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: NutritionOrder</b><a name=\"enteralbolus\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource NutritionOrder &quot;enteralbolus&quot; </p></div><p><b>identifier</b>: id:\u00a0123</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example: Peter Chalmers</a> &quot;Peter CHALMERS&quot;</p><p><b>encounter</b>: <a href=\"encounter-example.html\">Encounter/example: Inpatient</a></p><p><b>dateTime</b>: 2014-09-17</p><p><b>orderer</b>: <a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> &quot;Adam CAREFUL&quot;</p><p><b>allergyIntolerance</b>: <a href=\"allergyintolerance-example.html\">AllergyIntolerance/example: Cashew Nuts</a></p><p><b>foodPreferenceModifier</b>: Dairy Free <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-diet.html\">Diet</a>#dairy-free)</span></p><p><b>excludeFoodModifier</b>: Cashew Nut <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[20140730]</a>#227493005)</span></p><blockquote><p><b>enteralFormula</b></p><h3>BaseFormulaTypes</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Adult high protein formula <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#442991000124104)</span></td></tr></table><p><b>baseFormulaProductName</b>: Acme High Protein Formula</p><blockquote><p><b>additive</b></p><h3>Types</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Lipid <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-entformula-additive.html\">Enteral Formula Additive Type Code</a>#lipid)</span></td></tr></table><p><b>productName</b>: Acme Lipid Additive</p></blockquote><p><b>caloricDensity</b>: 1.5 calories per milliliter<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cal/mL = 'cal/mL')</span></p><p><b>routeOfAdministration</b>: Instillation, gastrostomy tube <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-RouteOfAdministration.html\">RouteOfAdministration</a>#GT)</span></p><blockquote><p><b>administration</b></p><h3>Schedules</h3><table class=\"grid\"><tr><td>-</td><td><b>Timing</b></td></tr><tr><td>*</td><td>Starting 2014-09-17T16:00:00Z, Once per 4 hours</td></tr></table><p><b>quantity</b>: 240 milliliters<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></p></blockquote><p><b>maxVolumeToDeliver</b>: 1440 milliliter/day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL/d = 'mL/d')</span></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",
  "subject" : {
    "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" : {

    "type" : {

      "concept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "442991000124104",
          "display" : "Adult high protein formula"

          "code" : "441541000124107",
          "display" : "High energy enteral formula"

        }]
      }
    },
    "baseFormulaProductName" : "Acme High Protein Formula",
    "additive" : [{
      "type" : {
        "concept" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/entformula-additive",
            "code" : "lipid",
            "display" : "Lipid"
          }]
        }
      },
      "productName" : "Acme Lipid Additive"
    }],

    "caloricDensity" : {
      "value" : 1.5,
      "unit" : "calories per milliliter",
      "system" : "http://unitsofmeasure.org",
      "code" : "cal/mL"
    },
    "routeOfAdministration" : {

    "routeOfAdministration" : [{

      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
        "code" : "GT",
        "display" : "Instillation, gastrostomy tube"
      }]
    },

    }],

    "administration" : [{
      "schedule" : {
        "timing" : [{
          "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"
  }
}