NutritionOrder

• Overview
• Terminology Bindings
• Extensions
• Search
  • Authorization Types
  • Parameters
  • Headers
  • Example
  • Errors
• Retrieve by id
  • Authorization Types
  • Headers
  • Example
  • Errors

Overview

The NutritionOrder resource returns requests or orders to supply a diet or supplement to a patient.

The following fields are returned if valued:

• NutritionOrder id
• Status
• Intent
• Extensions including basedOn
• Patient
• Encounter
• DateTime
• Orderer
• Food Preference Modifier
• Oral Diet
  • Type
  • Schedule
  • Texture
    • Texture Modifier
  • Fluid Consistency Type
  • Instruction
• Supplement
  • Type
• Note

Terminology Bindings

NutritionOrder.status

Description The status of the nutrition order. Details: Request Status System: http://hl7.org/fhir/request-status

NutritionOrder.intent

Description The degree of authority/intentionality associated to the order. Details: Request Intent System: http://hl7.org/fhir/request-intent

NutritionOrder.foodPreferenceModifier

Description Information about a patient's food preference. Details: Millennium Dietary Modifiers System: https://fhir.cerner.com/<EHR source id>/codeSet/6102 Details: Millennium Beverage Modifiers System: https://fhir.cerner.com/<EHR source id>/codeSet/6103

NutritionOrder.oralDiet.type

Description The kind of diet or dietary restriction. Details: SNOMED CT System: http://snomed.info/sct

NutritionOrder.oralDiet.schedule

Description Code for a known/defined timing pattern. Details: TimingAbbreviation System: https://hl7.org/fhir/r4/v3/GTSAbbreviation/cs.html Details: SNOMED CT System: http://snomed.info/sct Details: Millennium Frequency System: https://fhir.cerner.com/<EHR source id>/codeSet/4003

NutritionOrder.oralDiet.texture.modifier

Description Texture modifications that should be made for solid food. Details: Millennium Diet Consistency System: https://fhir.cerner.com/<EHR source id>/codeSet/100197

NutritionOrder.oralDiet.fluidConsistencyType

Description The required consistency of fluids served to the patient. Details: Millennium Beverage Consistency System: https://fhir.cerner.com/<EHR source id>/codeSet/100123

NutritionOrder.supplement.type

Description The kind of nutritional supplement required. Details: Millennium Dietary Supplement System: https://fhir.cerner.com/<EHR source id>/codeSet/6107

Extensions

• basedOn

Search

Search for NutritionOrders that meet supplied query parameters:

GET /NutritionOrder?:parameters

Authorization Types

Parameters

Name	Required?	Type	Description
_id	This or patient	token	The logical resource id associated with the resource.
patient	This or _id or subject	reference	Who the nutrition order is for. Example: 12345
status	No	token	The status of the nutrition order. Example: active
_lastUpdated	No	date	An explicit or implied date-time range within which the most recent clinically relevant update was made to the nutrition order. Must include a time, and must be prefixed by ‘ge’ or ‘le’. Example: ge2014-05-19T20:54:02.000Z
_count	No	number	The maximum number of nutrition orders to include in a page.

Notes:

• If _id is provided, no other parameters may be provided.
• The _lastUpdated parameter may be provided:
  • once with a prefix ge or le representing the earliest date or latest date. (e.g. date=ge2015-01-01, date=le2016-01-01)
  • twice with the prefixes ge, le to indicate a specific range. (e.g. date=ge2015-01-01&date=le2016-01-01)

Headers

Accept: application/fhir+json
Authorization: <OAuth2 Bearer Token>

Example

Request

GET https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/NutritionOrder?patient=12724066

