On the NCPT call on 20171217, it was suggested that the current set of terms such as "Inadequate dietary intake of X" and "Excessive dietary intake of X" were ambiguous as there was no clear consensus on what the term "dietary" represented, i.e. only from food sources, or food plus nutritional supplements or even parenteral nutrition. It was suggested that this term and all terms under Nutritional finding related to minerals, energy, macro- and micronutrients, etc. be categorized by route of intake. This discussion page has been created to allow the project group to begin the process of consensus on what the top level intake routes should be. Starting point might be oral nutrient intake, parenteral nutrient intake, etc. These would be used as the top level for specific nutrients WRT adequacy or inadequacy.
Please add comments
Jim
3 Comments
William Swan
It is theoretically possible for one to actively have all three routes of intake in use. Nutritive or nutritional might be a reasonable synonym to dietary in order to have the routes children to a broader concept.
Nathan Billing
Going through previous comments here and this is something that we keep coming back to.
We are trying to define food (substance) in terms of structure e.g. if solid or liquid (Qualifier value) i.e. state of matter 736471007 and by intake (observable entitity / clinical finding)
This is part of the confusion and complexity potentially. the food is the substance and the consumption of it is the observable entity. we have been focusing on defining how we can record nutritent intake which relies on both of these i.e. food analysis software would tell you the amount of nutrients consumed when the type of food and quantity is known. i.e. nutrient content can be expressed as a qualifier value of food intake
anyway look forward to more people using the disucssion forums to nut this out
Jim Case
When discussing this type of concept, it is important to consider the method of recording (i.e. highly structured vs. "free form"). Examples of how this is currently recorded will inform how each of the terms need to be modeled. As for the meaning of dietary, it is up to the group to decide whether it can be unambiguously defined, for the purposes of representing these concepts in the terminology. The addition of other qualifiers would most likely require the addition of nutrition specific attributes to adequately represent the proper relationships.
So it would be helpful to have specific examples upon which to build,otherwise we are just guessing.