International Standards and Resources

International Patient Summary (IPS)
- Essential medical information for unplanned, cross border medical care. Allergies and intolerances, medications, medical devices (feeding pumps, central lines). To be implemented in 2025. Refugees with food insecurity or malnutrition(undernutrition).
European Patient Summary
- Essential medical information for unplanned medical care within the EU. Internally displaced persons with food insecurity or malnutrition (undernutrition).
pan-Canadian Patient Summary Specification (PS-CA)
- Essential medical information for unplanned medical care within Canada.
Korean CDA Implementation Guide (K-CDA IG)
- Adapted HL7 CDA standards to meet needs of the local healthcare system.
- Jung S, Bae S, Seong D, Yi B. Standard Document Development for Health Information Exchange in Korea. Appl Clin Info 13:3, 592-601, 2022.
HL7
- FHIR, relationship described in Section 5
- HL7 Domain Analysis Model for Nutrition Care Release 3, Universal Realm
- HL7 EHR-System Electronic Nutrition Care Process Record System (ENCPRS) Functional Profile Release 2, Universal Realm
- HL7 Version 3 Care Provision - Nutrition and Drug Preferences, Universal Realm

US Standards and Resources

Consolidated Clinical Documentation Architecture (C-CDA)
- HL7 CDA® R2 Implementation Guide: C-CDA R2.1 Supplemental Templates for Nutrition, US Realm
Value Set Authority Center (VSAC), National Institutes of Health, National Library of Medicine
- Approximately 34 sets of SNOMED-CT terms that support documentation of a nutrition professional's encounter using NCP. Also supports FHIR Resources
Assistant Secretary for Technology Policy/Office of National Coordinator for Health Information Technology (ASTP/ONC), Department of Health and Human Services
- United States Core Data for Interoperability (USCDI)
- Allergies and intolerances, Ht and Wt with BMI, problem list, progress notes, medications, discharge summary. Additional nutrition content (enteral nutrition, MNT) has been proposed.
Centers for Medicare and Medicaid (CMS)
Electronic Quality Measures (eCQM)
- Global Malnutrition Composite Score
- Screening for malnutrition completed, assessment by dietitian completed in a timely manner, provider diagnosis based on dietitian's and their examination, care plan
- Supported by a number of VSAC value sets