Nutrition FHIR Resource Proposal
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 (Elaine to confirm)
- Pharmacy
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 will come from the V3 Doman Analysis Model: Diet and Nutrition Orders, Release 2 [1]
Oral diet (including nutrient medication and texture modifications) Oral nutritional supplements Enteral (tube feeding) for both adult and pediatric patients Infant formula
Resource Relationships
- Order
- OrderResponse
- Substance
- Medication (as this relates to nutritional supplements)
Timelines
gForge Users
Claude Nanjo
Jean Duteau
Lorraine Constable