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Level 2 Data Class: Nutrition and Diet

Level 2 Data Element: Oral Diet Type

Level 2 Data Element: Oral Diet Fluid Consistency

Level 2 Data Element: Oral Diet Texture Modifiers

Level 2 Data Element: Oral Nutritional Supplement

Level 2 Data Element: Enteral Nutrition Type

Level 2 Data Element: Enteral Nutrition Volume

Level 2 Data Element: Enteral Nutrition Rate

Level 2 Data Element: Enteral Nutrition Frequency

Level 2 Data Element: Enteral Nutrition Additive

Level 2 Data Element: Enteral Nutrition Flush

Level 2 Data Element: Eating/drinking assistive device

Level 2 Data Element: Oral Diet Nutrient Modifiers

IMO supports the inclusion of the proposed Level 2 Data Class: Nutrition and Diet and the proposed level 2 data elements in USCDI V3.  The Medicare conditions of participation for healthcare facilities cited in the Code of Federal Regulations (CFR) at § 483.60 for food and nutrition services require that nutritional and special dietary needs are met for patients. Mature and well implemented technical specifications that include CDA R2 C-CDA Templates for Clinical Notes R2.1 incorporate nutrition data in transitions of care.  VSAC value sets curated by the Academy of Nutrition and Dietetics and specified in SNOMED CT, ICD 10, and CPT represent the data elements in this proposed Level 2 data class.  ONC certified HIT can support these data elements.

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