|
NutritionOrder
|
|
Definition
|
A
request
to
supply
a
diet,
formula
feeding
(enteral)
or
oral
nutritional
supplement
to
a
patient/resident.
A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to a patient/resident.
|
|
Control
|
1..1
|
Alternate
Names
Alternate Names
|
Diet
Order;
Diet;
Nutritional
Supplement;
Enteral
Nutrition
Diet Order; Diet; Nutritional Supplement; Enteral Nutrition
|
|
Comments
|
Referenced
by
an
Order
Request
(workflow).
Referenced by an Order Request (workflow).
|
|
Invariants
|
Defined
on
this
element
Defined on this element
nor-1
:
Nutrition
Order
SHALL
contain
either
Oral
Diet
,
Supplement,
or
Enteral
Formula
class
(xpath:
exists(f:oralDiet)
or
exists(f:supplement)
or
exists(f:enteralFormula))
: Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class (
expression
: oralDiet or supplement or enteralFormula, xpath: exists(f:oralDiet) or exists(f:supplement) or exists(f:enteralFormula))
|
NutritionOrder.patient
NutritionOrder.identifier
|
|
Definition
|
The
person
(patient)
who
needs
the
nutrition
order
for
an
oral
diet,
nutritional
supplement
and/or
enteral
or
formula
feeding.
Identifiers assigned to this order by the order sender or by the order receiver.
|
|
Note
|
This is a business identifer, not a resource identifier (see
discussion
)
|
|
Control
|
1..1
0..*
|
|
Type
|
Reference
(
Patient
)
Summary
Identifier
|
true
NutritionOrder.orderer
NutritionOrder.status
|
|
Definition
|
The
practitioner
that
holds
legal
responsibility
for
ordering
the
diet,
nutritional
supplement,
or
formula
feedings.
The workflow status of the nutrition order/request.
|
|
Control
|
0..1
|
|
Binding
|
NutritionOrderStatus:
Codes specifying the state of the request. Describes the lifecycle of the nutrition order.
(
Required
)
|
|
Type
|
Reference
(
Practitioner
code
)
|
Summary
Is Modifier
|
true
|
Summary
NutritionOrder.identifier
|
true
|
Definition
Comments
|
Identifiers
assigned
to
this
order
by
the
order
sender
or
by
the
order
receiver.
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.
|
|
NutritionOrder.patient
|
Note
Definition
|
This
is
a
business
identifer,
not
a
resource
identifier
(see
discussion
)
The person (patient) who needs the nutrition order for an oral diet, nutritional supplement and/or enteral or formula feeding.
|
|
Control
|
0..*
1..1
|
|
Type
|
Identifier
Reference
(
Patient
)
|
|
Summary
|
true
|
|
NutritionOrder.encounter
|
|
Definition
|
An
encounter
that
provides
additional
information
about
the
healthcare
context
in
which
this
request
is
made.
An encounter that provides additional information about the healthcare context in which this request is made.
|
|
Control
|
0..1
|
|
Type
|
Reference
(
Encounter
)
|
|
NutritionOrder.dateTime
|
|
Definition
|
The
date
and
time
that
this
nutrition
order
was
requested.
The date and time that this nutrition order was requested.
|
|
Control
|
1..1
|
|
Type
|
dateTime
|
|
Summary
|
true
|
NutritionOrder.status
NutritionOrder.orderer
|
|
Definition
|
The
workflow
status
of
the
nutrition
order/request.
The practitioner that holds legal responsibility for ordering the diet, nutritional supplement, or formula feedings.
|
|
Control
|
0..1
|
Binding
NutritionOrderStatus:
Codes
specifying
the
state
of
the
request.
Describes
the
lifecycle
of
the
nutrition
order.
(
Required
)
|
Type
|
code
Reference
Is
Modifier
(
Practitioner
true
)
|
|
Summary
|
true
|
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.
|
NutritionOrder.allergyIntolerance
|
|
Definition
|
A
link
to
a
record
of
allergies
or
intolerances
which
should
be
included
in
the
nutrition
order.
