Release 4 5 Preview #2
This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and 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

12.16 12.20 Resource VisionPrescription - Content

Financial Management Work Group Maturity Level : 2   Trial Use Security Category : Patient Compartments : Encounter , Patient , Practitioner

An authorization for the provision of glasses and/or contact lenses to a patient.

The VisionPrescription resource is intended to support the information requirements for a prescription for glasses and contact lenses for a patient. Corrective optical lenses are considered a controlled substance and therefore a prescription is typically required for the provision of patient-specific lenses.

Vision prescriptions may only be issued by providers who have optical diagnosis within their scope of practice, typically ophthalmologists and optometrists. The prescription is a time-limited, typically two years, authorization for the provision of an unlimited number of lenses, glasses or contacts, which conform to the authorized specification by providers which have lens provision within their scope of practice, typically ophthalmologists , optometrists and opticians.

Health insurers typically require a copy of the prescription to ensure that a vision professional has examined the patient and that the power of the lenses exceeds some minimum, such as +- 0.75 diopters, to qualify for reimbursement under the insurance coverage.

The VisionPrescription resource is an "request" resource from a FHIR workflow perspective - see Workflow Request.

Additional information regarding resources conveying electronic claims content and usage may be found at:

The VisionPrescription resource is used to provide the authorized specification of lenses for glasses and contacts which have well known and internationally consistent requirements, which is distinct from other types of health care authorizations detailed below.

The health care domain includes a number of related resources
VisionPrescription The VisionPrescription resource is used to provide the authorized specification of lenses for glasses and contacts.
DeviceRequest This resource is used to prescribe, authorize, and request provision of a health care device such as a halter monitor or a wheelchair services.
MedicationRequest This resource is used to prescribe, authorize, and request provision of medications such a pharmaceuticals and vaccines.
ServiceRequest This resource is used to prescribe, authorize, and request provision of health care services such as consultative or rehabilitative services.

This resource is referenced by CarePlan , Claim and ExplanationOfBenefit .

This resource implements the Request pattern.

Structure

Name Flags Card. Type Description & Constraints doco
. . VisionPrescription TU DomainResource Prescription for vision correction products for a patient
Elements defined in Ancestors: id , meta , implicitRules , language , text , contained , extension , modifierExtension
. . . identifier 0..* Identifier Business Identifier for vision prescription
. . . status ?! Σ 1..1 code active | cancelled | draft | entered-in-error
Financial Resource Status Codes ( Required )
. . . created Σ 1..1 dateTime Response creation date
. . . encounter 0..1 Reference ( Encounter ) Created during encounter / admission / stay
. . . dateWritten Σ 1..1 dateTime When prescription was authorized
. . . prescriber Σ 1..1 Reference ( Practitioner | PractitionerRole ) Who authorized the vision prescription
. . . lensSpecification Σ 1..* BackboneElement Vision lens authorization
. . . . product Σ 1..1 CodeableConcept Product to be supplied
Example Vision Prescription Product Codes ( Example )
. . . . eye Σ 1..1 code right | left
VisionEyes ( Required )
. . . . sphere 0..1 decimal Power of the lens
. . . . cylinder 0..1 decimal Lens power for astigmatism
. . . . axis 0..1 integer Lens meridian which contain no power for astigmatism
. . . . prism 0..* BackboneElement Eye alignment compensation
. . . . . amount 1..1 decimal Amount of adjustment
. . . . . base 1..1 code up | down | in | out
VisionBase ( Required )
. . . . add 0..1 decimal Added power for multifocal levels
. . . . power 0..1 decimal Contact lens power
. . . . backCurve 0..1 decimal Contact lens back curvature
. . . . diameter 0..1 decimal Contact lens diameter
. . . . duration 0..1 SimpleQuantity Lens wear duration
. . . . color 0..1 string Color required
. . . . brand 0..1 string Brand required
. . . . note 0..* Annotation Notes for coatings

doco Documentation for this format

UML Diagram ( Legend )

