R4 Ballot #1 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). 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

Financial Management Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Encounter, Patient, Practitioner

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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> 

  <status value="active"/> 

  <patient> 
    <reference value="Patient/example"/> 
  </patient> 

  <encounter> 
    <reference value="Encounter/f001"/> 
  </encounter> 

  <dateWritten value="2014-06-15"/> 

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

  <reasonCodeableConcept> 
    <coding> 
      <system value="http://samplevisionreasoncodes.com"/> 
      <code value="myopia"/> 
    </coding> 
  </reasonCodeableConcept> 

  <dispense> 
    <product> 
      <coding> 
        <system value="http://hl7.org/fhir/ex-visionprescriptionproduct"/> 
        <code value="contact"/> 
      </coding> 
    </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"/> 
    <note> 
      <text value="Shade treatment for extreme light sensitivity"/> 
    </note> 
  </dispense> 

  <dispense> 
    <product> 
      <coding> 
        <system value="http://hl7.org/fhir/ex-visionprescriptionproduct"/> 
        <code value="contact"/> 
      </coding> 
    </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"/> 
    <note> 
      <text value="Shade treatment for extreme light sensitivity"/> 
    </note> 
  </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.