| Left: | Personal Functioning and Engagement Nutrition Order Profile (http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-nutrition-order) | 
| Right: | Personal Functioning and Engagement Nutrition Order Profile (http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-nutrition-order) | 
| Error | StructureDefinition.version | Values for version differ: '2.0.0-ballot' vs '2.0.0' | 
| Information | StructureDefinition.date | Values for date differ: '2024-08-13T15:12:12+00:00' vs '2025-07-23T15:59:48+00:00' | 
| Information | StructureDefinition.comment | Values for comment differ: 'The Identifier.type element can be to indicate filler vs. placer if needed. This is explained in further detail [here](servicerequest.html#notes).' vs 'The Identifier.type element can be to indicate filler vs. placer if needed. This is explained in further detail [here](http://hl7.org/fhir/R4/servicerequest.html#notes).' | 
| Name | Value | Comments | |
|---|---|---|---|
 abstract | false | ||
 baseDefinition | http://hl7.org/fhir/StructureDefinition/NutritionOrder | ||
 copyright | |||
 date | 2024-08-13T15:12:12+00:00 | 2025-07-23T15:59:48+00:00 | 
  | 
 description | An exchange of post-acute care nutrition order for a patient. This profile is used for exchanging a personal functioning and engagement nutrition order for oral diet, supplement, or enteral formula. | ||
 experimental | |||
 fhirVersion | 4.0.1 | ||
 jurisdiction | |||
![]()  jurisdiction[0] | urn:iso:std:iso:3166#US | ||
 kind | resource | ||
 name | PFENutritionOrder | ||
 publisher | HL7 International / Patient Care | ||
 purpose | |||
 status | active | ||
 title | Personal Functioning and Engagement Nutrition Order Profile | ||
 type | NutritionOrder | ||
 url | http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-nutrition-order | ||
 version | 2.0.0-ballot | 2.0.0 | 
  | 
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments![]()  | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]()  | C | 0..* | NutritionOrder | Diet, formula or nutritional supplement request | C | 0..* | NutritionOrder | Diet, formula or nutritional supplement request | |||||||||
![]() ![]()  | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
![]() ![]()  | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
![]() ![]()  | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
![]() ![]()  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language. 
  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language. 
  | |||||||||||
![]() ![]()  | 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  | 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  | |||||||||||
![]() ![]()  | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
![]() ![]()  | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]()  | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
![]() ![]()  | 0..* | Identifier | Identifiers assigned to this order | 0..* | Identifier | Identifiers assigned to this order | |||||||||||
![]() ![]()  | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | |||||||||
![]() ![]()  | Σ | 0..* | uri | Instantiates external protocol or definition | Σ | 0..* | uri | Instantiates external protocol or definition | |||||||||
![]() ![]()  | 0..* | uri | Instantiates protocol or definition | 0..* | uri | Instantiates protocol or definition | |||||||||||
![]() ![]()  | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): Codes identifying the lifecycle stage of the nutrition order.  | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): Codes identifying the lifecycle stage of the nutrition order.  | |||||||||
![]() ![]()  | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): Codes indicating the degree of authority/intentionality associated with a nutrition order.  | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): Codes indicating the degree of authority/intentionality associated with a nutrition order.  | |||||||||
![]() ![]()  | Σ | 1..1 | Reference(Patient) | The person who requires the diet, formula or nutritional supplement | Σ | 1..1 | Reference(Patient) | The person who requires the diet, formula or nutritional supplement | |||||||||
![]() ![]()  | S | 0..1 | Reference(Encounter) | The encounter associated with this nutrition order | S | 0..1 | Reference(Encounter) | The encounter associated with this nutrition order | |||||||||
![]() ![]()  | Σ | 1..1 | dateTime | Date and time the nutrition order was requested | Σ | 1..1 | dateTime | Date and time the nutrition order was requested | |||||||||
![]() ![]()  | SΣ | 0..1 | Reference(Practitioner | PractitionerRole) | Who ordered the diet, formula or nutritional supplement | SΣ | 0..1 | Reference(Practitioner | PractitionerRole) | Who ordered the diet, formula or nutritional supplement | |||||||||