Response

Status: 200 OK

{
  "resourceType": "Bundle",
  "id": "4227f490-f813-4f83-b7ce-44e1275174e2",
  "type": "searchset",
  "link": [
    {
      "relation": "self",
      "url": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/NutritionOrder?patient=12724066"
    }
  ],
  "entry": [
    {
      "resourceType": "NutritionOrder",
      "id": "328575687",
      "meta": {
        "versionId": "2",
        "lastUpdated": "2021-05-03T14:37:55.000Z"
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Nutrition Order</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Status</b>: Active</p><p><b>Intent</b>: Order</p><p><b>Date</b>: May  3, 2021  2:30 P.M. UTC</p><p><b>Orderer</b>: CERNER, CERNER CERNER</p><p><b>Diet Type</b>: Bland Diet</p><p><b>Diet Instruction</b>: 05/03/21 9:30:00 CDT, Start Meal: Now, Vegetarian diet, Gluten Free, 2000 kcal, Medium (1,700-2,000 cal) 75g CHO, Low, 24 Hour Fluid Permitted 2000 mL, NDD3 (Chopped), Thin Liquid, No free water, keep sodium to a minimum., Anemia due to membrane defect</p></div>"
      },
      "status": "active",
      "intent": "order",
      "patient": {
        "reference": "Patient/12724066",
        "display": "SMART, NANCY"
      },
      "encounter": {
        "reference": "Encounter/97959185"
      },
      "dateTime": "2021-05-03T09:30:52.000-05:00",
      "orderer": {
        "reference": "Practitioner/2",
        "display": "CERNER, CERNER CERNER"
      },
      "foodPreferenceModifier": [
        {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6102",
              "code": "658488",
              "display": "Vegetarian diet",
              "userSelected": true
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/diet",
              "code": "vegetarian",
              "display": "Vegetarian",
              "userSelected": false
            }
          ],
          "text": "Vegetarian diet"
        }
      ],
      "oralDiet": {
        "type": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "38226001",
                "display": "Bland diet (finding)",
                "userSelected": false
              }
            ],
            "text": "Bland Diet"
          }
        ],
        "schedule": [
          {
            "repeat": {
              "boundsPeriod": {
                "start": "2021-05-03T09:30:00.000-05:00"
              }
            }
          }
        ],
        "nutrient": [
          {
            "modifier": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100194",
                  "code": "31168891",
                  "display": "Medium (1,700-2,000 cal) 75g CHO",
                  "userSelected": true
                }
              ],
              "text": "Medium (1,700-2,000 cal) 75g CHO"
            }
          },
          {
            "modifier": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100196",
                  "code": "31170565",
                  "display": "1000 mg phosphorus",
                  "userSelected": true
                }
              ],
              "text": "1000 mg phosphorus"
            }
          },
          {
            "modifier": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6113",
                  "code": "658536",
                  "display": "2000 kcal",
                  "userSelected": true
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "76426001",
                  "display": "Calorie diet (finding)",
                  "userSelected": false
                }
              ],
              "text": "2000 kcal"
            }
          },
          {
            "modifier": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6117",
                  "code": "658565",
                  "display": "Low",
                  "userSelected": true
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "226358006",
                  "display": "Fat - dietary (substance)",
                  "userSelected": false
                }
              ],
              "text": "Low"
            }
          },
          {
            "modifier": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6114",
                  "code": "658544",
                  "display": "2000 mL",
                  "userSelected": true
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "33463005",
                  "display": "Liquid substance (substance)",
                  "userSelected": false
                }
              ],
              "text": "2000 mL"
            }
          },
          {
            "modifier": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6116",
                  "code": "31170379",
                  "display": "1.5 g sodium",
                  "userSelected": true
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "39972003",
                  "display": "Sodium (substance)",
                  "userSelected": false
                }
              ],
              "text": "1.5 g sodium"
            }
          },
          {
            "modifier": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6118",
                  "code": "658567",
                  "display": "2 g potassium",
                  "userSelected": true
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88480006",
                  "display": "Potassium (substance)",
                  "userSelected": false
                }
              ],
              "text": "2 g potassium"
            }
          },
          {
            "modifier": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6119",
                  "code": "658576",
                  "display": "60 g protein",
                  "userSelected": true
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "226356005",
                  "display": "Protein and protein derivatives - dietary (substance)",
                  "userSelected": false
                }
              ],
              "text": "60 g protein"
            }
          }
        ],
        "texture": [
          {
            "modifier": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100197",
                  "code": "31170633",
                  "display": "NDD3 (Chopped)",
                  "userSelected": true
                }
              ],
              "text": "NDD3 (Chopped)"
            }
          }
        ],
        "fluidConsistencyType": [
          {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100123",
                "code": "25442691",
                "display": "Thin Liquid",
                "userSelected": true
              }
            ],
            "text": "Thin Liquid"
          }
        ],
        "instruction": "05/03/21 9:30:00 CDT, Start Meal: Now, Vegetarian diet, Gluten Free, 2000 kcal, Medium (1,700-2,000 cal) 75g CHO, Low, 24 Hour Fluid Permitted 2000 mL, NDD3 (Chopped), Thin Liquid, No free water, keep sodium to a minimum., Anemia due to membrane defect"
      },
      "note": [
        {
          "text": "Order comments"
        }
      ]
    }
  ]
}

