Dit Profiel is het resultaat van de vergelijking tussen de zib2017 FHIR Profiel en de implementaties in Epic, Chipsoft, Topicus en Nexus. De elementen die in ieder geval in alle output beschikbaar zullen zijn. Voornamelijk bedoeld voor houvast van een client en voor validatie van output.

Zorginformatiebouwsteen

ZIB Voedingsadvies

View Definition

• ViewDefinition voor Voedingsadvies

UI Wireframe

Voedingsadvies

Kolom Definities

Codesystemen

Request

1. Opvragen (search) voedingsadviezen

   GET <ontsluiten-bronsysteem-base>/NutritionOrder?patient=<fhir_patient_id>

Bronsysteem herkennen

De Zorgviewer-backend of Ontsluiten bronsysteem MOET na bevragen van het bronsysteem aan elk resultaat resource een meta-tag toevoegen met de AGB, OID of URA identifier van de zorgaanbieder (zie Organization voor voorbeelden). Dit wordt vervolgens gebruikt in de "Bron" kolom in de Zorgviewer-frontend. N.B. We gebruiken hier een pre-adopt van de FHIR R4 Meta.source.

Toevoegen aan elke response, dus per resource (bij een read) of per Bundle (bij een search):

"meta": {
    "extension": [ {
        "url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source",
        "valueUri": "urn:oid:2.16.840.1.113883.2.4.3.8"
    } ]
}

Alternatief: Elke entry van een search response Bundle bevat een referentie naar de bijbehorende Patient (<resource>.subject|patient). Elke patient heeft een Patient.managingOrganization en in de gerefereerde Organization.identifier staat vervolgens o.a. de OID van het bronsysyeem. Of je gebruikt de identifiers om een volledige Organization op te zoeken in het adresboek en zie inhoud hier.

Changes since version 1.22.0:

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
NutritionOrder	C	0..*	Zib NutritionAdvice	NutritionOrder Constraints: nor-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:Comment		0..1	(Complex)	Comment URL: http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation Constraints: ext-1
extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation"
Slices for value[x]				Content/Rules for all slices
value[x]:valueString		0..1	string	Comment
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	0..1	code	proposed | draft | planned | requested | active | on-hold | completed | cancelled | entered-in-error Binding: NutritionOrderStatus (required): Codes specifying the state of the request. Describes the lifecycle of the nutrition order.
patient	Σ	1..1	Reference(nl-core-patient)	The person who requires the diet, formula or nutritional supplement
dateTime	Σ	1..1	dateTime	Date and time the nutrition order was requested
oralDiet	C	0..1	BackboneElement	Oral diet components
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
type	Σ	0..*	CodeableConcept	Type of oral diet or diet restrictions that describe what can be consumed orally Binding: Diet Codes (example): Codes used to indicate the type of diet being ordered for a patient.
text	SΣ	0..1	string	DietType
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
NutritionOrder.status	Base	required	NutritionOrderStatus	📦3.0.2	FHIR Std.
NutritionOrder.oralDiet.​type	Base	example	Diet Codes	📦3.0.2	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-1	error	NutritionOrder	If the resource is contained in another resource, it SHALL NOT contain any narrative	contained.text.empty()
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	contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() | (children().count() > id.count())
ext-1	error	NutritionOrder.extension:Comment	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()

