RIVO-Noord Zorgviewer Implementation Guide
1.23.0 - CI build

RIVO-Noord Zorgviewer Implementation Guide, published by RIVO-NN HL7NL. This guide is not an authorized publication; it is the continuous build for version 1.23.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/RIVO-Noord/zorgviewer-ig/ and changes regularly. See the Directory of published versions

## Resource Profile: NutritionAdvice - Detailed Descriptions

Active as of 2026-03-30

Definitions for the NutritionAdvice resource profile.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be foundhere

0. NutritionOrder
Definition | A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to a patient/resident. This is the base resource type for everything.
Short | NutritionOrderBase Resource
Comments | Referenced by an Order Request (workflow).
Control | 0..*
Alternate Names | Nutrition Order, Diet Order, Diet, Nutritional Supplement, Enteral Nutrition, Voedingsadvies
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (`contained.text.empty()`) dom-4: 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()`) dom-3: 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()`) nor-1: Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class (`oralDiet.exists() or supplement.exists() or enteralFormula.exists()`)
2. NutritionOrder.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.
Short | A set of rules under which this content was created
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
Control | 0..1
Type | uri
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
4. NutritionOrder.extension:Comment
Slice Name | Comment
Definition | A comment on the nutrition advice.
Short | Comment
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(HCIM NutritionAdvice Comment) (Extension Type: string)
Alternate Names | extensions, user content, Toelichting
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
6. NutritionOrder.extension:Comment.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..0*
Type | Extension
Alternate Names | extensions, user content
Slicing | This element introduces a set of slices on `NutritionOrder.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
8. NutritionOrder.extension:Comment.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation`
10. NutritionOrder.extension:Comment.value[x]:valueString
Slice Name | valueString
Definition | A comment on the nutrition advice. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).
Short | CommentValue of extension
Control | 0..1
Type | string, date, dateTime, Meta, code, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Alternate Names | Toelichting
12. NutritionOrder.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Alternate Names | extensions, user content
14. NutritionOrder.status
Definition | The workflow status of the nutrition order/request.
Short | proposed | draft | planned | requested | active | on-hold | completed | cancelled | entered-in-error
Comments | Typically the system placing the order sets the status to "requested". Thereafter, the order is maintained by the receiver that updates the status as the request is handled. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Control | 0..1
Binding | The codes SHALL be taken from NutritionOrderStatus http://hl7.org/fhir/ValueSet/nutrition-request-status|3.0.2 (required to `http://hl7.org/fhir/ValueSet/nutrition-request-status` ) Codes specifying the state of the request. Describes the lifecycle of the nutrition order.
Type | code
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
16. NutritionOrder.patient
Definition | The person (patient) who needs the nutrition order for an oral diet, nutritional supplement and/or enteral or formula feeding.
Short | The person who requires the diet, formula or nutritional supplement
Control | 1..1
Type | Reference(nl-core-patient, Patient)
Summary | true
18. NutritionOrder.dateTime
Definition | The date and time that this nutrition order was requested.
Short | Date and time the nutrition order was requested
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
20. NutritionOrder.oralDiet
Definition | Diet given orally in contrast to enteral (tube) feeding.
Short | Oral diet components
Control | 0..1 This element is affected by the following invariants: nor-1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
22. NutritionOrder.oralDiet.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Summary | true
Alternate Names | extensions, user content, modifiers
24. NutritionOrder.oralDiet.type
Definition | The kind of diet or dietary restriction such as fiber restricted diet or diabetic diet.
Short | Type of oral diet or diet restrictions that describe what can be consumed orally
Control | 0..*
Binding | For example codes, see Diet Codes http://hl7.org/fhir/ValueSet/diet-type|3.0.2 (example to `http://hl7.org/fhir/ValueSet/diet-type` ) Codes used to indicate the type of diet being ordered for a patient.
Type | CodeableConcept
Summary | true
26. NutritionOrder.oralDiet.type.text
Definition | Description of the type of diet. A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | DietTypePlain text representation of the concept
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Alternate Names | DieetType

Guidance on how to interpret the contents of this table can be foundhere

0. NutritionOrder
2. NutritionOrder.oralDiet
4. NutritionOrder.oralDiet.type
6. NutritionOrder.oralDiet.type.text
Must Support | true

Guidance on how to interpret the contents of this table can be foundhere

0. NutritionOrder
Definition | A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to a patient/resident.
