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

<id value="cardiacdiet"/>
<!--   id = cardiacdiet  file name = nutritionorder-example-cardiacdiet.xml  Name= Low Sodium and Fiber Restricted Diet  Description = Nutrition Order Low Sodium and Fiber Restricted Diet Example

edited by 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 Low Sodium and Fiber Restricted Diet Example</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>Known Allergies: </b>Cashew Nuts</li>
                              <li>
                                      <b>Food Preferences: </b>dairy-free:  Excludes dairy products</li>
                              <li>
                                      <b>Oral Diet Type: </b>
                                      <ol>
                                              <li>Low Sodium Diet</li>
                                              <li>Fluid restricted diet</li>
                                      </ol>
                              </li>
                              <li>
                                      <b>Nutrients Requirements: </b>
                                      <ol>
                                              <li>2g sodium</li>
                                              <li>1500 cc fluid restriction</li>
                                      </ol>
                              </li>
                              <li>
                                      <b>Instructions: </b>Starting on 2/10 breakfast, maximum 400 ml fluids per meal</li>
                      </ul>
              </div>
      </text>
-->
      <!--  EH  Show all the elements in this examples for preference, and intolerance   -->
      <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: cardiacdiet</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><p><b>allergyIntolerance</b>: <a>Cashew Nuts</a></p><p><b>foodPreferenceModifier</b>: Dairy Free <span>(Details : {http://hl7.org/fhir/diet code &#39;dairy-free&#39; = &#39;Dairy Free)</span></p><p><b>excludeFoodModifier</b>: Cashew Nut <span>(Details : {SNOMED CT code &#39;227493005&#39; = &#39;227493005&#39;, given as &#39;Cashew Nut&#39;})</span></p><blockquote><p><b>oralDiet</b></p><p><b>type</b>: Low sodium diet <span>(Details : {SNOMED CT code &#39;386619000&#39; = &#39;386619000&#39;, given as &#39;Low sodium diet&#39;}; {http://goodhealthhospital.org/diet-type-codes code &#39;1040&#39; = &#39;??&#39;, given as &#39;Low Sodium Diet&#39;})</span>, Fluid restricted diet <span>(Details : {SNOMED CT code &#39;226208002&#39; = &#39;226208002&#39;, given as &#39;Fluid restricted diet&#39;}; {http://goodhealthhospital.org/diet-type-codes code &#39;1040&#39; = &#39;??&#39;, given as &#39;Fluid restricted diet&#39;})</span></p><blockquote><p><b>nutrient</b></p><p><b>modifier</b>: Sodium <span>(Details : {SNOMED CT code &#39;39972003&#39; = &#39;39972003&#39;, given as &#39;Sodium&#39;})</span></p><p><b>amount</b>: 2 grams<span> (Details: http://unitsofmeasure.org code g = &#39;??&#39;)</span></p></blockquote><blockquote><p><b>nutrient</b></p><p><b>modifier</b>: Fluid <span>(Details : {SNOMED CT code &#39;33463005&#39; = &#39;33463005&#39;, given as &#39;Fluid&#39;})</span></p><p><b>amount</b>: 1500 milliliter<span> (Details: http://unitsofmeasure.org code mL = &#39;??&#39;)</span></p></blockquote><p><b>instruction</b>: Starting on 2/10 breakfast, maximum 400 ml fluids per meal</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://goodhealthhospital.org/nutrition-orders"/>
              <value value="123"/>
      </identifier>
      <encounter>
              <reference value="Encounter/example"/>
              <display value="Inpatient"/>
      </encounter>
      <dateTime value="2014-09-17"/>
      <status value="active"/>
      <allergyIntolerance>
              <reference value="AllergyIntolerance/example"/>
              <display value="Cashew Nuts"/>
      </allergyIntolerance>
      <foodPreferenceModifier>
              <coding>
                      <system value="http://hl7.org/fhir/diet"/>
                      <code value="dairy-free"/>
              </coding>
      </foodPreferenceModifier>
      <excludeFoodModifier>
              <coding>
                      <system value="http://snomed.info/sct"/>
                      <version value="20140730"/>
                      <code value="227493005"/>
                      <display value="Cashew Nut"/>
              </coding>
      </excludeFoodModifier>
      <!--   EH: use oral Diet element   -->
      <oralDiet>
              <!--   EH:  list type of diet showing standard code and local codes   -->
              <type>
                      <coding>
                              <system value="http://snomed.info/sct"/>
                              <code value="386619000"/>
                              <display value="Low sodium diet"/>
                      </coding>
                      <coding>
                              <system value="http://goodhealthhospital.org/diet-type-codes"/>
                              <code value="1040"/>
                              <display value="Low Sodium Diet"/>
                      </coding>
                      <text value="Low sodium diet"/>
              </type>
              <type>
                      <coding>
                              <system value="http://snomed.info/sct"/>
                              <code value="226208002"/>
                              <display value="Fluid restricted diet"/>
                      </coding>
                      <coding>
                              <system value="http://goodhealthhospital.org/diet-type-codes"/>
                              <code value="1040"/>
                              <display value="Fluid restricted diet"/>
                      </coding>
                      <text value="Fluid restricted diet"/>
              </type>
              <!--   list nutrients and amounts here   -->
              <nutrient>
                      <modifier>
                              <coding>
                                      <system value="http://snomed.info/sct"/>
                                      <code value="39972003"/>
                                      <display value="Sodium"/>
                              </coding>
                      </modifier>
                      <amount>
                              <value value="2"/>
                              <unit value="grams"/>
                              <system value="http://unitsofmeasure.org"/>
                              <code value="g"/>
                      </amount>
              </nutrient>
              <nutrient>
                      <modifier>
                              <coding>
                                      <system value="http://snomed.info/sct"/>
                                      <code value="33463005"/>
                                      <display value="Fluid"/>
                              </coding>
                      </modifier>
                      <amount>
                              <value value="1500"/>
                              <unit value="milliliter"/>
                              <system value="http://unitsofmeasure.org"/>
                              <code value="mL"/>
                      </amount>
              </nutrient>
              <!--  instructions as free text   -->
              <instruction value="Starting on 2/10 breakfast, maximum 400 ml fluids per meal"/>
      </oralDiet>

</NutritionOrder>