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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 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:id [ fhir:v "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:text [ fhir:status [ fhir:v "generated" ] ; fhir: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 "enteralcontinuous" </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> "Peter CHALMERS"</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> "Adam CAREFUL"</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/5.1.0/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:identifier ( [ fhir:system [ fhir:v "http://www.acme.org/nutritionorders"^^xsd:anyURI ] ; fhir:value [ fhir:v "123" ] ] ) ; # fhir:status [ fhir:v "active"] ; # fhir:intent [ fhir:v "order"] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/example" ] ; fhir:display [ fhir:v "Peter Chalmers" ] ] ; # fhir:encounter [ fhir:reference [ fhir:v "Encounter/example" ] ; fhir:display [ fhir:v "Inpatient" ] ] ; # fhir:dateTime [ fhir:v "2014-09-17"^^xsd:date] ; # fhir:orderer [ fhir:reference [ fhir:v "Practitioner/example" ] ; fhir:display [ fhir:v "Dr Adam Careful" ] ] ; # fhir:enteralFormula [ fhir:baseFormulaType [ fhir:concept [ fhir:coding ( [ a sct:6547210000124112 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "6547210000124112" ] ; fhir:display [ fhir:v "Diabetic specialty enteral formula" ] ] ) ] ] ; fhir:baseFormulaProductName [ fhir:v "Acme Diabetes Formula" ] ; fhir:caloricDensity [ fhir:value [ fhir:v "1"^^xsd:decimal ] ; fhir:unit [ fhir:v "calories per milliliter" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "cal/mL" ] ] ; fhir:routeOfAdministration [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"^^xsd:anyURI ] ; fhir:code [ fhir:v "NGT" ] ; fhir:display [ fhir:v "Instillation, nasogastric tube" ] ] ) ] ; # step up rate of tube feeding by 20 ml\/hr every 4 hours fhir:administration ( [ fhir:schedule [ fhir:timing ( [ fhir:repeat [ fhir:bounds [ a fhir:Period ; fhir:start [ fhir:v "2014-09-17T07:00:00Z"^^xsd:dateTime ] ] ] ] ) ] ; fhir:rate [ a fhir:Quantity ; fhir:value [ fhir:v "60"^^xsd:decimal ] ; fhir:unit [ fhir:v "ml/hr" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "mL/h" ] ] ] [ fhir:schedule [ fhir:timing ( [ fhir:repeat [ fhir:bounds [ a fhir:Period ; fhir:start [ fhir:v "2014-09-17T11:00:00Z"^^xsd:dateTime ] ] ] ] ) ] ; fhir:rate [ a fhir:Quantity ; fhir:value [ fhir:v "80"^^xsd:decimal ] ; fhir:unit [ fhir:v "ml/hr" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "mL/h" ] ] ] [ fhir:schedule [ fhir:timing ( [ fhir:repeat [ fhir:bounds [ a fhir:Period ; fhir:start [ fhir:v "2014-09-17T15:00:00Z"^^xsd:dateTime ] ] ] ] ) ] ; fhir:rate [ a fhir:Quantity ; fhir:value [ fhir:v "100"^^xsd:decimal ] ; fhir:unit [ fhir:v "ml/hr" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "mL/h" ] ] ] ) ; fhir:maxVolumeToDeliver [ fhir:value [ fhir:v "880"^^xsd:decimal ] ; fhir:unit [ fhir:v "milliliter/day" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "mL/d" ] ] ; fhir:administrationInstruction [ fhir:v "Hold feedings from 7 pm to 7 am. Add MCT oil to increase calories from 1.0 cal/mL to 1.5 cal/mL" ] ]] . # # -------------------------------------------------------------------------------------
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.
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