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 Diet and Nutrition Orders Domain Analysis Model, R2.
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