Da Vinci Prior Authorization Support (PAS) FHIR IG, 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-pas/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: PAS Nutrition Order

PAS constraint on Nutrition Order resource for elements relevant to the ordering of nutrition on a prior authorization request

Usage:

• Refer to this Resource Profile: RequestedService
• Examples for this Resource Profile: NutritionOrder/NutritionOrderExample

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	S	0..1	(Complex)	CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
intent	S	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Fixed Value: order
patient	S	1..1	Reference(PAS Beneficiary Patient)	The person who requires the diet, formula or nutritional supplement
oralDiet	S	0..1	BackboneElement	Oral diet components
type	S	0..*	CodeableConcept	Type of oral diet or diet restrictions that describe what can be consumed orally Binding: X12 278 Nutrition Oral Diet Type (required)
enteralFormula	S	0..1	BackboneElement	Enteral formula components
baseFormulaType	S	0..1	CodeableConcept	Type of enteral or infant formula Binding: X12 278 Nutrition Enteral Formula Type (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
NutritionOrder.oralDiet.type	required	X12278NutritionOralDietType http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278NutritionOralDietType from this IG
NutritionOrder.enteralFormula.baseFormulaType	required	X12278NutritionEnteralFormulaType http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278NutritionEnteralFormulaType from this IG

Name	Flags	Card.	Type	Description & Constraints
NutritionOrder	C	0..*	NutritionOrder	Diet, formula or nutritional supplement request dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management 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 ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coverage	SC	0..1	(Complex)	CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both crd-ci-q1: Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' should not exist. crd-ci-q3: If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	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. ele-1: All FHIR elements must have a @value or children
intent	?!SΣ	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. ele-1: All FHIR elements must have a @value or children Fixed Value: order
patient	SΣ	1..1	Reference(PAS Beneficiary Patient)	The person who requires the diet, formula or nutritional supplement ele-1: All FHIR elements must have a @value or children
dateTime	Σ	1..1	dateTime	Date and time the nutrition order was requested ele-1: All FHIR elements must have a @value or children
oralDiet	SC	0..1	BackboneElement	Oral diet components ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	SΣ	0..*	CodeableConcept	Type of oral diet or diet restrictions that describe what can be consumed orally Binding: X12 278 Nutrition Oral Diet Type (required) ele-1: All FHIR elements must have a @value or children
enteralFormula	SC	0..1	BackboneElement	Enteral formula components ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
baseFormulaType	SΣ	0..1	CodeableConcept	Type of enteral or infant formula Binding: X12 278 Nutrition Enteral Formula Type (required) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
NutritionOrder.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
NutritionOrder.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
NutritionOrder.oralDiet.type	required	X12278NutritionOralDietType http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278NutritionOralDietType from this IG
NutritionOrder.enteralFormula.baseFormulaType	required	X12278NutritionEnteralFormulaType http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278NutritionEnteralFormulaType from this IG

