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

Attribute
SNOMED CT Concept(s)
Description
Notes

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

Attribute
SNOMED CT Concept(s)
Description
Notes

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

Attribute
SNOMED CT Concept(s)
Description
Notes

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

Attribute
SNOMED CT Concept(s)
Description
Notes

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

Etiology Domain
SNOMED CT Concept(s)
Description

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

Attribute
SNOMED CT Concept(s)
Description
Notes

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

Attribute
SNOMED CT Concept(s)
Description
Notes

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

Attribute
SNOMED CT Concept(s)
Description
Notes

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

Attribute
SNOMED CT Concept(s)
Description
Notes

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

Attribute
SNOMED CT Concept(s)
Description
Notes

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

Last updated