NutritionOrder

Property	Value
Publisher
Name	NutritionOrder
URL	http://hl7.org/fhir/StructureDefinition/NutritionOrder
Status	draft
Description
Abstract	false

Structure

Path	Cardinality	Type	Description
NutritionOrder	0..*	NutritionOrder	A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to a patient/resident.
NutritionOrder.id	0..1	http://hl7.org/fhirpath/System.String	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
NutritionOrder.meta	0..1	Meta	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.
NutritionOrder.implicitRules	0..1	uri	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.
NutritionOrder.language	0..1	code	The base language in which the resource is written.
NutritionOrder.text	0..1	Narrative	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.
NutritionOrder.contained	0..*	Resource	These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
NutritionOrder.extension	0..*	Extension	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 manageable, 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.
NutritionOrder.modifierExtension	0..*	Extension	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 manageable, 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).
NutritionOrder.identifier	0..*	Identifier	Identifiers assigned to this order by the order sender or by the order receiver.
NutritionOrder.instantiatesCanonical	0..*	canonical	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.
NutritionOrder.instantiatesUri	0..*	uri	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.
NutritionOrder.instantiates	0..*	uri	The URL pointing to a protocol, guideline, orderset or other definition that is adhered to in whole or in part by this NutritionOrder.
NutritionOrder.status	1..1	code	The workflow status of the nutrition order/request.
NutritionOrder.intent	1..1	code	Indicates the level of authority/intentionality associated with the NutrionOrder and where the request fits into the workflow chain.
NutritionOrder.patient	1..1	Reference	The person (patient) who needs the nutrition order for an oral diet, nutritional supplement and/or enteral or formula feeding.
NutritionOrder.encounter	0..1	Reference	An encounter that provides additional information about the healthcare context in which this request is made.
NutritionOrder.dateTime	1..1	dateTime	The date and time that this nutrition order was requested.
NutritionOrder.orderer	0..1	Reference	The practitioner that holds legal responsibility for ordering the diet, nutritional supplement, or formula feedings.
NutritionOrder.allergyIntolerance	0..*	Reference	A link to a record of allergies or intolerances which should be included in the nutrition order.
NutritionOrder.foodPreferenceModifier	0..*	CodeableConcept	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.
NutritionOrder.excludeFoodModifier	0..*	CodeableConcept	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.
NutritionOrder.oralDiet	0..1	BackboneElement	Diet given orally in contrast to enteral (tube) feeding.
NutritionOrder.oralDiet.id	0..1	http://hl7.org/fhirpath/System.String	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
NutritionOrder.oralDiet.extension	0..*	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 manageable, 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.
NutritionOrder.oralDiet.modifierExtension	0..*	Extension	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 manageable, 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).
NutritionOrder.oralDiet.type	0..*	CodeableConcept	The kind of diet or dietary restriction such as fiber restricted diet or diabetic diet.
NutritionOrder.oralDiet.schedule	0..*	Timing	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.
NutritionOrder.oralDiet.nutrient	0..*	BackboneElement	Class that defines the quantity and type of nutrient modifications (for example carbohydrate, fiber or sodium) required for the oral diet.
NutritionOrder.oralDiet.nutrient.id	0..1	http://hl7.org/fhirpath/System.String	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
NutritionOrder.oralDiet.nutrient.extension	0..*	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 manageable, 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.
NutritionOrder.oralDiet.nutrient.modifierExtension	0..*	Extension	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 manageable, 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).
NutritionOrder.oralDiet.nutrient.modifier	0..1	CodeableConcept	The nutrient that is being modified such as carbohydrate or sodium.
NutritionOrder.oralDiet.nutrient.amount	0..1	Quantity	The quantity of the specified nutrient to include in diet.
NutritionOrder.oralDiet.texture	0..*	BackboneElement	Class that describes any texture modifications required for the patient to safely consume various types of solid foods.
NutritionOrder.oralDiet.texture.id	0..1	http://hl7.org/fhirpath/System.String	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
NutritionOrder.oralDiet.texture.extension	0..*	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 manageable, 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.
NutritionOrder.oralDiet.texture.modifierExtension	0..*	Extension	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 manageable, 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).