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
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
coverage	SC	0..1	(Complex)	CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information crd-ci-q1: Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' should not exist. crd-ci-q3: If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Identifiers assigned to this order
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
instantiates		0..*	uri	Instantiates protocol or definition
status	?!Σ	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.
intent	?!SΣ	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. Fixed Value: order
patient	SΣ	1..1	Reference(PAS Beneficiary Patient)	The person who requires the diet, formula or nutritional supplement
encounter		0..1	Reference(Encounter)	The encounter associated with this nutrition order
dateTime	Σ	1..1	dateTime	Date and time the nutrition order was requested
orderer	Σ	0..1	Reference(Practitioner | PractitionerRole)	Who ordered the diet, formula or nutritional supplement
allergyIntolerance		0..*	Reference(AllergyIntolerance)	List of the patient's food and nutrition-related allergies and intolerances
foodPreferenceModifier		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		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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..*	CodeableConcept	Type of oral diet or diet restrictions that describe what can be consumed orally Binding: X12 278 Nutrition Oral Diet Type (required)
schedule		0..*	Timing	Scheduled frequency of diet
nutrient		0..*	BackboneElement	Required nutrient modifications
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
modifier		0..1	CodeableConcept	Type of nutrient that is being modified Binding: NutrientModifierCodes (example): Codes for types of nutrients that are being modified such as carbohydrate or sodium.
amount		0..1	SimpleQuantity	Quantity of the specified nutrient
texture		0..*	BackboneElement	Required texture modifications
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
modifier		0..1	CodeableConcept	Code to indicate how to alter the texture of the foods, e.g. pureed Binding: TextureModifierCodes (example): Codes for food consistency types or texture modifications to apply to foods.
foodType		0..1	CodeableConcept	Concepts that are used to identify an entity that is ingested for nutritional purposes Binding: TextureModifiedFoodTypeCodes (example): Codes for types of foods that are texture-modified.
fluidConsistencyType		0..*	CodeableConcept	The required consistency of fluids and liquids provided to the patient Binding: FluidConsistencyTypeCodes (example): Codes used to represent the consistency of fluids and liquids provided to the patient.
instruction	Σ	0..1	string	Instructions or additional information about the oral diet
supplement	C	0..*	BackboneElement	Supplement components
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..1	CodeableConcept	Type of supplement product requested Binding: SupplementTypeCodes (example): Codes for nutritional supplements to be provided to the patient.
productName		0..1	string	Product or brand name of the nutritional supplement
schedule		0..*	Timing	Scheduled frequency of supplement
quantity		0..1	SimpleQuantity	Amount of the nutritional supplement
instruction	Σ	0..1	string	Instructions or additional information about the oral supplement
enteralFormula	SC	0..1	BackboneElement	Enteral formula components
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
baseFormulaType	SΣ	0..1	CodeableConcept	Type of enteral or infant formula Binding: X12 278 Nutrition Enteral Formula Type (required)
baseFormulaProductName		0..1	string	Product or brand name of the enteral or infant formula
additiveType		0..1	CodeableConcept	Type of modular component to add to the feeding Binding: EnteralFormulaAdditiveTypeCode (example): 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.
additiveProductName		0..1	string	Product or brand name of the modular additive
caloricDensity		0..1	SimpleQuantity	Amount of energy per specified volume that is required
routeofAdministration		0..1	CodeableConcept	How the formula should enter the patient's gastrointestinal tract Binding: EnteralRouteCodes (extensible): Codes specifying the route of administration of enteral formula.
administration		0..*	BackboneElement	Formula feeding instruction as structured data
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
schedule		0..1	Timing	Scheduled frequency of enteral feeding
quantity		0..1	SimpleQuantity	The volume of formula to provide
rate[x]		0..1		Speed with which the formula is provided per period of time
rateQuantity			Quantity(SimpleQuantity)
rateRatio			Ratio
maxVolumeToDeliver		0..1	SimpleQuantity	Upper limit on formula volume per unit of time
administrationInstruction	Σ	0..1	string	Formula feeding instructions expressed as text
note		0..*	Annotation	Comments
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
NutritionOrder.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
NutritionOrder.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
NutritionOrder.intent	required	Fixed Value: order 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
NutritionOrder.oralDiet.type	required	X12278NutritionOralDietType http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278NutritionOralDietType from this IG
NutritionOrder.oralDiet.nutrient.modifier	example	NutrientModifierCodes http://hl7.org/fhir/ValueSet/nutrient-code from the FHIR Standard
NutritionOrder.oralDiet.texture.modifier	example	TextureModifierCodes http://hl7.org/fhir/ValueSet/texture-code from the FHIR Standard
NutritionOrder.oralDiet.texture.foodType	example	TextureModifiedFoodTypeCodes http://hl7.org/fhir/ValueSet/modified-foodtype from the FHIR Standard
NutritionOrder.oralDiet.fluidConsistencyType	example	FluidConsistencyTypeCodes http://hl7.org/fhir/ValueSet/consistency-type from the FHIR Standard
NutritionOrder.supplement.type	example	SupplementTypeCodes http://hl7.org/fhir/ValueSet/supplement-type from the FHIR Standard
NutritionOrder.enteralFormula.baseFormulaType	required	X12278NutritionEnteralFormulaType http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278NutritionEnteralFormulaType from this IG
NutritionOrder.enteralFormula.additiveType	example	EnteralFormulaAdditiveTypeCode http://hl7.org/fhir/ValueSet/entformula-additive from the FHIR Standard
NutritionOrder.enteralFormula.routeofAdministration	extensible	EnteralRouteCodes http://hl7.org/fhir/ValueSet/enteral-route from the FHIR Standard

