Release 4 R5 Final QA

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Nutritionorder-example-enteralcontinuous.ttl

Example NutritionOrder/pureeddiet-simple (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 Pureed Diet and Energy/Protein Supplement Simple 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 with Details</b></p><p><b>id</b>: enteralcontinuous</p><p><b>identifier</b>: 123</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>patient</b>: <a>Peter Chalmers</a></p><p><b>encounter</b>: <a>Inpatient</a></p><p><b>dateTime</b>: 17/09/2014</p><p><b>orderer</b>: <a>Dr Adam Careful</a></p><blockquote><p><b>enteralFormula</b></p><p><b>baseFormulaType</b>: Diabetic specialty enteral formula <span>(Details : {SNOMED CT code '6547210000124112' = '6547210000124112', given as 'Diabetic specialty enteral formula'})</span></p><p><b>baseFormulaProductName</b>:  Acme Diabetes Formula</p><p><b>caloricDensity</b>: 1 calories per milliliter<span> (Details: UCUM code cal/mL = 'cal/mL')</span></p><p><b>routeofAdministration</b>: Instillation, nasogastric tube <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration code 'NGT' = 'Instillation, nasogastric tube', given as 'Instillation, nasogastric tube'})</span></p><blockquote><p><b>administration</b></p><p><b>schedule</b>: Starting 17/09/2014 7:00:00 AM, Do Once</p><p><b>rate</b>: 60 ml/hr<span> (Details: UCUM code mL/h = 'mL/h')</span></p></blockquote><blockquote><p><b>administration</b></p><p><b>schedule</b>: Starting 17/09/2014 11:00:00 AM, Do Once</p><p><b>rate</b>: 80 ml/hr<span> (Details: UCUM code mL/h = 'mL/h')</span></p></blockquote><blockquote><p><b>administration</b></p><p><b>schedule</b>: Starting 17/09/2014 3:00:00 PM, Do Once</p><p><b>rate</b>: 100 ml/hr<span> (Details: UCUM code mL/h = 'mL/h')</span></p></blockquote><p><b>maxVolumeToDeliver</b>: 880 milliliter/day<span> (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" ]
       ]
     ];
     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: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: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 ]
           ]

[a fhir:NutritionOrder ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "pureeddiet-simple"] ; #    Using only instruction element in oralDiet and Supplement minimal other elements  id = pureeddiet-simple file name = nutritionorder-example-pureeddiet-simple.xml  Name= Pureed Diet Simple Description = Nutrition Order Pureed Diet with Energy/Protein Supplement Simple Example
#edited by Eric Haas Health eData Inc
#  ,    EH: use oral Diet element   
  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=\"pureeddiet-simple\"> </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;pureeddiet-simple&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>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>oralDiet</b></p><p><b>type</b>: <span title=\"  EH:  list type of diet showing standard code and local codes  \">Pureed diet <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#226211001; diet-type-codes#1010)</span></span></p><h3>Schedules</h3><table class=\"grid\"><tr><td>-</td><td><b>Timing</b></td></tr><tr><td>*</td><td>Starting 2015-02-10, 3 per 1 days</td></tr></table><h3>Textures</h3><table class=\"grid\"><tr><td>-</td><td><b>Modifier</b></td></tr><tr><td>*</td><td>Pureed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#228055009 &quot;Liquidized food&quot;)</span></td></tr></table><p><b>fluidConsistencyType</b>: Nectar thick liquids <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#439021000124105 &quot;Dietary liquid consistency - nectar thick liquid&quot;)</span></p></blockquote><blockquote><p><b>supplement</b></p><h3>Types</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Adult high energy pudding <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#442971000124100 &quot;Adult high energy formula&quot;; supplement-type-codes#1040)</span></td></tr></table><p><b>productName</b>: Ensure Pudding 4 oz container</p><p><b>instruction</b>: <span title=\" EH:  Instructions to supplement too  \">Ensure Pudding at breakfast, lunch, supper</span></p></blockquote></div>"
  ] ; # 
  fhir:identifier ( [
     fhir:system [ fhir:v "http://goodhealthhospital.org/nutrition-requests"^^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:dateTime [ fhir:v "2014-09-17"^^xsd:date] ; # 
  fhir:orderer [
     fhir:reference [ fhir:v "Practitioner/example" ] ;
     fhir:display [ fhir:v "Dr Adam Careful" ]
  ] ; # 
  fhir:oralDiet [
     fhir:type ( [
       fhir:coding ( [
         a sct:226211001 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "226211001" ] ;
         fhir:display [ fhir:v "Pureed diet" ]
       ] [
         fhir:system [ fhir:v "http://goodhealthhospital.org/diet-type-codes"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "1010" ] ;
         fhir:display [ fhir:v "Pureed diet" ]
       ] ) ;
       fhir:text [ fhir:v "Pureed diet" ]
     ] ) ; #    EH:  list type of diet showing standard code and local codes   
     fhir:schedule [
       fhir:timing ( [
         fhir:repeat [
           fhir:bounds [
             a fhir:Period ;
             fhir:start [ fhir:v "2015-02-10"^^xsd:date ]
           ] ;
           fhir:frequency [ fhir:v "3"^^xsd:positiveInteger ] ;
           fhir:period [ fhir:v "1"^^xsd:decimal ] ;
           fhir:periodUnit [ fhir:v "d" ]

         ]
       ];
       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" ]

       ] )
     ] ; #    EH example of three times a day starting on 2\/10   
     fhir:texture ( [
       fhir:modifier [
         fhir:coding ( [
           a sct:228055009 ;
           fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "228055009" ] ;
           fhir:display [ fhir:v "Liquidized food" ]
         ] ) ;
         fhir:text [ fhir:v "Pureed" ]

       ]
     ], [
       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: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:fluidConsistencyType ( [
       fhir:coding ( [
         a sct:439021000124105 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "439021000124105" ] ;
         fhir:display [ fhir:v "Dietary liquid consistency - nectar thick liquid" ]
       ] ) ;
       fhir:text [ fhir:v "Nectar thick liquids" ]
     ] )
  ] ; # 
  fhir:supplement ( [
     fhir:type [
       fhir:concept [
         fhir:coding ( [
           a sct:442971000124100 ;
           fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "442971000124100" ] ;
           fhir:display [ fhir:v "Adult high energy formula" ]
         ] [
           fhir:system [ fhir:v "http://goodhealthhospital.org/supplement-type-codes"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "1040" ] ;
           fhir:display [ fhir:v "Adult high energy pudding" ]
         ] ) ;
         fhir:text [ fhir:v "Adult high energy pudding" ]

       ]
     ];
     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:productName [ fhir:v "Ensure Pudding 4 oz container" ] ;
     fhir:instruction [ fhir:v "Ensure Pudding at breakfast, lunch, supper" ] #   EH:  Instructions to supplement too   
  ] )] . # 


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

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.