Release 5 FHIR CI-Build

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Responsible Owner: Orders and Observations icon Work Group Maturity Level : 1   Trial Use Security Category : Patient Compartments : Encounter , Group , Patient , Practitioner , RelatedPerson

Detailed Descriptions for the elements in the NutritionIntake resource.

NutritionIntake.instantiatesCanonical Element Id NutritionIntake.instantiatesCanonical Definition Instantiates FHIR protocol or definition. Short Display Instantiates FHIR protocol or definition Cardinality 0..* Type canonical ( Definition [ ActivityDefinition , ChargeItemDefinition , ClinicalUseDefinition , EventDefinition , Measure , MessageDefinition , ObservationDefinition , OperationDefinition , PlanDefinition , Questionnaire , Requirements , SubscriptionTopic , TestPlan , TestScript ]) Summary false
Element Id NutritionIntake
Definition

A record of food or fluid that is being consumed intake by a patient. A NutritionIntake may indicate that the patient may be consuming the food or fluid (i.e., solid and/or liquid), breastmilk, infant formula, supplements, enteral formula now or has consumed the food or fluid it in the past. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay or through an app that tracks food or fluids (i.e., solid and/or liquid), breastmilk, infant formula, supplements, enteral formula consumed. The consumption information may come from sources such as the patient's memory, from a nutrition label, or from a clinician documenting observed intake.

Short Display Record of food or fluid being taken intake by a patient
Cardinality 0..*
Type DomainResource
Summary false
Element Id NutritionIntake.identifier
Definition

Identifiers associated with this Nutrition Intake that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.

Short Display External identifier
Note This is a business identifier, not a resource identifier (see discussion )
Cardinality 0..*
Type Identifier
Summary true
Comments

This is a business identifier, not a resource identifier.

Element Id NutritionIntake.basedOn
Definition

A plan, proposal or order that is fulfilled in whole or in part by this event.

Short Display Fulfils plan, proposal or order
Cardinality 0..*
Type Reference ( NutritionOrder | CarePlan | ServiceRequest )
Requirements

Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.

Summary true
Element Id NutritionIntake.partOf
Definition

A larger event of which this particular event is a component or step.

Short Display Part of referenced event
Cardinality 0..*
Type Reference ( NutritionIntake | Procedure | Observation )
Hierarchy This reference is part of a strict Hierarchy
Requirements

This should not be used when indicating which resource a NutritionIntake has been derived from. If that is the use case, then NutritionIntake.derivedFrom should be used.

Summary true
Element Id NutritionIntake.status
Definition

A code representing the patient or other source's judgment about the state of the intake that this assertion is about. Generally, this will be active or completed.

Short Display preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Cardinality 1..1
Terminology Binding EventStatus ( Required )
Type code
Is Modifier true (Reason: This element is labelled 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)
Summary true
Comments

NutritionIntake is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for NutritionIntake.status contains codes that assert the status of the consumption of the food or fluid (i.e. solid and/or liquid), breastmilk, infant formula, supplements, enteral formula by the patient (for example, stopped or on hold) as well as codes that assert the status of the Nutrition Intake itself (for example, entered in error).

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Element Id NutritionIntake.statusReason
Definition

Captures the reason for the current state of the NutritionIntake.

Short Display Reason for current status
Cardinality 0..*
Terminology Binding ClinicalImpression Nutrition Intake Status Reason ( Example )
Type CodeableConcept
Summary false
Comments

This is generally only used for "exception" statuses such as "not-taken", "on-hold", "cancelled" or "entered-in-error". The reason for performing the event at all is captured in reasonCode, not here.

Element Id NutritionIntake.code
Definition

Overall type of nutrition intake.

Short Display Code representing an overall type of nutrition intake
Cardinality 0..1
Terminology Binding Diet Codes ( Example Preferred )
Type CodeableConcept
Summary true
Element Id NutritionIntake.subject
Definition

The person, animal person or group who is/was consuming the food or fluid. (i.e. solid and/or liquid).

Short Display Who is/was consuming the food or fluid (i.e. solid and/or liquid)
Cardinality 1..1
Type Reference ( Patient | Group )
Summary true
Element Id NutritionIntake.encounter
Definition

The encounter that establishes the context for this NutritionIntake.

Short Display Encounter associated with NutritionIntake
Cardinality 0..1
Type Reference ( Encounter )
Summary true
Element Id NutritionIntake.occurrence[x]
Definition

The interval of time during which it is being asserted that the patient is/was consuming the food or fluid. (i.e. solid and/or liquid).

