---
type: "resource-definitions"
title: "NutritionOrder Definitions"
resource: "NutritionOrder"
---
# NutritionOrder Definitions
## NutritionOrder
Diet, formula or nutritional supplement request
**Definition:** A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to an individual or group.
**Comments:** Referenced by an Order Request (workflow).
**Aliases:** Nutrition Order, Diet Order, Diet, Nutritional Supplement, Enteral Nutrition
**Cardinality:** 0..*
**Constraints:** nor-1 | error | Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class | oralDiet.exists() or supplement.exists() or enteralFormula.exists()
**Mappings:** workflow=Request; v2=ORC / ODS; rim=SupplyRequest; w5=clinical.careprovision
## NutritionOrder.identifier
Identifiers assigned to this order
**Definition:** Identifiers assigned to this order by the order sender or by the order receiver.
**Comments:** The Identifier.type element can be to indicate filler vs. placer if needed. This is explained in further detail [here](servicerequest.html#notes).
**Cardinality:** 0..*
**Type:** [Identifier](/Identifier)
**Mappings:** workflow=Request.identifier; w5=FiveWs.identifier; v2=ORC-2/ORC-3; rim=.id
## NutritionOrder.basedOn
What this order fulfills
**Definition:** A plan or request that is fulfilled in whole or in part by this nutrition order.
**Cardinality:** 0..*
**Type:** Reference([CarePlan](/CarePlan), [NutritionOrder](/NutritionOrder), [ServiceRequest](/ServiceRequest), [RequestOrchestration](/RequestOrchestration))
**Mappings:** workflow=Request.basedOn
## NutritionOrder.groupIdentifier
Composite Request ID
**Definition:** A shared identifier common to all nutrition orders that were authorized more or less simultaneously by a single author, representing the composite or group identifier.
**Aliases:** grouperId, groupIdentifier
**Cardinality:** 0..1
**Type:** [Identifier](/Identifier)
**Summary:** true
**Mappings:** workflow=Request.groupIdentifier; v2=ORC-4; rim=.inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier
## NutritionOrder.status
draft | active | on-hold | entered-in-error | ended | completed | revoked | unknown
**Definition:** The workflow status of the nutrition order/request.
**Comments:** 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.
**Cardinality:** 1..1
**Type:** [code](/code)
**Binding:** required:[request-status](/valueset-request-status)
**Summary:** true
**Is Modifier:** true (Reason: This element is labeled 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=Request.status; w5=FiveWs.status; v2=ORC-1; rim=.statusCode
## NutritionOrder.intent
proposal | solicit-offer | offer-response | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
**Definition:** Indicates the level of authority/intentionality associated with the NutrionOrder and where the request fits into the workflow chain.
**Comments:** When resources map to this element, they are free to define as many codes as necessary to cover their space and will map to "proposal, plan or order". Can have multiple codes that map to one of these. E.g. "original order", "encoded order", "reflex order" would all map to "order". Expectation is that the set of codes is mutually exclusive or a strict all-encompassing hierarchy.
**Requirements:** Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain.
**Aliases:** category
**Cardinality:** 1..1
**Type:** [code](/code)
**Binding:** required:[request-intent](/valueset-request-intent)
**Summary:** true
**Is Modifier:** true (Reason: This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request)
**Mappings:** workflow=Request.intent; w5=FiveWs.class; v2=N/A; rim=.moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)
## NutritionOrder.priority
routine | urgent | asap | stat
**Definition:** Indicates how quickly the Nutrition Order should be addressed with respect to other requests.
**Cardinality:** 0..1
**Type:** [code](/code)
**Binding:** required:[request-priority|6.0.0](/valueset-request-priority|6.0.0)
**Mappings:** workflow=Request.priority; w5=FiveWs.grade; rim=.priorityCode
## NutritionOrder.subject
Who requires the diet, formula or nutritional supplement
**Definition:** The person or set of individuals who needs the nutrition order for an oral diet, nutritional supplement and/or enteral or formula feeding.
**Cardinality:** 1..1
**Type:** Reference([Patient](/Patient), [Group](/Group))
**Summary:** true
**Mappings:** workflow=Request.subject; w5=FiveWs.subject; v2=PID; rim=.participation[typeCode=SBJ].role
## NutritionOrder.encounter
The encounter associated with this nutrition order
**Definition:** An encounter that provides additional information about the healthcare context in which this request is made.
