Health eData 1 Sandbox
0.1.0 - CI Build United States of America flag

Health eData 1 Sandbox, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/argonautproject/USCDIV7/ and changes regularly. See the Directory of published versions

Resource Profile: US Core Nutrition Order Profile

Official URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-nutritionorder Version: 0.1.0
Active as of 2026-05-06 Maturity Level: 2 Computable Name: USCoreNutritionOrderProfile
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.42.76

The US Core Nutrition Order Profile inherits from the FHIR NutritionOrder resource; refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) Nutrition Order Data Element of the Orders Data Class. It sets minimum expectations for the NutriotionOrder resource to record, search, and fetch nutritional orders for a patient. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

Example Usage Scenarios:

The following are example usage scenarios for the US Core NutritionOrder profile:

  • Query for NutritionOrder resources belonging to a Patient
  • [Record or update] a Patient NutritionOrder

Mandatory and Must Support Data Elements

The following data elements must always be present ([Mandatory] definition) or must be supported if the data is present in the sending system ([Must Support] definition). They are presented below in a simple human-readable explanation. Profile specific guidance and examples are provided as well. The [Formal Views] below provides the formal summary, definitions, and terminology requirements.

Each NutritionOrder Must Have:

  1. a status
  2. an intent
  3. a patient
  4. when requested

Each NutritionOrder Must Support:

  1. the requester
  2. what diet is being requested
  3. patient instructions

Profile Specific Implementation Guidance

This section provides detailed implementation guidance for the US Core Profile to support implementation and certification.

  • FOO

Liquid Script to Generate StructureDefinition All Nice N Pretty Like

{% include structure-table.md sd=sd source="differential" show_must_support=true show_uscdi=true %}

USCoreNutritionOrderProfile — US Core Nutrition Order Profile

The US Core Nutrition Order Profile inherits from the FHIR NutritionOrder resource; refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) Nutrition Order Data Element of the Orders Data Class. It sets minimum expectations for the NutriotionOrder resource to record, search, and fetch nutritional orders for a patient. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

  • URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-nutritionorder
  • Version: 0.1.0
  • Status: active
  • Kind: resource
  • Type: NutritionOrder
  • Base Definition: http://hl7.org/fhir/StructureDefinition/NutritionOrder
  • Derivation: constraint

Elements (differential)

Element Must Support Add'l USCDI Cardinality Type Description
NutritionOrder     0..*   Diet, formula or nutritional supplement request
A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to a patient/resident.
↳ identifier ✅   0..* Identifier Identifiers assigned to this order
Identifiers assigned to this order by the order sender or by the order receiver.
↳ status ✅   1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
The workflow status of the nutrition order/request.
Binding: http://hl7.org/fhir/ValueSet/request-status\|4.0.1 (required) — Codes identifying the lifecycle stage of the nutrition order.
↳ intent ✅   1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Indicates the level of authority/intentionality associated with the NutrionOrder and where the request fits into the workflow chain.
Binding: http://hl7.org/fhir/ValueSet/request-intent\|4.0.1 (required) — Codes indicating the degree of authority/intentionality associated with a nutrition order.
↳ patient ✅   1..1 Reference
target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient		 The person who requires the diet, formula or nutritional supplement
The person (patient) who needs the nutrition order for an oral diet, nutritional supplement and/or enteral or formula feeding.
↳ dateTime ✅   1..1 dateTime Date and time the nutrition order was requested
The date and time that this nutrition order was requested.
↳ orderer ✅   0..1 Reference
target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole		 Who ordered the diet, formula or nutritional supplement
The practitioner that holds legal responsibility for ordering the diet, nutritional supplement, or formula feedings.
↳ oralDiet ✅   0..1 BackboneElement Oral diet components
Diet given orally in contrast to enteral (tube) feeding.
↳ type ✅   0..* CodeableConcept Type of oral diet or diet restrictions that describe what can be consumed orally
The kind of diet or dietary restriction such as fiber restricted diet or diabetic diet.
Binding: http://hl7.org/fhir/ValueSet/diet-type\|4.0.1 (example) — Codes used to indicate the type of diet being ordered for a patient.
↳ instruction ✅   0..1 string Instructions or additional information about the oral diet
Free text or additional instructions or information pertaining to the oral diet.		 


