PAS Nutrition Order - Da Vinci Prior Authorization Support (PAS) FHIR IG v2.2.1

0..*

Diet, formula or nutritional supplement request
Constraints: nor-1

id

0..1

id

Logical id of this artifact

Meta

Metadata about the resource

implicitRules

0..1

A set of rules under which this content was created

language

0..1

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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

contained

0..*

Resource

Contained, inline Resources

Slices for extension

0..*

Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

extension:coverage

0..1

(Complex)

CoverageInfo
URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8, crd-ci-q9

0..*

Extensions that cannot be ignored

identifier

0..*

Identifier

Identifiers assigned to this order

instantiatesCanonical

0..*

canonical(ActivityDefinition | PlanDefinition)

Instantiates FHIR protocol or definition

instantiatesUri

0..*

Instantiates external protocol or definition

instantiates

0..*

Instantiates protocol or definition

status

1..1

intent

1..1

Reference(PAS Beneficiary Patient(2.2.1))

patient

1..1

The person who requires the diet, formula or nutritional supplement

encounter

0..1

Reference(Encounter)

The encounter associated with this nutrition order

1..1

Reference(AllergyIntolerance)

Date and time the nutrition order was requested

orderer

0..1

Reference(Practitioner | PractitionerRole)

Who ordered the diet, formula or nutritional supplement

allergyIntolerance

0..*

List of the patient's food and nutrition-related allergies and intolerances

foodPreferenceModifier

0..*

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..*

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

0..1

Oral diet components

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

0..*

Type of oral diet or diet restrictions that describe what can be consumed orally
Binding: X12278NutritionOralDietType (2.2.1) (required)

0..*

Scheduled frequency of diet

nutrient

0..*

Required nutrient modifications

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

0..1

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

Quantity of the specified nutrient
Constraints: sqty-1

texture

0..*

Required texture modifications

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

0..1

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

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..*

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.

0..1

Instructions or additional information about the oral diet

supplement

0..*

Supplement components

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Type of supplement product requested
Binding: SupplementTypeCodes (example): Codes for nutritional supplements to be provided to the patient.

productName

0..1

Product or brand name of the nutritional supplement

0..*

Scheduled frequency of supplement

0..1

Amount of the nutritional supplement
Constraints: sqty-1

0..1

Instructions or additional information about the oral supplement

enteralFormula

0..1

Enteral formula components

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

baseFormulaType

0..1

Type of enteral or infant formula
Binding: X12278NutritionEnteralFormulaType (2.2.1) (required)

baseFormulaProductName

0..1

Product or brand name of the enteral or infant formula

additiveType

0..1

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

Product or brand name of the modular additive

caloricDensity

0..1

Amount of energy per specified volume that is required
Constraints: sqty-1

routeofAdministration

0..1

How the formula should enter the patient's gastrointestinal tract
Binding: EnteralRouteCodes (extensible): Codes specifying the route of administration of enteral formula.

administration

0..*

Formula feeding instruction as structured data

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Scheduled frequency of enteral feeding

0..1

The volume of formula to provide
Constraints: sqty-1

rate[x]

0..1

Speed with which the formula is provided per period of time

rateQuantity

Quantity(SimpleQuantity)

