Orders & Observations - Nutrition FHIR Resources
Conference Call
July 1, 2014
Attendees:
Name
Organization
Attended
1. Margaret Dittloff
CBORD
X
2. Elaine Ayres
National Institutes of Health
X
3. Lindsey Hoggle
Academy Nutrition and Dietetics
X
4. Lee Unangst
Academy Nutrition and Dietetics
X
5. Simon Sum
Academy Nutrition and Dietetics
X
6. Cathy Welsh
Academy Nutrition and Dietetics
X
7. Sharon Solomon
Academy Nutrition and Dietetics
X
8. Michelle Salas
Academy Nutrition and Dietetics
X
Chair/Note Takers: Margaret Dittloff
Agenda/Minutes:




Review Minutes from last call – Postpone until next week
Next week – Need new webex (from Margaret)
Elaine reviewed the FHIR spreadsheet resource attributes and mapping. Will look for an
example already filled out that we could use to get started, e.g. Referral Resource Patient
Care is working on. Not aware of any automatic method of generating the spreadsheets.
Discussion/Review: Nutrition Assessment Questionnaire Profile Proposal
o Should this be modeled off the QuestionnaireResponse Resource?
o Discussed how nutrition assessment is more of a composite or combination of
inputs that might come from Observations (weight/BMI/lab results) along with diet
history/food freq. data that might fit well as a questionnaire.
o NutritionStatusObservation – from the C-CDA R2 work should be considered; we
would want our Nutrition Diagnosis / PES (Problem/Etiology/Signs & Symptoms)
to be conveyed by this profile.
o Determined we probably need to pose this question to Lloyd and Grahame for
advice.
Future Agenda:

Continue Draft Nutrition Assessment FHIR Profile Proposal (Elaine will be out next week)
– Add to agenda for July 22
On-going Discussion/Questions & Action Items:
o Will we need a resource for Food or will Substance work? Think about the
pharmacy – medication resource.
o Figure out mixtures/additives and recipes (FM sent a note to Pharmacy about
that too)
o Initiate a pharmacy listserv discussion about getting Pharmacy feedback on the
dietary supplement reference in their medication resource vs our oral nutritional
supplement products; perhaps ask for agenda time on upcoming Pharmacy call.

Discussion/Review: Nutrition Assessment Questionnaire Profile Proposal
o Should this be modeled off the QuestionnaireResponse Resource?
o Discussed how nutrition assessment is more of a composite or combination of
inputs that might come from Observations (weight/BMI/lab results) along with diet
history/food freq. data that might fit well as a questionnaire.
o NutritionStatusObservation – from the C-CDA R2 work should be considered; we
would want our Nutrition Diagnosis / PES (Problem/Etiology/Signs & Symptoms)
to be conveyed by this profile.
o Determined we probably need to pose this question to Lloyd and Grahame for
advice.
 Look at C-CDA – FHIR work (reach out to Austin);
 Existing 1.1 CDA templates to FHIR
 Broader C-CDA - FHIR PSS (not sure if it is finalized/approved
yet)
 Composition is the resource for documents that includes other resources