QI-Core Implementation Guide
7.0.0-ballot - STU7 Ballot United States of America flag

This page is part of the Quality Improvement Core Framework (v7.0.0-ballot: STU7 (v7.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 6.0.0. For a full list of available versions, see the Directory of published versions

Resource Profile: QICore NutritionOrder

Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-nutritionorder Version: 7.0.0-ballot
Active as of 2022-12-20 Computable Name: QICoreNutritionOrder

Defines constraints and extensions on the NutritionOrder resource for the minimal set of data to query and retrieve a patient's Nutrition Order.

QI Elements:
  • patient: (QI) The person who requires the diet, formula or nutritional supplement

NOTE TO BALLOT REVIEWERS:
  • US Core 7.0, and thus QI-Core 7.0, has a new approach to USCDI requirements.
    • As noted in the US Core 7.0 Must Support section, US Core 7.0 no longer highlights mandatory (cardinality 1..* or 1..1) and Must Support elements with a (USCDI) indicator as such items must be supported for interoperability.
    • Those USCDI elements that are not mandatory or Must Support now include an indicator (ADDITIONAL USCDI) in US Core. QI-Core 7.0 does not reference USCDI elements; rather, users should access US Core 7.0 to understand its implementation of USCDI version 4.
  • We invite comments about the approach and suggestions for other options that would also avoid unnecessary noise or reading load to the QI-Core profile representation.
  • Further, QI-Core 7.0 does not discuss USCDI+Quality because at the time of ballot preparation, no published version of USCDI+Quality is available. We seek reviewer advice regarding how QI-Core might address future USCDI+Quality.

Usage

See the patterns page for implementation and usage patterns.

Examples

Diabetic diet example

Usage:

Formal Views of Profile Content

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

This structure is derived from NutritionOrder

NameFlagsCard.TypeDescription & Constraintsdoco
.. NutritionOrder NutritionOrder
... identifier 0..* Identifier Identifiers assigned to this order
... patient 1..1 Reference(QICore Patient) (QI) The person who requires the diet, formula or nutritional supplement

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... identifier 0..* Identifier Identifiers assigned to this 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(QICore Patient) (QI) The person who requires the diet, formula or nutritional supplement
... dateTime Σ 1..1 dateTime Date and time the nutrition order was requested

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
NutritionOrder.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
NutritionOrder.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorNutritionOrderIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorNutritionOrderIf 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-4errorNutritionOrderIf 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-5errorNutritionOrderIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceNutritionOrderA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
nor-1warningNutritionOrderNutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class
: oralDiet.exists() or supplement.exists() or enteralFormula.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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(QICore Patient) (QI) The person who requires the diet, formula or nutritional supplement
... encounter 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 Σ 0..1 Reference(Practitioner | PractitionerRole) Who ordered the diet, formula or nutritional supplement
... allergyIntolerance 0..* Reference(AllergyIntolerance) List of the patient's food and nutrition-related allergies and intolerances
... foodPreferenceModifier 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 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 C 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 Σ 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 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 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 0..1 SimpleQuantity Quantity of the specified nutrient
.... texture 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 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 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 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 Σ 0..1 string Instructions or additional information about the oral diet
... supplement C 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 Σ 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 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 C 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 Σ 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 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 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): Codes specifying the route of administration of enteral formula.

.... administration 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 0..1 Timing Scheduled frequency of enteral feeding
..... quantity 0..1 SimpleQuantity The volume of formula to provide
..... rate[x] 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 Σ 0..1 string Formula feeding instructions expressed as text
... note 0..* Annotation Comments

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
NutritionOrder.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
NutritionOrder.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
NutritionOrder.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
NutritionOrder.foodPreferenceModifierexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
NutritionOrder.excludeFoodModifierexampleFoodTypeCodes
http://hl7.org/fhir/ValueSet/food-type
from the FHIR Standard
NutritionOrder.oralDiet.typeexampleDietCodes
http://hl7.org/fhir/ValueSet/diet-type
from the FHIR Standard
NutritionOrder.oralDiet.nutrient.modifierexampleNutrientModifierCodes
http://hl7.org/fhir/ValueSet/nutrient-code
from the FHIR Standard
NutritionOrder.oralDiet.texture.modifierexampleTextureModifierCodes
http://hl7.org/fhir/ValueSet/texture-code
from the FHIR Standard
NutritionOrder.oralDiet.texture.foodTypeexampleTextureModifiedFoodTypeCodes
http://hl7.org/fhir/ValueSet/modified-foodtype
from the FHIR Standard
NutritionOrder.oralDiet.fluidConsistencyTypeexampleFluidConsistencyTypeCodes
http://hl7.org/fhir/ValueSet/consistency-type
from the FHIR Standard
NutritionOrder.supplement.typeexampleSupplementTypeCodes
http://hl7.org/fhir/ValueSet/supplement-type
from the FHIR Standard
NutritionOrder.enteralFormula.baseFormulaTypeexampleEnteralFormulaTypeCodes
http://hl7.org/fhir/ValueSet/entformula-type
from the FHIR Standard
NutritionOrder.enteralFormula.additiveTypeexampleEnteralFormulaAdditiveTypeCode
http://hl7.org/fhir/ValueSet/entformula-additive
from the FHIR Standard
NutritionOrder.enteralFormula.routeofAdministrationextensibleEnteralRouteCodes
http://hl7.org/fhir/ValueSet/enteral-route
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorNutritionOrderIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorNutritionOrderIf 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-4errorNutritionOrderIf 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-5errorNutritionOrderIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceNutritionOrderA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
nor-1warningNutritionOrderNutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class
: oralDiet.exists() or supplement.exists() or enteralFormula.exists()

