A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to a patient/resident.

Referenced by an Order Request (workflow).

The person (patient) who needs the nutrition order for an oral diet, nutritional supplement and/or enteral or formula feeding.

The practitioner that holds legal responsibility for ordering the diet, nutritional supplement, or formula feedings.

Identifiers assigned to this order by the order sender or by the order receiver.

An encounter that provides additional information about the healthcare context in which this request is made.

The date and time that this nutrition order was requested.

The ability to list substances that may cause allergies or intolerances which should be included in the nutrition order.

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.

This modifier is used to convey order-specific modifiers about the type of food 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. This modifier applies to the entire nutrition order inclusive of the oral diet, nutritional supplements and enteral formula feedings.

Class that defines the components of an oral diet order for the patient.

Indicates the type of oral diet or diet restrictions that describe what can be consumed orally (i.e., take via the mouth).

The time period and frequency at which the diet should be given.

Class that defines the details of any nutrient modifications required for the oral diet.

Identifies the type of nutrient that is being modified such as carbohydrate or sodium.

The quantity of the specified nutrient to include in diet.

Class that describes any texture modifications required for the patient to safely consume various types of solid foods.

Identifies any texture modifications (for solid foods) that should be made, e.g. easy to chew, chopped, ground, and pureed.

Coupled with the foodType (Meat).

Indicates what specific type of food (e.g., meats) the texture modification applies to or may apply to all foods in the diet.

Coupled with the textureModifier; could be (All Foods).

Identifies the required consistency (e.g., honey-thick, nectar-thick, thin, thickened.) of liquids or fluids served to the patient.

Additional instructions or information pertaining to the oral diet.

Class that defines the components of a supplement order for the patient.

Indicates the type of nutritional supplement product required such as high protein or pediatric clear liquid supplement.

The product or brand name of the nutritional supplement product to be provided to the patient.

The time period and frequency at which the supplement(s) should be given.

The amount of the nutritional supplement product to provide to the patient.

Class that defines the components of an enteral formula order for the patient.

Free text formula administration or feeding instructions for cases where the instructions are too complex to code.

Indicates the type of enteral or infant formula requested such as an adult standard formula with fiber or a soy-based infant formula.

The product or brand name of the enteral or infant formula product to be provided to the patient.

The time period and frequency at which the enteral formula should be delivered to the patient.

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.

The product or brand name of the type of modular component to be added to the formula.

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 the provides 24 Calories per fluid ounce or an adult may require an enteral formula that provides 1.5 Calorie/mL.

A coded concept specifying the route or physiological path of administration into the patient 's gastrointestinal tract for purposes of providing the formula feeding, e.g., nasogastric tube.

The volume of formula to provide to the patient per the specified administration schedule.

Identifies the speed with which the formula is introduced into the subject via a feeding pump, e.g., 60 mL per hour, according to the specified schedule.

The change in the administration rate over a given time, e.g. increase by 10 mL/hour every 4 hours.

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.

The workflow status of the nutrition order request, e.g., Active, Inactive, Pending, Held, Canceled, Suspended.

Typically the system placing the order sets the status to requested. There after, the order is maintained by the receiver that updates the status as the request is handled.