Release 4B R5 Final QA

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-draft-final: Final QA Preview for R5 - STU see ballot notes ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Nutritionorder-example-enteralbolus.json

Example NutritionOrder/enteralbolus (JSON)

Orders and Observations Work Group Maturity Level : N/A Standards Status : Informative Compartments : Encounter , Patient , Practitioner

Raw JSON ( canonical form + also see JSON Format Specification )

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><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 &quot;enteralbolus&quot; </p></div><p><b>identifier</b>: id: 123</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>patient</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=\"codesystem-encounter-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><p><b>baseFormulaType</b>: 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></p><p><b>baseFormulaProductName</b>: Acme High Protein Formula</p><p><b>additiveType</b>: Lipid <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-entformula-additive.html\">Enteral Formula Additive Type Code</a>#lipid)</span></p><p><b>additiveProductName</b>: Acme Lipid Additive</p><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/3.1.0/CodeSystem-v3-RouteOfAdministration.html\">RouteOfAdministration</a>#GT)</span></p><h3>Administrations</h3><table class=\"grid\"><tr><td>-</td><td><b>Schedule</b></td><td><b>Quantity</b></td></tr><tr><td>*</td><td>Starting 2014-09-17T16:00:00Z, Do Once per 4 hours</td><td>240 milliliters<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></td></tr></table><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>"

  "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: 123</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/4.0.0/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/4.0.0/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/4.0.0/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",
  "patient": {
    "reference": "Patient/example",
    "display": "Peter Chalmers"

  "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"

  "encounter" : {
    "reference" : "Encounter/example",
    "display" : "Inpatient"

  },
  "dateTime": "2014-09-17",
  "orderer": {
    "reference": "Practitioner/example",
    "display": "Dr Adam Careful"

  "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"
        }
      ]

  "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" : {
      "concept" : {
        "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"

    "baseFormulaProductName" : "Acme High Protein Formula",
    "additive" : [{
      "type" : {
        "concept" : {
          "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"

      },
      "productName" : "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"
        }
      ]

    "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"

    "administration" : [{
      "schedule" : {
        "timing" : [{
          "repeat" : {
            "boundsPeriod" : {
              "start" : "2014-09-17T16:00:00Z"

            },
            "frequency": 1,
            "period": 4,
            "periodUnit": "h"

            "frequency" : 1,
            "period" : 4,
            "periodUnit" : "h"

          }
        },
        "quantity": {
          "value": 240,
          "unit": "milliliters",
          "system": "http://unitsofmeasure.org",
          "code": "mL"
        }

        }]
      },
      "quantity" : {
        "value" : 240,
        "unit" : "milliliters",
        "system" : "http://unitsofmeasure.org",
        "code" : "mL"

      }
    ],
    "maxVolumeToDeliver": {
      "value": 1440,
      "unit": "milliliter/day",
      "system": "http://unitsofmeasure.org",
      "code": "mL/d"

    }],
    "maxVolumeToDeliver" : {
      "value" : 1440,
      "unit" : "milliliter/day",
      "system" : "http://unitsofmeasure.org",
      "code" : "mL/d"

    },
    "administrationInstruction": "240 mls every 4hrs"

    "administrationInstruction" : "240 mls every 4hrs"

  }
}

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.