This page is part of the FHIR Specification (v4.5.0: R5 Preview #3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2
Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner |
Raw XML (canonical form + also see XML Format Specification)
Nutrition Order Low Sodium and Fluid Restricted Diet Example (id = "cardiacdiet")
<?xml version="1.0" encoding="UTF-8"?> <NutritionOrder xmlns="http://hl7.org/fhir"><!-- id = cardiacdiet file name = nutritionorder-example-cardiacdiet.xml Name= Low Sodium and Fiber Restricted Diet Description = Nutrition Order Low Sodium and Fiber Restricted Diet Example edited by Eric Haas Health eData Inc --> <!-- EH Show all the elements in this examples for preference, and intolerance --><!-- EH: use oral Diet element --> <id value="cardiacdiet"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> id</b> : cardiacdiet</p> <p> <b> identifier</b> : id: 123</p> <p> <b> status</b> : active</p> <p> <b> intent</b> : order</p> <p> <b> patient</b> : <a> Peter Chalmers. Generated Summary: id: example; Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a> </p> <p> <b> encounter</b> : <a> Inpatient. Generated Summary: id: example; status: in-progress; <span> inpatient encounter</span> </a> </p> <p> <b> dateTime</b> : 2014-09-17</p> <p> <b> orderer</b> : <a> Dr Adam Careful. Generated Summary: id: example; id: 23; active; Adam Careful </a> </p> <p> <b> allergyIntolerance</b> : <a> Cashew Nuts. Generated Summary: id: example; id: 49476534; <span> Active</span> ; <span> Confirmed</span> ; type: allergy; category: food; criticality: high; <span> Cashew nuts</span> ; onset: 2004; recordedDate: 09/10/2014 2:58:00 PM; lastOccurrence: 2012-06; The criticality is high becasue of the observed anaphylactic reaction when challenged with cashew extract.</a> </p> <p> <b> foodPreferenceModifier</b> : <span> Dairy Free</span> </p> <p> <b> excludeFoodModifier</b> : <span> Cashew Nut</span> </p> <blockquote> <p> <b> oralDiet</b> </p> <p> <b> type</b> : <span> Low sodium diet</span> , <span> Fluid restricted diet</span> </p> <blockquote> <p> <b> nutrient</b> </p> <p> <b> modifier</b> : <span> Sodium</span> </p> <p> <b> amount</b> : 2 grams</p> </blockquote> <blockquote> <p> <b> nutrient</b> </p> <p> <b> modifier</b> : <span> Fluid</span> </p> <p> <b> amount</b> : 1500 milliliter</p> </blockquote> <p> <b> instruction</b> : Starting on 2/10 breakfast, maximum 400 ml fluids per meal</p> </blockquote> </div> </text> <identifier> <system value="http://goodhealthhospital.org/nutrition-requests"/> <value value="123"/> </identifier> <status value="active"/> <intent value="order"/> <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> <allergyIntolerance> <reference value="AllergyIntolerance/example"/> <display value="Cashew Nuts"/> </allergyIntolerance> <foodPreferenceModifier> <coding> <system value="http://terminology.hl7.org/CodeSystem/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> <oralDiet> <!-- EH: list type of diet showing standard code and local codes --> <type> <coding> <system value="http://snomed.info/sct"/> <code value="386619000"/> <display value="Low sodium diet"/> </coding> <coding> <system value="http://goodhealthhospital.org/diet-type-codes"/> <code value="1040"/> <display value="Low Sodium Diet"/> </coding> <text value="Low sodium diet"/> </type> <type> <coding> <system value="http://snomed.info/sct"/> <code value="226208002"/> <display value="Fluid restricted diet"/> </coding> <coding> <system value="http://goodhealthhospital.org/diet-type-codes"/> <code value="1040"/> <display value="Fluid restricted diet"/> </coding> <text value="Fluid restricted diet"/> </type> <!-- list nutrients and amounts here --> <nutrient> <modifier> <coding> <system value="http://snomed.info/sct"/> <code value="39972003"/> <display value="Sodium"/> </coding> </modifier> <amount> <value value="2"/> <unit value="grams"/> <system value="http://unitsofmeasure.org"/> <code value="g"/> </amount> </nutrient> <nutrient> <modifier> <coding> <system value="http://snomed.info/sct"/> <code value="33463005"/> <display value="Fluid"/> </coding> </modifier> <amount> <value value="1500"/> <unit value="milliliter"/> <system value="http://unitsofmeasure.org"/> <code value="mL"/> </amount> </nutrient> <!-- instructions as free text --> <instruction value="Starting on 2/10 breakfast, maximum 400 ml fluids per meal"/> </oralDiet> </NutritionOrder>
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.