A link to a record of allergies or intolerances which should be included in the nutrition order.
|
|
Control
|
0..*
|
|
Type
|
Reference
(
AllergyIntolerance
)
|
|
Comments
|
Information
on
a
patient's
food
allergies
and
intolerances,
inform
healthcare
personnel
about
the
type
of
foods
that
the
patient
should
receive
or
consume.
Information on a patient's food allergies and intolerances, inform healthcare personnel about the type of foods that the patient should receive or consume.
|
|
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.
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.
|
|
Control
|
0..*
|
|
Binding
|
Diet:
Medical,
cultural
or
ethical
food
preferences
to
help
with
catering
requirements
(
Diet:
Medical, cultural or ethical food preferences to help with catering requirements
(
Example
)
|
|
Type
|
CodeableConcept
|
|
Comments
|
Information
on
a
patient's
food
preferences
that
inform
healthcare
personnel
about
the
food
that
the
patient
should
receive
or
consume.
Information on a patient's food preferences that inform healthcare personnel about the food that the patient should receive or consume.
|
|
NutritionOrder.excludeFoodModifier
|
|
Definition
|
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.
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.
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. 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.
|
|
Control
|
0..*
|
|
Binding
|
Food
Type
Codes:
Codes
used
to
indicate
the
type
of
food
that
should
NOT
be
given
to
the
patient.
(
Food Type Codes:
Codes used to indicate the type of food that should NOT be given to the patient.
(
Example
)
|
|
Type
|
CodeableConcept
|
|
Comments
|
Information
on
a
patient's
food
allergies
and
intolerances,
and
preferences
inform
healthcare
personnel
about
the
type
of
foods
that
the
patient
should
receive
or
consume.
Information on a patient's food allergies and intolerances, and preferences inform healthcare personnel about the type of foods that the patient should receive or consume.
|
|
NutritionOrder.oralDiet
|
|
Definition
|
Diet
given
orally
in
contrast
to
enteral
(tube)
feeding.
Diet given orally in contrast to enteral (tube) feeding.
|
|
Control
|
0..1
|
|
Invariants
|
Affect
this
element
Affect this element
nor-1
:
Nutrition
Order
SHALL
contain
either
Oral
Diet
,
Supplement,
or
Enteral
Formula
class
(xpath:
exists(f:oralDiet)
or
exists(f:supplement)
or
exists(f:enteralFormula))
: Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class (
expression
: oralDiet or supplement or enteralFormula, xpath: exists(f:oralDiet) or exists(f:supplement) or exists(f:enteralFormula))
|
|
NutritionOrder.oralDiet.type
|
|
Definition
|
The
kind
of
diet
or
dietary
restriction
such
as
fiber
restricted
diet
or
diabetic
diet.
The kind of diet or dietary restriction such as fiber restricted diet or diabetic diet.
|
|
Control
|
0..*
|
|
Binding
|
Diet
Codes:
Codes
used
to
indicate
the
type
of
diet
being
ordered
for
a
patient.
(
Diet Codes:
Codes used to indicate the type of diet being ordered for a patient.
(
Example
)
|
|
Type
|
CodeableConcept
|
|
Summary
|
true
|
|
NutritionOrder.oralDiet.schedule
|
|
Definition
|
The
time
period
and
frequency
at
which
the
diet
should
be
given.
The time period and frequency at which the diet should be given.
|
|
Control
|
0..*
|
|
Type
|
Timing
|
Alternate
Names
Alternate Names
|
frequency
|
|
NutritionOrder.oralDiet.nutrient
|
|
Definition
|
Class
that
defines
the
quantity
and
type
of
nutrient
modifications
required
for
the
oral
diet.
