STU 3 Ballot

This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Visionprescription-example-1.xml

Raw XML (canonical form)

General Contacts Example (id = "33124")

<VisionPrescription xmlns="http://hl7.org/fhir">
  <id value="33124"/>

  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Sample Contract Lens prescription</div>
  </text>

  <identifier>
    <system value="http://www.happysight.com/prescription"/>
  <value value="15014"/>
  </identifier>
  
  <dateWritten value="2014-06-15"/>
  
  <patient>
    <reference value="Patient/example"/>
  </patient>

  <prescriber>
    <reference value="Practitioner/example"/>
  </prescriber>

  <dispense>
    <product>
    <system value="http://hl7.org/fhir/ex-visionprescriptionproduct"/>
    <code value="contact"/>
  </product>
    <eye value="right"/>
    <cylinder value="-2.25"/>
    <axis value="160"/>
    <add value="1.75"/>
    <power value="-2.75"/>
    <backCurve value="8.7"/>
    <diameter value="14.0"/>
    <duration>
      <value value="1"/>
      <unit value="month"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="month"/>
    </duration>
    <color value="green"/>
    <brand value="OphthaGuard"/>
  </dispense>

  <dispense>
    <product>
    <system value="http://hl7.org/fhir/ex-visionprescriptionproduct"/>
    <code value="contact"/>
    </product>
    <eye value="left"/>
    <cylinder value="-3.50"/>
    <axis value="160"/>
    <add value="1.75"/>
    <power value="-2.75"/>
    <backCurve value="8.7"/>
    <diameter value="14.0"/>
    <duration>
      <value value="1"/>
      <unit value="month"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="month"/>
    </duration>
    <color value="green"/>
    <brand value="OphthaGuard"/>
  </dispense>

</VisionPrescription>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.