Release 5 Draft Ballot

This page is part of the FHIR Specification (v4.6.0: R5 Draft Ballot). 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

Devicerequest-left-lens.xml

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner

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

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Left Lens prescription using the parameters element (id = "left-lens")

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

<DeviceRequest xmlns="http://hl7.org/fhir">
  <id value="left-lens"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> identifier</b> : id: 15013L</p> <p> <b> groupIdentifier</b> : id: 15013</p> <p> <b> status</b> : completed</p> <p> <b> intent</b> : original-order</p> <h3> Codes</h3> <table> <tr> <td> -</td> </tr> <tr> <td> *</td> </tr> </table> <blockquote> <p> <b> parameter</b> </p> <p> <b> code</b> : <span> sphere, left lens</span> </p> <p> <b> value</b> : -1.00 Diopter</p> </blockquote> <blockquote> <p> <b> parameter</b> </p> <p> <b> code</b> : <span> cylinder, left lens</span> </p> <p> <b> value</b> : -0.50 Diopter</p> </blockquote> <blockquote> <p> <b> parameter</b> </p> <p> <b> code</b> : <span> axis, left lens</span> </p> <p> <b> value</b> : 180 Degrees</p> </blockquote> <p> <b> subject</b> : <a> Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers
           (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410
           5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a> </p> <p> <b> occurrence</b> : 2014-06-15</p> <p> <b> requester</b> : <a> Generated Summary: id: 23; active; Adam Careful </a> </p> </div> </text> <identifier> 
    <system value="http://www.happysight.com/prescription"/> 
    <value value="15013L"/> 
  </identifier> 
  <!--    insert contents here    -->
  <groupIdentifier> 
    <system value="http://acme.org"/> 
    <value value="15013"/> 
  </groupIdentifier> 
  <status value="completed"/> 
  <intent value="original-order"/> 
  <code> 
    <concept> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/ex-visionprescriptionproduct"/> 
        <code value="lens"/> 
      </coding> 
    </concept> 
  </code> 
  <parameter> 
    <code> 
      <coding> 
        <system value="http://loinc.org"/> 
          <code value="28842-3"/> 
        <display value="Sphere distance Glasses prescription.lens - left"/> 
      </coding> 
      <text value="sphere, left lens"/> 
    </code> 
    <valueQuantity> 
      <value value="-1.00"/> 
      <unit value="Diopter"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="[diop]">
      </code> 
    </valueQuantity> 
  </parameter> 
  <parameter> 
    <code> 
      <coding> 
        <system value="http://loinc.org"/> 
        <code value="28843-1"/> 
        <display value="Cylinder base distance Glasses prescription.lens - left"/> 
      </coding> 
      <text value="cylinder, left lens"/> 
    </code> 
    <valueQuantity> 
      <value value="-0.50"/> 
      <unit value="Diopter"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="[diop]">
      </code> 
    </valueQuantity> 
  </parameter> 
  <parameter> 
    <code> 
      <coding> 
        <system value="http://loinc.org"/> 
        <code value="28844-9"/> 
        <display value=" Axis distance Glasses prescription.lens - left"/> 
      </coding> 
      <text value="axis, left lens"/> 
    </code> 
    <valueQuantity> 
      <value value="180"/> 
      <unit value="Degrees"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="deg">
      </code> 
    </valueQuantity> 
  </parameter> 
  <subject> 
    <reference value="Patient/example"/> 
  </subject> 
  <occurrenceDateTime value="2014-06-15"/> 
  <requester> 
    <reference value="Practitioner/example"/> 
  </requester> 
</DeviceRequest> 

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.