Note: The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

Patient Authorization Request

GET  https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/NutritionOrder?patient=12724066

Response

Status: 200 OK

{
  "resourceType": "Bundle",
  "id": "4227f490-f813-4f83-b7ce-44e1275174e2",
  "type": "searchset",
  "link": [
    {
      "relation": "self",
      "url": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/NutritionOrder?patient=12724066"
    }
  ],
  "entry": [
    {
      "resourceType": "NutritionOrder",
      "id": "313790117",
      "meta": {
        "versionId": "1",
        "lastUpdated": "2020-07-22T01:00:20.000Z"
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Nutrition Order</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Status</b>: Active</p><p><b>Intent</b>: Order</p><p><b>Date</b>: Jul  7, 2020  4:56 P.M. UTC</p><p><b>Orderer</b>: C., CERNER CERNER</p><p><b>Diet Type</b>: Low Bacterial Diet</p></div>"
      },
      "status": "active",
      "intent": "order",
      "patient": {
        "reference": "Patient/12724066",
        "display": "SMART, NANCY"
      },
      "encounter": {
        "reference": "Encounter/97953477"
      },
      "dateTime": "2020-07-07T11:56:58.000-05:00",
      "orderer": {
        "reference": "Practitioner/2",
        "display": "C., CERNER CERNER"
      },
      "foodPreferenceModifier": [
        {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6102",
              "code": "658487",
              "display": "No salt on tray",
              "userSelected": true
            }
          ],
          "text": "No salt on tray"
        }
      ],
      "oralDiet": {
        "type": [
          {
            "text": "Low Bacterial Diet"
          }
        ],
        "schedule": [
          {
            "repeat": {
              "boundsPeriod": {
                "start": "2020-07-07T11:56:00.000-05:00"
              }
            }
          }
        ],
        "nutrient": [
          {
            "modifier": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100194",
                  "code": "31168901",
                  "display": "Low (1,200-1,600 cal) 60g CHO",
                  "userSelected": true
                }
              ],
              "text": "Low (1,200-1,600 cal) 60g CHO"
            }
          },
          {
            "modifier": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100196",
                  "code": "31170553",
                  "display": "800 mg phosphorus",
                  "userSelected": true
                }
              ],
              "text": "800 mg phosphorus"
            }
          },
          {
            "modifier": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6113",
                  "code": "658535",
                  "display": "1800 kcal",
                  "userSelected": true
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "76426001",
                  "display": "Calorie diet (finding)",
                  "userSelected": false
                }
              ],
              "text": "1800 kcal"
            }
          },
          {
            "modifier": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6117",
                  "code": "658559",
                  "display": "25 gm",
                  "userSelected": true
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "226358006",
                  "display": "Fat - dietary (substance)",
                  "userSelected": false
                }
              ],
              "text": "25 gm"
            }
          },
          {
            "modifier": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6114",
                  "code": "658544",
                  "display": "2000 mL",
                  "userSelected": true
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "33463005",
                  "display": "Liquid substance (substance)",
                  "userSelected": false
                }
              ],
              "text": "2000 mL"
            }
          },
          {
            "modifier": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6116",
                  "code": "658553",
                  "display": "1 g sodium",
                  "userSelected": true
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "39972003",
                  "display": "Sodium (substance)",
                  "userSelected": false
                }
              ],
              "text": "1 g sodium"
            }
          },
          {
            "modifier": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6118",
                  "code": "31170471",
                  "display": "1.5 g potassium",
                  "userSelected": true
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "88480006",
                  "display": "Potassium (substance)",
                  "userSelected": false
                }
              ],
              "text": "1.5 g potassium"
            }
          },
          {
            "modifier": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6119",
                  "code": "658574",
                  "display": "40 g protein",
                  "userSelected": true
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "226356005",
                  "display": "Protein and protein derivatives - dietary (substance)",
                  "userSelected": false
                }
              ],
              "text": "40 g protein"
            }
          }
        ],
        "texture": [
          {
            "modifier": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100197",
                  "code": "31170621",
                  "display": "NDD2 (Ground)",
                  "userSelected": true
                }
              ],
              "text": "NDD2 (Ground)"
            }
          }
        ],
        "fluidConsistencyType": [
          {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100123",
                "code": "25442691",
                "display": "Thin Liquid",
                "userSelected": true
              }
            ],
            "text": "Thin Liquid"
          }
        ]
      }
    }
  ]
}