Class that defines the quantity and type of nutrient modifications required for the oral diet.
|
|
Control
|
0..*
|
|
NutritionOrder.oralDiet.nutrient.modifier
|
|
Definition
|
The
nutrient
that
is
being
modified
such
as
carbohydrate
or
sodium.
The nutrient that is being modified such as carbohydrate or sodium.
|
|
Control
|
0..1
|
|
Binding
|
Nutrient
Modifier
Codes:
Codes
for
types
of
nutrient
that
is
being
modified
such
as
carbohydrate
or
sodium.
(
Nutrient Modifier Codes:
Codes for types of nutrient that is being modified such as carbohydrate or sodium.
(
Example
)
|
|
Type
|
CodeableConcept
|
|
NutritionOrder.oralDiet.nutrient.amount
|
|
Definition
|
The
quantity
of
the
specified
nutrient
to
include
in
diet.
The quantity of the specified nutrient to include in diet.
|
|
Control
|
0..1
|
|
Type
|
SimpleQuantity
|
|
NutritionOrder.oralDiet.texture
|
|
Definition
|
Class
that
describes
any
texture
modifications
required
for
the
patient
to
safely
consume
various
types
of
solid
foods.
Class that describes any texture modifications required for the patient to safely consume various types of solid foods.
|
|
Control
|
0..*
|
|
NutritionOrder.oralDiet.texture.modifier
|
|
Definition
|
Any
texture
modifications
(for
solid
foods)
that
should
be
made,
e.g.
easy
to
chew,
chopped,
ground,
and
pureed.
Any texture modifications (for solid foods) that should be made, e.g. easy to chew, chopped, ground, and pureed.
|
|
Control
|
0..1
|
|
Binding
|
Texture
Modifier
Codes:
Codes
for
food
consistency
types
or
texture
modifications
to
apply
to
foods.
(
Texture Modifier Codes:
Codes for food consistency types or texture modifications to apply to foods.
(
Example
)
|
|
Type
|
CodeableConcept
|
|
Comments
|
Coupled
with
the
foodType
(Meat).
Coupled with the foodType (Meat).
|
|
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.
The food type(s) (e.g. meats, all foods) that the texture modification applies to. This could be all foods types.
|
|
Control
|
0..1
|
|
Binding
|
Texture
Modified
Food
Type
Codes:
Codes
for
types
of
foods
that
are
texture
modified.
(
Texture Modified Food Type Codes:
Codes for types of foods that are texture modified.
(
Example
)
|
|
Type
|
CodeableConcept
|
|
Comments
|
Coupled
with
the
textureModifier;
could
be
(All
Foods).
Coupled with the textureModifier; could be (All Foods).
|
|
NutritionOrder.oralDiet.fluidConsistencyType
|
|
Definition
|
The
required
consistency
(e.g.
honey-thick,
nectar-thick,
thin,
thickened.)
of
liquids
or
fluids
served
to
the
patient.
The required consistency (e.g. honey-thick, nectar-thick, thin, thickened.) of liquids or fluids served to the patient.
|
|
Control
|
0..*
|
|
Binding
|
Fluid
Consistency
Type
Codes:
Codes
used
to
represent
the
consistency
of
fluids
and
liquids
provided
to
the
patient.
(
Fluid Consistency Type Codes:
Codes used to represent the consistency of fluids and liquids provided to the patient.
(
Example
)
|
|
Type
|
CodeableConcept
|
|
NutritionOrder.oralDiet.instruction
|
|
Definition
|
Free
text
or
additional
instructions
or
information
pertaining
to
the
oral
diet.
Free text or additional instructions or information pertaining to the oral diet.
|
|
Control
|
0..1
|
|
Type
|
string
|
|
Summary
|
true
|
|
Comments
|
Free
text
dosage
instructions
can
be
used
for
cases
where
the
instructions
are
too
complex
to
code.
Free text dosage instructions can be used for cases where the instructions are too complex to code.
|
|
NutritionOrder.supplement
|
|
Definition
|
Oral
nutritional
products
given
in
order
to
add
further
nutritional
value
to
the
patient's
diet.
