<?xml version=“1.0” encoding=“UTF-8”?><NutritionOrder xmlns=“hl7.org/fhir”>

<id value="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 …narrative generated by FHIR build

      <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml">
                      <h3>Nutrition Order Enteral Continuous Feeding Example (Tube feedings given as continuous rate)</h3>
                      <ul>
                              <li>
                                      <b>Patient: </b>Peter Chalmers</li>
                              <li>
                                      <b>Orderer: </b>Dr Adam Careful</li>
                              <li>
                                      <b>Date: </b>2014-09-17</li>
                              <li>
                                      <b>Enteral base (Brand): </b>Diabetic specialty enteral formula(Acme Diabetes Formula)</li>
                              <li>
                                      <b>Route: </b>Instillation, nasogastrostomy tube</li>
                              <li>
                                      <b>Rate: </b>60 mls/hr not to exceed 880 mls/day</li>
                      </ul>
              </div>
      </text>
-->
      <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: enteralcontinuous</p><p><b>patient</b>: <a>Peter Chalmers</a></p><p><b>orderer</b>: <a>Dr Adam Careful</a></p><p><b>identifier</b>: 123</p><p><b>encounter</b>: <a>Inpatient</a></p><p><b>dateTime</b>: 17/09/2014</p><p><b>status</b>: active</p><blockquote><p><b>enteralFormula</b></p><p><b>baseFormulaType</b>: Diabetic specialty enteral formula <span>(Details : {http://snomed/sct code &#39;6547210000124112&#39; = &#39;??&#39;, given as &#39;Diabetic specialty enteral formula&#39;})</span></p><p><b>baseFormulaProductName</b>:  Acme Diabetes Formula</p><p><b>caloricDensity</b>: 1 calories per milliliter<span> (Details: http://unitsofmeasure.org code cal/mL = &#39;??&#39;)</span></p><p><b>routeofAdministration</b>: Instillation, nasogastric tube <span>(Details : {http://hl7.org/fhir/v3/RouteOfAdministration code &#39;NGT&#39; = &#39;Instillation, nasogastric tube&#39;, given as &#39;Instillation, nasogastric tube&#39;})</span></p><blockquote><p><b>administration</b></p><p><b>schedule</b>: Starting 17/09/2014 5:00:00 PM, Do Once</p><p><b>rate</b>: 60 ml/hr<span> (Details: http://unitsofmeasure.org code mL/h = &#39;??&#39;)</span></p></blockquote><blockquote><p><b>administration</b></p><p><b>schedule</b>: Starting 17/09/2014 9:00:00 PM, Do Once</p><p><b>rate</b>: 80 ml/hr<span> (Details: http://unitsofmeasure.org code mL/h = &#39;??&#39;)</span></p></blockquote><blockquote><p><b>administration</b></p><p><b>schedule</b>: Starting 18/09/2014 1:00:00 AM, Do Once</p><p><b>rate</b>: 100 ml/hr<span> (Details: http://unitsofmeasure.org code mL/h = &#39;??&#39;)</span></p></blockquote><p><b>maxVolumeToDeliver</b>: 880 milliliter/day<span> (Details: http://unitsofmeasure.org code mL/d = &#39;??&#39;)</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></text><patient>
              <reference value="Patient/example"/>
              <display value="Peter Chalmers"/>
      </patient>
      <orderer>
              <reference value="Practitioner/example"/>
              <display value="Dr Adam Careful"/>
      </orderer>
      <identifier>
              <system value="http://www.acme.org/nutritionorders"/>
              <value value="123"/>
      </identifier>
      <encounter>
              <reference value="Encounter/example"/>
              <display value="Inpatient"/>
      </encounter>
      <dateTime value="2014-09-17"/>
      <status value="active"/>
      <!--   Tube feedings given as continuous rate   -->
      <enteralFormula>
              <baseFormulaType>
                      <coding>
                              <system value="http://snomed/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://hl7.org/fhir/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>