**Cardinality:** 0..1
**Type:** Reference([Encounter](/Encounter))
**Mappings:** workflow=Request.encounter; w5=FiveWs.context; v2=PV1; rim=.inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
## NutritionOrder.supportingInformation
Information to support fulfilling of the nutrition order
**Definition:** Information to support fulfilling (i.e. dispensing or administering) of the nutrition, for example, patient height and weight).
**Cardinality:** 0..*
**Type:** Reference([Resource](/Resource))
## NutritionOrder.dateTime
Date and time the nutrition order was requested
**Definition:** The date and time that this nutrition order was requested.
**Cardinality:** 1..1
**Type:** [dateTime](/dateTime)
**Summary:** true
**Mappings:** workflow=Request.authoredOn; w5=FiveWs.recorded; v2=ORC-9; rim=author.time
## NutritionOrder.requester
Who ordered the diet, formula or nutritional supplement
**Definition:** The practitioner that holds legal responsibility for ordering the diet, nutritional supplement, or formula feedings.
**Cardinality:** 0..1
**Type:** Reference([Practitioner](/Practitioner), [PractitionerRole](/PractitionerRole))
**Summary:** true
**Mappings:** workflow=Request.requester; w5=FiveWs.author; v2=ORC-12; rim=.participation[typeCode=AUT].role
## NutritionOrder.performer
Who is intended to perform the administration of the nutrition order
**Definition:** The specified desired performer of the nutrition order.
**Cardinality:** 0..*
**Type:** [CodeableReference](/CodeableReference)
**Mappings:** workflow=Request.performer
## NutritionOrder.allergyIntolerance
List of the patient's food and nutrition-related allergies and intolerances
**Definition:** A link to a record of allergies or intolerances which should be included in the nutrition order.
**Comments:** 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.
**Cardinality:** 0..*
**Type:** Reference([AllergyIntolerance](/AllergyIntolerance))
**Mappings:** rim=.outboundRelationship[typeCode=RSON].target[classCode=OBS, moodCode=EVN]
## NutritionOrder.foodPreferenceModifier
Order-specific modifier about the type of food that should be given
**Definition:** This modifier is used to convey order-specific modifiers about the type of food (i.e. solid and/or liquid) 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.
**Comments:** Information on a patient's preferences that informs the healthcare personnel about what the patient should receive or consume.
**Cardinality:** 0..*
**Type:** [CodeableConcept](/CodeableConcept)
**Binding:** preferred:[edible-substance-type](/valueset-edible-substance-type)
**Mappings:** v2=ODS-1 Value = "P",ODS-3; rim=.outboundRelationship [typeCode =COMP], target [classCode=PROC, moodCode=EVN, code=NutritionModificationType]
## NutritionOrder.excludeFoodModifier
Food that should not be given
**Definition:** This modifier is used to convey Order-specific modifiers 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 what 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.
**Comments:** Specific types of oral food (solid/liquid) to avoid.
**Cardinality:** 0..*
**Type:** [CodeableConcept](/CodeableConcept)
**Binding:** preferred:[edible-substance-type](/valueset-edible-substance-type)
**Mappings:** rim=N/A
## NutritionOrder.outsideFoodAllowed
Capture if patient is permitted to consume food from outside of current setting brought by the patient, family, and/or caregiver
**Definition:** This modifier is used to convey whether a food item, brought in by the patient, family, and/or caregiver, can be consumed by the patient. If set to true, indicates that the receiving system does not need to supply the food item.
**Cardinality:** 0..1
**Type:** [boolean](/boolean)
**Mappings:** rim=N/A
## NutritionOrder.oralDiet
Oral diet components
**Definition:** Diet given orally that may include texture modification, such as International Dysphagia Diet Standardisation Initiative Framework - Slightly Thick Level 1 drinks and Minced and International Dysphagia Diet Standardisation Initiative Framework - Minced and Moist Level 5 food as well as, for example, Decreased potassium diet (ie, nutrient modification), Halal diet (ie, cultural modification), and/or Low microbial diet (eg, other modification).