VisionPrescription ( DomainResource ) A unique identifier assigned to this vision prescription identifier : Identifier [0..*] The status of the resource instance (this element modifies the meaning of other elements) status : code [1..1] « A code specifying the state of the resource instance. (Strength=Required) FinancialResourceStatusCodes ! » The date this resource was created created : dateTime [1..1] A resource reference to the person to whom the vision prescription applies patient : Reference [1..1] « Patient » A reference to a resource that identifies the particular occurrence of contact between patient and health care provider during which the prescription was issued encounter : Reference [0..1] « Encounter » The date (and perhaps time) when the prescription was written dateWritten : dateTime [1..1] The healthcare professional responsible for authorizing the prescription prescriber : Reference [1..1] « Practitioner | PractitionerRole » LensSpecification Identifies the type of vision correction product which is required for the patient product : CodeableConcept [1..1] « A coded concept describing the vision products. (Strength=Example) ExampleVisionPrescriptionProd... ?? » The eye for which the lens specification applies eye : code [1..1] « A coded concept listing the eye codes. (Strength=Required) VisionEyes ! » Lens power measured in dioptres (0.25 units) sphere : decimal [0..1] Power adjustment for astigmatism measured in dioptres (0.25 units) cylinder : decimal [0..1] Adjustment for astigmatism measured in integer degrees axis : integer [0..1] Power adjustment for multifocal lenses measured in dioptres (0.25 units) add : decimal [0..1] Contact lens power measured in dioptres (0.25 units) power : decimal [0..1] Back curvature measured in millimetres backCurve : decimal [0..1] Contact lens diameter measured in millimetres diameter : decimal [0..1] The recommended maximum wear period for the lens duration : Quantity ( SimpleQuantity ) [0..1] Special color or pattern color : string [0..1] Brand recommendations or restrictions brand : string [0..1] Notes for special requirements such as coatings and lens materials note : Annotation [0..*] Prism Amount of prism to compensate for eye alignment in fractional units amount : decimal [1..1] The relative base, or reference lens edge, for the prism base : code [1..1] « A coded concept listing the base codes. (Strength=Required) VisionBase ! » Allows for adjustment on two axis prism [0..*] Contain the details of the individual lens specifications and serves as the authorization for the fullfillment by certified professionals lensSpecification [1..*]

XML Template

<VisionPrescription xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Business Identifier for vision prescription --></identifier>
 <status value="[code]"/><!-- 1..1 active | cancelled | draft | entered-in-error -->
 <created value="[dateTime]"/><!-- 1..1 Response creation date -->
 <patient><!-- 1..1 Reference(Patient) Who prescription is for --></patient>
 <encounter><!-- 0..1 Reference(Encounter) Created during encounter / admission / stay --></encounter>
 <dateWritten value="[dateTime]"/><!-- 1..1 When prescription was authorized -->
 <prescriber><!-- 1..1 Reference(Practitioner|PractitionerRole) Who authorized the vision prescription --></prescriber>
 <lensSpecification>  <!-- 1..* Vision lens authorization -->
  <product><!-- 1..1 CodeableConcept Product to be supplied --></product>
  <eye value="[code]"/><!-- 1..1 right | left -->
  <sphere value="[decimal]"/><!-- 0..1 Power of the lens -->
  <cylinder value="[decimal]"/><!-- 0..1 Lens power for astigmatism -->
  <axis value="[integer]"/><!-- 0..1 Lens meridian which contain no power for astigmatism -->
  <prism>  <!-- 0..* Eye alignment compensation -->
   <amount value="[decimal]"/><!-- 1..1 Amount of adjustment -->
   <base value="[code]"/><!-- 1..1 up | down | in | out -->
  </prism>
  <add value="[decimal]"/><!-- 0..1 Added power for multifocal levels -->
  <power value="[decimal]"/><!-- 0..1 Contact lens power -->
  <backCurve value="[decimal]"/><!-- 0..1 Contact lens back curvature -->
  <diameter value="[decimal]"/><!-- 0..1 Contact lens diameter -->
  <duration><!-- 0..1 Quantity(SimpleQuantity) Lens wear duration --></duration>
  <color value="[string]"/><!-- 0..1 Color required -->
  <brand value="[string]"/><!-- 0..1 Brand required -->
  <note><!-- 0..* Annotation Notes for coatings --></note>
 </lensSpecification>
</VisionPrescription>

