General Terminology Bindings

The following provides a summary of the key entities specified in the Logical Model, along with their attributes, including where SNOMED CT can be used to represent values.

Note that other attributes may be included to accommodate local requirements and specific organizational needs.

Patient

Attribute	Meaning Binding	Description	Value Set Binding
Name	<< 703503000 \|Name (observable entity)\|	The patient’s full 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)\| OR 33821000087103 \|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)\| OR < 417662000 \|History of clinical finding in subject (situation)\|

Dietitian

Attribute

Meaning Binding

Description

Value Set Binding

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 in care delivery.

Can represent healthcare roles and job titles.

< 159033005 |Dietitian (occupation)|
< 223366009 |Healthcare professional (occupation)|

Nutrition Assessment

Attribute	Meaning Binding	Description	SNOMED Binding
Date	439272007 \|Date of procedure (observable entity)\|	The date the assessment was conducted.	N/A
Food and nutrition intake	<< 364393001 \|Nutritional observable (observable entity)\| OR << 225388007 \|Dietary intake assessment (procedure)\|	Dietary intake information	< 300893006 \|Nutritional finding (finding)\| OR < 363246002 \|Nutritional deficiency associated condition (disorder)\|
Anthropometrics	<< 248326004 \|Body measure (observable entity)\|	Measurements like weight, height, and BMI.	Can represent standardized anthropometric measurements. 365605003 \|Body measurement finding (finding)\|
Lab Results	<< 364712009 \|Laboratory test observable (observable entity)\|	Results from laboratory tests relevant to nutrition.	Can be used to code specific lab tests and results. 441742003 \|Evaluation finding (finding)\|
Physical Findings	<< 363788007 \|Clinical history/examination observable (observable entity)\|	Observable signs related to nutrition status.	Can represent clinical observations and physical exam findings. < 404684003 \|Clinical finding\|

Diagnosis

Attribute

Meaning Binding

Description

SNOMED Binding

Problem

<< 439401001 |Diagnosis (observable entity)|

The nutrition issue identified (e.g., malnutrition).

Can represent specific nutrition-related problems.

^ 1303957004 |Nutrition Care Process Terminology reference set| AND (< 404684003 |Clinical finding| OR < 413350009 |Finding with explicit context (situation)| )

Etiology

405534009 |Adverse incident contributing factor (observable entity)|

The cause or contributing factor of the problem.

Can code causes or contributing factors related to health conditions.

Etiology	NCP Description	SNOMED CT Domain
Beliefs–Attitudes	Issues stemming from beliefs, attitudes, or emotional responses, e.g., food preferences, denial of need for change, disbelief in nutrition science.	118196009 \|Value belief finding (finding)\|
Cultural	Related to the patient’s values, norms, or customs.	N/A
Knowledge	Impact of understanding or lack of knowledge on nutrition and health.	870752006 \|Finding related to health literacy (finding)\|
Physical Function	Limitations in physical ability, which may also include cognitive function.	105719004 \|Body disability AND/OR failure state (finding)\|
Physiologic–Metabolic	Factors related to medical conditions affecting nutrition.	404684003 \|Clinical finding (finding)\|
Psychological	Mental health or psychological issues influencing nutrition.	284465006 \|Finding relating to psychosocial functioning (finding)\|
Social–Personal	Influences from personal or social history.	271437004 \|Problem situation relating to social and personal history\|
Treatment	Issues arising from medical or surgical treatments affecting nutrition.	N/A
Access	Challenges related to availability and safe access to food, water, or supplies.	445281000124101 \|Nutrition impaired due to limited access to healthful foods (finding)\|
Behavior	Actions that impact nutrition goals, sometimes without a known root cause.	N/A

Signs/Symptoms

N/A

Observable or reported evidence of the problem.

Can be used to represent clinical signs and symptoms. < 404684003 |Clinical finding|

Diet Order

Attribute	Meaning Binding	Description	SNOMED Binding
Diet Type	<< 278846007 \|Dietetic procedures (procedure)\| << 386373004 \|Nutrition therapy (regime/therapy)\|	The specific type of diet prescribed.	Can represent different diet types, like low-sodium or diabetic diets. << \|Feeding and dietary regime (regime/therapy)\|
Modifications	445341000124100 \|Modification of nutritional regime (regime/therapy)\|	Adjustments made to the diet, such as texture changes.	Can code for dietary modifications and restrictions. << 445341000124100 \|Modification of nutritional regime (regime/therapy)\|

Goal

Attribute	Meaning Binding	Description	SNOMED Binding
Description	<< 1055210001 \|Target parameter (observable entity)\|	A summary of the intended outcome.	Can represent specific health and nutrition goals < 404684003 \|Clinical finding (finding)\|
Measurable Outcome	<< 1055210001 \|Target parameter (observable entity)\|	Specific metrics for evaluating success.	Can code measurable clinical outcomes. << 365605003 \|Body measurement finding (finding)\| Not limited to
Target Date	N/A	The deadline for achieving the goal.	N/A

Care Plan

Attribute	Meaning Binding	Description	SNOMED Binding
Goals	<< 1055210001 \|Target parameter (observable entity)\|	Desired outcomes related to nutrition care.	As above
Start Date	N/A	The date the care plan begins.	N/A N/A
End Date	442137000 \|Completion time of procedure (observable entity)\|	The date the care plan concludes.	N/A N/A

Intervention

Attribute	Meaning Binding	Description	SNOMED Binding
Type	N/A	The category of intervention (e.g., dietary adjustment, counseling).	Can represent types of nutrition interventions. ^ 1303957004 \|Nutrition Care Process Terminology reference set\| AND (< 71388002 \|Procedure (procedure)\| )
Description	N/A	Detailed explanation of the intervention.	Can be used for descriptions of intervention types. N/A
Frequency	N/A	How often the intervention is administered.	Can represent frequency and scheduling terms. N/A

Monitoring and Evaluation

Attribute	Meaning Binding	Description	SNOMED Binding
Date	439272007 \|Date of procedure (observable entity)\|	Date of evaluation	N/A
Metrics	N/A	Relevant metrics for monitoring the status of the intervention	404684003 \|Clinical finding (finding)\|
Outcome	1759002 \|Assessment of nutritional status (procedure)\|	Status of intervention compared to set goals	390800000 \|Goal achievement finding (finding)\|

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