Extensions for Using Data Elements from FHIR DSTU2 in FHIR R5 - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 0 |
Definitions for the profile-NutritionOrder resource profile.
Guidance on how to interpret the contents of this table can be foundhere
| 0. NutritionOrder | |
| Definition | A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to a patient/resident. |
| Short | Diet, formula or nutritional supplement request |
| Comments | Referenced by an Order Request (workflow). |
| Control | 0..* |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Alternate Names | Nutrition Order, Diet Order, Diet, Nutritional Supplement, Enteral Nutrition |
| Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource ( contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty())dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty())dom-6: A resource should have narrative for robust management ( text.`div`.exists())nor-1: Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class ( oralDiet.exists() or supplement.exists() or enteralFormula.exists())dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) nor-1: Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class (oralDiet.exists() or supplement.exists() or enteralFormula.exists()) |
| 2. NutritionOrder.implicitRules | |
| Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
| Short | A set of rules under which this content was created |
| Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc. |
| Control | 0..1 |
| Type | uri |
| Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 4. NutritionOrder.contained | |
| Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning. |
| Short | Contained, inline Resources |
| Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. |
| Control | 0..* This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5 |
| Type | Resource |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Alternate Names | inline resources, anonymous resources, contained resources |
| 6. NutritionOrder.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
| Must Support | false |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 8. NutritionOrder.status | |
| Definition | The workflow status of the nutrition order/request. |
| Short | draft | active | on-hold | revoked | completed | entered-in-error | unknown |
| Comments | Typically the system placing the order sets the status to "requested". Thereafter, the order is maintained by the receiver that updates the status as the request is handled. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
| Control | 1..1 |
| Binding | The codes SHALL be taken from RequestStatushttp://hl7.org/fhir/ValueSet/request-status|5.0.0 (required to http://hl7.org/fhir/ValueSet/request-status|5.0.0)Codes identifying the lifecycle stage of the nutrition order. |
| Type | code |
| Is Modifier | true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 10. NutritionOrder.status.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on NutritionOrder.status.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 12. NutritionOrder.status.extension:status | |
| Slice Name | status |
| Definition | DSTU2: |
| Short | DSTU2: proposed | draft | planned | requested | active | on-hold | completed | cancelled additional codes |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(DSTU2: proposed | draft | planned | requested | active | on-hold | completed | cancelled additional codes) (Extension Type: code) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 14. NutritionOrder.intent | |
| Definition | Indicates the level of authority/intentionality associated with the NutrionOrder and where the request fits into the workflow chain. |
| Short | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option |
| Comments | When resources map to this element, they are free to define as many codes as necessary to cover their space and will map to "proposal, plan or order". Can have multiple codes that map to one of these. E.g. "original order", "encoded order", "reflex order" would all map to "order". Expectation is that the set of codes is mutually exclusive or a strict all-encompassing hierarchy. |
| Control | 1..1 |
| Binding | The codes SHALL be taken from RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|5.0.0 (required to http://hl7.org/fhir/ValueSet/request-intent|5.0.0)Codes indicating the degree of authority/intentionality associated with a nutrition order. |
| Type | code |
| Is Modifier | true because This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Requirements | Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain. |
| Alternate Names | category |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 16. NutritionOrder.subject | |
| Definition | The person or set of individuals who needs the nutrition order for an oral diet, nutritional supplement and/or enteral or formula feeding. |
| Short | Who requires the diet, formula or nutritional supplement |
| Control | 1..1 |
| Type | Reference(Patient, Group) |
| Is Modifier | false |
| Must Support | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 18. NutritionOrder.subject.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on NutritionOrder.subject.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 20. NutritionOrder.subject.extension:patient | |
| Slice Name | patient |
| Definition | DSTU2: |
| Short | DSTU2: The person who requires the diet, formula or nutritional supplement additional types |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(Alternate Reference) (Extension Type: Reference(Resource)) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 22. NutritionOrder.subject.reference | |
| Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
| Short | Literal reference, Relative, internal or absolute URL |
| Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
| Control | 0..1 This element is affected by the following invariants: ref-2, ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 24. NutritionOrder.dateTime | |
| Definition | The date and time that this nutrition order was requested. |
| Short | Date and time the nutrition order was requested |
| Control | 1..1 |
| Type | dateTime |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be foundhere
| 0. NutritionOrder | |
| 2. NutritionOrder.meta | |
| 4. NutritionOrder.meta.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on NutritionOrder.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 6. NutritionOrder.meta.extension:meta | |
| Slice Name | meta |
| Definition | DSTU2: |
| Short | DSTU2: meta additional types |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(DSTU2: meta additional types) (Extension Type: Meta) |
| 8. NutritionOrder.text | |
| 10. NutritionOrder.text.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on NutritionOrder.text.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 12. NutritionOrder.text.extension:text | |
| Slice Name | text |
| Definition | DSTU2: |
| Short | DSTU2: text additional types |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(DSTU2: text additional types) (Complex Extension) |
| 14. NutritionOrder.identifier | |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| 16. NutritionOrder.identifier.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on NutritionOrder.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 18. NutritionOrder.identifier.extension:identifier | |
| Slice Name | identifier |
| Definition | DSTU2: |
| Short | DSTU2: identifier additional types |
| Comments | Element |
| Control | 0..* |
| Type | Extension(DSTU2: identifier additional types) (Extension Type: Identifier) |
| 20. NutritionOrder.status | |
| 22. NutritionOrder.status.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on NutritionOrder.status.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 24. NutritionOrder.status.extension:status | |
| Slice Name | status |
| Definition | DSTU2: |
| Short | DSTU2: proposed | draft | planned | requested | active | on-hold | completed | cancelled additional codes |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(DSTU2: proposed | draft | planned | requested | active | on-hold | completed | cancelled additional codes) (Extension Type: code) |
| 26. NutritionOrder.subject | |
