Nutritionorder-example-enteralcontinuous.json

Nutrition Order Enteral Continuous Feeding Example

{
  "resourceType": "NutritionOrder",
  "id": "enteralcontinuous",
  "text": {
    "fhir_comments": [
      "   id = enteralcontinuous  file name = nutritionorder-example-enteralcontinuous.xml  Name= Enteral Continuous Feeding  Description = Nutrition Order Enteral Continuous Feeding Canonical Example\neditor Eric Haas Health eData Inc\n...narrative generated by FHIR build\n\t<text>\n\t\t<status value=\"generated\"/>\n\t\t<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t<h3>Nutrition Order Enteral Continuous Feeding Example (Tube feedings given as continuous rate)</h3>\n\t\t\t<ul>\n\t\t\t\t<li>\n\t\t\t\t\t<b>Patient: </b>Peter Chalmers</li>\n\t\t\t\t<li>\n\t\t\t\t\t<b>Orderer: </b>Dr Adam Careful</li>\n\t\t\t\t<li>\n\t\t\t\t\t<b>Date: </b>2014-09-17</li>\n\t\t\t\t<li>\n\t\t\t\t\t<b>Enteral base (Brand): </b>Diabetic specialty enteral formula(Acme Diabetes Formula)</li>\n\t\t\t\t<li>\n\t\t\t\t\t<b>Route: </b>Instillation, nasogastrostomy tube</li>\n\t\t\t\t<li>\n\t\t\t\t\t<b>Rate: </b>60 mls/hr not to exceed 880 mls/day</li>\n\t\t\t</ul>\n\t\t</div>\n\t</text>\n  "
    ],
    "status": "generated",
    "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: enteralcontinuous</p><p><b>patient</b>: <a>Peter Chalmers</a></p><p><b>orderer</b>: <a>Dr Adam Careful</a></p><p><b>identifier</b>: 123</p><p><b>encounter</b>: <a>Inpatient</a></p><p><b>dateTime</b>: 17/09/2014</p><p><b>status</b>: active</p><blockquote><p><b>enteralFormula</b></p><p><b>baseFormulaType</b>: Diabetic specialty enteral formula <span>(Details : {http://snomed/sct code '6547210000124112' = '??', given as 'Diabetic specialty enteral formula'})</span></p><p><b>baseFormulaProductName</b>:  Acme Diabetes Formula</p><p><b>caloricDensity</b>: 1 calories per milliliter<span> (Details: http://unitsofmeasure.org code cal/mL = '??')</span></p><p><b>routeofAdministration</b>: Instillation, nasogastric tube <span>(Details : {http://hl7.org/fhir/v3/RouteOfAdministration code 'NGT' = 'Instillation, nasogastric tube', given as 'Instillation, nasogastric tube'})</span></p><blockquote><p><b>administration</b></p><p><b>schedule</b>: Starting 17/09/2014 5:00:00 PM, Do Once</p><p><b>rate</b>: 60 ml/hr<span> (Details: http://unitsofmeasure.org code mL/h = '??')</span></p></blockquote><blockquote><p><b>administration</b></p><p><b>schedule</b>: Starting 17/09/2014 9:00:00 PM, Do Once</p><p><b>rate</b>: 80 ml/hr<span> (Details: http://unitsofmeasure.org code mL/h = '??')</span></p></blockquote><blockquote><p><b>administration</b></p><p><b>schedule</b>: Starting 18/09/2014 1:00:00 AM, Do Once</p><p><b>rate</b>: 100 ml/hr<span> (Details: http://unitsofmeasure.org code mL/h = '??')</span></p></blockquote><p><b>maxVolumeToDeliver</b>: 880 milliliter/day<span> (Details: http://unitsofmeasure.org code mL/d = '??')</span></p><p><b>administrationInstruction</b>: Hold feedings from 7 pm to 7 am. Add MCT oil to increase calories from 1.0 cal/mL to 1.5 cal/mL</p></blockquote></div>"
  },
  "patient": {
    "reference": "Patient/example",
    "display": "Peter Chalmers"
  },
  "orderer": {
    "reference": "Practitioner/example",
    "display": "Dr Adam Careful"
  },
  "identifier": [
    {
      "system": "http://www.acme.org/nutritionorders",
      "value": "123"
    }
  ],
  "encounter": {
    "reference": "Encounter/example",
    "display": "Inpatient"
  },
  "dateTime": "2014-09-17",
  "status": "active",
  "enteralFormula": {
    "fhir_comments": [
      "   Tube feedings given as continuous rate   "
    ],
    "baseFormulaType": {
      "coding": [
        {
          "system": "http://snomed/sct",
          "code": "6547210000124112",
          "display": "Diabetic specialty enteral formula"
        }
      ]
    },
    "baseFormulaProductName": " Acme Diabetes Formula",
    "caloricDensity": {
      "value": 1,
      "unit": "calories per milliliter",
      "system": "http://unitsofmeasure.org",
      "code": "cal/mL"
    },
    "routeofAdministration": {
      "fhir_comments": [
        "  step up rate of tube feeding by 20 ml/hr every 4 hours   "
      ],
      "coding": [
        {
          "system": "http://hl7.org/fhir/v3/RouteOfAdministration",
          "code": "NGT",
          "display": "Instillation, nasogastric tube"
        }
      ]
    },
    "administration": [
      {
        "schedule": {
          "repeat": {
            "boundsPeriod": {
              "start": "2014-09-17T07:00:00Z"
            }
          }
        },
        "rateQuantity": {
          "value": 60,
          "unit": "ml/hr",
          "system": "http://unitsofmeasure.org",
          "code": "mL/h"
        }
      },
      {
        "schedule": {
          "repeat": {
            "boundsPeriod": {
              "start": "2014-09-17T11:00:00Z"
            }
          }
        },
        "rateQuantity": {
          "value": 80,
          "unit": "ml/hr",
          "system": "http://unitsofmeasure.org",
          "code": "mL/h"
        }
      },
      {
        "schedule": {
          "repeat": {
            "boundsPeriod": {
              "start": "2014-09-17T15:00:00Z"
            }
          }
        },
        "rateQuantity": {
          "value": 100,
          "unit": "ml/hr",
          "system": "http://unitsofmeasure.org",
          "code": "mL/h"
        }
      }
    ],
    "maxVolumeToDeliver": {
      "value": 880,
      "unit": "milliliter/day",
      "system": "http://unitsofmeasure.org",
      "code": "mL/d"
    },
    "administrationInstruction": "Hold feedings from 7 pm to 7 am. Add MCT oil to increase calories from 1.0 cal/mL to 1.5 cal/mL"
  }
}