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

## 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:

- Examples for this Profile: NutritionOrder/cardiac-diet, NutritionOrder/clear-liquid-diet, NutritionOrder/mediterranean-diet and NutritionOrder/whole-food-diet

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.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
status | ?!S Σ | 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 | ?!S Σ | 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 | S Σ | 1..1 | Reference(US Core Patient Profile(9.0.0-ballot)) | The person who requires the diet, formula or nutritional supplement
dateTime | S Σ | 1..1 | dateTime | Date and time the nutrition order was requested
orderer | S Σ | 0..1 | Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile) | Who ordered the diet, formula or nutritional supplement
oralDiet | S C | 0..1 | BackboneElement | Oral diet components
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | S Σ | 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 | S Σ | 0..1 | string | Instructions or additional information about the oral diet
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
patient | S | 1..1 | Reference(US Core Patient Profile(9.0.0-ballot)) | The person who requires the diet, formula or nutritional supplement
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
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
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 | ?!S Σ | 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 | ?!S Σ | 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 | S Σ | 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 | S Σ | 1..1 | dateTime | Date and time the nutrition order was requested
orderer | S Σ | 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 | S 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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | S Σ | 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 | S Σ | 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
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()`

This structure is derived from NutritionOrder

Summary

Must-Support: 9 elements

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
- US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)

Maturity: 2

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
status | ?!S Σ | 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 | ?!S Σ | 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 | S Σ | 1..1 | Reference(US Core Patient Profile(9.0.0-ballot)) | The person who requires the diet, formula or nutritional supplement
dateTime | S Σ | 1..1 | dateTime | Date and time the nutrition order was requested
orderer | S Σ | 0..1 | Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile) | Who ordered the diet, formula or nutritional supplement
oralDiet | S C | 0..1 | BackboneElement | Oral diet components
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | S Σ | 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 | S Σ | 0..1 | string | Instructions or additional information about the oral diet
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
patient | S | 1..1 | Reference(US Core Patient Profile(9.0.0-ballot)) | The person who requires the diet, formula or nutritional supplement
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
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
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 | ?!S Σ | 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 | ?!S Σ | 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 | S Σ | 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 | S Σ | 1..1 | dateTime | Date and time the nutrition order was requested
orderer | S Σ | 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 | S 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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | S Σ | 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 | S Σ | 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
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()`

This structure is derived from NutritionOrder

Summary

Must-Support: 9 elements

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
- US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)

Maturity: 2

Other representations of profile: CSV, Excel, Schematron