Short | NutritionOrder
Comments | Referenced by an Order Request (workflow).
Control | 0..*
Alternate Names | Nutrition Order, Diet Order, Diet, Nutritional Supplement, Enteral Nutrition, Voedingsadvies
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (`contained.text.empty()`) dom-4: 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()`) dom-3: 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()`) nor-1: Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class (`oralDiet.exists() or supplement.exists() or enteralFormula.exists()`)
2. NutritionOrder.id
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short | Logical id of this artifact
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Control | 0..1
Type | id
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
4. NutritionOrder.meta
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.
Short | Metadata about the resource
Control | 0..1
Type | Meta
Summary | true
6. NutritionOrder.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.
Short | A set of rules under which this content was created
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
Control | 0..1
Type | uri
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
8. NutritionOrder.language
Definition | The base language in which the resource is written.
Short | Language of the resource content
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from Common Languages (extensible to `http://hl7.org/fhir/ValueSet/languages` ) A human language.
Additional Bindings | Purpose
All Languages | Max Binding
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
10. NutritionOrder.text
Definition | A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Short | Text summary of the resource, for human interpretation
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.
Control | 0..1 This element is affected by the following invariants: dom-1
Type | Narrative
Alternate Names | narrative, html, xhtml, display
12. NutritionOrder.contained
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Short | Contained, inline Resources
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.
Control | 0..*
Type | Resource
Alternate Names | inline resources, anonymous resources, contained resources
14. NutritionOrder.extension
Definition | May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Slicing | This element introduces a set of slices on `NutritionOrder.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
16. NutritionOrder.extension:Comment
Slice Name | Comment
Definition | A comment on the nutrition advice.
Short | Comment
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(HCIM NutritionAdvice Comment) (Extension Type: string)
Alternate Names | extensions, user content, Toelichting
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. NutritionOrder.extension:Comment.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
20. NutritionOrder.extension:Comment.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..0
Type | Extension
Alternate Names | extensions, user content
Slicing | This element introduces a set of slices on `NutritionOrder.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
22. NutritionOrder.extension:Comment.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation`
24. NutritionOrder.extension:Comment.value[x]:valueString
Slice Name | valueString
Definition | A comment on the nutrition advice.
Short | Comment
Control | 0..1
Type | string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Alternate Names | Toelichting
26. NutritionOrder.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Alternate Names | extensions, user content
28. NutritionOrder.identifier
Definition | Identifiers assigned to this order by the order sender or by the order receiver.
Short | Identifiers assigned to this order
Comments | The Identifier.type element can be to indicate filler vs. placer if needed. This is explained in further detail here.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
30. NutritionOrder.status
Definition | The workflow status of the nutrition order/request.
Short | proposed | draft | planned | requested | active | on-hold | completed | cancelled | entered-in-error
Comments | Typically the system placing the order sets the status to "requested". Thereafter, the order is maintained by the receiver that updates the status as the request is handled. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Control | 0..1
Binding | The codes SHALL be taken from NutritionOrderStatus (required to `http://hl7.org/fhir/ValueSet/nutrition-request-status` ) Codes specifying the state of the request. Describes the lifecycle of the nutrition order.
Type | code
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
32. NutritionOrder.patient
Definition | The person (patient) who needs the nutrition order for an oral diet, nutritional supplement and/or enteral or formula feeding.
Short | The person who requires the diet, formula or nutritional supplement
Control | 1..1
Type | Reference(nl-core-patient)
Summary | true
34. NutritionOrder.encounter
Definition | An encounter that provides additional information about the healthcare context in which this request is made.
Short | The encounter associated with this nutrition order
Control | 0..1
Type | Reference(HCIM Encounter)
36. NutritionOrder.dateTime
Definition | The date and time that this nutrition order was requested.
Short | Date and time the nutrition order was requested
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
38. NutritionOrder.orderer
Definition | The practitioner that holds legal responsibility for ordering the diet, nutritional supplement, or formula feedings.
