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-enteralcontinuous.xml

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

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

<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"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : enteralcontinuous</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> <blockquote> <p> <b> enteralFormula</b> </p> <p> <b> baseFormulaType</b> : Diabetic specialty enteral formula <span> (Details : {http://snomed/sct code '6547210000124112' = '6547210000124112', given as 'Diabetic
             specialty enteral formula'})</span> </p> <p> <b> baseFormulaProductName</b> :  Acme Diabetes Formula</p> <p> <b> caloricDensity</b> : 1 calories per milliliter<span>  (Details: UCUM code cal/mL = 'cal/mL')</span> </p> <p> <b> routeofAdministration</b> : Instillation, nasogastric tube <span> (Details : {http://hl7.org/fhir/v3/RouteOfAdministration code 'NGT' = 'Instillation, nasogastric
             tube', given as 'Instillation, nasogastric tube'})</span> </p> <blockquote> <p> <b> administration</b> </p> <p> <b> schedule</b> : Starting 17/09/2014 7:00:00 AM, Do Once</p> <p> <b> rate</b> : 60 ml/hr<span>  (Details: UCUM code mL/h = 'mL/h')</span> </p> </blockquote> <blockquote> <p> <b> administration</b> </p> <p> <b> schedule</b> : Starting 17/09/2014 11:00:00 AM, Do Once</p> <p> <b> rate</b> : 80 ml/hr<span>  (Details: UCUM code mL/h = 'mL/h')</span> </p> </blockquote> <blockquote> <p> <b> administration</b> </p> <p> <b> schedule</b> : Starting 17/09/2014 3:00:00 PM, Do Once</p> <p> <b> rate</b> : 100 ml/hr<span>  (Details: UCUM code mL/h = 'mL/h')</span> </p> </blockquote> <p> <b> maxVolumeToDeliver</b> : 880 milliliter/day<span>  (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> </text> <identifier> 
    <system value="http://www.acme.org/nutritionorders"/> 
    <value value="123"/> 
  </identifier> 
  <status value="active"/> 
  <patient> 
    <reference value="Patient/example"/> 
    <display value="Peter Chalmers"/> 
  </patient> 
  <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> 
    <baseFormulaType> 
      <coding> 
        <system value="http://snomed/sct"/> 
        <code value="6547210000124112"/> 
        <display value="Diabetic specialty enteral formula"/> 
      </coding> 
    </baseFormulaType> 
    <baseFormulaProductName value=" Acme Diabetes Formula"/> 
    
    <caloricDensity> 
      <value value="1"/> 
      <unit value="calories per milliliter"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="cal/mL"/> 
    </caloricDensity> 
    <routeofAdministration> 
      <coding> 
        <system value="http://hl7.org/fhir/v3/RouteOfAdministration"/> 
        <code value="NGT"/> 
        <display value="Instillation, nasogastric tube"/> 
      </coding> 
    <!--   step up rate of tube feeding by 20 ml/hr every 4 hours    -->
    </routeofAdministration> 
    <administration> 
      
      <schedule> 
      <repeat> 
        <boundsPeriod> 
          <start value="2014-09-17T07:00:00Z"/> 
        </boundsPeriod> 
      </repeat> 
      </schedule> 
      <rateQuantity> 
        <value value="60"/> 
        <unit value="ml/hr"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="mL/h"/> 
      </rateQuantity> 
    </administration> 
    <administration>   
      <schedule> 
      <repeat> 
        <boundsPeriod> 
          <start value="2014-09-17T11:00:00Z"/> 
        </boundsPeriod> 
      </repeat> 
      </schedule> 
      <rateQuantity> 
        <value value="80"/> 
        <unit value="ml/hr"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="mL/h"/> 
      </rateQuantity> 
    </administration> 
    <administration>     
      <schedule> 
      <repeat> 
        <boundsPeriod> 
          <start value="2014-09-17T15:00:00Z"/> 
        </boundsPeriod> 
      </repeat> 
      </schedule> 
      <rateQuantity> 
        <value value="100"/> 
        <unit value="ml/hr"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="mL/h"/> 
      </rateQuantity> 
    </administration> 
    
    <maxVolumeToDeliver> 
      <value value="880"/> 
      <unit value="milliliter/day"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="mL/d"/> 
    </maxVolumeToDeliver> 
    <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.