Difference between revisions of "Nutrition FHIR Resource Proposal"
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− | This page documents a [[:category: | + | This page documents a [[:category:Approved FHIR Resource Proposal|Approved]] [[:category:FHIR Resource Proposal|FHIR Resource Proposal]] |
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<!-- Additional work groups that may have an interest in contributing to, or reviewing the content of the resource (optional) --> | <!-- Additional work groups that may have an interest in contributing to, or reviewing the content of the resource (optional) --> | ||
− | * Patient Care ( | + | * Patient Care (for review) |
− | * Pharmacy | + | * Pharmacy (for review) |
− | |||
==FHIR Resource Development Project Insight ID== | ==FHIR Resource Development Project Insight ID== | ||
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Provider orders a diet/enteral nutrition/infant formula/oral nutritional supplement for a patient or resident in a healthcare facility. | Provider orders a diet/enteral nutrition/infant formula/oral nutritional supplement for a patient or resident in a healthcare facility. | ||
− | * Specific use cases | + | * Specific use cases were taken from the V3 Doman Analysis Model: Diet and Nutrition Orders, Release 2 [http://www.hl7.org/implement/standards/product_brief.cfm?product_id=289] |
+ | |||
+ | 1. Provider places an order for an oral diet which may include nutrient medications and texture modifications. | ||
+ | |||
+ | * Order a 'General Healthy' diet (no other dietary restrictions) for a newly admitted patient | ||
+ | * Order a complex nutrient modified diet (80 g Protein, Consistent Carbohydrate, 2 gram Sodium, 2 gram Potassium, 800-1000 mg Phosphorus, 1500 mL Fluid Restriction) for a diabetic patient undergoing renal dialysis for chronic kidney disease. | ||
+ | * Order a texture modified diet (Mechanical Soft with Pureed Meats) for a stroke patient in rehabilitation. | ||
+ | |||
+ | |||
+ | 2. Oral for addition of high-protein oral nutritional supplement product 3 times per day between Meals (AM / PM / HS snack periods). | ||
+ | Note this is in addition to the order for this patient's oral diet. | ||
+ | |||
− | + | 3. Enteral (tube feeding)for adult patient requiring a Standard High Energy (1.5 Calorie/mL) Enteral Formula product to be administered via continuous pump, start at 20 mL/hour and increase rate by 10 mL/hour every hour until target/goal rate of 60 mL/hour. Follow standard administration protocol (order set) for elevating head of bed, flushing tube with water. | |
− | + | ||
− | Enteral (tube feeding) for | + | |
− | Infant formula | + | 4. Infant formula order for a specialty hydrolyzed protein infant formula prepared to 27 Calories/fluid oz plus 5 gram carbohydrate/fat additive per ounce; feeding 2 fluid ounces orally via bottle or syringe every 4 hours. |
==Resource Relationships== | ==Resource Relationships== | ||
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* OrderResponse | * OrderResponse | ||
* Substance | * Substance | ||
− | * | + | * MedicationPrescription - (Need to harmonize overlap that relates to ordering dietary supplements vs. oral nutritional supplements/medical foods) |
==Timelines== | ==Timelines== | ||
<!-- Indicate the target date for having the resource complete from a committee perspective and ready for vetting and voting --> | <!-- Indicate the target date for having the resource complete from a committee perspective and ready for vetting and voting --> | ||
+ | |||
+ | Next FHIR DSTU Ballot - January 2015 Ballot Cycle | ||
+ | |||
+ | * Draft Content to be ready for QA by FHIR ballot prep deadline (2014-09-21) | ||
==gForge Users== | ==gForge Users== |
Latest revision as of 21:12, 1 April 2015
Contents
- 1 NutritionOrder
- 1.1 Owning committee name
- 1.2 Contributing or Reviewing Work Groups
- 1.3 FHIR Resource Development Project Insight ID
- 1.4 Scope of coverage
- 1.5 RIM scope
- 1.6 Resource appropriateness
- 1.7 Expected implementations
- 1.8 Content sources
- 1.9 Example Scenarios
- 1.10 Resource Relationships
- 1.11 Timelines
- 1.12 gForge Users
NutritionOrder
Owning committee name
Contributing or Reviewing Work Groups
- Patient Care (for review)
- Pharmacy (for review)
FHIR Resource Development Project Insight ID
Project ID - 1081
Scope of coverage
Nutrition Order resource covers information needed for ordering oral diets (including general diets such as General Healthy diet, or therapeutic diets such as Consistent Carbohydrate, 2 gram Sodium, Fluid Restricted), enteral nutrition (tube feedings), infant formula and oral nutritional supplements which govern the distribution of food and nutritional products used to feed patients in in-patient healthcare settings. These nutrition orders are combined with information on a patient's food allergies and intolerances, and ethnic or cultural food preferences (Kosher, Vegetarian) to inform healthcare personnel about the type, texture, and/or quantity of foods that the patient should receive or consume.