rateRatio

Ratio

maxVolumeToDeliver

0..1

administrationInstruction

Upper limit on formula volume per unit of time
Constraints: sqty-1

0..1

Documentation for this format

Formula feeding instructions expressed as text

note

0..*

Annotation

Comments

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
NutritionOrder.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
NutritionOrder.status	Base	required	RequestStatus	📍4.0.1	FHIR Std.
NutritionOrder.intent	Base	required	RequestIntent	📍4.0.1	FHIR Std.
NutritionOrder.foodPreferenceModifier	Base	example	Diet	📍4.0.1	FHIR Std.
NutritionOrder.excludeFoodModifier	Base	example	Food Type Codes	📍4.0.1	FHIR Std.
NutritionOrder.oralDiet.type	Base	required	X12 278 Nutrition Oral Diet Type	📍2.2.1	This IG
NutritionOrder.oralDiet.nutrient.modifier	Base	example	Nutrient Modifier Codes	📍4.0.1	FHIR Std.
NutritionOrder.oralDiet.texture.modifier	Base	example	Texture Modifier Codes	📍4.0.1	FHIR Std.
NutritionOrder.oralDiet.texture.foodType	Base	example	Texture Modified Food Type Codes	📍4.0.1	FHIR Std.
NutritionOrder.oralDiet.fluidConsistencyType	Base	example	Fluid Consistency Type Codes	📍4.0.1	FHIR Std.
NutritionOrder.supplement.type	Base	example	Supplement Type Codes	📍4.0.1	FHIR Std.
NutritionOrder.enteralFormula.baseFormulaType	Base	required	X12 278 Nutrition Enteral Formula Type	📍2.2.1	This IG
NutritionOrder.enteralFormula.additiveType	Base	example	Enteral Formula Additive Type Code	📍4.0.1	FHIR Std.
NutritionOrder.enteralFormula.routeofAdministration	Base	extensible	Enteral Route Codes	📍4.0.1	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

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|2.2.1)

Extensions

This structure refers to these extensions:

http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information|2.2.1

Maturity: 4

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
NutritionOrder	C	0..*	NutritionOrder	Diet, formula or nutritional supplement request Constraints: nor-1
NutritionOrder.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
NutritionOrder.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
NutritionOrder.Slices for extension.extension:coverage	This element must be supported. C	0..1	(Complex)	CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8, crd-ci-q9
NutritionOrder.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
NutritionOrder.status	This element is a modifier element. This element is included in summaries.	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.
NutritionOrder.intent	This element is a modifier element. This element must be supported. This element is included in summaries.	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
NutritionOrder.patient	This element must be supported. This element is included in summaries.	1..1	Reference(PAS Beneficiary Patient(2.2.1))	The person who requires the diet, formula or nutritional supplement
NutritionOrder.dateTime	This element is included in summaries.	1..1	dateTime	Date and time the nutrition order was requested
NutritionOrder.oralDiet	This element must be supported. C	0..1	BackboneElement	Oral diet components
NutritionOrder.oralDiet.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
NutritionOrder.oralDiet.type	This element must be supported. This element is included in summaries.	0..*	CodeableConcept	Type of oral diet or diet restrictions that describe what can be consumed orally Binding: X12278NutritionOralDietType (2.2.1) (required)
NutritionOrder.enteralFormula	This element must be supported. C	0..1	BackboneElement	Enteral formula components
NutritionOrder.enteralFormula.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
NutritionOrder.enteralFormula.baseFormulaType	This element must be supported. This element is included in summaries.	0..1	CodeableConcept	Type of enteral or infant formula Binding: X12278NutritionEnteralFormulaType (2.2.1) (required)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
NutritionOrder.status	Base	required	RequestStatus	📍4.0.1	FHIR Std.
NutritionOrder.intent	Base	required	RequestIntent	📍4.0.1	FHIR Std.
NutritionOrder.oralDiet.type	Base	required	X12 278 Nutrition Oral Diet Type	📍2.2.1	This IG
NutritionOrder.enteralFormula.baseFormulaType	Base	required	X12 278 Nutrition Enteral Formula Type	📍2.2.1	This IG

Constraints

Id

Grade

Path(s)