Note: The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

Errors

The common errors and OperationOutcomes may be returned.

Retrieve by id

List an individual NutritionOrder by its id:

GET /NutritionOrder/:id

Authorization Types

Headers

Accept: application/fhir+json
Authorization: <OAuth2 Bearer Token>

Example

Request

GET https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/NutritionOrder/313790117

Response

Status: 200 OK

{
  "resourceType": "NutritionOrder",
  "id": "328575687",
  "meta": {
    "versionId": "2",
    "lastUpdated": "2021-05-03T14:37:55.000Z"
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Nutrition Order</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Status</b>: Active</p><p><b>Intent</b>: Order</p><p><b>Date</b>: May  3, 2021  2:30 P.M. UTC</p><p><b>Orderer</b>: CERNER, CERNER CERNER</p><p><b>Diet Type</b>: Bland Diet</p><p><b>Diet Instruction</b>: 05/03/21 9:30:00 CDT, Start Meal: Now, Vegetarian diet, Gluten Free, 2000 kcal, Medium (1,700-2,000 cal) 75g CHO, Low, 24 Hour Fluid Permitted 2000 mL, NDD3 (Chopped), Thin Liquid, No free water, keep sodium to a minimum., Anemia due to membrane defect</p></div>"
  },
  "status": "active",
  "intent": "order",
  "patient": {
    "reference": "Patient/12724066",
    "display": "SMART, NANCY"
  },
  "encounter": {
    "reference": "Encounter/97959185"
  },
  "dateTime": "2021-05-03T09:30:52.000-05:00",
  "orderer": {
    "reference": "Practitioner/2",
    "display": "CERNER, CERNER CERNER"
  },
  "foodPreferenceModifier": [
    {
      "coding": [
        {
          "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6102",
          "code": "658488",
          "display": "Vegetarian diet",
          "userSelected": true
        },
        {
          "system": "http://terminology.hl7.org/CodeSystem/diet",
          "code": "vegetarian",
          "display": "Vegetarian",
          "userSelected": false
        }
      ],
      "text": "Vegetarian diet"
    }
  ],
  "oralDiet": {
    "type": [
      {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "38226001",
            "display": "Bland diet (finding)",
            "userSelected": false
          }
        ],
        "text": "Bland Diet"
      }
    ],
    "schedule": [
      {
        "repeat": {
          "boundsPeriod": {
            "start": "2021-05-03T09:30:00.000-05:00"
          }
        }
      }
    ],
    "nutrient": [
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100194",
              "code": "31168891",
              "display": "Medium (1,700-2,000 cal) 75g CHO",
              "userSelected": true
            }
          ],
          "text": "Medium (1,700-2,000 cal) 75g CHO"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100196",
              "code": "31170565",
              "display": "1000 mg phosphorus",
              "userSelected": true
            }
          ],
          "text": "1000 mg phosphorus"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6113",
              "code": "658536",
              "display": "2000 kcal",
              "userSelected": true
            },
            {
              "system": "http://snomed.info/sct",
              "code": "76426001",
              "display": "Calorie diet (finding)",
              "userSelected": false
            }
          ],
          "text": "2000 kcal"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6117",
              "code": "658565",
              "display": "Low",
              "userSelected": true
            },
            {
              "system": "http://snomed.info/sct",
              "code": "226358006",
              "display": "Fat - dietary (substance)",
              "userSelected": false
            }
          ],
          "text": "Low"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6114",
              "code": "658544",
              "display": "2000 mL",
              "userSelected": true
            },
            {
              "system": "http://snomed.info/sct",
              "code": "33463005",
              "display": "Liquid substance (substance)",
              "userSelected": false
            }
          ],
          "text": "2000 mL"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6116",
              "code": "31170379",
              "display": "1.5 g sodium",
              "userSelected": true
            },
            {
              "system": "http://snomed.info/sct",
              "code": "39972003",
              "display": "Sodium (substance)",
              "userSelected": false
            }
          ],
          "text": "1.5 g sodium"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6118",
              "code": "658567",
              "display": "2 g potassium",
              "userSelected": true
            },
            {
              "system": "http://snomed.info/sct",
              "code": "88480006",
              "display": "Potassium (substance)",
              "userSelected": false
            }
          ],
          "text": "2 g potassium"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6119",
              "code": "658576",
              "display": "60 g protein",
              "userSelected": true
            },
            {
              "system": "http://snomed.info/sct",
              "code": "226356005",
              "display": "Protein and protein derivatives - dietary (substance)",
              "userSelected": false
            }
          ],
          "text": "60 g protein"
        }
      }
    ],
    "texture": [
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100197",
              "code": "31170633",
              "display": "NDD3 (Chopped)",
              "userSelected": true
            }
          ],
          "text": "NDD3 (Chopped)"
        }
      }
    ],
    "fluidConsistencyType": [
      {
        "coding": [
          {
            "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100123",
            "code": "25442691",
            "display": "Thin Liquid",
            "userSelected": true
          }
        ],
        "text": "Thin Liquid"
      }
    ],
    "instruction": "05/03/21 9:30:00 CDT, Start Meal: Now, Vegetarian diet, Gluten Free, 2000 kcal, Medium (1,700-2,000 cal) 75g CHO, Low, 24 Hour Fluid Permitted 2000 mL, NDD3 (Chopped), Thin Liquid, No free water, keep sodium to a minimum., Anemia due to membrane defect"
  },
  "note": [
    {
      "text": "Order comments"
    }
  ]
}