JSON Template

{doco
  "resourceType" : "VisionPrescription",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // Business Identifier for vision prescription
  "status" : "<code>", // R!  active | cancelled | draft | entered-in-error
  "created" : "<dateTime>", // R!  Response creation date
  "patient" : { Reference(Patient) }, // R!  Who prescription is for
  "encounter" : { Reference(Encounter) }, // Created during encounter / admission / stay
  "dateWritten" : "<dateTime>", // R!  When prescription was authorized
  "prescriber" : { Reference(Practitioner|PractitionerRole) }, // R!  Who authorized the vision prescription
  "lensSpecification" : [{ // R!  Vision lens authorization
    "product" : { CodeableConcept }, // R!  Product to be supplied
    "eye" : "<code>", // R!  right | left
    "sphere" : <decimal>, // Power of the lens
    "cylinder" : <decimal>, // Lens power for astigmatism
    "axis" : <integer>, // Lens meridian which contain no power for astigmatism
    "prism" : [{ // Eye alignment compensation
      "amount" : <decimal>, // R!  Amount of adjustment
      "base" : "<code>" // R!  up | down | in | out
    }],
    "add" : <decimal>, // Added power for multifocal levels
    "power" : <decimal>, // Contact lens power
    "backCurve" : <decimal>, // Contact lens back curvature
    "diameter" : <decimal>, // Contact lens diameter
    "duration" : { Quantity(SimpleQuantity) }, // Lens wear duration
    "color" : "<string>", // Color required
    "brand" : "<string>", // Brand required
    "note" : [{ Annotation }] // Notes for coatings
  }]
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco
[ a fhir:VisionPrescription;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root
  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:VisionPrescription.identifier [ Identifier ], ... ; # 0..* Business Identifier for vision prescription
  fhir:VisionPrescription.status [ code ]; # 1..1 active | cancelled | draft | entered-in-error
  fhir:VisionPrescription.created [ dateTime ]; # 1..1 Response creation date
  fhir:VisionPrescription.patient [ Reference(Patient) ]; # 1..1 Who prescription is for
  fhir:VisionPrescription.encounter [ Reference(Encounter) ]; # 0..1 Created during encounter / admission / stay
  fhir:VisionPrescription.dateWritten [ dateTime ]; # 1..1 When prescription was authorized
  fhir:VisionPrescription.prescriber [ Reference(Practitioner|PractitionerRole) ]; # 1..1 Who authorized the vision prescription
  fhir:VisionPrescription.lensSpecification [ # 1..* Vision lens authorization
    fhir:VisionPrescription.lensSpecification.product [ CodeableConcept ]; # 1..1 Product to be supplied
    fhir:VisionPrescription.lensSpecification.eye [ code ]; # 1..1 right | left
    fhir:VisionPrescription.lensSpecification.sphere [ decimal ]; # 0..1 Power of the lens
    fhir:VisionPrescription.lensSpecification.cylinder [ decimal ]; # 0..1 Lens power for astigmatism
    fhir:VisionPrescription.lensSpecification.axis [ integer ]; # 0..1 Lens meridian which contain no power for astigmatism
    fhir:VisionPrescription.lensSpecification.prism [ # 0..* Eye alignment compensation
      fhir:VisionPrescription.lensSpecification.prism.amount [ decimal ]; # 1..1 Amount of adjustment
      fhir:VisionPrescription.lensSpecification.prism.base [ code ]; # 1..1 up | down | in | out
    ], ...;
    fhir:VisionPrescription.lensSpecification.add [ decimal ]; # 0..1 Added power for multifocal levels
    fhir:VisionPrescription.lensSpecification.power [ decimal ]; # 0..1 Contact lens power
    fhir:VisionPrescription.lensSpecification.backCurve [ decimal ]; # 0..1 Contact lens back curvature
    fhir:VisionPrescription.lensSpecification.diameter [ decimal ]; # 0..1 Contact lens diameter
    fhir:VisionPrescription.lensSpecification.duration [ Quantity(SimpleQuantity) ]; # 0..1 Lens wear duration
    fhir:VisionPrescription.lensSpecification.color [ string ]; # 0..1 Color required
    fhir:VisionPrescription.lensSpecification.brand [ string ]; # 0..1 Brand required
    fhir:VisionPrescription.lensSpecification.note [ Annotation ], ... ; # 0..* Notes for coatings
  ], ...;
]

