Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: HCIM NutritionAdvice

NutritionAdvice as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017.

A nutritional advice is a description of nourishment for the patient, which must meet specific requirements in view of the health condition of the patient. Allergies and food intolerances or chewing and swallowing problems may be a reason for special nutrition.

Recording and communicating nutrition advice provides insight in policy regarding the patient’s diet. If this information is not available, it can lead to unsafe situations for the patient. Especially in transfer cases, it is important for nutrition advices to be clearly communicated.

Usage:

• Examples for this Resource Profile: NutritionOrder/zib-nutritionadvice-01

Formal Views of Profile Content

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

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

This structure is derived from NutritionOrder

Name	Flags	Card.	Type	Description & Constraints
NutritionOrder		0..*	NutritionOrder	NutritionOrder
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Comment		0..1	(Complex)	Comment URL: http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation
valueString:valueString		0..1	string	Explanation
identifier		0..*	Identifier	Identifiers assigned to this order
patient		1..1	Reference(nl-core-patient)	The person who requires the diet, formula or nutritional supplement
encounter		0..1	Reference(HCIM Encounter)	The encounter associated with this nutrition order
dateTime		1..1	dateTime	Date and time the nutrition order was requested
orderer		0..1	Reference(nl-core-practitioner)	Who ordered the diet, formula or nutritional supplement
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
allergyIntolerance		0..*	Reference(HCIM AllergyIntolerance)	List of the patient's food and nutrition-related allergies and intolerances
oralDiet
type
text		0..1	string	DietType
texture
modifier
text		0..1	string	Consistency
foodType
text		0..1	string	Consistency
fluidConsistencyType
text		0..1	string	Consistency
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
NutritionOrder	C	0..*	NutritionOrder	NutritionOrder nor-1: Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Comment		0..1	(Complex)	Comment URL: http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation"
Slices for value[x]		0..1	string	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueString		0..1	string	Explanation
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Identifiers assigned to this order
status	?!Σ	0..1	code	proposed | draft | planned | requested | active | on-hold | completed | cancelled | entered-in-error Binding: NutritionOrderStatus (required): Codes specifying the state of the request. Describes the lifecycle of the nutrition order.
patient	Σ	1..1	Reference(nl-core-patient)	The person who requires the diet, formula or nutritional supplement
encounter		0..1	Reference(HCIM Encounter)	The encounter associated with this nutrition order
dateTime	Σ	1..1	dateTime	Date and time the nutrition order was requested
orderer	Σ	0..1	Reference(nl-core-practitioner)	Who ordered the diet, formula or nutritional supplement
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
allergyIntolerance		0..*	Reference(HCIM AllergyIntolerance)	List of the patient's food and nutrition-related allergies and intolerances
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
NutritionOrder.status	required	NutritionOrderStatus http://hl7.org/fhir/ValueSet/nutrition-request-status from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	NutritionOrder	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	NutritionOrder	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	NutritionOrder	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	NutritionOrder	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**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()

