2.8. Retrieve MedMij Core - Nutrition advice (zib2017/STU3)
2.8.1. Overview
| Id | 900000405 |
| Data service name without version (English) | Retrieve MedMij Core - Nutrition advice (zib2017/STU3) |
| Data service name without version (Dutch) | Verzamelen MedMij Core - Voedingsadvies (zib2017/STU3) |
| Data service version | 1.0.0-beta.1 |
| System role(s) | MMC-NAR-zib2017/STU3-1.0.0-beta.1-FHIR (PHR) MMC-NAB-zib2017/STU3-1.0.0-beta.1-FHIR (XIS) |
| Relevant domain(s) | Long-term Healthcare |
2.8.2. Functional model
| CIM | zib NutritionAdvice |
| Functional version | 3.1(2017) |
The functional model can be found on ART-DECOR.
2.8.3. Technical specification
| FHIR profile(s) | http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice |
| FHIR package | nictiz.fhir.nl.stu3.zib2017 version 2.0.0 or compatible |
| FHIR version | STU3 |
| Search request | GET [base]/NutritionOrder |
| Must Support |
|
| CapabilityStatement(s) | MedMij Core NutritionAdvice Retrieve MedMij Core NutritionAdvice Serve |
The FHIR profile is included below.
| Zib NutritionAdvice (NutritionOrder) | C | NutritionOrder | |
| id | Σ | 0..1 | id |
| meta | Σ | 0..1 | Meta |
| implicitRules | Σ ?! | 0..1 | uri |
| language | 0..1 | codeBinding | |
| text | C | 0..1 | Narrative |
| contained | 0..* | Resource | |
| extension | C | 0..* | Extension |
| Comment | C | 0..1 | Extension(string) |
| id | 0..1 | string | |
| extension | C | 0..0 | Extension |
| url | 1..1 | uriFixed Value | |
| valueString | 0..1 | string | |
| modifierExtension | ?! C | 0..* | Extension |
| identifier | 0..* | Identifier | |
| status | Σ ?! | 0..1 | codeBinding |
| patient | Σ C | 1..1 | Reference(nl-core-patient) |
| encounter | C | 0..1 | Reference(Zib Encounter) |
| dateTime | Σ | 1..1 | dateTime |
| orderer | Σ C | 0..1 | Reference(nl-core-practitioner) |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| practitionerRole | C | 0..1 | Extension(Reference(nl-core-practitionerrole)) |
| reference | Σ C | 0..1 | string |
| identifier | Σ | 0..1 | Identifier |
| display | Σ | 0..1 | string |
| allergyIntolerance | C | 0..* | Reference(Zib AllergyIntolerance) |
| foodPreferenceModifier | 0..* | CodeableConcept | |
| excludeFoodModifier | 0..* | CodeableConcept | |
| oralDiet | C | 0..1 | BackboneElement |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| modifierExtension | Σ ?! C | 0..* | Extension |
| type | Σ | 0..* | CodeableConcept |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| coding | Σ | 0..* | Coding |
| text | Σ | 0..1 | string |
| schedule | 0..* | Timing | |
| nutrient | 0..* | BackboneElement | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| modifierExtension | Σ ?! C | 0..* | Extension |
| modifier | 0..1 | CodeableConcept | |
| amount | C | 0..1 | SimpleQuantity |
| texture | 0..* | BackboneElement | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| modifierExtension | Σ ?! C | 0..* | Extension |
| modifier | 0..1 | CodeableConcept | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| coding | Σ | 0..* | Coding |
| text | Σ | 0..1 | string |
| foodType | 0..1 | CodeableConcept | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| coding | Σ | 0..* | Coding |
| text | Σ | 0..1 | string |
| fluidConsistencyType | 0..* | CodeableConcept | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| coding | Σ | 0..* | Coding |
| text | Σ | 0..1 | string |
| instruction | Σ | 0..1 | string |
| supplement | C | 0..* | BackboneElement |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| modifierExtension | Σ ?! C | 0..* | Extension |
| type | Σ | 0..1 | CodeableConcept |
| productName | 0..1 | string | |
| schedule | 0..* | Timing | |
| quantity | C | 0..1 | SimpleQuantity |
| instruction | Σ | 0..1 | string |
| enteralFormula | C | 0..1 | BackboneElement |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| modifierExtension | Σ ?! C | 0..* | Extension |
| baseFormulaType | Σ | 0..1 | CodeableConcept |
| baseFormulaProductName | 0..1 | string | |
| additiveType | 0..1 | CodeableConcept | |
| additiveProductName | 0..1 | string | |
| caloricDensity | C | 0..1 | SimpleQuantity |
| routeofAdministration | 0..1 | CodeableConceptBinding | |
| administration | 0..* | BackboneElement | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| modifierExtension | Σ ?! C | 0..* | Extension |
| schedule | 0..1 | Timing | |
| quantity | C | 0..1 | SimpleQuantity |
| rate[x] | 0..1 | ||
| rateQuantity | SimpleQuantity | ||
| rateRatio | Ratio | ||
| maxVolumeToDeliver | C | 0..1 | SimpleQuantity |
| administrationInstruction | Σ | 0..1 | string |
</telecom>
</contact>
<description value="NutritionAdvice as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017.\n\nA 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." />
<purpose value="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. \nEspecially in transfer cases, it is important for nutrition advices to be clearly communicated." />
</mapping>
</mapping>
</mapping>
</mapping>
<definition value="A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to a patient/resident." />
</base>