Changes since R3

VisionPrescription
VisionPrescription.status
  • Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/fm-status to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 VisionPrescription.created Added Mandatory Element VisionPrescription.patient Min Cardinality changed from 0 http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to 1 http://hl7.org/fhir/ValueSet/fm-status|4.4.0
VisionPrescription.dateWritten VisionPrescription.lensSpecification.eye
  • Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/vision-eye-codes|4.0.0 to 1 http://hl7.org/fhir/ValueSet/vision-eye-codes|4.4.0
VisionPrescription.prescriber VisionPrescription.lensSpecification.prism.base
  • Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/vision-base-codes|4.0.0 to 1 Type Reference: Added Target Type PractitionerRole VisionPrescription.lensSpecification Added Mandatory Element VisionPrescription.lensSpecification.product Added Mandatory Element VisionPrescription.lensSpecification.eye Added Mandatory Element VisionPrescription.lensSpecification.sphere Added Element VisionPrescription.lensSpecification.cylinder Added Element VisionPrescription.lensSpecification.axis Added Element VisionPrescription.lensSpecification.prism Added Element VisionPrescription.lensSpecification.prism.amount Added Mandatory Element VisionPrescription.lensSpecification.prism.base Added Mandatory Element VisionPrescription.lensSpecification.add Added Element VisionPrescription.lensSpecification.power Added Element VisionPrescription.lensSpecification.backCurve Added Element VisionPrescription.lensSpecification.diameter Added Element VisionPrescription.lensSpecification.duration Added Element VisionPrescription.lensSpecification.color Added Element VisionPrescription.lensSpecification.brand Added Element VisionPrescription.lensSpecification.note Added Element VisionPrescription.reason[x] deleted VisionPrescription.dispense deleted http://hl7.org/fhir/ValueSet/vision-base-codes|4.4.0

See the Full Difference for further information

This analysis is available as XML or JSON .

See R3 <--> R4 Conversion Maps (status = 2 tests that all execute ok. 1 fail round-trip testing and 2 r3 resources are invalid (0 errors). )

Structure

Name Flags Card. Type Description & Constraints doco
. . VisionPrescription TU DomainResource Prescription for vision correction products for a patient
Elements defined in Ancestors: id , meta , implicitRules , language , text , contained , extension , modifierExtension
. . . identifier 0..* Identifier Business Identifier for vision prescription
. . . status ?! Σ 1..1 code active | cancelled | draft | entered-in-error
Financial Resource Status Codes ( Required )
. . . created Σ 1..1 dateTime Response creation date
. . . encounter 0..1 Reference ( Encounter ) Created during encounter / admission / stay
. . . dateWritten Σ 1..1 dateTime When prescription was authorized
. . . prescriber Σ 1..1 Reference ( Practitioner | PractitionerRole ) Who authorized the vision prescription
. . . lensSpecification Σ 1..* BackboneElement Vision lens authorization
. . . . product Σ 1..1 CodeableConcept Product to be supplied
Example Vision Prescription Product Codes ( Example )
. . . . eye Σ 1..1 code right | left
VisionEyes ( Required )
. . . . sphere 0..1 decimal Power of the lens
. . . . cylinder 0..1 decimal Lens power for astigmatism
. . . . axis 0..1 integer Lens meridian which contain no power for astigmatism
. . . . prism 0..* BackboneElement Eye alignment compensation
. . . . . amount 1..1 decimal Amount of adjustment
. . . . . base 1..1 code up | down | in | out
VisionBase ( Required )
. . . . add 0..1 decimal Added power for multifocal levels
. . . . power 0..1 decimal Contact lens power
. . . . backCurve 0..1 decimal Contact lens back curvature
. . . . diameter 0..1 decimal Contact lens diameter
. . . . duration 0..1 SimpleQuantity Lens wear duration
. . . . color 0..1 string Color required
. . . . brand 0..1 string Brand required
. . . . note 0..* Annotation Notes for coatings

doco Documentation for this format

UML Diagram ( Legend )