Short | Who ordered the diet, formula or nutritional supplement
Control | 0..1
Type | Reference(nl-core-practitioner)
Summary | true
40. NutritionOrder.orderer.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
42. NutritionOrder.orderer.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Slicing | This element introduces a set of slices on `NutritionOrder.orderer.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
44. NutritionOrder.orderer.extension:practitionerRole
Slice Name | practitionerRole
Definition | Optional Extension Element - found in all resources.
Short | Optional Extensions Element
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(PractitionerRole Reference) (Extension Type: Reference(nl-core-practitionerrole))
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
46. NutritionOrder.orderer.reference
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Short | Literal reference, Relative, internal or absolute URL
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Control | 0..1 This element is affected by the following invariants: ref-1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
48. NutritionOrder.orderer.identifier
Definition | An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Short | Logical reference, when literal reference is not known
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier
Summary | true
50. NutritionOrder.orderer.display
Definition | Plain text narrative that identifies the resource in addition to the resource reference.
Short | Text alternative for the resource
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
52. NutritionOrder.allergyIntolerance
Definition | A link to a record of allergies or intolerances which should be included in the nutrition order.
Short | List of the patient's food and nutrition-related allergies and intolerances
Comments | Information on a patient's food allergies and intolerances to inform healthcare personnel about the type of foods that the patient shouldn't receive or consume.
Control | 0..*
Type | Reference(HCIM AllergyIntolerance)
54. NutritionOrder.foodPreferenceModifier
Definition | This modifier is used to convey order-specific modifiers about the type of food that should be given. These can be derived from patient allergies, intolerances, or preferences such as Halal, Vegan or Kosher. This modifier applies to the entire nutrition order inclusive of the oral diet, nutritional supplements and enteral formula feedings.
Short | Order-specific modifier about the type of food that should be given
Comments | Information on a patient's food preferences that inform healthcare personnel about the food that the patient should receive or consume.
Control | 0..*
Binding | For example codes, see Diet (example to `http://hl7.org/fhir/ValueSet/encounter-diet` ) Medical, cultural or ethical food preferences to help with catering requirements
Type | CodeableConcept
56. NutritionOrder.excludeFoodModifier
Definition | This modifier is used to convey order-specific modifiers about the type of food that should NOT be given. These can be derived from patient allergies, intolerances, or preferences such as No Red Meat, No Soy or No Wheat or Gluten-Free. While it should not be necessary to repeat allergy or intolerance information captured in the referenced AllergyIntolerance resource in the excludeFoodModifier, this element may be used to convey additional specificity related to foods that should be eliminated from the patient’s diet for any reason. This modifier applies to the entire nutrition order inclusive of the oral diet, nutritional supplements and enteral formula feedings.
Short | Order-specific modifier about the type of food that should not be given
Comments | Information on a patient's food allergies, intolerances and preferences to inform healthcare personnel about the type of foods that the patient shouldn't receive or consume.
Control | 0..*
Binding | For example codes, see Food Type Codes (example to `http://hl7.org/fhir/ValueSet/food-type` ) Codes used to indicate the type of food that should NOT be given to the patient.
Type | CodeableConcept
58. NutritionOrder.oralDiet
Definition | Diet given orally in contrast to enteral (tube) feeding.
Short | Oral diet components
Control | 0..1 This element is affected by the following invariants: nor-1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`)
60. NutritionOrder.oralDiet.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
62. NutritionOrder.oralDiet.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
64. NutritionOrder.oralDiet.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Summary | true
Alternate Names | extensions, user content, modifiers
66. NutritionOrder.oralDiet.type
Definition | The kind of diet or dietary restriction such as fiber restricted diet or diabetic diet.
Short | Type of oral diet or diet restrictions that describe what can be consumed orally
Control | 0..*
Binding | For example codes, see Diet Codes (example to `http://hl7.org/fhir/ValueSet/diet-type` ) Codes used to indicate the type of diet being ordered for a patient.
Type | CodeableConcept
Summary | true
68. NutritionOrder.oralDiet.type.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
70. NutritionOrder.oralDiet.type.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Slicing | This element introduces a set of slices on `NutritionOrder.oralDiet.type.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
72. NutritionOrder.oralDiet.type.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Type | Coding
Summary | true
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.
