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Elze de Groot

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In the Ntherlands we are working on dietary content and clinical building blocks. We try to transform the dietary code list to SNOMED. I have a question about the word 'formula'. We would like to know what exactly is meant with ‘formula’, for example 442651000124102 |Adult formula (product)| or 412413001 |Infant formula (product)|. Is it correct that these are product of liquids or powder to make liquids?

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7 Comments

  1. William Swan

    Elze,

    My guess (and it would be a guess) is that these are the ready to consume, liquid products; though the infant formula could certainly also include a powdered form (this would be the case in the US).

    During the March call as part of the description of the transition to a Clinical Resource Group, clarifying the oral/enteral product hierarchy was one of the listed priority projects. there is certainly  a lot of ambiguity in this area which will be challenging to standardize.

    My thoughts only,

    Bill

    1. Donna Pertel

      Elze de Groot I agree with Bill. These could be liquid or powder. 


      Donna

  2. John Snyder

    Hi Elze,

    I would tend to agree with Bill regarding these being "generic" names for either ready-to-consume liquid products or powdered form to be blended with water or other liquid. Think of these as "generic" names because, like medication substances, the international edition does not allow for brand name content. The hierarchy of generic "categories" allow each NRC to add their specific brand name products for their country. For example, " Nestle Renalcal Unflavored Liquid" might be a brand name concept requested for the US Extension that might be positioned as a subtype of 443091000124105 |Adult non-dialysis renal specialty formula (product)| because it is only available for purchase in the US. 

    Reviewing some of the subtypes of 442651000124102 |Adult formula (product)| , it appears that most of the concepts have a text definition description. For example, the text definition for 442991000124104 |Adult high protein formula (product)| is:

     Liquid formula intended for enteral and/or oral method of delivery, formulated to meet the nutritional needs of adults and provide increased protein.

    I would point out that the definition would seem to imply only ready-to-consume liquid products, so if these concepts are intended to included powdered products to be blended with water or another appropriate liquid after purchase but prior to consumption, we may need to consider updating the definition text.

    Agree with Bill, "my thoughts only". Perhaps Donna Pertel would add comments? Based on the conceptIDs, these were originally authored in the US extension and then promoted to the international edition so I would theorized they were originally requested by the Academy of Nutrition and Dietetics.

    John

    1. Donna Pertel

      John Snyder Yes, many were requested by the Academy. I was not involved so I don't know which existed and which were added. 443181000124108 |Standard infant formula (product)| has a definition that accommodates both liquid and powder: Infant formula with nutrient composition designed to meet standard infant nutritional needs.

      Donna

  3. Elze de Groot

    Thanks all for your comments. In the Netherlands we need concepts where is meant both liquids and powder to make liquids. We don't know the word formula. The hierarchy of these products isn't what the Dutch dietitians would expect. For example why is infant formula in a different branch than adult formula. It's good to hear that this branch is listed  as priority for improvement by the nutrition CRG in future. I will try to make one of our Dutch dietitian join the nutrition CRG once it is operating. (smile)

    1. John Snyder

      Thank you Elze,

      One additional question. What word do the Dutch use in place of "formula"? (e.g. in the US it would be infant formula, what would it be in Dutch?) 

      Thanks

      John

  4. Donna Pertel

    Elze de Groot A (or more) Dutch dietitian is welcome to join Nutrition Care Process Terminology Clinical Project Group now. This group is open to anyone. At some point it will transition to the CRG, but has been working for the past few years to include nutrition content in SNOMED CT. 

    Donna