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

<id value="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 …narrative generated by FHIR build

      <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml">
                      <h3>Nutrition Order Enteral Bolus Feeding Example(Tube feedings given in boluses several times a day)</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>Kosher</li>
                              <li>
                                      <b>Enteral base (Brand): </b>Adult high protein formula(Acme High Protein Formula)</li>
                              <li>
                                      <b>Additive (Brand): </b>Modular lipid enteral formula component(Acme Lipid Additive)</li>
                              <li>
                                      <b>Route: </b>Instillation, gastrostomy tube</li>
                              <li>
                                      <b>Rate: </b>Starting 2014-09-17, 240 mls every 4hrs not to exceed 1440 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>: enteralbolus</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>enteralFormula</b></p><p><b>baseFormulaType</b>: Adult high protein formula <span>(Details : {http://usextension/snomed.info/sct code &#39;659311000124118&#39; = &#39;??&#39;, given as &#39;Adult high protein formula&#39;})</span></p><p><b>baseFormulaProductName</b>: Acme High Protein Formula</p><p><b>additiveType</b>: Modular lipid enteral formula component <span>(Details : {http://hl7.org/fhir/entformula-additive code &#39;lipid&#39; = &#39;Modular lipid enteral formula component&#39;, given as &#39;Modular lipid enteral formula component&#39;})</span></p><p><b>additiveProductName</b>: Acme Lipid Additive</p><p><b>caloricDensity</b>: 1.5 calories per milliliter<span> (Details: http://unitsofmeasure.org code cal/mL = &#39;??&#39;)</span></p><p><b>routeofAdministration</b>: Instillation, gastrostomy tube <span>(Details : {http://hl7.org/fhir/v3/RouteOfAdministration code &#39;GT&#39; = &#39;Instillation, gastrostomy tube&#39;, given as &#39;Instillation, gastrostomy tube&#39;})</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 18/09/2014 2:00:00 AM, Do Once per 4 hours</td><td>240 milliliters<span> (Details: http://unitsofmeasure.org code mL = &#39;??&#39;)</span></td></tr></table><p><b>maxVolumeToDeliver</b>: 1440 milliliter/day<span> (Details: http://unitsofmeasure.org code mL/d = &#39;??&#39;)</span></p><p><b>administrationInstruction</b>: 240 mls every 4hrs </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"/>
      <!--  EH  Show all the elements in this examples for preference, and intolerance   -->
      <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>
      <enteralFormula>

              <baseFormulaType>
                      <coding>
                              <!--  EH:  bolus tube feeding instruction in text  -->
                              <system value="http://usextension/snomed.info/sct"/>
                              <!--  EH  temporary system value for us extension   -->
                              <code value="659311000124118"/>
                              <display value="Adult high protein formula"/>
                      </coding>
              </baseFormulaType>
              <baseFormulaProductName value="Acme High Protein Formula"/>

              <additiveType>
                      <coding>
                              <system value="http://hl7.org/fhir/entformula-additive"/>
                              <code value="lipid"/>
                              <display value="Modular lipid enteral formula component"/>
                      </coding>
              </additiveType>
              <additiveProductName value="Acme Lipid Additive"/>
              <caloricDensity>
                      <value value="1.5"/>
                      <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="GT"/>
                              <display value="Instillation, gastrostomy tube"/>
                      </coding>
              </routeofAdministration>
              <administration>
                      <schedule>
                              <repeat>
                              <boundsPeriod>
                                <start value="2014-09-17T16:00:00Z"/>
                              </boundsPeriod>
                                      <frequency value="1"/>
                                      <period value="4"/>
                                      <periodUnits value="h"/>
                              </repeat>
                      </schedule>
                      <quantity>
                              <value value="240"/>
                              <unit value="milliliters"/>
                              <system value="http://unitsofmeasure.org"/>
                              <code value="mL"/>
                      </quantity>
              </administration>
              <maxVolumeToDeliver>
                      <value value="1440"/>
                      <unit value="milliliter/day"/>
                      <system value="http://unitsofmeasure.org"/>
                      <code value="mL/d"/>
              </maxVolumeToDeliver>
              <administrationInstruction value="240 mls every 4hrs "/>
      </enteralFormula>

</NutritionOrder>