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4.18.6 Resource NutritionOrder - Examples

Example Index:

Nutrition Order Pureed Diet and Energy/Protein Supplement Simple ExampleXMLJSON
Nutrition Order Low Sodium and Fiber Restricted Diet ExampleXMLJSON
Nutrition Order Diabetic Diet ExampleXMLJSON
Nutrition Order Pureed Diet ExampleXMLJSON
Nutrition Order Renal Diet ExampleXMLJSON
Nutrition Order Low Fat and Fiber Restricted Diet ExampleXMLJSON
Nutrition Order Diabetic Supplement ExampleXMLJSON
Nutrition Order Protein Supplement ExampleXMLJSON
Nutrition Order Energy/Protein Supplement ExampleXMLJSON
Nutrition Order Enteral Bolus Feeding ExampleXMLJSON
Nutrition Order Enteral Continuous Feeding ExampleXMLJSON
Nutrition Order Infant Enteral Feeding ExampleXMLJSON

4.18.6.1 Pureed Diet Simple

XML

Nutrition Order Pureed Diet and Energy/Protein Supplement Simple Example (id = "pureeddiet-simple")

Raw XML

<NutritionOrder xmlns="http://hl7.org/fhir">
  <id value="pureeddiet-simple"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text><!--    Using only instruction element in oralDiet and Supplement minimal other elements  id
   = pureeddiet-simple file name = nutritionorder-example-pureeddiet-simple.xml  Name= Pureed
   Diet Simple Description = Nutrition Order Pureed Diet with Energy/Protein Supplement Simple
   Example
edited by Eric Haas Health eData Inc
...narrative generated by FHIR build
  &lt;text&gt;
    &lt;status value=&quot;generated&quot;/&gt;
    &lt;div xmlns=&quot;http://www.w3.org/1999/xhtml&quot;&gt;
      &lt;h3&gt;Nutrition Order Pureed Diet with Energy/Protein Supplement Simple Example&lt;/h3&gt;
      &lt;ul&gt;
        &lt;li&gt;
          &lt;b&gt;Patient: &lt;/b&gt;Peter Chalmers&lt;/li&gt;
        &lt;li&gt;
          &lt;b&gt;Orderer: &lt;/b&gt;Dr Adam Careful&lt;/li&gt;
        &lt;li&gt;
          &lt;b&gt;Date: &lt;/b&gt;2014-09-17&lt;/li&gt;
        &lt;li&gt;
          &lt;b&gt;Instructions: &lt;/b&gt;Pureed, Nectar thick liquids&lt;/li&gt;
        &lt;li&gt;
          &lt;b&gt;Supplement(Brand): &lt;/b&gt;Adult high energy formula (Ensure Pudding 4
   oz container)&lt;/li&gt;
        &lt;li&gt;
          &lt;b&gt;Schedule: &lt;/b&gt;Ensure Pudding at breakfast, lunch, supper&lt;/li&gt;
      &lt;/ul&gt;
    &lt;/div&gt;
  &lt;/text&gt;
   -->
  <patient>
    <reference value="Patient/example"/>
    <display value="Peter Chalmers"/>
  </patient>
  <orderer>
    <reference value="Practitioner/example"/>
    <display value="Dr Adam Careful"/>
  </orderer>
  <identifier>
    <system value="http://goodhealthhospital.org/nutrition-orders"/>
    <value value="123"/>
  </identifier>
  <dateTime value="2014-09-17"/>
  <status value="active"/><!--    EH: use oral Diet element    -->
  <oralDiet><!--    EH:  list type of diet showing standard code and local codes    -->
    <type>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="226211001"/>
        <display value="Pureed diet"/>
      </coding>
      <coding>
        <system value="http://goodhealthhospital.org/diet-type-codes"/>
        <code value="1010"/>
        <display value="Pureed diet"/>
      </coding>
      <text value="Pureed diet"/>
    </type><!--    EH example of three times a day starting on 2/10    -->
    <scheduled>
      <repeat>
        <bounds>
          <start value="2015-02-10"/>
        </bounds>
        <frequency value="3"/>
        <period value="1"/>
        <periodUnits value="d"/>
      </repeat>
    </scheduled>
    <texture>
      <modifier>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="228055009"/>
          <display value="Liquidized food"/>
        </coding>
        <text value="Pureed"/>
      </modifier>
    </texture>
    <fluidConsistencyType>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="439021000124105"/>
        <display value="Dietary liquid consistency - nectar thick liquid"/>
      </coding>
      <text value="Nectar thick liquids"/>
    </fluidConsistencyType>
  </oralDiet>
  <supplement>
    <type>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="442971000124100"/>
        <display value="Adult high energy formula"/>
      </coding>
      <coding>
        <system value="http://goodhealthhospital.org/supplement-type-codes"/>
        <code value="1040"/>
        <display value="Adult high energy pudding"/>
      </coding>
      <text value="Adult high energy pudding"/>
    </type>
    <productName value="Ensure Pudding 4 oz container"/><!--   EH:  Instructions to supplement too    -->
    <instruction value="Ensure Pudding at breakfast, lunch, supper"/>
  </supplement>
</NutritionOrder>

