Dit profiel is het resultaat van de vergelijking tussen de zib2017 STU3 en zibs2020 R4 FHIR Profiel, relevante informatiestandarden en de implementaties in de ontsloten systemen en instellingen. Voornamelijk bedoeld voor houvast van een client en voor validatie van output.

Zorginformatiebouwsteen

ZIB Voedingsadvies

View Definition

• ViewDefinition voor Voedingsadvies

UI Wireframe

Voedingsadvies

Gegevensherkomst

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.

• 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
NutritionOrder.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
NutritionOrder.Slices for extension				Content/Rules for all slices
NutritionOrder.Slices for extension.extension:Comment		0..1	(Complex)	Comment URL: http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation Constraints: ext-1
NutritionOrder.Slices for extension.extension:Comment.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
NutritionOrder.Slices for extension.extension:Comment.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation"
NutritionOrder.Slices for extension.extension:Comment.Slices for value[x]				Content/Rules for all slices
NutritionOrder.Slices for extension.extension:Comment.Slices for value[x].value[x]:valueString		0..1	string	Comment
NutritionOrder.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
NutritionOrder.status	?! This element is a modifier element. Σ This element is included in summaries.	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.
NutritionOrder.patient	Σ This element is included in summaries.	1..1	Reference(nl-core-patient)	The person who requires the diet, formula or nutritional supplement
NutritionOrder.dateTime	Σ This element is included in summaries.	1..1	dateTime	Date and time the nutrition order was requested
NutritionOrder.oralDiet	C	0..1	BackboneElement	Oral diet components
NutritionOrder.oralDiet.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
NutritionOrder.oralDiet.type	Σ This element is included in summaries.	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.
NutritionOrder.oralDiet.type.text	S This element must be supported. Σ This element is included in summaries.	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
NutritionOrder.oralDiet
NutritionOrder.oralDiet.type
NutritionOrder.oralDiet.type.text	S This element must be supported.	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
NutritionOrder.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
NutritionOrder.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
NutritionOrder.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
NutritionOrder.language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
NutritionOrder.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
NutritionOrder.contained		0..*	Resource	Contained, inline Resources
NutritionOrder.Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
NutritionOrder.Slices for extension.extension:Comment		0..1	(Complex)	Comment URL: http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation Constraints: ext-1
NutritionOrder.Slices for extension.extension:Comment.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.Slices for extension.extension:Comment.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
NutritionOrder.Slices for extension.extension:Comment.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation"
NutritionOrder.Slices for extension.extension:Comment.Slices for value[x]				Content/Rules for all slices
NutritionOrder.Slices for extension.extension:Comment.Slices for value[x].value[x]:valueString		0..1	string	Comment
NutritionOrder.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
NutritionOrder.identifier		0..*	Identifier	Identifiers assigned to this order
NutritionOrder.status	?! This element is a modifier element. Σ This element is included in summaries.	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.
NutritionOrder.patient	Σ This element is included in summaries.	1..1	Reference(nl-core-patient)	The person who requires the diet, formula or nutritional supplement
NutritionOrder.encounter		0..1	Reference(HCIM Encounter)	The encounter associated with this nutrition order
NutritionOrder.dateTime	Σ This element is included in summaries.	1..1	dateTime	Date and time the nutrition order was requested
NutritionOrder.orderer	Σ This element is included in summaries.	0..1	Reference(nl-core-practitioner)	Who ordered the diet, formula or nutritional supplement
NutritionOrder.orderer.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.orderer.Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
NutritionOrder.orderer.Slices for extension.extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
NutritionOrder.orderer.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
NutritionOrder.orderer.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
NutritionOrder.orderer.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
NutritionOrder.allergyIntolerance		0..*	Reference(HCIM AllergyIntolerance)	List of the patient's food and nutrition-related allergies and intolerances
NutritionOrder.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
NutritionOrder.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.
NutritionOrder.oralDiet	C	0..1	BackboneElement	Oral diet components
NutritionOrder.oralDiet.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.oralDiet.extension		0..*	Extension	Additional Content defined by implementations
NutritionOrder.oralDiet.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
NutritionOrder.oralDiet.type	Σ This element is included in summaries.	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.
NutritionOrder.oralDiet.type.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.oralDiet.type.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
NutritionOrder.oralDiet.type.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
NutritionOrder.oralDiet.type.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	DietType
