This page is part of the Quality Improvement Core Framework (v5.0.0: STU5 (v5.0.0)) based on FHIR R4. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

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Resource Profile: QICore NutritionOrder

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

Usage:

• Refer to this Resource Profile: QICore DiagnosticReport Profile for Laboratory Results Reporting, QICore DiagnosticReport Profile for Report and Note Exchange and QICore Goal
• Examples for this Resource Profile: NutritionOrder/example

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
identifier		0..*	Identifier	Identifiers assigned to this order
patient	S	1..1	Reference(QICore Patient)	The person who requires the diet, formula or nutritional supplement
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
NutritionOrder	C	0..*	NutritionOrder	Diet, formula or nutritional supplement request
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
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	SΣ	1..1	Reference(QICore Patient)	The person who requires the diet, formula or nutritional supplement
dateTime	Σ	1..1	dateTime	Date and time the nutrition order was requested
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
NutritionOrder.status	required	RequestStatus
NutritionOrder.intent	required	RequestIntent

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Name	Flags	Card.	Type	Description & Constraints
NutritionOrder	C	0..*	NutritionOrder	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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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	SΣ	1..1	Reference(QICore Patient)	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
NutritionOrder.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
NutritionOrder.status	required	RequestStatus
NutritionOrder.intent	required	RequestIntent
NutritionOrder.foodPreferenceModifier	example	Diet
NutritionOrder.excludeFoodModifier	example	FoodTypeCodes
NutritionOrder.oralDiet.type	example	DietCodes
NutritionOrder.oralDiet.nutrient.modifier	example	NutrientModifierCodes
NutritionOrder.oralDiet.texture.modifier	example	TextureModifierCodes
NutritionOrder.oralDiet.texture.foodType	example	TextureModifiedFoodTypeCodes
NutritionOrder.oralDiet.fluidConsistencyType	example	FluidConsistencyTypeCodes
NutritionOrder.supplement.type	example	SupplementTypeCodes
NutritionOrder.enteralFormula.baseFormulaType	example	EnteralFormulaTypeCodes
NutritionOrder.enteralFormula.additiveType	example	EnteralFormulaAdditiveTypeCode
NutritionOrder.enteralFormula.routeofAdministration	extensible	EnteralRouteCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

This structure is derived from NutritionOrder

Summary

Must-Support: 1 element

Structures

This structure refers to these other structures:

• QICore Patient (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient)

Differential View

This structure is derived from NutritionOrder

Name	Flags	Card.	Type	Description & Constraints
NutritionOrder		0..*	NutritionOrder	Diet, formula or nutritional supplement request
identifier		0..*	Identifier	Identifiers assigned to this order
patient	S	1..1	Reference(QICore Patient)	The person who requires the diet, formula or nutritional supplement
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
NutritionOrder	C	0..*	NutritionOrder	Diet, formula or nutritional supplement request
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
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	SΣ	1..1	Reference(QICore Patient)	The person who requires the diet, formula or nutritional supplement
dateTime	Σ	1..1	dateTime	Date and time the nutrition order was requested
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
NutritionOrder.status	required	RequestStatus
NutritionOrder.intent	required	RequestIntent

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
NutritionOrder	C	0..*	NutritionOrder	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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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	SΣ	1..1	Reference(QICore Patient)	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
NutritionOrder.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
NutritionOrder.status	required	RequestStatus
NutritionOrder.intent	required	RequestIntent
NutritionOrder.foodPreferenceModifier	example	Diet
NutritionOrder.excludeFoodModifier	example	FoodTypeCodes
NutritionOrder.oralDiet.type	example	DietCodes
NutritionOrder.oralDiet.nutrient.modifier	example	NutrientModifierCodes
NutritionOrder.oralDiet.texture.modifier	example	TextureModifierCodes
NutritionOrder.oralDiet.texture.foodType	example	TextureModifiedFoodTypeCodes
NutritionOrder.oralDiet.fluidConsistencyType	example	FluidConsistencyTypeCodes
NutritionOrder.supplement.type	example	SupplementTypeCodes
NutritionOrder.enteralFormula.baseFormulaType	example	EnteralFormulaTypeCodes
NutritionOrder.enteralFormula.additiveType	example	EnteralFormulaAdditiveTypeCode
NutritionOrder.enteralFormula.routeofAdministration	extensible	EnteralRouteCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

This structure is derived from NutritionOrder

Summary

Must-Support: 1 element

Structures

This structure refers to these other structures:

• QICore Patient (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient)

Other representations of profile: CSV, Excel, Schematron