<?xml version="1.0" encoding="UTF-8"?><NutritionOrder xmlns="http://hl7.org/fhir">
  <id value="enteralcycled"/>
  <meta>
    <security>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <code value="HTEST"/>
      <display value="test health data"/>
    </security>
  </meta>
  <identifier>
    <system value="http://www.acme.org/nutritionorders"/>
    <value value="123"/>
  </identifier>
  <status value="active"/>
  <intent value="order"/>
  <subject>
    <reference value="Patient/example"/>
    <display value="Peter Chalmers"/>
  </subject>
  <encounter>
    <reference value="Encounter/example"/>
    <display value="Inpatient"/>
  </encounter>
  <dateTime value="2014-09-17"/>
  <enteralFormula>
    <type>
      <concept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="441571000124104"/>
          <display value="High energy enteral formula with fiber"/>
        </coding>
      </concept>
    </type>
    <caloricDensity>
      <value value="1.5"/>
      <unit value="calories per milliliter"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="cal/mL"/>
    </caloricDensity>
    <!-- step up rate of tube feeding by 20 ml/hr every 4 hours -->
    <routeOfAdministration>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"/>
        <code value="NGT"/>
        <display value="Instillation, nasogastric tube"/>
      </coding>
    </routeOfAdministration>
    <administration>
      <schedule>
        <timing>
          <repeat>
            <boundsPeriod>
              <start value="2014-09-17T07:00:00Z"/>
            </boundsPeriod>
          </repeat>
        </timing>
      </schedule>
      <rateQuantity>
        <value value="60"/>
        <unit value="ml/hr"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mL/h"/>
      </rateQuantity>
    </administration>
    <administrationInstruction value="Hold feedings from 7 pm to 7 am."/>
  </enteralFormula>
</NutritionOrder>