Short Display The date/time or interval when the food or fluid (i.e. solid and/or liquid) is/was consumed
Cardinality 0..1
Type dateTime | Period
[x] Note See Choice of Datatypes for further information about how to use [x]
Summary true
Comments

This attribute reflects the period over which the patient consumed the food fluid (i.e. solid and/or liquid) and is expected to be populated on the majority of NutritionIntake. If the food or fluid (i.e. solid and/or liquid) is still being taken and is expected to continue indefinitely at the time the usage is recorded, the "end" date will be omitted. If the end date is known, then it is included as the "end date". The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text.

Element Id NutritionIntake.recorded
Definition

The date when the Nutrition Intake was asserted by the information source.

Short Display When the intake was recorded
Cardinality 0..1
Type dateTime
Summary true
Element Id NutritionIntake.reported[x]
Definition

The person or organization Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth. It may also indicate the source that provided the information about the consumption of this food or fluid. Note: Use derivedFrom when a NutritionIntake is derived from other resources. consumption.

Short Display Person or organization Indicates if this is a reported rather than a primary record. Can also indicate the source that provided the information about the consumption of this food or fluid
Cardinality 0..1
Type boolean | Reference ( Patient | RelatedPerson | Practitioner | PractitionerRole | Organization | Group )
[x] Note See Choice of Datatypes for further information about how to use [x]
Summary false
Element Id NutritionIntake.consumedItem NutritionIntake.nutritionItem
Definition

What food or fluid The nutrition product or item was consumed. intended for consumption and/or administration.

Short Display What food or fluid The nutrition product or item was consumed intended for consumption and/or administration
Cardinality 1..* 0..*
Summary false
Constraints
Defined on this element
nin-1 Rule If nutritionItem is present then SHALL have at least one of nutritionItem.type or nutritionItem.nutritionProduct[x] (type.exists() or nutritionProduct.exists())
Element Id NutritionIntake.consumedItem.type NutritionIntake.nutritionItem.type
Definition

Indicates what a category of item that was is intended to be consumed: e.g., food, fluid, enteral, etc. food (i.e. solid and/or liquid), breastmilk, infant formula, supplements, enteral formula.

Short Display The type of food (i.e. solid or fluid liquid) product
Cardinality 1..1 0..1
Terminology Binding Types of Edible Substances Food Type Codes ( Example )
Type CodeableConcept
Summary true
Element Id NutritionIntake.consumedItem.nutritionProduct NutritionIntake.nutritionItem.nutritionProduct
Definition

Identifies the food or fluid (i.e. solid and/or liquid) product that was is to be consumed. This is potentially a link to a resource representing the details of the food product (TBD) or a simple attribute carrying a code that identifies the food from a known list of foods.

Short Display Code that identifies the A product used for nutritional purposes (e.g. food or fluid product that was consumed supplement)
Cardinality 1..1 0..1
Terminology Binding Food Type Codes Types of Edible Substances ( Example Preferred )
Type CodeableReference ( NutritionProduct )
Summary true
Comments

If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of a new nutritionProduct resource is recommended.

Element Id NutritionIntake.consumedItem.schedule NutritionIntake.nutritionItem.consumedItem
Definition

What nutrition item was consumed.

Short Display What nutrition item was consumed
Cardinality 0..*
Summary false
Element Id NutritionIntake.nutritionItem.consumedItem.schedule
Definition

Scheduled frequency of consumption.

Short Display Scheduled frequency of consumption
Cardinality 0..1
Type Timing
Summary false
Element Id NutritionIntake.consumedItem.amount NutritionIntake.nutritionItem.consumedItem.amount
Definition

Quantity of the specified food. food (i.e. solid and/or liquid).

Short Display Quantity of the specified food (i.e. solid and/or liquid)
Cardinality 0..1
Type SimpleQuantity
Summary true
Element Id NutritionIntake.consumedItem.rate NutritionIntake.nutritionItem.consumedItem.rate[x]
Definition

Rate at which of enteral feeding was administered. administration.

Short Display Rate at which of enteral feeding was administered administration
Cardinality 0..1
Type SimpleQuantity Quantity | Ratio
[x] Note See Choice of Datatypes for further information about how to use [x]
Summary true
Element Id NutritionIntake.consumedItem.notConsumed NutritionIntake.nutritionItem.consumedItem.totalIntake
Definition

Indicator when a patient is in a setting where it is helpful to know if food was not consumed, such as it was refused, held (as Nutrients and/or energy contained in tube feedings), or otherwise not provided. If a consumption is being recorded from an app, such as MyFitnessPal, this indicator will likely not be used. the intake.

