General Terminology Bindings
This section summarizes the key entities and attributes defined in the Logical Model and indicates where SNOMED CT concepts can be used to represent values.
Additional attributes may be added as needed to support local or organizational requirements.
Patient
Name
<< 703503000 |Name (observable entity)|
The patient’s name
N/A
Age
184099003 |Date of birth (observable entity)|or<< 424144002 |Current chronological age (observable entity)|
The patient’s age
N/A
Gender
263495000 |Gender (observable entity)|or33821000087103 |Gender identity (observable entity)|
The patient’s gender
< 285116001 |Gender identity finding (finding)|
Medical History
<< 363788007 |Clinical history/examination observable (observable entity)|
Records of past and ongoing health conditions
< 404684003 |Clinical finding (finding)|< 417662000 |History of clinical finding in subject (situation)|
Dietitian
Name
N/A
The dietitian’s full name
N/A
Credentials
N/A
Professional qualifications and certifications
N/A
Role
N/A
The specific function or position of the dietitian
< 159033005 |Dietitian (occupation)|< 223366009 |Healthcare professional (occupation)|
Nutrition Assessment
Assessment Type
310243009 |Nutritional assessment (procedure)|
Type of assessment
Model Meaning Binding
Date
439272007 |Date of procedure (observable entity)|
The date the assessment was conducted
Food and Nutrition Intake
<< 364393001 |Nutritional observable (observable entity)|or<< 225388007 |Dietary intake assessment (procedure)|
Dietary intake information
< 300893006 |Nutritional finding (finding)|< 363246002 |Nutritional deficiency associated condition (disorder)|
Anthropometrics
<< 248326004 |Body measure (observable entity)|
Measurements like weight, height, and BMI
365605003 |Body measurement finding (finding)|
Lab Results
<< 364712009 |Laboratory test observable (observable entity)|
Results from laboratory tests relevant to nutrition
441742003 |Evaluation finding (finding)|
Physical Findings
<< 363788007 |Clinical history/examination observable (observable entity)|
Observable signs related to nutrition status
< 404684003 |Clinical finding (finding)|
Diagnosis
Diagnosis
439401001 |Diagnosis (observable entity)|
Diagnosis label
Model Meaning Binding
Problem
<< 439401001 |Diagnosis (observable entity)|
The nutrition issue identified (e.g., malnutrition)
^ 1303957004 |Nutrition Care Process Terminology reference set| < 404684003 |Clinical finding (finding)|< 413350009 |Finding with explicit context (situation)|
Etiology
The cause or contributing factor of the problem.
'Etiology value set'
Signs/Symptoms
N/A
Observable or reported evidence of the problem.
Can be used to represent clinical signs and symptoms. < 404684003 |Clinical finding|
Etiology Value Set Example
Beliefs–Attitudes
118196009 |Value belief finding (finding)|
Beliefs, emotional responses, or attitudes that impact nutrition (e.g., food aversion, denial, distrust of dietary advice).
Cultural
N/A
Cultural values or customs influencing nutrition care.
Knowledge
870752006 |Finding related to health literacy (finding)|
Lack of knowledge or health literacy affecting nutrition.
Physical Function
105719004 |Body disability AND/OR failure state (finding)|
Physical or cognitive impairment limiting function.
Physiologic–Metabolic
404684003 |Clinical finding (finding)|
Medical factors such as disease or metabolic disorder.
Psychological
284465006 |Finding relating to psychosocial functioning (finding)|
Mental health issues affecting nutrition care.
Social–Personal
271437004 |Problem situation relating to social and personal history|
Social environment or personal history influences.
Treatment
N/A
Medical or surgical treatment affecting nutrition status.
Access
445281000124101 |Nutrition impaired due to limited access to healthful foods (finding)|
Barriers to accessing safe or sufficient food.
Behavior
N/A
Behaviors contributing to nutritional problems.
Diet Order
Order
16076005 |Prescription (procedure)|
Represents the act of prescribing a diet
Model Meaning Binding
Diet Type
<< 278846007 |Dietetic procedures (procedure)|<< 386373004 |Nutrition therapy (regime/therapy)|
Specific type of prescribed diet (e.g., diabetic, low sodium)
Modifications
445341000124100 |Modification of nutritional regime (regime/therapy)|<< 445341000124100 |Modification of nutritional regime (regime/therapy)|
Adjustments made to the diet (e.g., texture, volume)
Goal
Goal
225294001 |Identifying goals (procedure)|
General goal-setting activity
Model Meaning Binding
Description
<< 1055210001 |Target parameter (observable entity)|
Textual or coded representation of the goal
< 404684003 |Clinical finding (finding)|
Measurable Outcome
<< 1055210001 |Target parameter (observable entity)|
Quantifiable metric for evaluating progress
<< 365605003 |Body measurement finding (finding)| (not limited to this subset)
Target Date
N/A
Deadline for achieving the goal
N/A
Care Plan
Plan Definition
1279742004 |Development of nutrition care plan (procedure)|
Formal creation of a nutrition care plan
Model Meaning Binding
Goals
<< 1055210001 |Target parameter (observable entity)|
High-level objectives in the care plan
See Goal section
Start Date
N/A
Date the care plan starts
End Date
442137000 |Completion time of procedure (observable entity)|
Date the care plan ends
Intervention
Type
N/A
Type of intervention (e.g., education, supplementation)
^ 1303957004 |Nutrition Care Process Terminology reference set|< 71388002 |Procedure (procedure)|
Description
N/A
Narrative or coded intervention detail
N/A
Frequency
N/A
How often the intervention is delivered
Can use FHIR timing data types
Monitoring and Evaluation
Monitoring Type
386374005 |Nutritional monitoring (regime/therapy)|
Follow-up or review action
Model Meaning Binding
Date
439272007 |Date of procedure (observable entity)|
Evaluation date
Metrics
N/A
Metrics to track progress
404684003 |Clinical finding (finding)|
Outcome
1759002 |Assessment of nutritional status (procedure)|390800000 |Goal achievement finding (finding)|
Final status or progress against goals
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