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Resources and Terminology Bindings

The Nutrition Care Process Terminology (NCPT) can be effectively represented using HL7 FHIR (Health Level 7 Fast Healthcare Interoperability Resources), a standardized framework for healthcare data exchange that ensures consistent and interoperable documentation across various healthcare systems. Notably, standardized documentation of nutrition care using SNOMED CT is a crucial preliminary step, as structured data is more readily exchanged with the HL7 FHIR standard.

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  • Nutrition Assessment: The Observation, NotritionOrderNutritionOrder, NutritionProduct, NutritionIntake, Condition, and Condition ClinicalImpression resources capture dietary habits, anthropometric measurements, and test results, offering a comprehensive view of the patient’s nutritional status.
  • Nutrition Diagnosis: The Condition resource represents nutrition diagnoses, including specific problems, etiologies, and related signs and symptoms.
  • Nutrition Intervention: The NutritionOrder, NutritionProduct, Procedure, and CarePlan resources document detailed nutrition care plans, specific interventions, and strategies for managing nutrition-related issues.
  • Nutrition Monitoring and Evaluation: The Observation, Goal, Condition, and CarePlan resources are used to track ongoing measurements, monitor progress toward goals, update condition statuses, and review and adjust care plans as needed.

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By adhering to these value sets, FHIR enables precise data exchange and a shared understanding of clinical data elements, enhancing interoperability, supporting efficient healthcare delivery, and contributing to improved patient outcomes.

Recommendations and Detailed Applications

The following pages will provide detailed recommendations for terminology bindings between relevant FHIR resources and SNOMED CT value sets, specifically as they apply to representing the Nutrition Care Process Terminology (NCPT). Each section will outline the application of specific FHIR resources and bindings to support different NCPT components.

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Info

Please note that content will be added as new NCPT reference set domains for other areas of the framework are incorporated and published.

What is FHIR?

HL7 FHIR is a modern standard designed to facilitate the exchange of healthcare information electronically. The standard defines resources, i.e. data formats, that can be used to represent data elements in a systematic way across the healthcare continuum. 

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