## USCoreNutritionOrderProfile — US Core Nutrition Order Profile

The US Core Nutrition Order Profile inherits from the FHIR [NutritionOrder](https://hl7.org/fhir/R4/nutritionorder.html) resource; refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) *Nutrition Order Data Element of the Orders Data Class*. It sets minimum expectations for the NutriotionOrder resource to record, search, and fetch nutritional orders for a patient. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

- **URL:** `http://hl7.org/fhir/us/core/StructureDefinition/us-core-nutritionorder`
- **Version:** 0.1.0
- **Status:** active
- **Kind:** resource
- **Type:** `NutritionOrder`
- **Base Definition:** `http://hl7.org/fhir/StructureDefinition/NutritionOrder`
- **Derivation:** constraint


### Elements (differential)

| Element | Must Support | Add'l USCDI | Cardinality | Type | Description |
|---|:---:|:---:|---|---|---|
| `NutritionOrder` |  |  | 0..* |  | **Diet, formula or nutritional supplement request**<br/>A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to a patient/resident. |
| <span style="padding-left: 1.5em;">↳</span> `identifier` | ✅ |  | 0..* | `Identifier` | **Identifiers assigned to this order**<br/>Identifiers assigned to this order by the order sender or by the order receiver. |
| <span style="padding-left: 1.5em;">↳</span> `status` | ✅ |  | 1..1 | `code` | **draft \| active \| on-hold \| revoked \| completed \| entered-in-error \| unknown**<br/>The workflow status of the nutrition order/request.<br/><span style="font-size: 0.85em;">**Binding:** `http://hl7.org/fhir/ValueSet/request-status\|4.0.1` (required) — Codes identifying the lifecycle stage of the nutrition order.</span> |
| <span style="padding-left: 1.5em;">↳</span> `intent` | ✅ |  | 1..1 | `code` | **proposal \| plan \| directive \| order \| original-order \| reflex-order \| filler-order \| instance-order \| option**<br/>Indicates the level of authority/intentionality associated with the NutrionOrder and where the request fits into the workflow chain.<br/><span style="font-size: 0.85em;">**Binding:** `http://hl7.org/fhir/ValueSet/request-intent\|4.0.1` (required) — Codes indicating the degree of authority/intentionality associated with a nutrition order.</span> |
| <span style="padding-left: 1.5em;">↳</span> `patient` | ✅ |  | 1..1 | `Reference`<br/><span style="font-size: 0.85em;">target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient</span> | **The person who requires the diet, formula or nutritional supplement**<br/>The person (patient) who needs the nutrition order for an oral diet, nutritional supplement and/or enteral or formula feeding. |
| <span style="padding-left: 1.5em;">↳</span> `dateTime` | ✅ |  | 1..1 | `dateTime` | **Date and time the nutrition order was requested**<br/>The date and time that this nutrition order was requested. |
| <span style="padding-left: 1.5em;">↳</span> `orderer` | ✅ |  | 0..1 | `Reference`<br/><span style="font-size: 0.85em;">target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner</span><br/><span style="font-size: 0.85em;">target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole</span> | **Who ordered the diet, formula or nutritional supplement**<br/>The practitioner that holds legal responsibility for ordering the diet, nutritional supplement, or formula feedings. |
| <span style="padding-left: 1.5em;">↳</span> `oralDiet` | ✅ |  | 0..1 | `BackboneElement` | **Oral diet components**<br/>Diet given orally in contrast to enteral (tube) feeding. |
| <span style="padding-left: 3.0em;">↳</span> `type` | ✅ |  | 0..* | `CodeableConcept` | **Type of oral diet or diet restrictions that describe what can be consumed orally**<br/>The kind of diet or dietary restriction such as fiber restricted diet or diabetic diet.<br/><span style="font-size: 0.85em;">**Binding:** `http://hl7.org/fhir/ValueSet/diet-type\|4.0.1` (example) — Codes used to indicate the type of diet being ordered for a patient.</span> |
| <span style="padding-left: 3.0em;">↳</span> `instruction` | ✅ |  | 0..1 | `string` | **Instructions or additional information about the oral diet**<br/>Free text or additional instructions or information pertaining to the oral diet. |

