<?xml version="1.0" encoding="UTF-8"?><NutritionRequest xmlns="http://hl7.org/fhir"><!--   id = enteralcontinuous  file name = nutritionrequest-example-enteralcontinuous.xml  Name= Enteral Continuous Feeding  Description = Nutrition Order Enteral Continuous Feeding Canonical Example
editor Eric Haas Health eData Inc
  --><!--   Tube feedings given as continuous rate   --><id value="enteralcontinuous"/>
	<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>identifier</b>: 123</p><p><b>status</b>: active</p><p><b>patient</b>: <a>Peter Chalmers</a></p><p><b>encounter</b>: <a>Inpatient</a></p><p><b>dateTime</b>: 17/09/2014</p><p><b>orderer</b>: <a>Dr Adam Careful</a></p><blockquote><p><b>enteralFormula</b></p><p><b>baseFormulaType</b>: Diabetic specialty enteral formula <span>(Details : {http://snomed/sct code &#39;6547210000124112&#39; = &#39;??&#39;, given as &#39;Diabetic specialty enteral formula&#39;})</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 = &#39;cal/mL&#39;)</span></p><p><b>routeofAdministration</b>: Instillation, nasogastric tube <span>(Details : {http://hl7.org/fhir/v3/RouteOfAdministration code &#39;NGT&#39; = &#39;Instillation, nasogastric tube&#39;, given as &#39;Instillation, nasogastric tube&#39;})</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 = &#39;mL/h&#39;)</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 = &#39;mL/h&#39;)</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 = &#39;mL/h&#39;)</span></p></blockquote><p><b>maxVolumeToDeliver</b>: 880 milliliter/day<span> (Details: http://unitsofmeasure.org code mL/d = &#39;mL/d&#39;)</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><identifier>
		<system value="http://www.acme.org/nutritionorders"/>
		<value value="123"/>
	</identifier>
	<status value="active"/>
	<patient>
		<reference value="Patient/example"/>
		<display value="Peter Chalmers"/>
	</patient>
	<encounter>
		<reference value="Encounter/example"/>
		<display value="Inpatient"/>
	</encounter>
	<dateTime value="2014-09-17"/>
	<orderer>
		<reference value="Practitioner/example"/>
		<display value="Dr Adam Careful"/>
	</orderer>
	<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>
</NutritionRequest>