The QI-Core NutritionIntake profile identifies the food item as code with example binding to  Example Foods (example). This element is problematic for two reasons:

1) QI-Core has traditionally required binding to an existing value set with minimum binding of preferred rather than example, and, moreover, expressly avoids binding to a value set with example in its title. This modeling is inconsistent.

2) The intended modeling was to be consistent with the Orders and Observation resource in FHIR R5 [NutritionIntake|https://hl7.org/fhir/nutritionintake.html].  That resource specifically uses code element to indicate "Code representing an overall type of nutrition intake
Binding: Diet Codes (Example)". This is an example binding but it references diets, not individual dietary elements.  It would be appropriate to use QI-Core NutritionIntake.code to reference the same concept in parallel and bind to a value set of possible diets. However, seems inappropriate to bind to individual nutritional elements.  The FHIR R5 resource specifically addresses items as consumedItem (What food or fluid product or item was consumed) and consumedItem.type (The type of food or fluid product) with binding: Types of Edible Substances (Example). While the value set is considered experimental, it is relatively comprehensive and it addresses the concepts requested by measure developers that led to the creation of the QI-Core profile.

Recommend that the profile be modified to include .code to reference a diet (but not must support and cardinality 0..1, AND to include .consumedItem and consumedItem.type. The value set binding may need to be preferred and bind to a value set similar to that presented as types of edible substances created in VSAC, or ideally, to a value set published in THO by OO for this purpose.  Note that the experimental value set includes >1000 codes and includes two codes that would support the original measure developer request:

226789007	http://snomed.info/sct	Breast milk
226790003	http://snomed.info/sct	EBM - Expressed breast milk