Two examples are offered as to how the refset could streamline digital nutrition care. Because the Nutrition Refset is relatively new, few implementation examples exist. However, these two scenarios offer insight into possible use cases. First, in Brisbane, Australia, a nutrition diagnosis dashboard using NCPT was developed for internal reports to demonstrate nutrition care outcomes. (This was presented in a May 2024 webinar, which is available with a Commission on Dietetic Registration account https://www.pathlms.com/cdr/courses/69648) And second, later this year, Sweden will be transitioning to a new EHR. Dietitians in Sweden see opportunities to incorporate the refset into the transition advancing report generation and demonstrating quality care [personal correspondence]. With the Swedish EHR transition, dietitians are working with nursing to standardize malnutrition diagnostic criteria and nutrition interventions among other issues. The completed nutrition care refset would support this work in Sweden.
Participation in standards development, recognize others with interest in nutrition such as wound care, treatment of dysphagia (https://iddsi.org/events/webinar-promoting-meaningful-electronic-health-information-exchange-between-patient-care-sites-inclusion-of-iddsi-in-snomed-ct) and general nursing practice. Implementation of the refset in these care areas would be expected to grow as interventions are included.
The article accompanying the refset release (Lloyd et al , 2024) suggests additional use cases. The availability of a defined terminology can promote: 1) Cross border demonstration of nutrition care outcomes: US and Australian dietitians comparing Hemoglobin A1C changes after nutrition intervention, 2) Cross border and cross-cultural research to assess culturally diverse diets in the treatment of Inflammatory Bowel Disease.
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