NutritionOrder.oralDiet.schedule		0..*	Timing	Scheduled frequency of diet
NutritionOrder.oralDiet.nutrient		0..*	BackboneElement	Required nutrient modifications
NutritionOrder.oralDiet.nutrient.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.oralDiet.nutrient.extension		0..*	Extension	Additional Content defined by implementations
NutritionOrder.oralDiet.nutrient.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
NutritionOrder.oralDiet.nutrient.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.
NutritionOrder.oralDiet.nutrient.amount	C	0..1	SimpleQuantity	Quantity of the specified nutrient Constraints: sqty-1
NutritionOrder.oralDiet.texture		0..*	BackboneElement	Required texture modifications
NutritionOrder.oralDiet.texture.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.oralDiet.texture.extension		0..*	Extension	Additional Content defined by implementations
NutritionOrder.oralDiet.texture.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
NutritionOrder.oralDiet.texture.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.
NutritionOrder.oralDiet.texture.modifier.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.oralDiet.texture.modifier.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
NutritionOrder.oralDiet.texture.modifier.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
NutritionOrder.oralDiet.texture.modifier.text	Σ This element is included in summaries.	0..1	string	Consistency
NutritionOrder.oralDiet.texture.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.
NutritionOrder.oralDiet.texture.foodType.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.oralDiet.texture.foodType.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
NutritionOrder.oralDiet.texture.foodType.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
NutritionOrder.oralDiet.texture.foodType.text	Σ This element is included in summaries.	0..1	string	Consistency
NutritionOrder.oralDiet.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.
NutritionOrder.oralDiet.fluidConsistencyType.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.oralDiet.fluidConsistencyType.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
NutritionOrder.oralDiet.fluidConsistencyType.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
NutritionOrder.oralDiet.fluidConsistencyType.text	Σ This element is included in summaries.	0..1	string	Consistency
NutritionOrder.oralDiet.instruction	Σ This element is included in summaries.	0..1	string	Instructions or additional information about the oral diet
NutritionOrder.supplement	C	0..*	BackboneElement	Supplement components
NutritionOrder.supplement.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.supplement.extension		0..*	Extension	Additional Content defined by implementations
NutritionOrder.supplement.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
NutritionOrder.supplement.type	Σ This element is included in summaries.	0..1	CodeableConcept	Type of supplement product requested Binding: Supplement Type Codes (example): Codes for nutritional supplements to be provided to the patient
NutritionOrder.supplement.productName		0..1	string	Product or brand name of the nutritional supplement
NutritionOrder.supplement.schedule		0..*	Timing	Scheduled frequency of supplement
NutritionOrder.supplement.quantity	C	0..1	SimpleQuantity	Amount of the nutritional supplement Constraints: sqty-1
NutritionOrder.supplement.instruction	Σ This element is included in summaries.	0..1	string	Instructions or additional information about the oral supplement
NutritionOrder.enteralFormula	C	0..1	BackboneElement	Enteral formula components
NutritionOrder.enteralFormula.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.enteralFormula.extension		0..*	Extension	Additional Content defined by implementations
NutritionOrder.enteralFormula.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
NutritionOrder.enteralFormula.baseFormulaType	Σ This element is included in summaries.	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.
NutritionOrder.enteralFormula.baseFormulaProductName		0..1	string	Product or brand name of the enteral or infant formula
NutritionOrder.enteralFormula.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.
NutritionOrder.enteralFormula.additiveProductName		0..1	string	Product or brand name of the modular additive
NutritionOrder.enteralFormula.caloricDensity	C	0..1	SimpleQuantity	Amount of energy per specified volume that is required Constraints: sqty-1
NutritionOrder.enteralFormula.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.
NutritionOrder.enteralFormula.administration		0..*	BackboneElement	Formula feeding instruction as structured data
NutritionOrder.enteralFormula.administration.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.enteralFormula.administration.extension		0..*	Extension	Additional Content defined by implementations
NutritionOrder.enteralFormula.administration.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
NutritionOrder.enteralFormula.administration.schedule		0..1	Timing	Scheduled frequency of enteral feeding
NutritionOrder.enteralFormula.administration.quantity	C	0..1	SimpleQuantity	The volume of formula to provide Constraints: sqty-1
NutritionOrder.enteralFormula.administration.rate[x]		0..1		Speed with which the formula is provided per period of time
NutritionOrder.enteralFormula.administration.rate[x].rateQuantity			Quantity(SimpleQuantity)
NutritionOrder.enteralFormula.administration.rate[x].rateRatio			Ratio
NutritionOrder.enteralFormula.maxVolumeToDeliver	C	0..1	SimpleQuantity	Upper limit on formula volume per unit of time Constraints: sqty-1
NutritionOrder.enteralFormula.administrationInstruction	Σ This element is included in summaries.	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()