**Conditions:** nor-1
**Cardinality:** 0..1
**Type:** [BackboneElement](/BackboneElement)
**Mappings:** v2=ODS-1 Value = "D"; rim=oralDiet .outboundRelationship [typeCode =COMP], target [classCode=SPLY, moodCode=RQO, code=OralDietSupplyType]
## NutritionOrder.oralDiet.type
Type of oral diet or diet restrictions that can be consumed orally
**Definition:** The kind of diet or dietary restriction such as fiber restricted diet or diet for diabetes.
**Cardinality:** 0..*
**Type:** [CodeableConcept](/CodeableConcept)
**Binding:** preferred:[diet-type](/valueset-diet-type)
**Summary:** true
**Mappings:** workflow=Request.code; w5=FiveWs.what[x]; v2=ODS-3; rim=.code
## NutritionOrder.oralDiet.schedule
Scheduling information for oral diets
**Definition:** Schedule information for an oral diet.
**Cardinality:** 0..1
**Type:** [BackboneElement](/BackboneElement)
## NutritionOrder.oralDiet.schedule.timing
Scheduled frequency of diet
**Definition:** The 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.
**Aliases:** Frequency
**Cardinality:** 0..*
**Type:** [Timing](/Timing)
**Mappings:** workflow=Request.occurrence[x]; v2=ODS-2, TQ1-7/8; rim=.expectedUseTime
## NutritionOrder.oralDiet.schedule.asNeeded
Take 'as needed'
**Definition:** Indicates whether the diet is only taken when needed within a specific administration schedule.
**Cardinality:** 0..1
**Type:** [boolean](/boolean)
## NutritionOrder.oralDiet.schedule.asNeededFor
Take 'as needed' for x
**Definition:** Indicates whether the diet is only taken based on a precondition for taking the diet.
**Cardinality:** 0..1
**Type:** [CodeableConcept](/CodeableConcept)
**Binding:** example:[medication-as-needed-reason](/valueset-medication-as-needed-reason)
## NutritionOrder.oralDiet.nutrient
The nutrient that is modified and the quantity in the diet
**Definition:** Defines the quantity and the nutrient modified (for example carbohydrate, fiber or sodium) in the oral diet.
**Cardinality:** 0..*
**Type:** [BackboneElement](/BackboneElement)
**Mappings:** v2=ODS-4; rim=.participation[typeCode=PRD].role[classCode=MANU], manufacturedFoodKind
## NutritionOrder.oralDiet.nutrient.modifier
Nutrient modified in the oral diet type
**Definition:** The nutrient that is being modified such as carbohydrate or sodium.
**Cardinality:** 0..1
**Type:** [CodeableConcept](/CodeableConcept)
**Binding:** preferred:[nutrient-code](/valueset-nutrient-code)
**Mappings:** workflow=Request.code; w5=FiveWs.what[x]; v2=ODS-4; rim=.code
## NutritionOrder.oralDiet.nutrient.amount
Quantity of the specified nutrient
**Definition:** The quantity of the specified nutrient to include in diet.
**Cardinality:** 0..1
**Type:** [Quantity](/Quantity)
**Mappings:** v2=ODS-4; rim=.quantity
## NutritionOrder.oralDiet.texture
Texture modifications in addition to the oral diet type
**Definition:** Class that describes any texture modifications in addition to the oral diet type required for the patient to safely consume various types of foods (i.e. solid and/or liquid).
**Cardinality:** 0..*
**Type:** [BackboneElement](/BackboneElement)
**Mappings:** v2=ODS-4; rim=.inboundRelationship [typeCode =COMP], target [classCode=PROC, moodCode=EVN, code=DietTextureModificationType]
## NutritionOrder.oralDiet.texture.modifier
Food (i.e. solid and/or liquid) texture modifications in addition to those in the oral diet type
**Definition:** Texture modifications in the addition to the oral diet type that should be made, e.g. easy to chew, chopped, ground, and pureed.
**Comments:** Coupled with the foodType (Meat).
**Cardinality:** 0..1
**Type:** [CodeableConcept](/CodeableConcept)
**Binding:** preferred:[texture-code](/valueset-texture-code)
**Mappings:** workflow=Request.code; v2=ODS-4; rim=.code
## NutritionOrder.oralDiet.texture.type
Food (i.e. solid and/or liquid) types that undergo texture alteration
**Definition:** The food (i.e. solid and/or liquid) type(s) (e.g. meats, all foods) that the texture modification applies to.