Short Display Flag to indicate if Nutrients and/or energy contained in the food or fluid item was refused or otherwise not consumed intake
Cardinality 0..1 Type boolean 0..*
Summary false
Element Id NutritionIntake.consumedItem.notConsumedReason NutritionIntake.nutritionItem.consumedItem.totalIntake.nutrient
Definition

Document the reason the food Type of nutrient consumed. This could be a macronutrient (protein, fat, carbohydrate), or fluid was not consumed, such as refused, held, etc. a vitamin and mineral.

Short Display Reason food or fluid was not Type of nutrient consumed in the intake
Cardinality 0..1 1..1
Terminology Binding Reasons for why a food item was not consumed Nutrient Codes ( Example )
Type CodeableConcept CodeableReference ( SubstanceDefinition )
Summary false
Element Id NutritionIntake.ingredientLabel NutritionIntake.nutritionItem.consumedItem.totalIntake.amount
Definition

Total amount of nutrient amounts for the whole meal, product, serving, etc. consumed.

Short Display Total amount of nutrient for the whole meal, product, serving consumed
Cardinality 1..1
0..* Type SimpleQuantity
Summary false
Comments Element Id NutritionIntake.nutritionItem.consumedItem.totalIntake.energy
Definition

Individual item nutrients are not currently included in the resource and will likely end up as a reference Total energy consumed in nutritionProduct to represent the individual items. kilocalories or kilojoules.

Short Display Total energy consumed in kilocalories or kilojoules
Cardinality 0..1
Type SimpleQuantity
Summary false
Element Id NutritionIntake.ingredientLabel.nutrient NutritionIntake.nutritionItem.notConsumedItem
Definition

Total nutrient What nutrition item was not consumed. This could be a macronutrient (protein, fat, carbohydrate), or a vitamin and mineral.

Short Display Total nutrient What nutrition item was not consumed
Cardinality 0..*
1..1 Summary false
Element Id NutritionIntake.nutritionItem.notConsumedItem.reason
Definition

Document the reason the nutrition item was not consumed, such as refused, held, etc.

Short Display Reason the nutrition item was not consumed
Cardinality 0..1
Terminology Binding Nutrient Modifier Codes Reasons for why a food item was not consumed ( Example )
Type CodeableConcept
CodeableReference Summary ( Substance false
Element Id NutritionIntake.nutritionItem.notConsumedItem.schedule
Definition

The intended frequency of consumption that was not followed.

Short Display The intended frequency of consumption that was not followed
Cardinality 0..1
Type Timing
Summary false
Element Id NutritionIntake.ingredientLabel.amount NutritionIntake.nutritionItem.notConsumedItem.amount
Definition

Total amount Quantity of nutrient the specified food (i.e. solid and/or liquid) that was not consumed.

Short Display Total amount Quantity of nutrient the specified food (i.e. solid and/or liquid) that was not consumed
Cardinality 1..1 0..1
Type SimpleQuantity
Summary false true
Element Id NutritionIntake.performer
Definition

Who or what performed the intake and how they were involved.

Short Display Who was or what performed in the intake and how they were involved
Cardinality 0..*
Summary false
Element Id NutritionIntake.performer.function
Definition

Type of performer. performance.

Short Display Type of performer
Cardinality 0..1
Terminology Binding Procedure Performer Role Codes ( Example )
Type CodeableConcept
Summary false
Element Id NutritionIntake.performer.actor
Definition

Who or what performed the intake.

Short Display Who or what performed the intake
Cardinality 1..1
Type Reference ( Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson | Group )
Summary false
Element Id NutritionIntake.location
Definition

Where the intake occurred.

Short Display Where the intake occurred
Cardinality 0..1
Type Reference ( Location )
Summary false
Element Id NutritionIntake.derivedFrom
Definition

Allows linking the NutritionIntake to the underlying NutritionOrder, or to other information, such as AllergyIntolerance, that supports or is used to derive the NutritionIntake.

Short Display Additional supporting information
Cardinality 0..*
Type Reference ( Any )
Summary false
Comments

Likely references would be to AllergyIntolerance, Observation or QuestionnaireAnswers.

Element Id NutritionIntake.reason
Definition

A reason, Condition or observation for why the food or fluid (i.e. solid and/or liquid) is /was consumed.

Short Display Reason for why the food or fluid (i.e. solid and/or liquid) is /was consumed
Cardinality 0..*
Terminology Binding Condition/Problem/Diagnosis Codes ( Example )
Type CodeableReference ( Condition | Observation | DiagnosticReport | DocumentReference )
Summary false
Element Id NutritionIntake.note
Definition

Provides extra information about the Nutrition Intake that is not conveyed by the other attributes.

Short Display Further information about the consumption
Cardinality 0..*
Type Annotation
Summary false