sqty-1	error	NutritionOrder.oralDiet.nutrient.amount, NutritionOrder.supplement.quantity, NutritionOrder.enteralFormula.caloricDensity, NutritionOrder.enteralFormula.administration.quantity, NutritionOrder.enteralFormula.maxVolumeToDeliver	The comparator is not used on a SimpleQuantity	comparator.empty()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
NutritionOrder	C	0..*	Zib NutritionAdvice	NutritionOrder Constraints: nor-1
NutritionOrder.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
NutritionOrder.Slices for extension				Content/Rules for all slices
NutritionOrder.Slices for extension.extension:Comment		0..1	(Complex)	Comment URL: http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation Constraints: ext-1
NutritionOrder.Slices for extension.extension:Comment.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
NutritionOrder.Slices for extension.extension:Comment.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation"
NutritionOrder.Slices for extension.extension:Comment.Slices for value[x]				Content/Rules for all slices
NutritionOrder.Slices for extension.extension:Comment.Slices for value[x].value[x]:valueString		0..1	string	Comment
NutritionOrder.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
NutritionOrder.status	?! This element is a modifier element. Σ This element is included in summaries.	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.
NutritionOrder.patient	Σ This element is included in summaries.	1..1	Reference(nl-core-patient)	The person who requires the diet, formula or nutritional supplement
NutritionOrder.dateTime	Σ This element is included in summaries.	1..1	dateTime	Date and time the nutrition order was requested
NutritionOrder.oralDiet	C	0..1	BackboneElement	Oral diet components
NutritionOrder.oralDiet.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
NutritionOrder.oralDiet.type	Σ This element is included in summaries.	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.
NutritionOrder.oralDiet.type.text	S This element must be supported. Σ This element is included in summaries.	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
NutritionOrder.oralDiet
NutritionOrder.oralDiet.type
NutritionOrder.oralDiet.type.text	S This element must be supported.	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
NutritionOrder.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
NutritionOrder.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
NutritionOrder.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
NutritionOrder.language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
NutritionOrder.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
NutritionOrder.contained		0..*	Resource	Contained, inline Resources
NutritionOrder.Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
NutritionOrder.Slices for extension.extension:Comment		0..1	(Complex)	Comment URL: http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation Constraints: ext-1
NutritionOrder.Slices for extension.extension:Comment.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.Slices for extension.extension:Comment.extension		0..0		Additional Content defined by implementations Slice: Unordered, Open by value:url
NutritionOrder.Slices for extension.extension:Comment.url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation"
NutritionOrder.Slices for extension.extension:Comment.Slices for value[x]				Content/Rules for all slices
NutritionOrder.Slices for extension.extension:Comment.Slices for value[x].value[x]:valueString		0..1	string	Comment
NutritionOrder.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
NutritionOrder.identifier		0..*	Identifier	Identifiers assigned to this order
NutritionOrder.status	?! This element is a modifier element. Σ This element is included in summaries.	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.
NutritionOrder.patient	Σ This element is included in summaries.	1..1	Reference(nl-core-patient)	The person who requires the diet, formula or nutritional supplement
NutritionOrder.encounter		0..1	Reference(HCIM Encounter)	The encounter associated with this nutrition order
NutritionOrder.dateTime	Σ This element is included in summaries.	1..1	dateTime	Date and time the nutrition order was requested
NutritionOrder.orderer	Σ This element is included in summaries.	0..1	Reference(nl-core-practitioner)	Who ordered the diet, formula or nutritional supplement
NutritionOrder.orderer.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.orderer.Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
NutritionOrder.orderer.Slices for extension.extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
NutritionOrder.orderer.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
NutritionOrder.orderer.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
NutritionOrder.orderer.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
NutritionOrder.allergyIntolerance		0..*	Reference(HCIM AllergyIntolerance)	List of the patient's food and nutrition-related allergies and intolerances
NutritionOrder.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
NutritionOrder.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.
NutritionOrder.oralDiet	C	0..1	BackboneElement	Oral diet components
NutritionOrder.oralDiet.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.oralDiet.extension		0..*	Extension	Additional Content defined by implementations
NutritionOrder.oralDiet.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
NutritionOrder.oralDiet.type	Σ This element is included in summaries.	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.
NutritionOrder.oralDiet.type.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.oralDiet.type.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
NutritionOrder.oralDiet.type.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
NutritionOrder.oralDiet.type.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	DietType
NutritionOrder.oralDiet.schedule		0..*	Timing	Scheduled frequency of diet
NutritionOrder.oralDiet.nutrient		0..*	BackboneElement	Required nutrient modifications
