This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v0.3.0: STU 1 Ballot 2) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions
Definitions for the profile-visionprescription-stu3 Profile.
1. VisionPrescription | |
Definition | An authorization for the supply of glasses and/or contact lenses to a patient. |
Control | 0..* |
Invariants | Defined on this element dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (: contained.text.empty()) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (: contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (: contained.where(('#'+id in %resource.descendants().reference).not()).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) |
2. VisionPrescription.id | |
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
Control | 0..1 |
Type | id |
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
3. VisionPrescription.meta | |
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource. |
Control | 0..1 |
Type | Meta |
4. VisionPrescription.implicitRules | |
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. |
Control | 0..1 |
Type | uri |
Is Modifier | true |
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation. |
5. VisionPrescription.language | |
Definition | The base language in which the resource is written. |
Control | 0..1 |
Binding | A human language. The codes SHALL be taken from Common Languages; other codes may be used where these codes are not suitable Max Binding: All Languages |
Type | code |
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). |
6. VisionPrescription.text | |
Definition | A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. |
Control | 0..1 This element is affected by the following invariants: dom-1 |
Type | Narrative |
Alternate Names | narrative, html, xhtml, display |
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later. |
7. VisionPrescription.contained | |
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. |
Control | 0..* |
Type | Resource |
Alternate Names | inline resources, anonymous resources, contained resources |
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. |
8. VisionPrescription.extension | |
Definition | An Extension |
Control | 0..* |
Type | Extension |
9. VisionPrescription.extension:VisionPrescription-insurance | |
Definition | Indicates coverage relevant to the request. |
Control | 0..* This element is affected by the following invariants: ele-1 |
Type | Extension(insurance) (Extension Type: Reference(CoverageSTU3)) |
Must Support | true |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
10. VisionPrescription.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
11. VisionPrescription.identifier | |
Definition | Business identifier which may be used by other parties to reference or identify the prescription. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
Must Support | true |
12. VisionPrescription.status | |
Definition | The status of the resource instance. |
Control | 1..1 |
Binding | A code specifying the state of the resource instance. The codes SHALL be taken from Financial Resource Status Codes |
Type | code |
Is Modifier | true |
Must Support | true |
Fixed Value | draft |
13. VisionPrescription.patient | |
Definition | A link to a resource representing the person to whom the vision products will be supplied. |
Control | 1..1 |
Type | Reference(PatientSTU3) |
Must Support | true |
14. VisionPrescription.encounter | |
Definition | A link to a resource that identifies the particular occurrence of contact between patient and health care provider. |
Control | 0..1 |
Type | Reference(EncounterSTU3) |
Comments | potentially relevant for CRD in some situations. |
15. VisionPrescription.dateWritten | |
Definition | The date (and perhaps time) when the prescription was written. |
Control | 1..1 |
Type | dateTime |
Must Support | true |
16. VisionPrescription.prescriber | |
Definition | The healthcare professional responsible for authorizing the prescription. |
Control | 1..1 |
Type | Reference(PractitionerSTU3) |
Must Support | true |
17. VisionPrescription.reason[x] | |
Definition | Can be the reason or the indication for writing the prescription. |
Control | 0..1 |
Type | Choice of: CodeableConcept, Reference(US Core Condition Profile) |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Must Support | true |
Comments | potentially relevant for CRD in some situations. |
18. VisionPrescription.dispense | |
Definition | Deals with details of the dispense part of the supply specification. |
Control | 0..* |
Type | BackboneElement |
Must Support | true |
Comments | potentially relevant for CRD in some situations. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count())) |
19. VisionPrescription.dispense.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
20. VisionPrescription.dispense.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
21. VisionPrescription.dispense.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Alternate Names | extensions, user content, modifiers |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
22. VisionPrescription.dispense.product | |
Definition | Identifies the type of vision correction product which is required for the patient. |
Control | 0..1 |
Binding | A coded concept describing the vision products. For example codes, see Example Vision Prescription Product Codes |
Type | CodeableConcept |
23. VisionPrescription.dispense.eye | |
Definition | The eye for which the lens applies. |
Control | 0..1 |
Binding | A coded concept listing the eye codes. The codes SHALL be taken from VisionEyes |
Type | code |
24. VisionPrescription.dispense.sphere | |
Definition | Lens power measured in diopters (0.25 units). |
Control | 0..1 |
Type | decimal |
25. VisionPrescription.dispense.cylinder | |
Definition | Power adjustment for astigmatism measured in diopters (0.25 units). |
Control | 0..1 |
Type | decimal |
26. VisionPrescription.dispense.axis | |
Definition | Adjustment for astigmatism measured in integer degrees. |
Control | 0..1 |
Type | integer |
27. VisionPrescription.dispense.prism | |
Definition | Amount of prism to compensate for eye alignment in fractional units. |
Control | 0..1 |
Type | decimal |
28. VisionPrescription.dispense.base | |
Definition | The relative base, or reference lens edge, for the prism. |
Control | 0..1 |
Binding | A coded concept listing the base codes. The codes SHALL be taken from VisionBase |
Type | code |
29. VisionPrescription.dispense.add | |
Definition | Power adjustment for multifocal lenses measured in diopters (0.25 units). |
Control | 0..1 |
Type | decimal |
30. VisionPrescription.dispense.power | |
Definition | Contact lens power measured in diopters (0.25 units). |
Control | 0..1 |
Type | decimal |
31. VisionPrescription.dispense.backCurve | |
Definition | Back curvature measured in millimeters. |
Control | 0..1 |
Type | decimal |
32. VisionPrescription.dispense.diameter | |
Definition | Contact lens diameter measured in millimeters. |
Control | 0..1 |
Type | decimal |
33. VisionPrescription.dispense.duration | |
Definition | The recommended maximum wear period for the lens. |
Control | 0..1 |
Type | Quantity(SimpleQuantity) |
34. VisionPrescription.dispense.color | |
Definition | Special color or pattern. |
Control | 0..1 |
Type | string |
35. VisionPrescription.dispense.brand | |
Definition | Brand recommendations or restrictions. |
Control | 0..1 |
Type | string |
36. VisionPrescription.dispense.note | |
Definition | Notes for special requirements such as coatings and lens materials. |
Control | 0..* |
Type | Annotation |