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. NutritionOrder C 0..* NutritionOrder Diet, formula or nutritional supplement request
Constraints: nor-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 0..* Identifier Identifiers assigned to this order
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a nutrition order.
... patient SΣ 1..1 Reference(US Core Patient Profile(9.0.0-ballot)) The person who requires the diet, formula or nutritional supplement
... dateTime SΣ 1..1 dateTime Date and time the nutrition order was requested
... orderer SΣ 0..1 Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile) Who ordered the diet, formula or nutritional supplement
... oralDiet SC 0..1 BackboneElement Oral diet components
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 0..* CodeableConcept Type of oral diet or diet restrictions that describe what can be consumed orally
Binding: DietCodes (example): Codes used to indicate the type of diet being ordered for a patient.
.... instruction SΣ 0..1 string Instructions or additional information about the oral diet

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
NutritionOrder.status Base required RequestStatus 📍4.0.1 FHIR Std.
NutritionOrder.intent Base required RequestIntent 📍4.0.1 FHIR Std.
NutritionOrder.oralDiet.​type Base example Diet Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).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()
dom-5 error NutritionOrder If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice NutritionOrder A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions 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 NutritionOrder

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. NutritionOrder 0..* NutritionOrder Diet, formula or nutritional supplement request
... identifier S 0..* Identifier Identifiers assigned to this order
... status S 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
... intent S 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
... dateTime S 1..1 dateTime Date and time the nutrition order was requested
... orderer S 0..1 Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile) Who ordered the diet, formula or nutritional supplement
... oralDiet S 0..1 BackboneElement Oral diet components
.... type S 0..* CodeableConcept Type of oral diet or diet restrictions that describe what can be consumed orally
.... instruction S 0..1 string Instructions or additional information about the oral diet

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. NutritionOrder C 0..* NutritionOrder Diet, formula or nutritional supplement request
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
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 0..* Identifier Identifiers assigned to this order
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... instantiates 0..* uri Instantiates protocol or definition
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Codes identifying the lifecycle stage of the nutrition order.
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a nutrition order.
... patient SΣ 1..1 Reference(US Core Patient Profile(9.0.0-ballot)) The person who requires the diet, formula or nutritional supplement
... encounter 0..1 Reference(Encounter) The encounter associated with this nutrition order
... dateTime SΣ 1..1 dateTime Date and time the nutrition order was requested
... orderer SΣ 0..1 Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile) Who ordered the diet, formula or nutritional supplement
... allergyIntolerance 0..* Reference(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: FoodTypeCodes (example): Codes used to indicate the type of food that should NOT be given to the patient.
... oralDiet SC 0..1 BackboneElement Oral diet components
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 0..* CodeableConcept Type of oral diet or diet restrictions that describe what can be consumed orally
Binding: DietCodes (example): Codes used to indicate the type of diet being ordered for a patient.
.... schedule 0..* Timing Scheduled frequency of diet
.... nutrient 0..* BackboneElement Required nutrient modifications
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... modifier 0..1 CodeableConcept Type of nutrient that is being modified
Binding: NutrientModifierCodes (example): Codes for types of nutrients that are being modified such as carbohydrate or sodium.
..... amount 0..1 SimpleQuantity(4.0.1) Quantity of the specified nutrient
.... texture 0..* BackboneElement Required texture modifications
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... modifier 0..1 CodeableConcept Code to indicate how to alter the texture of the foods, e.g. pureed
Binding: TextureModifierCodes (example): Codes for food consistency types or texture modifications to apply to foods.
..... foodType 0..1 CodeableConcept Concepts that are used to identify an entity that is ingested for nutritional purposes
Binding: TextureModifiedFoodTypeCodes (example): Codes for types of foods that are texture-modified.
.... fluidConsistencyType 0..* CodeableConcept The required consistency of fluids and liquids provided to the patient
Binding: FluidConsistencyTypeCodes (example): Codes used to represent the consistency of fluids and liquids provided to the patient.
.... instruction SΣ 0..1 string Instructions or additional information about the oral diet
... supplement C 0..* BackboneElement Supplement components
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 0..1 CodeableConcept Type of supplement product requested
Binding: SupplementTypeCodes (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(4.0.1) 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 Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... baseFormulaType Σ 0..1 CodeableConcept Type of enteral or infant formula
Binding: EnteralFormulaTypeCodes (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: EnteralFormulaAdditiveTypeCode (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(4.0.1) Amount of energy per specified volume that is required
.... routeofAdministration 0..1 CodeableConcept How the formula should enter the patient's gastrointestinal tract
Binding: EnteralRouteCodes (extensible): Codes specifying the route of administration of enteral formula.
.... administration 0..* BackboneElement Formula feeding instruction as structured data
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... schedule 0..1 Timing Scheduled frequency of enteral feeding
..... quantity 0..1 SimpleQuantity(4.0.1) 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(4.0.1) Upper limit on formula volume per unit of time
.... administrationInstruction Σ 0..1 string Formula feeding instructions expressed as text
... note 0..* Annotation Comments