<human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
</constraint>
<human value="If the resource is contained in another resource, it SHALL NOT contain any narrative" />
</constraint>
<human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
<xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
</constraint>
<human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource" />
<xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))" />
</constraint>
<human value="Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class" />
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." />
<comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation." />
</base>
</type>
</element>
<definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource." />
</base>
</type>
</element>
<definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content." />
<comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation." />
</base>
</type>
</element>
<comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." />
</base>
</type>
</extension>
</extension>
</extension>
</valueSetReference>
</binding>
</element>
<definition value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." />
<comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later." />
</base>
</type>
</mapping>
</element>
<definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." />
<comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again." />
</base>
</type>
</mapping>
</element>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
</base>
</type>
</mapping>
</element>
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
</base>
</type>
</mapping>
</element>
<comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." />
</base>
</type>
</mapping>
</element>
</base>
</type>
</mapping>
</element>
<definition value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
</base>
</type>
</mapping>
</element>
<definition value="Identifiers assigned to this order by the order sender or by the order receiver." />
<comment value="The Identifier.type element can be to indicate filler vs. placer if needed. This is explained in further detail [here](procedurerequest.html#notes)." />
</base>
</type>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<short value="proposed | draft | planned | requested | active | on-hold | completed | cancelled | entered-in-error" />
<comment value="Typically the system placing the order sets the status to "requested". Thereafter, the order is maintained by the receiver that updates the status as the request is handled.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid." />
</base>
</type>
</extension>
<description value="Codes specifying the state of the request. Describes the lifecycle of the nutrition order." />
</valueSetReference>
</binding>
</mapping>
</mapping>
</mapping>
</element>
<definition value="The person (patient) who needs the nutrition order for an oral diet, nutritional supplement and/or enteral or formula feeding." />
</base>
</type>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="An encounter that provides additional information about the healthcare context in which this request is made." />
</base>
</type>
</mapping>
</mapping>
</mapping>
</element>
</base>
</type>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="The practitioner that holds legal responsibility for ordering the diet, nutritional supplement, or formula feedings." />
</base>
</type>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
</base>
</type>
</mapping>
</element>
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
<definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources." />
<comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server." />
</base>
</type>
</mapping>
</element>
<definition value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." />
<comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it." />
</base>
</type>
</mapping>
</element>
</extension>
<definition value="Plain text narrative that identifies the resource in addition to the resource reference." />
<comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it." />
</base>
</type>
</mapping>
</element>
<definition value="A link to a record of allergies or intolerances which should be included in the nutrition order." />
<comment value="Information on a patient's food allergies and intolerances to inform healthcare personnel about the type of foods that the patient shouldn't receive or consume." />
</base>
</type>
</mapping>
</element>
<definition value="This modifier is used to convey order-specific modifiers about the type of food that should be given. These can be derived from patient allergies, intolerances, or preferences such as Halal, Vegan or Kosher. This modifier applies to the entire nutrition order inclusive of the oral diet, nutritional supplements and enteral formula feedings." />
<comment value="Information on a patient's food preferences that inform healthcare personnel about the food that the patient should receive or consume." />
</base>
</type>
</extension>
<description value="Medical, cultural or ethical food preferences to help with catering requirements" />
