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Nutritionorder-example-enteralbolus.xml

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

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Nutrition Order Enteral Bolus Feeding Example (id = "enteralbolus")

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

<NutritionOrder xmlns="http://hl7.org/fhir"><!--    id = enteralbolus  file name = nutritionorder-example-enteralbolus.xml Name= Enteral
   Bolus  Description = Nutrition Order Enteral Bolus Feeding  Example
Tube feedings are given in boluses several times a day   edited by Eric Haas Health eData
   Inc
   --><!--   EH  Show all the elements in this examples for preference, and intolerance    --><id value="enteralbolus"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> id</b> : enteralbolus</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. Generated Summary: id: example; Medical record number = 12345 (USUAL);
           active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); -unknown-(HOME),
           ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender:
           male; birthDate: 1974-12-25; </a> </p> <p> <b> encounter</b> : <a> Inpatient. Generated Summary: id: example; 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: example; 23; active; Adam Careful </a> </p> <p> <b> allergyIntolerance</b> : <a> Cashew Nuts. Generated Summary: id: example; 49476534; <span> Active</span> ; <span> Confirmed</span> ; type: allergy; category: food; criticality: high; <span> Cashew nuts</span> ; onset: 2004; recordedDate: Oct 9, 2014 2:58:00 PM; lastOccurrence: 2012-06; Annotation:
           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 Sep 17, 2014 4:00:00 PM, 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> </text> <identifier> 
    <system value="http://www.acme.org/nutritionorders"/> 
    <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> 
  <enteralFormula> 

    <baseFormulaType> 
      <coding> 
        <!--   EH:  bolus tube feeding instruction in text   -->
        <system value="http://snomed.info/sct"/> 
        <code value="442991000124104"/> 
        <display value="Adult high protein formula"/> 
      </coding> 
    </baseFormulaType> 
    <baseFormulaProductName value="Acme High Protein Formula"/> 

    <additiveType> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/entformula-additive"/> 
        <code value="lipid"/> 
        <display value="Lipid"/> 
      </coding> 
    </additiveType> 
    <additiveProductName value="Acme Lipid Additive"/> 
    <caloricDensity> 
      <value value="1.5"/> 
      <unit value="calories per milliliter"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="cal/mL"/> 
    </caloricDensity> 
    <routeofAdministration> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"/> 
        <code value="GT"/> 
        <display value="Instillation, gastrostomy tube"/> 
      </coding> 
    </routeofAdministration> 
    <administration> 
      <schedule> 
        <repeat> 
        <boundsPeriod> 
          <start value="2014-09-17T16:00:00Z"/> 
        </boundsPeriod> 
          <frequency value="1"/> 
          <period value="4"/> 
          <periodUnit value="h"/> 
        </repeat> 
      </schedule> 
      <quantity> 
        <value value="240"/> 
        <unit value="milliliters"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="mL"/> 
      </quantity> 
    </administration> 
    <maxVolumeToDeliver> 
      <value value="1440"/> 
      <unit value="milliliter/day"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="mL/d"/> 
    </maxVolumeToDeliver> 
    <administrationInstruction value="240 mls every 4hrs "/> 
  </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.