This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
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Orders and Observations Work Group | Maturity Level: 3 | 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. |
| Short Display | Prescription for vision correction products for a patient |
| Cardinality | 0..* |
| Type | DomainResource |
| Summary | false |
| VisionPrescription.identifier | |
| Element Id | VisionPrescription.identifier |
| Definition | A unique identifier assigned to this vision prescription. |
| Short Display | Business Identifier for 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. |
| Summary | false |
| VisionPrescription.status | |
| Element Id | VisionPrescription.status |
| Definition | The status of the resource instance. |
| Short Display | active | cancelled | draft | entered-in-error |
| 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. |
| Short Display | Response creation date |
| 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. |
| Short Display | Who prescription is for |
| 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. |
| Short Display | Created during encounter / admission / stay |
| Cardinality | 0..1 |
| Type | Reference(Encounter) |
| Requirements | Used in some jurisdictions to link clinical events to claim items. |
| Summary | false |
| VisionPrescription.dateWritten | |
| Element Id | VisionPrescription.dateWritten |
| Definition | The date (and perhaps time) when the prescription was written. |
| Short Display | When prescription was authorized |
| 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. |
| Short Display | Who authorized the vision prescription |
| Cardinality | 1..1 |
| Type | Reference(Practitioner | PractitionerRole) |
| 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. |
| Short Display | Vision lens authorization |
| 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. |
| Short Display | Product to be supplied |
| 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. |
| Short Display | right | left |
| Cardinality | 1..1 |
| Terminology Binding | Vision Eyes (Required) |
| Type | code |
| Requirements | Needed to identify which eye the lens specification applies to. |
| Summary | true |
| Comments | May also appear on the paper claim form or in the Medical Records as as OD (oculus dexter) for the right eye and OS (oculus sinister) for the left eye. |
| VisionPrescription.lensSpecification.sphere | |
| Element Id | VisionPrescription.lensSpecification.sphere |
| Definition | Lens power measured in dioptres (0.25 units). |
| Short Display | Power of the lens |
| Cardinality | 0..1 |
| Type | decimal |
| Requirements | Standard lens prescription measures. |
| Summary | false |
| 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). |
| Short Display | Lens power for astigmatism |
| Cardinality | 0..1 |
| Type | decimal |
| Requirements | Standard lens prescription measures. |
| Summary | false |
| VisionPrescription.lensSpecification.axis | |
| Element Id | VisionPrescription.lensSpecification.axis |
| Definition | Adjustment for astigmatism measured in integer degrees. |
| Short Display | Lens meridian which contain no power for astigmatism |
| Cardinality | 0..1 |
| Type | integer |
| Requirements | Standard lens prescription measures. |
| Summary | false |
| Comments | The limits are +180 and -180 degrees. |
| VisionPrescription.lensSpecification.prism | |
| Element Id | VisionPrescription.lensSpecification.prism |
| Definition | Allows for adjustment on two axis. |
| Short Display | Eye alignment compensation |
| Cardinality | 0..* |
| Requirements | Standard lens prescription measures. |
| Summary | false |
| VisionPrescription.lensSpecification.prism.amount | |
| Element Id | VisionPrescription.lensSpecification.prism.amount |
| Definition | Amount of prism to compensate for eye alignment in fractional units. |
| Short Display | Amount of adjustment |
| Cardinality | 1..1 |
| Type | decimal |
| Requirements | Standard lens prescription measures. |
| Summary | false |
| VisionPrescription.lensSpecification.prism.base | |
| Element Id | VisionPrescription.lensSpecification.prism.base |
| Definition | The relative base, or reference lens edge, for the prism. |
| Short Display | up | down | in | out |
| Cardinality | 1..1 |
| Terminology Binding | Vision Base (Required) |
| Type | code |
| Requirements | Standard lens prescription measures. |
| Summary | false |
| VisionPrescription.lensSpecification.add | |
| Element Id | VisionPrescription.lensSpecification.add |
| Definition | Power adjustment for multifocal lenses measured in dioptres (0.25 units). |
| Short Display | Added power for multifocal levels |
| Cardinality | 0..1 |
| Type | decimal |
| Requirements | Standard lens prescription measures. |
| Summary | false |
| VisionPrescription.lensSpecification.power | |
| Element Id | VisionPrescription.lensSpecification.power |
| Definition | Contact lens power measured in dioptres (0.25 units). |
| Short Display | Contact lens power |
| Cardinality | 0..1 |
| Type | decimal |
| Requirements | Standard contact lens prescription measures. |
| Summary | false |
| VisionPrescription.lensSpecification.backCurve | |
| Element Id | VisionPrescription.lensSpecification.backCurve |
| Definition | Back curvature measured in millimetres. |
| Short Display | Contact lens back curvature |
| Cardinality | 0..1 |
| Type | decimal |
| Requirements | Standard contact lens prescription measures. |
| Summary | false |
| VisionPrescription.lensSpecification.diameter | |
| Element Id | VisionPrescription.lensSpecification.diameter |
| Definition | Contact lens diameter measured in millimetres. |
| Short Display | Contact lens diameter |
| Cardinality | 0..1 |
| Type | decimal |
| Requirements | Standard contact lens prescription measures. |
| Summary | false |
| VisionPrescription.lensSpecification.duration | |
| Element Id | VisionPrescription.lensSpecification.duration |
| Definition | The recommended maximum wear period for the lens. |
| Short Display | Lens wear duration |
| Cardinality | 0..1 |
| Type | SimpleQuantity |
| Requirements | Standard contact lens prescription measures. |
| Summary | false |
| VisionPrescription.lensSpecification.color | |
| Element Id | VisionPrescription.lensSpecification.color |
| Definition | Special color or pattern. |
| Short Display | Color required |
| Cardinality | 0..1 |
| Type | string |
| Requirements | Standard contact lens prescription measures. |
| Summary | false |
| VisionPrescription.lensSpecification.brand | |
| Element Id | VisionPrescription.lensSpecification.brand |
| Definition | Brand recommendations or restrictions. |
| Short Display | Brand required |
| Cardinality | 0..1 |
| Type | string |
| Requirements | Standard lens prescription measures. |
| Summary | false |
| VisionPrescription.lensSpecification.note | |
| Element Id | VisionPrescription.lensSpecification.note |
| Definition | Notes for special requirements such as coatings and lens materials. |
| Short Display | Notes for coatings |
| Cardinality | 0..* |
| Type | Annotation |
| Requirements | Standard lens prescription measures. |
| Summary | false |