NutritionOrder.oralDiet.texture.modifier	0..1	CodeableConcept	Any texture modifications (for solid foods) that should be made, e.g. easy to chew, chopped, ground, and pureed.
NutritionOrder.oralDiet.texture.foodType	0..1	CodeableConcept	The food type(s) (e.g. meats, all foods) that the texture modification applies to. This could be all foods types.
NutritionOrder.oralDiet.fluidConsistencyType	0..*	CodeableConcept	The required consistency (e.g. honey-thick, nectar-thick, thin, thickened.) of liquids or fluids served to the patient.
NutritionOrder.oralDiet.instruction	0..1	string	Free text or additional instructions or information pertaining to the oral diet.
NutritionOrder.supplement	0..*	BackboneElement	Oral nutritional products given in order to add further nutritional value to the patient's diet.
NutritionOrder.supplement.id	0..1	http://hl7.org/fhirpath/System.String	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
NutritionOrder.supplement.extension	0..*	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 manageable, 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.
NutritionOrder.supplement.modifierExtension	0..*	Extension	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 manageable, 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).
NutritionOrder.supplement.type	0..1	CodeableConcept	The kind of nutritional supplement product required such as a high protein or pediatric clear liquid supplement.
NutritionOrder.supplement.productName	0..1	string	The product or brand name of the nutritional supplement such as "Acme Protein Shake".
NutritionOrder.supplement.schedule	0..*	Timing	The time period and frequency at which the supplement(s) should be given. The supplement should be given for the combination of all schedules if more than one schedule is present.
NutritionOrder.supplement.quantity	0..1	Quantity	The amount of the nutritional supplement to be given.
NutritionOrder.supplement.instruction	0..1	string	Free text or additional instructions or information pertaining to the oral supplement.
NutritionOrder.enteralFormula	0..1	BackboneElement	Feeding provided through the gastrointestinal tract via a tube, catheter, or stoma that delivers nutrition distal to the oral cavity.
NutritionOrder.enteralFormula.id	0..1	http://hl7.org/fhirpath/System.String	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
NutritionOrder.enteralFormula.extension	0..*	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 manageable, 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.
NutritionOrder.enteralFormula.modifierExtension	0..*	Extension	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 manageable, 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).
NutritionOrder.enteralFormula.baseFormulaType	0..1	CodeableConcept	The type of enteral or infant formula such as an adult standard formula with fiber or a soy-based infant formula.
NutritionOrder.enteralFormula.baseFormulaProductName	0..1	string	The product or brand name of the enteral or infant formula product such as "ACME Adult Standard Formula".
NutritionOrder.enteralFormula.additiveType	0..1	CodeableConcept	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.
NutritionOrder.enteralFormula.additiveProductName	0..1	string	The product or brand name of the type of modular component to be added to the formula.
NutritionOrder.enteralFormula.caloricDensity	0..1	Quantity	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.
NutritionOrder.enteralFormula.routeofAdministration	0..1	CodeableConcept	The route or physiological path of administration into the patient's gastrointestinal tract for purposes of providing the formula feeding, e.g. nasogastric tube.
NutritionOrder.enteralFormula.administration	0..*	BackboneElement	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.
NutritionOrder.enteralFormula.administration.id	0..1	http://hl7.org/fhirpath/System.String	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
NutritionOrder.enteralFormula.administration.extension	0..*	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 manageable, 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.
NutritionOrder.enteralFormula.administration.modifierExtension	0..*	Extension	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 manageable, 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).
NutritionOrder.enteralFormula.administration.schedule	0..1	Timing	The time period and frequency at which the enteral formula should be delivered to the patient.
NutritionOrder.enteralFormula.administration.quantity	0..1	Quantity	The volume of formula to provide to the patient per the specified administration schedule.
NutritionOrder.enteralFormula.administration.rate[x]	0..1	Quantity	The rate of administration of formula via a feeding pump, e.g. 60 mL per hour, according to the specified schedule.
NutritionOrder.enteralFormula.maxVolumeToDeliver	0..1	Quantity	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.
NutritionOrder.enteralFormula.administrationInstruction	0..1	string	Free text formula administration, feeding instructions or additional instructions or information.
NutritionOrder.note	0..*	Annotation	Comments made about the {{title}} by the requester, performer, subject or other participants.