This structure is derived from Zib NutritionAdvice

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
NutritionOrder		0..*	Zib NutritionAdvice	NutritionOrder
oralDiet
type
text	S	0..1	string	DietType
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
NutritionOrder	C	0..*	Zib NutritionAdvice	NutritionOrder Constraints: nor-1
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: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages 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	Additional Content defined by implementations Slice: Unordered, Open by value:url
extension:Comment		0..1	(Complex)	Comment URL: http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation Constraints: ext-1
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation"
Slices for value[x]				Content/Rules for all slices
value[x]:valueString		0..1	string	Comment
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Identifiers assigned to this order
status	?!Σ	0..1	code	proposed | draft | planned | requested | active | on-hold | completed | cancelled | entered-in-error Binding: NutritionOrderStatus (required): Codes specifying the state of the request. Describes the lifecycle of the nutrition order.
patient	Σ	1..1	Reference(nl-core-patient)	The person who requires the diet, formula or nutritional supplement
encounter		0..1	Reference(HCIM 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(nl-core-practitioner)	Who ordered the diet, formula or nutritional supplement
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
allergyIntolerance		0..*	Reference(HCIM 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: Food Type Codes (example): Codes used to indicate the type of food that should NOT be given to the patient.
oralDiet	C	0..1	BackboneElement	Oral diet components
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
type	Σ	0..*	CodeableConcept	Type of oral diet or diet restrictions that describe what can be consumed orally Binding: Diet Codes (example): Codes used to indicate the type of diet being ordered for a patient.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	DietType
schedule		0..*	Timing	Scheduled frequency of diet
nutrient		0..*	BackboneElement	Required nutrient modifications
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
modifier		0..1	CodeableConcept	Type of nutrient that is being modified Binding: Nutrient Modifier Codes (example): Codes for types of nutrient that is 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	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
modifier		0..1	CodeableConcept	Code to indicate how to alter the texture of the foods, e.g. pureed Binding: Texture Modifier Codes (example): Codes for food consistency types or texture modifications to apply to foods.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Consistency
foodType		0..1	CodeableConcept	Concepts that are used to identify an entity that is ingested for nutritional purposes Binding: Texture Modified Food Type Codes (example): Codes for types of foods that are texture modified.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Consistency
fluidConsistencyType		0..*	CodeableConcept	The required consistency of fluids and liquids provided to the patient Binding: Fluid Consistency Type Codes (example): Codes used to represent the consistency of fluids and liquids provided to the patient.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Consistency
instruction	Σ	0..1	string	Instructions or additional information about the oral diet
supplement	C	0..*	BackboneElement	Supplement components
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
type	Σ	0..1	CodeableConcept	Type of supplement product requested Binding: Supplement Type Codes (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	C	0..1	BackboneElement	Enteral formula components
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
baseFormulaType	Σ	0..1	CodeableConcept	Type of enteral or infant formula Binding: Enteral Formula Type Codes (example): Codes for type of enteral formula to be administered to patient.
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: Enteral Formula Additive Type Code (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: Enteral Route Codes (extensible): Codes specifying the route of administration of enteral formula.
administration		0..*	BackboneElement	Formula feeding instruction as structured data
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
NutritionOrder.language	Base	extensible	Common Languages	📦3.0.2	FHIR Std.
NutritionOrder.status	Base	required	NutritionOrderStatus	📦3.0.2	FHIR Std.
NutritionOrder.foodPreferenceModifier	Base	example	Diet	📦3.0.2	FHIR Std.
NutritionOrder.excludeFoodModifier	Base	example	Food Type Codes	📦3.0.2	FHIR Std.
NutritionOrder.oralDiet.​type	Base	example	Diet Codes	📦3.0.2	FHIR Std.
NutritionOrder.oralDiet.​nutrient.modifier	Base	example	Nutrient Modifier Codes	📦3.0.2	FHIR Std.
NutritionOrder.oralDiet.​texture.modifier	Base	example	Texture Modifier Codes	📦3.0.2	FHIR Std.
NutritionOrder.oralDiet.​texture.foodType	Base	example	Texture Modified Food Type Codes	📦3.0.2	FHIR Std.
NutritionOrder.oralDiet.​fluidConsistencyType	Base	example	Fluid Consistency Type Codes	📦3.0.2	FHIR Std.
NutritionOrder.supplement.​type	Base	example	Supplement Type Codes	📦3.0.2	FHIR Std.
NutritionOrder.enteralFormula.​baseFormulaType	Base	example	Enteral Formula Type Codes	📦3.0.2	FHIR Std.
NutritionOrder.enteralFormula.​additiveType	Base	example	Enteral Formula Additive Type Code	📦3.0.2	FHIR Std.
NutritionOrder.enteralFormula.​routeofAdministration	Base	extensible	Enteral Route Codes	📦3.0.2	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-1	error	NutritionOrder	If the resource is contained in another resource, it SHALL NOT contain any narrative	contained.text.empty()
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	contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() | (children().count() > id.count())
ext-1	error	NutritionOrder.extension:Comment, NutritionOrder.orderer.extension:practitionerRole	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()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
NutritionOrder	C	0..*	Zib NutritionAdvice	NutritionOrder Constraints: nor-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:Comment		0..1	(Complex)	Comment URL: http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation Constraints: ext-1
extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation"
Slices for value[x]				Content/Rules for all slices
value[x]:valueString		0..1	string	Comment
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	0..1	code	proposed | draft | planned | requested | active | on-hold | completed | cancelled | entered-in-error Binding: NutritionOrderStatus (required): Codes specifying the state of the request. Describes the lifecycle of the nutrition order.
patient	Σ	1..1	Reference(nl-core-patient)	The person who requires the diet, formula or nutritional supplement
dateTime	Σ	1..1	dateTime	Date and time the nutrition order was requested
oralDiet	C	0..1	BackboneElement	Oral diet components
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
type	Σ	0..*	CodeableConcept	Type of oral diet or diet restrictions that describe what can be consumed orally Binding: Diet Codes (example): Codes used to indicate the type of diet being ordered for a patient.
text	SΣ	0..1	string	DietType
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
NutritionOrder.status	Base	required	NutritionOrderStatus	📦3.0.2	FHIR Std.
NutritionOrder.oralDiet.​type	Base	example	Diet Codes	📦3.0.2	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-1	error	NutritionOrder	If the resource is contained in another resource, it SHALL NOT contain any narrative	contained.text.empty()
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	contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() | (children().count() > id.count())
ext-1	error	NutritionOrder.extension:Comment	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()