Description

Expression

Differential View

This structure is derived from NutritionOrder

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
NutritionOrder		0..*	NutritionOrder	Diet, formula or nutritional supplement request
NutritionOrder.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
NutritionOrder.Slices for extension.extension:coverage	This element must be supported.	0..1	(Complex)	CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
NutritionOrder.intent	This element must be supported.	1..1	code	proposal \| plan \| directive \| order \| original-order \| reflex-order \| filler-order \| instance-order \| option Fixed Value: order
NutritionOrder.patient	This element must be supported.	1..1	Reference(PAS Beneficiary Patient(2.2.1))	The person who requires the diet, formula or nutritional supplement
NutritionOrder.oralDiet	This element must be supported.	0..1	BackboneElement	Oral diet components
NutritionOrder.oralDiet.type	This element must be supported.	0..*	CodeableConcept	Type of oral diet or diet restrictions that describe what can be consumed orally Binding: X12278NutritionOralDietType (2.2.1) (required)
NutritionOrder.enteralFormula	This element must be supported.	0..1	BackboneElement	Enteral formula components
NutritionOrder.enteralFormula.baseFormulaType	This element must be supported.	0..1	CodeableConcept	Type of enteral or infant formula Binding: X12278NutritionEnteralFormulaType (2.2.1) (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
NutritionOrder.oralDiet.type	Base	required	X12 278 Nutrition Oral Diet Type	📍2.2.1	This IG
NutritionOrder.enteralFormula.baseFormulaType	Base	required	X12 278 Nutrition Enteral Formula Type	📍2.2.1	This IG

Snapshot ViewView

Description & Constraints Filter:

0..*

Diet, formula or nutritional supplement request
Constraints: nor-1

id

0..1

id

Logical id of this artifact

Meta

Metadata about the resource

implicitRules

0..1

A set of rules under which this content was created

language

0..1

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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

contained

0..*

Resource

Contained, inline Resources

Slices for extension

0..*

Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

extension:coverage

0..1

(Complex)

CoverageInfo
URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8, crd-ci-q9

0..*

Extensions that cannot be ignored

identifier

0..*

Identifier

Identifiers assigned to this order

instantiatesCanonical

0..*

canonical(ActivityDefinition | PlanDefinition)

Instantiates FHIR protocol or definition

instantiatesUri

0..*

Instantiates external protocol or definition

instantiates

0..*

Instantiates protocol or definition

status

1..1

intent

1..1

Reference(PAS Beneficiary Patient(2.2.1))

patient

1..1

The person who requires the diet, formula or nutritional supplement

encounter

0..1

Reference(Encounter)

The encounter associated with this nutrition order

1..1

Reference(AllergyIntolerance)

Date and time the nutrition order was requested

orderer

0..1

Reference(Practitioner | PractitionerRole)

Who ordered the diet, formula or nutritional supplement

allergyIntolerance

0..*

List of the patient's food and nutrition-related allergies and intolerances

foodPreferenceModifier

0..*

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..*

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

0..1

Oral diet components

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

0..*

Type of oral diet or diet restrictions that describe what can be consumed orally
Binding: X12278NutritionOralDietType (2.2.1) (required)

0..*

Scheduled frequency of diet

nutrient

0..*

Required nutrient modifications

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

0..1

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

Quantity of the specified nutrient
Constraints: sqty-1

texture

0..*

Required texture modifications

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

0..1

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

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..*

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.

0..1

Instructions or additional information about the oral diet

supplement

0..*

Supplement components

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Type of supplement product requested
Binding: SupplementTypeCodes (example): Codes for nutritional supplements to be provided to the patient.

productName

0..1

Product or brand name of the nutritional supplement

0..*

Scheduled frequency of supplement

0..1

Amount of the nutritional supplement
Constraints: sqty-1

0..1

Instructions or additional information about the oral supplement

enteralFormula

0..1

Enteral formula components

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

baseFormulaType

0..1

Type of enteral or infant formula
Binding: X12278NutritionEnteralFormulaType (2.2.1) (required)

baseFormulaProductName

0..1

Product or brand name of the enteral or infant formula

additiveType

0..1

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

Product or brand name of the modular additive

caloricDensity

0..1

Amount of energy per specified volume that is required
Constraints: sqty-1

routeofAdministration

0..1

How the formula should enter the patient's gastrointestinal tract
Binding: EnteralRouteCodes (extensible): Codes specifying the route of administration of enteral formula.

administration

0..*

Formula feeding instruction as structured data

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Scheduled frequency of enteral feeding

0..1

The volume of formula to provide
Constraints: sqty-1

rate[x]

0..1

Speed with which the formula is provided per period of time

rateQuantity

Quantity(SimpleQuantity)

rateRatio

Ratio

maxVolumeToDeliver

0..1

administrationInstruction

Upper limit on formula volume per unit of time
Constraints: sqty-1

0..1