifications |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| modifier |
S | 0..1 | CodeableConcept | Type of nutrient that is being modified Binding: NutrientModifierCodes (example): Codes for types of nutrients that are being modified such as carbohydrate or sodium. |
| amount |
S | 0..1 | SimpleQuantity | Quantity of the specified nutrient |
| texture |
S | 0..* | BackboneElement | Required texture modifications |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| modifier |
S | 0..1 | CodeableConcept | Code to indicate how to alter the texture of the foods, e.g. pureed Binding: TextureModifierCodes (example): Codes for food consistency types or texture modifications to apply to foods. |
| foodType |
S | 0..1 | CodeableConcept | Concepts that are used to identify an entity that is ingested for nutritional purposes Binding: TextureModifiedFoodTypeCodes (example): Codes for types of foods that are texture-modified. |
| fluidConsistencyType |
S | 0..* | CodeableConcept | The required consistency of fluids and liquids provided to the patient Binding: FluidConsistencyTypeCodes (example): Codes used to represent the consistency of fluids and liquids provided to the patient. |
| instruction |
SΣ | 0..1 | string | Instructions or additional information about the oral diet |
| supplement |
SC | 0..* | BackboneElement | Supplement components |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| type |
SΣ | 0..1 | CodeableConcept | Type of supplement product requested Binding: SupplementTypeCodes (example): Codes for nutritional supplements to be provided to the patient. |
| schedule |
S | 0..* | Timing | Scheduled frequency of supplement |
| quantity |
S | 0..1 | SimpleQuantity | Amount of the nutritional supplement |
| instruction |
SΣ | 0..1 | string | Instructions or additional information about the oral supplement |
| enteralFormula |
SC | 0..1 | BackboneElement | Enteral formula components |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| baseFormulaType |
SΣ | 0..1 | CodeableConcept | Type of enteral or infant formula Binding: EnteralFormulaTypeCodes (example): Codes for type of enteral formula to be administered to patient. |
| additiveType |
S | 0..1 | CodeableConcept | Type of modular component to add to the feeding Binding: EnteralFormulaAdditiveTypeCode (example): Codes for the type of modular component such as protein, carbohydrate or fiber to be provided in addition to or mixed with the base formula. |
| caloricDensity |
S | 0..1 | SimpleQuantity | Amount of energy per specified volume that is required |
| routeofAdministration |
S | 0..1 | CodeableConcept | How the formula should enter the patient's gastrointestinal tract Binding: EnteralRouteCodes (extensible): Codes specifying the route of administration of enteral formula. |
| administration |
S | 0..* | BackboneElement | Formula feeding instruction as structured data |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| schedule |
S | 0..1 | Timing | Scheduled frequency of enteral feeding |
| quantity |
S | 0..1 | SimpleQuantity | The volume of formula to provide |
| rate[x] |
S | 0..1 | Speed with which the formula is provided per period of time | |
| rateQuantity |
Quantity(SimpleQuantity) | |||
| rateRatio |
Ratio | |||
| administrationInstruction |
SΣ | 0..1 | string | Formula feeding instructions expressed as text |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| NutritionOrder.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | |
| NutritionOrder.intent | required | RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1from the FHIR Standard | |
| NutritionOrder.foodPreferenceModifier | example | Diethttp://hl7.org/fhir/ValueSet/encounter-dietfrom the FHIR Standard | |
| NutritionOrder.excludeFoodModifier | example | FoodTypeCodeshttp://hl7.org/fhir/ValueSet/food-typefrom the FHIR Standard | |
| NutritionOrder.oralDiet.type | example | DietCodeshttp://hl7.org/fhir/ValueSet/diet-typefrom the FHIR Standard | |
| NutritionOrder.oralDiet.nutrient.modifier | example | NutrientModifierCodeshttp://hl7.org/fhir/ValueSet/nutrient-codefrom the FHIR Standard | |
| NutritionOrder.oralDiet.texture.modifier | example | TextureModifierCodeshttp://hl7.org/fhir/ValueSet/texture-codefrom the FHIR Standard | |
| NutritionOrder.oralDiet.texture.foodType | example | TextureModifiedFoodTypeCodeshttp://hl7.org/fhir/ValueSet/modified-foodtypefrom the FHIR Standard | |