**Cardinality:** 0..1
**Type:** [CodeableConcept](/CodeableConcept)
**Binding:** preferred:[modified-foodtype](/valueset-modified-foodtype)
**Mappings:** workflow=Request.code; v2=ODS-4; rim=.participation[typeCode=PRD].role[classCode=MANU], manufacturedFoodKind; .code
## NutritionOrder.oralDiet.instruction
Instructions or additional information about the oral diet
**Definition:** Free text or additional instructions or information pertaining to the oral diet.
**Comments:** Free text diet instructions can be used for cases where the instructions are too complex to code.
**Cardinality:** 0..1
**Type:** [string](/string)
**Summary:** true
**Mappings:** workflow=Request.supportingInfo; v2=ODS-4; rim=.text
## NutritionOrder.oralDiet.caloricDensity
Amount of energy per specified volume of oral diet
**Definition:** The amount of energy (calories or kilojoules) that the oral diet should provide. For example, an infant formula feeding of 30 ounces of 20 kcal/ounce (67 kcal/100 mL) formula per day.
**Cardinality:** 0..1
**Type:** [Quantity](/Quantity)
## NutritionOrder.supplement
Supplement components
**Definition:** Oral nutritional products given in order to add further nutritional value to the patient's diet.
**Conditions:** nor-1
**Cardinality:** 0..*
**Type:** [BackboneElement](/BackboneElement)
**Mappings:** v2=ODS-1 Value = "P"; rim=.outboundRelationship [typeCode =COMP], target [classCode=SPLY, moodCode=RQO, code=SUPPLEMENT]
## NutritionOrder.supplement.type
Type of supplement product requested
**Definition:** The kind of nutritional supplement product required such as a high protein or pediatric clear liquid supplement.
**Cardinality:** 0..1
**Type:** [CodeableReference](/CodeableReference)
**Binding:** preferred:[supplement-type](/valueset-supplement-type)
**Summary:** true
**Mappings:** workflow=Request.product; w5=FiveWs.what[x]; v2=ODS-3; rim=.participation[typeCode=PRD].role[classCode=MANU], manufacturedFoodKind; .code (NutritionalSupplementType)
## NutritionOrder.supplement.productName
Product or brand name of the nutritional supplement
**Definition:** The product or brand name of the nutritional supplement such as "Acme Protein Shake".
**Cardinality:** 0..1
**Type:** [string](/string)
**Mappings:** v2=ODS-3; rim=.id
## NutritionOrder.supplement.schedule
Scheduling information for supplements
**Definition:** Schedule information for a supplement.
**Cardinality:** 0..1
**Type:** [BackboneElement](/BackboneElement)
## NutritionOrder.supplement.schedule.timing
Scheduled frequency of supplement
**Definition:** The time period and frequency at which the supplement should be given. The supplement should be given for the combination of all schedules if more than one schedule is present.
**Aliases:** Frequency
**Cardinality:** 0..*
**Type:** [Timing](/Timing)
**Mappings:** workflow=Request.occurrence[x]; v2=ODS-2, TQ1-7/8; rim=.expectedUseTime
## NutritionOrder.supplement.schedule.asNeeded
Take 'as needed'
**Definition:** Indicates whether the supplement is only taken when needed within a specific dosing schedule.
**Cardinality:** 0..1
**Type:** [boolean](/boolean)
## NutritionOrder.supplement.schedule.asNeededFor
Take 'as needed' for x
**Definition:** Indicates whether the supplement is only taken based on a precondition for taking the supplement.
**Cardinality:** 0..1
**Type:** [CodeableConcept](/CodeableConcept)
**Binding:** example:[medication-as-needed-reason](/valueset-medication-as-needed-reason)
## NutritionOrder.supplement.quantity
Amount of the nutritional supplement
**Definition:** The amount of the nutritional supplement to be given.
**Cardinality:** 0..1
**Type:** [Quantity](/Quantity)
**Mappings:** v2=TQ1-2; rim=.quantity
## NutritionOrder.supplement.instruction
Instructions or additional information about the oral supplement
**Definition:** Free text or additional instructions or information pertaining to the oral supplement.
**Comments:** Free text dosage instructions can be used for cases where the instructions are too complex to code.
**Cardinality:** 0..1
**Type:** [string](/string)
**Summary:** true
**Mappings:** workflow=Request.supportingInfo; v2=ODS-4; rim=.text
## NutritionOrder.supplement.caloricDensity
Amount of energy per specified volume of supplement that is required
**Definition:** The amount of energy (calories or kilojoules) that the supplement should provide per specified volume, typically per ml or fluid oz. For example, a patient may required a supplement that provides 24 calories per fluid ounce.
