{
  "resourceType": "NutritionOrder",
  "id": "enteralbolus",
  "text": {
    "fhir_comments": [
      "   id = enteralbolus  file name = nutritionorder-example-enteralbolus.xml Name= Enteral Bolus  Description = Nutrition Order Enteral Bolus Feeding  Example\nTube feedings are given in boluses several times a day   edited by 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 Bolus Feeding Example(Tube feedings given in boluses several times a day)</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>Known Allergies: </b>Cashew Nuts</li>\n\t\t\t\t<li>\n\t\t\t\t\t<b>Food Preferences: </b>Kosher</li>\n\t\t\t\t<li>\n\t\t\t\t\t<b>Enteral base (Brand): </b>Adult high protein formula(Acme High Protein Formula)</li>\n\t\t\t\t<li>\n\t\t\t\t\t<b>Additive (Brand): </b>Modular lipid enteral formula component(Acme Lipid Additive)</li>\n\t\t\t\t<li>\n\t\t\t\t\t<b>Route: </b>Instillation, gastrostomy tube</li>\n\t\t\t\t<li>\n\t\t\t\t\t<b>Rate: </b>Starting 2014-09-17, 240 mls every 4hrs not to exceed 1440 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>: 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 'dairy-free' = 'Dairy Free)</span></p><p><b>excludeFoodModifier</b>: Cashew Nut <span>(Details : {SNOMED CT code '227493005' = '227493005', given as 'Cashew Nut'})</span></p><blockquote><p><b>enteralFormula</b></p><p><b>baseFormulaType</b>: Adult high protein formula <span>(Details : {http://usextension/snomed.info/sct code '659311000124118' = '??', given as 'Adult high protein formula'})</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 'lipid' = 'Modular lipid enteral formula component', given as 'Modular lipid enteral formula component'})</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 = '??')</span></p><p><b>routeofAdministration</b>: Instillation, gastrostomy tube <span>(Details : {http://hl7.org/fhir/v3/RouteOfAdministration code 'GT' = 'Instillation, gastrostomy tube', given as 'Instillation, gastrostomy tube'})</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 = '??')</span></td></tr></table><p><b>maxVolumeToDeliver</b>: 1440 milliliter/day<span> (Details: http://unitsofmeasure.org code mL/d = '??')</span></p><p><b>administrationInstruction</b>: 240 mls every 4hrs </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",
  "allergyIntolerance": [
    {
      "fhir_comments": [
        "  EH  Show all the elements in this examples for preference, and intolerance   "
      ],
      "reference": "AllergyIntolerance/example",
      "display": "Cashew Nuts"
    }
  ],
  "foodPreferenceModifier": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/diet",
          "code": "dairy-free"
        }
      ]
    }
  ],
  "excludeFoodModifier": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "version": "20140730",
          "code": "227493005",
          "display": "Cashew Nut"
        }
      ]
    }
  ],
  "enteralFormula": {
    "baseFormulaType": {
      "coding": [
        {
          "system": "http://usextension/snomed.info/sct",
          "_system": {
            "fhir_comments": [
              "  EH:  bolus tube feeding instruction in text  "
            ]
          },
          "code": "659311000124118",
          "_code": {
            "fhir_comments": [
              "  EH  temporary system value for us extension   "
            ]
          },
          "display": "Adult high protein formula"
        }
      ]
    },
    "baseFormulaProductName": "Acme High Protein Formula",
    "additiveType": {
      "coding": [
        {
          "system": "http://hl7.org/fhir/entformula-additive",
          "code": "lipid",
          "display": "Modular lipid enteral formula component"
        }
      ]
    },
    "additiveProductName": "Acme Lipid Additive",
    "caloricDensity": {
      "value": 1.5,
      "unit": "calories per milliliter",
      "system": "http://unitsofmeasure.org",
      "code": "cal/mL"
    },
    "routeofAdministration": {
      "coding": [
        {
          "system": "http://hl7.org/fhir/v3/RouteOfAdministration",
          "code": "GT",
          "display": "Instillation, gastrostomy tube"
        }
      ]
    },
    "administration": [
      {
        "schedule": {
          "repeat": {
            "boundsPeriod": {
              "start": "2014-09-17T16:00:00Z"
            },
            "frequency": 1,
            "period": 4,
            "periodUnits": "h"
          }
        },
        "quantity": {
          "value": 240,
          "unit": "milliliters",
          "system": "http://unitsofmeasure.org",
          "code": "mL"
        }
      }
    ],
    "maxVolumeToDeliver": {
      "value": 1440,
      "unit": "milliliter/day",
      "system": "http://unitsofmeasure.org",
      "code": "mL/d"
    },
    "administrationInstruction": "240 mls every 4hrs "
  }
}