| 28. NutritionOrder.subject.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on NutritionOrder.subject.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 30. NutritionOrder.subject.extension:patient | |
| Slice Name | patient |
| Definition | DSTU2: |
| Short | DSTU2: The person who requires the diet, formula or nutritional supplement additional types |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(Alternate Reference) (Extension Type: Reference(Resource)) |
| 32. NutritionOrder.encounter | |
| 34. NutritionOrder.encounter.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on NutritionOrder.encounter.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 36. NutritionOrder.encounter.extension:encounter | |
| Slice Name | encounter |
| Definition | DSTU2: |
| Short | DSTU2: encounter additional types |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(Alternate Reference) (Extension Type: Reference(Resource)) |
| 38. NutritionOrder.orderer | |
| 40. NutritionOrder.orderer.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on NutritionOrder.orderer.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 42. NutritionOrder.orderer.extension:orderer | |
| Slice Name | orderer |
| Definition | DSTU2: |
| Short | DSTU2: orderer additional types |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(Alternate Reference) (Extension Type: Reference(Resource)) |
| 44. NutritionOrder.allergyIntolerance | |
| 46. NutritionOrder.allergyIntolerance.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on NutritionOrder.allergyIntolerance.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 48. NutritionOrder.allergyIntolerance.extension:allergyIntolerance | |
| Slice Name | allergyIntolerance |
| Definition | DSTU2: |
| Short | DSTU2: allergyIntolerance additional types |
| Comments | Element |
| Control | 0..* |
| Type | Extension(Alternate Reference) (Extension Type: Reference(Resource)) |
| 50. NutritionOrder.oralDiet | |
| 52. NutritionOrder.oralDiet.schedule | |
| 54. NutritionOrder.oralDiet.schedule.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on NutritionOrder.oralDiet.schedule.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 56. NutritionOrder.oralDiet.schedule.extension:schedule | |
| Slice Name | schedule |
| Definition | DSTU2: |
| Short | DSTU2: Scheduled frequency of diet additional types |
| Comments | Element |
| Control | 0..* |
| Type | Extension(DSTU2: Scheduled frequency of diet additional types) (Extension Type: Timing) |
| 58. NutritionOrder.supplement | |
| 60. NutritionOrder.supplement.schedule | |
| 62. NutritionOrder.supplement.schedule.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on NutritionOrder.supplement.schedule.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 64. NutritionOrder.supplement.schedule.extension:schedule | |
| Slice Name | schedule |
| Definition | DSTU2: |
| Short | DSTU2: Scheduled frequency of supplement additional types |
| Comments | Element |
| Control | 0..* |
| Type | Extension(DSTU2: Scheduled frequency of supplement additional types) (Extension Type: Timing) |
| 66. NutritionOrder.enteralFormula | |
| 68. NutritionOrder.enteralFormula.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on NutritionOrder.enteralFormula.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 70. NutritionOrder.enteralFormula.extension:additiveType | |
| Slice Name | additiveType |
| Definition | DSTU2: |
| Short | DSTU2: Type of modular component to add to the feeding (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(DSTU2: Type of modular component to add to the feeding (new)) (Extension Type: CodeableConcept) |
Guidance on how to interpret the contents of this table can be foundhere
| 0. NutritionOrder | |
| Definition | A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to a patient/resident. |
| Short | Diet, formula or nutritional supplement request |
| Comments | Referenced by an Order Request (workflow). |
| Control | 0..* |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Alternate Names | Nutrition Order, Diet Order, Diet, Nutritional Supplement, Enteral Nutrition |
| Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource ( contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty())dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty())dom-6: A resource should have narrative for robust management ( text.`div`.exists())nor-1: Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class ( oralDiet.exists() or supplement.exists() or enteralFormula.exists()) |
| 2. NutritionOrder.id | |
| Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
| Short | Logical id of this artifact |
| Comments | Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case. |
| Control | 0..1 |
| Type | id |
| Is Modifier | false |
| Must Support | false |
| Summary | true |
| 4. NutritionOrder.meta | |
| Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. |
| Short | Metadata about the resource |
| Control | 0..1 |
| Type | Meta |
| Is Modifier | false |
| Must Support | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 6. NutritionOrder.meta.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | id |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 8. NutritionOrder.meta.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on NutritionOrder.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 10. NutritionOrder.meta.extension:meta | |
| Slice Name | meta |
| Definition | DSTU2: |
| Short | DSTU2: meta additional types |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(DSTU2: meta additional types) (Extension Type: Meta) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 12. NutritionOrder.meta.versionId | |
| Definition | The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. |
| Short | Version specific identifier |
| Comments | The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. |
| Control | 0..1 |
| Type | id |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 14. NutritionOrder.meta.lastUpdated | |
| Definition | When the resource last changed - e.g. when the version changed. |
| Short | When the resource version last changed |
| Comments | This element is generally omitted in instances submitted in a PUT or POST. Instead, it is populated in the response instance and when retrieving information using a GET. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction. |
| Control | 0..1 |
| Type | instant |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 16. NutritionOrder.meta.source | |
| Definition | A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. |
| Short | Identifies where the resource comes from |
| Comments | The exact use of the source (and the possible implied Provenance.entity.role and agent.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. The source may correspond to Provenance.entity.what[x] or Provenance.agent.who[x], though it may be a more general or abstract reference. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. |
| Control | 0..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 18. NutritionOrder.meta.profile | |
| Definition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. |
| Short | Profiles this resource claims to conform to |
| Comments | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. |
| Control | 0..* |
| Type | canonical(StructureDefinition) |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 20. NutritionOrder.meta.security | |
| Definition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. |
| Short | Security Labels applied to this resource |
| Comments | The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. |
| Control | 0..* |
| Binding | Unless not suitable, these codes SHALL be taken from AllSecurityLabels ![]() (extensible to http://hl7.org/fhir/ValueSet/security-labels|5.0.0)Security Labels from the Healthcare Privacy and Security Classification System. |
| Type | Coding |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 22. NutritionOrder.meta.tag | |
| Definition | Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. |
| Short | Tags applied to this resource |
| Comments | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. |
| Control | 0..* |
| Binding | For example codes, see CommonTags (example to http://hl7.org/fhir/ValueSet/common-tags|5.0.0)Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". |
