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Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner |
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Nutrition Order Enteral Bolus Feeding Example
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix sct: <http://snomed.info/id/> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- <http://hl7.org/fhir/NutritionOrder/enteralbolus> a fhir:NutritionOrder; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "enteralbolus"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: enteralbolus</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>enteralFormula</b></p><p><b>baseFormulaType</b>: <span>Adult high protein formula</span></p><p><b>baseFormulaProductName</b>: Acme High Protein Formula</p><p><b>additiveType</b>: <span>Lipid</span></p><p><b>additiveProductName</b>: Acme Lipid Additive</p><p><b>caloricDensity</b>: 1.5 calories per milliliter</p><p><b>routeofAdministration</b>: <span>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</td></tr></table><p><b>maxVolumeToDeliver</b>: 1440 milliliter/day</p><p><b>administrationInstruction</b>: 240 mls every 4hrs </p></blockquote></div>" ]; fhir:NutritionOrder.identifier [ fhir:index 0; fhir:Identifier.system [ fhir:value "http://www.acme.org/nutritionorders" ]; fhir:Identifier.value [ fhir:value "123" ] ]; fhir:NutritionOrder.status [ fhir:value "active"]; fhir:NutritionOrder.intent [ fhir:value "order"]; fhir:NutritionOrder.patient [ fhir:link <http://hl7.org/fhir/Patient/example>; fhir:Reference.reference [ fhir:value "Patient/example" ]; fhir:Reference.display [ fhir:value "Peter Chalmers" ] ]; fhir:NutritionOrder.encounter [ fhir:link <http://hl7.org/fhir/Encounter/example>; fhir:Reference.reference [ fhir:value "Encounter/example" ]; fhir:Reference.display [ fhir:value "Inpatient" ] ]; fhir:NutritionOrder.dateTime [ fhir:value "2014-09-17"^^xsd:date]; fhir:NutritionOrder.orderer [ fhir:link <http://hl7.org/fhir/Practitioner/example>; fhir:Reference.reference [ fhir:value "Practitioner/example" ]; fhir:Reference.display [ fhir:value "Dr Adam Careful" ] ]; fhir:NutritionOrder.allergyIntolerance [ fhir:index 0; fhir:link <http://hl7.org/fhir/AllergyIntolerance/example>; fhir:Reference.reference [ fhir:value "AllergyIntolerance/example" ]; fhir:Reference.display [ fhir:value "Cashew Nuts" ] ]; fhir:NutritionOrder.foodPreferenceModifier [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/diet" ]; fhir:Coding.code [ fhir:value "dairy-free" ] ] ]; fhir:NutritionOrder.excludeFoodModifier [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; a sct:227493005; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.version [ fhir:value "20140730" ]; fhir:Coding.code [ fhir:value "227493005" ]; fhir:Coding.display [ fhir:value "Cashew Nut" ] ] ]; fhir:NutritionOrder.enteralFormula [ fhir:NutritionOrder.enteralFormula.baseFormulaType [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:442991000124104; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "442991000124104" ]; fhir:Coding.display [ fhir:value "Adult high protein formula" ] ] ]; fhir:NutritionOrder.enteralFormula.baseFormulaProductName [ fhir:value "Acme High Protein Formula" ]; fhir:NutritionOrder.enteralFormula.additiveType [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/entformula-additive" ]; fhir:Coding.code [ fhir:value "lipid" ]; fhir:Coding.display [ fhir:value "Lipid" ] ] ]; fhir:NutritionOrder.enteralFormula.additiveProductName [ fhir:value "Acme Lipid Additive" ]; fhir:NutritionOrder.enteralFormula.caloricDensity [ fhir:Quantity.value [ fhir:value "1.5"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "calories per milliliter" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "cal/mL" ] ]; fhir:NutritionOrder.enteralFormula.routeofAdministration [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration" ]; fhir:Coding.code [ fhir:value "GT" ]; fhir:Coding.display [ fhir:value "Instillation, gastrostomy tube" ] ] ]; fhir:NutritionOrder.enteralFormula.administration [ fhir:index 0; fhir:NutritionOrder.enteralFormula.administration.schedule [ fhir:Timing.repeat [ fhir:Timing.repeat.boundsPeriod [ fhir:Period.start [ fhir:value "2014-09-17T16:00:00Z"^^xsd:dateTime ] ]; fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ]; fhir:Timing.repeat.period [ fhir:value "4"^^xsd:decimal ]; fhir:Timing.repeat.periodUnit [ fhir:value "h" ] ] ]; fhir:NutritionOrder.enteralFormula.administration.quantity [ fhir:Quantity.value [ fhir:value "240"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "milliliters" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "mL" ] ] ]; fhir:NutritionOrder.enteralFormula.maxVolumeToDeliver [ fhir:Quantity.value [ fhir:value "1440"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "milliliter/day" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "mL/d" ] ]; fhir:NutritionOrder.enteralFormula.administrationInstruction [ fhir:value "240 mls every 4hrs " ] ] . <http://hl7.org/fhir/Patient/example> a fhir:Patient . <http://hl7.org/fhir/Encounter/example> a fhir:Encounter . <http://hl7.org/fhir/Practitioner/example> a fhir:Practitioner . <http://hl7.org/fhir/AllergyIntolerance/example> a fhir:AllergyIntolerance . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/NutritionOrder/enteralbolus.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/NutritionOrder/enteralbolus.ttl> . # -------------------------------------------------------------------------------------
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.