The NCPT subject matter experts disagree with the phrase nutritionally complete liquid supplement, and argues that liquids can never be nutritionally complete. In Sweden, the suggestion is to use the phrase “kosttillägg” instead (ususally: dietary supplement). I must confirm but I think they want the phrase (in its entirety) nutritionally complete dietary supplement.
Same issue for your languages? Escalate to SINT?
Hi Katarina,
Very interesting question. My take is that the confusion stems from the use of the word ‘supplement’. Because if the liquid that’s being administered to the patient is ‘nutritionally complete’, does not that imply that the patient is being fed nothing else? How can it then be a ‘supplement’?
I think it’s worth escalating to SCTINT via CRS requesting an accurate definition of ‘nutritionally complete’ (or at least of what they mean by ‘complete’).
I’ve also noticed that the definitions in the concepts with this term aren’t consistent with the FSNs.
789408002 |Measured oral intake of nutritionally complete liquid supplement in 24 hours (observable entity)| contains DEF “The known quantity of intake in one day of nutrition supplements.” This synonym uses the term ‘supplements’ plural, without mentioning liquid or complete.
Same problem for 819019001 |Estimated oral intake of nutritionally complete liquid supplement in 24 hours (observable entity)| and its DEF.
819018009 |Nutritionally complete liquid supplement (substance)| contains DEF “Liquid oral enteral nutrition supplements.”, also omitting ‘complete’.
Thank you! So a mistake that should be corrected. I will check if they think that we need two concepts 1) nutritionally complete supplements; 2) minus “nutritionally complete” requirement. It depends on if it is the measurement or the intake that is important here. If it is the measurement, I was wonder if it should be modelled with child concepts specifying WHAT the intake consists of.
I agree with Pedro: the problem is the use of the term “supplement”. If a patient needs enteral feeding, then the “liquid” has to be nutritionally complete (to provide all essential fats, proteins, carbohydrates, vitamins, and minerals needed to sustain life or health), but in that case it’s not a supplement (addition to one’s diet).
For Swedish, the biggest issue is that a liquid supplement (vätskeersättning) is a supplement, but never nutritionally complete. A nutrional complete supplement would be acceptable. It does not state the form of the supplement, but focus on it being a complete supplement to be measured.