--- type: "resource-definitions" title: "NutritionIntake Definitions" resource: "NutritionIntake" --- # NutritionIntake Definitions ## NutritionIntake Record of intake by a patient **Definition:** A record of intake by a patient. A NutritionIntake may indicate that the patient may be consuming the food (i.e., solid and/or liquid), breastmilk, infant formula, supplements, enteral formula now or has consumed it in the past. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay or through an app that tracks food (i.e., solid and/or liquid), breastmilk, infant formula, supplements, enteral formula consumed. The consumption information may come from sources such as the patient's memory, from a nutrition label, or from a clinician documenting observed intake. **Cardinality:** 0..* **Mappings:** workflow=Event; rim=N/A; w5=clinical.careprovision ## NutritionIntake.identifier External identifier **Definition:** Identifiers associated with this Nutrition Intake that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. **Comments:** This is a business identifier, not a resource identifier. **Cardinality:** 0..* **Type:** [Identifier](/Identifier) **Summary:** true **Mappings:** workflow=Event.identifier; w5=FiveWs.identifier ## NutritionIntake.basedOn Fulfils plan, proposal or order **Definition:** A plan, proposal or order that is fulfilled in whole or in part by this event. **Requirements:** Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon. **Cardinality:** 0..* **Type:** Reference([NutritionOrder](/NutritionOrder), [CarePlan](/CarePlan), [ServiceRequest](/ServiceRequest)) **Summary:** true **Mappings:** workflow=Event.basedOn ## NutritionIntake.partOf Part of referenced event **Definition:** A larger event of which this particular event is a component or step. **Requirements:** This should not be used when indicating which resource a NutritionIntake has been derived from. If that is the use case, then NutritionIntake.derivedFrom should be used. **Cardinality:** 0..* **Type:** Reference([NutritionIntake](/NutritionIntake), [Procedure](/Procedure), [Observation](/Observation)) **Summary:** true **Mappings:** workflow=Event.partOf ## NutritionIntake.status preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown **Definition:** A code representing the patient or other source's judgment about the state of the intake that this assertion is about. Generally, this will be active or completed. **Comments:** NutritionIntake is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for NutritionIntake.status contains codes that assert the status of the consumption of the food (i.e. solid and/or liquid), breastmilk, infant formula, supplements, enteral formula by the patient (for example, stopped or on hold) as well as codes that assert the status of the Nutrition Intake itself (for example, entered in error). This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. **Cardinality:** 1..1 **Type:** [code](/code) **Binding:** required:[event-status](/valueset-event-status) **Summary:** true **Is Modifier:** true (Reason: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid) **Mappings:** workflow=Event.status; w5=FiveWs.status ## NutritionIntake.statusReason Reason for current status **Definition:** Captures the reason for the current state of the NutritionIntake. **Comments:** This is generally only used for "exception" statuses such as "not-taken", "on-hold", "cancelled" or "entered-in-error". The reason for performing the event at all is captured in reasonCode, not here. **Cardinality:** 0..* **Type:** [CodeableConcept](/CodeableConcept) **Binding:** example:[nutritionintake-status-reason](/valueset-nutritionintake-status-reason) **Mappings:** workflow=Event.statusReason ## NutritionIntake.code Code representing an overall type of nutrition intake **Definition:** Overall type of nutrition intake. **Cardinality:** 0..1 **Type:** [CodeableConcept](/CodeableConcept) **Binding:** preferred:[diet-type](/valueset-diet-type) **Summary:** true **Mappings:** w5=FiveWs.class ## NutritionIntake.subject Who is/was consuming the food (i.e. solid and/or liquid) **Definition:** The person or group who is/was consuming the food (i.e. solid and/or liquid). **Cardinality:** 1..1 **Type:** Reference([Patient](/Patient), [Group](/Group)) **Summary:** true **Mappings:** workflow=Event.subject; w5=FiveWs.subject ## NutritionIntake.encounter Encounter associated