R6 Ballot (2nd Draft)

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Example NutritionOrder/enteralcontinuous (XML)

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

Raw XML (canonical form + also see XML Format Specification)

Nutrition Order Enteral Continuous Feeding Example (id = "enteralcontinuous")

<?xml version="1.0" encoding="UTF-8"?>

<NutritionOrder xmlns="http://hl7.org/fhir">
  <!--   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   -->
  <id value="enteralcontinuous"/> 
  <identifier> 
    <system value="http://www.acme.org/nutritionorders"/> 
    <value value="123"/> 
  </identifier> 
  <status value="active"/> 
  <intent value="order"/> 
  <subject> 
    <reference value="Patient/example"/> 
    <display value="Peter Chalmers"/> 
  </subject> 
  <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> 
    <caloricDensity> 
      <value value="1"/> 
      <unit value="calories per milliliter"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="cal/mL"/> 
    </caloricDensity> 
    <!--  step up rate of tube feeding by 20 ml/hr every 4 hours   -->
    <routeOfAdministration> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"/> 
        <code value="NGT"/> 
        <display value="Instillation, nasogastric tube"/> 
      </coding> 
    </routeOfAdministration> 
    <administration> 
      <schedule> 
        <timing> 
          <repeat> 
            <boundsPeriod> 
              <start value="2014-09-17T07:00:00Z"/> 
            </boundsPeriod> 
          </repeat> 
        </timing> 
      </schedule> 
      <rateQuantity> 
        <value value="60"/> 
        <unit value="ml/hr"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="mL/h"/> 
      </rateQuantity> 
    </administration> 
    <administration> 
      <schedule> 
        <timing> 
          <repeat> 
            <boundsPeriod> 
              <start value="2014-09-17T11:00:00Z"/> 
            </boundsPeriod> 
          </repeat> 
        </timing> 
      </schedule> 
      <rateQuantity> 
        <value value="80"/> 
        <unit value="ml/hr"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="mL/h"/> 
      </rateQuantity> 
    </administration> 
    <administration> 
      <schedule> 
        <timing> 
          <repeat> 
            <boundsPeriod> 
              <start value="2014-09-17T15:00:00Z"/> 
            </boundsPeriod> 
          </repeat> 
        </timing> 
      </schedule> 
      <rateQuantity> 
        <value value="100"/> 
        <unit value="ml/hr"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="mL/h"/> 
      </rateQuantity> 
    </administration> 
    <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> 
</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.