| Type | Coding |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 24. NutritionOrder.implicitRules | |
| Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
| Short | A set of rules under which this content was created |
| Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc. |
| Control | 0..1 |
| Type | uri |
| Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 26. NutritionOrder.language | |
| Definition | The base language in which the resource is written. |
| Short | Language of the resource content |
| Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). |
| Control | 0..1 |
| Binding | The codes SHALL be taken from AllLanguages (required to http://hl7.org/fhir/ValueSet/all-languages|5.0.0)IETF language tag for a human language |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 28. NutritionOrder.text | |
| Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. |
| Short | Text summary of the resource, for human interpretation |
| Comments | Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. |
| Control | 0..1 This element is affected by the following invariants: dom-6 |
| Type | Narrative |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Alternate Names | narrative, html, xhtml, display |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 30. NutritionOrder.text.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | id |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 32. NutritionOrder.text.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on NutritionOrder.text.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 34. NutritionOrder.text.extension:text | |
| Slice Name | text |
| Definition | DSTU2: |
| Short | DSTU2: text additional types |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(DSTU2: text additional types) (Complex Extension) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 36. NutritionOrder.text.status | |
| Definition | The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data. |
| Short | generated | extensions | additional | empty |
| Control | 1..1 |
| Binding | The codes SHALL be taken from NarrativeStatus (required to http://hl7.org/fhir/ValueSet/narrative-status|5.0.0)The status of a resource narrative. |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 38. NutritionOrder.text.div | |
| Definition | The actual narrative content, a stripped down version of XHTML. |
| Short | Limited xhtml content |
| Comments | The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects. |
| Control | 1..1 |
| Type | xhtml |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes ( htmlChecks())txt-2: The narrative SHALL have some non-whitespace content ( htmlChecks()) |
| 40. NutritionOrder.contained | |
| Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning. |
| Short | Contained, inline Resources |
| Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. |
| Control | 0..* This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5 |
| Type | Resource |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Alternate Names | inline resources, anonymous resources, contained resources |
| 42. NutritionOrder.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 44. NutritionOrder.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
| Must Support | false |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 46. NutritionOrder.identifier | |
| Definition | Identifiers assigned to this order by the order sender or by the order receiver. |
| Short | Identifiers assigned to this order |
| Comments | The Identifier.type element can be to indicate filler vs. placer if needed. This is explained in further detail here. |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..* |
| Type | Identifier |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 48. NutritionOrder.identifier.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | id |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 50. NutritionOrder.identifier.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on NutritionOrder.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 52. NutritionOrder.identifier.extension:identifier | |
| Slice Name | identifier |
| Definition | DSTU2: |
| Short | DSTU2: identifier additional types |
| Comments | Element |
| Control | 0..* |
| Type | Extension(DSTU2: identifier additional types) (Extension Type: Identifier) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 54. NutritionOrder.identifier.use | |
| Definition | The purpose of this identifier. |
| Short | usual | official | temp | secondary | old (If known) |
| Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from IdentifierUse (required to http://hl7.org/fhir/ValueSet/identifier-use|5.0.0)Identifies the purpose for this identifier, if known . |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 56. NutritionOrder.identifier.type | |
| Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. |
| Short | Description of identifier |
| Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from IdentifierTypeCodes (extensible to http://hl7.org/fhir/ValueSet/identifier-type|5.0.0)A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. |
| Type | CodeableConcept |
| Is Modifier | false |
| Summary | true |
| Requirements | Allows users to make use of identifiers when the identifier system is not known. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 58. NutritionOrder.identifier.system | |
| Definition | Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique. |
| Short | The namespace for the identifier value |
| Comments | Identifier.system is always case sensitive. |
| Control | 0..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. |
| Example | General: http://www.acme.com/identifiers/patient |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 60. NutritionOrder.identifier.value | |
| Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. |
| Short | The value that is unique |
| Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the http://hl7.org/fhir/StructureDefinition/rendered-value). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. |
| Control | 0..1 This element is affected by the following invariants: ident-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Example | General: 123456 |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 62. NutritionOrder.identifier.period | |
| Definition | Time period during which identifier is/was valid for use. |
| Short | Time period when id is/was valid for use |
| Control | 0..1 |
| Type | Period |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 64. NutritionOrder.identifier.assigner | |
| Definition | Organization that issued/manages the identifier. |
| Short | Organization that issued id (may be just text) |
| Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. |
| Control | 0..1 |
| Type | Reference(Organization) |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 66. NutritionOrder.instantiatesCanonical | |
| Definition | The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this NutritionOrder. |
| Short | Instantiates FHIR protocol or definition |
| Comments | Note: This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. |
| Control | 0..* |
| Type | canonical(ActivityDefinition, PlanDefinition) |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 68. NutritionOrder.instantiatesUri | |
| Definition | The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this NutritionOrder. |
| Short | Instantiates external protocol or definition |
| Comments | This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier. |
| Control | 0..* |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 70. NutritionOrder.instantiates | |
| Definition | The URL pointing to a protocol, guideline, orderset or other definition that is adhered to in whole or in part by this NutritionOrder. |
| Short | Instantiates protocol or definition |
| Control | 0..* |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 72. NutritionOrder.basedOn | |
| Definition | A plan or request that is fulfilled in whole or in part by this nutrition order. |
| Short | What this order fulfills |
| Control | 0..* |
| Type | Reference(CarePlan, NutritionOrder, ServiceRequest) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 74. NutritionOrder.groupIdentifier | |