| NutritionOrder.oralDiet.fluidConsistencyType | example | FluidConsistencyTypeCodeshttp://hl7.org/fhir/ValueSet/consistency-typefrom the FHIR Standard | |
| NutritionOrder.supplement.type | example | SupplementTypeCodeshttp://hl7.org/fhir/ValueSet/supplement-typefrom the FHIR Standard | |
| NutritionOrder.enteralFormula.baseFormulaType | example | EnteralFormulaTypeCodeshttp://hl7.org/fhir/ValueSet/entformula-typefrom the FHIR Standard | |
| NutritionOrder.enteralFormula.additiveType | example | EnteralFormulaAdditiveTypeCodehttp://hl7.org/fhir/ValueSet/entformula-additivefrom the FHIR Standard | |
| NutritionOrder.enteralFormula.routeofAdministration | extensible | EnteralRouteCodeshttp://hl7.org/fhir/ValueSet/enteral-routefrom the FHIR Standard |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| NutritionOrder |
C | 0..* | NutritionOrder | Diet, formula or nutritional supplement request nor-1: Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class | ||||
| 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: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
0..* | Identifier | Identifiers assigned to this order | |||||
| instantiatesCanonical |
Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| instantiates |
0..* | uri | Instantiates protocol or definition | |||||
| status |
?!Σ | 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. | ||||
| 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. | ||||
| patient |
Σ | 1..1 | Reference(Patient) | The person who requires the diet, formula or nutritional supplement | ||||
| encounter |
S | 0..1 | Reference(Encounter) | The encounter associated with this nutrition order | ||||
| dateTime |
Σ | 1..1 | dateTime | Date and time the nutrition order was requested | ||||
| orderer |
SΣ | 0..1 | Reference(Practitioner | PractitionerRole) | Who ordered the diet, formula or nutritional supplement | ||||
| allergyIntolerance |
1..* | 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): Medical, cultural or ethical food preferences to help with catering requirements. | ||||
| 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. | ||||
| oralDiet |
SC | 0..1 | BackboneElement | Oral diet components | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type |
SΣ | 0..* | CodeableConcept | Type of oral diet or diet restrictions that describe what can be consumed orally Binding: DietCodes (example): Codes used to indicate the type of diet being ordered for a patient. | ||||
| schedule |
0..* | Timing | Scheduled frequency of diet | |||||
| nutrient |
S | 0..* | BackboneElement | Required nutrient modifications | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| modifier |
S | 0..1 | CodeableConcept | Type of nutrient that is being modified Binding: NutrientModifierCodes (example): Codes for types of nutrients that are being modified such as carbohydrate or sodium. | ||||
| amount |
S | 0..1 | SimpleQuantity | Quantity of the specified nutrient | ||||
| texture |
S | 0..* | BackboneElement | Required texture modifications | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| modifier |
S | 0..1 | CodeableConcept | Code to indicate how to alter the texture of the foods, e.g. pureed Binding: TextureModifierCodes (example): Codes for food consistency types or texture modifications to apply to foods. | ||||
| foodType |
S | 0..1 | CodeableConcept | Concepts that are used to identify an entity that is ingested for nutritional purposes Binding: TextureModifiedFoodTypeCodes (example): Codes for types of foods that are texture-modified. | ||||
| fluidConsistencyType |
S | 0..* | CodeableConcept | The required consistency of fluids and liquids provided to the patient Binding: FluidConsistencyTypeCodes (example): Codes used to represent the consistency of fluids and liquids provided to the patient. | ||||
| instruction |
SΣ | 0..1 | string | Instructions or additional information about the oral diet | ||||
| supplement |
SC | 0..* | BackboneElement | Supplement components | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type |
SΣ | 0..1 | CodeableConcept | Type of supplement product requested Binding: SupplementTypeCodes (example): Codes for nutritional supplements to be provided to the patient. | ||||
| productName |
0..1 | string | Product or brand name of the nutritional supplement | |||||