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
NutritionOrder.language Base preferred Common Languages 📍4.0.1 FHIR Std.
NutritionOrder.status Base required RequestStatus 📍4.0.1 FHIR Std.
NutritionOrder.intent Base required RequestIntent 📍4.0.1 FHIR Std.
NutritionOrder.foodPreferenceModifier Base example Diet 📍4.0.1 FHIR Std.
NutritionOrder.excludeFoodModifier Base example Food Type Codes 📍4.0.1 FHIR Std.
NutritionOrder.oralDiet.​type Base example Diet Codes 📍4.0.1 FHIR Std.
NutritionOrder.oralDiet.​nutrient.modifier Base example Nutrient Modifier Codes 📍4.0.1 FHIR Std.
NutritionOrder.oralDiet.​texture.modifier Base example Texture Modifier Codes 📍4.0.1 FHIR Std.
NutritionOrder.oralDiet.​texture.foodType Base example Texture Modified Food Type Codes 📍4.0.1 FHIR Std.
NutritionOrder.oralDiet.​fluidConsistencyType Base example Fluid Consistency Type Codes 📍4.0.1 FHIR Std.
NutritionOrder.supplement.​type Base example Supplement Type Codes 📍4.0.1 FHIR Std.
NutritionOrder.enteralFormula.​baseFormulaType Base example Enteral Formula Type Codes 📍4.0.1 FHIR Std.
NutritionOrder.enteralFormula.​additiveType Base example Enteral Formula Additive Type Code 📍4.0.1 FHIR Std.
NutritionOrder.enteralFormula.​routeofAdministration Base extensible Enteral Route Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).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()
dom-5 error NutritionOrder If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice NutritionOrder A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
nor-1 warning NutritionOrder Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class oralDiet.exists() or supplement.exists() or enteralFormula.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. NutritionOrder C 0..* NutritionOrder Diet, formula or nutritional supplement request
Constraints: nor-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 0..* Identifier Identifiers assigned to this order
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a nutrition order.
... patient SΣ 1..1 Reference(US Core Patient Profile(9.0.0-ballot)) The person who requires the diet, formula or nutritional supplement
... dateTime SΣ 1..1 dateTime Date and time the nutrition order was requested
... orderer SΣ 0..1 Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile) Who ordered the diet, formula or nutritional supplement
... oralDiet SC 0..1 BackboneElement Oral diet components
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 0..* CodeableConcept Type of oral diet or diet restrictions that describe what can be consumed orally
Binding: DietCodes (example): Codes used to indicate the type of diet being ordered for a patient.
.... instruction SΣ 0..1 string Instructions or additional information about the oral diet

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
NutritionOrder.status Base required RequestStatus 📍4.0.1 FHIR Std.
NutritionOrder.intent Base required RequestIntent 📍4.0.1 FHIR Std.
NutritionOrder.oralDiet.​type Base example Diet Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).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()
dom-5 error NutritionOrder If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice NutritionOrder A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions 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 NutritionOrder

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. NutritionOrder 0..* NutritionOrder Diet, formula or nutritional supplement request
... identifier S 0..* Identifier Identifiers assigned to this order
... status S 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
... intent S 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
... dateTime S 1..1 dateTime Date and time the nutrition order was requested
... orderer S 0..1 Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile) Who ordered the diet, formula or nutritional supplement
... oralDiet S 0..1 BackboneElement Oral diet components
.... type S 0..* CodeableConcept Type of oral diet or diet restrictions that describe what can be consumed orally
.... instruction S 0..1 string Instructions or additional information about the oral diet