Name	Flags	Card.	Type	Description & Constraints
NutritionOrder	C	0..*	NutritionOrder	NutritionOrder nor-1: Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class
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: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Comment		0..1	(Complex)	Comment URL: http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation"
Slices for value[x]		0..1	string	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueString		0..1	string	Explanation
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Identifiers assigned to this order
status	?!Σ	0..1	code	proposed | draft | planned | requested | active | on-hold | completed | cancelled | entered-in-error Binding: NutritionOrderStatus (required): Codes specifying the state of the request. Describes the lifecycle of the nutrition order.
patient	Σ	1..1	Reference(nl-core-patient)	The person who requires the diet, formula or nutritional supplement
encounter		0..1	Reference(HCIM Encounter)	The encounter associated with this nutrition order
dateTime	Σ	1..1	dateTime	Date and time the nutrition order was requested
orderer	Σ	0..1	Reference(nl-core-practitioner)	Who ordered the diet, formula or nutritional supplement
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
allergyIntolerance		0..*	Reference(HCIM 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: Food Type Codes (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	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
type	Σ	0..*	CodeableConcept	Type of oral diet or diet restrictions that describe what can be consumed orally Binding: Diet Codes (example): Codes used to indicate the type of diet being ordered for a patient.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	DietType
schedule		0..*	Timing	Scheduled frequency of diet
nutrient		0..*	BackboneElement	Required nutrient modifications
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
modifier		0..1	CodeableConcept	Type of nutrient that is being modified Binding: Nutrient Modifier Codes (example): Codes for types of nutrient that is being modified such as carbohydrate or sodium.
amount		0..1	SimpleQuantity	Quantity of the specified nutrient
texture		0..*	BackboneElement	Required texture modifications
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
modifier		0..1	CodeableConcept	Code to indicate how to alter the texture of the foods, e.g. pureed Binding: Texture Modifier Codes (example): Codes for food consistency types or texture modifications to apply to foods.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Consistency
foodType		0..1	CodeableConcept	Concepts that are used to identify an entity that is ingested for nutritional purposes Binding: Texture Modified Food Type Codes (example): Codes for types of foods that are texture modified.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Consistency
fluidConsistencyType		0..*	CodeableConcept	The required consistency of fluids and liquids provided to the patient Binding: Fluid Consistency Type Codes (example): Codes used to represent the consistency of fluids and liquids provided to the patient.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Consistency
instruction	Σ	0..1	string	Instructions or additional information about the oral diet
supplement	C	0..*	BackboneElement	Supplement components
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
type	Σ	0..1	CodeableConcept	Type of supplement product requested Binding: Supplement Type Codes (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	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	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
baseFormulaType	Σ	0..1	CodeableConcept	Type of enteral or infant formula Binding: Enteral Formula Type Codes (example): Codes for type of enteral formula to be administered to patient.
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: Enteral Formula Additive Type Code (example): Codes for the type of modular component such as protein, carbohydrate or fiber to be provided in addition to or mixed with the base formula.
additiveProductName		0..1	string	Product or brand name of the modular additive
caloricDensity		0..1	SimpleQuantity	Amount of energy per specified volume that is required
routeofAdministration		0..1	CodeableConcept	How the formula should enter the patient's gastrointestinal tract Binding: Enteral Route Codes (extensible): Codes specifying the route of administration of enteral formula.
administration		0..*	BackboneElement	Formula feeding instruction as structured data
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
schedule		0..1	Timing	Scheduled frequency of enteral feeding
quantity		0..1	SimpleQuantity	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	Upper limit on formula volume per unit of time
administrationInstruction	Σ	0..1	string	Formula feeding instructions expressed as text
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
NutritionOrder.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
NutritionOrder.status	required	NutritionOrderStatus http://hl7.org/fhir/ValueSet/nutrition-request-status from the FHIR Standard
NutritionOrder.foodPreferenceModifier	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard
NutritionOrder.excludeFoodModifier	example	Food Type Codes http://hl7.org/fhir/ValueSet/food-type from the FHIR Standard
NutritionOrder.oralDiet.type	example	Diet Codes http://hl7.org/fhir/ValueSet/diet-type from the FHIR Standard
NutritionOrder.oralDiet.nutrient.modifier	example	Nutrient Modifier Codes http://hl7.org/fhir/ValueSet/nutrient-code from the FHIR Standard
NutritionOrder.oralDiet.texture.modifier	example	Texture Modifier Codes http://hl7.org/fhir/ValueSet/texture-code from the FHIR Standard
NutritionOrder.oralDiet.texture.foodType	example	Texture Modified Food Type Codes http://hl7.org/fhir/ValueSet/modified-foodtype from the FHIR Standard
NutritionOrder.oralDiet.fluidConsistencyType	example	Fluid Consistency Type Codes http://hl7.org/fhir/ValueSet/consistency-type from the FHIR Standard
NutritionOrder.supplement.type	example	Supplement Type Codes http://hl7.org/fhir/ValueSet/supplement-type from the FHIR Standard
NutritionOrder.enteralFormula.baseFormulaType	example	Enteral Formula Type Codes http://hl7.org/fhir/ValueSet/entformula-type from the FHIR Standard
NutritionOrder.enteralFormula.additiveType	example	Enteral Formula Additive Type Code http://hl7.org/fhir/ValueSet/entformula-additive from the FHIR Standard
NutritionOrder.enteralFormula.routeofAdministration	extensible	Enteral Route Codes http://hl7.org/fhir/ValueSet/enteral-route from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	NutritionOrder	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	NutritionOrder	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	NutritionOrder	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	NutritionOrder	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**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

Structures

This structure refers to these other structures:

• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
• HCIM Encounter (http://nictiz.nl/fhir/StructureDefinition/zib-Encounter)
• nl-core-practitioner (http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner)
• HCIM AllergyIntolerance (http://nictiz.nl/fhir/StructureDefinition/zib-AllergyIntolerance)

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation
• http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference

Differential View

This structure is derived from NutritionOrder

Name	Flags	Card.	Type	Description & Constraints
NutritionOrder		0..*	NutritionOrder	NutritionOrder
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Comment		0..1	(Complex)	Comment URL: http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation
valueString:valueString		0..1	string	Explanation
identifier		0..*	Identifier	Identifiers assigned to this order
patient		1..1	Reference(nl-core-patient)	The person who requires the diet, formula or nutritional supplement
encounter		0..1	Reference(HCIM Encounter)	The encounter associated with this nutrition order
dateTime		1..1	dateTime	Date and time the nutrition order was requested
orderer		0..1	Reference(nl-core-practitioner)	Who ordered the diet, formula or nutritional supplement
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
allergyIntolerance		0..*	Reference(HCIM AllergyIntolerance)	List of the patient's food and nutrition-related allergies and intolerances
oralDiet
type
text		0..1	string	DietType
texture
modifier
text		0..1	string	Consistency
foodType
text		0..1	string	Consistency
fluidConsistencyType
text		0..1	string	Consistency
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
NutritionOrder	C	0..*	NutritionOrder	NutritionOrder nor-1: Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Comment		0..1	(Complex)	Comment URL: http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation"
Slices for value[x]		0..1	string	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueString		0..1	string	Explanation
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Identifiers assigned to this order
status	?!Σ	0..1	code	proposed | draft | planned | requested | active | on-hold | completed | cancelled | entered-in-error Binding: NutritionOrderStatus (required): Codes specifying the state of the request. Describes the lifecycle of the nutrition order.
patient	Σ	1..1	Reference(nl-core-patient)	The person who requires the diet, formula or nutritional supplement
encounter		0..1	Reference(HCIM Encounter)	The encounter associated with this nutrition order
dateTime	Σ	1..1	dateTime	Date and time the nutrition order was requested
orderer	Σ	0..1	Reference(nl-core-practitioner)	Who ordered the diet, formula or nutritional supplement
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
allergyIntolerance		0..*	Reference(HCIM AllergyIntolerance)	List of the patient's food and nutrition-related allergies and intolerances
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
NutritionOrder.status	required	NutritionOrderStatus http://hl7.org/fhir/ValueSet/nutrition-request-status from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	NutritionOrder	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	NutritionOrder	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	NutritionOrder	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	NutritionOrder	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
NutritionOrder	C	0..*	NutritionOrder	NutritionOrder nor-1: Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class
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: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Comment		0..1	(Complex)	Comment URL: http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation"
Slices for value[x]		0..1	string	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueString		0..1	string	Explanation
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Identifiers assigned to this order
status	?!Σ	0..1	code	proposed | draft | planned | requested | active | on-hold | completed | cancelled | entered-in-error Binding: NutritionOrderStatus (required): Codes specifying the state of the request. Describes the lifecycle of the nutrition order.
patient	Σ	1..1	Reference(nl-core-patient)	The person who requires the diet, formula or nutritional supplement
encounter		0..1	Reference(HCIM Encounter)	The encounter associated with this nutrition order
dateTime	Σ	1..1	dateTime	Date and time the nutrition order was requested
orderer	Σ	0..1	Reference(nl-core-practitioner)	Who ordered the diet, formula or nutritional supplement
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
allergyIntolerance		0..*	Reference(HCIM 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: Food Type Codes (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	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
type	Σ	0..*	CodeableConcept	Type of oral diet or diet restrictions that describe what can be consumed orally Binding: Diet Codes (example): Codes used to indicate the type of diet being ordered for a patient.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	DietType
schedule		0..*	Timing	Scheduled frequency of diet
nutrient		0..*	BackboneElement	Required nutrient modifications
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
modifier		0..1	CodeableConcept	Type of nutrient that is being modified Binding: Nutrient Modifier Codes (example): Codes for types of nutrient that is being modified such as carbohydrate or sodium.