This structure is derived from NutritionOrder

Summary

Structures

This structure refers to these other structures:

Differential View

This structure is derived from NutritionOrder

NameFlagsCard.TypeDescription & Constraintsdoco
.. NutritionOrder NutritionOrder
... identifier 0..* Identifier Identifiers assigned to this order
... patient 1..1 Reference(QICore Patient) (QI) The person who requires the diet, formula or nutritional supplement

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... identifier 0..* Identifier Identifiers assigned to this 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(QICore Patient) (QI) The person who requires the diet, formula or nutritional supplement
... dateTime Σ 1..1 dateTime Date and time the nutrition order was requested

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
NutritionOrder.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
NutritionOrder.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorNutritionOrderIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorNutritionOrderIf 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-4errorNutritionOrderIf 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-5errorNutritionOrderIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceNutritionOrderA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
nor-1warningNutritionOrderNutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class
: oralDiet.exists() or supplement.exists() or enteralFormula.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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(QICore Patient) (QI) The person who requires the diet, formula or nutritional supplement
... encounter 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 Σ 0..1 Reference(Practitioner | PractitionerRole) Who ordered the diet, formula or nutritional supplement
... allergyIntolerance 0..* Reference(AllergyIntolerance) List of the patient's food and nutrition-related allergies and intolerances
... foodPreferenceModifier 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 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 C 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 Σ 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 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 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 0..1 SimpleQuantity Quantity of the specified nutrient
.... texture 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 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 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 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 Σ 0..1 string Instructions or additional information about the oral diet
... supplement C 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 Σ 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 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 C 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 Σ 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 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 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): Codes specifying the route of administration of enteral formula.

.... administration 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 0..1 Timing Scheduled frequency of enteral feeding
..... quantity 0..1 SimpleQuantity The volume of formula to provide
..... rate[x] 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 Σ 0..1 string Formula feeding instructions expressed as text
... note 0..* Annotation Comments

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
NutritionOrder.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
NutritionOrder.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
NutritionOrder.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
NutritionOrder.foodPreferenceModifierexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
NutritionOrder.excludeFoodModifierexampleFoodTypeCodes
http://hl7.org/fhir/ValueSet/food-type
from the FHIR Standard
NutritionOrder.oralDiet.typeexampleDietCodes
http://hl7.org/fhir/ValueSet/diet-type
from the FHIR Standard
NutritionOrder.oralDiet.nutrient.modifierexampleNutrientModifierCodes
http://hl7.org/fhir/ValueSet/nutrient-code
from the FHIR Standard
NutritionOrder.oralDiet.texture.modifierexampleTextureModifierCodes
http://hl7.org/fhir/ValueSet/texture-code
from the FHIR Standard
NutritionOrder.oralDiet.texture.foodTypeexampleTextureModifiedFoodTypeCodes
http://hl7.org/fhir/ValueSet/modified-foodtype
from the FHIR Standard
NutritionOrder.oralDiet.fluidConsistencyTypeexampleFluidConsistencyTypeCodes
http://hl7.org/fhir/ValueSet/consistency-type
from the FHIR Standard
NutritionOrder.supplement.typeexampleSupplementTypeCodes
http://hl7.org/fhir/ValueSet/supplement-type
from the FHIR Standard
NutritionOrder.enteralFormula.baseFormulaTypeexampleEnteralFormulaTypeCodes
http://hl7.org/fhir/ValueSet/entformula-type
from the FHIR Standard
NutritionOrder.enteralFormula.additiveTypeexampleEnteralFormulaAdditiveTypeCode
http://hl7.org/fhir/ValueSet/entformula-additive
from the FHIR Standard
NutritionOrder.enteralFormula.routeofAdministrationextensibleEnteralRouteCodes
http://hl7.org/fhir/ValueSet/enteral-route
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorNutritionOrderIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorNutritionOrderIf 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-4errorNutritionOrderIf 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-5errorNutritionOrderIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceNutritionOrderA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
nor-1warningNutritionOrderNutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class
: oralDiet.exists() or supplement.exists() or enteralFormula.exists()

This structure is derived from NutritionOrder

Summary

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron