HdBe-NutritionAdvice
Profile | Description | Status | URL |
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HdBe-NutritionAdvice | A nutritional advice is a description of nourishment for the patient, which must meet specific requirements in view of the health condition of the patient. Allergies and food intolerances or chewing and swallowing problems may be a reason for special nutrition. | draft | https://fhir.healthdata.be/StructureDefinition/HdBe-NutritionAdvice |
NutritionOrder | I | NutritionOrder | Element idNutritionOrder NutritionAdvice Alternate namesNutrition Order, Diet Order, Diet, Nutritional Supplement, Enteral Nutrition, Voedingsadvies DefinitionA request to supply a diet, formula feeding (enteral) or oral nutritional supplement to a patient/resident. Referenced by an Order Request (workflow).
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id | Σ | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idNutritionOrder.meta Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idNutritionOrder.implicitRules A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. 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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
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language | 0..1 | codeBinding | There are no (further) constraints on this element Element idNutritionOrder.language Language of the resource content DefinitionThe base language in which the resource is written. 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). A human language.
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text | 0..1 | Narrative | There are no (further) constraints on this element Element idNutritionOrder.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can 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. 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 information is added later.
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contained | 0..* | Resource | There are no (further) constraints on this element Element idNutritionOrder.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese 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. 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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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indication | I | 0..1 | Extension(Reference(Condition | DiagnosticReport | DocumentReference | Observation | Media)) | Element idNutritionOrder.extension:indication Why was event performed? Alternate namesextensions, user content DefinitionIndicates another resource whose existence justifies this event. 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. Extension(Reference(Condition | DiagnosticReport | DocumentReference | Observation | Media)) Extension URLhttp://hl7.org/fhir/StructureDefinition/workflow-reasonReference Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.extension:indication.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..0 | Extension | There are no (further) constraints on this element Element idNutritionOrder.extension:indication.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idNutritionOrder.extension:indication.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. 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. http://hl7.org/fhir/StructureDefinition/workflow-reasonReference
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value[x] | 1..1 | Element idNutritionOrder.extension:indication.value[x] Indication Alternate namesIndicatie DefinitionThe indication is the reason for advising the diet.
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valueReference | Reference(Condition | DiagnosticReport | DocumentReference | Observation | Media | HdBe-Problem) | Data type Reference(Condition | DiagnosticReport | DocumentReference | Observation | Media | HdBe-Problem) | ||
modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay 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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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identifier | 0..* | Identifier | There are no (further) constraints on this element Element idNutritionOrder.identifier Identifiers assigned to this order DefinitionIdentifiers assigned to this order by the order sender or by the order receiver. The Identifier.type element can be to indicate filler vs. placer if needed. This is explained in further detail here.
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instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | There are no (further) constraints on this element Element idNutritionOrder.instantiatesCanonical Instantiates FHIR protocol or definition DefinitionThe URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this NutritionOrder. Note: This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. canonical(ActivityDefinition | PlanDefinition) Constraints
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instantiatesUri | Σ | 0..* | uri | There are no (further) constraints on this element Element idNutritionOrder.instantiatesUri Instantiates external protocol or definition DefinitionThe URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this NutritionOrder. This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.
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instantiates | 0..* | uri | There are no (further) constraints on this element Element idNutritionOrder.instantiates Instantiates protocol or definition DefinitionThe URL pointing to a protocol, guideline, orderset or other definition that is adhered to in whole or in part by this NutritionOrder. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
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status | Σ ?! | 1..1 | codeBinding | There are no (further) constraints on this element Element idNutritionOrder.status draft | active | on-hold | revoked | completed | entered-in-error | unknown DefinitionThe workflow status of the nutrition order/request. 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. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Codes identifying the lifecycle stage of the nutrition order.
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intent | Σ ?! | 1..1 | codeBinding | Element idNutritionOrder.intent proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Alternate namescategory DefinitionIndicates the level of authority/intentionality associated with the NutrionOrder and where the request fits into the workflow chain. Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain. No CBB concept can be mapped to Codes indicating the degree of authority/intentionality associated with a nutrition order.
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patient | Σ I | 1..1 | Reference(Patient | HdBe-Patient) | Element idNutritionOrder.patient The person who requires the diet, formula or nutritional supplement DefinitionThe person (patient) who needs the nutrition order for an oral diet, nutritional supplement and/or enteral or formula feeding. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(Patient | HdBe-Patient) Constraints
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encounter | I | 0..1 | Reference(Encounter) | There are no (further) constraints on this element Element idNutritionOrder.encounter The encounter associated with this nutrition order DefinitionAn encounter that provides additional information about the healthcare context in which this request is made. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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dateTime | Σ | 1..1 | dateTime | There are no (further) constraints on this element Element idNutritionOrder.dateTime Date and time the nutrition order was requested DefinitionThe date and time that this nutrition order was requested.
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orderer | Σ I | 0..1 | Reference(Practitioner | PractitionerRole) | There are no (further) constraints on this element Element idNutritionOrder.orderer Who ordered the diet, formula or nutritional supplement DefinitionThe practitioner that holds legal responsibility for ordering the diet, nutritional supplement, or formula feedings. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(Practitioner | PractitionerRole) Constraints
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allergyIntolerance | I | 0..* | Reference(AllergyIntolerance) | There are no (further) constraints on this element Element idNutritionOrder.allergyIntolerance List of the patient's food and nutrition-related allergies and intolerances DefinitionA link to a record of allergies or intolerances which should be included in the nutrition order. 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.
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foodPreferenceModifier | 0..* | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.foodPreferenceModifier Order-specific modifier about the type of food that should be given DefinitionThis 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. Information on a patient's food preferences that inform healthcare personnel about the food that the patient should receive or consume. Medical, cultural or ethical food preferences to help with catering requirements.
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excludeFoodModifier | 0..* | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.excludeFoodModifier Order-specific modifier about the type of food that should not be given DefinitionThis modifier is used to convey Order-specific modifier about the type of oral food or oral fluids 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. 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. Codes used to indicate the type of food that should NOT be given to the patient.
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oralDiet | I | 0..1 | BackboneElement | There are no (further) constraints on this element Element idNutritionOrder.oralDiet Oral diet components DefinitionDiet given orally in contrast to enteral (tube) feeding.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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type | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.type Type of oral diet or diet restrictions that describe what can be consumed orally DefinitionThe kind of diet or dietary restriction such as fiber restricted diet or diabetic diet. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Codes used to indicate the type of diet being ordered for a patient.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.type.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.type.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.type.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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text | Σ | 0..1 | string | Element idNutritionOrder.oralDiet.type.text DietType Alternate namesDieetType DefinitionDescription of the type of diet. 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. Very often the text is the same as a displayName of one of the codings.
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schedule | 0..* | Timing | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.schedule Scheduled frequency of diet Alternate namesFrequency DefinitionThe 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. Describes the occurrence of an event that may occur multiple times. Timing schedules are used for specifying when events are expected or requested to occur, and may also be used to represent the summary of a past or ongoing event. For simplicity, the definitions of Timing components are expressed as 'future' events, but such components can also be used to describe historic or ongoing events. A Timing schedule can be a list of events and/or criteria for when the event happens, which can be expressed in a structured form and/or as a code. When both event and a repeating specification are provided, the list of events should be understood as an interpretation of the information in the repeat structure.
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nutrient | 0..* | BackboneElement | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.nutrient Required nutrient modifications DefinitionClass that defines the quantity and type of nutrient modifications (for example carbohydrate, fiber or sodium) required for the oral diet.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.nutrient.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.nutrient.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.nutrient.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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modifier | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.nutrient.modifier Type of nutrient that is being modified DefinitionThe nutrient that is being modified such as carbohydrate or sodium. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Codes for types of nutrients that are being modified such as carbohydrate or sodium.
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amount | I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.nutrient.amount Quantity of the specified nutrient DefinitionThe quantity of the specified nutrient to include in diet. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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texture | 0..1 | BackboneElement | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture Required texture modifications DefinitionClass that describes any texture modifications required for the patient to safely consume various types of solid foods.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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modifier | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.modifier Code to indicate how to alter the texture of the foods, e.g. pureed DefinitionAny texture modifications (for solid foods) that should be made, e.g. easy to chew, chopped, ground, and pureed. Coupled with the foodType (Meat). Codes for food consistency types or texture modifications to apply to foods.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.modifier.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.modifier.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.modifier.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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text | Σ | 0..1 | string | Element idNutritionOrder.oralDiet.texture.modifier.text Consistency Alternate namesConsistentie DefinitionA description of the consistency of the food. 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. In FHIR there are different types of Consistency. For solid foods use
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foodType | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.foodType Concepts that are used to identify an entity that is ingested for nutritional purposes DefinitionThe food type(s) (e.g. meats, all foods) that the texture modification applies to. This could be all foods types. Coupled with the Codes for types of foods that are texture-modified.
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fluidConsistencyType | 0..* | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.fluidConsistencyType The required consistency of fluids and liquids provided to the patient DefinitionThe required consistency (e.g. honey-thick, nectar-thick, thin, thickened.) of liquids or fluids served to the patient. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Codes used to represent the consistency of fluids and liquids provided to the patient.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.fluidConsistencyType.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.fluidConsistencyType.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.fluidConsistencyType.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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text | Σ | 0..1 | string | Element idNutritionOrder.oralDiet.fluidConsistencyType.text Consistency Alternate namesConsistentie DefinitionA description of the consistency of the food. 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. In FHIR there are different types of Consistency. For solid foods use
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instruction | Σ | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.instruction Instructions or additional information about the oral diet DefinitionFree text or additional instructions or information pertaining to the oral diet. Free text dosage instructions can be used for cases where the instructions are too complex to code.
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supplement | I | 0..* | BackboneElement | There are no (further) constraints on this element Element idNutritionOrder.supplement Supplement components DefinitionOral nutritional products given in order to add further nutritional value to the patient's diet.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.supplement.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.supplement.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.supplement.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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type | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.supplement.type Type of supplement product requested DefinitionThe kind of nutritional supplement product required such as a high protein or pediatric clear liquid supplement. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Codes for nutritional supplements to be provided to the patient.
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productName | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.supplement.productName Product or brand name of the nutritional supplement DefinitionThe product or brand name of the nutritional supplement such as "Acme Protein Shake". Note that FHIR strings SHALL NOT exceed 1MB in size
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schedule | 0..* | Timing | There are no (further) constraints on this element Element idNutritionOrder.supplement.schedule Scheduled frequency of supplement Alternate namesFrequency DefinitionThe 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. Describes the occurrence of an event that may occur multiple times. Timing schedules are used for specifying when events are expected or requested to occur, and may also be used to represent the summary of a past or ongoing event. For simplicity, the definitions of Timing components are expressed as 'future' events, but such components can also be used to describe historic or ongoing events. A Timing schedule can be a list of events and/or criteria for when the event happens, which can be expressed in a structured form and/or as a code. When both event and a repeating specification are provided, the list of events should be understood as an interpretation of the information in the repeat structure.
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quantity | I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idNutritionOrder.supplement.quantity Amount of the nutritional supplement DefinitionThe amount of the nutritional supplement to be given. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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instruction | Σ | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.supplement.instruction Instructions or additional information about the oral supplement DefinitionFree text or additional instructions or information pertaining to the oral supplement. Free text dosage instructions can be used for cases where the instructions are too complex to code.
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enteralFormula | I | 0..1 | BackboneElement | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula Enteral formula components DefinitionFeeding provided through the gastrointestinal tract via a tube, catheter, or stoma that delivers nutrition distal to the oral cavity.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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baseFormulaType | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.baseFormulaType Type of enteral or infant formula DefinitionThe type of enteral or infant formula such as an adult standard formula with fiber or a soy-based infant formula. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Codes for type of enteral formula to be administered to patient.
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baseFormulaProductName | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.baseFormulaProductName Product or brand name of the enteral or infant formula DefinitionThe product or brand name of the enteral or infant formula product such as "ACME Adult Standard Formula". Note that FHIR strings SHALL NOT exceed 1MB in size
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additiveType | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.additiveType Type of modular component to add to the feeding DefinitionIndicates the type of modular component such as protein, carbohydrate, fat or fiber to be provided in addition to or mixed with the base formula. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. 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.
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additiveProductName | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.additiveProductName Product or brand name of the modular additive DefinitionThe product or brand name of the type of modular component to be added to the formula. Note that FHIR strings SHALL NOT exceed 1MB in size
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caloricDensity | I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.caloricDensity Amount of energy per specified volume that is required DefinitionThe 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. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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routeofAdministration | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.routeofAdministration How the formula should enter the patient's gastrointestinal tract DefinitionThe route or physiological path of administration into the patient's gastrointestinal tract for purposes of providing the formula feeding, e.g. nasogastric tube. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Codes specifying the route of administration of enteral formula.
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administration | 0..* | BackboneElement | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administration Formula feeding instruction as structured data DefinitionFormula 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. See implementation notes below for further discussion on how to order continuous vs bolus enteral feeding using this resource.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administration.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administration.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administration.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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schedule | 0..1 | Timing | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administration.schedule Scheduled frequency of enteral feeding Alternate namesFrequency DefinitionThe time period and frequency at which the enteral formula should be delivered to the patient. Describes the occurrence of an event that may occur multiple times. Timing schedules are used for specifying when events are expected or requested to occur, and may also be used to represent the summary of a past or ongoing event. For simplicity, the definitions of Timing components are expressed as 'future' events, but such components can also be used to describe historic or ongoing events. A Timing schedule can be a list of events and/or criteria for when the event happens, which can be expressed in a structured form and/or as a code. When both event and a repeating specification are provided, the list of events should be understood as an interpretation of the information in the repeat structure.
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quantity | I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administration.quantity The volume of formula to provide DefinitionThe volume of formula to provide to the patient per the specified administration schedule. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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rate[x] | 0..1 | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administration.rate[x] Speed with which the formula is provided per period of time DefinitionThe rate of administration of formula via a feeding pump, e.g. 60 mL per hour, according to the specified schedule. 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".
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rateQuantity | SimpleQuantity | There are no (further) constraints on this element Data type | ||
rateRatio | Ratio | There are no (further) constraints on this element Data type | ||
maxVolumeToDeliver | I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.maxVolumeToDeliver Upper limit on formula volume per unit of time DefinitionThe maximum total quantity of formula that may be administered to a subject over the period of time, e.g. 1440 mL over 24 hours. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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administrationInstruction | Σ | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administrationInstruction Formula feeding instructions expressed as text DefinitionFree text formula administration, feeding instructions or additional instructions or information. Free text dosage instructions can be used for cases where the instructions are too complex to code.
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note | 0..1 | Annotation | There are no (further) constraints on this element Element idNutritionOrder.note Comments DefinitionComments made about the {{title}} by the requester, performer, subject or other participants. This element SHALL NOT be used to supply free text instructions for the diet which are represented in the
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.note.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.note.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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author[x] | Σ | 0..1 | There are no (further) constraints on this element Element idNutritionOrder.note.author[x] Individual responsible for the annotation DefinitionThe individual responsible for making the annotation. Organization is used when there's no need for specific attribution as to who made the comment.
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authorString | string | There are no (further) constraints on this element Data type | ||
authorReference | Reference(Practitioner | Patient | RelatedPerson | Organization) | There are no (further) constraints on this element Data type Reference(Practitioner | Patient | RelatedPerson | Organization) | ||
time | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idNutritionOrder.note.time When the annotation was made DefinitionIndicates when this particular annotation was made.
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text | Σ | 1..1 | markdown | Element idNutritionOrder.note.text Comment Alternate namesToelichting DefinitionA comment on the nutrition advice. Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/
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NutritionOrder | I | NutritionOrder | Element idNutritionOrder NutritionAdvice Alternate namesNutrition Order, Diet Order, Diet, Nutritional Supplement, Enteral Nutrition, Voedingsadvies DefinitionA request to supply a diet, formula feeding (enteral) or oral nutritional supplement to a patient/resident. Referenced by an Order Request (workflow).
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id | Σ | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idNutritionOrder.meta Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idNutritionOrder.implicitRules A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. 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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
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language | 0..1 | codeBinding | There are no (further) constraints on this element Element idNutritionOrder.language Language of the resource content DefinitionThe base language in which the resource is written. 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). A human language.
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text | 0..1 | Narrative | There are no (further) constraints on this element Element idNutritionOrder.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can 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. 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 information is added later.
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contained | 0..* | Resource | There are no (further) constraints on this element Element idNutritionOrder.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese 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. 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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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indication | I | 0..1 | Extension(Reference(Condition | DiagnosticReport | DocumentReference | Observation | Media)) | Element idNutritionOrder.extension:indication Why was event performed? Alternate namesextensions, user content DefinitionIndicates another resource whose existence justifies this event. 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. Extension(Reference(Condition | DiagnosticReport | DocumentReference | Observation | Media)) Extension URLhttp://hl7.org/fhir/StructureDefinition/workflow-reasonReference Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.extension:indication.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..0 | Extension | There are no (further) constraints on this element Element idNutritionOrder.extension:indication.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idNutritionOrder.extension:indication.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. 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. http://hl7.org/fhir/StructureDefinition/workflow-reasonReference
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value[x] | 1..1 | Element idNutritionOrder.extension:indication.value[x] Indication Alternate namesIndicatie DefinitionThe indication is the reason for advising the diet.
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valueReference | Reference(Condition | DiagnosticReport | DocumentReference | Observation | Media | HdBe-Problem) | Data type Reference(Condition | DiagnosticReport | DocumentReference | Observation | Media | HdBe-Problem) | ||
modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay 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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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identifier | 0..* | Identifier | There are no (further) constraints on this element Element idNutritionOrder.identifier Identifiers assigned to this order DefinitionIdentifiers assigned to this order by the order sender or by the order receiver. The Identifier.type element can be to indicate filler vs. placer if needed. This is explained in further detail here.