Note: The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

Request

GET https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/NutritionOrder/313790117

Response

Status: 200 OK

{
  "resourceType": "NutritionOrder",
  "id": "328575687",
  "meta": {
    "versionId": "2",
    "lastUpdated": "2021-05-03T14:37:55.000Z"
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Nutrition Order</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Status</b>: Active</p><p><b>Intent</b>: Instance Order</p><p><b>Date</b>: May  3, 2021  2:30 P.M. UTC</p><p><b>Orderer</b>: CERNER, CERNER CERNER</p><p><b>Diet Type</b>: Bland Diet</p><p><b>Diet Instruction</b>: 05/03/21 9:30:00 CDT, Start Meal: Now, Vegetarian diet, Gluten Free, 2000 kcal, Medium (1,700-2,000 cal) 75g CHO, Low, 24 Hour Fluid Permitted 2000 mL, NDD3 (Chopped), Thin Liquid, No free water, keep sodium to a minimum., Anemia due to membrane defect</p></div>"
  },
  "extension": [
    {
      "valueReference": {
        "reference": "NutritionOrder/41862407"
      },
      "url": "http://hl7.org/fhir/StructureDefinition/event-basedOn"
    }
  ],
  "status": "active",
  "intent": "instance-order",
  "patient": {
    "reference": "Patient/12724066",
    "display": "SMART, NANCY"
  },
  "encounter": {
    "reference": "Encounter/97959185"
  },
  "dateTime": "2021-05-03T09:30:52.000-05:00",
  "orderer": {
    "reference": "Practitioner/2",
    "display": "CERNER, CERNER CERNER"
  },
  "foodPreferenceModifier": [
    {
      "coding": [
        {
          "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6102",
          "code": "658488",
          "display": "Vegetarian diet",
          "userSelected": true
        },
        {
          "system": "http://terminology.hl7.org/CodeSystem/diet",
          "code": "vegetarian",
          "display": "Vegetarian",
          "userSelected": false
        }
      ],
      "text": "Vegetarian diet"
    }
  ],
  "oralDiet": {
    "type": [
      {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "38226001",
            "display": "Bland diet (finding)",
            "userSelected": false
          }
        ],
        "text": "Bland Diet"
      }
    ],
    "schedule": [
      {
        "repeat": {
          "boundsPeriod": {
            "start": "2021-05-03T09:30:00.000-05:00"
          }
        }
      }
    ],
    "nutrient": [
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100194",
              "code": "31168891",
              "display": "Medium (1,700-2,000 cal) 75g CHO",
              "userSelected": true
            }
          ],
          "text": "Medium (1,700-2,000 cal) 75g CHO"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100196",
              "code": "31170565",
              "display": "1000 mg phosphorus",
              "userSelected": true
            }
          ],
          "text": "1000 mg phosphorus"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6113",
              "code": "658536",
              "display": "2000 kcal",
              "userSelected": true
            },
            {
              "system": "http://snomed.info/sct",
              "code": "76426001",
              "display": "Calorie diet (finding)",
              "userSelected": false
            }
          ],
