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

Nutritionorder-example-enteralcontinuous.ttl

Example NutritionOrder/enteralcontinuous (Turtle)

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

Raw Turtle (+ also see Turtle/RDF Format Specification )

Nutrition Order Enteral Continuous Feeding Example 

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/NutritionOrder/enteralcontinuous> a fhir:NutritionOrder;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "enteralcontinuous"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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;enteralcontinuous&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><blockquote><p><b>enteralFormula</b></p><p><b>baseFormulaType</b>: Diabetic specialty enteral formula <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#6547210000124112)</span></p><p><b>baseFormulaProductName</b>:  Acme Diabetes Formula</p><p><b>caloricDensity</b>: 1 calories per milliliter<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cal/mL = 'cal/mL')</span></p><p><b>routeofAdministration</b>: Instillation, nasogastric 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>#NGT)</span></p><blockquote><p><b>administration</b></p><p><b>schedule</b>: Starting 2014-09-17T07:00:00Z, Do Once</p><p><b>rate</b>: 60 ml/hr<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL/h = 'mL/h')</span></p></blockquote><blockquote><p><b>administration</b></p><p><b>schedule</b>: Starting 2014-09-17T11:00:00Z, Do Once</p><p><b>rate</b>: 80 ml/hr<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL/h = 'mL/h')</span></p></blockquote><blockquote><p><b>administration</b></p><p><b>schedule</b>: Starting 2014-09-17T15:00:00Z, Do Once</p><p><b>rate</b>: 100 ml/hr<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL/h = 'mL/h')</span></p></blockquote><p><b>maxVolumeToDeliver</b>: 880 milliliter/day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL/d = 'mL/d')</span></p><p><b>administrationInstruction</b>: Hold feedings from 7 pm to 7 am. Add MCT oil to increase calories from 1.0 cal/mL to 1.5 cal/mL</p></blockquote></div>"
  ];
  fhir:NutritionOrder.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://www.acme.org/nutritionorders" ];
     fhir:Identifier.value [ fhir:value "123" ]
  ];
  fhir:NutritionOrder.status [ fhir:value "active"];
  fhir:NutritionOrder.intent [ fhir:value "order"];
  fhir:NutritionOrder.patient [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ];
     fhir:Reference.display [ fhir:value "Peter Chalmers" ]
  ];
  fhir:NutritionOrder.encounter [
     fhir:link <http://hl7.org/fhir/Encounter/example>;
     fhir:Reference.reference [ fhir:value "Encounter/example" ];
     fhir:Reference.display [ fhir:value "Inpatient" ]
  ];
  fhir:NutritionOrder.dateTime [ fhir:value "2014-09-17"^^xsd:date];
  fhir:NutritionOrder.orderer [
     fhir:link <http://hl7.org/fhir/Practitioner/example>;
     fhir:Reference.reference [ fhir:value "Practitioner/example" ];
     fhir:Reference.display [ fhir:value "Dr Adam Careful" ]
  ];
  fhir:NutritionOrder.enteralFormula [
     fhir:NutritionOrder.enteralFormula.baseFormulaType [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:6547210000124112;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "6547210000124112" ];
         fhir:Coding.display [ fhir:value "Diabetic specialty enteral formula" ]
       ]
     ];
     fhir:NutritionOrder.enteralFormula.baseFormulaProductName [ fhir:value " Acme Diabetes Formula" ];
     fhir:NutritionOrder.enteralFormula.caloricDensity [
       fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "calories per milliliter" ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "cal/mL" ]
     ];
     fhir:NutritionOrder.enteralFormula.routeofAdministration [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration" ];
         fhir:Coding.code [ fhir:value "NGT" ];
         fhir:Coding.display [ fhir:value "Instillation, nasogastric tube" ]