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instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | There are no (further) constraints on this element Element idNutritionOrder.instantiatesCanonical Instantiates FHIR protocol or definition DefinitionThe URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this NutritionOrder. Note: This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. canonical(ActivityDefinition | PlanDefinition) Constraints
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instantiatesUri | Σ | 0..* | uri | There are no (further) constraints on this element Element idNutritionOrder.instantiatesUri Instantiates external protocol or definition DefinitionThe URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this NutritionOrder. This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.
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instantiates | 0..* | uri | There are no (further) constraints on this element Element idNutritionOrder.instantiates Instantiates protocol or definition DefinitionThe URL pointing to a protocol, guideline, orderset or other definition that is adhered to in whole or in part by this NutritionOrder. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
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status | Σ ?! | 1..1 | codeBinding | There are no (further) constraints on this element Element idNutritionOrder.status draft | active | on-hold | revoked | completed | entered-in-error | unknown DefinitionThe workflow status of the nutrition order/request. 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. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Codes identifying the lifecycle stage of the nutrition order.
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intent | Σ ?! | 1..1 | codeBinding | Element idNutritionOrder.intent proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Alternate namescategory DefinitionIndicates the level of authority/intentionality associated with the NutrionOrder and where the request fits into the workflow chain. Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain. No CBB concept can be mapped to Codes indicating the degree of authority/intentionality associated with a nutrition order.
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patient | Σ I | 1..1 | Reference(Patient | HdBe-Patient) | Element idNutritionOrder.patient The person who requires the diet, formula or nutritional supplement DefinitionThe person (patient) who needs the nutrition order for an oral diet, nutritional supplement and/or enteral or formula feeding. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(Patient | HdBe-Patient) Constraints
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encounter | I | 0..1 | Reference(Encounter) | There are no (further) constraints on this element Element idNutritionOrder.encounter The encounter associated with this nutrition order DefinitionAn encounter that provides additional information about the healthcare context in which this request is made. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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dateTime | Σ | 1..1 | dateTime | There are no (further) constraints on this element Element idNutritionOrder.dateTime Date and time the nutrition order was requested DefinitionThe date and time that this nutrition order was requested.
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orderer | Σ I | 0..1 | Reference(Practitioner | PractitionerRole) | There are no (further) constraints on this element Element idNutritionOrder.orderer Who ordered the diet, formula or nutritional supplement DefinitionThe practitioner that holds legal responsibility for ordering the diet, nutritional supplement, or formula feedings. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(Practitioner | PractitionerRole) Constraints
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allergyIntolerance | I | 0..* | Reference(AllergyIntolerance) | There are no (further) constraints on this element Element idNutritionOrder.allergyIntolerance List of the patient's food and nutrition-related allergies and intolerances DefinitionA link to a record of allergies or intolerances which should be included in the nutrition order. 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.
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foodPreferenceModifier | 0..* | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.foodPreferenceModifier Order-specific modifier about the type of food that should be given DefinitionThis 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. Information on a patient's food preferences that inform healthcare personnel about the food that the patient should receive or consume. Medical, cultural or ethical food preferences to help with catering requirements.
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excludeFoodModifier | 0..* | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.excludeFoodModifier Order-specific modifier about the type of food that should not be given DefinitionThis modifier is used to convey Order-specific modifier about the type of oral food or oral fluids 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. 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. Codes used to indicate the type of food that should NOT be given to the patient.
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oralDiet | I | 0..1 | BackboneElement | There are no (further) constraints on this element Element idNutritionOrder.oralDiet Oral diet components DefinitionDiet given orally in contrast to enteral (tube) feeding.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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type | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.type Type of oral diet or diet restrictions that describe what can be consumed orally DefinitionThe kind of diet or dietary restriction such as fiber restricted diet or diabetic diet. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Codes used to indicate the type of diet being ordered for a patient.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.type.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.type.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.type.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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text | Σ | 0..1 | string | Element idNutritionOrder.oralDiet.type.text DietType Alternate namesDieetType DefinitionDescription of the type of diet. 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. Very often the text is the same as a displayName of one of the codings.
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schedule | 0..* | Timing | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.schedule Scheduled frequency of diet Alternate namesFrequency DefinitionThe 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. Describes the occurrence of an event that may occur multiple times. Timing schedules are used for specifying when events are expected or requested to occur, and may also be used to represent the summary of a past or ongoing event. For simplicity, the definitions of Timing components are expressed as 'future' events, but such components can also be used to describe historic or ongoing events. A Timing schedule can be a list of events and/or criteria for when the event happens, which can be expressed in a structured form and/or as a code. When both event and a repeating specification are provided, the list of events should be understood as an interpretation of the information in the repeat structure.
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nutrient | 0..* | BackboneElement | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.nutrient Required nutrient modifications DefinitionClass that defines the quantity and type of nutrient modifications (for example carbohydrate, fiber or sodium) required for the oral diet.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.nutrient.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.nutrient.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.nutrient.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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modifier | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.nutrient.modifier Type of nutrient that is being modified DefinitionThe nutrient that is being modified such as carbohydrate or sodium. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Codes for types of nutrients that are being modified such as carbohydrate or sodium.
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amount | I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.nutrient.amount Quantity of the specified nutrient DefinitionThe quantity of the specified nutrient to include in diet. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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texture | 0..1 | BackboneElement | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture Required texture modifications DefinitionClass that describes any texture modifications required for the patient to safely consume various types of solid foods.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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modifier | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.modifier Code to indicate how to alter the texture of the foods, e.g. pureed DefinitionAny texture modifications (for solid foods) that should be made, e.g. easy to chew, chopped, ground, and pureed. Coupled with the foodType (Meat). Codes for food consistency types or texture modifications to apply to foods.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.modifier.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.modifier.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.modifier.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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text | Σ | 0..1 | string | Element idNutritionOrder.oralDiet.texture.modifier.text Consistency Alternate namesConsistentie DefinitionA description of the consistency of the food. 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. In FHIR there are different types of Consistency. For solid foods use
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foodType | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.foodType Concepts that are used to identify an entity that is ingested for nutritional purposes DefinitionThe food type(s) (e.g. meats, all foods) that the texture modification applies to. This could be all foods types. Coupled with the Codes for types of foods that are texture-modified.