| Definition | A shared identifier common to all nutrition orders that were authorized more or less simultaneously by a single author, representing the composite or group identifier. |
| Short | Composite Request ID |
| Control | 0..1 |
| Type | Identifier |
| Is Modifier | false |
| Must Support | false |
| Summary | true |
| Alternate Names | grouperId, groupIdentifier |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 76. NutritionOrder.status | |
| Definition | The workflow status of the nutrition order/request. |
| Short | draft | active | on-hold | revoked | completed | entered-in-error | unknown |
| Comments | Typically the system placing the order sets the status to "requested". Thereafter, the order is maintained by the receiver that updates the status as the request is handled. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
| Control | 1..1 |
| Binding | The codes SHALL be taken from RequestStatus (required to http://hl7.org/fhir/ValueSet/request-status|5.0.0)Codes identifying the lifecycle stage of the nutrition order. |
| Type | code |
| Is Modifier | true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 78. NutritionOrder.status.id | |
| Definition | unique id for the element within a resource (for internal references) |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 80. NutritionOrder.status.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on NutritionOrder.status.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 82. NutritionOrder.status.extension:status | |
| Slice Name | status |
| Definition | DSTU2: |
| Short | DSTU2: proposed | draft | planned | requested | active | on-hold | completed | cancelled additional codes |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(DSTU2: proposed | draft | planned | requested | active | on-hold | completed | cancelled additional codes) (Extension Type: code) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 84. NutritionOrder.status.value | |
| Definition | Primitive value for code |
| Short | Primitive value for code |
| Control | 0..1 |
| Type | code |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 86. NutritionOrder.intent | |
| Definition | Indicates the level of authority/intentionality associated with the NutrionOrder and where the request fits into the workflow chain. |
| Short | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option |
| Comments | When resources map to this element, they are free to define as many codes as necessary to cover their space and will map to "proposal, plan or order". Can have multiple codes that map to one of these. E.g. "original order", "encoded order", "reflex order" would all map to "order". Expectation is that the set of codes is mutually exclusive or a strict all-encompassing hierarchy. |
| Control | 1..1 |
| Binding | The codes SHALL be taken from RequestIntent (required to http://hl7.org/fhir/ValueSet/request-intent|5.0.0)Codes indicating the degree of authority/intentionality associated with a nutrition order. |
| Type | code |
| Is Modifier | true because This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Requirements | Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain. |
| Alternate Names | category |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 88. NutritionOrder.priority | |
| Definition | Indicates how quickly the Nutrition Order should be addressed with respect to other requests. |
| Short | routine | urgent | asap | stat |
| Control | 0..1 |
| Binding | The codes SHALL be taken from RequestPriority (required to http://hl7.org/fhir/ValueSet/request-priority|5.0.0)Identifies the level of importance to be assigned to actioning the request. |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 90. NutritionOrder.subject | |
| Definition | The person or set of individuals who needs the nutrition order for an oral diet, nutritional supplement and/or enteral or formula feeding. |
| Short | Who requires the diet, formula or nutritional supplement |
| Control | 1..1 |
| Type | Reference(Patient, Group) |
| Is Modifier | false |
| Must Support | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 92. NutritionOrder.subject.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | id |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 94. NutritionOrder.subject.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on NutritionOrder.subject.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 96. NutritionOrder.subject.extension:patient | |
| Slice Name | patient |
| Definition | DSTU2: |
| Short | DSTU2: The person who requires the diet, formula or nutritional supplement additional types |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(Alternate Reference) (Extension Type: Reference(Resource)) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 98. NutritionOrder.subject.reference | |
| Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
| Short | Literal reference, Relative, internal or absolute URL |
| Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
| Control | 0..1 This element is affected by the following invariants: ref-2, ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 100. NutritionOrder.subject.type | |
| Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). |
| Short | Type the reference refers to (e.g. "Patient") - must be a resource in resources |
| Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference. |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from ResourceType ![]() (extensible to http://hl7.org/fhir/ValueSet/resource-types|5.0.0)Aa resource (or, for logical models, the URI of the logical model). |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 102. NutritionOrder.subject.identifier | |
| Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. |
| Short | Logical reference, when literal reference is not known |
| Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). This element only allows for a single identifier. In the case where additional identifers are required, use the http://hl7.org/fhir/StructureDefinition/additionalIdentifier extension. |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..1 This element is affected by the following invariants: ref-2 |
| Type | Identifier |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 104. NutritionOrder.subject.display | |
| Definition | Plain text narrative that identifies the resource in addition to the resource reference. |
| Short | Text alternative for the resource |
| Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. |
| Control | 0..1 This element is affected by the following invariants: ref-2 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 106. NutritionOrder.encounter | |
| Definition | An encounter that provides additional information about the healthcare context in which this request is made. |
| Short | The encounter associated with this nutrition order |
| Control | 0..1 |
| Type | Reference(Encounter) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 108. NutritionOrder.encounter.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | id |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 110. NutritionOrder.encounter.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on NutritionOrder.encounter.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 112. NutritionOrder.encounter.extension:encounter | |
| Slice Name | encounter |
| Definition | DSTU2: |
| Short | DSTU2: encounter additional types |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(Alternate Reference) (Extension Type: Reference(Resource)) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 114. NutritionOrder.encounter.reference | |
| Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
| Short | Literal reference, Relative, internal or absolute URL |
| Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
| Control | 0..1 This element is affected by the following invariants: ref-2, ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 116. NutritionOrder.encounter.type | |
| Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). |
| Short | Type the reference refers to (e.g. "Patient") - must be a resource in resources |
| Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference. |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from ResourceType ![]() (extensible to http://hl7.org/fhir/ValueSet/resource-types|5.0.0)Aa resource (or, for logical models, the URI of the logical model). |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 118. NutritionOrder.encounter.identifier | |
| Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. |
| Short | Logical reference, when literal reference is not known |
| Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). This element only allows for a single identifier. In the case where additional identifers are required, use the http://hl7.org/fhir/StructureDefinition/additionalIdentifier extension. |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..1 This element is affected by the following invariants: ref-2 |
| Type | Identifier |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 120. NutritionOrder.encounter.display | |
| Definition | Plain text narrative that identifies the resource in addition to the resource reference. |
| Short | Text alternative for the resource |
| Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. |
| Control | 0..1 This element is affected by the following invariants: ref-2 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 122. NutritionOrder.supportingInformation | |
| Definition | Information to support fulfilling (i.e. dispensing or administering) of the nutrition, for example, patient height and weight). |
| Short | Information to support fulfilling of the nutrition order |
| Control | 0..* |
| Type | Reference(Resource) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 124. NutritionOrder.dateTime | |
| Definition | The date and time that this nutrition order was requested. |
| Short | Date and time the nutrition order was requested |
| Control | 1..1 |
| Type | dateTime |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 126. NutritionOrder.orderer | |
| Definition | The practitioner that holds legal responsibility for ordering the diet, nutritional supplement, or formula feedings. |
| Short | Who ordered the diet, formula or nutritional supplement |
| Control | 0..1 |
| Type | Reference(Practitioner, PractitionerRole) |
| Is Modifier | false |
| Must Support | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 128. NutritionOrder.orderer.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | id |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 130. NutritionOrder.orderer.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on NutritionOrder.orderer.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 132. NutritionOrder.orderer.extension:orderer | |
| Slice Name | orderer |
| Definition | DSTU2: |
| Short | DSTU2: orderer additional types |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(Alternate Reference) (Extension Type: Reference(Resource)) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 134. NutritionOrder.orderer.reference | |
| Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
| Short | Literal reference, Relative, internal or absolute URL |
| Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
| Control | 0..1 This element is affected by the following invariants: ref-2, ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 136. NutritionOrder.orderer.type | |
| Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). |
| Short | Type the reference refers to (e.g. "Patient") - must be a resource in resources |
| Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference. |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from ResourceType ![]() (extensible to http://hl7.org/fhir/ValueSet/resource-types|5.0.0)Aa resource (or, for logical models, the URI of the logical model). |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 138. NutritionOrder.orderer.identifier | |
| Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. |
| Short | Logical reference, when literal reference is not known |
| Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). This element only allows for a single identifier. In the case where additional identifers are required, use the http://hl7.org/fhir/StructureDefinition/additionalIdentifier extension. |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..1 This element is affected by the following invariants: ref-2 |
| Type | Identifier |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 140. NutritionOrder.orderer.display | |
| Definition | Plain text narrative that identifies the resource in addition to the resource reference. |
| Short | Text alternative for the resource |
| Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. |
| Control | 0..1 This element is affected by the following invariants: ref-2 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 142. NutritionOrder.performer | |
| Definition | The specified desired performer of the nutrition order. |
| Short | Who is desired to perform the administration of what is being ordered |
| Control | 0..* |
| Type | CodeableReference(CareTeam, Practitioner, PractitionerRole, RelatedPerson, Patient, Organization) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 144. NutritionOrder.allergyIntolerance | |
| Definition | A link to a record of allergies or intolerances which should be included in the nutrition order. |
| Short | List of the patient's food and nutrition-related allergies and intolerances |
| Comments | Information on a patient's food allergies and intolerances to inform healthcare personnel about the type of foods that the patient shouldn't receive or consume. |
| Control | 0..* |
| Type | Reference(AllergyIntolerance) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 146. NutritionOrder.allergyIntolerance.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | id |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 148. NutritionOrder.allergyIntolerance.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on NutritionOrder.allergyIntolerance.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 150. NutritionOrder.allergyIntolerance.extension:allergyIntolerance | |
| Slice Name | allergyIntolerance |
| Definition | DSTU2: |
| Short | DSTU2: allergyIntolerance additional types |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(Alternate Reference) (Extension Type: Reference(Resource)) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 152. NutritionOrder.allergyIntolerance.reference | |
| Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
| Short | Literal reference, Relative, internal or absolute URL |
| Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
| Control | 0..1 This element is affected by the following invariants: ref-2, ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 154. NutritionOrder.allergyIntolerance.type | |
| Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). |
| Short | Type the reference refers to (e.g. "Patient") - must be a resource in resources |
| Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference. |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from ResourceType ![]() (extensible to http://hl7.org/fhir/ValueSet/resource-types|5.0.0)Aa resource (or, for logical models, the URI of the logical model). |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 156. NutritionOrder.allergyIntolerance.identifier | |
| Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. |
| Short | Logical reference, when literal reference is not known |
| Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). This element only allows for a single identifier. In the case where additional identifers are required, use the http://hl7.org/fhir/StructureDefinition/additionalIdentifier extension. |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..1 This element is affected by the following invariants: ref-2 |
| Type | Identifier |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 158. NutritionOrder.allergyIntolerance.display | |
| Definition | Plain text narrative that identifies the resource in addition to the resource reference. |
| Short | Text alternative for the resource |
| Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. |
| Control | 0..1 This element is affected by the following invariants: ref-2 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 160. NutritionOrder.foodPreferenceModifier | |