74. NutritionOrder.oralDiet.type.text
Definition | Description of the type of diet.
Short | DietType
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Alternate Names | DieetType
76. NutritionOrder.oralDiet.schedule
Definition | The time period and frequency at which the diet should be given. The diet should be given for the combination of all schedules if more than one schedule is present.
Short | Scheduled frequency of diet
Control | 0..*
Type | Timing
Alternate Names | Frequency
78. NutritionOrder.oralDiet.nutrient
Definition | Class that defines the quantity and type of nutrient modifications (for example carbohydrate, fiber or sodium) required for the oral diet.
Short | Required nutrient modifications
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`)
80. NutritionOrder.oralDiet.nutrient.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
82. NutritionOrder.oralDiet.nutrient.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
84. NutritionOrder.oralDiet.nutrient.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Summary | true
Alternate Names | extensions, user content, modifiers
86. NutritionOrder.oralDiet.nutrient.modifier
Definition | The nutrient that is being modified such as carbohydrate or sodium.
Short | Type of nutrient that is being modified
Control | 0..1
Binding | For example codes, see Nutrient Modifier Codes (example to `http://hl7.org/fhir/ValueSet/nutrient-code` ) Codes for types of nutrient that is being modified such as carbohydrate or sodium.
Type | CodeableConcept
88. NutritionOrder.oralDiet.nutrient.amount
Definition | The quantity of the specified nutrient to include in diet.
Short | Quantity of the specified nutrient
Control | 0..1
Type | Quantity(SimpleQuantity)
90. NutritionOrder.oralDiet.texture
Definition | Class that describes any texture modifications required for the patient to safely consume various types of solid foods.
Short | Required texture modifications
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`)
92. NutritionOrder.oralDiet.texture.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
94. NutritionOrder.oralDiet.texture.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
96. NutritionOrder.oralDiet.texture.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Summary | true
Alternate Names | extensions, user content, modifiers
98. NutritionOrder.oralDiet.texture.modifier
Definition | Any texture modifications (for solid foods) that should be made, e.g. easy to chew, chopped, ground, and pureed.
Short | Code to indicate how to alter the texture of the foods, e.g. pureed
Comments | Coupled with the foodType (Meat).
Control | 0..1
Binding | For example codes, see Texture Modifier Codes (example to `http://hl7.org/fhir/ValueSet/texture-code` ) Codes for food consistency types or texture modifications to apply to foods.
Type | CodeableConcept
100. NutritionOrder.oralDiet.texture.modifier.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
102. NutritionOrder.oralDiet.texture.modifier.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Slicing | This element introduces a set of slices on `NutritionOrder.oralDiet.texture.modifier.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
104. NutritionOrder.oralDiet.texture.modifier.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Type | Coding
Summary | true
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.
106. NutritionOrder.oralDiet.texture.modifier.text
Definition | A description of the consistency of the food.
Short | Consistency
Comments | Because of a granularity difference between the HCIM NutritionAdvice and the NutritionOrder resource, the HCIM concept Consistency is mapped to the elements `.oralDiet.texture.modifier.text`, `.oralDiet.texture.foodType.text` and `.oralDiet.fluidConsistencyType.text`.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Alternate Names | Consistentie
108. NutritionOrder.oralDiet.texture.foodType
Definition | The food type(s) (e.g. meats, all foods) that the texture modification applies to. This could be all foods types.
Short | Concepts that are used to identify an entity that is ingested for nutritional purposes
Comments | Coupled with the textureModifier; could be (All Foods).
Control | 0..1
Binding | For example codes, see Texture Modified Food Type Codes (example to `http://hl7.org/fhir/ValueSet/modified-foodtype` ) Codes for types of foods that are texture modified.
Type | CodeableConcept
110. NutritionOrder.oralDiet.texture.foodType.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
112. NutritionOrder.oralDiet.texture.foodType.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Slicing | This element introduces a set of slices on `NutritionOrder.oralDiet.texture.foodType.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
114. NutritionOrder.oralDiet.texture.foodType.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Type | Coding
Summary | true
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.
116. NutritionOrder.oralDiet.texture.foodType.text
Definition | A description of the consistency of the food.