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fluidConsistencyType | 0..* | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.fluidConsistencyType The required consistency of fluids and liquids provided to the patient DefinitionThe required consistency (e.g. honey-thick, nectar-thick, thin, thickened.) of liquids or fluids served to the patient. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Codes used to represent the consistency of fluids and liquids provided to the patient.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.fluidConsistencyType.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.fluidConsistencyType.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.fluidConsistencyType.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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text | Σ | 0..1 | string | Element idNutritionOrder.oralDiet.fluidConsistencyType.text Consistency Alternate namesConsistentie DefinitionA description of the consistency of the food. 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. In FHIR there are different types of Consistency. For solid foods use
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instruction | Σ | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.instruction Instructions or additional information about the oral diet DefinitionFree text or additional instructions or information pertaining to the oral diet. Free text dosage instructions can be used for cases where the instructions are too complex to code.
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supplement | I | 0..* | BackboneElement | There are no (further) constraints on this element Element idNutritionOrder.supplement Supplement components DefinitionOral nutritional products given in order to add further nutritional value to the patient's diet.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.supplement.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.supplement.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.supplement.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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type | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.supplement.type Type of supplement product requested DefinitionThe kind of nutritional supplement product required such as a high protein or pediatric clear liquid supplement. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Codes for nutritional supplements to be provided to the patient.
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productName | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.supplement.productName Product or brand name of the nutritional supplement DefinitionThe product or brand name of the nutritional supplement such as "Acme Protein Shake". Note that FHIR strings SHALL NOT exceed 1MB in size
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schedule | 0..* | Timing | There are no (further) constraints on this element Element idNutritionOrder.supplement.schedule Scheduled frequency of supplement Alternate namesFrequency DefinitionThe 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. Describes the occurrence of an event that may occur multiple times. Timing schedules are used for specifying when events are expected or requested to occur, and may also be used to represent the summary of a past or ongoing event. For simplicity, the definitions of Timing components are expressed as 'future' events, but such components can also be used to describe historic or ongoing events. A Timing schedule can be a list of events and/or criteria for when the event happens, which can be expressed in a structured form and/or as a code. When both event and a repeating specification are provided, the list of events should be understood as an interpretation of the information in the repeat structure.
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quantity | I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idNutritionOrder.supplement.quantity Amount of the nutritional supplement DefinitionThe amount of the nutritional supplement to be given. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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instruction | Σ | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.supplement.instruction Instructions or additional information about the oral supplement DefinitionFree text or additional instructions or information pertaining to the oral supplement. Free text dosage instructions can be used for cases where the instructions are too complex to code.
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enteralFormula | I | 0..1 | BackboneElement | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula Enteral formula components DefinitionFeeding provided through the gastrointestinal tract via a tube, catheter, or stoma that delivers nutrition distal to the oral cavity.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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baseFormulaType | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.baseFormulaType Type of enteral or infant formula DefinitionThe type of enteral or infant formula such as an adult standard formula with fiber or a soy-based infant formula. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Codes for type of enteral formula to be administered to patient.
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baseFormulaProductName | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.baseFormulaProductName Product or brand name of the enteral or infant formula DefinitionThe product or brand name of the enteral or infant formula product such as "ACME Adult Standard Formula". Note that FHIR strings SHALL NOT exceed 1MB in size
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additiveType | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.additiveType Type of modular component to add to the feeding DefinitionIndicates the type of modular component such as protein, carbohydrate, fat or fiber to be provided in addition to or mixed with the base formula. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. 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.
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additiveProductName | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.additiveProductName Product or brand name of the modular additive DefinitionThe product or brand name of the type of modular component to be added to the formula. Note that FHIR strings SHALL NOT exceed 1MB in size
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caloricDensity | I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.caloricDensity Amount of energy per specified volume that is required DefinitionThe 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. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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routeofAdministration | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.routeofAdministration How the formula should enter the patient's gastrointestinal tract DefinitionThe route or physiological path of administration into the patient's gastrointestinal tract for purposes of providing the formula feeding, e.g. nasogastric tube. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Codes specifying the route of administration of enteral formula.
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administration | 0..* | BackboneElement | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administration Formula feeding instruction as structured data DefinitionFormula 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. See implementation notes below for further discussion on how to order continuous vs bolus enteral feeding using this resource.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administration.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administration.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administration.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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schedule | 0..1 | Timing | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administration.schedule Scheduled frequency of enteral feeding Alternate namesFrequency DefinitionThe time period and frequency at which the enteral formula should be delivered to the patient. Describes the occurrence of an event that may occur multiple times. Timing schedules are used for specifying when events are expected or requested to occur, and may also be used to represent the summary of a past or ongoing event. For simplicity, the definitions of Timing components are expressed as 'future' events, but such components can also be used to describe historic or ongoing events. A Timing schedule can be a list of events and/or criteria for when the event happens, which can be expressed in a structured form and/or as a code. When both event and a repeating specification are provided, the list of events should be understood as an interpretation of the information in the repeat structure.
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quantity | I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administration.quantity The volume of formula to provide DefinitionThe volume of formula to provide to the patient per the specified administration schedule. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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rate[x] | 0..1 | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administration.rate[x] Speed with which the formula is provided per period of time DefinitionThe rate of administration of formula via a feeding pump, e.g. 60 mL per hour, according to the specified schedule. 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".