![]() ![]()  | 1..* | Reference(AllergyIntolerance) | List of the patient's food and nutrition-related allergies and intolerances | 1..* | Reference(AllergyIntolerance) | List of the patient's food and nutrition-related allergies and intolerances | |||||||||||
![]() ![]()  | S | 0..* | CodeableConcept | Order-specific modifier about the type of food that should be given Binding: ?? (example): Medical, cultural or ethical food preferences to help with catering requirements.  | S | 0..* | CodeableConcept | Order-specific modifier about the type of food that should be given Binding: ?? (example): Medical, cultural or ethical food preferences to help with catering requirements.  | |||||||||
![]() ![]()  | S | 0..* | CodeableConcept | Order-specific modifier about the type of food that should not be given Binding: ?? (example): Codes used to indicate the type of food that should NOT be given to the patient.  | S | 0..* | CodeableConcept | Order-specific modifier about the type of food that should not be given Binding: ?? (example): Codes used to indicate the type of food that should NOT be given to the patient.  | |||||||||
![]() ![]()  | SC | 0..1 | BackboneElement | Oral diet components | SC | 0..1 | BackboneElement | Oral diet components | |||||||||
![]() ![]() ![]()  | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]()  | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() ![]()  | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]()  | SΣ | 0..* | CodeableConcept | Type of oral diet or diet restrictions that describe what can be consumed orally Binding: ?? (example): Codes used to indicate the type of diet being ordered for a patient.  | SΣ | 0..* | CodeableConcept | Type of oral diet or diet restrictions that describe what can be consumed orally Binding: ?? (example): Codes used to indicate the type of diet being ordered for a patient.  | |||||||||
![]() ![]() ![]()  | 0..* | Timing | Scheduled frequency of diet | 0..* | Timing | Scheduled frequency of diet | |||||||||||
![]() ![]() ![]()  | S | 0..* | BackboneElement | Required  nutrient modifications | S | 0..* | BackboneElement | Required  nutrient modifications | |||||||||
![]() ![]() ![]() ![]()  | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() ![]()  | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() ![]() ![]()  | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]() ![]()  | S | 0..1 | CodeableConcept | Type of nutrient that is being modified Binding: ?? (example): Codes for types of nutrients that are being modified such as carbohydrate or sodium.  | S | 0..1 | CodeableConcept | Type of nutrient that is being modified Binding: ?? (example): Codes for types of nutrients that are being modified such as carbohydrate or sodium.  | |||||||||
![]() ![]() ![]() ![]()  | S | 0..1 | ?? | Quantity of the specified nutrient | S | 0..1 | ?? | Quantity of the specified nutrient | |||||||||
![]() ![]() ![]()  | S | 0..* | BackboneElement | Required  texture modifications | S | 0..* | BackboneElement | Required  texture modifications | |||||||||
![]() ![]() ![]() ![]()  | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() ![]()  | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() ![]() ![]()  | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]() ![]()  | S | 0..1 | CodeableConcept | Code to indicate how to alter the texture of the foods, e.g. pureed Binding: ?? (example): Codes for food consistency types or texture modifications to apply to foods.  | S | 0..1 | CodeableConcept | Code to indicate how to alter the texture of the foods, e.g. pureed Binding: ?? (example): Codes for food consistency types or texture modifications to apply to foods.  | |||||||||
![]() ![]() ![]() ![]()  | S | 0..1 | CodeableConcept | Concepts that are used to identify an entity that is ingested for nutritional purposes Binding: ?? (example): Codes for types of foods that are texture-modified.  | S | 0..1 | CodeableConcept | Concepts that are used to identify an entity that is ingested for nutritional purposes Binding: ?? (example): Codes for types of foods that are texture-modified.  | |||||||||
![]() ![]() ![]()  | S | 0..* | CodeableConcept | The required consistency of fluids and liquids provided to the patient Binding: ?? (example): Codes used to represent the consistency of fluids and liquids provided to the patient.  | S | 0..* | CodeableConcept | The required consistency of fluids and liquids provided to the patient Binding: ?? (example): Codes used to represent the consistency of fluids and liquids provided to the patient.  | |||||||||