This structure is derived from NutritionOrder

Summary

Must-Support: 7 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• PAS Beneficiary Patient (http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-beneficiary)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information

Maturity: 3

Differential View

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	S	0..1	(Complex)	CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
intent	S	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Fixed Value: order
patient	S	1..1	Reference(PAS Beneficiary Patient)	The person who requires the diet, formula or nutritional supplement
oralDiet	S	0..1	BackboneElement	Oral diet components
type	S	0..*	CodeableConcept	Type of oral diet or diet restrictions that describe what can be consumed orally Binding: X12 278 Nutrition Oral Diet Type (required)
enteralFormula	S	0..1	BackboneElement	Enteral formula components
baseFormulaType	S	0..1	CodeableConcept	Type of enteral or infant formula Binding: X12 278 Nutrition Enteral Formula Type (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
NutritionOrder.oralDiet.type	required	X12278NutritionOralDietType http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278NutritionOralDietType from this IG
NutritionOrder.enteralFormula.baseFormulaType	required	X12278NutritionEnteralFormulaType http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278NutritionEnteralFormulaType from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
NutritionOrder	C	0..*	NutritionOrder	Diet, formula or nutritional supplement request dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management 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 ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coverage	SC	0..1	(Complex)	CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both crd-ci-q1: Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' should not exist. crd-ci-q3: If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	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. ele-1: All FHIR elements must have a @value or children
intent	?!SΣ	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. ele-1: All FHIR elements must have a @value or children Fixed Value: order
patient	SΣ	1..1	Reference(PAS Beneficiary Patient)	The person who requires the diet, formula or nutritional supplement ele-1: All FHIR elements must have a @value or children
dateTime	Σ	1..1	dateTime	Date and time the nutrition order was requested ele-1: All FHIR elements must have a @value or children
oralDiet	SC	0..1	BackboneElement	Oral diet components ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	SΣ	0..*	CodeableConcept	Type of oral diet or diet restrictions that describe what can be consumed orally Binding: X12 278 Nutrition Oral Diet Type (required) ele-1: All FHIR elements must have a @value or children
enteralFormula	SC	0..1	BackboneElement	Enteral formula components ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
baseFormulaType	SΣ	0..1	CodeableConcept	Type of enteral or infant formula Binding: X12 278 Nutrition Enteral Formula Type (required) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
NutritionOrder.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
NutritionOrder.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
NutritionOrder.oralDiet.type	required	X12278NutritionOralDietType http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278NutritionOralDietType from this IG
NutritionOrder.enteralFormula.baseFormulaType	required	X12278NutritionEnteralFormulaType http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278NutritionEnteralFormulaType from this IG

