Nutritionorder-example-enteralbolus.json

Nutrition Order Enteral Bolus Feeding Example

{
  "resourceType": "NutritionOrder",
  "id": "enteralbolus",
  "text": {
    "status": "generated",
    "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>"
  },
  "identifier": [
    {
      "system": "http://www.acme.org/nutritionorders",
      "value": "123"
    }
  ],
  "status": "active",
  "intent": "order",
  "patient": {
    "reference": "Patient/example",
    "display": "Peter Chalmers"
  },
  "encounter": {
    "reference": "Encounter/example",
    "display": "Inpatient"
  },
  "dateTime": "2014-09-17",
  "orderer": {
    "reference": "Practitioner/example",
    "display": "Dr Adam Careful"
  },
  "allergyIntolerance": [
    {
      "reference": "AllergyIntolerance/example",
      "display": "Cashew Nuts"
    }
  ],
  "foodPreferenceModifier": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/diet",
          "code": "dairy-free"
        }
      ]
    }
  ],
  "excludeFoodModifier": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "version": "20140730",
          "code": "227493005",
          "display": "Cashew Nut"
        }
      ]
    }
  ],
  "enteralFormula": {
    "baseFormulaType": {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "442991000124104",
          "display": "Adult high protein formula"
        }
      ]
    },
    "baseFormulaProductName": "Acme High Protein Formula",
    "additiveType": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/entformula-additive",
          "code": "lipid",
          "display": "Lipid"
        }
      ]
    },
    "additiveProductName": "Acme Lipid Additive",
    "caloricDensity": {
      "value": 1.5,
      "unit": "calories per milliliter",
      "system": "http://unitsofmeasure.org",
      "code": "cal/mL"
    },
    "routeofAdministration": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
          "code": "GT",
          "display": "Instillation, gastrostomy tube"
        }
      ]
    },
    "administration": [
      {
        "schedule": {
          "repeat": {
            "boundsPeriod": {
              "start": "2014-09-17T16:00:00Z"
            },
            "frequency": 1,
            "period": 4,
            "periodUnit": "h"
          }
        },
        "quantity": {
          "value": 240,
          "unit": "milliliters",
          "system": "http://unitsofmeasure.org",
          "code": "mL"
        }
      }
    ],
    "maxVolumeToDeliver": {
      "value": 1440,
      "unit": "milliliter/day",
      "system": "http://unitsofmeasure.org",
      "code": "mL/d"
    },
    "administrationInstruction": "240 mls every 4hrs "
  }
}