with NutritionIntake **Definition:** The encounter that establishes the context for this NutritionIntake. **Cardinality:** 0..1 **Type:** Reference([Encounter](/Encounter)) **Summary:** true **Mappings:** workflow=Event.encounter ## NutritionIntake.occurrence[x] The date/time or interval when the food (i.e. solid and/or liquid) is/was consumed **Definition:** The interval of time during which it is being asserted that the patient is/was consuming the food (i.e. solid and/or liquid). **Comments:** This attribute reflects the period over which the patient consumed the food (i.e. solid and/or liquid) and is expected to be populated on the majority of NutritionIntake. If the food (i.e. solid and/or liquid) is still being taken and is expected to continue indefinitely at the time the usage is recorded, the "end" date will be omitted. If the end date is known, then it is included as the "end date". The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text. **Cardinality:** 0..1 **Type:** [dateTime](/dateTime), [Period](/Period) **Summary:** true **Mappings:** workflow=Event.occurrence[x]; w5=FiveWs.done[x] ## NutritionIntake.recorded When the intake was recorded **Definition:** The date when the Nutrition Intake was asserted by the information source. **Cardinality:** 0..1 **Type:** [dateTime](/dateTime) **Summary:** true **Mappings:** w5=FiveWs.recorded ## NutritionIntake.reported[x] Indicates if this is a reported rather than a primary record. Can also indicate the source that provided the information about the consumption **Definition:** Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth. It may also indicate the source that provided the information about the consumption. **Cardinality:** 0..1 **Type:** [boolean](/boolean), Reference([Patient](/Patient), [RelatedPerson](/RelatedPerson), [Practitioner](/Practitioner), [PractitionerRole](/PractitionerRole), [Organization](/Organization), [Group](/Group)) **Mappings:** w5=FiveWs.source ## NutritionIntake.nutritionItem The nutrition product intended for consumption and/or administration **Definition:** The nutrition product intended for consumption and/or administration. **Cardinality:** 0..* **Type:** [BackboneElement](/BackboneElement) **Constraints:** nin-1 | error | If nutritionItem is present then SHALL have at least one of nutritionItem.type or nutritionItem.nutritionProduct[x] | (type.exists() or nutritionProduct.exists()) ## NutritionIntake.nutritionItem.type The type of food (i.e. solid or liquid) product **Definition:** Indicates what a category of item that is intended to be consumed: e.g., food (i.e. solid and/or liquid), breastmilk, infant formula, supplements, enteral formula. **Cardinality:** 0..1 **Type:** [CodeableConcept](/CodeableConcept) **Binding:** example:[food-type](/valueset-food-type) **Summary:** true ## NutritionIntake.nutritionItem.nutritionProduct A product used for nutritional purposes (e.g. food or supplement) **Definition:** Identifies the food (i.e. solid and/or liquid) product that is to be consumed. This is potentially a link to a resource representing the details of the food product or a simple attribute carrying a code that identifies the food from a known list of foods. **Comments:** If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of a new nutritionProduct resource is recommended. **Cardinality:** 0..1 **Type:** [CodeableReference](/CodeableReference) **Binding:** preferred:[edible-substance-type](/valueset-edible-substance-type) **Summary:** true **Mappings:** workflow=Event.code; w5=FiveWs.what[x] ## NutritionIntake.nutritionItem.consumedItem What nutrition item was consumed **Definition:** What nutrition item was consumed. **Cardinality:** 0..* **Type:** [BackboneElement](/BackboneElement) ## NutritionIntake.nutritionItem.consumedItem.schedule Scheduled frequency of consumption **Definition:** Scheduled frequency of consumption. **Cardinality:** 0..1 **Type:** [Timing](/Timing) ## NutritionIntake.nutritionItem.consumedItem.amount Quantity of the specified food (i.e. solid and/or liquid) **Definition:** Quantity of the specified food (i.e. solid and/or liquid). **Cardinality:** 0..1 **Type:** [Quantity](/Quantity)([SimpleQuantity](/SimpleQuantity)) **Summary:** true ## NutritionIntake.nutritionItem.consumedItem.rate[x] Rate of enteral feeding administration **Definition:** Rate of enteral feeding administration. **Cardinality:** 0..1 **Type:** [Quantity](/Quantity), [Ratio](/Ratio) **Summary:** true ## NutritionIntake.nutritionItem.consumedItem.totalIntake Nutrients and/or energy contained in the intake **Definition:** Nutrients and/or energy contained in the intake. **Cardinality:** 0..