![]() ![]() ![]()  | SΣ | 0..1 | string | Instructions or additional information about the oral diet | SΣ | 0..1 | string | Instructions or additional information about the oral diet | |||||||||
![]() ![]()  | SC | 0..* | BackboneElement | Supplement components | SC | 0..* | BackboneElement | Supplement components | |||||||||
![]() ![]() ![]()  | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]()  | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() ![]()  | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]()  | SΣ | 0..1 | CodeableConcept | Type of supplement product requested Binding: ?? (example): Codes for nutritional supplements to be provided to the patient.  | SΣ | 0..1 | CodeableConcept | Type of supplement product requested Binding: ?? (example): Codes for nutritional supplements to be provided to the patient.  | |||||||||
![]() ![]() ![]()  | 0..1 | string | Product or brand name of the nutritional supplement | 0..1 | string | Product or brand name of the nutritional supplement | |||||||||||
![]() ![]() ![]()  | S | 0..* | Timing | Scheduled frequency of supplement | S | 0..* | Timing | Scheduled frequency of supplement | |||||||||
![]() ![]() ![]()  | S | 0..1 | ?? | Amount of the nutritional supplement | S | 0..1 | ?? | Amount of the nutritional supplement | |||||||||
![]() ![]() ![]()  | SΣ | 0..1 | string | Instructions or additional information about the oral supplement | SΣ | 0..1 | string | Instructions or additional information about the oral supplement | |||||||||
![]() ![]()  | SC | 0..1 | BackboneElement | Enteral formula components | SC | 0..1 | BackboneElement | Enteral formula components | |||||||||
![]() ![]() ![]()  | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]()  | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() ![]()  | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]()  | SΣ | 0..1 | CodeableConcept | Type of enteral or infant formula Binding: ?? (example): Codes for type of enteral formula to be administered to patient.  | SΣ | 0..1 | CodeableConcept | Type of enteral or infant formula Binding: ?? (example): Codes for type of enteral formula to be administered to patient.  | |||||||||
![]() ![]() ![]()  | 0..1 | string | Product or brand name of the enteral or infant formula | 0..1 | string | Product or brand name of the enteral or infant formula | |||||||||||
![]() ![]() ![]()  | S | 0..1 | CodeableConcept | Type of modular component to add to the feeding Binding: ?? (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.  | S | 0..1 | CodeableConcept | Type of modular component to add to the feeding Binding: ?? (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.  | |||||||||
![]() ![]() ![]()  | 0..1 | string | Product or brand name of the modular additive | 0..1 | string | Product or brand name of the modular additive | |||||||||||
![]() ![]() ![]()  | S | 0..1 | ?? | Amount of energy per specified volume that is required | S | 0..1 | ?? | Amount of energy per specified volume that is required | |||||||||
![]() ![]() ![]()  | S | 0..1 | CodeableConcept | How the formula should enter the patient's gastrointestinal tract Binding: ?? (extensible): Codes specifying the route of administration of enteral formula.  | S | 0..1 | CodeableConcept | How the formula should enter the patient's gastrointestinal tract Binding: ?? (extensible): Codes specifying the route of administration of enteral formula.  | |||||||||
![]() ![]() ![]()  | S | 0..* | BackboneElement | Formula feeding instruction as structured data | S | 0..* | BackboneElement | Formula feeding instruction as structured data | |||||||||
![]() ![]() ![]() ![]()  | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() ![]()  | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() ![]() ![]()  | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]() ![]()  | S | 0..1 | Timing | Scheduled frequency of enteral feeding | S | 0..1 | Timing | Scheduled frequency of enteral feeding | |||||||||
![]() ![]() ![]() ![]()  | S | 0..1 | ?? | The volume of formula to provide | S | 0..1 | ?? | The volume of formula to provide | |||||||||
![]() ![]() ![]() ![]()  | S | 0..1 | ??, Ratio | Speed with which the formula is provided per period of time | S | 0..1 | ??, Ratio | Speed with which the formula is provided per period of time | |||||||||
![]() ![]() ![]()  | 0..1 | ?? | Upper limit on formula volume per unit of time | 0..1 | ?? | Upper limit on formula volume per unit of time | |||||||||||
![]() ![]() ![]()  | SΣ | 0..1 | string | Formula feeding instructions expressed as text | SΣ | 0..1 | string | Formula feeding instructions expressed as text | |||||||||
![]() ![]()  | 0..* | Annotation | Comments | 0..* | Annotation | Comments | |||||||||||
  Documentation for this format | |||||||||||||||||