| Definition | This modifier is used to convey order-specific modifiers about the type of food that should be given. These can be derived from patient allergies, intolerances, or preferences such as Halal, Vegan or Kosher. This modifier applies to the entire nutrition order inclusive of the oral diet, nutritional supplements and enteral formula feedings. |
| Short | Order-specific modifier about the type of food that should be given |
| Comments | Information on a patient's food preferences that inform healthcare personnel about the food that the patient should receive or consume. |
| Control | 0..* |
| Binding | For example codes, see EncounterDiet (example to http://hl7.org/fhir/ValueSet/encounter-diet|5.0.0)Medical, cultural or ethical food preferences to help with catering requirements. |
| Type | CodeableConcept |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 162. NutritionOrder.excludeFoodModifier | |
| Definition | This modifier is used to convey Order-specific modifier about the type of oral food or oral fluids that should not be given. These can be derived from patient allergies, intolerances, or preferences such as No Red Meat, No Soy or No Wheat or Gluten-Free. While it should not be necessary to repeat allergy or intolerance information captured in the referenced AllergyIntolerance resource in the excludeFoodModifier, this element may be used to convey additional specificity related to foods that should be eliminated from the patient’s diet for any reason. This modifier applies to the entire nutrition order inclusive of the oral diet, nutritional supplements and enteral formula feedings. |
| Short | Order-specific modifier about the type of food that should not be given |
| Comments | Information on a patient's food allergies, intolerances and preferences to inform healthcare personnel about the type of foods that the patient shouldn't receive or consume. |
| Control | 0..* |
| Binding | For example codes, see FoodTypeCodes (example to http://hl7.org/fhir/ValueSet/food-type|5.0.0)Codes used to indicate the type of food that should NOT be given to the patient. |
| Type | CodeableConcept |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 164. NutritionOrder.outsideFoodAllowed | |
| Definition | This modifier is used to convey whether a food item is allowed to be brought in by the patient and/or family. If set to true, indicates that the receiving system does not need to supply the food item. |
| Short | Capture when a food item is brought in by the patient and/or family |
| Control | 0..1 |
| Type | boolean |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 166. NutritionOrder.oralDiet | |
| Definition | Diet given orally in contrast to enteral (tube) feeding. |
| Short | Oral diet components |
| Control | 0..1 This element is affected by the following invariants: nor-1 |
| Type | BackboneElement |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 168. NutritionOrder.oralDiet.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 170. NutritionOrder.oralDiet.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 172. NutritionOrder.oralDiet.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 174. NutritionOrder.oralDiet.type | |
| Definition | The kind of diet or dietary restriction such as fiber restricted diet or diabetic diet. |
| Short | Type of oral diet or diet restrictions that describe what can be consumed orally |
| Control | 0..* |
| Binding | For example codes, see DietCodes (example to http://hl7.org/fhir/ValueSet/diet-type|5.0.0)Codes used to indicate the type of diet being ordered for a patient. |
| Type | CodeableConcept |
| Is Modifier | false |
| Must Support | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 176. NutritionOrder.oralDiet.schedule | |
| Definition | Schedule information for an oral diet. |
| Short | Scheduling information for oral diets |
| Control | 0..1 |
| Type | BackboneElement |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 178. NutritionOrder.oralDiet.schedule.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 180. NutritionOrder.oralDiet.schedule.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on NutritionOrder.oralDiet.schedule.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 182. NutritionOrder.oralDiet.schedule.extension:schedule | |
| Slice Name | schedule |
| Definition | DSTU2: |
| Short | DSTU2: Scheduled frequency of diet additional types |
| Comments | Element |
| Control | 0..* |
| Type | Extension(DSTU2: Scheduled frequency of diet additional types) (Extension Type: Timing) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 184. NutritionOrder.oralDiet.schedule.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 186. NutritionOrder.oralDiet.schedule.timing | |
| Definition | The time period and frequency at which the diet should be given. The diet should be given for the combination of all schedules if more than one schedule is present. |
| Short | Scheduled frequency of diet |
| Control | 0..* |
| Type | Timing |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Alternate Names | Frequency |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 188. NutritionOrder.oralDiet.schedule.asNeeded | |
| Definition | Indicates whether the product is only taken when needed within a specific dosing schedule. |
| Short | Take 'as needed' |
| Control | 0..1 |
| Type | boolean |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 190. NutritionOrder.oralDiet.schedule.asNeededFor | |
| Definition | Indicates whether the product is only taken based on a precondition for taking the product. |
| Short | Take 'as needed' for x |
| Control | 0..1 |
| Binding | For example codes, see SNOMEDCTMedicationAsNeededReasonCodes (example to http://hl7.org/fhir/ValueSet/medication-as-needed-reason|5.0.0)A coded concept identifying the precondition that should be met or evaluated prior to consuming a nutrition product. |
| Type | CodeableConcept |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 192. NutritionOrder.oralDiet.nutrient | |
| Definition | Class that defines the quantity and type of nutrient modifications (for example carbohydrate, fiber or sodium) required for the oral diet. |
| Short | Required nutrient modifications |
| Control | 0..* |
| Type | BackboneElement |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 194. NutritionOrder.oralDiet.nutrient.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 196. NutritionOrder.oralDiet.nutrient.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 198. NutritionOrder.oralDiet.nutrient.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 200. NutritionOrder.oralDiet.nutrient.modifier | |
| Definition | The nutrient that is being modified such as carbohydrate or sodium. |
| Short | Type of nutrient that is being modified |
| Control | 0..1 |
| Binding | For example codes, see NutrientModifierCodes (example to http://hl7.org/fhir/ValueSet/nutrient-code|5.0.0)Codes for types of nutrients that are being modified such as carbohydrate or sodium. |
| Type | CodeableConcept |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 202. NutritionOrder.oralDiet.nutrient.amount | |
| Definition | The quantity of the specified nutrient to include in diet. |
| Short | Quantity of the specified nutrient |
| Control | 0..1 |
| Type | Quantity(SimpleQuantity) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 204. NutritionOrder.oralDiet.texture | |
| Definition | Class that describes any texture modifications required for the patient to safely consume various types of solid foods. |
| Short | Required texture modifications |
| Control | 0..* |
| Type | BackboneElement |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 206. NutritionOrder.oralDiet.texture.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 208. NutritionOrder.oralDiet.texture.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 210. NutritionOrder.oralDiet.texture.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 212. NutritionOrder.oralDiet.texture.modifier | |
| Definition | Any texture modifications (for solid foods) that should be made, e.g. easy to chew, chopped, ground, and pureed. |
| Short | Code to indicate how to alter the texture of the foods, e.g. pureed |
| Comments | Coupled with the foodType (Meat). |
| Control | 0..1 |
| Binding | For example codes, see TextureModifierCodes (example to http://hl7.org/fhir/ValueSet/texture-code|5.0.0)Codes for food consistency types or texture modifications to apply to foods. |