[a fhir:NutritionOrder ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "enteralcontinuous"] ; #    id = enteralcontinuous  file name = nutritionorder-example-enteralcontinuous.xml  Name= Enteral Continuous Feeding  Description = Nutrition Order Enteral Continuous Feeding Canonical Example
#editor Eric Haas Health eData Inc
#  ,    Tube feedings given as continuous rate   
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: NutritionOrder</b><a name=\"enteralcontinuous\"> </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;enteralcontinuous&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><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>Diabetic specialty enteral formula <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#6547210000124112)</span></td></tr></table><p><b>baseFormulaProductName</b>: Acme Diabetes Formula</p><p><b>caloricDensity</b>: 1 calories per milliliter<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cal/mL = 'cal/mL')</span></p><p><b>routeOfAdministration</b>: Instillation, nasogastric 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>#NGT)</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 2014-09-17T07:00:00Z, Once</td></tr></table><p><b>rate</b>: 60 ml/hr<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL/h = 'mL/h')</span></p></blockquote><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 2014-09-17T11:00:00Z, Once</td></tr></table><p><b>rate</b>: 80 ml/hr<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL/h = 'mL/h')</span></p></blockquote><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 2014-09-17T15:00:00Z, Once</td></tr></table><p><b>rate</b>: 100 ml/hr<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL/h = 'mL/h')</span></p></blockquote><p><b>maxVolumeToDeliver</b>: 880 milliliter/day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL/d = 'mL/d')</span></p><p><b>administrationInstruction</b>: Hold feedings from 7 pm to 7 am. Add MCT oil to increase calories from 1.0 cal/mL to 1.5 cal/mL</p></blockquote></div>"
  ] ; # 
  fhir:identifier ( [
     fhir:system [ fhir:v "http://www.acme.org/nutritionorders"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "123" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:intent [ fhir:v "order"] ; # 
  fhir:subject [
     fhir:reference [ fhir:v "Patient/example" ] ;
     fhir:display [ fhir:v "Peter Chalmers" ]
  ] ; # 
  fhir:encounter [
     fhir:reference [ fhir:v "Encounter/example" ] ;
     fhir:display [ fhir:v "Inpatient" ]
  ] ; # 
  fhir:dateTime [ fhir:v "2014-09-17"^^xsd:date] ; # 
  fhir:orderer [
     fhir:reference [ fhir:v "Practitioner/example" ] ;
     fhir:display [ fhir:v "Dr Adam Careful" ]
  ] ; # 
  fhir:enteralFormula [
     fhir:baseFormulaType [
       fhir:concept [
         fhir:coding ( [
           a sct:6547210000124112 ;
           fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "6547210000124112" ] ;
           fhir:display [ fhir:v "Diabetic specialty enteral formula" ]
         ] )

       ]
     ];
     fhir:NutritionOrder.enteralFormula.administration [
       fhir:index 0;
       fhir:NutritionOrder.enteralFormula.administration.schedule [
         fhir:Timing.repeat [
           fhir:Timing.repeat.boundsPeriod [
             fhir:Period.start [ fhir:value "2014-09-17T07:00:00Z"^^xsd:dateTime ]

     ] ;
     fhir:baseFormulaProductName [ fhir:v "Acme Diabetes Formula" ] ;
     fhir:caloricDensity [
       fhir:value [ fhir:v "1"^^xsd:decimal ] ;
       fhir:unit [ fhir:v "calories per milliliter" ] ;
       fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "cal/mL" ]
     ] ;
     fhir:routeOfAdministration [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "NGT" ] ;
         fhir:display [ fhir:v "Instillation, nasogastric tube" ]
       ] )
     ] ; #   step up rate of tube feeding by 20 ml\/hr every 4 hours   
     fhir:administration ( [
       fhir:schedule [
         fhir:timing ( [
           fhir:repeat [
             fhir:bounds [
               a fhir:Period ;
               fhir:start [ fhir:v "2014-09-17T07:00:00Z"^^xsd:dateTime ]
             ]

           ]
         ]
       ];
       fhir:NutritionOrder.enteralFormula.administration.rateQuantity [
         fhir:Quantity.value [ fhir:value "60"^^xsd:decimal ];
         fhir:Quantity.unit [ fhir:value "ml/hr" ];
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
         fhir:Quantity.code [ fhir:value "mL/h" ]

