Release 5 R6 Ballot (3rd Draft)
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Example NutritionOrder/enteralcontinuous (Turtle)

Orders and Observations Work Group Maturity Level : N/A Standards Status : Informative Compartments : Encounter , Group , 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 rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .

@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 -------------------------------------------------------------------

[a fhir:NutritionOrder ;

<http://hl7.org/fhir/NutritionOrder/enteralcontinuous> 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

  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/5.1.0/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>"
  ] ; # 

# ,   Tube feedings given as continuous rate  

  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:link <http://hl7.org/fhir/Patient/example> ;

     fhir:reference [ fhir:v "Patient/example" ] ;
     fhir:display [ fhir:v "Peter Chalmers" ]
  ] ; # 
  fhir:encounter [
     fhir:link <http://hl7.org/fhir/Encounter/example> ;

     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:baseFormulaProductName [ fhir:v "Acme Diabetes Formula" ] ;

     fhir:caloricDensity [
       fhir:value [ fhir:v "1"^^xsd:decimal ] ;

       fhir:value [ fhir:v 1.5 ] ;

       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: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   

     ] ) ; #  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: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:schedule [
         fhir:timing ( [
           fhir:repeat [
             fhir:bounds [
               a fhir:Period ;
               fhir:start [ fhir:v "2014-09-17T11:00:00Z"^^xsd:dateTime ]
             ]
           ]
         ] )
       ] ;
       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:schedule [
         fhir:timing ( [
           fhir:repeat [
             fhir:bounds [
               a fhir:Period ;
               fhir:start [ fhir:v "2014-09-17T15:00:00Z"^^xsd:dateTime ]
             ]
           ]
         ] )
       ] ;
       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: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" ]
  ]] . # 

  ] ; # 
  fhir:additive ( [
     fhir:modularType [
       fhir:concept [
         fhir:coding ( [
           a sct:443591000124104 ;
           fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "443591000124104" ] ;
           fhir:display [ fhir:v "Modular lipid formula component (product)" ]
         ] )
       ]
     ] ;
     fhir:productName [ fhir:v "MCT Oil" ]
  ] ) . # 

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

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


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

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.