{

"resourceType": "NutritionOrder",
"id": "enteralcontinuous",
"text": {
  "fhir_comments": [
    "   id = enteralcontinuous  file name = nutritionorder-example-enteralcontinuous.xml  Name= Enteral Continuous Feeding  Description = Nutrition Order Enteral Continuous Feeding Canonical Example\neditor Eric Haas Health eData Inc\n...narrative generated by FHIR build\n\t<text>\n\t\t<status value=\"generated\"/>\n\t\t<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t<h3>Nutrition Order Enteral Continuous Feeding Example (Tube feedings given as continuous rate)</h3>\n\t\t\t<ul>\n\t\t\t\t<li>\n\t\t\t\t\t<b>Patient: </b>Peter Chalmers</li>\n\t\t\t\t<li>\n\t\t\t\t\t<b>Orderer: </b>Dr Adam Careful</li>\n\t\t\t\t<li>\n\t\t\t\t\t<b>Date: </b>2014-09-17</li>\n\t\t\t\t<li>\n\t\t\t\t\t<b>Enteral base (Brand): </b>Diabetic specialty enteral formula(Acme Diabetes Formula)</li>\n\t\t\t\t<li>\n\t\t\t\t\t<b>Route: </b>Instillation, nasogastrostomy tube</li>\n\t\t\t\t<li>\n\t\t\t\t\t<b>Rate: </b>60 mls/hr not to exceed 880 mls/day</li>\n\t\t\t</ul>\n\t\t</div>\n\t</text>\n  "
  ],
  "status": "generated",
  "div": "<div><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 '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: http://unitsofmeasure.org code cal/mL = '??')</span></p><p><b>routeofAdministration</b>: Instillation, nasogastric tube <span>(Details : {http://hl7.org/fhir/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 5:00:00 PM, Do Once</p><p><b>rate</b>: 60 ml/hr<span> (Details: http://unitsofmeasure.org code mL/h = '??')</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 = '??')</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 = '??')</span></p></blockquote><p><b>maxVolumeToDeliver</b>: 880 milliliter/day<span> (Details: http://unitsofmeasure.org code 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>"
},
"patient": {
  "reference": "Patient/example",
  "display": "Peter Chalmers"
},
"orderer": {
  "reference": "Practitioner/example",
  "display": "Dr Adam Careful"
},
"identifier": [
  {
    "system": "http://www.acme.org/nutritionorders",
    "value": "123"
  }
],
"encounter": {
  "reference": "Encounter/example",
  "display": "Inpatient"
},
"dateTime": "2014-09-17",
"status": "active",
"enteralFormula": {
  "fhir_comments": [
    "   Tube feedings given as continuous rate   "
  ],
  "baseFormulaType": {
    "coding": [
      {
        "system": "http://snomed/sct",
        "code": "6547210000124112",
        "display": "Diabetic specialty enteral formula"
      }
    ]
  },
  "baseFormulaProductName": " Acme Diabetes Formula",
  "caloricDensity": {
    "value": 1,
    "unit": "calories per milliliter",
    "system": "http://unitsofmeasure.org",
    "code": "cal/mL"
  },
  "routeofAdministration": {
    "fhir_comments": [
      "  step up rate of tube feeding by 20 ml/hr every 4 hours   "
    ],
    "coding": [
      {
        "system": "http://hl7.org/fhir/v3/RouteOfAdministration",
        "code": "NGT",
        "display": "Instillation, nasogastric tube"
      }
    ]
  },
  "administration": [
    {
      "schedule": {
        "repeat": {
          "boundsPeriod": {
            "start": "2014-09-17T07:00:00Z"
          }
        }
      },
      "rateQuantity": {
        "value": 60,
        "unit": "ml/hr",
        "system": "http://unitsofmeasure.org",
        "code": "mL/h"
      }
    },
    {
      "schedule": {
        "repeat": {
          "boundsPeriod": {
            "start": "2014-09-17T11:00:00Z"
          }
        }
      },
      "rateQuantity": {
        "value": 80,
        "unit": "ml/hr",
        "system": "http://unitsofmeasure.org",
        "code": "mL/h"
      }
    },
    {
      "schedule": {
        "repeat": {
          "boundsPeriod": {
            "start": "2014-09-17T15:00:00Z"
          }
        }
      },
      "rateQuantity": {
        "value": 100,
        "unit": "ml/hr",
        "system": "http://unitsofmeasure.org",
        "code": "mL/h"
      }
    }
  ],
  "maxVolumeToDeliver": {
    "value": 880,
    "unit": "milliliter/day",
    "system": "http://unitsofmeasure.org",
    "code": "mL/d"
  },
  "administrationInstruction": "Hold feedings from 7 pm to 7 am. Add MCT oil to increase calories from 1.0 cal/mL to 1.5 cal/mL"
}

}