**Cardinality:** 0..1
**Type:** [Quantity](/Quantity)
## NutritionOrder.enteralFormula
Enteral formula product
**Definition:** Feeding provided through the gastrointestinal tract via a tube, catheter, or stoma that delivers nutrition distal to the oral cavity.
**Conditions:** nor-1
**Cardinality:** 0..1
**Type:** [BackboneElement](/BackboneElement)
**Mappings:** v2=ODS-1 Value coded for enteral; rim=.outboundRelationship [typeCode =COMP], target [classCode=SPLY, moodCode=RQO, code=FORMULA]
## NutritionOrder.enteralFormula.type
Type of patient enteral feeding
**Definition:** The type of adult or pediatric enteral feeding such as an adult standard formula with fiber or a soy-based infant feeding.
**Cardinality:** 0..1
**Type:** [CodeableReference](/CodeableReference)
**Binding:** preferred:[entformula-type](/valueset-entformula-type)
**Summary:** true
**Mappings:** workflow=Request.product; w5=FiveWs.what[x]; v2=ODS-3; rim=.participation[typeCode=PRD].role[classCode=MANU], manufacturedFoodKind; .code (NutritionalFormulaType)
## NutritionOrder.enteralFormula.productName
Product or brand name of the enteral feeding
**Definition:** The product or brand name of the enteral feeding product such as "ACME Adult Standard Formula".
**Cardinality:** 0..1
**Type:** [string](/string)
**Mappings:** v2=ODS-4; rim=.id
## NutritionOrder.enteralFormula.deliveryDevice[x]
Intended type of device for the enteral feeding administration
**Definition:** The intended type of device that is to be used for the administration of the enteral formula.
**Cardinality:** 0..1
**Type:** [CodeableConcept](/CodeableConcept), [canonical](/canonical)
**Binding:** example:[deliverydevice-code](/valueset-deliverydevice-code)
## NutritionOrder.enteralFormula.caloricDensity
Amount of energy per specified volume of feeding that is required
**Definition:** The amount of energy (calories or kilojoules) that the feeding 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.
**Cardinality:** 0..1
**Type:** [Quantity](/Quantity)
**Mappings:** v2=TQ1-2; rim=.quantity (caloricDensity)
## NutritionOrder.enteralFormula.routeOfAdministration
How the enteral feeding should enter the patient's gastrointestinal tract
**Definition:** The administration into the patient's gastrointestinal tract for purposes of providing the formula feeding, e.g. nasogastric tube, oral.
**Cardinality:** 0..*
**Type:** [CodeableConcept](/CodeableConcept)
**Binding:** extensible:[enteral-route](/valueset-enteral-route)
**Mappings:** v2=ODS-4; rim=.routeCode
## NutritionOrder.enteralFormula.administration
Formula feeding instruction as structured data
**Definition:** Formula feeding 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.
**Comments:** See implementation notes below for further discussion on how to order continuous vs bolus enteral feeding using this resource.
**Cardinality:** 0..*
**Type:** [BackboneElement](/BackboneElement)
**Mappings:** v2=ODS-4; rim=.outboundRelationship [typeCode =COMP], target [classCode=SBADM, moodCode=RQO]
## NutritionOrder.enteralFormula.administration.schedule
Scheduling information for enteral feeding products
**Definition:** Schedule information for an enteral feeding.
**Cardinality:** 0..1
**Type:** [BackboneElement](/BackboneElement)
## NutritionOrder.enteralFormula.administration.schedule.timing
Scheduled frequency of enteral feeding
**Definition:** The time period and frequency at which the enteral feeding should be given. The enteral feeding should be given for the combination of all schedules if more than one schedule is present.
**Aliases:** Frequency
**Cardinality:** 0..*
**Type:** [Timing](/Timing)
**Mappings:** workflow=Request.occurrence[x]; v2=ODS-2, TQ1-7/8; rim=.expectedUseTime
## NutritionOrder.enteralFormula.administration.schedule.asNeeded
Take 'as needed'
**Definition:** Indicates whether the enteral feeding is only taken when needed within a specific dosing schedule.
**Cardinality:** 0..1
**Type:** [boolean](/boolean)
## NutritionOrder.enteralFormula.administration.schedule.asNeededFor
Take 'as needed' for x
**Definition:** Indicates whether the enteral feeding is only taken based on a precondition for taking the enteral feeding.