JSON

Nutrition Order Pureed Diet and Energy/Protein Supplement Simple Example

Raw JSON (Canonical)

{
  "resourceType": "NutritionOrder",
  "id": "pureeddiet-simple",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "patient": {
    "reference": "Patient/example",
    "display": "Peter Chalmers"
  },
  "orderer": {
    "reference": "Practitioner/example",
    "display": "Dr Adam Careful"
  },
  "identifier": [
    {
      "system": "http://goodhealthhospital.org/nutrition-orders",
      "value": "123"
    }
  ],
  "dateTime": "2014-09-17",
  "status": "active",
  "oralDiet": {
    "type": [
      {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "226211001",
            "display": "Pureed diet"
          },
          {
            "system": "http://goodhealthhospital.org/diet-type-codes",
            "code": "1010",
            "display": "Pureed diet"
          }
        ],
        "text": "Pureed diet"
      }
    ],
    "scheduled": {
      "repeat": {
        "bounds": {
          "start": "2015-02-10"
        },
        "frequency": 3,
        "period": 1,
        "periodUnits": "d"
      }
    },
    "texture": [
      {
        "modifier": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "228055009",
              "display": "Liquidized food"
            }
          ],
          "text": "Pureed"
        }
      }
    ],
    "fluidConsistencyType": [
      {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "439021000124105",
            "display": "Dietary liquid consistency - nectar thick liquid"
          }
        ],
        "text": "Nectar thick liquids"
      }
    ]
  },
  "supplement": [
    {
      "type": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "442971000124100",
            "display": "Adult high energy formula"
          },
          {
            "system": "http://goodhealthhospital.org/supplement-type-codes",
            "code": "1040",
            "display": "Adult high energy pudding"
          }
        ],
        "text": "Adult high energy pudding"
      },
      "productName": "Ensure Pudding 4 oz container",
      "instruction": "Ensure Pudding at breakfast, lunch, supper"
    }
  ]
}

4.18.6.2 Low Sodium and Fiber Restricted Diet

XML

Nutrition Order Low Sodium and Fiber Restricted Diet Example (id = "cardiacdiet")

