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Orders and Observations icon Work GroupMaturity Level: 1 Trial UseSecurity Category: Patient Compartments: Encounter, Patient, Practitioner, RelatedPerson

Detailed Descriptions for the elements in the NutritionIntake resource.

NutritionIntake
Element IdNutritionIntake
Definition

A record of food or fluid that is being consumed by a patient. A NutritionIntake may indicate that the patient may be consuming the food or fluid now or has consumed the food or fluid 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 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 DisplayRecord of food or fluid being taken by a patient
Cardinality0..*
TypeDomainResource
Summaryfalse
NutritionIntake.identifier
Element IdNutritionIntake.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 DisplayExternal identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Cardinality0..*
TypeIdentifier
Summarytrue
Comments

This is a business identifier, not a resource identifier.

NutritionIntake.instantiatesCanonical
Element IdNutritionIntake.instantiatesCanonical
Definition

Instantiates FHIR protocol or definition.

Short DisplayInstantiates FHIR protocol or definition
Cardinality0..*
Typecanonical(Definition[ActivityDefinition, ChargeItemDefinition, EventDefinition, Measure, MessageDefinition, ObservationDefinition, OperationDefinition, PlanDefinition, Questionnaire, SubscriptionTopic, TestScript])
Summaryfalse
NutritionIntake.instantiatesUri
Element IdNutritionIntake.instantiatesUri
Definition

Instantiates external protocol or definition.

Short DisplayInstantiates external protocol or definition
Cardinality0..*
Typeuri
Summaryfalse
NutritionIntake.basedOn
Element IdNutritionIntake.basedOn
Definition

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

Short DisplayFulfils plan, proposal or order
Cardinality0..*
TypeReference(NutritionOrder | CarePlan | ServiceRequest)
Requirements

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

Summarytrue
NutritionIntake.partOf
Element IdNutritionIntake.partOf
Definition

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

Short DisplayPart of referenced event
Cardinality0..*
TypeReference(NutritionIntake | Procedure | Observation)
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.

Summarytrue
NutritionIntake.status
Element IdNutritionIntake.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 Displaypreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Cardinality1..1
Terminology BindingEventStatus (Required)
Typecode
Is Modifiertrue (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)
Summarytrue
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 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.

NutritionIntake.statusReason
Element IdNutritionIntake.statusReason
Definition

Captures the reason for the current state of the NutritionIntake.

Short DisplayReason for current status
Cardinality0..*
Terminology BindingClinicalImpression Status Reason (Example)
TypeCodeableConcept
Summaryfalse
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.

NutritionIntake.code
Element IdNutritionIntake.code
Definition

Overall type of nutrition intake.

Short DisplayCode representing an overall type of nutrition intake
Cardinality0..1
Terminology BindingDiet Codes (Example)
TypeCodeableConcept
Summarytrue
NutritionIntake.subject
Element IdNutritionIntake.subject
Definition

The person, animal or group who is/was consuming the food or fluid.

Short DisplayWho is/was consuming the food or fluid
Cardinality1..1
TypeReference(Patient | Group)
Summarytrue
NutritionIntake.encounter
Element IdNutritionIntake.encounter
Definition

The encounter that establishes the context for this NutritionIntake.

Short DisplayEncounter associated with NutritionIntake
Cardinality0..1
TypeReference(Encounter)
Summarytrue
NutritionIntake.occurrence[x]
Element IdNutritionIntake.occurrence[x]
Definition

The interval of time during which it is being asserted that the patient is/was consuming the food or fluid.

Short DisplayThe date/time or interval when the food or fluid is/was consumed
Cardinality0..1
TypedateTime|Period
[x] NoteSee Choice of Datatypes for further information about how to use [x]
Summarytrue
Comments

This attribute reflects the period over which the patient consumed the food fluid and is expected to be populated on the majority of NutritionIntake. If the food or fluid 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.

NutritionIntake.recorded
Element IdNutritionIntake.recorded
Definition

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

Short DisplayWhen the intake was recorded
Cardinality0..1
TypedateTime
Summarytrue
NutritionIntake.reported[x]
Element IdNutritionIntake.reported[x]
Definition

The person or organization that provided the information about the consumption of this food or fluid. Note: Use derivedFrom when a NutritionIntake is derived from other resources.

Short DisplayPerson or organization that provided the information about the consumption of this food or fluid
Cardinality0..1
Typeboolean|Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)
[x] NoteSee Choice of Datatypes for further information about how to use [x]
Summaryfalse
NutritionIntake.consumedItem
Element IdNutritionIntake.consumedItem
Definition

What food or fluid product or item was consumed.