| Type | CodeableConcept |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 214. NutritionOrder.oralDiet.texture.foodType | |
| Definition | The food type(s) (e.g. meats, all foods) that the texture modification applies to. This could be all foods types. |
| Short | Concepts that are used to identify an entity that is ingested for nutritional purposes |
| Comments | Coupled with the |
| Control | 0..1 |
| Binding | For example codes, see TextureModifiedFoodTypeCodes (example to http://hl7.org/fhir/ValueSet/modified-foodtype|5.0.0)Codes for types of foods that are texture-modified. |
| Type | CodeableConcept |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 216. NutritionOrder.oralDiet.fluidConsistencyType | |
| Definition | The required consistency (e.g. honey-thick, nectar-thick, thin, thickened.) of liquids or fluids served to the patient. |
| Short | The required consistency of fluids and liquids provided to the patient |
| Control | 0..* |
| Binding | For example codes, see FluidConsistencyTypeCodes (example to http://hl7.org/fhir/ValueSet/consistency-type|5.0.0)Codes used to represent the consistency of fluids and liquids provided to the patient. |
| Type | CodeableConcept |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 218. NutritionOrder.oralDiet.instruction | |
| Definition | Free text or additional instructions or information pertaining to the oral diet. |
| Short | Instructions or additional information about the oral diet |
| Comments | Free text dosage instructions can be used for cases where the instructions are too complex to code. |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 220. NutritionOrder.supplement | |
| Definition | Oral nutritional products given in order to add further nutritional value to the patient's diet. |
| Short | Supplement components |
| Control | 0..* This element is affected by the following invariants: nor-1 |
| Type | BackboneElement |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 222. NutritionOrder.supplement.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 224. NutritionOrder.supplement.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 226. NutritionOrder.supplement.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 228. NutritionOrder.supplement.type | |
| Definition | The kind of nutritional supplement product required such as a high protein or pediatric clear liquid supplement. |
| Short | Type of supplement product requested |
| Control | 0..1 |
| Binding | For example codes, see SupplementTypeCodes (example to http://hl7.org/fhir/ValueSet/supplement-type|5.0.0)Codes for nutritional supplements to be provided to the patient. |
| Type | CodeableReference(NutritionProduct) |
| Is Modifier | false |
| Must Support | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 230. NutritionOrder.supplement.productName | |
| Definition | The product or brand name of the nutritional supplement such as "Acme Protein Shake". |
| Short | Product or brand name of the nutritional supplement |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 232. NutritionOrder.supplement.schedule | |
| Definition | Schedule information for a supplement. |
| Short | Scheduling information for supplements |
| Control | 0..1 |
| Type | BackboneElement |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 234. NutritionOrder.supplement.schedule.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 236. NutritionOrder.supplement.schedule.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on NutritionOrder.supplement.schedule.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 238. NutritionOrder.supplement.schedule.extension:schedule | |
| Slice Name | schedule |
| Definition | DSTU2: |
| Short | DSTU2: Scheduled frequency of supplement additional types |
| Comments | Element |
| Control | 0..* |
| Type | Extension(DSTU2: Scheduled frequency of supplement additional types) (Extension Type: Timing) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 240. NutritionOrder.supplement.schedule.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 242. NutritionOrder.supplement.schedule.timing | |
| Definition | The time period and frequency at which the supplement should be given. The supplement should be given for the combination of all schedules if more than one schedule is present. |
| Short | Scheduled frequency of diet |
| Control | 0..* |
| Type | Timing |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Alternate Names | Frequency |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 244. NutritionOrder.supplement.schedule.asNeeded | |
| Definition | Indicates whether the supplement is only taken when needed within a specific dosing schedule. |
| Short | Take 'as needed' |
| Control | 0..1 |
| Type | boolean |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 246. NutritionOrder.supplement.schedule.asNeededFor | |
| Definition | Indicates whether the supplement is only taken based on a precondition for taking the supplement. |
| Short | Take 'as needed' for x |
| Control | 0..1 |
| Binding | For example codes, see SNOMEDCTMedicationAsNeededReasonCodes (example to http://hl7.org/fhir/ValueSet/medication-as-needed-reason|5.0.0)A coded concept identifying the precondition that should be met or evaluated prior to consuming a supplement. |
| Type | CodeableConcept |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 248. NutritionOrder.supplement.quantity | |
| Definition | The amount of the nutritional supplement to be given. |
| Short | Amount of the nutritional supplement |
| Control | 0..1 |
| Type | Quantity(SimpleQuantity) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 250. NutritionOrder.supplement.instruction | |
| Definition | Free text or additional instructions or information pertaining to the oral supplement. |
| Short | Instructions or additional information about the oral supplement |
| Comments | Free text dosage instructions can be used for cases where the instructions are too complex to code. |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 252. NutritionOrder.enteralFormula | |
| Definition | Feeding provided through the gastrointestinal tract via a tube, catheter, or stoma that delivers nutrition distal to the oral cavity. |
| Short | Enteral formula components |
| Control | 0..1 This element is affected by the following invariants: nor-1 |
| Type | BackboneElement |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 254. NutritionOrder.enteralFormula.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 256. NutritionOrder.enteralFormula.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on NutritionOrder.enteralFormula.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 258. NutritionOrder.enteralFormula.extension:additiveType | |
| Slice Name | additiveType |
| Definition | DSTU2: |
| Short | DSTU2: Type of modular component to add to the feeding (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(DSTU2: Type of modular component to add to the feeding (new)) (Extension Type: CodeableConcept) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 260. NutritionOrder.enteralFormula.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 262. NutritionOrder.enteralFormula.baseFormulaType | |
| Definition | The type of enteral or infant formula such as an adult standard formula with fiber or a soy-based infant formula. |
| Short | Type of enteral or infant formula |
| Control | 0..1 |
| Binding | For example codes, see EnteralFormulaTypeCodes (example to http://hl7.org/fhir/ValueSet/entformula-type|5.0.0)Codes for type of enteral formula to be administered to patient. |
| Type | CodeableReference(NutritionProduct) |
| Is Modifier | false |
| Must Support | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 264. NutritionOrder.enteralFormula.baseFormulaProductName | |
| Definition | The product or brand name of the enteral or infant formula product such as "ACME Adult Standard Formula". |
| Short | Product or brand name of the enteral or infant formula |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 266. NutritionOrder.enteralFormula.deliveryDevice | |
| Definition | The intended type of device that is to be used for the administration of the enteral formula. |