          "text": "2000 kcal"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6117",
              "code": "658565",
              "display": "Low",
              "userSelected": true
            },
            {
              "system": "http://snomed.info/sct",
              "code": "226358006",
              "display": "Fat - dietary (substance)",
              "userSelected": false
            }
          ],
          "text": "Low"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6114",
              "code": "658544",
              "display": "2000 mL",
              "userSelected": true
            },
            {
              "system": "http://snomed.info/sct",
              "code": "33463005",
              "display": "Liquid substance (substance)",
              "userSelected": false
            }
          ],
          "text": "2000 mL"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6116",
              "code": "31170379",
              "display": "1.5 g sodium",
              "userSelected": true
            },
            {
              "system": "http://snomed.info/sct",
              "code": "39972003",
              "display": "Sodium (substance)",
              "userSelected": false
            }
          ],
          "text": "1.5 g sodium"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6118",
              "code": "658567",
              "display": "2 g potassium",
              "userSelected": true
            },
            {
              "system": "http://snomed.info/sct",
              "code": "88480006",
              "display": "Potassium (substance)",
              "userSelected": false
            }
          ],
          "text": "2 g potassium"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6119",
              "code": "658576",
              "display": "60 g protein",
              "userSelected": true
            },
            {
              "system": "http://snomed.info/sct",
              "code": "226356005",
              "display": "Protein and protein derivatives - dietary (substance)",
              "userSelected": false
            }
          ],
          "text": "60 g protein"
        }
      }
    ],
    "texture": [
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100197",
              "code": "31170633",
              "display": "NDD3 (Chopped)",
              "userSelected": true
            }
          ],
          "text": "NDD3 (Chopped)"
        }
      }
    ],
    "fluidConsistencyType": [
      {
        "coding": [
          {
            "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100123",
            "code": "25442691",
            "display": "Thin Liquid",
            "userSelected": true
          }
        ],
        "text": "Thin Liquid"
      }
    ],
    "instruction": "05/03/21 9:30:00 CDT, Start Meal: Now, Vegetarian diet, Gluten Free, 2000 kcal, Medium (1,700-2,000 cal) 75g CHO, Low, 24 Hour Fluid Permitted 2000 mL, NDD3 (Chopped), Thin Liquid, No free water, keep sodium to a minimum., Anemia due to membrane defect"
  },
  "note": [
    {
      "text": "Order comments"
    }
  ]
}

Note: The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

Patient Authorization Request

GET https://fhir-ehr.cerner.com/4/ec2458f2-1e24-41c8-b71b-0e701af7583d/NutritionOrder/313790117

