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

Official URL: http://fhir.hl7.nl/zorgviewer/StructureDefinition/NutritionAdvice | Version: 1.23.0
Active as of 2026-03-30 | Computable Name: NutritionAdvice

VoedingsAdvies

> 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

>< | Bron | Datum | DieetType | Consistentie | Toelichting
--- | --- | --- | --- | --- | ---
+ | Chipsoft | 30-9-2022 | Energieverrijkt |  |
+ | Nictiz | 1-1-2018 | Energie verrijkt | Dikvloeibaar |

### Kolomdefinities

Kolom label | FHIR Path Expression | FHIR Type | Zib element | Toelichting of regels
Bron | `meta.extension('http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source').valueUri` | `string` | nvt | Lookup adhv uri (AGB-Z of OID) `<adressering-base>/Organization?identifier=<.meta.tag.code>` en gebruik dan `Organization.name`
Datum | `dateTime` | `date` | DateTime |
DieetType | `oralDiet.type.text` | `string` | DieetType |
Consistentie | `oralDiet.texture.text | oralDiet.fluidConsistencyType.text` | `string` | Consistentie |
Toelichting | `extension('http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation').valueString` | `string` | Toelichting |

### 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.

Usages:

- This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Changes since version 1.22.0:

- New Content

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- 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 | S Σ | 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 | Σ C | 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 | S Σ | 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

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 | S Σ | 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 | Σ C | 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 | S Σ | 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

Other representations of profile: CSV, Excel, Schematron