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rateQuantity | SimpleQuantity | There are no (further) constraints on this element Data type | ||
rateRatio | Ratio | There are no (further) constraints on this element Data type | ||
maxVolumeToDeliver | I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.maxVolumeToDeliver Upper limit on formula volume per unit of time DefinitionThe maximum total quantity of formula that may be administered to a subject over the period of time, e.g. 1440 mL over 24 hours. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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administrationInstruction | Σ | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administrationInstruction Formula feeding instructions expressed as text DefinitionFree text formula administration, feeding instructions or additional instructions or information. Free text dosage instructions can be used for cases where the instructions are too complex to code.
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note | 0..1 | Annotation | There are no (further) constraints on this element Element idNutritionOrder.note Comments DefinitionComments made about the {{title}} by the requester, performer, subject or other participants. This element SHALL NOT be used to supply free text instructions for the diet which are represented in the
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.note.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.note.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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author[x] | Σ | 0..1 | There are no (further) constraints on this element Element idNutritionOrder.note.author[x] Individual responsible for the annotation DefinitionThe individual responsible for making the annotation. Organization is used when there's no need for specific attribution as to who made the comment.
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authorString | string | There are no (further) constraints on this element Data type | ||
authorReference | Reference(Practitioner | Patient | RelatedPerson | Organization) | There are no (further) constraints on this element Data type Reference(Practitioner | Patient | RelatedPerson | Organization) | ||
time | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idNutritionOrder.note.time When the annotation was made DefinitionIndicates when this particular annotation was made.
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text | Σ | 1..1 | markdown | Element idNutritionOrder.note.text Comment Alternate namesToelichting DefinitionA comment on the nutrition advice. Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/
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NutritionOrder | I | NutritionOrder | Element idNutritionOrder NutritionAdvice Alternate namesNutrition Order, Diet Order, Diet, Nutritional Supplement, Enteral Nutrition, Voedingsadvies DefinitionA request to supply a diet, formula feeding (enteral) or oral nutritional supplement to a patient/resident. Referenced by an Order Request (workflow).
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id | Σ | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idNutritionOrder.meta Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idNutritionOrder.implicitRules A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. 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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
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language | 0..1 | codeBinding | There are no (further) constraints on this element Element idNutritionOrder.language Language of the resource content DefinitionThe base language in which the resource is written. 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). A human language.
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text | 0..1 | Narrative | There are no (further) constraints on this element Element idNutritionOrder.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can 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. 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 information is added later.
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contained | 0..* | Resource | There are no (further) constraints on this element Element idNutritionOrder.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese 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. 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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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indication | I | 0..1 | Extension(Reference(Condition | DiagnosticReport | DocumentReference | Observation | Media)) | Element idNutritionOrder.extension:indication Why was event performed? Alternate namesextensions, user content DefinitionIndicates another resource whose existence justifies this event. 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. Extension(Reference(Condition | DiagnosticReport | DocumentReference | Observation | Media)) Extension URLhttp://hl7.org/fhir/StructureDefinition/workflow-reasonReference Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.extension:indication.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..0 | Extension | There are no (further) constraints on this element Element idNutritionOrder.extension:indication.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idNutritionOrder.extension:indication.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. 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. http://hl7.org/fhir/StructureDefinition/workflow-reasonReference
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value[x] | 1..1 | Element idNutritionOrder.extension:indication.value[x] Indication Alternate namesIndicatie DefinitionThe indication is the reason for advising the diet.
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valueReference | Reference(Condition | DiagnosticReport | DocumentReference | Observation | Media | HdBe-Problem) | Data type Reference(Condition | DiagnosticReport | DocumentReference | Observation | Media | HdBe-Problem) | ||
modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay 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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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identifier | 0..* | Identifier | There are no (further) constraints on this element Element idNutritionOrder.identifier Identifiers assigned to this order DefinitionIdentifiers assigned to this order by the order sender or by the order receiver. The Identifier.type element can be to indicate filler vs. placer if needed. This is explained in further detail here.
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instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | There are no (further) constraints on this element Element idNutritionOrder.instantiatesCanonical Instantiates FHIR protocol or definition DefinitionThe URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this NutritionOrder. Note: This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. canonical(ActivityDefinition | PlanDefinition) Constraints
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instantiatesUri | Σ | 0..* | uri | There are no (further) constraints on this element Element idNutritionOrder.instantiatesUri Instantiates external protocol or definition DefinitionThe URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this NutritionOrder. This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.
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instantiates | 0..* | uri | There are no (further) constraints on this element Element idNutritionOrder.instantiates Instantiates protocol or definition DefinitionThe URL pointing to a protocol, guideline, orderset or other definition that is adhered to in whole or in part by this NutritionOrder. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
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status | Σ ?! | 1..1 | codeBinding | There are no (further) constraints on this element Element idNutritionOrder.status draft | active | on-hold | revoked | completed | entered-in-error | unknown DefinitionThe workflow status of the nutrition order/request. 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. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Codes identifying the lifecycle stage of the nutrition order.
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intent | Σ ?! | 1..1 | codeBinding | Element idNutritionOrder.intent proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Alternate namescategory DefinitionIndicates the level of authority/intentionality associated with the NutrionOrder and where the request fits into the workflow chain. Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain. No CBB concept can be mapped to Codes indicating the degree of authority/intentionality associated with a nutrition order.
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patient | Σ I | 1..1 | Reference(Patient | HdBe-Patient) | Element idNutritionOrder.patient The person who requires the diet, formula or nutritional supplement DefinitionThe person (patient) who needs the nutrition order for an oral diet, nutritional supplement and/or enteral or formula feeding. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(Patient | HdBe-Patient) Constraints
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encounter | I | 0..1 | Reference(Encounter) | There are no (further) constraints on this element Element idNutritionOrder.encounter The encounter associated with this nutrition order DefinitionAn encounter that provides additional information about the healthcare context in which this request is made. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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dateTime | Σ | 1..1 | dateTime | There are no (further) constraints on this element Element idNutritionOrder.dateTime Date and time the nutrition order was requested DefinitionThe date and time that this nutrition order was requested.
