Snapshot 3: Connectathon 32 Base

This is Snapshot #3 for FHIR R5, released to support Connectathon 32. For a full list of available versions, see the Directory of published versions.

Example NutritionOrder/enteralcontinuous (Turtle)

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Encounter, Patient, Practitioner

Raw Turtle (+ also see Turtle/RDF Format Specification)

Nutrition Order Enteral Continuous 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 -------------------------------------------------------------------

[a fhir:NutritionOrder;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir: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
  ,    Tube feedings given as continuous rate   
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: NutritionOrder</b><a name=\"enteralcontinuous\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource NutritionOrder &quot;enteralcontinuous&quot; </p></div><p><b>identifier</b>: id: 123</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example: Peter Chalmers</a> &quot;Peter CHALMERS&quot;</p><p><b>encounter</b>: <a href=\"encounter-example.html\">Encounter/example: Inpatient</a></p><p><b>dateTime</b>: 2014-09-17</p><p><b>orderer</b>: <a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> &quot;Adam CAREFUL&quot;</p><blockquote><p><b>enteralFormula</b></p><h3>BaseFormulaTypes</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Diabetic specialty enteral formula <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#6547210000124112)</span></td></tr></table><p><b>baseFormulaProductName</b>:  Acme Diabetes Formula</p><p><b>caloricDensity</b>: 1 calories per milliliter<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cal/mL = 'cal/mL')</span></p><p><b>routeOfAdministration</b>: Instillation, nasogastric tube <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-RouteOfAdministration.html\">RouteOfAdministration</a>#NGT)</span></p><blockquote><p><b>administration</b></p><h3>Schedules</h3><table class=\"grid\"><tr><td>-</td><td><b>Timing</b></td></tr><tr><td>*</td><td>Starting 2014-09-17T07:00:00Z, Once</td></tr></table><p><b>rate</b>: 60 ml/hr<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL/h = 'mL/h')</span></p></blockquote><blockquote><p><b>administration</b></p><h3>Schedules</h3><table class=\"grid\"><tr><td>-</td><td><b>Timing</b></td></tr><tr><td>*</td><td>Starting 2014-09-17T11:00:00Z, Once</td></tr></table><p><b>rate</b>: 80 ml/hr<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL/h = 'mL/h')</span></p></blockquote><blockquote><p><b>administration</b></p><h3>Schedules</h3><table class=\"grid\"><tr><td>-</td><td><b>Timing</b></td></tr><tr><td>*</td><td>Starting 2014-09-17T15:00:00Z, Once</td></tr></table><p><b>rate</b>: 100 ml/hr<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL/h = 'mL/h')</span></p></blockquote><p><b>maxVolumeToDeliver</b>: 880 milliliter/day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL/d = '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>"
  ]; # 
  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.subject [
     fhir:Reference.reference [ fhir:value "Patient/example" ];
     fhir:Reference.display [ fhir:value "Peter Chalmers" ]
  ]; # 
  fhir:NutritionOrder.encounter [
     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:Reference.reference [ fhir:value "Practitioner/example" ];
     fhir:Reference.display [ fhir:value "Dr Adam Careful" ]
  ]; # 
  fhir:NutritionOrder.enteralFormula [
     fhir:NutritionOrder.enteralFormula.baseFormulaType [
       fhir:CodeableReference.concept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:6547210000124112;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "6547210000124112" ];
           fhir:Coding.display [ fhir:value "Diabetic specialty enteral formula" ]
         ]
       ]
     ];
     fhir:NutritionOrder.enteralFormula.baseFormulaProductName [ fhir:value " Acme Diabetes Formula" ];
     fhir:NutritionOrder.enteralFormula.caloricDensity [
       fhir:Quantity.value [ fhir:value "1"^^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 "NGT" ];
         fhir:Coding.display [ fhir:value "Instillation, nasogastric tube" ]
       ]
     ]; #   step up rate of tube feeding by 20 ml\/hr every 4 hours   
     fhir:NutritionOrder.enteralFormula.administration [
       fhir:index 0;
       fhir:NutritionOrder.enteralFormula.administration.schedule [
         fhir:NutritionOrder.enteralFormula.administration.schedule.timing [
           fhir:index 0;
           fhir:Timing.repeat [
             fhir:Timing.repeat.boundsPeriod [
               fhir:Period.start [ fhir:value "2014-09-17T07:00:00Z"^^xsd:dateTime ]
             ]
           ]
         ]
       ];
       fhir:NutritionOrder.enteralFormula.administration.rateQuantity [
         fhir:Quantity.value [ fhir:value "60"^^xsd:decimal ];
         fhir:Quantity.unit [ fhir:value "ml/hr" ];
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
         fhir:Quantity.code [ fhir:value "mL/h" ]
       ]
     ], [
       fhir:index 1;
       fhir:NutritionOrder.enteralFormula.administration.schedule [
         fhir:NutritionOrder.enteralFormula.administration.schedule.timing [
           fhir:index 0;
           fhir:Timing.repeat [
             fhir:Timing.repeat.boundsPeriod [
               fhir:Period.start [ fhir:value "2014-09-17T11:00:00Z"^^xsd:dateTime ]
             ]
           ]
         ]
       ];
       fhir:NutritionOrder.enteralFormula.administration.rateQuantity [
         fhir:Quantity.value [ fhir:value "80"^^xsd:decimal ];
         fhir:Quantity.unit [ fhir:value "ml/hr" ];
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
         fhir:Quantity.code [ fhir:value "mL/h" ]
       ]
     ], [
       fhir:index 2;
       fhir:NutritionOrder.enteralFormula.administration.schedule [
         fhir:NutritionOrder.enteralFormula.administration.schedule.timing [
           fhir:index 0;
           fhir:Timing.repeat [
             fhir:Timing.repeat.boundsPeriod [
               fhir:Period.start [ fhir:value "2014-09-17T15:00:00Z"^^xsd:dateTime ]
             ]
           ]
         ]
       ];
       fhir:NutritionOrder.enteralFormula.administration.rateQuantity [
         fhir:Quantity.value [ fhir:value "100"^^xsd:decimal ];
         fhir:Quantity.unit [ fhir:value "ml/hr" ];
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
         fhir:Quantity.code [ fhir:value "mL/h" ]
       ]
     ];
     fhir:NutritionOrder.enteralFormula.maxVolumeToDeliver [
       fhir:Quantity.value [ fhir:value "880"^^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 "Hold feedings from 7 pm to 7 am. Add MCT oil to increase calories from 1.0 cal/mL to 1.5 cal/mL" ]
  ]] . # 

# - ontology header ------------------------------------------------------------

[a owl:Ontology;
  owl:imports fhir:fhir.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.