> ## Documentation Index
> Fetch the complete documentation index at: https://docs.clinikapi.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Nutrition Orders

> Create and manage dietary orders — oral diets, supplements, and enteral formulas.

# Nutrition Orders

Nutrition orders (FHIR `NutritionOrder`) represent dietary prescriptions for patients. They cover oral diets with specific nutrient modifications, nutritional supplements, and enteral (tube feeding) formulas.

## Create a Nutrition Order

```ts theme={null}
const { data: order } = await clinik.nutritionOrders.create({
  status: 'active',
  intent: 'order',
  patientId: 'pt_abc123',
  ordererId: 'prac_def456',
  oralDiet: {
    type: ['diabetic', 'low-sodium'],
    instruction: 'No added salt. Limit carbohydrates to 45g per meal.',
    nutrient: [
      { modifier: 'Sodium', amount: { value: 2000, unit: 'mg' } },
      { modifier: 'Carbohydrate', amount: { value: 135, unit: 'g' } },
    ],
  },
  excludeFoodModifier: ['shellfish', 'peanuts'],
  note: 'Patient has a history of diabetic ketoacidosis',
});
```

## Common Use Cases

### Oral Diet with Allergies

```ts theme={null}
const { data } = await clinik.nutritionOrders.create({
  status: 'active',
  intent: 'order',
  patientId: 'pt_abc123',
  ordererId: 'prac_def456',
  allergyIntoleranceIds: ['allergy_gluten', 'allergy_dairy'],
  oralDiet: {
    type: ['gluten-free', 'dairy-free'],
    instruction: 'Strict gluten-free and dairy-free diet',
  },
  foodPreferenceModifier: ['vegetarian'],
});
```

### Nutritional Supplement

```ts theme={null}
const { data } = await clinik.nutritionOrders.create({
  status: 'active',
  intent: 'order',
  patientId: 'pt_abc123',
  supplement: [
    {
      type: 'High-protein oral supplement',
      productName: 'Ensure High Protein',
      quantity: { value: 1, unit: 'bottle' },
      instruction: 'One bottle with each meal, three times daily',
    },
  ],
  note: 'Patient is malnourished — BMI 17.5',
});
```

### Enteral Formula (Tube Feeding)

```ts theme={null}
const { data } = await clinik.nutritionOrders.create({
  status: 'active',
  intent: 'order',
  patientId: 'pt_abc123',
  encounterId: 'enc_icu789',
  enteralFormula: {
    baseFormulaType: 'Standard polymeric formula',
    baseFormulaProductName: 'Jevity 1.5 Cal',
    additiveType: 'Fiber',
    routeOfAdministration: 'Nasogastric tube',
    administrationInstruction: 'Continuous infusion at 50mL/hr, advance by 25mL/hr every 8 hours to goal of 75mL/hr',
  },
});
```

## Status Lifecycle

`draft` → `active` → `on-hold` → `completed` / `revoked`

## Search Nutrition Orders

```ts theme={null}
const { data } = await clinik.nutritionOrders.search({
  patientId: 'pt_abc123',
  status: 'active',
});
```