Nutritionorder-example-enteralcontinuous.xml

Nutrition Order Enteral Continuous Feeding Example (id = "enteralcontinuous")

<NutritionOrder xmlns="http://hl7.org/fhir">
  <id value="enteralcontinuous"/>
  <!--    id = enteralcontinuous  file name = nutritionorder-example-enteralcontinuous.xml  Name=
   Enteral Continuous Feeding  Description = Nutrition Order Enteral Continuous Feeding Canonical
   Example
editor 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 Continuous Feeding Example (Tube feedings given as continuous
   rate)</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>Enteral base (Brand): </b>Diabetic specialty enteral formula(Acme Diabetes Formula)</li>
        <li>
          <b>Route: </b>Instillation, nasogastrostomy tube</li>
        <li>
          <b>Rate: </b>60 mls/hr not to exceed 880 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>: 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></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"/>
  <!--    Tube feedings given as continuous rate    -->
  <enteralFormula>
    <baseFormulaType>
      <coding>
        <system value="http://snomed/sct"/>
        <code value="6547210000124112"/>
        <display value="Diabetic specialty enteral formula"/>
      </coding>
    </baseFormulaType>
    <baseFormulaProductName value=" Acme Diabetes Formula"/>
    
    <caloricDensity>
      <value value="1"/>
      <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="NGT"/>
        <display value="Instillation, nasogastric tube"/>
      </coding>
    <!--   step up rate of tube feeding by 20 ml/hr every 4 hours    -->
    </routeofAdministration>
    <administration>
      
      <schedule>
      <repeat>
        <boundsPeriod>
          <start value="2014-09-17T07:00:00Z"/>
        </boundsPeriod>
      </repeat>
      </schedule>
      <rateQuantity>
        <value value="60"/>
        <unit value="ml/hr"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mL/h"/>
      </rateQuantity>
    </administration>
    <administration>  
      <schedule>
      <repeat>
        <boundsPeriod>
          <start value="2014-09-17T11:00:00Z"/>
        </boundsPeriod>
      </repeat>
      </schedule>
      <rateQuantity>
        <value value="80"/>
        <unit value="ml/hr"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mL/h"/>
      </rateQuantity>
    </administration>
    <administration>    
      <schedule>
      <repeat>
        <boundsPeriod>
          <start value="2014-09-17T15:00:00Z"/>
        </boundsPeriod>
      </repeat>
      </schedule>
      <rateQuantity>
        <value value="100"/>
        <unit value="ml/hr"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mL/h"/>
      </rateQuantity>
    </administration>
    
    <maxVolumeToDeliver>
      <value value="880"/>
      <unit value="milliliter/day"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mL/d"/>
    </maxVolumeToDeliver>
    <administrationInstruction value="Hold feedings from 7 pm to 7 am. Add MCT oil to increase calories from 1.0 cal/mL to 1.5
     cal/mL"/>
    
  </enteralFormula>
</NutritionOrder>