Differential View

This structure is derived from Zib NutritionAdvice

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
NutritionOrder		0..*	Zib NutritionAdvice	NutritionOrder
oralDiet
type
text	S	0..1	string	DietType
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
NutritionOrder	C	0..*	Zib NutritionAdvice	NutritionOrder Constraints: nor-1
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: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages 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	Additional Content defined by implementations Slice: Unordered, Open by value:url
extension:Comment		0..1	(Complex)	Comment URL: http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation Constraints: ext-1
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation"
Slices for value[x]				Content/Rules for all slices
value[x]:valueString		0..1	string	Comment
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Identifiers assigned to this order
status	?!Σ	0..1	code	proposed | draft | planned | requested | active | on-hold | completed | cancelled | entered-in-error Binding: NutritionOrderStatus (required): Codes specifying the state of the request. Describes the lifecycle of the nutrition order.
patient	Σ	1..1	Reference(nl-core-patient)	The person who requires the diet, formula or nutritional supplement
encounter		0..1	Reference(HCIM 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(nl-core-practitioner)	Who ordered the diet, formula or nutritional supplement
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
allergyIntolerance		0..*	Reference(HCIM 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: Food Type Codes (example): Codes used to indicate the type of food that should NOT be given to the patient.
oralDiet	C	0..1	BackboneElement	Oral diet components
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
type	Σ	0..*	CodeableConcept	Type of oral diet or diet restrictions that describe what can be consumed orally Binding: Diet Codes (example): Codes used to indicate the type of diet being ordered for a patient.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	DietType
schedule		0..*	Timing	Scheduled frequency of diet
nutrient		0..*	BackboneElement	Required nutrient modifications
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
modifier		0..1	CodeableConcept	Type of nutrient that is being modified Binding: Nutrient Modifier Codes (example): Codes for types of nutrient that is 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	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
modifier		0..1	CodeableConcept	Code to indicate how to alter the texture of the foods, e.g. pureed Binding: Texture Modifier Codes (example): Codes for food consistency types or texture modifications to apply to foods.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Consistency
foodType		0..1	CodeableConcept	Concepts that are used to identify an entity that is ingested for nutritional purposes Binding: Texture Modified Food Type Codes (example): Codes for types of foods that are texture modified.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Consistency
fluidConsistencyType		0..*	CodeableConcept	The required consistency of fluids and liquids provided to the patient Binding: Fluid Consistency Type Codes (example): Codes used to represent the consistency of fluids and liquids provided to the patient.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Consistency
instruction	Σ	0..1	string	Instructions or additional information about the oral diet
supplement	C	0..*	BackboneElement	Supplement components
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
type	Σ	0..1	CodeableConcept	Type of supplement product requested Binding: Supplement Type Codes (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	C	0..1	BackboneElement	Enteral formula components
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
baseFormulaType	Σ	0..1	CodeableConcept	Type of enteral or infant formula Binding: Enteral Formula Type Codes (example): Codes for type of enteral formula to be administered to patient.
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: Enteral Formula Additive Type Code (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: Enteral Route Codes (extensible): Codes specifying the route of administration of enteral formula.
administration		0..*	BackboneElement	Formula feeding instruction as structured data
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
NutritionOrder.language	Base	extensible	Common Languages	📦3.0.2	FHIR Std.
NutritionOrder.status	Base	required	NutritionOrderStatus	📦3.0.2	FHIR Std.
NutritionOrder.foodPreferenceModifier	Base	example	Diet	📦3.0.2	FHIR Std.
NutritionOrder.excludeFoodModifier	Base	example	Food Type Codes	📦3.0.2	FHIR Std.
NutritionOrder.oralDiet.​type	Base	example	Diet Codes	📦3.0.2	FHIR Std.
NutritionOrder.oralDiet.​nutrient.modifier	Base	example	Nutrient Modifier Codes	📦3.0.2	FHIR Std.
NutritionOrder.oralDiet.​texture.modifier	Base	example	Texture Modifier Codes	📦3.0.2	FHIR Std.
NutritionOrder.oralDiet.​texture.foodType	Base	example	Texture Modified Food Type Codes	📦3.0.2	FHIR Std.
NutritionOrder.oralDiet.​fluidConsistencyType	Base	example	Fluid Consistency Type Codes	📦3.0.2	FHIR Std.
NutritionOrder.supplement.​type	Base	example	Supplement Type Codes	📦3.0.2	FHIR Std.
NutritionOrder.enteralFormula.​baseFormulaType	Base	example	Enteral Formula Type Codes	📦3.0.2	FHIR Std.
NutritionOrder.enteralFormula.​additiveType	Base	example	Enteral Formula Additive Type Code	📦3.0.2	FHIR Std.
NutritionOrder.enteralFormula.​routeofAdministration	Base	extensible	Enteral Route Codes	📦3.0.2	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-1	error	NutritionOrder	If the resource is contained in another resource, it SHALL NOT contain any narrative	contained.text.empty()
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	contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() | (children().count() > id.count())
ext-1	error	NutritionOrder.extension:Comment, NutritionOrder.orderer.extension:practitionerRole	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()

This structure is derived from Zib NutritionAdvice

Summary

Must-Support: 1 element