Out of scope for initial resource work:
- Parenteral Nutrition (IV nutrition)
- Food Preferences
RIM scope
SupplyRequest
Resource appropriateness
Diet and Nutrition is a critical aspect of human health. Many health conditions require dietary or nutrition modifications. It is essential to share or exchange information about a patient’s nutritional requirements with multiple healthcare providers and with the food and nutrition/catering operations within an in-patient healthcare setting.
Expected implementations
Can be expected to be implemented as messaging between EHR/EMR and Food and Nutrition Management Systems in hospitals and long-term care facilities.
Content sources
- Diet and Nutrition Domain Analysis Model, R2
- V3 Nutrition Orders Clinical Messaging DSTU
- C-CDA R2 Nutrition Templates (Nutrition Recommendation template)
- HL7 v2 specification (ORC – ODS segment)
- vMR Logical Model
- OpenEHR (?)
Example Scenarios
Provider orders a diet/enteral nutrition/infant formula/oral nutritional supplement for a patient or resident in a healthcare facility.
- Specific use cases were taken from the V3 Doman Analysis Model: Diet and Nutrition Orders, Release 2 [1]
1. Provider places an order for an oral diet which may include nutrient medications and texture modifications.
- Order a 'General Healthy' diet (no other dietary restrictions) for a newly admitted patient
- Order a complex nutrient modified diet (80 g Protein, Consistent Carbohydrate, 2 gram Sodium, 2 gram Potassium, 800-1000 mg Phosphorus, 1500 mL Fluid Restriction) for a diabetic patient undergoing renal dialysis for chronic kidney disease.
- Order a texture modified diet (Mechanical Soft with Pureed Meats) for a stroke patient in rehabilitation.
2. Oral for addition of high-protein oral nutritional supplement product 3 times per day between Meals (AM / PM / HS snack periods).
Note this is in addition to the order for this patient's oral diet.
3. Enteral (tube feeding)for adult patient requiring a Standard High Energy (1.5 Calorie/mL) Enteral Formula product to be administered via continuous pump, start at 20 mL/hour and increase rate by 10 mL/hour every hour until target/goal rate of 60 mL/hour. Follow standard administration protocol (order set) for elevating head of bed, flushing tube with water.
4. Infant formula order for a specialty hydrolyzed protein infant formula prepared to 27 Calories/fluid oz plus 5 gram carbohydrate/fat additive per ounce; feeding 2 fluid ounces orally via bottle or syringe every 4 hours.
Resource Relationships
- Order
- OrderResponse
- Substance
- MedicationPrescription - (Need to harmonize overlap that relates to ordering dietary supplements vs. oral nutritional supplements/medical foods)
Timelines
Next FHIR DSTU Ballot - January 2015 Ballot Cycle
- Draft Content to be ready for QA by FHIR ballot prep deadline (2014-09-21)
gForge Users
Claude Nanjo
Jean Duteau
Lorraine Constable