🥗 FSE 2.0 Accredited Software · Nutritionists
FSE 2.0 Software for Nutritionists and Dieticians — Accredited by the Ministry of Health
BeebeeDoc is the management software for nutrition professionals accredited for the Electronic Health Record 2.0. Automatically generates nutritional reports and meal plans in CDA2 format, digitally signs them, and transmits them to the regional FSE gateway. All integrated into your clinical nutrition workflow.
Are you a nutritionist or dietitian? Learn about FSE supplements.
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ESF 2.0
Compliant nutritional reports
CDA2
HL7 Traces for Clinical Nutrition
5 days
Automatic sending within the legal timeframe
GDPR
Protected nutritional data
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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Guaranteed delivery within 5 days
Automatic transmission to the regional FSE gateway immediately after signing. You can meet the 5-day requirement without having to worry.
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Ministry of Health · 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.
Features for Nutritionists
FSE 2.0 integrated into your nutrition study
From the nutritional assessment to the meal plan to the signed report sent to the FSE: everything happens within BeebeeDoc, without interrupting your consultations.
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CDA2 Nutrition Report
Generate your nutritional report in CDA2 HL7 format directly from your consultation. Nutritional status assessment, BMI, ICD-10 nutritional diagnosis, and meal plan: all automatically compiled into the ministry's records.
HL7 CDA2 · Dietetic report
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Digital signature from the desk
Between consultations, sign your nutritional report with PAdES via OTP on your smartphone or CAdES via Namirial. Just one click from your tablet or office PC, without interrupting your workflow.
AgID qualified signature
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Automatic transmission to the FSE
After signing, the nutritional report is automatically sent to your region's FSE gateway. Real-time status: received, processed, error. Always within the 5-day timeframe required by law.
Regional Gateway
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ICD-10 Nutritional and Metabolic
Intelligent autocomplete with ICD-10 codes filtered for the most common nutrition conditions: malnutrition (E40-E68), obesity (E66), diabetes (E10-E14), and metabolic disorders. Quick and compliant coding.
Coded diagnoses
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Structured meal plan
Document your personalized nutrition plan with calorie goals, macro/micronutrients, diet duration, and follow-up. Everything is automatically converted into the CDA2 report for submission to the EHR.
Clinical documentation
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SNOMED CT for dietary consultations
Official clinical terminology for nutritional procedures: anthropometry, dietary history, nutritional status assessment, dietary education. SNOMED CT coding ready for the ministerial reporting system.
Standard terminologies
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.
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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.
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Sign the nutritional report between consultations
One click to start PAdES signing with OTP on your smartphone or CAdES via Namirial. You can also sign from your tablet between patients.
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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.
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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.
Compliance & Security
Compliant with all regulations for nutrition studies
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Legislative Decree 34/2020
Relaunch Decree · ESF Mandatory for Private Nutrition Practices and Self-Employed Professionals from March 31, 2026
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GDPR & Health Data
Nutritional data and dietary history of patients treated in compliance with EU Regulation 2016/679 and Legislative Decree 196/2003
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ONB & Medical Association
Complies with the guidelines of the National Order of Biologists (ONB for biologist nutritionists) and the Order of Surgeons (for nutritionists)
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HL7 Italy
CDA2 Standard according to HL7 Italia guidelines for outpatient nutritional reports
Frequently Asked Questions
FSE 2.0 for nutritionists and dieticians: everything you need to know
Are all nutritionists required to submit reports to FSE 2.0?
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.
What documents must be submitted to the ESF for nutritional counseling?
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.
How long does it take to send the nutritional report to the FSE?
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.
What are nutritional ICD-10s and how are they used in BeebeeDoc?
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.
Does BeebeeDoc support multiple nutritionists in the same practice with FSE 2.0?
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.
Freelancer
One of our experts will evaluate and plan the best solution for migrating data from your management system.
Medical Office
For various specialist figures who share the work environment
Outpatient clinic
For more complex clinical structures where different professional figures cooperate
Book a demo
Book a 45-minute demo
We'll customize the demo to your needs and answer all your questions! Get ready to discover how BeebeeDoc will allow you to manage appointments, organize medical records, and manage your accounting in an extremely simple and intuitive way!