Release 4
Financial Management Work GroupMaturity Level: 2 Trial UseSecurity Category: Patient Compartments: Encounter, Patient, Practitioner

Detailed Descriptions for the elements in the VisionPrescription resource.

VisionPrescription
Element IdVisionPrescription
Definition

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

Cardinality0..*
TypeDomainResource
VisionPrescription.identifier
Element IdVisionPrescription.identifier
Definition

A unique identifier assigned to this vision prescription.

NoteThis is a business identifier, not a resource identifier (see discussion)
Cardinality0..*
TypeIdentifier
Requirements

Allows vision prescriptions to be distinguished and referenced.

VisionPrescription.status
Element IdVisionPrescription.status
Definition

The status of the resource instance.

Cardinality1..1
Terminology BindingFinancial Resource Status Codes (Required)
Typecode
Is Modifiertrue (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'.

Summarytrue
Comments

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

VisionPrescription.created
Element IdVisionPrescription.created
Definition

The date this resource was created.

Cardinality1..1
TypedateTime
Requirements

Need to record a timestamp for use by both the recipient and the issuer.

Summarytrue
VisionPrescription.patient
Element IdVisionPrescription.patient
Definition

A resource reference to the person to whom the vision prescription applies.

Cardinality1..1
TypeReference(Patient)
Requirements

Needed to identify the patient for whom the vision prescription has been issued.

Summarytrue
VisionPrescription.encounter
Element IdVisionPrescription.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.

Cardinality0..1
TypeReference(Encounter)
Requirements

Used in some jurisdictions to link clinical events to claim items.

VisionPrescription.dateWritten
Element IdVisionPrescription.dateWritten
Definition

The date (and perhaps time) when the prescription was written.

Cardinality1..1
TypedateTime
Requirements

Need to record a timestamp for use by both the recipient and the issuer.

Summarytrue
Comments

Jurisdictions determine the valid lifetime of a prescription. Typically vision prescriptions are valid for two years from the date written.

VisionPrescription.prescriber
Element IdVisionPrescription.prescriber
Definition

The healthcare professional responsible for authorizing the prescription.

Cardinality1..1
TypeReference(Practitioner | PractitionerRole)
PatternsReference(Practitioner,PractitionerRole): Common patterns = Participant
Requirements

Need to record the authorizing practitioner.

Summarytrue
VisionPrescription.lensSpecification
Element IdVisionPrescription.lensSpecification
Definition

Contain the details of the individual lens specifications and serves as the authorization for the fullfillment by certified professionals.

Cardinality1..*
Summarytrue
VisionPrescription.lensSpecification.product
Element IdVisionPrescription.lensSpecification.product
Definition

Identifies the type of vision correction product which is required for the patient.

Cardinality1..1
Terminology BindingExample Vision Prescription Product Codes (Example)
TypeCodeableConcept
Requirements

Need to identify whether glasses or contacts.

Summarytrue
VisionPrescription.lensSpecification.eye
Element IdVisionPrescription.lensSpecification.eye
Definition

The eye for which the lens specification applies.

Cardinality1..1
Terminology BindingVisionEyes (Required)
Typecode
Requirements

Needed to identify which eye the lens specification applies to.

Summarytrue
Comments

May also appear as OD (oculus dexter) for the right eye and OS (oculus siniter) for the left eye.

VisionPrescription.lensSpecification.sphere
Element IdVisionPrescription.lensSpecification.sphere
Definition

Lens power measured in dioptres (0.25 units).

Cardinality0..1
Typedecimal
Requirements

Standard lens prescription measures.

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 IdVisionPrescription.lensSpecification.cylinder
Definition

Power adjustment for astigmatism measured in dioptres (0.25 units).

Cardinality0..1
Typedecimal
Requirements

Standard lens prescription measures.

VisionPrescription.lensSpecification.axis
Element IdVisionPrescription.lensSpecification.axis
Definition

Adjustment for astigmatism measured in integer degrees.

Cardinality0..1
Typeinteger
Requirements

Standard lens prescription measures.

Comments

The limits are +180 and -180 degrees.

VisionPrescription.lensSpecification.prism
Element IdVisionPrescription.lensSpecification.prism
Definition

Allows for adjustment on two axis.

Cardinality0..*
Requirements

Standard lens prescription measures.

VisionPrescription.lensSpecification.prism.amount
Element IdVisionPrescription.lensSpecification.prism.amount
Definition

Amount of prism to compensate for eye alignment in fractional units.

Cardinality1..1
Typedecimal
Requirements

Standard lens prescription measures.

VisionPrescription.lensSpecification.prism.base
Element IdVisionPrescription.lensSpecification.prism.base
Definition

The relative base, or reference lens edge, for the prism.

Cardinality1..1
Terminology BindingVisionBase (Required)
Typecode
Requirements

Standard lens prescription measures.

VisionPrescription.lensSpecification.add
Element IdVisionPrescription.lensSpecification.add
Definition

Power adjustment for multifocal lenses measured in dioptres (0.25 units).

Cardinality0..1
Typedecimal
Requirements

Standard lens prescription measures.

VisionPrescription.lensSpecification.power
Element IdVisionPrescription.lensSpecification.power
Definition

Contact lens power measured in dioptres (0.25 units).

Cardinality0..1
Typedecimal
Requirements

Standard contact lens prescription measures.

VisionPrescription.lensSpecification.backCurve
Element IdVisionPrescription.lensSpecification.backCurve
Definition

Back curvature measured in millimetres.

Cardinality0..1
Typedecimal
Requirements

Standard contact lens prescription measures.

VisionPrescription.lensSpecification.diameter
Element IdVisionPrescription.lensSpecification.diameter
Definition

Contact lens diameter measured in millimetres.

Cardinality0..1
Typedecimal
Requirements

Standard contact lens prescription measures.

VisionPrescription.lensSpecification.duration
Element IdVisionPrescription.lensSpecification.duration
Definition

The recommended maximum wear period for the lens.

Cardinality0..1
TypeSimpleQuantity
Requirements

Standard contact lens prescription measures.

VisionPrescription.lensSpecification.color
Element IdVisionPrescription.lensSpecification.color
Definition

Special color or pattern.

Cardinality0..1
Typestring
Requirements

Standard contact lens prescription measures.

VisionPrescription.lensSpecification.brand
Element IdVisionPrescription.lensSpecification.brand
Definition

Brand recommendations or restrictions.

Cardinality0..1
Typestring
Requirements

Standard lens prescription measures.

VisionPrescription.lensSpecification.note
Element IdVisionPrescription.lensSpecification.note
Definition

Notes for special requirements such as coatings and lens materials.

Cardinality0..*
TypeAnnotation
Requirements

Standard lens prescription measures.