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. NutritionOrder C 0..* NutritionOrder Diet, formula or nutritional supplement request
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
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 0..* Identifier Identifiers assigned to this order
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... instantiates 0..* uri Instantiates protocol or definition
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Codes identifying the lifecycle stage of the nutrition order.
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a nutrition order.
... patient SΣ 1..1 Reference(US Core Patient Profile(9.0.0-ballot)) The person who requires the diet, formula or nutritional supplement
... encounter 0..1 Reference(Encounter) The encounter associated with this nutrition order
... dateTime SΣ 1..1 dateTime Date and time the nutrition order was requested
... orderer SΣ 0..1 Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile) Who ordered the diet, formula or nutritional supplement
... allergyIntolerance 0..* Reference(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: FoodTypeCodes (example): Codes used to indicate the type of food that should NOT be given to the patient.
... oralDiet SC 0..1 BackboneElement Oral diet components
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 0..* CodeableConcept Type of oral diet or diet restrictions that describe what can be consumed orally
Binding: DietCodes (example): Codes used to indicate the type of diet being ordered for a patient.
.... schedule 0..* Timing Scheduled frequency of diet
.... nutrient 0..* BackboneElement Required nutrient modifications
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... modifier 0..1 CodeableConcept Type of nutrient that is being modified
Binding: NutrientModifierCodes (example): Codes for types of nutrients that are being modified such as carbohydrate or sodium.
..... amount 0..1 SimpleQuantity(4.0.1) Quantity of the specified nutrient
.... texture 0..* BackboneElement Required texture modifications
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... modifier 0..1 CodeableConcept Code to indicate how to alter the texture of the foods, e.g. pureed
Binding: TextureModifierCodes (example): Codes for food consistency types or texture modifications to apply to foods.
..... foodType 0..1 CodeableConcept Concepts that are used to identify an entity that is ingested for nutritional purposes
Binding: TextureModifiedFoodTypeCodes (example): Codes for types of foods that are texture-modified.
.... fluidConsistencyType 0..* CodeableConcept The required consistency of fluids and liquids provided to the patient
Binding: FluidConsistencyTypeCodes (example): Codes used to represent the consistency of fluids and liquids provided to the patient.
.... instruction SΣ 0..1 string Instructions or additional information about the oral diet
... supplement C 0..* BackboneElement Supplement components
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 0..1 CodeableConcept Type of supplement product requested
Binding: SupplementTypeCodes (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(4.0.1) 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 Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... baseFormulaType Σ 0..1 CodeableConcept Type of enteral or infant formula
Binding: EnteralFormulaTypeCodes (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: EnteralFormulaAdditiveTypeCode (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(4.0.1) Amount of energy per specified volume that is required
.... routeofAdministration 0..1 CodeableConcept How the formula should enter the patient's gastrointestinal tract
Binding: EnteralRouteCodes (extensible): Codes specifying the route of administration of enteral formula.
.... administration 0..* BackboneElement Formula feeding instruction as structured data
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... schedule 0..1 Timing Scheduled frequency of enteral feeding
..... quantity 0..1 SimpleQuantity(4.0.1) 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(4.0.1) Upper limit on formula volume per unit of time
.... administrationInstruction Σ 0..1 string Formula feeding instructions expressed as text
... note 0..* Annotation Comments

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
NutritionOrder.language Base preferred Common Languages 📍4.0.1 FHIR Std.
NutritionOrder.status Base required RequestStatus 📍4.0.1 FHIR Std.
NutritionOrder.intent Base required RequestIntent 📍4.0.1 FHIR Std.
NutritionOrder.foodPreferenceModifier Base example Diet 📍4.0.1 FHIR Std.
NutritionOrder.excludeFoodModifier Base example Food Type Codes 📍4.0.1 FHIR Std.
NutritionOrder.oralDiet.​type Base example Diet Codes 📍4.0.1 FHIR Std.
NutritionOrder.oralDiet.​nutrient.modifier Base example Nutrient Modifier Codes 📍4.0.1 FHIR Std.
NutritionOrder.oralDiet.​texture.modifier Base example Texture Modifier Codes 📍4.0.1 FHIR Std.
NutritionOrder.oralDiet.​texture.foodType Base example Texture Modified Food Type Codes 📍4.0.1 FHIR Std.
NutritionOrder.oralDiet.​fluidConsistencyType Base example Fluid Consistency Type Codes 📍4.0.1 FHIR Std.
NutritionOrder.supplement.​type Base example Supplement Type Codes 📍4.0.1 FHIR Std.
NutritionOrder.enteralFormula.​baseFormulaType Base example Enteral Formula Type Codes 📍4.0.1 FHIR Std.
NutritionOrder.enteralFormula.​additiveType Base example Enteral Formula Additive Type Code 📍4.0.1 FHIR Std.
NutritionOrder.enteralFormula.​routeofAdministration Base extensible Enteral Route Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).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()
dom-5 error NutritionOrder If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice NutritionOrder A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions 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()

 

Other representations of profile: CSV, Excel, Schematron