Oral nutritional products given in order to add further nutritional value to the patient's diet.
|
|
Control
|
0..*
|
|
Invariants
|
Affect
this
element
Affect this element
nor-1
:
Nutrition
Order
SHALL
contain
either
Oral
Diet
,
Supplement,
or
Enteral
Formula
class
(xpath:
exists(f:oralDiet)
or
exists(f:supplement)
or
exists(f:enteralFormula))
: Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class (
expression
: oralDiet or supplement or enteralFormula, xpath: exists(f:oralDiet) or exists(f:supplement) or exists(f:enteralFormula))
|
|
NutritionOrder.supplement.type
|
|
Definition
|
The
kind
of
nutritional
supplement
product
required
such
as
a
high
protein
or
pediatric
clear
liquid
supplement.
The kind of nutritional supplement product required such as a high protein or pediatric clear liquid supplement.
|
|
Control
|
0..1
|
|
Binding
|
Supplement
Type
Codes:
Codes
for
nutritional
supplements
to
be
provided
to
the
patient
(
Supplement Type Codes:
Codes for nutritional supplements to be provided to the patient
(
Example
)
|
|
Type
|
CodeableConcept
|
|
Summary
|
true
|
|
NutritionOrder.supplement.productName
|
|
Definition
|
The
product
or
brand
name
of
the
nutritional
supplement
such
as
"Acme
Protein
Shake".
The product or brand name of the nutritional supplement such as "Acme Protein Shake".
|
|
Control
|
0..1
|
|
Type
|
string
|
|
NutritionOrder.supplement.schedule
|
|
Definition
|
The
time
period
and
frequency
at
which
the
supplement(s)
should
be
given.
The time period and frequency at which the supplement(s) should be given.
|
|
Control
|
0..*
|
|
Type
|
Timing
|
Alternate
Names
Alternate Names
|
frequency
|
|
NutritionOrder.supplement.quantity
|
|
Definition
|
The
amount
of
the
nutritional
supplement
to
be
given.
The amount of the nutritional supplement to be given.
|
|
Control
|
0..1
|
|
Type
|
SimpleQuantity
|
|
NutritionOrder.supplement.instruction
|
|
Definition
|
Free
text
or
additional
instructions
or
information
pertaining
to
the
oral
supplement.
Free text or additional instructions or information pertaining to the oral supplement.
|
|
Control
|
0..1
|
|
Type
|
string
|
|
Summary
|
true
|
|
Comments
|
Free
text
dosage
instructions
can
be
used
for
cases
where
the
instructions
are
too
complex
to
code.
Free text dosage instructions can be used for cases where the instructions are too complex to code.
|
|
NutritionOrder.enteralFormula
|
|
Definition
|
Feeding
provided
through
the
gastrointestinal
tract
via
a
tube,
catheter,
or
stoma
that
delivers
nutrition
distal
to
the
oral
cavity.
Feeding provided through the gastrointestinal tract via a tube, catheter, or stoma that delivers nutrition distal to the oral cavity.
|
|
Control
|
0..1
|
|
Invariants
|
Affect
this
element
Affect this element
nor-1
:
Nutrition
Order
SHALL
contain
either
Oral
Diet
,
Supplement,
or
Enteral
Formula
class
(xpath:
exists(f:oralDiet)
or
exists(f:supplement)
or
exists(f:enteralFormula))
: Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class (
expression
: oralDiet or supplement or enteralFormula, xpath: exists(f:oralDiet) or exists(f:supplement) or exists(f:enteralFormula))
|
|
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.
The type of enteral or infant formula such as an adult standard formula with fiber or a soy-based infant formula.
|
|
Control
|
0..1
|
|
Binding
|
Enteral
Formula
Type
Codes:
Codes
for
type
of
enteral
formula
to
be
administered
to
patient.
(
Enteral Formula Type Codes:
Codes for type of enteral formula to be administered to patient.
