The nutrition report in the health record

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    Regulatory obligation 2026

    FSE 2.0: What's New for Nutritionists?

    From 31 March 2026, every nutritionist - nutrition biologist registered with the ONB, dietician, nutritionist doctor - who works as a freelancer or in a private facility is obliged to feed the Electronic Health Record 2.0 with the nutritional services provided. The documents must be sent to the regional FSE gateway. within 5 days from the consultancy or evaluation, in CDA2 format and digitally signed.

    BeebeeDoc automates the entire process: from the nutritional report to the meal plan to the EHR submission, without changing your workflow. No manual steps, no additional software.

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    CDA2 Nutrition Report

    Automatic generation of the nutritional report in CDA2 format required by the Ministry, with assessment of nutritional status, ICD-10 diagnosis for metabolic and nutritional disorders, and personalized meal plan.

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    Integrated digital signature

    Sign PAdES with OTP or CAdES via Namirial directly from the patient's record: the nutritional report is legally validated in one click.

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    Five days for the meal plan too

    As soon as you sign the consultation report, BeebeeDoc sends it to your region's FSE gateway. The legal deadline is met without you having to keep track of it between one patient and the next.

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    Ministry of Health ยท ONB & Orders

    FSE 2.0 Accredited Software for Nutritionists


    BeebeeDoc is registered among the software enabled for the transmission of clinical documents to the FSE 2.0, in compliance with the guidelines of the National Order of Biologists (ONB), the Professional Orders of Dieticians and the technical specifications of Legislative Decree 34/2020.

    How it works

    From nutritional counseling to ESF in seconds

    The workflow is designed for nutritionists who work between clinical consultations and desk-based work. No additional software, no manual exports.

    1

    Register your nutritional consultation in BeebeeDoc

    Record your dietary history, anthropometric measurements (height, weight, BMI), ICD-10 diagnosis (e.g., E66 obesity, E11 type 2 diabetes), and your personalized meal plan. BeebeeDoc automatically creates the CDA2 document.

    2

    Sign the nutritional report between consultations

    The PAdES signature arrives with an OTP on the phone; alternatively there is CAdES through Namirial. The report is signed as soon as the consultation ends, instead of piling up for the evening.

    3

    Automatic sending to the regional FSE gateway

    BeebeeDoc transmits the signed nutritional report to your region's FSE. Confirmation of admission is provided in real time, always within the 5-day legal period.

    4

    Complete archive and tracking

    Every transmitted nutritional report remains in your archive with an updated status. You always have proof of transmission for each patient and each nutritional counseling session.

    Frequently asked questions about the FSE 2.0 for nutritionists and dietitians

    Yes, starting March 31, 2026, all nutrition professionals are required to comply: biologist nutritionists registered with the National Association of Biologists (ONB), registered dietitians, and medical nutritionists. This requirement applies to both freelancers and those working in private practices. The regulation was introduced by Legislative Decree 34/2020 (Relaunch Decree) and subsequent implementing provisions.

    It counts among the documents only if it is the report of the service provided. The plan handed to the patient stays in their record: the health record collects the clinical documents required, not everything produced during a consultation.

    The ministerial accreditation is BeebeeDoc's and applies to the platform. What remains up to the professional is enabling with their own region, because the regional gateways are separate.

    The consequences are set by the rules, not by the software supplier, and it is worth checking them at the official source or with your own adviser. What the software guarantees is that the submission happens on time and that the outcome stays on record.

    The nutritionist must submit a nutritional report documenting: dietary history, anthropometric measurements (height, weight, BMI, circumference), nutritional diagnosis with ICD-10 code (e.g., E66 obesity, E11 diabetes, E40-E68 malnutrition), personalized meal plan with calorie targets and macro/micronutrient distribution, and clinical notes related to follow-up. The document must be in HL7 CDA2 format and digitally signed.

    The law requires that the report be entered into the EHR within 5 days of the nutritional consultation. With BeebeeDoc, the transmission occurs automatically immediately after the report is digitally signed, without any delay and ensuring full compliance with the regulatory deadlines.

    ICD-10 are the mandatory international diagnosis codes in the CDA2 pathway. For nutrition, the most commonly used codes are: E40-E68 (malnutrition and nutritional deficiencies), E66 (obesity), E10-E14 (diabetes mellitus), E78 (dyslipidemia), and E05 (hyperthyroidism). BeebeeDoc features an intelligent autocomplete feature that filters nutritional codes during report compilation, ensuring fast and compliant coding.

    Yes. BeebeeDoc is a cloud-based management system that supports nutrition practices with multiple nutritionists or dieticians, each with their own digital signature certificate. Each professional independently signs and transmits their nutritional reports to the EHR, maintaining a shared archive for managing patients, consultations, and meal plans.

    BeebeeDoc is not just FSE 2.0. Discover all the features of the cloud-based management software for nutritionists and dieticians: agenda, medical records, meal plans, electronic invoicing and much more.

    Libero professionista sanitario che gestisce lo studio con BeebeeDoc

    Freelancer

    Studio medico associato che coordina l'agenda con BeebeeDoc

    Medical Office

    Poliambulatorio che gestisce piu' specialisti con BeebeeDoc

    Outpatient clinic