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12.21 Resource VisionPrescription - Content

Orders and Observations icon Work GroupMaturity Level: 3 Trial UseSecurity Category: Patient Compartments: Encounter, Patient, Practitioner

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

The VisionPrescription resource represents an authorization for corrective optical lenses to be provided to a patient. Eye glasses and contact lenses usually require a prescription for patient-specific lenses. Details about the fulfillment of the authorization are handled by the Task resource. For further information about this separation of responsibilities, refer to the link Fulfillment/Execution section of the Request pattern.

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.

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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

... basedOn Σ 0..* Reference(CarePlan | RequestOrchestration | NutritionOrder | ServiceRequest) What prescription fulfills

... status ?!Σ 1..1 code active | cancelled | draft | entered-in-error
Binding: Financial Resource Status Codes (Required)
... patient Σ 1..1 Reference(Patient) Who prescription is for
... 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
Binding: Example Vision Prescription Product Codes (Example)
.... eye Σ 1..1 code right | left
Binding: Vision Eyes (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
Binding: Vision Base (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 icon

See the Extensions for this resource

 

Additional definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions, the spreadsheet version & the dependency analysis

Path ValueSet Type Documentation
VisionPrescription.status FinancialResourceStatusCodes Required

This value set includes Status codes.

VisionPrescription.lensSpecification.product ExampleVisionPrescriptionProductCodes Example

This value set includes a smattering of Prescription Product codes.

VisionPrescription.lensSpecification.eye VisionEyes Required

A coded concept listing the eye codes.

VisionPrescription.lensSpecification.prism.base VisionBase Required

A coded concept listing the base codes.

Search parameters for this resource. See also the full list of search parameters for this resource, and check the Extensions registry for search parameters on extensions related to 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 date Return prescriptions written on this date VisionPrescription.dateWritten
encounter reference Return prescriptions with this encounter identifier VisionPrescription.encounter
(Encounter)
29 Resources
identifier token Return prescriptions with this external identifier VisionPrescription.identifier 65 Resources
patient reference The identity of a patient to list dispenses for VisionPrescription.patient
(Patient)
65 Resources
prescriber reference Who authorized the vision prescription VisionPrescription.prescriber
(Practitioner, PractitionerRole)
status token The status of the vision prescription VisionPrescription.status