**Cardinality:** 0..1
**Type:** [CodeableConcept](/CodeableConcept)
**Binding:** example:[medication-as-needed-reason](/valueset-medication-as-needed-reason)
## NutritionOrder.enteralFormula.administration.quantity
The volume of formula feeding to provide
**Definition:** The volume of formula feeding to provide to the patient per the specified administration schedule.
**Cardinality:** 0..1
**Type:** [Quantity](/Quantity)
**Mappings:** v2=TQ1-2; rim=.doseQuantity
## NutritionOrder.enteralFormula.administration.rate[x]
Speed with which the formula feeding is provided per period of time
**Definition:** The rate of administration of formula feeding via a feeding pump, e.g. 60 mL per hour, according to the specified schedule.
**Comments:** 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".
**Cardinality:** 0..1
**Type:** [Quantity](/Quantity), [Ratio](/Ratio)
**Mappings:** v2=ODS-4; rim=.rateQuantity
## NutritionOrder.enteralFormula.maxVolumeToAdminister
Upper limit on formula feeding volume per unit of time
**Definition:** The maximum total quantity of formula feeding that may be administered to a subject over the period of time, e.g. 1440 mL over 24 hours.
**Cardinality:** 0..1
**Type:** [Quantity](/Quantity)
**Mappings:** v2=ODS-4; rim=.maxDoseQuantity
## NutritionOrder.enteralFormula.administrationInstruction
Formula feeding instructions expressed as text
**Definition:** Free text formula administration, feeding instructions or additional instructions or information.
**Comments:** Free text dosage instructions can be used for cases where the instructions are too complex to code.
**Cardinality:** 0..1
**Type:** [markdown](/markdown)
**Summary:** true
**Mappings:** workflow=Request.supportingInfo; v2=ODS-4; rim=N/A
## NutritionOrder.additive
Modular additive to add to the oral diet, supplement, and/or enteral feeding
**Definition:** Indicates modular components to be provided in addition or mixed with the oral diet, supplement, and/or enteral feeding.
**Cardinality:** 0..*
**Type:** [BackboneElement](/BackboneElement)
## NutritionOrder.additive.modularType
Type of modular component to add to the oral diet, supplement, and/or enteral feeding
**Definition:** Indicates the type of modular component such as protein, carbohydrate, fat or fiber to be provided in addition to or mixed with the oral diet, supplement, and/or enteral feeding.
**Cardinality:** 0..1
**Type:** [CodeableReference](/CodeableReference)
**Binding:** preferred:[entformula-additive](/valueset-entformula-additive)
**Mappings:** workflow=Request.product; w5=FiveWs.what[x]; v2=ODS-3; rim=N/A (not differentiated from NutritionalFormulaType in HL7 v3)
## NutritionOrder.additive.productName
Product or brand name of the modular additive
**Definition:** The product or brand name of the type of modular additive to be added to the oral diet, supplement, and/or enteral feeding.
**Cardinality:** 0..1
**Type:** [string](/string)
**Mappings:** v2=ODS-4; rim=N/A
## NutritionOrder.additive.quantity
Amount of additive to be given or mixed in with the oral diet, supplement, and/or enteral feeding
**Definition:** The amount of additive to be given in addition or to be mixed in with the oral diet, supplement, and/or enteral feeding.
**Cardinality:** 0..1
**Type:** [Quantity](/Quantity)
## NutritionOrder.additive.routeOfAdministration
How the additive should enter the patient's gastrointestinal tract
**Definition:** The administration into the patient's gastrointestinal tract for purposes of providing the additive, e.g. nasogastric tube, oral.
**Cardinality:** 0..*
**Type:** [CodeableConcept](/CodeableConcept)
**Binding:** extensible:[enteral-route](/valueset-enteral-route)
**Mappings:** v2=ODS-4; rim=.routeCode
## NutritionOrder.note
Comments
**Definition:** Comments made about the nutrition order by the requester, performer, subject or other participants.
**Comments:** This element SHALL NOT be used to supply free text instructions for the diet which are represented in the `.oralDiet.instruction`, `supplement.instruction`, or `enteralFormula.administrationInstruction` elements.
**Cardinality:** 0..*
**Type:** [Annotation](/Annotation)
**Mappings:** workflow=Request.note