</valueSetReference>
</binding>
<map value=".outboundRelationship [typeCode =COMP], target [classCode=PROC, moodCode=EVN, code=NutritionModificationType]" />
</mapping>
</element>
<definition value="This modifier is used to convey order-specific modifiers about the type of food that should NOT be given. These can be derived from patient allergies, intolerances, or preferences such as No Red Meat, No Soy or No Wheat or Gluten-Free. While it should not be necessary to repeat allergy or intolerance information captured in the referenced AllergyIntolerance resource in the excludeFoodModifier, this element may be used to convey additional specificity related to foods that should be eliminated from the patient’s diet for any reason. This modifier applies to the entire nutrition order inclusive of the oral diet, nutritional supplements and enteral formula feedings." />
<comment value="Information on a patient's food allergies, intolerances and preferences to inform healthcare personnel about the type of foods that the patient shouldn't receive or consume." />
</base>
</type>
</extension>
<description value="Codes used to indicate the type of food that should NOT be given to the patient." />
</valueSetReference>
</binding>
</mapping>
</element>
</base>
</type>
</constraint>
<map value="oralDiet .outboundRelationship [typeCode =COMP], target [classCode=SPLY, moodCode=RQO, code=OralDietSupplyType]" />
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</mapping>
</element>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
</base>
</type>
</mapping>
</element>
<definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
</base>
</type>
</mapping>
</element>
<definition value="The kind of diet or dietary restriction such as fiber restricted diet or diabetic diet." />
</base>
</type>
</extension>
</valueSetReference>
</binding>
</mapping>
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
</base>
</type>
</mapping>
</element>
<comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." />
<requirements value="Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings." />
</base>
</type>
</mapping>
</mapping>
</mapping>
</element>
</extension>
<requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." />
</base>
</type>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="The time period and frequency at which the diet should be given. The diet should be given for the combination of all schedules if more than one schedule is present." />
</base>
</type>
</mapping>
</element>
<definition value="Class that defines the quantity and type of nutrient modifications (for example carbohydrate, fiber or sodium) required for the oral diet." />
</base>
</type>
</constraint>
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</mapping>
</element>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
</base>
</type>
</mapping>
</element>
<definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
</base>
</type>
</mapping>
</element>
</base>
</type>
</extension>
<description value="Codes for types of nutrient that is being modified such as carbohydrate or sodium." />
</valueSetReference>
</binding>
</mapping>
</mapping>
</element>
</base>
</type>
</mapping>
</element>
<definition value="Class that describes any texture modifications required for the patient to safely consume various types of solid foods." />
</base>
</type>
</constraint>
<map value=".inboundRelationship [typeCode =COMP], target [classCode=PROC, moodCode=EVN, code=DietTextureModificationType]" />
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</mapping>
</element>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
</base>
</type>
</mapping>
</element>
<definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
</base>
</type>
</mapping>
</element>
<definition value="Any texture modifications (for solid foods) that should be made, e.g. easy to chew, chopped, ground, and pureed." />
</base>
</type>
</extension>
<description value="Codes for food consistency types or texture modifications to apply to foods." />
</valueSetReference>
</binding>
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
</base>
</type>
</mapping>
</element>
<comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." />
<requirements value="Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings." />
</base>
</type>
</mapping>
</mapping>
</mapping>
</element>
</extension>
<comment value="Because of a granularity difference between the HCIM NutritionAdvice and the NutritionOrder resource, the HCIM concept Consistency is mapped to the elements `.oralDiet.texture.modifier.text`, `.oralDiet.texture.foodType.text` and `.oralDiet.fluidConsistencyType.text`." />
<requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." />
</base>
</type>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<short value="Concepts that are used to identify an entity that is ingested for nutritional purposes" />
<definition value="The food type(s) (e.g. meats, all foods) that the texture modification applies to. This could be all foods types." />
</base>
</type>
</extension>
</valueSetReference>
</binding>
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
</base>
</type>
</mapping>
</element>
<comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." />
<requirements value="Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings." />
</base>
</type>
</mapping>
</mapping>
</mapping>
</element>
</extension>
<comment value="Because of a granularity difference between the HCIM NutritionAdvice and the NutritionOrder resource, the HCIM concept Consistency is mapped to the elements `.oralDiet.texture.modifier.text`, `.oralDiet.texture.foodType.text` and `.oralDiet.fluidConsistencyType.text`." />
<requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." />
</base>
</type>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="The required consistency (e.g. honey-thick, nectar-thick, thin, thickened.) of liquids or fluids served to the patient." />
</base>
</type>
</extension>
<description value="Codes used to represent the consistency of fluids and liquids provided to the patient." />
</valueSetReference>
</binding>
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
</base>
</type>
</mapping>
</element>
<comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." />
<requirements value="Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings." />
</base>
</type>
</mapping>
</mapping>
</mapping>
</element>
</extension>
<comment value="Because of a granularity difference between the HCIM NutritionAdvice and the NutritionOrder resource, the HCIM concept Consistency is mapped to the elements `.oralDiet.texture.modifier.text`, `.oralDiet.texture.foodType.text` and `.oralDiet.fluidConsistencyType.text`." />
<requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." />
</base>
</type>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="Free text or additional instructions or information pertaining to the oral diet." />
<comment value="Free text dosage instructions can be used for cases where the instructions are too complex to code." />
</base>
</type>
</mapping>
</element>
<definition value="Oral nutritional products given in order to add further nutritional value to the patient's diet." />
</base>
</type>
</constraint>
<map value=".outboundRelationship [typeCode =COMP], target [classCode=SPLY, moodCode=RQO, code=SUPPLEMENT]" />
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</mapping>
</element>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
</base>
</type>
</mapping>
</element>
<definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
</base>
</type>
</mapping>
</element>
<definition value="The kind of nutritional supplement product required such as a high protein or pediatric clear liquid supplement." />
</base>
</type>
</extension>
</valueSetReference>
</binding>
<map value=".participation{typeCode=PRD].role{classCode=MANU), manufacturedFoodKind; .code (NutritionalSupplementType)" />
</mapping>
</mapping>
</element>
<definition value="The product or brand name of the nutritional supplement such as "Acme Protein Shake"." />
</base>
</type>
</mapping>
</element>
<definition value="The time period and frequency at which the supplement(s) should be given. The supplement should be given for the combination of all schedules if more than one schedule is present." />
</base>
</type>
</mapping>
</element>
</base>
</type>
</mapping>
</element>
<definition value="Free text or additional instructions or information pertaining to the oral supplement." />
<comment value="Free text dosage instructions can be used for cases where the instructions are too complex to code." />
</base>
</type>
</mapping>
</element>
<definition value="Feeding provided through the gastrointestinal tract via a tube, catheter, or stoma that delivers nutrition distal to the oral cavity." />
</base>
</type>
</constraint>
<map value=".outboundRelationship [typeCode =COMP], target [classCode=SPLY, moodCode=RQO, code=FORMULA]" />
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</mapping>
</element>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
</base>
</type>
</mapping>
</element>
<definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
</base>
</type>
</mapping>
</element>
<definition value="The type of enteral or infant formula such as an adult standard formula with fiber or a soy-based infant formula." />
</base>
</type>
</extension>
</valueSetReference>
</binding>
<map value=".participation{typeCode=PRD].role{classCode=MANU), manufacturedFoodKind; .code (NutritionalFormulaType)" />
</mapping>
</mapping>
</element>
<definition value="The product or brand name of the enteral or infant formula product such as "ACME Adult Standard Formula"." />
</base>
</type>
</mapping>
</element>
<definition value="Indicates the type of modular component such as protein, carbohydrate, fat or fiber to be provided in addition to or mixed with the base formula." />
</base>
</type>
</extension>
<description value="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." />
</valueSetReference>
</binding>
</mapping>
</mapping>
</element>
<definition value="The product or brand name of the type of modular component to be added to the formula." />
</base>
</type>
</mapping>
</element>
<definition value="The amount of energy (calories) that the formula should provide per specified volume, typically per mL or fluid oz. For example, an infant may require a formula that provides 24 calories per fluid ounce or an adult may require an enteral formula that provides 1.5 calorie/mL." />
</base>
</type>
</mapping>
</element>
<definition value="The route or physiological path of administration into the patient's gastrointestinal tract for purposes of providing the formula feeding, e.g. nasogastric tube." />
</base>
</type>
</extension>
</valueSetReference>
</binding>
</mapping>
</element>
<definition value="Formula administration instructions as structured data. This repeating structure allows for changing the administration rate or volume over time for both bolus and continuous feeding. An example of this would be an instruction to increase the rate of continuous feeding every 2 hours." />
<comment value="See implementation notes below for further discussion on how to order continuous vs bolus enteral feeding using this resource." />
</base>
</type>
</constraint>
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</mapping>
</element>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
</base>
</type>
</mapping>
</element>
<definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
</base>
</type>
</mapping>
</element>
<definition value="The time period and frequency at which the enteral formula should be delivered to the patient." />
</base>
</type>
</mapping>
</element>
<definition value="The volume of formula to provide to the patient per the specified administration schedule." />
</base>
</type>
</mapping>
</element>
<definition value="The rate of administration of formula via a feeding pump, e.g. 60 mL per hour, according to the specified schedule." />
<comment value="Ratio is used when the quantity value in the denominator is not "1", otherwise use Quantity. For example, the Ratio datatype is used for "200 mL/4 hrs" versus the Quantity datatype for "50 mL/hr"." />
</base>
</type>
</type>
</mapping>
</element>
<definition value="The maximum total quantity of formula that may be administered to a subject over the period of time, e.g. 1440 mL over 24 hours." />
</base>
</type>
</mapping>
</element>
<definition value="Free text formula administration, feeding instructions or additional instructions or information." />
<comment value="Free text dosage instructions can be used for cases where the instructions are too complex to code." />
</base>
</type>
</mapping>
</element>
</snapshot>
</mapping>
</mapping>
</mapping>
</element>
</slicing>
</element>
</type>
</mapping>
</mapping>
</mapping>
</element>
</element>
</mapping>
</element>
</type>
</mapping>
</element>
</type>
</element>
</mapping>
</element>
</type>
</mapping>
</element>
</slicing>
</element>
</type>
</element>
</type>
</element>
</extension>
</mapping>
</mapping>
</mapping>
</element>
</extension>
<comment value="Because of a granularity difference between the HCIM NutritionAdvice and the NutritionOrder resource, the HCIM concept Consistency is mapped to the elements `.oralDiet.texture.modifier.text`, `.oralDiet.texture.foodType.text` and `.oralDiet.fluidConsistencyType.text`." />
</mapping>
</mapping>
</mapping>
</element>
</extension>
<comment value="Because of a granularity difference between the HCIM NutritionAdvice and the NutritionOrder resource, the HCIM concept Consistency is mapped to the elements `.oralDiet.texture.modifier.text`, `.oralDiet.texture.foodType.text` and `.oralDiet.fluidConsistencyType.text`." />
</mapping>
</mapping>
</mapping>
</element>
</extension>
<comment value="Because of a granularity difference between the HCIM NutritionAdvice and the NutritionOrder resource, the HCIM concept Consistency is mapped to the elements `.oralDiet.texture.modifier.text`, `.oralDiet.texture.foodType.text` and `.oralDiet.fluidConsistencyType.text`." />
</mapping>
</mapping>
</mapping>
</element>
</differential>
</StructureDefinition>
{
{
]
}
],
"description": "NutritionAdvice as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017.\n\nA 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.",
"purpose": "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. \nEspecially in transfer cases, it is important for nutrition advices to be clearly communicated.",
{
},
{
},
{
},
{
}
],
{
"definition": "A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to a patient/resident.",
"Nutrition Order",
"Diet Order",
"Diet",
"Nutritional Supplement",
"Enteral Nutrition",
"Voedingsadvies"
],
},
{
},
{
},
{
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
},
{
"human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
"xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
},
{
}
],
{
},
{
},
{
},
{
},
{
},
{
},
{
}
]
},
{
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
},
],
},
{
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
},
],
},
{
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
},
],
},
{
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
},
],
{
}
},
{
},
{
}
],
}
}
},
{
"definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.",
"narrative",
"html",
"xhtml",
"display"
],
},
],
"dom-1"
],
]
},
{
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"inline resources",
"anonymous resources",
"contained resources"
],
},
],
]
},
{
},
"definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content"
],
},
],
]
},
{
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content",
"Toelichting"
],
},
{
}
],
"ele-1"
],
{
},
{
}
],
{
},
{
},
{
},
{
},
{
}
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
]
},
{
],
},
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content"
],
},
],
]
},
{
"xmlAttr"
],
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
},
],
]
},
{
"Toelichting"
],
},
],
]
},
{
"definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content"
],
},
],
]
},
{
"comment": "The Identifier.type element can be to indicate filler vs. placer if needed. This is explained in further detail [here](procedurerequest.html#notes).",
},
],
{
},
{
},
{
},
{
}
]
},
{
"short": "proposed | draft | planned | requested | active | on-hold | completed | cancelled | entered-in-error",
"comment": "Typically the system placing the order sets the status to \"requested\". Thereafter, the order is maintained by the receiver that updates the status as the request is handled.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
},
],
{
}
],
"description": "Codes specifying the state of the request. Describes the lifecycle of the nutrition order.",
}
},
{
},
{
},
{
}
]
},
{
"definition": "The person (patient) who needs the nutrition order for an oral diet, nutritional supplement and/or enteral or formula feeding.",
},
],
{
},
{
},
{
},
{
}
]
},
{
"definition": "An encounter that provides additional information about the healthcare context in which this request is made.",
},
],
{
},
{
},
{
}
]
},
{
},
],
{
},
{
},
{
},
{
}
]
},
{
"definition": "The practitioner that holds legal responsibility for ordering the diet, nutritional supplement, or formula feedings.",
},
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
]
},
{
],
},
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content"
],
},
],
]
},
{
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content"
],
},
{
}
],
"ele-1"
],
{
},
{
}
],
]
},
{
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
},
],
"ref-1"
],
]
},
{
"definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
},
],
]
},
{
{
}
],
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
},
],
]
},
{
"definition": "A link to a record of allergies or intolerances which should be included in the nutrition order.",
"comment": "Information on a patient's food allergies and intolerances to inform healthcare personnel about the type of foods that the patient shouldn't receive or consume.",
},
{
}
],
{
}
]
},
{
"definition": "This modifier is used to convey order-specific modifiers about the type of food that should be given. These can be derived from patient allergies, intolerances, or preferences such as Halal, Vegan or Kosher. This modifier applies to the entire nutrition order inclusive of the oral diet, nutritional supplements and enteral formula feedings.",
"comment": "Information on a patient's food preferences that inform healthcare personnel about the food that the patient should receive or consume.",
},
],
{
}
],
}
},
{
"map": ".outboundRelationship [typeCode =COMP], target [classCode=PROC, moodCode=EVN, code=NutritionModificationType]"
}
]
},
{
"definition": "This modifier is used to convey order-specific modifiers about the type of food that should NOT be given. These can be derived from patient allergies, intolerances, or preferences such as No Red Meat, No Soy or No Wheat or Gluten-Free. While it should not be necessary to repeat allergy or intolerance information captured in the referenced AllergyIntolerance resource in the excludeFoodModifier, this element may be used to convey additional specificity related to foods that should be eliminated from the patient’s diet for any reason. This modifier applies to the entire nutrition order inclusive of the oral diet, nutritional supplements and enteral formula feedings.",
"comment": "Information on a patient's food allergies, intolerances and preferences to inform healthcare personnel about the type of foods that the patient shouldn't receive or consume.",
},
],
{
}
],
}
},
]
},
{
},
],
"nor-1"
],
{
}
],
{
"map": "oralDiet .outboundRelationship [typeCode =COMP], target [classCode=SPLY, moodCode=RQO, code=OralDietSupplyType]"
}
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
]
},
{
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content"
],
},
],
]
},
{
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content",
"modifiers"
],
},
],
]
},
{
"definition": "The kind of diet or dietary restriction such as fiber restricted diet or diabetic diet.",
},
],
{
}
],
}
},
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
]
},
{
],
},
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content"
],
},
],
]
},
{
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"requirements": "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
},
],
{
},
{
},
{
}
]
},
{
{
}
],
"requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
"DieetType"
],
},
],
{
},
{
},
{
},
{
},
{
},
{
}
]
},
{
"definition": "The time period and frequency at which the diet should be given. The diet should be given for the combination of all schedules if more than one schedule is present.",
"Frequency"
],
},
],
]
},
{
"definition": "Class that defines the quantity and type of nutrient modifications (for example carbohydrate, fiber or sodium) required for the oral diet.",
},
],
{
}
],
{
}
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
]
},
{
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content"
],
},
],
]
},
{
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content",
"modifiers"
],
},
],
]
},
{
},
],
{
}
],
"description": "Codes for types of nutrient that is being modified such as carbohydrate or sodium.",
}
},
]
},
{
},
],
]
},
{
"definition": "Class that describes any texture modifications required for the patient to safely consume various types of solid foods.",
},
],
{
}
],
{
"map": ".inboundRelationship [typeCode =COMP], target [classCode=PROC, moodCode=EVN, code=DietTextureModificationType]"
}
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
]
},
{
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content"
],
},
],
]
},
{
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content",
"modifiers"
],
},
],
]
},
{
"definition": "Any texture modifications (for solid foods) that should be made, e.g. easy to chew, chopped, ground, and pureed.",
},
],
{
}
],
}
},
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
]
},
{
],
},
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content"
],
},
],
]
},
{
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"requirements": "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
},
],
{
},
{
},
{
}
]
},
{
{
}
],
"comment": "Because of a granularity difference between the HCIM NutritionAdvice and the NutritionOrder resource, the HCIM concept Consistency is mapped to the elements `.oralDiet.texture.modifier.text`, `.oralDiet.texture.foodType.text` and `.oralDiet.fluidConsistencyType.text`.",
"requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
"Consistentie"
],
},
],
{
},
{
},
{
},
{
},
{
},
{
}
]
},
{
"definition": "The food type(s) (e.g. meats, all foods) that the texture modification applies to. This could be all foods types.",
},
],
{
}
],
}
},
{
}
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
]
},
{
],
},
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content"
],
},
],
]
},
{
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"requirements": "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
},
],
{
},
{
},
{
}
]
},
{
{
}
],
"comment": "Because of a granularity difference between the HCIM NutritionAdvice and the NutritionOrder resource, the HCIM concept Consistency is mapped to the elements `.oralDiet.texture.modifier.text`, `.oralDiet.texture.foodType.text` and `.oralDiet.fluidConsistencyType.text`.",
"requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
"Consistentie"
],
},
],
{
},
{
},
{
},
{
},
{
},
{
}
]
},
{
"definition": "The required consistency (e.g. honey-thick, nectar-thick, thin, thickened.) of liquids or fluids served to the patient.",
},
],
{
}
],
"description": "Codes used to represent the consistency of fluids and liquids provided to the patient.",
}
},
{
}
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
]
},
{
],
},
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content"
],
},
],
]
},
{
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"requirements": "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
},
],
{
},
{
},
{
}
]
},
{
{
}
],
"comment": "Because of a granularity difference between the HCIM NutritionAdvice and the NutritionOrder resource, the HCIM concept Consistency is mapped to the elements `.oralDiet.texture.modifier.text`, `.oralDiet.texture.foodType.text` and `.oralDiet.fluidConsistencyType.text`.",
"requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
"Consistentie"
],
},
],
{
},
{
},
{
},
{
},
{
},
{
}
]
},
{
"comment": "Free text dosage instructions can be used for cases where the instructions are too complex to code.",
},
],
]
},
{
"definition": "Oral nutritional products given in order to add further nutritional value to the patient's diet.",
},
],
"nor-1"
],
{
}
],
{
"map": ".outboundRelationship [typeCode =COMP], target [classCode=SPLY, moodCode=RQO, code=SUPPLEMENT]"
}
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
]
},
{
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content"
],
},
],
]
},
{
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content",
"modifiers"
],
},
],
]
},
{
"definition": "The kind of nutritional supplement product required such as a high protein or pediatric clear liquid supplement.",
},
],
{
}
],
}
},
{
"map": ".participation{typeCode=PRD].role{classCode=MANU), manufacturedFoodKind; .code (NutritionalSupplementType)"
},
{
}
]
},
{
"definition": "The product or brand name of the nutritional supplement such as \"Acme Protein Shake\".",
},
],
]
},
{
"definition": "The time period and frequency at which the supplement(s) should be given. The supplement should be given for the combination of all schedules if more than one schedule is present.",
"Frequency"
],
},
],
]
},
{
},
],
]
},
{
"definition": "Free text or additional instructions or information pertaining to the oral supplement.",
"comment": "Free text dosage instructions can be used for cases where the instructions are too complex to code.",
},
],
]
},
{
"definition": "Feeding provided through the gastrointestinal tract via a tube, catheter, or stoma that delivers nutrition distal to the oral cavity.",
},
],
"nor-1"
],
{
}
],
{
"map": ".outboundRelationship [typeCode =COMP], target [classCode=SPLY, moodCode=RQO, code=FORMULA]"
}
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
]
},
{
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content"
],
},
],
]
},
{
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content",
"modifiers"
],
},
],
]
},
{
"definition": "The type of enteral or infant formula such as an adult standard formula with fiber or a soy-based infant formula.",
},
],
{
}
],
}
},
{
"map": ".participation{typeCode=PRD].role{classCode=MANU), manufacturedFoodKind; .code (NutritionalFormulaType)"
},
{
}
]
},
{
"definition": "The product or brand name of the enteral or infant formula product such as \"ACME Adult Standard Formula\".",
},
],
]
},
{
"definition": "Indicates the type of modular component such as protein, carbohydrate, fat or fiber to be provided in addition to or mixed with the base formula.",
},
],
{
}
],
"description": "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.",
}
},
{
},
{
}
]
},
{
"definition": "The product or brand name of the type of modular component to be added to the formula.",
},
],
]
},
{
"definition": "The amount of energy (calories) that the formula should provide per specified volume, typically per mL or fluid oz. For example, an infant may require a formula that provides 24 calories per fluid ounce or an adult may require an enteral formula that provides 1.5 calorie/mL.",
},
],
]
},
{
"definition": "The route or physiological path of administration into the patient's gastrointestinal tract for purposes of providing the formula feeding, e.g. nasogastric tube.",
},
],
{
}
],
}
},
]
},
{
"definition": "Formula administration instructions as structured data. This repeating structure allows for changing the administration rate or volume over time for both bolus and continuous feeding. An example of this would be an instruction to increase the rate of continuous feeding every 2 hours.",
"comment": "See implementation notes below for further discussion on how to order continuous vs bolus enteral feeding using this resource.",
},
],
{
}
],
{
}
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
]
},
{
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content"
],
},
],
]
},
{
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"extensions",
"user content",
"modifiers"
],
},
],
]
},
{
"definition": "The time period and frequency at which the enteral formula should be delivered to the patient.",
"Frequency"
],
},
],
]
},
{
"definition": "The volume of formula to provide to the patient per the specified administration schedule.",
},
],
]
},
{
"definition": "The rate of administration of formula via a feeding pump, e.g. 60 mL per hour, according to the specified schedule.",
"comment": "Ratio is used when the quantity value in the denominator is not \"1\", otherwise use Quantity. For example, the Ratio datatype is used for \"200 mL/4 hrs\" versus the Quantity datatype for \"50 mL/hr\".",
},
{
},
{
}
],
]
},
{
"definition": "The maximum total quantity of formula that may be administered to a subject over the period of time, e.g. 1440 mL over 24 hours.",
},
],
]
},
{
"definition": "Free text formula administration, feeding instructions or additional instructions or information.",
"comment": "Free text dosage instructions can be used for cases where the instructions are too complex to code.",
},
],
]
}
]
},
{
"Voedingsadvies"
],
{
},
{
},
{
}
]
},
{
}
},
{
"Toelichting"
],
{
}
],
{
},
{
},
{
}
]
},
{
},
{
{
}
]
},
{
],
]
},
{
]
},
{
]
},
{
{
}
],
]
},
{
}
},
{
{
}
]
},
{
{
}
]
},
{
{
}
],
"DieetType"
],
{
},
{
},
{
}
]
},
{
{
}
],
"comment": "Because of a granularity difference between the HCIM NutritionAdvice and the NutritionOrder resource, the HCIM concept Consistency is mapped to the elements `.oralDiet.texture.modifier.text`, `.oralDiet.texture.foodType.text` and `.oralDiet.fluidConsistencyType.text`.",
"Consistentie"
],
{
},
{
},
{
}
]
},
{
{
}
],
"comment": "Because of a granularity difference between the HCIM NutritionAdvice and the NutritionOrder resource, the HCIM concept Consistency is mapped to the elements `.oralDiet.texture.modifier.text`, `.oralDiet.texture.foodType.text` and `.oralDiet.fluidConsistencyType.text`.",
"Consistentie"
],
{
},
{
},
{
}
]
},
{
{
}
],
"comment": "Because of a granularity difference between the HCIM NutritionAdvice and the NutritionOrder resource, the HCIM concept Consistency is mapped to the elements `.oralDiet.texture.modifier.text`, `.oralDiet.texture.foodType.text` and `.oralDiet.fluidConsistencyType.text`.",
"Consistentie"
],
{
},
{
},
{
}
]
}
]
}
}