Search Parameters

Name	Type	Description	Expression
_text	string	Search on the narrative of the resource
_content	string	Search on the entire content of the resource
_filter	token	Filter search parameter which supports a more sophisticated grammar for searching. See documentation for further details
_has	string	Provides limited support for reverse chaining - that is, selecting resources based on the properties of resources that refer to them (instead of chaining where resources can be selected based on the properties of resources that they refer to). See the FHIR search page for further documentation
_id	token	Logical id of this artifact	Resource.id
_lastUpdated	date	When the resource version last changed	Resource.meta.lastUpdated
_list	string	All resources in nominated list (by id, Type/id, url or one of the magic List types)
_profile	uri	Profiles this resource claims to conform to	Resource.meta.profile
_query	token	A custom search profile that describes a specific defined query operation
_security	token	Security Labels applied to this resource	Resource.meta.security
_source	uri	Identifies where the resource comes from	Resource.meta.source
_tag	token	Tags applied to this resource	Resource.meta.tag
_text	string	Search on the narrative text (html) of the resource
_type	token	Used when a search is performed in a context which doesn't limit the search to indicate which types are being searched. See the FHIR search page for further discussion
identifier	token	Multiple Resources: * AllergyIntolerance: External ids for this item* CarePlan: External Ids for this plan* CareTeam: External Ids for this team* Composition: Version-independent identifier for the Composition* Condition: A unique identifier of the condition record* Consent: Identifier for this record (external references)* DetectedIssue: Unique id for the detected issue* DeviceRequest: Business identifier for request/order* DiagnosticReport: An identifier for the report* DocumentManifest: Unique Identifier for the set of documents* DocumentReference: Master Version Specific Identifier* Encounter: Identifier(s) by which this encounter is known* EpisodeOfCare: Business Identifier(s) relevant for this EpisodeOfCare* FamilyMemberHistory: A search by a record identifier* Goal: External Ids for this goal* ImagingStudy: Identifiers for the Study, such as DICOM Study Instance UID and Accession number* Immunization: Business identifier* List: Business identifier* MedicationAdministration: Return administrations with this external identifier* MedicationDispense: Returns dispenses with this external identifier* MedicationRequest: Return prescriptions with this external identifier* MedicationStatement: Return statements with this external identifier* NutritionOrder: Return nutrition orders with this external identifier* Observation: The unique id for a particular observation* Procedure: A unique identifier for a procedure* RiskAssessment: Unique identifier for the assessment* ServiceRequest: Identifiers assigned to this order* SupplyDelivery: External identifier* SupplyRequest: Business Identifier for SupplyRequest* VisionPrescription: Return prescriptions with this external identifier	AllergyIntolerance.identifier / CarePlan.identifier / CareTeam.identifier / Composition.identifier / Condition.identifier / Consent.identifier / DetectedIssue.identifier / DeviceRequest.identifier / DiagnosticReport.identifier / DocumentManifest.masterIdentifier / DocumentManifest.identifier / DocumentReference.masterIdentifier / DocumentReference.identifier / Encounter.identifier / EpisodeOfCare.identifier / FamilyMemberHistory.identifier / Goal.identifier / ImagingStudy.identifier / Immunization.identifier / List.identifier / MedicationAdministration.identifier / MedicationDispense.identifier / MedicationRequest.identifier / MedicationStatement.identifier / NutritionOrder.identifier / Observation.identifier / Procedure.identifier / RiskAssessment.identifier / ServiceRequest.identifier / SupplyDelivery.identifier / SupplyRequest.identifier / VisionPrescription.identifier
