<?xml version=“1.0” encoding=“UTF-8”?> <NutritionOrder xmlns=“hl7.org/fhir”><!– 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   --><id value="enteralcontinuous"/>
      <meta>
  <security>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
    <code value="HTEST"/>
    <display value="test health data"/>
  </security>
</meta>
<identifier>
              <system value="http://www.acme.org/nutritionorders"/>
              <value value="123"/>
      </identifier>
      <status value="active"/><intent value="order"/>
      <patient>
              <reference value="Patient/example"/>
              <display value="Peter Chalmers"/>
      </patient>
      <encounter>
              <reference value="Encounter/example"/>
              <display value="Inpatient"/>
      </encounter>
      <dateTime value="2014-09-17"/>
      <orderer>
              <reference value="Practitioner/example"/>
              <display value="Dr Adam Careful"/>
      </orderer>
      <enteralFormula>
              <baseFormulaType>
                      <coding>
                              <system value="http://snomed.info/sct"/>
                              <code value="6547210000124112"/>
                              <display value="Diabetic specialty enteral formula"/>
                      </coding>
              </baseFormulaType>
              <baseFormulaProductName value=" Acme Diabetes Formula"/>

              <caloricDensity>
                      <value value="1"/>
                      <unit value="calories per milliliter"/>
                      <system value="http://unitsofmeasure.org"/>
                      <code value="cal/mL"/>
              </caloricDensity>
              <routeofAdministration>
                      <coding>
                              <system value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"/>
                              <code value="NGT"/>
                              <display value="Instillation, nasogastric tube"/>
                      </coding>
              <!--  step up rate of tube feeding by 20 ml/hr every 4 hours   -->
              </routeofAdministration>
              <administration>

                      <schedule>
                      <repeat>
                              <boundsPeriod>
                                <start value="2014-09-17T07:00:00Z"/>
                              </boundsPeriod>
                      </repeat>
                      </schedule>
                      <rateQuantity>
                              <value value="60"/>
                              <unit value="ml/hr"/>
                              <system value="http://unitsofmeasure.org"/>
                              <code value="mL/h"/>
                      </rateQuantity>
              </administration>
              <administration>        
                      <schedule>
                      <repeat>
                              <boundsPeriod>
                                <start value="2014-09-17T11:00:00Z"/>
                              </boundsPeriod>
                      </repeat>
                      </schedule>
                      <rateQuantity>
                              <value value="80"/>
                              <unit value="ml/hr"/>
                              <system value="http://unitsofmeasure.org"/>
                              <code value="mL/h"/>
                      </rateQuantity>
              </administration>
              <administration>                
                      <schedule>
                      <repeat>
                              <boundsPeriod>
                                <start value="2014-09-17T15:00:00Z"/>
                              </boundsPeriod>
                      </repeat>
                      </schedule>
                      <rateQuantity>
                              <value value="100"/>
                              <unit value="ml/hr"/>
                              <system value="http://unitsofmeasure.org"/>
                              <code value="mL/h"/>
                      </rateQuantity>
              </administration>

              <maxVolumeToDeliver>
                      <value value="880"/>
                      <unit value="milliliter/day"/>
                      <system value="http://unitsofmeasure.org"/>
                      <code value="mL/d"/>
              </maxVolumeToDeliver>
              <administrationInstruction 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"/>

      </enteralFormula>

</NutritionOrder>