Short | Consistency
Comments | Because of a granularity difference between the HCIM NutritionAdvice and the NutritionOrder resource, the HCIM concept Consistency is mapped to the elements `.oralDiet.texture.modifier.text`, `.oralDiet.texture.foodType.text` and `.oralDiet.fluidConsistencyType.text`.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Alternate Names | Consistentie
118. NutritionOrder.oralDiet.fluidConsistencyType
Definition | The required consistency (e.g. honey-thick, nectar-thick, thin, thickened.) of liquids or fluids served to the patient.
Short | The required consistency of fluids and liquids provided to the patient
Control | 0..*
Binding | For example codes, see Fluid Consistency Type Codes (example to `http://hl7.org/fhir/ValueSet/consistency-type` ) Codes used to represent the consistency of fluids and liquids provided to the patient.
Type | CodeableConcept
120. NutritionOrder.oralDiet.fluidConsistencyType.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
122. NutritionOrder.oralDiet.fluidConsistencyType.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Slicing | This element introduces a set of slices on `NutritionOrder.oralDiet.fluidConsistencyType.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
124. NutritionOrder.oralDiet.fluidConsistencyType.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Type | Coding
Summary | true
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.
126. NutritionOrder.oralDiet.fluidConsistencyType.text
Definition | A description of the consistency of the food.
Short | Consistency
Comments | Because of a granularity difference between the HCIM NutritionAdvice and the NutritionOrder resource, the HCIM concept Consistency is mapped to the elements `.oralDiet.texture.modifier.text`, `.oralDiet.texture.foodType.text` and `.oralDiet.fluidConsistencyType.text`.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Alternate Names | Consistentie
128. NutritionOrder.oralDiet.instruction
Definition | Free text or additional instructions or information pertaining to the oral diet.
Short | Instructions or additional information about the oral diet
Comments | Free text dosage instructions can be used for cases where the instructions are too complex to code.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
130. NutritionOrder.supplement
Definition | Oral nutritional products given in order to add further nutritional value to the patient's diet.
Short | Supplement components
Control | 0..* This element is affected by the following invariants: nor-1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`)
132. NutritionOrder.supplement.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
134. NutritionOrder.supplement.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
136. NutritionOrder.supplement.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Summary | true
Alternate Names | extensions, user content, modifiers
138. NutritionOrder.supplement.type
Definition | The kind of nutritional supplement product required such as a high protein or pediatric clear liquid supplement.
Short | Type of supplement product requested
Control | 0..1
Binding | For example codes, see Supplement Type Codes (example to `http://hl7.org/fhir/ValueSet/supplement-type` ) Codes for nutritional supplements to be provided to the patient
Type | CodeableConcept
Summary | true
140. NutritionOrder.supplement.productName
Definition | The product or brand name of the nutritional supplement such as "Acme Protein Shake".
Short | Product or brand name of the nutritional supplement
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
142. NutritionOrder.supplement.schedule
Definition | The time period and frequency at which the supplement(s) should be given. The supplement should be given for the combination of all schedules if more than one schedule is present.
Short | Scheduled frequency of supplement
Control | 0..*
Type | Timing
Alternate Names | Frequency
144. NutritionOrder.supplement.quantity
Definition | The amount of the nutritional supplement to be given.
Short | Amount of the nutritional supplement
Control | 0..1
Type | Quantity(SimpleQuantity)
146. NutritionOrder.supplement.instruction
Definition | Free text or additional instructions or information pertaining to the oral supplement.
Short | Instructions or additional information about the oral supplement
Comments | Free text dosage instructions can be used for cases where the instructions are too complex to code.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
148. NutritionOrder.enteralFormula
Definition | Feeding provided through the gastrointestinal tract via a tube, catheter, or stoma that delivers nutrition distal to the oral cavity.
Short | Enteral formula components
Control | 0..1 This element is affected by the following invariants: nor-1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`)
150. NutritionOrder.enteralFormula.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
152. NutritionOrder.enteralFormula.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
154. NutritionOrder.enteralFormula.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Summary | true
Alternate Names | extensions, user content, modifiers
156. NutritionOrder.enteralFormula.baseFormulaType
Definition | The type of enteral or infant formula such as an adult standard formula with fiber or a soy-based infant formula.
