Release 4 5

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0: R5 - Mixed Normative and STU ) ). This is the current published version in it's permanent home (it will always be available at this URL). 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-enteralbolus.ttl

Example NutritionOrder/enteralbolus (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 Bolus 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/enteralbolus> a fhir:NutritionOrder;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "enteralbolus"];
  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>: enteralbolus</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><p><b>allergyIntolerance</b>: <a>Cashew Nuts</a></p><p><b>foodPreferenceModifier</b>: Dairy Free <span>(Details : {http://terminology.hl7.org/CodeSystem/diet code 'dairy-free' = 'Dairy Free)</span></p><p><b>excludeFoodModifier</b>: Cashew Nut <span>(Details : {SNOMED CT code '227493005' = 'Cashew nuts', given as 'Cashew Nut'})</span></p><blockquote><p><b>enteralFormula</b></p><p><b>baseFormulaType</b>: Adult high protein formula <span>(Details : {SNOMED CT code '442991000124104' = 'Adult high protein formula (product)', given as 'Adult high protein formula'})</span></p><p><b>baseFormulaProductName</b>: Acme High Protein Formula</p><p><b>additiveType</b>: Lipid <span>(Details : {http://terminology.hl7.org/CodeSystem/entformula-additive code 'lipid' = 'Lipid', given as 'Lipid'})</span></p><p><b>additiveProductName</b>: Acme Lipid Additive</p><p><b>caloricDensity</b>: 1.5 calories per milliliter<span> (Details: UCUM code cal/mL = 'cal/mL')</span></p><p><b>routeofAdministration</b>: Instillation, gastrostomy tube <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration code 'GT' = 'Instillation, gastrostomy tube', given as 'Instillation, gastrostomy tube'})</span></p><h3>Administrations</h3><table><tr><td>-</td><td><b>Schedule</b></td><td><b>Quantity</b></td></tr><tr><td>*</td><td>Starting 17/09/2014 4:00:00 PM, Do Once per 4 hours</td><td>240 milliliters<span> (Details: UCUM code mL = 'mL')</span></td></tr></table><p><b>maxVolumeToDeliver</b>: 1440 milliliter/day<span> (Details: UCUM code mL/d = 'mL/d')</span></p><p><b>administrationInstruction</b>: 240 mls every 4hrs </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.allergyIntolerance [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/AllergyIntolerance/example>;
     fhir:Reference.reference [ fhir:value "AllergyIntolerance/example" ];
     fhir:Reference.display [ fhir:value "Cashew Nuts" ]
  ];
  fhir:NutritionOrder.foodPreferenceModifier [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/diet" ];
       fhir:Coding.code [ fhir:value "dairy-free" ]
     ]
  ];
  fhir:NutritionOrder.excludeFoodModifier [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:227493005;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.version [ fhir:value "20140730" ];
       fhir:Coding.code [ fhir:value "227493005" ];
       fhir:Coding.display [ fhir:value "Cashew Nut" ]
     ]
  ];
  fhir:NutritionOrder.enteralFormula [
     fhir:NutritionOrder.enteralFormula.baseFormulaType [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:442991000124104;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "442991000124104" ];
         fhir:Coding.display [ fhir:value "Adult high protein formula" ]
       ]
     ];
     fhir:NutritionOrder.enteralFormula.baseFormulaProductName [ fhir:value "Acme High Protein Formula" ];
     fhir:NutritionOrder.enteralFormula.additiveType [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/entformula-additive" ];
         fhir:Coding.code [ fhir:value "lipid" ];
         fhir:Coding.display [ fhir:value "Lipid" ]
       ]
     ];
     fhir:NutritionOrder.enteralFormula.additiveProductName [ fhir:value "Acme Lipid Additive" ];
     fhir:NutritionOrder.enteralFormula.caloricDensity [
       fhir:Quantity.value [ fhir:value "1.5"^^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 "GT" ];
         fhir:Coding.display [ fhir:value "Instillation, gastrostomy tube" ]

