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

Referenced by an Order Request (workflow).

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

The Identifier.type element can be to indicate filler vs. placer if needed. This is explained in further detail here .

A plan or request that is fulfilled in whole or in part by this nutrition order.

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.

The workflow status of the nutrition order/request.

Typically the system placing the order sets the status to "requested". "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.

Indicates the level of authority/intentionality associated with the NutrionOrder and where the request fits into the workflow chain.

Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain.

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.

Indicates how quickly the Nutrition Order should be addressed with respect to other requests.

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

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

Information to support fulfilling (i.e. dispensing or administering) of the nutrition, for example, patient height and weight).

The date and time that this nutrition order was requested.

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

The specified desired performer of the nutrition order.

A link to a record of allergies or intolerances which should be included in the nutrition order.

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.

This modifier is used to convey order-specific modifiers about the type of food (i.e. solid and/or liquid) 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.

Information on a patient's food preferences that inform informs the healthcare personnel about the food that what the patient should receive or consume.

This modifier is used to convey order-specific Order-specific modifiers about the type of food that should NOT 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 what 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.

Specific types of oral food (solid/liquid) to avoid.

Information on This modifier is used to convey whether a patient's food allergies, intolerances and preferences to inform healthcare personnel about item, brought in by the type of foods patient, family, and/or caregiver, can be consumed by the patient. If set to true, indicates that the patient shouldn't receive or consume. receiving system does not need to supply the food item.

Diet given orally in contrast to enteral (tube) feeding. that may include texture modification, such as International Dysphagia Diet Standardisation Initiative Framework - Slightly Thick Level 1 drinks and Minced and International Dysphagia Diet Standardisation Initiative Framework - Minced and Moist Level 5 food as well as, for example, Decreased potassium diet (ie, nutrient modification), Halal diet (ie, cultural modification), and/or Low microbial diet (eg, other modification).

The kind of diet or dietary restriction such as fiber restricted diet or diabetic diet. diet for diabetes.

Schedule information for an oral diet.

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.

Indicates whether the diet is only taken when needed within a specific administration schedule.

Indicates whether the diet is only taken based on a precondition for taking the diet.

Class that defines Defines the quantity and type of the nutrient modifications modified (for example carbohydrate, fiber or sodium) required for in the oral diet.

The 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 in addition to the oral diet type required for the patient to safely consume various types of foods (i.e. solid foods. and/or liquid).

Any texture Texture modifications (for solid foods) in the addition to the oral diet type that should be made, e.g. easy to chew, chopped, ground, and pureed.

Coupled with the foodType (Meat).

The food (i.e. solid and/or liquid) type(s) (e.g. meats, all foods) that the texture modification applies to. This could be all foods types.

The required consistency (e.g. honey-thick, nectar-thick, thin, thickened.) of liquids Free text or fluids served additional instructions or information pertaining to the patient. oral diet.

Free text diet instructions can be used for cases where the instructions are too complex to code.

Free text or additional instructions The amount of energy (calories or information pertaining to kilojoules) that the oral diet. diet should provide. For example, an infant formula feeding of 30 ounces of 20 kcal/ounce (67 kcal/100 mL) formula per day.

Oral nutritional products given in order to add further nutritional value to the patient's diet.

The kind of nutritional supplement product required such as a high protein or pediatric clear liquid supplement.

The product or brand name of the nutritional supplement such as "Acme "Acme Protein Shake". Shake".

Schedule information for a supplement.

The time period and frequency at which the supplement(s) supplement should be given. The supplement should be given for the combination of all schedules if more than one schedule is present.

Indicates whether the supplement is only taken when needed within a specific dosing schedule.

Indicates whether the supplement is only taken based on a precondition for taking the supplement.

The amount of the nutritional supplement to be given.

Free text or additional instructions or information pertaining to the oral supplement.

Free text dosage instructions can be used for cases where the instructions are too complex to code.

The amount of energy (calories or kilojoules) that the supplement should provide per specified volume, typically per ml or fluid oz. For example, a patient may required a supplement that provides 24 calories per fluid ounce.

Feeding provided through the gastrointestinal tract via a tube, catheter, or stoma that delivers nutrition distal to the oral cavity.

The type of enteral adult or infant formula pediatric enteral feeding such as an adult standard formula with fiber or a soy-based infant formula. feeding.

The product or brand name of the enteral or infant formula feeding product such as "ACME "ACME Adult Standard Formula". Formula".

Indicates the The intended type of modular component such as protein, carbohydrate, fat or fiber device that is to be provided in addition to or mixed with used for the base administration of the enteral formula.

The amount of energy (calories) (calories or kilojoules) that the formula feeding 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.

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

Formula feeding 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.

See implementation notes below for further discussion on how to order continuous vs bolus enteral feeding using this resource.

Schedule information for an enteral feeding.

The time period and frequency at which the enteral formula feeding should be delivered to given. The enteral feeding should be given for the patient. combination of all schedules if more than one schedule is present.

Indicates whether the enteral feeding is only taken when needed within a specific dosing schedule.

Indicates whether the enteral feeding is only taken based on a precondition for taking the enteral feeding.

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

The rate of administration of formula feeding via a feeding pump, e.g. 60 mL per hour, according to the specified schedule.

Ratio is used when the quantity value in the denominator is not "1", "1", otherwise use Quantity. For example, the Ratio datatype is used for "200 "200 mL/4 hrs" hrs" versus the Quantity datatype for "50 mL/hr". "50 mL/hr".

The maximum total quantity of formula feeding that may be administered to a subject over the period of time, e.g. 1440 mL over 24 hours.

Free text formula administration, feeding instructions or additional instructions or information.

Free text dosage instructions can be used for cases where the instructions are too complex to code.

Indicates modular components to be provided in addition or mixed with the oral diet, supplement, and/or enteral feeding.

Indicates the type of modular component such as protein, carbohydrate, fat or fiber to be provided in addition to or mixed with the oral diet, supplement, and/or enteral feeding.

The product or brand name of the type of modular additive to be added to the oral diet, supplement, and/or enteral feeding.

The amount of additive to be given in addition or to be mixed in with the oral diet, supplement, and/or enteral feeding.

The administration into the patient's gastrointestinal tract for purposes of providing the additive, e.g. nasogastric tube, oral.

Comments made about the nutrition order by the requester, performer, subject or other participants.

This element SHALL NOT be used to supply free text instructions for the diet which are represented in the .oralDiet.instruction, supplement.instruction , or enteralFormula.administrationInstruction elements.