Short | Type of enteral or infant formula
Control | 0..1
Binding | For example codes, see Enteral Formula Type Codes (example to `http://hl7.org/fhir/ValueSet/entformula-type` ) Codes for type of enteral formula to be administered to patient.
Type | CodeableConcept
Summary | true
158. NutritionOrder.enteralFormula.baseFormulaProductName
Definition | The product or brand name of the enteral or infant formula product such as "ACME Adult Standard Formula".
Short | Product or brand name of the enteral or infant formula
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
160. NutritionOrder.enteralFormula.additiveType
Definition | Indicates the type of modular component such as protein, carbohydrate, fat or fiber to be provided in addition to or mixed with the base formula.
Short | Type of modular component to add to the feeding
Control | 0..1
Binding | For example codes, see Enteral Formula Additive Type Code (example to `http://hl7.org/fhir/ValueSet/entformula-additive` ) 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.
Type | CodeableConcept
162. NutritionOrder.enteralFormula.additiveProductName
Definition | The product or brand name of the type of modular component to be added to the formula.
Short | Product or brand name of the modular additive
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
164. NutritionOrder.enteralFormula.caloricDensity
Definition | The amount of energy (calories) that the formula should provide per specified volume, typically per mL or fluid oz. For example, an infant may require a formula that provides 24 calories per fluid ounce or an adult may require an enteral formula that provides 1.5 calorie/mL.
Short | Amount of energy per specified volume that is required
Control | 0..1
Type | Quantity(SimpleQuantity)
166. NutritionOrder.enteralFormula.routeofAdministration
Definition | The route or physiological path of administration into the patient's gastrointestinal tract for purposes of providing the formula feeding, e.g. nasogastric tube.
Short | How the formula should enter the patient's gastrointestinal tract
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from Enteral Route Codes (extensible to `http://hl7.org/fhir/ValueSet/enteral-route` ) Codes specifying the route of administration of enteral formula.
Type | CodeableConcept
168. NutritionOrder.enteralFormula.administration
Definition | Formula administration instructions as structured data. This repeating structure allows for changing the administration rate or volume over time for both bolus and continuous feeding. An example of this would be an instruction to increase the rate of continuous feeding every 2 hours.
Short | Formula feeding instruction as structured data
Comments | See implementation notes below for further discussion on how to order continuous vs bolus enteral feeding using this resource.
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`)
170. NutritionOrder.enteralFormula.administration.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
172. NutritionOrder.enteralFormula.administration.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
174. NutritionOrder.enteralFormula.administration.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Summary | true
Alternate Names | extensions, user content, modifiers
176. NutritionOrder.enteralFormula.administration.schedule
Definition | The time period and frequency at which the enteral formula should be delivered to the patient.
Short | Scheduled frequency of enteral feeding
Control | 0..1
Type | Timing
Alternate Names | Frequency
178. NutritionOrder.enteralFormula.administration.quantity
Definition | The volume of formula to provide to the patient per the specified administration schedule.
Short | The volume of formula to provide
Control | 0..1
Type | Quantity(SimpleQuantity)
180. NutritionOrder.enteralFormula.administration.rate[x]
Definition | The rate of administration of formula via a feeding pump, e.g. 60 mL per hour, according to the specified schedule.
Short | Speed with which the formula is provided per period of time
Comments | Ratio is used when the quantity value in the denominator is not "1", otherwise use Quantity. For example, the Ratio datatype is used for "200 mL/4 hrs" versus the Quantity datatype for "50 mL/hr".
Control | 0..1
Type | Choice of: Quantity(SimpleQuantity), Ratio
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
182. NutritionOrder.enteralFormula.maxVolumeToDeliver
Definition | The maximum total quantity of formula that may be administered to a subject over the period of time, e.g. 1440 mL over 24 hours.
Short | Upper limit on formula volume per unit of time
Control | 0..1
Type | Quantity(SimpleQuantity)
184. NutritionOrder.enteralFormula.administrationInstruction
Definition | Free text formula administration, feeding instructions or additional instructions or information.
Short | Formula feeding instructions expressed as text
Comments | Free text dosage instructions can be used for cases where the instructions are too complex to code.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true