Nutritionorder-example-enteralbolus.xml

Nutrition Order Enteral Bolus Feeding Example (id = "enteralbolus")

<NutritionOrder xmlns="http://hl7.org/fhir">
  <id value="enteralbolus"/>
  <!--    id = enteralbolus  file name = nutritionorder-example-enteralbolus.xml Name= Enteral
   Bolus  Description = Nutrition Order Enteral Bolus Feeding  Example
Tube feedings are given in boluses several times a day   edited by Eric Haas Health eData
   Inc
...narrative generated by FHIR build
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h3>Nutrition Order Enteral Bolus Feeding Example(Tube feedings given in boluses several
   times a day)</h3>
      <ul>
        <li>
          <b>Patient: </b>Peter Chalmers</li>
        <li>
          <b>Orderer: </b>Dr Adam Careful</li>
        <li>
          <b>Date: </b>2014-09-17</li>
        <li>
          <b>Known Allergies: </b>Cashew Nuts</li>
        <li>
          <b>Food Preferences: </b>Kosher</li>
        <li>
          <b>Enteral base (Brand): </b>Adult high protein formula(Acme High Protein Formula)</li>
        <li>
          <b>Additive (Brand): </b>Modular lipid enteral formula component(Acme Lipid Additive)</li>
        <li>
          <b>Route: </b>Instillation, gastrostomy tube</li>
        <li>
          <b>Rate: </b>Starting 2014-09-17, 240 mls every 4hrs not to exceed 1440 mls/day</li>
      </ul>
    </div>
  </text>
   -->
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: enteralbolus</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><p><b>allergyIntolerance</b>: <a>Cashew Nuts</a></p><p><b>foodPreferenceModifier</b>: Dairy Free <span>(Details : {http://hl7.org/fhir/diet code 'dairy-free' = 'Dairy Free)</span></p><p><b>excludeFoodModifier</b>: Cashew Nut <span>(Details : {SNOMED CT code '227493005' = '227493005', given as 'Cashew Nut'})</span></p><blockquote><p><b>enteralFormula</b></p><p><b>baseFormulaType</b>: Adult high protein formula <span>(Details : {http://usextension/snomed.info/sct code '659311000124118' = '??', given as
             'Adult high protein formula'})</span></p><p><b>baseFormulaProductName</b>: Acme High Protein Formula</p><p><b>additiveType</b>: Modular lipid enteral formula component <span>(Details : {http://hl7.org/fhir/entformula-additive code 'lipid' = 'Modular lipid enteral
             formula component', given as 'Modular lipid enteral formula component'})</span></p><p><b>additiveProductName</b>: Acme Lipid Additive</p><p><b>caloricDensity</b>: 1.5 calories per milliliter<span> (Details: http://unitsofmeasure.org code cal/mL = '??')</span></p><p><b>routeofAdministration</b>: Instillation, gastrostomy tube <span>(Details : {http://hl7.org/fhir/v3/RouteOfAdministration code 'GT' = 'Instillation, gastrostomy
             tube', given as 'Instillation, gastrostomy tube'})</span></p><h3>Administrations</h3><table><tr><td>-</td><td><b>Schedule</b></td><td><b>Quantity</b></td></tr><tr><td>*</td><td>Starting 18/09/2014 2:00:00 AM, Do Once per 4 hours</td><td>240 milliliters<span> (Details: http://unitsofmeasure.org code mL = '??')</span></td></tr></table><p><b>maxVolumeToDeliver</b>: 1440 milliliter/day<span> (Details: http://unitsofmeasure.org code mL/d = '??')</span></p><p><b>administrationInstruction</b>: 240 mls every 4hrs </p></blockquote></div></text><patient>
    <reference value="Patient/example"/>
    <display value="Peter Chalmers"/>
  </patient>
  <orderer>
    <reference value="Practitioner/example"/>
    <display value="Dr Adam Careful"/>
  </orderer>
  <identifier>
    <system value="http://www.acme.org/nutritionorders"/>
    <value value="123"/>
  </identifier>
  <encounter>
    <reference value="Encounter/example"/>
    <display value="Inpatient"/>
  </encounter>
  <dateTime value="2014-09-17"/>
  <status value="active"/>
  <!--   EH  Show all the elements in this examples for preference, and intolerance    -->
  <allergyIntolerance>
    <reference value="AllergyIntolerance/example"/>
    <display value="Cashew Nuts"/>
  </allergyIntolerance>
  <foodPreferenceModifier>
    <coding>
      <system value="http://hl7.org/fhir/diet"/>
      <code value="dairy-free"/>
    </coding>
  </foodPreferenceModifier>
  <excludeFoodModifier>
    <coding>
      <system value="http://snomed.info/sct"/>
      <version value="20140730"/>
      <code value="227493005"/>
      <display value="Cashew Nut"/>
    </coding>
  </excludeFoodModifier>
  <enteralFormula>
    
    <baseFormulaType>
      <coding>
        <!--   EH:  bolus tube feeding instruction in text   -->
        <system value="http://usextension/snomed.info/sct"/>
        <!--   EH  temporary system value for us extension    -->
        <code value="659311000124118"/>
        <display value="Adult high protein formula"/>
      </coding>
    </baseFormulaType>
    <baseFormulaProductName value="Acme High Protein Formula"/>

    <additiveType>
      <coding>
        <system value="http://hl7.org/fhir/entformula-additive"/>
        <code value="lipid"/>
        <display value="Modular lipid enteral formula component"/>
      </coding>
    </additiveType>
    <additiveProductName value="Acme Lipid Additive"/>
    <caloricDensity>
      <value value="1.5"/>
      <unit value="calories per milliliter"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="cal/mL"/>
    </caloricDensity>
    <routeofAdministration>
      <coding>
        <system value="http://hl7.org/fhir/v3/RouteOfAdministration"/>
        <code value="GT"/>
        <display value="Instillation, gastrostomy tube"/>
      </coding>
    </routeofAdministration>
    <administration>
      <schedule>
        <repeat>
        <boundsPeriod>
          <start value="2014-09-17T16:00:00Z"/>
        </boundsPeriod>
          <frequency value="1"/>
          <period value="4"/>
          <periodUnits value="h"/>
        </repeat>
      </schedule>
      <quantity>
        <value value="240"/>
        <unit value="milliliters"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mL"/>
      </quantity>
    </administration>
    <maxVolumeToDeliver>
      <value value="1440"/>
      <unit value="milliliter/day"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mL/d"/>
    </maxVolumeToDeliver>
    <administrationInstruction value="240 mls every 4hrs "/>
  </enteralFormula>
</NutritionOrder>