amount		0..1	SimpleQuantity	Quantity of the specified nutrient
texture		0..*	BackboneElement	Required texture modifications
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
modifier		0..1	CodeableConcept	Code to indicate how to alter the texture of the foods, e.g. pureed Binding: Texture Modifier Codes (example): Codes for food consistency types or texture modifications to apply to foods.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Consistency
foodType		0..1	CodeableConcept	Concepts that are used to identify an entity that is ingested for nutritional purposes Binding: Texture Modified Food Type Codes (example): Codes for types of foods that are texture modified.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Consistency
fluidConsistencyType		0..*	CodeableConcept	The required consistency of fluids and liquids provided to the patient Binding: Fluid Consistency Type Codes (example): Codes used to represent the consistency of fluids and liquids provided to the patient.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Consistency
instruction	Σ	0..1	string	Instructions or additional information about the oral diet
supplement	C	0..*	BackboneElement	Supplement components
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
type	Σ	0..1	CodeableConcept	Type of supplement product requested Binding: Supplement Type Codes (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	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	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
baseFormulaType	Σ	0..1	CodeableConcept	Type of enteral or infant formula Binding: Enteral Formula Type Codes (example): Codes for type of enteral formula to be administered to patient.
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: Enteral Formula Additive Type Code (example): Codes for the type of modular component such as protein, carbohydrate or fiber to be provided in addition to or mixed with the base formula.
additiveProductName		0..1	string	Product or brand name of the modular additive
caloricDensity		0..1	SimpleQuantity	Amount of energy per specified volume that is required
routeofAdministration		0..1	CodeableConcept	How the formula should enter the patient's gastrointestinal tract Binding: Enteral Route Codes (extensible): Codes specifying the route of administration of enteral formula.
administration		0..*	BackboneElement	Formula feeding instruction as structured data
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
schedule		0..1	Timing	Scheduled frequency of enteral feeding
quantity		0..1	SimpleQuantity	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	Upper limit on formula volume per unit of time
administrationInstruction	Σ	0..1	string	Formula feeding instructions expressed as text
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
NutritionOrder.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
NutritionOrder.status	required	NutritionOrderStatus http://hl7.org/fhir/ValueSet/nutrition-request-status from the FHIR Standard
NutritionOrder.foodPreferenceModifier	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard
NutritionOrder.excludeFoodModifier	example	Food Type Codes http://hl7.org/fhir/ValueSet/food-type from the FHIR Standard
NutritionOrder.oralDiet.type	example	Diet Codes http://hl7.org/fhir/ValueSet/diet-type from the FHIR Standard
NutritionOrder.oralDiet.nutrient.modifier	example	Nutrient Modifier Codes http://hl7.org/fhir/ValueSet/nutrient-code from the FHIR Standard
NutritionOrder.oralDiet.texture.modifier	example	Texture Modifier Codes http://hl7.org/fhir/ValueSet/texture-code from the FHIR Standard
NutritionOrder.oralDiet.texture.foodType	example	Texture Modified Food Type Codes http://hl7.org/fhir/ValueSet/modified-foodtype from the FHIR Standard
NutritionOrder.oralDiet.fluidConsistencyType	example	Fluid Consistency Type Codes http://hl7.org/fhir/ValueSet/consistency-type from the FHIR Standard
NutritionOrder.supplement.type	example	Supplement Type Codes http://hl7.org/fhir/ValueSet/supplement-type from the FHIR Standard
NutritionOrder.enteralFormula.baseFormulaType	example	Enteral Formula Type Codes http://hl7.org/fhir/ValueSet/entformula-type from the FHIR Standard
NutritionOrder.enteralFormula.additiveType	example	Enteral Formula Additive Type Code http://hl7.org/fhir/ValueSet/entformula-additive from the FHIR Standard
NutritionOrder.enteralFormula.routeofAdministration	extensible	Enteral Route Codes http://hl7.org/fhir/ValueSet/enteral-route from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	NutritionOrder	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	NutritionOrder	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	NutritionOrder	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	NutritionOrder	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**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

Structures

This structure refers to these other structures:

• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
• HCIM Encounter (http://nictiz.nl/fhir/StructureDefinition/zib-Encounter)
• nl-core-practitioner (http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner)
• HCIM AllergyIntolerance (http://nictiz.nl/fhir/StructureDefinition/zib-AllergyIntolerance)

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice-Explanation
• http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference

Other representations of profile: CSV, Excel, Schematron