* **Type:** [BackboneElement](/BackboneElement) ## NutritionIntake.nutritionItem.consumedItem.totalIntake.nutrient Type of nutrient consumed in the intake **Definition:** Type of nutrient consumed. This could be a macronutrient (protein, fat, carbohydrate), or a vitamin and mineral. **Cardinality:** 1..1 **Type:** [CodeableReference](/CodeableReference) **Binding:** example:[nutrient-code](/valueset-nutrient-code) ## NutritionIntake.nutritionItem.consumedItem.totalIntake.amount Total amount of nutrient consumed **Definition:** Total amount of nutrient consumed. **Cardinality:** 1..1 **Type:** [Quantity](/Quantity)([SimpleQuantity](/SimpleQuantity)) ## NutritionIntake.nutritionItem.consumedItem.totalIntake.energy Total energy consumed in kilocalories or kilojoules **Definition:** Total energy consumed in kilocalories or kilojoules. **Cardinality:** 0..1 **Type:** [Quantity](/Quantity)([SimpleQuantity](/SimpleQuantity)) ## NutritionIntake.nutritionItem.notConsumedItem What nutrition item was not consumed **Definition:** What nutrition item was not consumed. **Cardinality:** 0..* **Type:** [BackboneElement](/BackboneElement) ## NutritionIntake.nutritionItem.notConsumedItem.reason Reason the nutrition item was not consumed **Definition:** Document the reason the nutrition item was not consumed, such as refused, held, etc. **Cardinality:** 0..1 **Type:** [CodeableConcept](/CodeableConcept) **Binding:** example:[not-consumed-reason](/valueset-not-consumed-reason) ## NutritionIntake.nutritionItem.notConsumedItem.schedule The intended frequency of consumption that was not followed **Definition:** The intended frequency of consumption that was not followed. **Cardinality:** 0..1 **Type:** [Timing](/Timing) ## NutritionIntake.nutritionItem.notConsumedItem.amount Quantity of the specified food (i.e. solid and/or liquid) that was not consumed **Definition:** Quantity of the specified food (i.e. solid and/or liquid) that was not consumed. **Cardinality:** 0..1 **Type:** [Quantity](/Quantity)([SimpleQuantity](/SimpleQuantity)) **Summary:** true ## NutritionIntake.performer Who or what performed the intake and how they were involved **Definition:** Who or what performed the intake and how they were involved. **Cardinality:** 0..* **Type:** [BackboneElement](/BackboneElement) ## NutritionIntake.performer.function Type of performer **Definition:** Type of performance. **Cardinality:** 0..1 **Type:** [CodeableConcept](/CodeableConcept) **Binding:** example:[performer-role](/valueset-performer-role) ## NutritionIntake.performer.actor Who or what performed the intake **Definition:** Who or what performed the intake. **Cardinality:** 1..1 **Type:** Reference([Practitioner](/Practitioner), [PractitionerRole](/PractitionerRole), [Organization](/Organization), [CareTeam](/CareTeam), [Patient](/Patient), [Device](/Device), [RelatedPerson](/RelatedPerson), [Group](/Group)) ## NutritionIntake.location Where the intake occurred **Definition:** Where the intake occurred. **Cardinality:** 0..1 **Type:** Reference([Location](/Location)) ## NutritionIntake.derivedFrom Additional supporting information **Definition:** Allows linking the NutritionIntake to the underlying NutritionOrder, or to other information, such as AllergyIntolerance, that supports or is used to derive the NutritionIntake. **Comments:** Likely references would be to AllergyIntolerance, Observation or QuestionnaireAnswers. **Cardinality:** 0..* **Type:** Reference([Resource](/Resource)) ## NutritionIntake.reason Reason for why the food (i.e. solid and/or liquid) is /was consumed **Definition:** A reason, Condition or observation for why the food (i.e. solid and/or liquid) is /was consumed. **Cardinality:** 0..* **Type:** [CodeableReference](/CodeableReference) **Binding:** example:[condition-code](/valueset-condition-code) **Mappings:** workflow=Event.reason; w5=FiveWs.why[x] ## NutritionIntake.note Further information about the consumption **Definition:** Provides extra information about the Nutrition Intake that is not conveyed by the other attributes. **Cardinality:** 0..* **Type:** [Annotation](/Annotation) **Mappings:** workflow=Event.note