         ] )
       ] ;
       fhir:rate [
         a fhir:Quantity ;
         fhir:value [ fhir:v "60"^^xsd:decimal ] ;
         fhir:unit [ fhir:v "ml/hr" ] ;
         fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "mL/h" ]

       ]
     ], [
       fhir:index 1;
       fhir:NutritionOrder.enteralFormula.administration.schedule [
         fhir:Timing.repeat [
           fhir:Timing.repeat.boundsPeriod [
             fhir:Period.start [ fhir:value "2014-09-17T11:00:00Z"^^xsd:dateTime ]

     ] [
       fhir:schedule [
         fhir:timing ( [
           fhir:repeat [
             fhir:bounds [
               a fhir:Period ;
               fhir:start [ fhir:v "2014-09-17T11:00:00Z"^^xsd:dateTime ]
             ]

           ]
         ]
       ];
       fhir:NutritionOrder.enteralFormula.administration.rateQuantity [
         fhir:Quantity.value [ fhir:value "80"^^xsd:decimal ];
         fhir:Quantity.unit [ fhir:value "ml/hr" ];
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
         fhir:Quantity.code [ fhir:value "mL/h" ]

         ] )
       ] ;
       fhir:rate [
         a fhir:Quantity ;
         fhir:value [ fhir:v "80"^^xsd:decimal ] ;
         fhir:unit [ fhir:v "ml/hr" ] ;
         fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "mL/h" ]

       ]
     ], [
       fhir:index 2;
       fhir:NutritionOrder.enteralFormula.administration.schedule [
         fhir:Timing.repeat [
           fhir:Timing.repeat.boundsPeriod [
             fhir:Period.start [ fhir:value "2014-09-17T15:00:00Z"^^xsd:dateTime ]

     ] [
       fhir:schedule [
         fhir:timing ( [
           fhir:repeat [
             fhir:bounds [
               a fhir:Period ;
               fhir:start [ fhir:v "2014-09-17T15:00:00Z"^^xsd:dateTime ]
             ]

           ]
         ]
       ];
       fhir:NutritionOrder.enteralFormula.administration.rateQuantity [
         fhir:Quantity.value [ fhir:value "100"^^xsd:decimal ];
         fhir:Quantity.unit [ fhir:value "ml/hr" ];
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
         fhir:Quantity.code [ fhir:value "mL/h" ]

         ] )
       ] ;
       fhir:rate [
         a fhir:Quantity ;
         fhir:value [ fhir:v "100"^^xsd:decimal ] ;
         fhir:unit [ fhir:v "ml/hr" ] ;
         fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "mL/h" ]

       ]
     ];
     fhir:NutritionOrder.enteralFormula.maxVolumeToDeliver [
       fhir:Quantity.value [ fhir:value "880"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "milliliter/day" ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "mL/d" ]
     ];
     fhir:NutritionOrder.enteralFormula.administrationInstruction [ fhir:value "Hold feedings from 7 pm to 7 am. Add MCT oil to increase calories from 1.0 cal/mL to 1.5 cal/mL" ]
  ] .

<http://hl7.org/fhir/Patient/example> a fhir:Patient .

<http://hl7.org/fhir/Encounter/example> a fhir:Encounter .

<http://hl7.org/fhir/Practitioner/example> a fhir:Practitioner .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/NutritionOrder/enteralcontinuous.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://build.fhir.org/NutritionOrder/enteralcontinuous.ttl> .

     ] ) ;
     fhir:maxVolumeToDeliver [
       fhir:value [ fhir:v "880"^^xsd:decimal ] ;
       fhir:unit [ fhir:v "milliliter/day" ] ;
       fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "mL/d" ]
     ] ;
     fhir:administrationInstruction [ fhir:v "Hold feedings from 7 pm to 7 am. Add MCT oil to increase calories from 1.0 cal/mL to 1.5 cal/mL" ]
  ]] . # 


# -------------------------------------------------------------------------------------

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.