| schedule |
S | 0..* | Timing | Scheduled frequency of supplement | ||||
| quantity |
S | 0..1 | SimpleQuantity | Amount of the nutritional supplement | ||||
| instruction |
SΣ | 0..1 | string | Instructions or additional information about the oral supplement | ||||
| enteralFormula |
SC | 0..1 | BackboneElement | Enteral formula components | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| baseFormulaType |
SΣ | 0..1 | CodeableConcept | Type of enteral or infant formula Binding: EnteralFormulaTypeCodes (example): Codes for type of enteral formula to be administered to patient. | ||||
| baseFormulaProductName |
0..1 | string | Product or brand name of the enteral or infant formula | |||||
| additiveType |
S | 0..1 | CodeableConcept | Type of modular component to add to the feeding Binding: EnteralFormulaAdditiveTypeCode (example): Codes for the type of modular component such as protein, carbohydrate or fiber to be provided in addition to or mixed with the base formula. | ||||
| additiveProductName |
0..1 | string | Product or brand name of the modular additive | |||||
| caloricDensity |
S | 0..1 | SimpleQuantity | Amount of energy per specified volume that is required | ||||
| routeofAdministration |
S | 0..1 | CodeableConcept | How the formula should enter the patient's gastrointestinal tract Binding: EnteralRouteCodes (extensible): Codes specifying the route of administration of enteral formula. | ||||
| administration |
S | 0..* | BackboneElement | Formula feeding instruction as structured data | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| schedule |
S | 0..1 | Timing | Scheduled frequency of enteral feeding | ||||
| quantity |
S | 0..1 | SimpleQuantity | The volume of formula to provide | ||||
| rate[x] |
S | 0..1 | Speed with which the formula is provided per period of time | |||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||
| rateRatio |
Ratio | |||||||
| maxVolumeToDeliver |
0..1 | SimpleQuantity | Upper limit on formula volume per unit of time | |||||
| administrationInstruction |
SΣ | 0..1 | string | Formula feeding instructions expressed as text | ||||
| note |
0..* | Annotation | Comments | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| NutritionOrder.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| NutritionOrder.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | ||||
| NutritionOrder.intent | required | RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1from the FHIR Standard | ||||
| NutritionOrder.foodPreferenceModifier | example | Diethttp://hl7.org/fhir/ValueSet/encounter-dietfrom the FHIR Standard | ||||
| NutritionOrder.excludeFoodModifier | example | FoodTypeCodeshttp://hl7.org/fhir/ValueSet/food-typefrom the FHIR Standard | ||||
| NutritionOrder.oralDiet.type | example | DietCodeshttp://hl7.org/fhir/ValueSet/diet-typefrom the FHIR Standard | ||||
| NutritionOrder.oralDiet.nutrient.modifier | example | NutrientModifierCodeshttp://hl7.org/fhir/ValueSet/nutrient-codefrom the FHIR Standard | ||||
| NutritionOrder.oralDiet.texture.modifier | example | TextureModifierCodeshttp://hl7.org/fhir/ValueSet/texture-codefrom the FHIR Standard | ||||
| NutritionOrder.oralDiet.texture.foodType | example | TextureModifiedFoodTypeCodeshttp://hl7.org/fhir/ValueSet/modified-foodtypefrom the FHIR Standard | ||||
| NutritionOrder.oralDiet.fluidConsistencyType | example | FluidConsistencyTypeCodeshttp://hl7.org/fhir/ValueSet/consistency-typefrom the FHIR Standard | ||||
| NutritionOrder.supplement.type | example | SupplementTypeCodeshttp://hl7.org/fhir/ValueSet/supplement-typefrom the FHIR Standard | ||||
| NutritionOrder.enteralFormula.baseFormulaType | example | EnteralFormulaTypeCodeshttp://hl7.org/fhir/ValueSet/entformula-typefrom the FHIR Standard | ||||
| NutritionOrder.enteralFormula.additiveType | example | EnteralFormulaAdditiveTypeCodehttp://hl7.org/fhir/ValueSet/entformula-additivefrom the FHIR Standard | ||||
| NutritionOrder.enteralFormula.routeofAdministration | extensible | EnteralRouteCodeshttp://hl7.org/fhir/ValueSet/enteral-routefrom the FHIR Standard |
This structure is derived from NutritionOrder
Other representations of profile: CSV, Excel, Schematron
IG © 2022+ HL7 International / Patient Care. Package hl7.fhir.us.pacio-pfe#2.0.0-ballot based on FHIR 4.0.1. Generated 2024-08-13
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