Raw XML

<NutritionOrder xmlns="http://hl7.org/fhir">
  <id value="cardiacdiet"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text><!--    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
...narrative generated by FHIR build
  &lt;text&gt;
    &lt;status value=&quot;generated&quot;/&gt;
    &lt;div xmlns=&quot;http://www.w3.org/1999/xhtml&quot;&gt;
      &lt;h3&gt;Nutrition Order Low Sodium and Fiber Restricted Diet Example&lt;/h3&gt;
      &lt;ul&gt;
        &lt;li&gt;
          &lt;b&gt;Patient: &lt;/b&gt;Peter Chalmers&lt;/li&gt;
        &lt;li&gt;
          &lt;b&gt;Orderer: &lt;/b&gt;Dr Adam Careful&lt;/li&gt;
        &lt;li&gt;
          &lt;b&gt;Date: &lt;/b&gt;2014-09-17&lt;/li&gt;
        &lt;li&gt;
          &lt;b&gt;Known Allergies: &lt;/b&gt;Cashew Nuts&lt;/li&gt;
        &lt;li&gt;
          &lt;b&gt;Food Preferences: &lt;/b&gt;dairy-free:  Excludes dairy products&lt;/li&gt;
        &lt;li&gt;
          &lt;b&gt;Oral Diet Type: &lt;/b&gt;
          &lt;ol&gt;
            &lt;li&gt;Low Sodium Diet&lt;/li&gt;
            &lt;li&gt;Fluid restricted diet&lt;/li&gt;
          &lt;/ol&gt;
        &lt;/li&gt;
        &lt;li&gt;
          &lt;b&gt;Nutrients Requirements: &lt;/b&gt;
          &lt;ol&gt;
            &lt;li&gt;2g sodium&lt;/li&gt;
            &lt;li&gt;1500 cc fluid restriction&lt;/li&gt;
          &lt;/ol&gt;
        &lt;/li&gt;
        &lt;li&gt;
          &lt;b&gt;Instructions: &lt;/b&gt;Starting on 2/10 breakfast, maximum 400 ml fluids
   per meal&lt;/li&gt;
      &lt;/ul&gt;
    &lt;/div&gt;
  &lt;/text&gt;
   --><!--   EH  Show all the elements in this examples for preference, and intolerance    -->
  <patient>
    <reference value="Patient/example"/>
    <display value="Peter Chalmers"/>
  </patient>
  <orderer>
    <reference value="Practitioner/example"/>
    <display value="Dr Adam Careful"/>
  </orderer>
  <identifier>
    <system value="http://goodhealthhospital.org/nutrition-orders"/>
    <value value="123"/>
  </identifier>
  <encounter>
    <reference value="Encounter/example"/>
    <display value="Inpatient"/>
  </encounter>
  <dateTime value="2014-09-17"/>
  <status value="active"/>
  <allergyIntolerance>
    <reference value="AllergyIntolerance/example"/>
    <display value="Cashew Nuts"/>
  </allergyIntolerance>
  <foodPreferenceModifier>
    <coding>
      <system value="http://hl7.org/fhir/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><!--    EH: use oral Diet element    -->
  <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"/>
        <units 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"/>
        <units 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>

JSON

Nutrition Order Low Sodium and Fiber Restricted Diet Example

Raw JSON (Canonical)

{
  "resourceType": "NutritionOrder",
  "id": "cardiacdiet",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "patient": {
    "reference": "Patient/example",
    "display": "Peter Chalmers"
  },
  "orderer": {
    "reference": "Practitioner/example",
    "display": "Dr Adam Careful"
  },
  "identifier": [
    {
      "system": "http://goodhealthhospital.org/nutrition-orders",
      "value": "123"
    }
  ],
  "encounter": {
    "reference": "Encounter/example",
    "display": "Inpatient"
  },
  "dateTime": "2014-09-17",
  "status": "active",
  "allergyIntolerance": [
    {
      "reference": "AllergyIntolerance/example",
      "display": "Cashew Nuts"
    }
  ],
  "foodPreferenceModifier": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/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,
          "units": "grams",
          "system": "http://unitsofmeasure.org",
          "code": "g"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "33463005",
              "display": "Fluid"
            }
          ]
        },
        "amount": {
          "value": 1500,
          "units": "milliliter",
          "system": "http://unitsofmeasure.org",
          "code": "mL"
        }
      }
    ],
    "instruction": "Starting on 2/10 breakfast, maximum 400 ml fluids per meal"
  }
}

4.18.6.3 Diabetic Diet

XML

Nutrition Order Diabetic Diet Example (id = "diabeticdiet")

Raw XML

<NutritionOrder xmlns="http://hl7.org/fhir">
  <id value="diabeticdiet"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text><!--    id = diabeticdiet  file name = nutritionorder-example-diabeticdiet.xml Name= Diabetic
   Diet  Description = Nutrition Order Diabetic Diet Canonical Example
edited by Eric Haas Health eData Inc
...narrative generated by FHIR build
  &lt;text&gt;
    &lt;status value=&quot;generated&quot;/&gt;
    &lt;div xmlns=&quot;http://www.w3.org/1999/xhtml&quot;&gt;
      &lt;h3&gt;Nutrition Order Diabetic Diet Canonical Example&lt;/h3&gt;
      &lt;ul&gt;
        &lt;li&gt;
          &lt;b&gt;Patient: &lt;/b&gt;Peter Chalmers&lt;/li&gt;
        &lt;li&gt;
          &lt;b&gt;Orderer: &lt;/b&gt;Dr Adam Careful&lt;/li&gt;
        &lt;li&gt;
          &lt;b&gt;Date: &lt;/b&gt;2014-09-17&lt;/li&gt;
        &lt;li&gt;
          &lt;b&gt;Known Allergies: &lt;/b&gt;Cashew Nuts&lt;/li&gt;
        &lt;li&gt;
          &lt;b&gt;Food Preferences: &lt;/b&gt;dairy-free:  Excludes dairy products&lt;/li&gt;
        &lt;li&gt;
          &lt;b&gt;Oral Diet Type: &lt;/b&gt;DD - Diabetic diet&lt;/li&gt;
        &lt;li&gt;
          &lt;b&gt;Nutrients Requirements: &lt;/b&gt;
          &lt;ol&gt;
            &lt;li&gt;75 grams Carbohydrate (per meal) &lt;/li&gt;
          &lt;/ol&gt;
        &lt;/li&gt;
        &lt;li&gt;
          &lt;b&gt;Schedule: &lt;/b&gt;three times a day starting at breakfast on 2/10&lt;/li&gt;
      &lt;/ul&gt;
    &lt;/div&gt;
  &lt;/text&gt;
   --><!--   EH  Show all the elements in this examples for preference, and intolerance    -->
  <patient>
    <reference value="Patient/example"/>
    <display value="Peter Chalmers"/>
  </patient>
  <orderer>
    <reference value="Practitioner/example"/>
    <display value="Dr Adam Careful"/>
  </orderer>
  <identifier>
    <system value="http://goodhealthhospital.org/nutrition-orders"/>
    <value value="123"/>
  </identifier>
  <encounter>
    <reference value="Encounter/example"/>
    <display value="Inpatient"/>
  </encounter>
  <dateTime value="2014-09-17"/>
  <status value="active"/>
  <allergyIntolerance>
    <reference value="AllergyIntolerance/example"/>
    <display value="Cashew Nuts"/>
  </allergyIntolerance>
  <foodPreferenceModifier>
    <coding>
      <system value="http://hl7.org/fhir/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><!--    EH: use oral Diet element    -->
  <oralDiet><!--    EH:  list type of diet showing standard code and local codes    -->
    <type>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="160670007"/>
        <display value="Diabetic diet"/>
      </coding>
      <coding>
        <system value="http://goodhealthhospital.org/diet-type-codes"/>
        <code value="1030"/>
        <display value="DD - Diabetic diet"/>
      </coding>
      <text value="DD - Diabetic diet"/>
    </type><!--    EH example of three times a day starting on 2/10 using schedule    -->
    <scheduled>
      <repeat>
        <bounds>
          <start value="2015-02-10"/>
        </bounds>
        <frequency value="3"/>
        <period value="1"/>
        <periodUnits value="d"/>
      </repeat>
    </scheduled><!--    list nutrients and amounts here    -->
    <nutrient>
      <modifier>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="2331003"/>
          <display value="Carbohydrate"/>
        </coding>
      </modifier>
      <amount>
        <value value="75"/>
        <units value="grams"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="g"/>
      </amount>
    </nutrient>
  </oralDiet>
</NutritionOrder>

JSON

Nutrition Order Diabetic Diet Example

Raw JSON (Canonical)

{
  "resourceType": "NutritionOrder",
  "id": "diabeticdiet",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "patient": {
    "reference": "Patient/example",
    "display": "Peter Chalmers"
  },
  "orderer": {
    "reference": "Practitioner/example",
    "display": "Dr Adam Careful"
  },
  "identifier": [
    {
      "system": "http://goodhealthhospital.org/nutrition-orders",
      "value": "123"
    }
  ],
  "encounter": {
    "reference": "Encounter/example",
    "display": "Inpatient"
  },
  "dateTime": "2014-09-17",
  "status": "active",
  "allergyIntolerance": [
    {
      "reference": "AllergyIntolerance/example",
      "display": "Cashew Nuts"
    }
  ],
  "foodPreferenceModifier": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/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": "160670007",
            "display": "Diabetic diet"
          },
          {
            "system": "http://goodhealthhospital.org/diet-type-codes",
            "code": "1030",
            "display": "DD - Diabetic diet"
          }
        ],
        "text": "DD - Diabetic diet"
      }
    ],
    "scheduled": {
      "repeat": {
        "bounds": {
          "start": "2015-02-10"
        },
        "frequency": 3,
        "period": 1,
        "periodUnits": "d"
      }
    },
    "nutrient": [
      {
        "modifier": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "2331003",
              "display": "Carbohydrate"
            }
          ]
        },
        "amount": {
          "value": 75,
          "units": "grams",
          "system": "http://unitsofmeasure.org",
          "code": "g"
        }
      }
    ]
  }
}

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.