Da Vinci - Coverage Requirements Discovery - Downloaded Version 2.2.0-ballot See the Directory of published versions
| Page standards status: Informative |
identifier: http://example.org/prescription/15013
status: Draft
created: 2014-06-15
patient: Amy V. Shaw Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))
dateWritten: 2014-06-15
prescriber: Practitioner Bone
lensSpecification
product: Lens
eye: Right Eye
sphere: -2
Prisms
Amount Base 0.5 Down add: 2
lensSpecification
product: Lens
eye: Left Eye
sphere: -1
cylinder: -0.5
axis: 180
Prisms
Amount Base 0.5 Up add: 2