Health eData 1 Sandbox
0.1.0 - CI Build
Health eData 1 Sandbox
0.1.0 - CI Build
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
| 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:
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:
Each NutritionOrder Must Support:
This section provides detailed implementation guidance for the US Core Profile to support implementation and certification.
{% include structure-table.md sd=sd source="differential" show_must_support=true show_uscdi=true %}
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.
http://hl7.org/fhir/us/core/StructureDefinition/us-core-nutritionorderNutritionOrderhttp://hl7.org/fhir/StructureDefinition/NutritionOrder| 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 | Referencetarget: 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 | Referencetarget: 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
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  NutritionOrder |
C | 0..* | NutritionOrder | Diet, formula or nutritional supplement request Constraints: nor-1 |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
 identifier |
0..* | Identifier | Identifiers assigned to this order | |
| status |
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 |
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 |
1..1 | Reference(US Core Patient Profile(9.0.0)) | The person who requires the diet, formula or nutritional supplement | |
| dateTime |
1..1 | dateTime | Date and time the nutrition order was requested | |
| orderer |
0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Who ordered the diet, formula or nutritional supplement | |
 oralDiet |
C | 0..1 | BackboneElement | Oral diet components |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| type |
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 |
0..1 | string | Instructions or additional information about the oral diet | |
| Documentation for this format | ||||
| 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. |
| 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
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| NutritionOrder |
0..* | NutritionOrder | Diet, formula or nutritional supplement request | |
 identifier |
0..* | Identifier | Identifiers assigned to this order | |
| status |
1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown | |
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option | |
| patient |
1..1 | Reference(US Core Patient Profile(9.0.0)) | The person who requires the diet, formula or nutritional supplement | |
| dateTime |
1..1 | dateTime | Date and time the nutrition order was requested | |
| orderer |
0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Who ordered the diet, formula or nutritional supplement | |
| oralDiet |
0..1 | BackboneElement | Oral diet components | |
| type |
0..* | CodeableConcept | Type of oral diet or diet restrictions that describe what can be consumed orally | |
| instruction |
0..1 | string | Instructions or additional information about the oral diet | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| NutritionOrder |
C | 0..* | NutritionOrder | Diet, formula or nutritional supplement request Constraints: nor-1 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 |
0..* | Identifier | Identifiers assigned to this order | |||||
| instantiatesCanonical |
0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| instantiates |
0..* | uri | Instantiates protocol or definition | |||||
| status |
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 |
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 |
1..1 | Reference(US Core Patient Profile(9.0.0)) | The person who requires the diet, formula or nutritional supplement | |||||
| encounter |
0..1 | Reference(Encounter) | The encounter associated with this nutrition order | |||||
| dateTime |
1..1 | dateTime | Date and time the nutrition order was requested | |||||
| orderer |
0..1 | Reference(US Core Practitioner Profile | 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 |
C | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| type |
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 |
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 |
C | 0..1 | SimpleQuantity(4.0.1) | Quantity of the specified nutrient Constraints: sqty-1 | ||||
| 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 |
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 |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| type |
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 |
C | 0..1 | SimpleQuantity(4.0.1) | Amount of the nutritional supplement Constraints: sqty-1 | ||||
| instruction |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| baseFormulaType |
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 |
C | 0..1 | SimpleQuantity(4.0.1) | Amount of energy per specified volume that is required Constraints: sqty-1 | ||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| schedule |
0..1 | Timing | Scheduled frequency of enteral feeding | |||||
| quantity |
C | 0..1 | SimpleQuantity(4.0.1) | The volume of formula to provide Constraints: sqty-1 | ||||
 rate[x] |
0..1 | Speed with which the formula is provided per period of time | ||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||
| rateRatio |
Ratio | |||||||
| maxVolumeToDeliver |
C | 0..1 | SimpleQuantity(4.0.1) | Upper limit on formula volume per unit of time Constraints: sqty-1 | ||||
| administrationInstruction |
0..1 | string | Formula feeding instructions expressed as text | |||||
| note |
0..* | Annotation | Comments | |||||
| Documentation for this format | ||||||||
