R4 Ballot #2 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.5.0: 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.xml

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

Raw XML (canonical form + also see XML Format Specification)

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General Glasses Example (id = "33123")

<?xml version="1.0" encoding="UTF-8"?>

<VisionPrescription xmlns="http://hl7.org/fhir">
  <id value="33123"/> 

  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> OD -2.00 SPH         +2.00 add    0.5 p.d. BD</p> 
      <p> OS -1.00 -0.50 x 180 +2.00 add    0.5 p.d. BU</p> 
    </div> 
  </text> 

  <identifier> 
    <system value="http://www.happysight.com/prescription"/> 
    <value value="15013"/> 
  </identifier> 

  <status value="active"/> 

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

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

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

  <dispense> 
    <product> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/ex-visionprescriptionproduct"/> 
        <code value="lens"/> 
      </coding> 
    </product> 
    <eye value="right"/> 
    <sphere value="-2.00"/> 
    <prism> 
      <amount value="0.5"/> 
      <base value="down"/> 
    </prism> 
    <add value="2.00"/> 
  </dispense> 

  <dispense> 
    <product> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/ex-visionprescriptionproduct"/> 
        <code value="lens"/> 
      </coding> 
    </product> 
    <eye value="left"/> 
    <sphere value="-1.00"/> 
    <cylinder value="-0.50"/> 
    <axis value="180"/> 
    <prism> 
      <amount value="0.5"/> 
      <base value="up"/> 
    </prism> 
    <add value="2.00"/> 
  </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.