CRD Nutrition Order - Da Vinci - Coverage Requirements Discovery v2.1.0

Da Vinci - Coverage Requirements Discovery
2.1.0 - STU 2.1 United States of America flag

Da Vinci - Coverage Requirements Discovery, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-crd/ and changes regularly. See the Directory of published versions

Resource Profile: CRD Nutrition Order

Official URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-nutritionorder				Version: 2.1.0
Standards status: Trial-use			Maturity Level: 1	Computable Name: CRDNutritionOrder

This profile specifies extensions and constraints on the NutritionOrder resource to support coverage requirements discovery.

Usage

CRD Clients SHALL use this profile to resolve references to NutritionOrder resources passed to CRD Servers (e.g. selections context references) and to populate draftOrders context objects when invoking the when invoking the following CDS Hooks:

Information provided in Must Support elements will commonly be required for CRD Servers to perform coverage requirements discovery.

Usage:

Refer to this Resource Profile: Coverage Information

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

Differential Table
Key Elements Table
Snapshot Table
Statistics/References
All

This structure is derived from NutritionOrder

Name	Flags	Card.	Type	Description & Constraints
NutritionOrder		0..*	NutritionOrder	Diet, formula or nutritional supplement request
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	S	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
identifier	S	0..*	Identifier	Identifiers assigned to this order
status	S	1..1	code	draft \| active \| on-hold \| revoked \| completed \| entered-in-error \| unknown Example General: draft
patient	S	1..1	Reference(CRD Patient)	The person who requires the diet, formula or nutritional supplement
encounter	S	0..1	Reference(CRD Encounter)	The encounter associated with this nutrition order
dateTime	S	1..1	dateTime	Date and time the nutrition order was requested
orderer	S	1..1	Reference(US Core Practitioner Profile(7.0.0) S \| HRex PractitionerRole Profile S)	Who ordered the diet, formula or nutritional supplement
allergyIntolerance	S	0..*	Reference(AllergyIntolerance)	List of the patient's food and nutrition-related allergies and intolerances
foodPreferenceModifier	S	0..*	CodeableConcept	Order-specific modifier about the type of food that should be given
excludeFoodModifier	S	0..*	CodeableConcept	Order-specific modifier about the type of food that should not be given
oralDiet	S	0..1	BackboneElement	Oral diet components
supplement	S	0..*	BackboneElement	Supplement components
enteralFormula	S	0..1	BackboneElement	Enteral formula components
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
NutritionOrder	C	0..*	NutritionOrder	Diet, formula or nutritional supplement request nor-1: Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	SC	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information crd-ci-q1: Questionnaire is only allowed when doc-needed exists crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' must not exist. crd-ci-q3: 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. crd-ci-q6: If 'info-needed' is Other, then reason must be specified crd-ci-q7: If reason.coding is present and is not from the extensible value set, then reason.text must be present
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	S	0..*	Identifier	Identifiers assigned to this order
status	?!SΣ	1..1	code	draft \| active \| on-hold \| revoked \| completed \| entered-in-error \| unknown Binding: RequestStatus (required): Codes identifying the lifecycle stage of the nutrition order. Example General: draft
intent	?!Σ	1..1	code	proposal \| plan \| directive \| order \| original-order \| reflex-order \| filler-order \| instance-order \| option Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a nutrition order.
patient	SΣ	1..1	Reference(CRD Patient)	The person who requires the diet, formula or nutritional supplement
encounter	S	0..1	Reference(CRD Encounter)	The encounter associated with this nutrition order
dateTime	SΣ	1..1	dateTime	Date and time the nutrition order was requested
orderer	SΣ	1..1	Reference(US Core Practitioner Profile(7.0.0) \| HRex PractitionerRole Profile)	Who ordered the diet, formula or nutritional supplement
allergyIntolerance	S	0..*	Reference(AllergyIntolerance)	List of the patient's food and nutrition-related allergies and intolerances
foodPreferenceModifier	S	0..*	CodeableConcept	Order-specific modifier about the type of food that should be given Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
excludeFoodModifier	S	0..*	CodeableConcept	Order-specific modifier about the type of food that should not be given Binding: FoodTypeCodes (example): Codes used to indicate the type of food that should NOT be given to the patient.
oralDiet	SC	0..1	BackboneElement	Oral diet components
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
supplement	SC	0..*	BackboneElement	Supplement components
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
enteralFormula	SC	0..1	BackboneElement	Enteral formula components
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
NutritionOrder.status	required	RequestStatus `http://hl7.org/fhir/ValueSet/request-status\|4.0.1` from the FHIR Standard
NutritionOrder.intent	required	RequestIntent `http://hl7.org/fhir/ValueSet/request-intent\|4.0.1` from the FHIR Standard
NutritionOrder.foodPreferenceModifier	example	Diet `http://hl7.org/fhir/ValueSet/encounter-diet` from the FHIR Standard
NutritionOrder.excludeFoodModifier	example	FoodTypeCodes `http://hl7.org/fhir/ValueSet/food-type` from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
crd-ci-q1	error	NutritionOrder.extension:Coverage-Information	Questionnaire is only allowed when doc-needed exists : extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
crd-ci-q2	error	NutritionOrder.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' must not exist. : extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
crd-ci-q3	error	NutritionOrder.extension:Coverage-Information	'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. : extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
crd-ci-q4	error	NutritionOrder.extension:Coverage-Information	If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')
crd-ci-q5	error	NutritionOrder.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
crd-ci-q6	error	NutritionOrder.extension:Coverage-Information	If 'info-needed' is Other, then reason must be specified : extension.where(url = 'info-needed' and value = 'Other').exists() implies extension.where(url = 'reason').exists()
crd-ci-q7	error	NutritionOrder.extension:Coverage-Information	If reason.coding is present and is not from the extensible value set, then reason.text must be present : extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
dom-2	error	NutritionOrder	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	NutritionOrder	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	NutritionOrder	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	NutritionOrder	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	NutritionOrder	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	ALL extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
nor-1	warning	NutritionOrder	Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class : oralDiet.exists() or supplement.exists() or enteralFormula.exists()