Release 4B Ballot #1

This page is part of the FHIR Specification (v4.1.0: Release 4B 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

Nutritionorder-example-enteralbolus.ttl

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

Raw Turtle (+ also see Turtle/RDF Format Specification)

Nutrition Order Enteral Bolus 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 -------------------------------------------------------------------

<http://hl7.org/fhir/NutritionOrder/enteralbolus> a fhir:NutritionOrder;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "enteralbolus"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 123</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>patient</b>: <a>Peter Chalmers. Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>encounter</b>: <a>Inpatient. Generated Summary: status: in-progress; <span>inpatient encounter</span></a></p><p><b>dateTime</b>: 2014-09-17</p><p><b>orderer</b>: <a>Dr Adam Careful. Generated Summary: id: 23; active; Adam Careful </a></p><p><b>allergyIntolerance</b>: <a>Cashew Nuts. Generated Summary: id: 49476534; <span>Active</span>; <span>Confirmed</span>; type: allergy; category: food; criticality: high; <span>Cashew nuts</span>; onset: 2004; recordedDate: 9 Oct. 2014, 2:58:00 pm; lastOccurrence: 2012-06; The criticality is high becasue of the observed anaphylactic reaction when challenged with cashew extract.</a></p><p><b>foodPreferenceModifier</b>: <span>Dairy Free</span></p><p><b>excludeFoodModifier</b>: <span>Cashew Nut</span></p><blockquote><p><b>enteralFormula</b></p><p><b>baseFormulaType</b>: <span>Adult high protein formula</span></p><p><b>baseFormulaProductName</b>: Acme High Protein Formula</p><p><b>additiveType</b>: <span>Lipid</span></p><p><b>additiveProductName</b>: Acme Lipid Additive</p><p><b>caloricDensity</b>: 1.5 calories per milliliter</p><p><b>routeofAdministration</b>: <span>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 18 Sep. 2014, 2:00:00 am, Do Once per 4 hours</td><td>240 milliliters</td></tr></table><p><b>maxVolumeToDeliver</b>: 1440 milliliter/day</p><p><b>administrationInstruction</b>: 240 mls every 4hrs </p></blockquote></div>"
  ];
  fhir:NutritionOrder.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://www.acme.org/nutritionorders" ];
     fhir:Identifier.value [ fhir:value "123" ]
  ];
  fhir:NutritionOrder.status [ fhir:value "active"];
  fhir:NutritionOrder.intent [ fhir:value "order"];
  fhir:NutritionOrder.patient [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ];
     fhir:Reference.display [ fhir:value "Peter Chalmers" ]
  ];
  fhir:NutritionOrder.encounter [
     fhir:link <http://hl7.org/fhir/Encounter/example>;
     fhir:Reference.reference [ fhir:value "Encounter/example" ];
     fhir:Reference.display [ fhir:value "Inpatient" ]
  ];
  fhir:NutritionOrder.dateTime [ fhir:value "2014-09-17"^^xsd:date];
  fhir:NutritionOrder.orderer [
     fhir:link <http://hl7.org/fhir/Practitioner/example>;
     fhir:Reference.reference [ fhir:value "Practitioner/example" ];
     fhir:Reference.display [ fhir:value "Dr Adam Careful" ]
  ];
  fhir:NutritionOrder.allergyIntolerance [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/AllergyIntolerance/example>;
     fhir:Reference.reference [ fhir:value "AllergyIntolerance/example" ];
     fhir:Reference.display [ fhir:value "Cashew Nuts" ]
  ];
  fhir:NutritionOrder.foodPreferenceModifier [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/diet" ];
       fhir:Coding.code [ fhir:value "dairy-free" ]
     ]
  ];
  fhir:NutritionOrder.excludeFoodModifier [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:227493005;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.version [ fhir:value "20140730" ];
       fhir:Coding.code [ fhir:value "227493005" ];
       fhir:Coding.display [ fhir:value "Cashew Nut" ]
     ]
  ];
  fhir:NutritionOrder.enteralFormula [
     fhir:NutritionOrder.enteralFormula.baseFormulaType [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:442991000124104;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "442991000124104" ];
         fhir:Coding.display [ fhir:value "Adult high protein formula" ]
       ]
     ];
     fhir:NutritionOrder.enteralFormula.baseFormulaProductName [ fhir:value "Acme High Protein Formula" ];
     fhir:NutritionOrder.enteralFormula.additiveType [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/entformula-additive" ];
         fhir:Coding.code [ fhir:value "lipid" ];
         fhir:Coding.display [ fhir:value "Lipid" ]
       ]
     ];
     fhir:NutritionOrder.enteralFormula.additiveProductName [ fhir:value "Acme Lipid Additive" ];
     fhir:NutritionOrder.enteralFormula.caloricDensity [
       fhir:Quantity.value [ fhir:value "1.5"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "calories per milliliter" ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "cal/mL" ]
     ];
     fhir:NutritionOrder.enteralFormula.routeofAdministration [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration" ];
         fhir:Coding.code [ fhir:value "GT" ];
         fhir:Coding.display [ fhir:value "Instillation, gastrostomy tube" ]
       ]
     ];
     fhir:NutritionOrder.enteralFormula.administration [
       fhir:index 0;
       fhir:NutritionOrder.enteralFormula.administration.schedule [
         fhir:Timing.repeat [
           fhir:Timing.repeat.boundsPeriod [
             fhir:Period.start [ fhir:value "2014-09-17T16:00:00Z"^^xsd:dateTime ]
           ];
           fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ];
           fhir:Timing.repeat.period [ fhir:value "4"^^xsd:decimal ];
           fhir:Timing.repeat.periodUnit [ fhir:value "h" ]
         ]
       ];
       fhir:NutritionOrder.enteralFormula.administration.quantity [
         fhir:Quantity.value [ fhir:value "240"^^xsd:decimal ];
         fhir:Quantity.unit [ fhir:value "milliliters" ];
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
         fhir:Quantity.code [ fhir:value "mL" ]
       ]
     ];
     fhir:NutritionOrder.enteralFormula.maxVolumeToDeliver [
       fhir:Quantity.value [ fhir:value "1440"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "milliliter/day" ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "mL/d" ]
     ];
     fhir:NutritionOrder.enteralFormula.administrationInstruction [ fhir:value "240 mls every 4hrs " ]
  ] .

<http://hl7.org/fhir/Patient/example> a fhir:Patient .

<http://hl7.org/fhir/Encounter/example> a fhir:Encounter .

<http://hl7.org/fhir/Practitioner/example> a fhir:Practitioner .

<http://hl7.org/fhir/AllergyIntolerance/example> a fhir:AllergyIntolerance .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/NutritionOrder/enteralbolus.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://build.fhir.org/NutritionOrder/enteralbolus.ttl> .

# -------------------------------------------------------------------------------------


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.