VisionPrescription ( DomainResource ) A unique identifier assigned to this vision prescription identifier : Identifier [0..*] The status of the resource instance (this element modifies the meaning of other elements) status : code [1..1] « A code specifying the state of the resource instance. (Strength=Required) FinancialResourceStatusCodes ! » The date this resource was created created : dateTime [1..1] A resource reference to the person to whom the vision prescription applies patient : Reference [1..1] « Patient » A reference to a resource that identifies the particular occurrence of contact between patient and health care provider during which the prescription was issued encounter : Reference [0..1] « Encounter » The date (and perhaps time) when the prescription was written dateWritten : dateTime [1..1] The healthcare professional responsible for authorizing the prescription prescriber : Reference [1..1] « Practitioner | PractitionerRole » LensSpecification Identifies the type of vision correction product which is required for the patient product : CodeableConcept [1..1] « A coded concept describing the vision products. (Strength=Example) ExampleVisionPrescriptionProd... ?? » The eye for which the lens specification applies eye : code [1..1] « A coded concept listing the eye codes. (Strength=Required) VisionEyes ! » Lens power measured in dioptres (0.25 units) sphere : decimal [0..1] Power adjustment for astigmatism measured in dioptres (0.25 units) cylinder : decimal [0..1] Adjustment for astigmatism measured in integer degrees axis : integer [0..1] Power adjustment for multifocal lenses measured in dioptres (0.25 units) add : decimal [0..1] Contact lens power measured in dioptres (0.25 units) power : decimal [0..1] Back curvature measured in millimetres backCurve : decimal [0..1] Contact lens diameter measured in millimetres diameter : decimal [0..1] The recommended maximum wear period for the lens duration : Quantity ( SimpleQuantity ) [0..1] Special color or pattern color : string [0..1] Brand recommendations or restrictions brand : string [0..1] Notes for special requirements such as coatings and lens materials note : Annotation [0..*] Prism Amount of prism to compensate for eye alignment in fractional units amount : decimal [1..1] The relative base, or reference lens edge, for the prism base : code [1..1] « A coded concept listing the base codes. (Strength=Required) VisionBase ! » Allows for adjustment on two axis prism [0..*] Contain the details of the individual lens specifications and serves as the authorization for the fullfillment by certified professionals lensSpecification [1..*]

XML Template

<VisionPrescription xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Business Identifier for vision prescription --></identifier>
 <status value="[code]"/><!-- 1..1 active | cancelled | draft | entered-in-error -->
 <created value="[dateTime]"/><!-- 1..1 Response creation date -->
 <patient><!-- 1..1 Reference(Patient) Who prescription is for --></patient>
 <encounter><!-- 0..1 Reference(Encounter) Created during encounter / admission / stay --></encounter>
 <dateWritten value="[dateTime]"/><!-- 1..1 When prescription was authorized -->
 <prescriber><!-- 1..1 Reference(Practitioner|PractitionerRole) Who authorized the vision prescription --></prescriber>
 <lensSpecification>  <!-- 1..* Vision lens authorization -->
  <product><!-- 1..1 CodeableConcept Product to be supplied --></product>
  <eye value="[code]"/><!-- 1..1 right | left -->
  <sphere value="[decimal]"/><!-- 0..1 Power of the lens -->
  <cylinder value="[decimal]"/><!-- 0..1 Lens power for astigmatism -->
  <axis value="[integer]"/><!-- 0..1 Lens meridian which contain no power for astigmatism -->
  <prism>  <!-- 0..* Eye alignment compensation -->
   <amount value="[decimal]"/><!-- 1..1 Amount of adjustment -->
   <base value="[code]"/><!-- 1..1 up | down | in | out -->
  </prism>
  <add value="[decimal]"/><!-- 0..1 Added power for multifocal levels -->
  <power value="[decimal]"/><!-- 0..1 Contact lens power -->
  <backCurve value="[decimal]"/><!-- 0..1 Contact lens back curvature -->
  <diameter value="[decimal]"/><!-- 0..1 Contact lens diameter -->
  <duration><!-- 0..1 Quantity(SimpleQuantity) Lens wear duration --></duration>
  <color value="[string]"/><!-- 0..1 Color required -->
  <brand value="[string]"/><!-- 0..1 Brand required -->
  <note><!-- 0..* Annotation Notes for coatings --></note>
 </lensSpecification>
</VisionPrescription>