Response

Status: 200 OK

{
  "resourceType": "NutritionOrder",
  "id": "313790117",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2020-07-22T01:00:20.000Z"
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Nutrition Order</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Status</b>: Active</p><p><b>Intent</b>: Order</p><p><b>Date</b>: Jul  7, 2020  4:56 P.M. UTC</p><p><b>Orderer</b>: C., CERNER CERNER</p><p><b>Diet Type</b>: Low Bacterial Diet</p></div>"
  },
  "status": "active",
  "intent": "order",
  "patient": {
    "reference": "Patient/12724066",
    "display": "SMART, NANCY"
  },
  "encounter": {
    "reference": "Encounter/97953477"
  },
  "dateTime": "2020-07-07T11:56:58.000-05:00",
  "orderer": {
    "reference": "Practitioner/2",
    "display": "C., CERNER CERNER"
  },
  "foodPreferenceModifier": [
    {
      "coding": [
        {
          "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6102",
          "code": "658487",
          "display": "No salt on tray",
          "userSelected": true
        }
      ],
      "text": "No salt on tray"
    }
  ],
  "oralDiet": {
    "type": [
      {
        "text": "Low Bacterial Diet"
      }
    ],
    "schedule": [
      {
        "repeat": {
          "boundsPeriod": {
            "start": "2020-07-07T11:56:00.000-05:00"
          }
        }
      }
    ],
    "nutrient": [
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100194",
              "code": "31168901",
              "display": "Low (1,200-1,600 cal) 60g CHO",
              "userSelected": true
            }
          ],
          "text": "Low (1,200-1,600 cal) 60g CHO"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100196",
              "code": "31170553",
              "display": "800 mg phosphorus",
              "userSelected": true
            }
          ],
          "text": "800 mg phosphorus"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6113",
              "code": "658535",
              "display": "1800 kcal",
              "userSelected": true
            },
            {
              "system": "http://snomed.info/sct",
              "code": "76426001",
              "display": "Calorie diet (finding)",
              "userSelected": false
            }
          ],
          "text": "1800 kcal"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6117",
              "code": "658559",
              "display": "25 gm",
              "userSelected": true
            },
            {
              "system": "http://snomed.info/sct",
              "code": "226358006",
              "display": "Fat - dietary (substance)",
              "userSelected": false
            }
          ],
          "text": "25 gm"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6114",
              "code": "658544",
              "display": "2000 mL",
              "userSelected": true
            },
            {
              "system": "http://snomed.info/sct",
              "code": "33463005",
              "display": "Liquid substance (substance)",
              "userSelected": false
            }
          ],
          "text": "2000 mL"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6116",
              "code": "658553",
              "display": "1 g sodium",
              "userSelected": true
            },
            {
              "system": "http://snomed.info/sct",
              "code": "39972003",
              "display": "Sodium (substance)",
              "userSelected": false
            }
          ],
          "text": "1 g sodium"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6118",
              "code": "31170471",
              "display": "1.5 g potassium",
              "userSelected": true
            },
            {
              "system": "http://snomed.info/sct",
              "code": "88480006",
              "display": "Potassium (substance)",
              "userSelected": false
            }
          ],
          "text": "1.5 g potassium"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/6119",
              "code": "658574",
              "display": "40 g protein",
              "userSelected": true
            },
            {
              "system": "http://snomed.info/sct",
              "code": "226356005",
              "display": "Protein and protein derivatives - dietary (substance)",
              "userSelected": false
            }
          ],
          "text": "40 g protein"
        }
      }
    ],
    "texture": [
      {
        "modifier": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100197",
              "code": "31170621",
              "display": "NDD2 (Ground)",
              "userSelected": true
            }
          ],
          "text": "NDD2 (Ground)"
        }
      }
    ],
    "fluidConsistencyType": [
      {
        "coding": [
          {
            "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/100123",
            "code": "25442691",
            "display": "Thin Liquid",
            "userSelected": true
          }
        ],
        "text": "Thin Liquid"
      }
    ]
  }
}

Note: The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

Patient Authorization Request For Entered in Error Status

GET https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/NutritionOrder/328575703

Response

Status: 200 OK

{
  "resourceType": "NutritionOrder",
  "id": "328575703",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2021-05-03T14:38:20.000Z"
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Nutrition Order</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Status</b>: Entered in Error</p><p><b>Intent</b>: Order</p><p><b>Date</b>: May  3, 2021  2:35 P.M. UTC</p></div>"
  },
  "status": "entered-in-error",
  "intent": "order",
  "patient": {
    "reference": "Patient/12724066",
    "display": "SMART, NANCY"
  },
  "dateTime": "2021-05-03T09:35:56.000-05:00"
}

Note: The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

Errors

The common errors and OperationOutcomes may be returned.