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orderer | Σ I | 0..1 | Reference(Practitioner | PractitionerRole) | There are no (further) constraints on this element Element idNutritionOrder.orderer Who ordered the diet, formula or nutritional supplement DefinitionThe practitioner that holds legal responsibility for ordering the diet, nutritional supplement, or formula feedings. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(Practitioner | PractitionerRole) Constraints
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allergyIntolerance | I | 0..* | Reference(AllergyIntolerance) | There are no (further) constraints on this element Element idNutritionOrder.allergyIntolerance List of the patient's food and nutrition-related allergies and intolerances DefinitionA link to a record of allergies or intolerances which should be included in the nutrition order. 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.
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foodPreferenceModifier | 0..* | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.foodPreferenceModifier Order-specific modifier about the type of food that should be given DefinitionThis 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. Information on a patient's food preferences that inform healthcare personnel about the food that the patient should receive or consume. Medical, cultural or ethical food preferences to help with catering requirements.
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excludeFoodModifier | 0..* | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.excludeFoodModifier Order-specific modifier about the type of food that should not be given DefinitionThis modifier is used to convey Order-specific modifier about the type of oral food or oral fluids 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. 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. Codes used to indicate the type of food that should NOT be given to the patient.
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oralDiet | I | 0..1 | BackboneElement | There are no (further) constraints on this element Element idNutritionOrder.oralDiet Oral diet components DefinitionDiet given orally in contrast to enteral (tube) feeding.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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type | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.type Type of oral diet or diet restrictions that describe what can be consumed orally DefinitionThe kind of diet or dietary restriction such as fiber restricted diet or diabetic diet. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Codes used to indicate the type of diet being ordered for a patient.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.type.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.type.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.type.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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text | Σ | 0..1 | string | Element idNutritionOrder.oralDiet.type.text DietType Alternate namesDieetType DefinitionDescription of the type of diet. 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. Very often the text is the same as a displayName of one of the codings.
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schedule | 0..* | Timing | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.schedule Scheduled frequency of diet Alternate namesFrequency DefinitionThe 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. Describes the occurrence of an event that may occur multiple times. Timing schedules are used for specifying when events are expected or requested to occur, and may also be used to represent the summary of a past or ongoing event. For simplicity, the definitions of Timing components are expressed as 'future' events, but such components can also be used to describe historic or ongoing events. A Timing schedule can be a list of events and/or criteria for when the event happens, which can be expressed in a structured form and/or as a code. When both event and a repeating specification are provided, the list of events should be understood as an interpretation of the information in the repeat structure.
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nutrient | 0..* | BackboneElement | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.nutrient Required nutrient modifications DefinitionClass that defines the quantity and type of nutrient modifications (for example carbohydrate, fiber or sodium) required for the oral diet.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.nutrient.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.nutrient.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.nutrient.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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modifier | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.nutrient.modifier Type of nutrient that is being modified DefinitionThe nutrient that is being modified such as carbohydrate or sodium. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Codes for types of nutrients that are being modified such as carbohydrate or sodium.
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amount | I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.nutrient.amount Quantity of the specified nutrient DefinitionThe quantity of the specified nutrient to include in diet. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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texture | 0..1 | BackboneElement | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture Required texture modifications DefinitionClass that describes any texture modifications required for the patient to safely consume various types of solid foods.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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modifier | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.modifier Code to indicate how to alter the texture of the foods, e.g. pureed DefinitionAny texture modifications (for solid foods) that should be made, e.g. easy to chew, chopped, ground, and pureed. Coupled with the foodType (Meat). Codes for food consistency types or texture modifications to apply to foods.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.modifier.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.modifier.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.modifier.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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text | Σ | 0..1 | string | Element idNutritionOrder.oralDiet.texture.modifier.text Consistency Alternate namesConsistentie DefinitionA description of the consistency of the food. 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. In FHIR there are different types of Consistency. For solid foods use
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foodType | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.texture.foodType Concepts that are used to identify an entity that is ingested for nutritional purposes DefinitionThe food type(s) (e.g. meats, all foods) that the texture modification applies to. This could be all foods types. Coupled with the Codes for types of foods that are texture-modified.
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fluidConsistencyType | 0..* | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.fluidConsistencyType The required consistency of fluids and liquids provided to the patient DefinitionThe required consistency (e.g. honey-thick, nectar-thick, thin, thickened.) of liquids or fluids served to the patient. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Codes used to represent the consistency of fluids and liquids provided to the patient.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.fluidConsistencyType.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.fluidConsistencyType.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.fluidConsistencyType.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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text | Σ | 0..1 | string | Element idNutritionOrder.oralDiet.fluidConsistencyType.text Consistency Alternate namesConsistentie DefinitionA description of the consistency of the food. 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. In FHIR there are different types of Consistency. For solid foods use
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instruction | Σ | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.oralDiet.instruction Instructions or additional information about the oral diet DefinitionFree text or additional instructions or information pertaining to the oral diet. Free text dosage instructions can be used for cases where the instructions are too complex to code.
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supplement | I | 0..* | BackboneElement | There are no (further) constraints on this element Element idNutritionOrder.supplement Supplement components DefinitionOral nutritional products given in order to add further nutritional value to the patient's diet.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.supplement.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.supplement.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.supplement.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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type | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.supplement.type Type of supplement product requested DefinitionThe kind of nutritional supplement product required such as a high protein or pediatric clear liquid supplement. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Codes for nutritional supplements to be provided to the patient.
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productName | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.supplement.productName Product or brand name of the nutritional supplement DefinitionThe product or brand name of the nutritional supplement such as "Acme Protein Shake". Note that FHIR strings SHALL NOT exceed 1MB in size
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schedule | 0..* | Timing | There are no (further) constraints on this element Element idNutritionOrder.supplement.schedule Scheduled frequency of supplement Alternate namesFrequency DefinitionThe 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. Describes the occurrence of an event that may occur multiple times. Timing schedules are used for specifying when events are expected or requested to occur, and may also be used to represent the summary of a past or ongoing event. For simplicity, the definitions of Timing components are expressed as 'future' events, but such components can also be used to describe historic or ongoing events. A Timing schedule can be a list of events and/or criteria for when the event happens, which can be expressed in a structured form and/or as a code. When both event and a repeating specification are provided, the list of events should be understood as an interpretation of the information in the repeat structure.