[a fhir:NutritionOrder ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "enteralbolus"] ; #    id = enteralbolus  file name = nutritionorder-example-enteralbolus.xml Name= Enteral Bolus  Description = Nutrition Order Enteral Bolus Feeding  Example
#Tube feedings are given in boluses several times a day   edited by Eric Haas Health eData Inc
#  ,   EH  Show all the elements in this examples for preference, and intolerance   
  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=\"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/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>"
  ] ; # 
  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:allergyIntolerance ( [
     fhir:reference [ fhir:v "AllergyIntolerance/example" ] ;
     fhir:display [ fhir:v "Cashew Nuts" ]
  ] ) ; # 
  fhir:foodPreferenceModifier ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/diet"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "dairy-free" ]
     ] )
  ] ) ; # 
  fhir:excludeFoodModifier ( [
     fhir:coding ( [
       a sct:227493005 ;
       fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
       fhir:version [ fhir:v "20140730" ] ;
       fhir:code [ fhir:v "227493005" ] ;
       fhir:display [ fhir:v "Cashew Nut" ]
     ] )
  ] ) ; # 
  fhir:enteralFormula [
     fhir:baseFormulaType [
       fhir:concept [
         fhir:coding ( [
           a sct:442991000124104 ;
           fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; #   EH:  bolus tube feeding instruction in text  
           fhir:code [ fhir:v "442991000124104" ] ;
           fhir:display [ fhir:v "Adult high protein 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 "2014-09-17T16:00:00Z"^^xsd:dateTime ]
           ];
           fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ];
           fhir:Timing.repeat.period [ fhir:value "4"^^xsd:decimal ];
           fhir:Timing.repeat.periodUnit [ fhir:value "h" ]

     ] ;
     fhir:baseFormulaProductName [ fhir:v "Acme High Protein Formula" ] ;
     fhir:additive ( [
       fhir:type [
         fhir:concept [
           fhir:coding ( [
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/entformula-additive"^^xsd:anyURI ] ;
             fhir:code [ fhir:v "lipid" ] ;
             fhir:display [ fhir:v "Lipid" ]
           ] )

         ]
       ];
       fhir:NutritionOrder.enteralFormula.administration.quantity [
         fhir:Quantity.value [ fhir:value "240"^^xsd:decimal ];
         fhir:Quantity.unit [ fhir:value "milliliters" ];
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
         fhir:Quantity.code [ fhir:value "mL" ]

       ] ;
       fhir:productName [ fhir:v "Acme Lipid Additive" ]
     ] ) ;
     fhir:caloricDensity [
       fhir:value [ fhir:v "1.5"^^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 "GT" ] ;
         fhir:display [ fhir:v "Instillation, gastrostomy tube" ]
       ] )
     ] ;
     fhir:administration ( [
       fhir:schedule [
         fhir:timing ( [
           fhir:repeat [
             fhir:bounds [
               a fhir:Period ;
               fhir:start [ fhir:v "2014-09-17T16:00:00Z"^^xsd:dateTime ]
             ] ;
             fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
             fhir:period [ fhir:v "4"^^xsd:decimal ] ;
             fhir:periodUnit [ fhir:v "h" ]
           ]
         ] )
       ] ;
       fhir:quantity [
         fhir:value [ fhir:v "240"^^xsd:decimal ] ;
         fhir:unit [ fhir:v "milliliters" ] ;
         fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "mL" ]

       ]
     ];
     fhir:NutritionOrder.enteralFormula.maxVolumeToDeliver [
       fhir:Quantity.value [ fhir:value "1440"^^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 "240 mls every 4hrs " ]
  ] .

<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 .

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

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

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

     ] ) ;
     fhir:maxVolumeToDeliver [
       fhir:value [ fhir:v "1440"^^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 "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.