Release 5 Preview #1

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Nutritionorder-example-cardiacdiet.xml

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

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

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

<NutritionOrder xmlns="http://hl7.org/fhir"><!--    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
   -->
<!--   EH  Show all the elements in this examples for preference, and intolerance    --><!--    EH: use oral Diet element    -->
<id value="cardiacdiet"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : cardiacdiet</p> <p> <b> identifier</b> : 123</p> <p> <b> status</b> : active</p> <p> <b> intent</b> : order</p> <p> <b> patient</b> : <a> Peter Chalmers</a> </p> <p> <b> encounter</b> : <a> Inpatient</a> </p> <p> <b> dateTime</b> : 2014-09-17</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://terminology.hl7.org/CodeSystem/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> oralDiet</b> </p> <p> <b> type</b> : Low sodium diet <span> (Details : {SNOMED CT code '386619000' = 'Low sodium diet', given as 'Low sodium diet'};
             {http://goodhealthhospital.org/diet-type-codes code '1040' = '1040', given as 'Low Sodium
             Diet'})</span> , Fluid restricted diet <span> (Details : {SNOMED CT code '226208002' = 'Fluid restricted diet', given as 'Fluid restricted
             diet'}; {http://goodhealthhospital.org/diet-type-codes code '1040' = '1040', given as
             'Fluid restricted diet'})</span> </p> <blockquote> <p> <b> nutrient</b> </p> <p> <b> modifier</b> : Sodium <span> (Details : {SNOMED CT code '39972003' = 'Sodium', given as 'Sodium'})</span> </p> <p> <b> amount</b> : 2 grams<span>  (Details: UCUM code g = 'g')</span> </p> </blockquote> <blockquote> <p> <b> nutrient</b> </p> <p> <b> modifier</b> : Fluid <span> (Details : {SNOMED CT code '33463005' = 'Fluid', given as 'Fluid'})</span> </p> <p> <b> amount</b> : 1500 milliliter<span>  (Details: UCUM code mL = 'mL')</span> </p> </blockquote> <p> <b> instruction</b> : Starting on 2/10 breakfast, maximum 400 ml fluids per meal</p> </blockquote> </div> </text> <identifier> 
    <system value="http://goodhealthhospital.org/nutrition-requests"/> 
    <value value="123"/> 
  </identifier> 
  <status value="active"/> <intent value="order"/> 
  <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> 
  <allergyIntolerance> 
    <reference value="AllergyIntolerance/example"/> 
    <display value="Cashew Nuts"/> 
  </allergyIntolerance> 
  <foodPreferenceModifier> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/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> 
  <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"/> 
        <unit 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"/> 
        <unit 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> 

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.