R4 Draft for Comment

This page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Nutritionorder-example-enteralbolus.json

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

Raw JSON (canonical form)

Nutrition Order Enteral Bolus Feeding Example

{
  "resourceType": "NutritionOrder",
  "id": "enteralbolus",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: enteralbolus</p><p><b>identifier</b>: 123</p><p><b>status</b>: active</p><p><b>patient</b>: <a>Peter Chalmers</a></p><p><b>encounter</b>: <a>Inpatient</a></p><p><b>dateTime</b>: 17/09/2014</p><p><b>orderer</b>: <a>Dr Adam Careful</a></p><p><b>allergyIntolerance</b>: <a>Cashew Nuts</a></p><p><b>foodPreferenceModifier</b>: Dairy Free <span>(Details : {http://hl7.org/fhir/diet code 'dairy-free' = 'Dairy Free)</span></p><p><b>excludeFoodModifier</b>: Cashew Nut <span>(Details : {SNOMED CT code '227493005' = 'Cashew nuts', given as 'Cashew Nut'})</span></p><blockquote><p><b>enteralFormula</b></p><p><b>baseFormulaType</b>: Adult high protein formula <span>(Details : {http://usextension/snomed.info/sct code '659311000124118' = '659311000124118', given as 'Adult high protein formula'})</span></p><p><b>baseFormulaProductName</b>: Acme High Protein Formula</p><p><b>additiveType</b>: Lipid <span>(Details : {http://hl7.org/fhir/entformula-additive code 'lipid' = 'Lipid', given as 'Lipid'})</span></p><p><b>additiveProductName</b>: Acme Lipid Additive</p><p><b>caloricDensity</b>: 1.5 calories per milliliter<span> (Details: UCUM code cal/mL = 'cal/mL')</span></p><p><b>routeofAdministration</b>: Instillation, gastrostomy tube <span>(Details : {http://hl7.org/fhir/v3/RouteOfAdministration code 'GT' = 'Instillation, gastrostomy tube', given as 'Instillation, gastrostomy tube'})</span></p><h3>Administrations</h3><table><tr><td>-</td><td><b>Schedule</b></td><td><b>Quantity</b></td></tr><tr><td>*</td><td>Starting 17/09/2014 4:00:00 PM, Do Once per 4 hours</td><td>240 milliliters<span> (Details: UCUM code mL = 'mL')</span></td></tr></table><p><b>maxVolumeToDeliver</b>: 1440 milliliter/day<span> (Details: UCUM code mL/d = 'mL/d')</span></p><p><b>administrationInstruction</b>: 240 mls every 4hrs </p></blockquote></div>"
  },
  "identifier": [
    {
      "system": "http://www.acme.org/nutritionorders",
      "value": "123"
    }
  ],
  "status": "active",
  "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://hl7.org/fhir/diet",
          "code": "dairy-free"
        }
      ]
    }
  ],
  "excludeFoodModifier": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "version": "20140730",
          "code": "227493005",
          "display": "Cashew Nut"
        }
      ]
    }
  ],
  "enteralFormula": {
    "baseFormulaType": {
      "coding": [
        {
          "system": "http://usextension/snomed.info/sct",
          "code": "659311000124118",
          "display": "Adult high protein formula"
        }
      ]
    },
    "baseFormulaProductName": "Acme High Protein Formula",
    "additiveType": {
      "coding": [
        {
          "system": "http://hl7.org/fhir/entformula-additive",
          "code": "lipid",
          "display": "Lipid"
        }
      ]
    },
    "additiveProductName": "Acme Lipid Additive",
    "caloricDensity": {
      "value": 1.5,
      "unit": "calories per milliliter",
      "system": "http://unitsofmeasure.org",
      "code": "cal/mL"
    },
    "routeofAdministration": {
      "coding": [
        {
          "system": "http://hl7.org/fhir/v3/RouteOfAdministration",
          "code": "GT",
          "display": "Instillation, gastrostomy tube"
        }
      ]
    },
    "administration": [
      {
        "schedule": {
          "repeat": {
            "boundsPeriod": {
              "start": "2014-09-17T16:00:00Z"
            },
            "frequency": 1,
            "period": 4,
            "periodUnit": "h"
          }
        },
        "quantity": {
          "value": 240,
          "unit": "milliliters",
          "system": "http://unitsofmeasure.org",
          "code": "mL"
        }
      }
    ],
    "maxVolumeToDeliver": {
      "value": 1440,
      "unit": "milliliter/day",
      "system": "http://unitsofmeasure.org",
      "code": "mL/d"
    },
    "administrationInstruction": "240 mls every 4hrs "
  }
}

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.