This page is part of the FHIR Specification (v4.5.0: R5 Preview #3). 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
Financial Management Work Group | Maturity Level: 2 | Trial Use | Security Category: Patient | Compartments: Encounter, Patient, Practitioner |
Detailed Descriptions for the elements in the VisionPrescription resource.
VisionPrescription | |
Element Id | VisionPrescription |
Definition | An authorization for the provision of glasses and/or contact lenses to a patient. |
Cardinality | 0..* |
Type | DomainResource |
VisionPrescription.identifier | |
Element Id | VisionPrescription.identifier |
Definition | A unique identifier assigned to this vision prescription. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Cardinality | 0..* |
Type | Identifier |
Requirements | Allows vision prescriptions to be distinguished and referenced. |
VisionPrescription.status | |
Element Id | VisionPrescription.status |
Definition | The status of the resource instance. |
Cardinality | 1..1 |
Terminology Binding | Financial Resource Status Codes (Required) |
Type | code |
Is Modifier | true (Reason: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid) |
Requirements | Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'. |
Summary | true |
Comments | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
VisionPrescription.created | |
Element Id | VisionPrescription.created |
Definition | The date this resource was created. |
Cardinality | 1..1 |
Type | dateTime |
Requirements | Need to record a timestamp for use by both the recipient and the issuer. |
Summary | true |
VisionPrescription.patient | |
Element Id | VisionPrescription.patient |
Definition | A resource reference to the person to whom the vision prescription applies. |
Cardinality | 1..1 |
Type | Reference(Patient) |
Requirements | Needed to identify the patient for whom the vision prescription has been issued. |
Summary | true |
VisionPrescription.encounter | |
Element Id | VisionPrescription.encounter |
Definition | A reference to a resource that identifies the particular occurrence of contact between patient and health care provider during which the prescription was issued. |
Cardinality | 0..1 |
Type | Reference(Encounter) |
Requirements | Used in some jurisdictions to link clinical events to claim items. |
VisionPrescription.dateWritten | |
Element Id | VisionPrescription.dateWritten |
Definition | The date (and perhaps time) when the prescription was written. |
Cardinality | 1..1 |
Type | dateTime |
Requirements | Need to record a timestamp for use by both the recipient and the issuer. |
Summary | true |
Comments | Jurisdictions determine the valid lifetime of a prescription. Typically vision prescriptions are valid for two years from the date written. |
VisionPrescription.prescriber | |
Element Id | VisionPrescription.prescriber |
Definition | The healthcare professional responsible for authorizing the prescription. |
Cardinality | 1..1 |
Type | Reference(Practitioner | PractitionerRole) |
Patterns | Reference(Practitioner,PractitionerRole): Common patterns = Participant |
Requirements | Need to record the authorizing practitioner. |
Summary | true |
VisionPrescription.lensSpecification | |
Element Id | VisionPrescription.lensSpecification |
Definition | Contain the details of the individual lens specifications and serves as the authorization for the fullfillment by certified professionals. |
Cardinality | 1..* |
Summary | true |
VisionPrescription.lensSpecification.product | |
Element Id | VisionPrescription.lensSpecification.product |
Definition | Identifies the type of vision correction product which is required for the patient. |
Cardinality | 1..1 |
Terminology Binding | Example Vision Prescription Product Codes (Example) |
Type | CodeableConcept |
Requirements | Need to identify whether glasses or contacts. |
Summary | true |
VisionPrescription.lensSpecification.eye | |
Element Id | VisionPrescription.lensSpecification.eye |
Definition | The eye for which the lens specification applies. |
Cardinality | 1..1 |
Terminology Binding | VisionEyes (Required) |
Type | code |
Requirements | Needed to identify which eye the lens specification applies to. |
