# CRD Nutrition Order - Da Vinci - Coverage Requirements Discovery v2.2.1

## Resource Profile: CRD Nutrition Order 

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

### Usage

§§prof-10^crd-client^exchange:CRD Clients **SHALL** use CRD NutritionOrder profile to [resolve references](foundation.md#additional-data-retrieval) to NutritionOrder resources passed to CRD Servers (e.g. `selections` context references) and to populate `draftOrders` context objects.^

CRD Clients **SHALL** use CRD NutritionOrder profile to [resolve references](foundation.md#additional-data-retrieval) to NutritionOrder resources passed to CRD Servers (e.g. `selections` context references) and to populate `draftOrders` context objects when invoking the following CDS Hooks:

* [order-select](hooks.md#order-select)
* [order-sign](hooks.md#order-sign)
* [order-dispatch](hooks.md#order-dispatch)

§§

Information provided in [Must Support](http://hl7.org/fhir/R4/profiling.html#mustsupport) elements will commonly be required for CRD Servers to perform coverage requirements discovery.

> This resource is not covered by US Core and there has been no testing or other experience exercising this profile. Implementers should be aware that the constraints in the profile and the provided value sets may not be a good fit for EHR and/or payer requirements. Feedback is welcome.

**Usages:**

* Use this Profile: [CRD CDSHooks Additional Orders Response (Logical Definition)](StructureDefinition-CRDHooksResponse-additionalOrders.md), [CRD CDSHooks Alternate Request Response (Logical Definition)](StructureDefinition-CRDHooksResponse-alternateRequest.md), [CRD CDSHooks Coverage Information Response (Logical Definition)](StructureDefinition-CRDHooksResponse-coverageInformation.md) and [CRD Bundle of Request Resources](StructureDefinition-profile-bundle-request.md)
* Refer to this Profile: [Coverage Information](StructureDefinition-ext-coverage-information.md)
* CapabilityStatements using this Profile: [CRD Client USCDI 1](CapabilityStatement-crd-client3.1.md), [CRD Client USCDI 3](CapabilityStatement-crd-client6.1.md) and [CRD Client USCDI 4](CapabilityStatement-crd-client7.0.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.us.davinci-crd|current/StructureDefinition/profile-nutritionorder)