| Short | Intended type of device for the administration |
| Control | 0..* |
| Type | CodeableReference(DeviceDefinition) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 268. NutritionOrder.enteralFormula.additive | |
| Definition | Indicates modular components to be provided in addition or mixed with the base formula. |
| Short | Components to add to the feeding |
| Control | 0..* |
| Type | BackboneElement |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 270. NutritionOrder.enteralFormula.additive.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 272. NutritionOrder.enteralFormula.additive.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 274. NutritionOrder.enteralFormula.additive.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 276. NutritionOrder.enteralFormula.additive.type | |
| Definition | Indicates the type of modular component such as protein, carbohydrate, fat or fiber to be provided in addition to or mixed with the base formula. |
| Short | Type of modular component to add to the feeding |
| Control | 0..1 |
| Binding | For example codes, see EnteralFormulaAdditiveTypeCode (example to http://hl7.org/fhir/ValueSet/entformula-additive|5.0.0)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. |
| Type | CodeableReference(NutritionProduct) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 278. NutritionOrder.enteralFormula.additive.productName | |
| Definition | The product or brand name of the type of modular component to be added to the formula. |
| Short | Product or brand name of the modular additive |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 280. NutritionOrder.enteralFormula.additive.quantity | |
| Definition | The amount of additive to be given in addition or to be mixed in with the base formula. |
| Short | Amount of additive to be given or mixed in |
| Control | 0..1 |
| Type | Quantity(SimpleQuantity) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 282. NutritionOrder.enteralFormula.caloricDensity | |
| Definition | The amount of energy (calories) that the formula should provide per specified volume, typically per mL or fluid oz. For example, an infant may require a formula that provides 24 calories per fluid ounce or an adult may require an enteral formula that provides 1.5 calorie/mL. |
| Short | Amount of energy per specified volume that is required |
| Control | 0..1 |
| Type | Quantity(SimpleQuantity) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 284. NutritionOrder.enteralFormula.routeOfAdministration | |
| Definition | The route or physiological path of administration into the patient's gastrointestinal tract for purposes of providing the formula feeding, e.g. nasogastric tube. |
| Short | How the formula should enter the patient's gastrointestinal tract |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from EnteralRouteCodes (extensible to http://hl7.org/fhir/ValueSet/enteral-route|5.0.0)Codes specifying the route of administration of enteral formula. |
| Type | CodeableConcept |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 286. NutritionOrder.enteralFormula.administration | |
| Definition | Formula administration instructions as structured data. This repeating structure allows for changing the administration rate or volume over time for both bolus and continuous feeding. An example of this would be an instruction to increase the rate of continuous feeding every 2 hours. |
| Short | Formula feeding instruction as structured data |
| Comments | See implementation notes below for further discussion on how to order continuous vs bolus enteral feeding using this resource. |
| Control | 0..* |
| Type | BackboneElement |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 288. NutritionOrder.enteralFormula.administration.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 290. NutritionOrder.enteralFormula.administration.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 292. NutritionOrder.enteralFormula.administration.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 294. NutritionOrder.enteralFormula.administration.schedule | |
| Definition | Schedule information for an enteral formula. |
| Short | Scheduling information for enteral formula products |
| Control | 0..1 |
| Type | BackboneElement |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 296. NutritionOrder.enteralFormula.administration.schedule.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 298. NutritionOrder.enteralFormula.administration.schedule.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 300. NutritionOrder.enteralFormula.administration.schedule.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content, modifiers |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 302. NutritionOrder.enteralFormula.administration.schedule.timing | |
| Definition | The time period and frequency at which the enteral formula should be given. The enteral formula should be given for the combination of all schedules if more than one schedule is present. |
| Short | Scheduled frequency of enteral formula |
| Control | 0..* |
| Type | Timing |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Alternate Names | Frequency |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 304. NutritionOrder.enteralFormula.administration.schedule.asNeeded | |
| Definition | Indicates whether the enteral formula is only taken when needed within a specific dosing schedule. |
| Short | Take 'as needed' |
| Control | 0..1 |
| Type | boolean |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 306. NutritionOrder.enteralFormula.administration.schedule.asNeededFor | |
| Definition | Indicates whether the enteral formula is only taken based on a precondition for taking the enteral formula. |
| Short | Take 'as needed' for x |
| Control | 0..1 |
| Binding | For example codes, see SNOMEDCTMedicationAsNeededReasonCodes (example to http://hl7.org/fhir/ValueSet/medication-as-needed-reason|5.0.0)A coded concept identifying the precondition that should be met or evaluated prior to consuming an enteral formula. |
| Type | CodeableConcept |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 308. NutritionOrder.enteralFormula.administration.quantity | |
| Definition | The volume of formula to provide to the patient per the specified administration schedule. |
| Short | The volume of formula to provide |
| Control | 0..1 |
| Type | Quantity(SimpleQuantity) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 310. NutritionOrder.enteralFormula.administration.rate[x] | |
| Definition | The rate of administration of formula via a feeding pump, e.g. 60 mL per hour, according to the specified schedule. |
| Short | Speed with which the formula is provided per period of time |
| Comments | Ratio is used when the quantity value in the denominator is not "1", otherwise use Quantity. For example, the Ratio datatype is used for "200 mL/4 hrs" versus the Quantity datatype for "50 mL/hr". |
| Control | 0..1 |
| Type | Choice of: Quantity(SimpleQuantity), Ratio |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 312. NutritionOrder.enteralFormula.maxVolumeToDeliver | |
| Definition | The maximum total quantity of formula that may be administered to a subject over the period of time, e.g. 1440 mL over 24 hours. |
| Short | Upper limit on formula volume per unit of time |
| Control | 0..1 |
| Type | Quantity(SimpleQuantity) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 314. NutritionOrder.enteralFormula.administrationInstruction | |
| Definition | Free text formula administration, feeding instructions or additional instructions or information. |
| Short | Formula feeding instructions expressed as text |
| Comments | Free text dosage instructions can be used for cases where the instructions are too complex to code. |
| Control | 0..1 |
| Type | markdown |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 316. NutritionOrder.note | |
| Definition | Comments made about the {{title}} by the requester, performer, subject or other participants. |
| Short | Comments |
| Comments | This element SHALL NOT be used to supply free text instructions for the diet which are represented in the |
| Control | 0..* |
| Type | Annotation |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |