2nd DSTU Draft For Comment

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4.18.7 Resource NutritionOrder - Examples

Example Index:

Nutrition Order Pureed Diet and Energy/Protein Supplement Simple ExampleXMLJSON
Nutrition Order Cardiac Diet Canonical ExampleXMLJSON
Nutrition Order Diabetic Diet Canonical ExampleXMLJSON
Nutrition Order Pureed Diet Canonical ExampleXMLJSON
Nutrition Order Mineral Restricted Diet Canonical ExampleXMLJSON
Nutrition Order Fiber Restricted Diet Canonical ExampleXMLJSON
Nutrition Order Diabetic Supplement Canonical ExampleXMLJSON
Nutrition Order Protein Supplement Canonical ExampleXMLJSON
Nutrition Order Energy Supplement Canonical ExampleXMLJSON
Nutrition Order Enteral Bolus Feeding Canonical ExampleXMLJSON
Nutrition Order Enteral Continuous Feeding Canonical ExampleXMLJSON
Nutrition Order Infant Enteral Feeding Canonical ExampleXMLJSON

4.18.7.1 Pureed Diet Simple

XML

Nutrition Order Pureed Diet and Energy/Protein Supplement Simple Example (id = "pureeddiet-simple")

Raw XML

<NutritionOrder xmlns="http://hl7.org/fhir">
  <id value="pureeddiet-simple"/><!--    Using only instruction element in oralDiet and Suppleent minimal other elements  id
   = pureeddiet-simple file name = nutritionorder-example-pureeddiet-simple.xml  Name= Pureed
   Diet Simple Description = Nutrition Order Pureed Diet with Energy/Protein Supplement Simple
   Example
edited by Eric Haas Health eData Inc   -->
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <patient>
    <reference value="Patient/example"/>
    <display value="Peter Chalmers"/>
  </patient>
  <orderer>
    <reference value="Practitioner/example"/>
    <display value="Dr Adam Careful"/>
  </orderer>
  <identifier>
    <system value="http://goodhealthhospital.org/nutrition-orders"/>
    <value value="123"/>
  </identifier>
  <dateTime value="2014-09-17"/><!--    EH: use oral Diet element    -->
  <oralDiet><!--    EH:  list type of diet showing standard code and local codes -  need input on appropriate
     diet type   -->
    <type>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="226211001"/>
        <display value="Pureed diet"/>
      </coding>
    </type>
    <type>
      <coding>
        <system value="http://goodhealthhospital.org/diet-type-codes"/>
        <code value="1010"/>
        <display value="Pureed diet"/>
      </coding>
      <text value="Pureed diet"/>
    </type><!--    EH example of three times a day starting on 2/10 !!need input on how diets are typically
     scheduled    -->
    <scheduled>
      <event>
        <start value="2015-02-10"/>
      </event>
      <repeat>
        <frequency value="3"/>
        <duration value="1"/>
        <units value="d"/>
      </repeat>
    </scheduled>
    <texture>
      <modifier>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="228055009"/>
          <display value="Liquidized food"/>
        </coding>
        <text value="Pureed"/>
      </modifier>
    </texture>
    <fluidConsistencyType>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="439021000124105"/>
        <display value="Dietary liquid consistency - nectar thick liquid"/>
      </coding>
      <text value="Nectar thick liquids"/>
    </fluidConsistencyType>
  </oralDiet>
  <supplement>
    <type>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="442971000124100"/>
        <display value="Adult high energy formula"/>
      </coding>
      <coding>
        <system value="http://goodhealthhospital.org/supplement-type-codes"/>
        <code value="1040"/>
        <display value="Adult high energy pudding"/>
      </coding>
      <text value="Adult high energy pudding"/>
    </type>
    <productName value="Ensure Pudding 4 oz container"/>
  </supplement><!--   EH:  comment #5675 to add Instructions to supplement too
    &lt;instruction value=&quot;Ensure Pudding at breakfast, lunch, supper&quot;&gt;&lt;/instruction&g
  t;
   -->
  <status value="active"/>
</NutritionOrder>

JSON

Nutrition Order Pureed Diet and Energy/Protein Supplement Simple Example

Raw JSON (Canonical)

{
  "resourceType": "NutritionOrder",
  "id": "pureeddiet-simple",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "patient": {
    "reference": "Patient/example",
    "display": "Peter Chalmers"
  },
  "orderer": {
    "reference": "Practitioner/example",
    "display": "Dr Adam Careful"
  },
  "identifier": [
    {
      "system": "http://goodhealthhospital.org/nutrition-orders",
      "value": "123"
    }
  ],
  "dateTime": "2014-09-17",
  "oralDiet": {
    "type": [
      {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "226211001",
            "display": "Pureed diet"
          }
        ]
      },
      {
        "coding": [
          {
            "system": "http://goodhealthhospital.org/diet-type-codes",
            "code": "1010",
            "display": "Pureed diet"
          }
        ],
        "text": "Pureed diet"
      }
    ],
    "scheduled": {
      "event": [
        {
          "start": "2015-02-10"
        }
      ],
      "repeat": {
        "frequency": 3,
        "duration": 1,
        "units": "d"
      }
    },
    "texture": [
      {
        "modifier": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "228055009",
              "display": "Liquidized food"
            }
          ],
          "text": "Pureed"
        }
      }
    ],
    "fluidConsistencyType": [
      {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "439021000124105",
            "display": "Dietary liquid consistency - nectar thick liquid"
          }
        ],
        "text": "Nectar thick liquids"
      }
    ]
  },
  "supplement": [
    {
      "type": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "442971000124100",
            "display": "Adult high energy formula"
          },
          {
            "system": "http://goodhealthhospital.org/supplement-type-codes",
            "code": "1040",
            "display": "Adult high energy pudding"
          }
        ],
        "text": "Adult high energy pudding"
      },
      "productName": "Ensure Pudding 4 oz container"
    }
  ],
  "status": "active"
}

4.18.7.2 Cardiac Diet

XML

Nutrition Order Cardiac Diet Canonical Example (id = "cardiacdiet")

Raw XML

<NutritionOrder xmlns="http://hl7.org/fhir">
  <id value="cardiacdiet"/><!--    id = cardiacdiet  file name = nutritionorder-example-cardiacdiet.xml  Name= Cardiac
   Diet  Description = Nutrition Order Cardiac Diet Canonical Example
edited by Eric Haas Health eData Inc   -->
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <patient>
    <reference value="Patient/example"/>
    <display value="Peter Chalmers"/>
  </patient>
  <orderer>
    <reference value="Practitioner/example"/>
    <display value="Dr Adam Careful"/>
  </orderer>
  <identifier>
    <system value="http://goodhealthhospital.org/nutrition-orders"/>
    <value value="123"/>
  </identifier>
  <encounter>
    <reference value="Encounter/example"/>
    <display value="Inpatient"/>
  </encounter>
  <dateTime value="2014-09-17"/>
  <allergyIntolerance>
    <reference value="AllergyIntolerance/example"/>
    <display value="Cashew Nuts"/>
  </allergyIntolerance>
  <foodPreferenceModifier>
    <coding>
      <system value="http://hl7.org/fhir/diet"/>
      <code value="dairy-free"/>
      <valueSet>
        <reference value="http://hl7.org/fhir/vs/encounter-diet"/>
        <display value="PatientDiet"/>
      </valueSet>
    </coding>
  </foodPreferenceModifier>
  <excludeFoodModifier>
    <coding>
      <system value="http://snomed.info/sct"/>
      <version value="20140730"/>
      <code value="227493005"/>
      <display value="Cashew Nut"/>
    </coding>
  </excludeFoodModifier><!--    EH: use oral Diet element    -->
  <oralDiet><!--    EH:  list type of diet showing standard code and local codes -  need input on appropriate
     diet type    -->
    <type><!--     need input from SME on SCT here -what type of diet is this   -->
      <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><!--     need input from SME on SCT here -what type of diet is this   -->
      <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><!--    EH example of three times a day starting on 2/10 !!need input on how diets are typically
     scheduled    -->
    <scheduled>
      <event>
        <start value="2015-02-10"/>
      </event>
      <repeat>
        <frequency value="3"/>
        <duration value="1"/>
        <units value="d"/>
      </repeat>
    </scheduled>
    <nutrients>
      <modifier>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="39972003"/>
          <display value="Sodium"/>
        </coding>
      </modifier>
      <amount>
        <value value="2"/>
        <units value="grams"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="g"/>
      </amount>
    </nutrients>
    <nutrients>
      <modifier>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="33463005"/>
          <display value="Fluid"/>
        </coding>
      </modifier>
      <amount>
        <value value="1500"/>
        <units value="milliliter"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="ml"/>
      </amount>
    </nutrients>
  </oralDiet>
  <status value="active"/>
</NutritionOrder>

JSON

Nutrition Order Cardiac Diet Canonical Example

Raw JSON (Canonical)

{
  "resourceType": "NutritionOrder",
  "id": "cardiacdiet",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "patient": {
    "reference": "Patient/example",
    "display": "Peter Chalmers"
  },
  "orderer": {
    "reference": "Practitioner/example",
    "display": "Dr Adam Careful"
  },
  "identifier": [
    {
      "system": "http://goodhealthhospital.org/nutrition-orders",
      "value": "123"
    }
  ],
  "encounter": {
    "reference": "Encounter/example",
    "display": "Inpatient"
  },
  "dateTime": "2014-09-17",
  "allergyIntolerance": [
    {
      "reference": "AllergyIntolerance/example",
      "display": "Cashew Nuts"
    }
  ],
  "foodPreferenceModifier": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/diet",
          "code": "dairy-free",
          "valueSet": {
            "reference": "http://hl7.org/fhir/vs/encounter-diet",
            "display": "PatientDiet"
          }
        }
      ]
    }
  ],
  "excludeFoodModifier": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "version": "20140730",
          "code": "227493005",
          "display": "Cashew Nut"
        }
      ]
    }
  ],
  "oralDiet": {
    "type": [
      {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "386619000",
            "display": "Low sodium diet"
          },
          {
            "system": "http://goodhealthhospital.org/diet-type-codes",
            "code": "1040",
            "display": "Low Sodium Diet"
          }
        ],
        "text": "Low sodium diet"
      },
      {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "226208002",
            "display": "Fluid restricted diet"
          },
          {
            "system": "http://goodhealthhospital.org/diet-type-codes",
            "code": "1040",
            "display": "Fluid restricted diet"
          }
        ],
        "text": "Fluid restricted diet"
      }
    ],
    "scheduled": {
      "event": [
        {
          "start": "2015-02-10"
        }
      ],
      "repeat": {
        "frequency": 3,
        "duration": 1,
        "units": "d"
      }
    },
    "nutrients": [
      {
        "modifier": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "39972003",
              "display": "Sodium"
            }
          ]
        },
        "amount": {
          "value": 2,
          "units": "grams",
          "system": "http://unitsofmeasure.org",
          "code": "g"
        }
      },
      {
        "modifier": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "33463005",
              "display": "Fluid"
            }
          ]
        },
        "amount": {
          "value": 1500,
          "units": "milliliter",
          "system": "http://unitsofmeasure.org",
          "code": "ml"
        }
      }
    ]
  },
  "status": "active"
}

4.18.7.3 Diabetic Diet

XML

Nutrition Order Diabetic Diet Canonical Example (id = "diabeticdiet")

Raw XML

<NutritionOrder xmlns="http://hl7.org/fhir">
  <id value="diabeticdiet"/><!--    id = diabeticdiet  file name = nutritionorder-example-diabeticdiet.xml Name= Diabetic
   Diet  Description = Nutrition Order Diabetic Diet Canonical Example
edited by Eric Haas Health eData Inc   -->
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <patient>
    <reference value="Patient/example"/>
    <display value="Peter Chalmers"/>
  </patient>
  <orderer>
    <reference value="Practitioner/example"/>
    <display value="Dr Adam Careful"/>
  </orderer>
  <identifier>
    <system value="http://goodhealthhospital.org/nutrition-orders"/>
    <value value="123"/>
  </identifier>
  <encounter>
    <reference value="Encounter/example"/>
    <display value="Inpatient"/>
  </encounter>
  <dateTime value="2014-09-17"/>
  <allergyIntolerance>
    <reference value="AllergyIntolerance/example"/>
    <display value="Cashew Nuts"/>
  </allergyIntolerance>
  <foodPreferenceModifier>
    <coding>
      <system value="http://hl7.org/fhir/diet"/>
      <code value="dairy-free"/>
      <valueSet>
        <reference value="http://hl7.org/fhir/vs/encounter-diet"/>
        <display value="PatientDiet"/>
      </valueSet>
    </coding>
  </foodPreferenceModifier>
  <excludeFoodModifier>
    <coding>
      <system value="http://snomed.info/sct"/>
      <version value="20140730"/>
      <code value="227493005"/>
      <display value="Cashew Nut"/>
    </coding>
  </excludeFoodModifier><!--    EH: use oral Diet element    -->
  <oralDiet><!--    EH:  list type of diet showing standard code and local codes -  need input on appropriate
     diet type   -->
    <type>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="160670007"/>
        <display value="Diabetic diet"/>
      </coding>
    </type>
    <type>
      <coding>
        <system value="http://goodhealthhospital.org/diet-type-codes"/>
        <code value="1030"/>
        <display value="DD - Diabetic diet"/>
      </coding>
      <text value="DD - Diabetic diet"/>
    </type><!--    EH example of three times a day starting on 2/10 !!need input on how diets are typically
     scheduled    -->
    <scheduled>
      <event>
        <start value="2015-02-10"/>
      </event>
      <repeat>
        <frequency value="3"/>
        <duration value="1"/>
        <units value="d"/>
      </repeat>
    </scheduled>
    <nutrients>
      <modifier>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="2331003"/>
          <display value="Carbohydrate"/>
        </coding>
      </modifier>
      <amount>
        <value value="75"/>
        <units value="grams"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="g"/>
      </amount>
    </nutrients>
  </oralDiet>
  <status value="active"/>
</NutritionOrder>

JSON

Nutrition Order Diabetic Diet Canonical Example

Raw JSON (Canonical)

{
  "resourceType": "NutritionOrder",
  "id": "diabeticdiet",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "patient": {
    "reference": "Patient/example",
    "display": "Peter Chalmers"
  },
  "orderer": {
    "reference": "Practitioner/example",
    "display": "Dr Adam Careful"
  },
  "identifier": [
    {
      "system": "http://goodhealthhospital.org/nutrition-orders",
      "value": "123"
    }
  ],
  "encounter": {
    "reference": "Encounter/example",
    "display": "Inpatient"
  },
  "dateTime": "2014-09-17",
  "allergyIntolerance": [
    {
      "reference": "AllergyIntolerance/example",
      "display": "Cashew Nuts"
    }
  ],
  "foodPreferenceModifier": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/diet",
          "code": "dairy-free",
          "valueSet": {
            "reference": "http://hl7.org/fhir/vs/encounter-diet",
            "display": "PatientDiet"
          }
        }
      ]
    }
  ],
  "excludeFoodModifier": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "version": "20140730",
          "code": "227493005",
          "display": "Cashew Nut"
        }
      ]
    }
  ],
  "oralDiet": {
    "type": [
      {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "160670007",
            "display": "Diabetic diet"
          }
        ]
      },
      {
        "coding": [
          {
            "system": "http://goodhealthhospital.org/diet-type-codes",
            "code": "1030",
            "display": "DD - Diabetic diet"
          }
        ],
        "text": "DD - Diabetic diet"
      }
    ],
    "scheduled": {
      "event": [
        {
          "start": "2015-02-10"
        }
      ],
      "repeat": {
        "frequency": 3,
        "duration": 1,
        "units": "d"
      }
    },
    "nutrients": [
      {
        "modifier": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "2331003",
              "display": "Carbohydrate"
            }
          ]
        },
        "amount": {
          "value": 75,
          "units": "grams",
          "system": "http://unitsofmeasure.org",
          "code": "g"
        }
      }
    ]
  },
  "status": "active"
}

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.