{
  "resourceType" : "NutritionOrder",
  "id" : "betsysmith-johnson01-NutritionOrder-SNFAdmissionDiet",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: NutritionOrder betsysmith-johnson01-NutritionOrder-SNFAdmissionDiet</b></p><a name=\"betsysmith-johnson01-NutritionOrder-SNFAdmissionDiet\"> </a><a name=\"hcbetsysmith-johnson01-NutritionOrder-SNFAdmissionDiet\"> </a><p><b>status</b>: Active</p><p><b>intent</b>: Original Order</p><p><b>patient</b>: <a href=\"Patient-patient-betsysmith-johnson01.html\">Smith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH16)</a></p><p><b>dateTime</b>: 2025-05-05 15:30:00-0400</p><p><b>orderer</b>: <a href=\"PractitionerRole-PractitionerRole-MD-HemaOnko.html\">PractitionerRole Internal Medicine Physician</a></p><p><b>allergyIntolerance</b>: <a href=\"AllergyIntolerance-betsysmith-johnson01-AllergyACE.html\">AllergyIntolerance Substance with angiotensin-converting enzyme inhibitor mechanism of action (substance)</a></p><blockquote><p><b>oralDiet</b></p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 160670007}, {http://snomed.info/sct 437421000124105}\">Diabetic diet (finding)</span></p><p><b>schedule</b>: 3-4 per 1 day</p><blockquote><p><b>nutrient</b></p><p><b>modifier</b>: <span title=\"Codes:{http://snomed.info/sct 227594001}\">Sugary food (substance)</span></p></blockquote><blockquote><p><b>nutrient</b></p><p><b>modifier</b>: <span title=\"Codes:{http://snomed.info/sct 2331003}\">Carbohydrate (substance)</span></p></blockquote><blockquote><p><b>nutrient</b></p><p><b>modifier</b>: <span title=\"Codes:{http://snomed.info/sct 39972003}\">Sodium (substance)</span></p></blockquote><h3>Textures</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Modifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 1255823003}\">International Dysphagia Diet Standardisation Initiative Framework - Minced and Moist Level 5 food (regime/therapy)</span></td></tr></table><p><b>fluidConsistencyType</b>: <span title=\"Codes:{http://snomed.info/sct 439041000124103}\">Dietary liquid consistency - spoon thick liquid (regime/therapy)</span></p></blockquote><p><b>note</b>: </p><blockquote><div><p>Patient requires supervision at meals and may need assistance with feeding given right arm weakness.Nursing will need to monitor Is &amp; Os to assess volume of food eaten and hydration levels.</p>\n</div></blockquote></div>"
  },
  "status" : "active",
  "intent" : "original-order",
  "patient" : {
    "reference" : "Patient/patient-betsysmith-johnson01"
  },
  "dateTime" : "2025-05-05T15:30:00-04:00",
  "orderer" : {
    "reference" : "PractitionerRole/PractitionerRole-MD-HemaOnko"
  },
  "allergyIntolerance" : [{
    "reference" : "AllergyIntolerance/betsysmith-johnson01-AllergyACE"
  }],
  "oralDiet" : {
    "type" : [{
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "160670007",
        "display" : "Diabetic diet (finding)"
      },
      {
        "system" : "http://snomed.info/sct",
        "code" : "437421000124105",
        "display" : "Decreased sodium diet (regime/therapy)"
      }]
    }],
    "schedule" : [{
      "repeat" : {
        "boundsPeriod" : {
          "start" : "2025-05-05"
        },
        "frequency" : 3,
        "frequencyMax" : 4,
        "period" : 1,
        "periodUnit" : "d"
      }
    }],
    "nutrient" : [{
      "modifier" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "227594001",
          "display" : "Sugary food (substance)"
        }]
      }
    },
    {
      "modifier" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "2331003",
          "display" : "Carbohydrate (substance)"
        }]
      }
    },
    {
      "modifier" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "39972003",
          "display" : "Sodium (substance)"
        }]
      }
    }],
    "texture" : [{
      "modifier" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "1255823003",
          "display" : "International Dysphagia Diet Standardisation Initiative Framework - Minced and Moist Level 5 food (regime/therapy)"
        }]
      }
    }],
    "fluidConsistencyType" : [{
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "439041000124103",
        "display" : "Dietary liquid consistency - spoon thick liquid (regime/therapy)"
      }]
    }]
  },
  "note" : [{
    "text" : "Patient requires supervision at meals and may need assistance with feeding given right arm weakness.Nursing will need to monitor Is & Os to assess volume of food eaten and hydration levels."
  }]
}