Summary | true |
Comments | May also appear as OD (oculus dexter) for the right eye and OS (oculus siniter) for the left eye. |
VisionPrescription.lensSpecification.sphere | |
Element Id | VisionPrescription.lensSpecification.sphere |
Definition | Lens power measured in dioptres (0.25 units). |
Cardinality | 0..1 |
Type | decimal |
Requirements | Standard lens prescription measures. |
Comments | The value is negative for near-sighted and positive for far sighted. Often insurance will not cover a lens with power between +75 and -75. |
VisionPrescription.lensSpecification.cylinder | |
Element Id | VisionPrescription.lensSpecification.cylinder |
Definition | Power adjustment for astigmatism measured in dioptres (0.25 units). |
Cardinality | 0..1 |
Type | decimal |
Requirements | Standard lens prescription measures. |
VisionPrescription.lensSpecification.axis | |
Element Id | VisionPrescription.lensSpecification.axis |
Definition | Adjustment for astigmatism measured in integer degrees. |
Cardinality | 0..1 |
Type | integer |
Requirements | Standard lens prescription measures. |
Comments | The limits are +180 and -180 degrees. |
VisionPrescription.lensSpecification.prism | |
Element Id | VisionPrescription.lensSpecification.prism |
Definition | Allows for adjustment on two axis. |
Cardinality | 0..* |
Requirements | Standard lens prescription measures. |
VisionPrescription.lensSpecification.prism.amount | |
Element Id | VisionPrescription.lensSpecification.prism.amount |
Definition | Amount of prism to compensate for eye alignment in fractional units. |
Cardinality | 1..1 |
Type | decimal |
Requirements | Standard lens prescription measures. |
VisionPrescription.lensSpecification.prism.base | |
Element Id | VisionPrescription.lensSpecification.prism.base |
Definition | The relative base, or reference lens edge, for the prism. |
Cardinality | 1..1 |
Terminology Binding | VisionBase (Required) |
Type | code |
Requirements | Standard lens prescription measures. |
VisionPrescription.lensSpecification.add | |
Element Id | VisionPrescription.lensSpecification.add |
Definition | Power adjustment for multifocal lenses measured in dioptres (0.25 units). |
Cardinality | 0..1 |
Type | decimal |
Requirements | Standard lens prescription measures. |
VisionPrescription.lensSpecification.power | |
Element Id | VisionPrescription.lensSpecification.power |
Definition | Contact lens power measured in dioptres (0.25 units). |
Cardinality | 0..1 |
Type | decimal |
Requirements | Standard contact lens prescription measures. |
VisionPrescription.lensSpecification.backCurve | |
Element Id | VisionPrescription.lensSpecification.backCurve |
Definition | Back curvature measured in millimetres. |
Cardinality | 0..1 |
Type | decimal |
Requirements | Standard contact lens prescription measures. |
VisionPrescription.lensSpecification.diameter | |
Element Id | VisionPrescription.lensSpecification.diameter |
Definition | Contact lens diameter measured in millimetres. |
Cardinality | 0..1 |
Type | decimal |
Requirements | Standard contact lens prescription measures. |
VisionPrescription.lensSpecification.duration | |
Element Id | VisionPrescription.lensSpecification.duration |
Definition | The recommended maximum wear period for the lens. |
Cardinality | 0..1 |
Type | SimpleQuantity |
Requirements | Standard contact lens prescription measures. |
VisionPrescription.lensSpecification.color | |
Element Id | VisionPrescription.lensSpecification.color |
Definition | Special color or pattern. |
Cardinality | 0..1 |
Type | string |
Requirements | Standard contact lens prescription measures. |
VisionPrescription.lensSpecification.brand | |
Element Id | VisionPrescription.lensSpecification.brand |
Definition | Brand recommendations or restrictions. |
Cardinality | 0..1 |
Type | string |
Requirements | Standard lens prescription measures. |
VisionPrescription.lensSpecification.note | |
Element Id | VisionPrescription.lensSpecification.note |
Definition | Notes for special requirements such as coatings and lens materials. |
Cardinality | 0..* |
Type | Annotation |
Requirements | Standard lens prescription measures. |