Nutritionorder-example-cardiacdiet.json

Nutrition Order Low Sodium and Fluid Restricted Diet Example

{
  "resourceType": "NutritionOrder",
  "id": "cardiacdiet",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>encounter</b>: <a>Inpatient. Generated Summary: 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: 23; active; Adam Careful </a></p><p><b>allergyIntolerance</b>: <a>Cashew Nuts. Generated Summary: id: 49476534; <span>Active</span>; <span>Confirmed</span>; type: allergy; category: food; criticality: high; <span>Cashew nuts</span>; onset: 2004; recordedDate: 9 Oct. 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>"
  },
  "identifier": [
    {
      "system": "http://goodhealthhospital.org/nutrition-requests",
      "value": "123"
    }
  ],
  "status": "active",
  "intent": "order",
  "patient": {
    "reference": "Patient/example",
    "display": "Peter Chalmers"
  },
  "encounter": {
    "reference": "Encounter/example",
    "display": "Inpatient"
  },
  "dateTime": "2014-09-17",
  "orderer": {
    "reference": "Practitioner/example",
    "display": "Dr Adam Careful"
  },
  "allergyIntolerance": [
    {
      "reference": "AllergyIntolerance/example",
      "display": "Cashew Nuts"
    }
  ],
  "foodPreferenceModifier": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/diet",
          "code": "dairy-free"
        }
      ]
    }
  ],
  "excludeFoodModifier": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "version": "20140730",
          "code": "227493005",
          "display": "Cashew Nut"
        }
      ]
    }
  ],
  "oralDiet": {
    "type": [
      {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "386619000",
            "display": "Low sodium diet"
          },
          {
            "system": "http://goodhealthhospital.org/diet-type-codes",
            "code": "1040",
            "display": "Low Sodium Diet"
          }
        ],
        "text": "Low sodium diet"
      },
      {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "226208002",
            "display": "Fluid restricted diet"
          },
          {
            "system": "http://goodhealthhospital.org/diet-type-codes",
            "code": "1040",
            "display": "Fluid restricted diet"
          }
        ],
        "text": "Fluid restricted diet"
      }
    ],
    "nutrient": [
      {
        "modifier": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "39972003",
              "display": "Sodium"
            }
          ]
        },
        "amount": {
          "value": 2,
          "unit": "grams",
          "system": "http://unitsofmeasure.org",
          "code": "g"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "33463005",
              "display": "Fluid"
            }
          ]
        },
        "amount": {
          "value": 1500,
          "unit": "milliliter",
          "system": "http://unitsofmeasure.org",
          "code": "mL"
        }
      }
    ],
    "instruction": "Starting on 2/10 breakfast, maximum 400 ml fluids per meal"
  }
}