| 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. |
| 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()
|
| 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 NutritionOrder
Summary
Must-Support: 9 elements
Structures
This structure refers to these other structures:
Maturity: 2
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| NutritionOrder |
C | 0..* | NutritionOrder | Diet, formula or nutritional supplement request Constraints: nor-1 |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| identifier |
0..* | Identifier | Identifiers assigned to this order | |
| status |
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 |
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 |
1..1 | Reference(US Core Patient Profile(9.0.0)) | The person who requires the diet, formula or nutritional supplement | |
| dateTime |
1..1 | dateTime | Date and time the nutrition order was requested | |
| orderer |
0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Who ordered the diet, formula or nutritional supplement | |
| oralDiet |
C | 0..1 | BackboneElement | Oral diet components |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| type |
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 |
0..1 | string | Instructions or additional information about the oral diet | |
| Documentation for this format | ||||
| 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. |
| 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
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| NutritionOrder |
0..* | NutritionOrder | Diet, formula or nutritional supplement request | |
| identifier |
0..* | Identifier | Identifiers assigned to this order | |
| status |
1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown | |
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option | |
| patient |
1..1 | Reference(US Core Patient Profile(9.0.0)) | The person who requires the diet, formula or nutritional supplement | |
| dateTime |
1..1 | dateTime | Date and time the nutrition order was requested | |
| orderer |
0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Who ordered the diet, formula or nutritional supplement | |
| oralDiet |
0..1 | BackboneElement | Oral diet components | |
| type |
0..* | CodeableConcept | Type of oral diet or diet restrictions that describe what can be consumed orally | |
| instruction |
0..1 | string | Instructions or additional information about the oral diet | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| NutritionOrder |
C | 0..* | NutritionOrder | Diet, formula or nutritional supplement request Constraints: nor-1 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 |
0..* | Identifier | Identifiers assigned to this order | |||||
| instantiatesCanonical |
0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| instantiates |
0..* | uri | Instantiates protocol or definition | |||||
| status |
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 |
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 |
1..1 | Reference(US Core Patient Profile(9.0.0)) | The person who requires the diet, formula or nutritional supplement | |||||
| encounter |
0..1 | Reference(Encounter) | The encounter associated with this nutrition order | |||||
| dateTime |
1..1 | dateTime | Date and time the nutrition order was requested | |||||
| orderer |
0..1 | Reference(US Core Practitioner Profile | 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 |
C | 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| type |
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 |
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 |
C | 0..1 | SimpleQuantity(4.0.1) | Quantity of the specified nutrient Constraints: sqty-1 | ||||
| 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 |
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 |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| type |
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 |
C | 0..1 | SimpleQuantity(4.0.1) | Amount of the nutritional supplement Constraints: sqty-1 | ||||
| instruction |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| baseFormulaType |
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 |
C | 0..1 | SimpleQuantity(4.0.1) | Amount of energy per specified volume that is required Constraints: sqty-1 | ||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| schedule |
0..1 | Timing | Scheduled frequency of enteral feeding | |||||
| quantity |
C | 0..1 | SimpleQuantity(4.0.1) | The volume of formula to provide Constraints: sqty-1 | ||||
| rate[x] |
0..1 | Speed with which the formula is provided per period of time | ||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||
| rateRatio |
Ratio | |||||||
| maxVolumeToDeliver |
C | 0..1 | SimpleQuantity(4.0.1) | Upper limit on formula volume per unit of time Constraints: sqty-1 | ||||
| administrationInstruction |
0..1 | string | Formula feeding instructions expressed as text | |||||
| note |
0..* | Annotation | Comments | |||||
| Documentation for this format | ||||||||
| 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. |
| 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()
|
| 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 NutritionOrder
Summary
Must-Support: 9 elements
Structures
This structure refers to these other structures:
Maturity: 2
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ HL7 International / Cross-Group Projects. Package hl7.fhir.us.healthedata1-sandbox#0.1.0 based on FHIR 4.0.1. Generated 2026-10-19
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| Version History |
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