(
Example
)
|
|
Type
|
CodeableConcept
|
|
Summary
|
true
|
|
NutritionOrder.enteralFormula.baseFormulaProductName
|
|
Definition
|
The
product
or
brand
name
of
the
enteral
or
infant
formula
product
such
as
"ACME
Adult
Standard
Formula".
The product or brand name of the enteral or infant formula product such as "ACME Adult Standard Formula".
|
|
Control
|
0..1
|
|
Type
|
string
|
|
NutritionOrder.enteralFormula.additiveType
|
|
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.
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.
|
|
Control
|
0..1
|
|
Binding
|
Enteral
Formula
Additive
Type
Code:
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.
(
Enteral Formula Additive Type Code:
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.
(
Example
)
|
|
Type
|
CodeableConcept
|
|
NutritionOrder.enteralFormula.additiveProductName
|
|
Definition
|
The
product
or
brand
name
of
the
type
of
modular
component
to
be
added
to
the
formula.
The product or brand name of the type of modular component to be added to the formula.
|
|
Control
|
0..1
|
|
Type
|
string
|
|
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.
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.
|
|
Control
|
0..1
|
|
Type
|
SimpleQuantity
|
|
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.
The route or physiological path of administration into the patient's gastrointestinal tract for purposes of providing the formula feeding, e.g. nasogastric tube.
|
|
Control
|
0..1
|
|
Binding
|
Enteral
Route
Codes:
Codes
specifying
the
route
of
administration
of
enteral
formula.
(
Enteral Route Codes:
Codes specifying the route of administration of enteral formula.
(
Extensible
)
|
|
Type
|
CodeableConcept
|
|
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.
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.
|
|
Control
|
0..*
|
|
Comments
|
See
implementation
notes
below
for
further
discussion
on
how
to
order
continuous
vs
bolus
enteral
feeding
using
this
resource.
See implementation notes below for further discussion on how to order continuous vs bolus enteral feeding using this resource.
|
|
NutritionOrder.enteralFormula.administration.schedule
|
|
Definition
|
The
time
period
and
frequency
at
which
the
enteral
formula
should
be
delivered
to
the
patient.
The time period and frequency at which the enteral formula should be delivered to the patient.
|
|
Control
|
0..1
|
|
Type
|
Timing
|
Alternate
Names
Alternate Names
|
frequency
|
|
NutritionOrder.enteralFormula.administration.quantity
|
|
Definition
|
The
volume
of
formula
to
provide
to
the
patient
per
the
specified
administration
schedule.
The volume of formula to provide to the patient per the specified administration schedule.
|
|
Control
|
0..1
|
|
Type
|
SimpleQuantity
|
|
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.
The rate of administration of formula via a feeding pump, e.g. 60 mL per hour, according to the specified schedule.
|
|
Control
|
0..1
|
|
Type
|
SimpleQuantity
|
Ratio
|
[x]
Note
[x] Note
|
See
Choice
of
Data
Types
for
further
information
about
how
to
use
[x]
See
Choice of Data Types
for further information about how to use [x]
|
|
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".
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".
|
|
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.
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.
|
|
Control
|
0..1
|
|
Type
|
SimpleQuantity
|
|
NutritionOrder.enteralFormula.administrationInstruction
|
|
Definition
|
Free
text
formula
administration,
feeding
instructions
or
additional
instructions
or
information.
Free text formula administration, feeding instructions or additional instructions or information.
|
|
Control
|
0..1
|
|
Type
|
string
|
|
Summary
|
true
|
|
Comments
|
Free
text
dosage
instructions
can
be
used
for
cases
where
the
instructions
are
too
complex
to
code.
Free text dosage instructions can be used for cases where the instructions are too complex to code.
|
©
HL7.org
2011+.
FHIR
DSTU2
(v1.0.2-7202)
generated
on
Sat,
Oct
24,
2015
07:43+1100.
Links:
Search