JSON Template

{doco
  "resourceType" : "VisionPrescription",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // Business Identifier for vision prescription
  "status" : "<code>", // R!  active | cancelled | draft | entered-in-error
  "created" : "<dateTime>", // R!  Response creation date
  "patient" : { Reference(Patient) }, // R!  Who prescription is for
  "encounter" : { Reference(Encounter) }, // Created during encounter / admission / stay
  "dateWritten" : "<dateTime>", // R!  When prescription was authorized
  "prescriber" : { Reference(Practitioner|PractitionerRole) }, // R!  Who authorized the vision prescription
  "lensSpecification" : [{ // R!  Vision lens authorization
    "product" : { CodeableConcept }, // R!  Product to be supplied
    "eye" : "<code>", // R!  right | left
    "sphere" : <decimal>, // Power of the lens
    "cylinder" : <decimal>, // Lens power for astigmatism
    "axis" : <integer>, // Lens meridian which contain no power for astigmatism
    "prism" : [{ // Eye alignment compensation
      "amount" : <decimal>, // R!  Amount of adjustment
      "base" : "<code>" // R!  up | down | in | out
    }],
    "add" : <decimal>, // Added power for multifocal levels
    "power" : <decimal>, // Contact lens power
    "backCurve" : <decimal>, // Contact lens back curvature
    "diameter" : <decimal>, // Contact lens diameter
    "duration" : { Quantity(SimpleQuantity) }, // Lens wear duration
    "color" : "<string>", // Color required
    "brand" : "<string>", // Brand required
    "note" : [{ Annotation }] // Notes for coatings
  }]
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco
[ a fhir:VisionPrescription;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root
  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:VisionPrescription.identifier [ Identifier ], ... ; # 0..* Business Identifier for vision prescription
  fhir:VisionPrescription.status [ code ]; # 1..1 active | cancelled | draft | entered-in-error
  fhir:VisionPrescription.created [ dateTime ]; # 1..1 Response creation date
  fhir:VisionPrescription.patient [ Reference(Patient) ]; # 1..1 Who prescription is for
  fhir:VisionPrescription.encounter [ Reference(Encounter) ]; # 0..1 Created during encounter / admission / stay
  fhir:VisionPrescription.dateWritten [ dateTime ]; # 1..1 When prescription was authorized
  fhir:VisionPrescription.prescriber [ Reference(Practitioner|PractitionerRole) ]; # 1..1 Who authorized the vision prescription
  fhir:VisionPrescription.lensSpecification [ # 1..* Vision lens authorization
    fhir:VisionPrescription.lensSpecification.product [ CodeableConcept ]; # 1..1 Product to be supplied
    fhir:VisionPrescription.lensSpecification.eye [ code ]; # 1..1 right | left
    fhir:VisionPrescription.lensSpecification.sphere [ decimal ]; # 0..1 Power of the lens
    fhir:VisionPrescription.lensSpecification.cylinder [ decimal ]; # 0..1 Lens power for astigmatism
    fhir:VisionPrescription.lensSpecification.axis [ integer ]; # 0..1 Lens meridian which contain no power for astigmatism
    fhir:VisionPrescription.lensSpecification.prism [ # 0..* Eye alignment compensation
      fhir:VisionPrescription.lensSpecification.prism.amount [ decimal ]; # 1..1 Amount of adjustment
      fhir:VisionPrescription.lensSpecification.prism.base [ code ]; # 1..1 up | down | in | out
    ], ...;
    fhir:VisionPrescription.lensSpecification.add [ decimal ]; # 0..1 Added power for multifocal levels
    fhir:VisionPrescription.lensSpecification.power [ decimal ]; # 0..1 Contact lens power
    fhir:VisionPrescription.lensSpecification.backCurve [ decimal ]; # 0..1 Contact lens back curvature
    fhir:VisionPrescription.lensSpecification.diameter [ decimal ]; # 0..1 Contact lens diameter
    fhir:VisionPrescription.lensSpecification.duration [ Quantity(SimpleQuantity) ]; # 0..1 Lens wear duration
    fhir:VisionPrescription.lensSpecification.color [ string ]; # 0..1 Color required
    fhir:VisionPrescription.lensSpecification.brand [ string ]; # 0..1 Brand required
    fhir:VisionPrescription.lensSpecification.note [ Annotation ], ... ; # 0..* Notes for coatings
  ], ...;
]