Short DisplayWhat food or fluid product or item was consumed
Cardinality1..*
Summaryfalse
NutritionIntake.consumedItem.type
Element IdNutritionIntake.consumedItem.type
Definition

Indicates what a category of item that was consumed: eg., food, fluid, enteral, etc.

Short DisplayThe type of food or fluid product
Cardinality1..1
Terminology BindingTypes of Edible Substances (Example)
TypeCodeableConcept
Summarytrue
NutritionIntake.consumedItem.nutritionProduct
Element IdNutritionIntake.consumedItem.nutritionProduct
Definition

Identifies the food or fluid product that was 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 DisplayCode that identifies the food or fluid product that was consumed
Cardinality1..1
Terminology BindingFood Type Codes (Example)
TypeCodeableReference(NutritionProduct)
Summarytrue
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.

NutritionIntake.consumedItem.schedule
Element IdNutritionIntake.consumedItem.schedule
Definition

Scheduled frequency of consumption.

Short DisplayScheduled frequency of consumption
Cardinality0..1
TypeTiming
Summaryfalse
NutritionIntake.consumedItem.amount
Element IdNutritionIntake.consumedItem.amount
Definition

Quantity of the specified food.

Short DisplayQuantity of the specified food
Cardinality0..1
TypeSimpleQuantity
Summarytrue
NutritionIntake.consumedItem.rate
Element IdNutritionIntake.consumedItem.rate
Definition

Rate at which enteral feeding was administered.

Short DisplayRate at which enteral feeding was administered
Cardinality0..1
TypeSimpleQuantity
Summarytrue
NutritionIntake.consumedItem.notConsumed
Element IdNutritionIntake.consumedItem.notConsumed
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 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.

Short DisplayFlag to indicate if the food or fluid item was refused or otherwise not consumed
Cardinality0..1
Typeboolean
Summaryfalse
NutritionIntake.consumedItem.notConsumedReason
Element IdNutritionIntake.consumedItem.notConsumedReason
Definition

Document the reason the food or fluid was not consumed, such as refused, held, etc.

Short DisplayReason food or fluid was not consumed
Cardinality0..1
Terminology BindingReasons for why a food item was not consumed (Example)
TypeCodeableConcept
Summaryfalse
NutritionIntake.ingredientLabel
Element IdNutritionIntake.ingredientLabel
Definition

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

Short DisplayTotal nutrient for the whole meal, product, serving
Cardinality0..*
Summaryfalse
Comments

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

NutritionIntake.ingredientLabel.nutrient
Element IdNutritionIntake.ingredientLabel.nutrient
Definition

Total nutrient consumed. This could be a macronutrient (protein, fat, carbohydrate), or a vitamin and mineral.

Short DisplayTotal nutrient consumed
Cardinality1..1
Terminology BindingNutrient Modifier Codes (Example)
TypeCodeableReference(Substance)
Summaryfalse
NutritionIntake.ingredientLabel.amount
Element IdNutritionIntake.ingredientLabel.amount
Definition

Total amount of nutrient consumed.

Short DisplayTotal amount of nutrient consumed
Cardinality1..1
TypeSimpleQuantity
Summaryfalse
NutritionIntake.performer
Element IdNutritionIntake.performer
Definition

Who performed the intake and how they were involved.

Short DisplayWho was performed in the intake
Cardinality0..*
Summaryfalse
NutritionIntake.performer.function
Element IdNutritionIntake.performer.function
Definition

Type of performer.

Short DisplayType of performer
Cardinality0..1
Terminology BindingProcedure Performer Role Codes (Example)
TypeCodeableConcept
Summaryfalse
NutritionIntake.performer.actor
Element IdNutritionIntake.performer.actor
Definition

Who performed the intake.

Short DisplayWho performed the intake
Cardinality1..1
TypeReference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)
Summaryfalse
NutritionIntake.location
Element IdNutritionIntake.location
Definition

Where the intake occurred.

Short DisplayWhere the intake occurred
Cardinality0..1
TypeReference(Location)
Summaryfalse
NutritionIntake.derivedFrom
Element IdNutritionIntake.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 DisplayAdditional supporting information
Cardinality0..*
TypeReference(Any)
Summaryfalse
Comments

Likely references would be to AllergyIntolerance, Observation or QuestionnaireAnswers.

NutritionIntake.reason
Element IdNutritionIntake.reason
Definition

A reason, Condition or observation for why the food or fluid is /was consumed.

Short DisplayReason for why the food or fluid is /was consumed
Cardinality0..*
Terminology BindingCondition/Problem/Diagnosis Codes (Example)
TypeCodeableReference(Condition | Observation | DiagnosticReport | DocumentReference)
Summaryfalse
NutritionIntake.note
Element IdNutritionIntake.note
Definition

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

Short DisplayFurther information about the consumption
Cardinality0..*
TypeAnnotation
Summaryfalse