NutritionOrder.oralDiet.nutrient.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.oralDiet.nutrient.extension		0..*	Extension	Additional Content defined by implementations
NutritionOrder.oralDiet.nutrient.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
NutritionOrder.oralDiet.nutrient.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.
NutritionOrder.oralDiet.nutrient.amount	C	0..1	SimpleQuantity	Quantity of the specified nutrient Constraints: sqty-1
NutritionOrder.oralDiet.texture		0..*	BackboneElement	Required texture modifications
NutritionOrder.oralDiet.texture.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.oralDiet.texture.extension		0..*	Extension	Additional Content defined by implementations
NutritionOrder.oralDiet.texture.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
NutritionOrder.oralDiet.texture.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.
NutritionOrder.oralDiet.texture.modifier.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.oralDiet.texture.modifier.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
NutritionOrder.oralDiet.texture.modifier.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
NutritionOrder.oralDiet.texture.modifier.text	Σ This element is included in summaries.	0..1	string	Consistency
NutritionOrder.oralDiet.texture.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.
NutritionOrder.oralDiet.texture.foodType.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.oralDiet.texture.foodType.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
NutritionOrder.oralDiet.texture.foodType.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
NutritionOrder.oralDiet.texture.foodType.text	Σ This element is included in summaries.	0..1	string	Consistency
NutritionOrder.oralDiet.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.
NutritionOrder.oralDiet.fluidConsistencyType.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.oralDiet.fluidConsistencyType.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
NutritionOrder.oralDiet.fluidConsistencyType.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
NutritionOrder.oralDiet.fluidConsistencyType.text	Σ This element is included in summaries.	0..1	string	Consistency
NutritionOrder.oralDiet.instruction	Σ This element is included in summaries.	0..1	string	Instructions or additional information about the oral diet
NutritionOrder.supplement	C	0..*	BackboneElement	Supplement components
NutritionOrder.supplement.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.supplement.extension		0..*	Extension	Additional Content defined by implementations
NutritionOrder.supplement.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
NutritionOrder.supplement.type	Σ This element is included in summaries.	0..1	CodeableConcept	Type of supplement product requested Binding: Supplement Type Codes (example): Codes for nutritional supplements to be provided to the patient
NutritionOrder.supplement.productName		0..1	string	Product or brand name of the nutritional supplement
NutritionOrder.supplement.schedule		0..*	Timing	Scheduled frequency of supplement
NutritionOrder.supplement.quantity	C	0..1	SimpleQuantity	Amount of the nutritional supplement Constraints: sqty-1
NutritionOrder.supplement.instruction	Σ This element is included in summaries.	0..1	string	Instructions or additional information about the oral supplement
NutritionOrder.enteralFormula	C	0..1	BackboneElement	Enteral formula components
NutritionOrder.enteralFormula.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.enteralFormula.extension		0..*	Extension	Additional Content defined by implementations
NutritionOrder.enteralFormula.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
NutritionOrder.enteralFormula.baseFormulaType	Σ This element is included in summaries.	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.
NutritionOrder.enteralFormula.baseFormulaProductName		0..1	string	Product or brand name of the enteral or infant formula
NutritionOrder.enteralFormula.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.
NutritionOrder.enteralFormula.additiveProductName		0..1	string	Product or brand name of the modular additive
NutritionOrder.enteralFormula.caloricDensity	C	0..1	SimpleQuantity	Amount of energy per specified volume that is required Constraints: sqty-1
NutritionOrder.enteralFormula.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.
NutritionOrder.enteralFormula.administration		0..*	BackboneElement	Formula feeding instruction as structured data
NutritionOrder.enteralFormula.administration.id		0..1	string	xml:id (or equivalent in JSON)
NutritionOrder.enteralFormula.administration.extension		0..*	Extension	Additional Content defined by implementations
NutritionOrder.enteralFormula.administration.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
NutritionOrder.enteralFormula.administration.schedule		0..1	Timing	Scheduled frequency of enteral feeding
NutritionOrder.enteralFormula.administration.quantity	C	0..1	SimpleQuantity	The volume of formula to provide Constraints: sqty-1
NutritionOrder.enteralFormula.administration.rate[x]		0..1		Speed with which the formula is provided per period of time
NutritionOrder.enteralFormula.administration.rate[x].rateQuantity			Quantity(SimpleQuantity)
NutritionOrder.enteralFormula.administration.rate[x].rateRatio			Ratio
NutritionOrder.enteralFormula.maxVolumeToDeliver	C	0..1	SimpleQuantity	Upper limit on formula volume per unit of time Constraints: sqty-1
NutritionOrder.enteralFormula.administrationInstruction	Σ This element is included in summaries.	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()
sqty-1	error	NutritionOrder.oralDiet.nutrient.amount, NutritionOrder.supplement.quantity, NutritionOrder.enteralFormula.caloricDensity, NutritionOrder.enteralFormula.administration.quantity, NutritionOrder.enteralFormula.maxVolumeToDeliver	The comparator is not used on a SimpleQuantity	comparator.empty()

This structure is derived from Zib NutritionAdvice

Summary

Must-Support: 1 element