Changes since Release 3

VisionPrescription
VisionPrescription.status
  • Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/fm-status to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 VisionPrescription.created Added Mandatory Element VisionPrescription.patient Min Cardinality changed from 0 http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to 1 http://hl7.org/fhir/ValueSet/fm-status|4.4.0
VisionPrescription.dateWritten VisionPrescription.lensSpecification.eye
  • Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/vision-eye-codes|4.0.0 to 1 http://hl7.org/fhir/ValueSet/vision-eye-codes|4.4.0
VisionPrescription.prescriber VisionPrescription.lensSpecification.prism.base
  • Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/vision-base-codes|4.0.0 to 1 Type Reference: Added Target Type PractitionerRole VisionPrescription.lensSpecification Added Mandatory Element VisionPrescription.lensSpecification.product Added Mandatory Element VisionPrescription.lensSpecification.eye Added Mandatory Element VisionPrescription.lensSpecification.sphere Added Element VisionPrescription.lensSpecification.cylinder Added Element VisionPrescription.lensSpecification.axis Added Element VisionPrescription.lensSpecification.prism Added Element VisionPrescription.lensSpecification.prism.amount Added Mandatory Element VisionPrescription.lensSpecification.prism.base Added Mandatory Element VisionPrescription.lensSpecification.add Added Element VisionPrescription.lensSpecification.power Added Element VisionPrescription.lensSpecification.backCurve Added Element VisionPrescription.lensSpecification.diameter Added Element VisionPrescription.lensSpecification.duration Added Element VisionPrescription.lensSpecification.color Added Element VisionPrescription.lensSpecification.brand Added Element VisionPrescription.lensSpecification.note Added Element VisionPrescription.reason[x] deleted VisionPrescription.dispense deleted http://hl7.org/fhir/ValueSet/vision-base-codes|4.4.0

See the Full Difference for further information

This analysis is available as XML or JSON .

See R3 <--> R4 Conversion Maps (status = 2 tests that all execute ok. 1 fail round-trip testing and 2 r3 resources are invalid (0 errors). )

 

See the Profiles & Extensions and the alternate definitions: Master Definition XML + JSON , XML Schema / Schematron + JSON Schema , ShEx (for Turtle ) + see the extensions , the spreadsheet version & the dependency analysis a

Path Definition Type Reference
VisionPrescription.status A code specifying the state of the resource instance. Required FinancialResourceStatusCodes
VisionPrescription.lensSpecification.product A coded concept describing the vision products. Example ExampleVisionPrescriptionProductCodes
VisionPrescription.lensSpecification.eye A coded concept listing the eye codes. Required VisionEyes
VisionPrescription.lensSpecification.prism.base A coded concept listing the base codes. Required VisionBase

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name Type Description Expression In Common
datewritten N date Return prescriptions written on this date VisionPrescription.dateWritten
encounter reference Return prescriptions with this encounter identifier VisionPrescription.encounter
( Encounter )
12 Resources
identifier token Return prescriptions with this external identifier VisionPrescription.identifier 30 Resources
patient reference The identity of a patient to list dispenses for VisionPrescription.patient
( Patient )
33 Resources
prescriber reference Who authorized the vision prescription VisionPrescription.prescriber
( Practitioner , PractitionerRole )
status N token The status of the vision prescription VisionPrescription.status