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Food and Nutrition Terminology. HL7 Phoenix WG Meeting May 5, 2014. Agenda Items. Allergy and Intolerance Substances Update on analysis with the VA Diet Orders Enterals , supplements and baby formula Preferences C-CDA Value sets FHIR resources for nutrition. SNOMED-CT Substances.
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Food and Nutrition Terminology HL7 Phoenix WG Meeting May 5, 2014
Agenda Items • Allergy and Intolerance Substances • Update on analysis with the VA • Diet Orders • Enterals, supplements and baby formula • Preferences • C-CDA • Value sets • FHIR resources for nutrition
SNOMED-CT Substances • Decision in San Antonio • Dietary Substance will be hierarchy of choice • Allergen Class will not be used • Note some food substances have two parent concepts • Comparison of SNOMED-CT and UNII coverage of food substances completed • VA – 422 food concepts • Ayres – 110 unique concepts in addition to VA
SNOMED-CT vs. UNII *VA has decided to use SNOMED-CT *Discussed food allergies in C-CDA R2 – UNII specified but we will file a DSTU comment to add a value set of SNOMED-CT terms *Using substances and not organisms or products
Question re classes • Alcohol (Dietary?) • Chocolate • Coffee • Egg • Fish (Dietary?) • Food Additives • Fruit • Ground Nuts? • Gelatin • Meat • Milk • Peanuts • Poultry • Seeds • Shellfish (Dietary?) • Soy • Spices • Sugars • Tree Nuts – vs almonds, cashews, …….. • Vegetables • Wheat Translation of classes/terms into value sets? Does this work with the V3 model?
Example • Nuts • Tree Positions
LEGENED 1.Existing SNOMED CT terms 2.Requested terms are in red 3.New suggested are in blue 4.More new suggested terms
Questions re Enterals, Supplements and Baby Formula • Product hierarchy? • Other suggestions for inclusion?
Preferences • Additional food substance work needed?
C-CDA – R2 • Use of SNOMED and LOINC (vs. UNII) • Definition of value sets for • Nutrition Observation • Nutrition Assessment • Nutrition Recommendation
FHIR Resources • PSS just approved for: 1. Dietitian performs and documents a nutritional assessment/consultation 2. Dietitian recommends a nutritional intervention 3. Provider orders a diet/supplement/enteral feeding/baby formula/consult 4. Patient selects menu items for transmission to a food and nutrition management system 5. Dietitian provides nutrition education/counseling 6. Patient provides recorded intake and dietitian provides summary of nutrient intake/calorie intake.