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quantity | I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idNutritionOrder.supplement.quantity Amount of the nutritional supplement DefinitionThe amount of the nutritional supplement to be given. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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instruction | Σ | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.supplement.instruction Instructions or additional information about the oral supplement DefinitionFree text or additional instructions or information pertaining to the oral supplement. Free text dosage instructions can be used for cases where the instructions are too complex to code.
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enteralFormula | I | 0..1 | BackboneElement | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula Enteral formula components DefinitionFeeding provided through the gastrointestinal tract via a tube, catheter, or stoma that delivers nutrition distal to the oral cavity.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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baseFormulaType | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.baseFormulaType Type of enteral or infant formula DefinitionThe type of enteral or infant formula such as an adult standard formula with fiber or a soy-based infant formula. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Codes for type of enteral formula to be administered to patient.
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baseFormulaProductName | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.baseFormulaProductName Product or brand name of the enteral or infant formula DefinitionThe product or brand name of the enteral or infant formula product such as "ACME Adult Standard Formula". Note that FHIR strings SHALL NOT exceed 1MB in size
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additiveType | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.additiveType Type of modular component to add to the feeding DefinitionIndicates the type of modular component such as protein, carbohydrate, fat or fiber to be provided in addition to or mixed with the base formula. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. 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.
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additiveProductName | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.additiveProductName Product or brand name of the modular additive DefinitionThe product or brand name of the type of modular component to be added to the formula. Note that FHIR strings SHALL NOT exceed 1MB in size
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caloricDensity | I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.caloricDensity Amount of energy per specified volume that is required DefinitionThe 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. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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routeofAdministration | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.routeofAdministration How the formula should enter the patient's gastrointestinal tract DefinitionThe route or physiological path of administration into the patient's gastrointestinal tract for purposes of providing the formula feeding, e.g. nasogastric tube. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Codes specifying the route of administration of enteral formula.
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administration | 0..* | BackboneElement | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administration Formula feeding instruction as structured data DefinitionFormula 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. See implementation notes below for further discussion on how to order continuous vs bolus enteral feeding using this resource.
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administration.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administration.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administration.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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schedule | 0..1 | Timing | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administration.schedule Scheduled frequency of enteral feeding Alternate namesFrequency DefinitionThe time period and frequency at which the enteral formula should be delivered to the patient. Describes the occurrence of an event that may occur multiple times. Timing schedules are used for specifying when events are expected or requested to occur, and may also be used to represent the summary of a past or ongoing event. For simplicity, the definitions of Timing components are expressed as 'future' events, but such components can also be used to describe historic or ongoing events. A Timing schedule can be a list of events and/or criteria for when the event happens, which can be expressed in a structured form and/or as a code. When both event and a repeating specification are provided, the list of events should be understood as an interpretation of the information in the repeat structure.
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quantity | I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administration.quantity The volume of formula to provide DefinitionThe volume of formula to provide to the patient per the specified administration schedule. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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rate[x] | 0..1 | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administration.rate[x] Speed with which the formula is provided per period of time DefinitionThe rate of administration of formula via a feeding pump, e.g. 60 mL per hour, according to the specified schedule. 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".
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rateQuantity | SimpleQuantity | There are no (further) constraints on this element Data type | ||
rateRatio | Ratio | There are no (further) constraints on this element Data type | ||
maxVolumeToDeliver | I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.maxVolumeToDeliver Upper limit on formula volume per unit of time DefinitionThe maximum total quantity of formula that may be administered to a subject over the period of time, e.g. 1440 mL over 24 hours. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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administrationInstruction | Σ | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.enteralFormula.administrationInstruction Formula feeding instructions expressed as text DefinitionFree text formula administration, feeding instructions or additional instructions or information. Free text dosage instructions can be used for cases where the instructions are too complex to code.
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note | 0..1 | Annotation | There are no (further) constraints on this element Element idNutritionOrder.note Comments DefinitionComments made about the {{title}} by the requester, performer, subject or other participants. This element SHALL NOT be used to supply free text instructions for the diet which are represented in the
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id | 0..1 | string | There are no (further) constraints on this element Element idNutritionOrder.note.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idNutritionOrder.note.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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author[x] | Σ | 0..1 | There are no (further) constraints on this element Element idNutritionOrder.note.author[x] Individual responsible for the annotation DefinitionThe individual responsible for making the annotation. Organization is used when there's no need for specific attribution as to who made the comment.
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authorString | string | There are no (further) constraints on this element Data type | ||
authorReference | Reference(Practitioner | Patient | RelatedPerson | Organization) | There are no (further) constraints on this element Data type Reference(Practitioner | Patient | RelatedPerson | Organization) | ||
time | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idNutritionOrder.note.time When the annotation was made DefinitionIndicates when this particular annotation was made.
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text | Σ | 1..1 | markdown | Element idNutritionOrder.note.text Comment Alternate namesToelichting DefinitionA comment on the nutrition advice. Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/
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Mapping FHIR profile to CBB
Path | map | CBB |
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NutritionOrder | NutritionAdvice | HdBe-NutritionAdvice |
NutritionOrder.extension:indication.value[x] | NutritionAdvice.Indication | HdBe-NutritionAdvice |
NutritionOrder.oralDiet.type.text | NutritionAdvice.DietType | HdBe-NutritionAdvice |
NutritionOrder.oralDiet.texture.modifier.text | NutritionAdvice.Consistency | HdBe-NutritionAdvice |
NutritionOrder.oralDiet.fluidConsistencyType.text | NutritionAdvice.Consistency | HdBe-NutritionAdvice |
NutritionOrder.note.text | NutritionAdvice.Comment | HdBe-NutritionAdvice |
zib NutritionAdvice difference
Concept | Category | Description |
---|---|---|
oralDiet.texture.modifier.text |
textual | Added syntax code highlighting for paths in the comment. |
oralDiet.fluidConsistencyType.text |
textual | Added syntax code highlighting for paths in the comment. |