### Formal Views of Profile Content

 [Description Differentials, Snapshots, and other representations](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](../StructureDefinition-profile-nutritionorder.csv), [Excel](../StructureDefinition-profile-nutritionorder.xlsx), [Schematron](../StructureDefinition-profile-nutritionorder.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "profile-nutritionorder",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fm"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/davinci-crd/ImplementationGuide/davinci-crd"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-nutritionorder",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.40.18.42.13"
  }],
  "version" : "2.2.1",
  "name" : "CRDNutritionOrder",
  "title" : "CRD Nutrition Order",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-03-26T15:54:25+00:00",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/fm"
    }]
  }],
  "description" : "This profile specifies extensions and constraints on the NutritionOrder resource to support coverage requirements discovery.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "NutritionOrder",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/NutritionOrder",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "NutritionOrder.contained",
      "path" : "NutritionOrder.contained",
      "comment" : "Any references found in this resource, with the exception of 'Patient' could potentially be resource-specific and thus transmitted as contained resources.",
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.extension",
      "path" : "NutritionOrder.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        },
        {
          "type" : "value",
          "path" : "value"
        }],
        "rules" : "open"
      }
    },
    {
      "id" : "NutritionOrder.extension:Coverage-Information",
      "path" : "NutritionOrder.extension",
      "sliceName" : "Coverage-Information",
      "short" : "Coverage Info",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.extension:EncounterCategory",
      "path" : "NutritionOrder.extension",
      "sliceName" : "EncounterCategory",
      "short" : "Encounter Category",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-request-category"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.extension:EncounterCategory.value[x]",
      "path" : "NutritionOrder.extension.value[x]",
      "binding" : {
        "strength" : "required",
        "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0"
      }
    },
    {
      "id" : "NutritionOrder.extension:ServiceCategory",
      "path" : "NutritionOrder.extension",
      "sliceName" : "ServiceCategory",
      "short" : "Service Category",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-request-category"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.extension:ServiceCategory.value[x]",
      "path" : "NutritionOrder.extension.value[x]",
      "binding" : {
        "strength" : "required",
        "valueSet" : "http://hl7.org/fhir/us/davinci-crd/ValueSet/X12ServiceType"
      }
    },
    {
      "id" : "NutritionOrder.identifier",
      "path" : "NutritionOrder.identifier",
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.status",
      "path" : "NutritionOrder.status",
      "comment" : "This will be 'draft' when using order-select or an initial order-sign, but may be 'active' or other values for order-sign representing edits to the order or for order-dispatch.",
      "example" : [{
        "label" : "General",
        "valueCode" : "draft"
      }],
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.patient",
      "path" : "NutritionOrder.patient",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.encounter",
      "path" : "NutritionOrder.encounter",
      "comment" : "potentially relevant for CRD in some situations.",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-encounter"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.dateTime",
      "path" : "NutritionOrder.dateTime",
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.orderer",
      "path" : "NutritionOrder.orderer",
      "min" : 1,
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-practitioner",
        "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-practitionerrole"],
        "_targetProfile" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
            "valueBoolean" : true
          }]
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
            "valueBoolean" : true
          }]
        }]
      }],
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.allergyIntolerance",
      "path" : "NutritionOrder.allergyIntolerance",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance|7.0.0"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.foodPreferenceModifier",
      "path" : "NutritionOrder.foodPreferenceModifier",
      "mustSupport" : true,
      "binding" : {
        "strength" : "extensible",
        "valueSet" : "http://hl7.org/fhir/us/davinci-crd/ValueSet/edible-substance-type"
      }
    },
    {
      "id" : "NutritionOrder.excludeFoodModifier",
      "path" : "NutritionOrder.excludeFoodModifier",
      "mustSupport" : true,
      "binding" : {
        "strength" : "extensible",
        "valueSet" : "http://hl7.org/fhir/us/davinci-crd/ValueSet/edible-substance-type"
      }
    },
    {
      "id" : "NutritionOrder.oralDiet",
      "path" : "NutritionOrder.oralDiet",
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.oralDiet.type",
      "path" : "NutritionOrder.oralDiet.type",
      "mustSupport" : true,
      "binding" : {
        "strength" : "extensible",
        "valueSet" : "http://hl7.org/fhir/us/davinci-crd/ValueSet/diet-type"
      }
    },
    {
      "id" : "NutritionOrder.oralDiet.schedule",
      "path" : "NutritionOrder.oralDiet.schedule",
      "type" : [{
        "code" : "Timing",
        "profile" : ["http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-timing"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.oralDiet.nutrient",
      "path" : "NutritionOrder.oralDiet.nutrient",
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.oralDiet.nutrient.modifier",
      "path" : "NutritionOrder.oralDiet.nutrient.modifier",
      "mustSupport" : true,
      "binding" : {
        "strength" : "extensible",
        "valueSet" : "http://hl7.org/fhir/us/davinci-crd/ValueSet/nutrient-code"
      }
    },
    {
      "id" : "NutritionOrder.oralDiet.texture",
      "path" : "NutritionOrder.oralDiet.texture",
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.oralDiet.texture.modifier",
      "path" : "NutritionOrder.oralDiet.texture.modifier",
      "mustSupport" : true,
      "binding" : {
        "strength" : "extensible",
        "valueSet" : "http://hl7.org/fhir/ValueSet/texture-code"
      }
    },
    {
      "id" : "NutritionOrder.oralDiet.texture.foodType",
      "path" : "NutritionOrder.oralDiet.texture.foodType",
      "mustSupport" : true,
      "binding" : {
        "strength" : "extensible",
        "valueSet" : "http://hl7.org/fhir/ValueSet/modified-foodtype"
      }
    },
    {
      "id" : "NutritionOrder.supplement",
      "path" : "NutritionOrder.supplement",
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.supplement.type",
      "path" : "NutritionOrder.supplement.type",
      "mustSupport" : true,
      "binding" : {
        "strength" : "extensible",
        "valueSet" : "http://hl7.org/fhir/ValueSet/supplement-type"
      }
    },
    {
      "id" : "NutritionOrder.supplement.schedule",
      "path" : "NutritionOrder.supplement.schedule",
      "type" : [{
        "code" : "Timing",
        "profile" : ["http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-timing"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.supplement.quantity",
      "path" : "NutritionOrder.supplement.quantity",
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.enteralFormula",
      "path" : "NutritionOrder.enteralFormula",
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.enteralFormula.baseFormulaType",
      "path" : "NutritionOrder.enteralFormula.baseFormulaType",
      "mustSupport" : true,
      "binding" : {
        "strength" : "extensible",
        "valueSet" : "http://hl7.org/fhir/ValueSet/entformula-type"
      }
    },
    {
      "id" : "NutritionOrder.enteralFormula.additiveType",
      "path" : "NutritionOrder.enteralFormula.additiveType",
      "mustSupport" : true,
      "binding" : {
        "strength" : "extensible",
        "valueSet" : "http://hl7.org/fhir/ValueSet/entformula-additive"
      }
    },
    {
      "id" : "NutritionOrder.enteralFormula.caloricDensity",
      "path" : "NutritionOrder.enteralFormula.caloricDensity",
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.enteralFormula.routeofAdministration",
      "path" : "NutritionOrder.enteralFormula.routeofAdministration",
      "mustSupport" : true,
      "binding" : {
        "strength" : "extensible",
        "valueSet" : "http://hl7.org/fhir/ValueSet/enteral-route"
      }
    },
    {
      "id" : "NutritionOrder.enteralFormula.administration",
      "path" : "NutritionOrder.enteralFormula.administration",
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.enteralFormula.administration.schedule",
      "path" : "NutritionOrder.enteralFormula.administration.schedule",
      "type" : [{
        "code" : "Timing",
        "profile" : ["http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-timing"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.enteralFormula.administration.quantity",
      "path" : "NutritionOrder.enteralFormula.administration.quantity",
      "mustSupport" : true
    },
    {
      "id" : "NutritionOrder.enteralFormula.administration.rate[x]",
      "path" : "NutritionOrder.enteralFormula.administration.rate[x]",
      "slicing" : {
        "discriminator" : [{
          "type" : "type",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "NutritionOrder.enteralFormula.administration.rate[x]:rateRatio",
      "path" : "NutritionOrder.enteralFormula.administration.rate[x]",
      "sliceName" : "rateRatio",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Ratio"
      }],
      "mustSupport" : true
    }]
  }
}

```