Snapshot View

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
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
coverage	SC	0..1	(Complex)	CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information crd-ci-q1: Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' should not exist. crd-ci-q3: If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Identifiers assigned to this order
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
instantiates		0..*	uri	Instantiates protocol or definition
status	?!Σ	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.
intent	?!SΣ	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. Fixed Value: order
patient	SΣ	1..1	Reference(PAS Beneficiary Patient)	The person who requires the diet, formula or nutritional supplement
encounter		0..1	Reference(Encounter)	The encounter associated with this nutrition order
dateTime	Σ	1..1	dateTime	Date and time the nutrition order was requested
orderer	Σ	0..1	Reference(Practitioner | PractitionerRole)	Who ordered the diet, formula or nutritional supplement
allergyIntolerance		0..*	Reference(AllergyIntolerance)	List of the patient's food and nutrition-related allergies and intolerances
foodPreferenceModifier		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		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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..*	CodeableConcept	Type of oral diet or diet restrictions that describe what can be consumed orally Binding: X12 278 Nutrition Oral Diet Type (required)
schedule		0..*	Timing	Scheduled frequency of diet
nutrient		0..*	BackboneElement	Required nutrient modifications
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
modifier		0..1	CodeableConcept	Type of nutrient that is being modified Binding: NutrientModifierCodes (example): Codes for types of nutrients that are being modified such as carbohydrate or sodium.
amount		0..1	SimpleQuantity	Quantity of the specified nutrient
texture		0..*	BackboneElement	Required texture modifications
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
modifier		0..1	CodeableConcept	Code to indicate how to alter the texture of the foods, e.g. pureed Binding: TextureModifierCodes (example): Codes for food consistency types or texture modifications to apply to foods.
foodType		0..1	CodeableConcept	Concepts that are used to identify an entity that is ingested for nutritional purposes Binding: TextureModifiedFoodTypeCodes (example): Codes for types of foods that are texture-modified.
fluidConsistencyType		0..*	CodeableConcept	The required consistency of fluids and liquids provided to the patient Binding: FluidConsistencyTypeCodes (example): Codes used to represent the consistency of fluids and liquids provided to the patient.
instruction	Σ	0..1	string	Instructions or additional information about the oral diet
supplement	C	0..*	BackboneElement	Supplement components
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..1	CodeableConcept	Type of supplement product requested Binding: SupplementTypeCodes (example): Codes for nutritional supplements to be provided to the patient.
productName		0..1	string	Product or brand name of the nutritional supplement
schedule		0..*	Timing	Scheduled frequency of supplement
quantity		0..1	SimpleQuantity	Amount of the nutritional supplement
instruction	Σ	0..1	string	Instructions or additional information about the oral supplement
enteralFormula	SC	0..1	BackboneElement	Enteral formula components
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
baseFormulaType	SΣ	0..1	CodeableConcept	Type of enteral or infant formula Binding: X12 278 Nutrition Enteral Formula Type (required)
baseFormulaProductName		0..1	string	Product or brand name of the enteral or infant formula
additiveType		0..1	CodeableConcept	Type of modular component to add to the feeding Binding: EnteralFormulaAdditiveTypeCode (example): 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.
additiveProductName		0..1	string	Product or brand name of the modular additive
caloricDensity		0..1	SimpleQuantity	Amount of energy per specified volume that is required
routeofAdministration		0..1	CodeableConcept	How the formula should enter the patient's gastrointestinal tract Binding: EnteralRouteCodes (extensible): Codes specifying the route of administration of enteral formula.
administration		0..*	BackboneElement	Formula feeding instruction as structured data
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
schedule		0..1	Timing	Scheduled frequency of enteral feeding
quantity		0..1	SimpleQuantity	The volume of formula to provide
rate[x]		0..1		Speed with which the formula is provided per period of time
rateQuantity			Quantity(SimpleQuantity)
rateRatio			Ratio
maxVolumeToDeliver		0..1	SimpleQuantity	Upper limit on formula volume per unit of time
administrationInstruction	Σ	0..1	string	Formula feeding instructions expressed as text
note		0..*	Annotation	Comments
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
NutritionOrder.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
NutritionOrder.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
NutritionOrder.intent	required	Fixed Value: order 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
NutritionOrder.oralDiet.type	required	X12278NutritionOralDietType http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278NutritionOralDietType from this IG
NutritionOrder.oralDiet.nutrient.modifier	example	NutrientModifierCodes http://hl7.org/fhir/ValueSet/nutrient-code from the FHIR Standard
NutritionOrder.oralDiet.texture.modifier	example	TextureModifierCodes http://hl7.org/fhir/ValueSet/texture-code from the FHIR Standard
NutritionOrder.oralDiet.texture.foodType	example	TextureModifiedFoodTypeCodes http://hl7.org/fhir/ValueSet/modified-foodtype from the FHIR Standard
NutritionOrder.oralDiet.fluidConsistencyType	example	FluidConsistencyTypeCodes http://hl7.org/fhir/ValueSet/consistency-type from the FHIR Standard
NutritionOrder.supplement.type	example	SupplementTypeCodes http://hl7.org/fhir/ValueSet/supplement-type from the FHIR Standard
NutritionOrder.enteralFormula.baseFormulaType	required	X12278NutritionEnteralFormulaType http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278NutritionEnteralFormulaType from this IG
NutritionOrder.enteralFormula.additiveType	example	EnteralFormulaAdditiveTypeCode http://hl7.org/fhir/ValueSet/entformula-additive from the FHIR Standard
NutritionOrder.enteralFormula.routeofAdministration	extensible	EnteralRouteCodes http://hl7.org/fhir/ValueSet/enteral-route from the FHIR Standard

This structure is derived from NutritionOrder

Summary

Must-Support: 7 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• PAS Beneficiary Patient (http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-beneficiary)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information

Maturity: 3

Other representations of profile: CSV, Excel, Schematron