patient	reference	Multiple Resources: * AllergyIntolerance: Who the sensitivity is for* CarePlan: Who the care plan is for* CareTeam: Who care team is for* ClinicalImpression: Patient or group assessed* Composition: Who and/or what the composition is about* Condition: Who has the condition?* Consent: Who the consent applies to* DetectedIssue: Associated patient* DeviceRequest: Individual the service is ordered for* DeviceUseStatement: Search by subject - a patient* DiagnosticReport: The subject of the report if a patient* DocumentManifest: The subject of the set of documents* DocumentReference: Who/what is the subject of the document* Encounter: The patient or group present at the encounter* EpisodeOfCare: The patient who is the focus of this episode of care* FamilyMemberHistory: The identity of a subject to list family member history items for* Flag: The identity of a subject to list flags for* Goal: Who this goal is intended for* ImagingStudy: Who the study is about* Immunization: The patient for the vaccination record* List: If all resources have the same subject* MedicationAdministration: The identity of a patient to list administrations for* MedicationDispense: The identity of a patient to list dispenses for* MedicationRequest: Returns prescriptions for a specific patient* MedicationStatement: Returns statements for a specific patient.* NutritionOrder: The identity of the person who requires the diet, formula or nutritional supplement* Observation: The subject that the observation is about (if patient)* Procedure: Search by subject - a patient* RiskAssessment: Who/what does assessment apply to?* ServiceRequest: Search by subject - a patient* SupplyDelivery: Patient for whom the item is supplied* VisionPrescription: The identity of a patient to list dispenses for	AllergyIntolerance.patient / CarePlan.subject.where(resolve() is Patient) / CareTeam.subject.where(resolve() is Patient) / ClinicalImpression.subject.where(resolve() is Patient) / Composition.subject.where(resolve() is Patient) / Condition.subject.where(resolve() is Patient) / Consent.patient / DetectedIssue.patient / DeviceRequest.subject.where(resolve() is Patient) / DeviceUseStatement.subject.where(resolve() is Patient) / DiagnosticReport.subject.where(resolve() is Patient) / DocumentManifest.subject.where(resolve() is Patient) / DocumentReference.subject.where(resolve() is Patient) / Encounter.subject.where(resolve() is Patient) / EpisodeOfCare.patient / FamilyMemberHistory.patient / Flag.subject.where(resolve() is Patient) / Goal.subject.where(resolve() is Patient) / ImagingStudy.subject.where(resolve() is Patient) / Immunization.patient / List.subject.where(resolve() is Patient) / MedicationAdministration.subject.where(resolve() is Patient) / MedicationDispense.subject.where(resolve() is Patient) / MedicationRequest.subject.where(resolve() is Patient) / MedicationStatement.subject.where(resolve() is Patient) / NutritionOrder.patient / Observation.subject.where(resolve() is Patient) / Procedure.subject.where(resolve() is Patient) / RiskAssessment.subject.where(resolve() is Patient) / ServiceRequest.subject.where(resolve() is Patient) / SupplyDelivery.patient / VisionPrescription.patient
encounter	reference	Multiple Resources: * Composition: Context of the Composition* DeviceRequest: Encounter during which request was created* DiagnosticReport: The Encounter when the order was made* DocumentReference: Context of the document content* Flag: Alert relevant during encounter* List: Context in which list created* NutritionOrder: Return nutrition orders with this encounter identifier* Observation: Encounter related to the observation* Procedure: Encounter created as part of* RiskAssessment: Where was assessment performed?* ServiceRequest: An encounter in which this request is made* VisionPrescription: Return prescriptions with this encounter identifier	Composition.encounter / DeviceRequest.encounter / DiagnosticReport.encounter / DocumentReference.context.encounter.where(resolve() is Encounter) / Flag.encounter / List.encounter / NutritionOrder.encounter / Observation.encounter / Procedure.encounter / RiskAssessment.encounter / ServiceRequest.encounter / VisionPrescription.encounter
additive	token	Type of module component to add to the feeding	NutritionOrder.enteralFormula.additiveType
datetime	date	Return nutrition orders requested on this date	NutritionOrder.dateTime
formula	token	Type of enteral or infant formula	NutritionOrder.enteralFormula.baseFormulaType
instantiates-canonical	reference	Instantiates FHIR protocol or definition	NutritionOrder.instantiatesCanonical
instantiates-uri	uri	Instantiates external protocol or definition	NutritionOrder.instantiatesUri
oraldiet	token	Type of diet that can be consumed orally (i.e., take via the mouth).	NutritionOrder.oralDiet.type
provider	reference	The identity of the provider who placed the nutrition order	NutritionOrder.orderer
status	token	Status of the nutrition order.	NutritionOrder.status
supplement	token	Type of supplement product requested	NutritionOrder.supplement.type