Da Vinci - Coverage Requirements Discovery, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0-preview built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-crd/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: CRD Vision Prescription

This profile defines an initial profile on the VisionPrescription resource to support coverage requirements discovery.

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from VisionPrescription

Name	Flags	Card.	Type	Description & Constraints
VisionPrescription		0..*	VisionPrescription	Prescription for vision correction products for a patient
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	S	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
identifier	S	0..*	Identifier	Business Identifier for vision prescription
status	S	1..1	code	active | cancelled | draft | entered-in-error Fixed Value: draft
created	S	1..1	dateTime	Response creation date
patient	S	1..1	Reference(CRD Patient)	Who prescription is for
encounter	S	0..1	Reference(CRD Encounter - USCDI 1 | CRD Encounter - USCDI 3)	Created during encounter / admission / stay
dateWritten	S	1..1	dateTime	When prescription was authorized
prescriber	S	1..1	Reference(CRD Practitioner | HRex PractitionerRole Profile)	Who authorized the vision prescription
lensSpecification	S	1..*	BackboneElement	Vision lens authorization
product	S	1..1	CodeableConcept	Product to be supplied
eye	S	1..1	code	right | left
sphere	S	0..1	decimal	Power of the lens
cylinder	S	0..1	decimal	Lens power for astigmatism
axis	S	0..1	integer	Lens meridian which contain no power for astigmatism
prism	S	0..*	BackboneElement	Eye alignment compensation
amount	S	1..1	decimal	Amount of adjustment
base	S	1..1	code	up | down | in | out
add	S	0..1	decimal	Added power for multifocal levels
power	S	0..1	decimal	Contact lens power
backCurve	S	0..1	decimal	Contact lens back curvature
diameter	S	0..1	decimal	Contact lens diameter
duration	S	0..1	SimpleQuantity	Lens wear duration
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
VisionPrescription		0..*	VisionPrescription	Prescription for vision correction products for a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	SC	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information crd-ci-q1: Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' should not exist. crd-ci-q3: If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	S	0..*	Identifier	Business Identifier for vision prescription
status	?!SΣ	1..1	code	active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. Fixed Value: draft
created	SΣ	1..1	dateTime	Response creation date
patient	SΣ	1..1	Reference(CRD Patient)	Who prescription is for
encounter	S	0..1	Reference(CRD Encounter - USCDI 1 | CRD Encounter - USCDI 3)	Created during encounter / admission / stay
dateWritten	SΣ	1..1	dateTime	When prescription was authorized
prescriber	SΣ	1..1	Reference(CRD Practitioner | HRex PractitionerRole Profile)	Who authorized the vision prescription
lensSpecification	SΣ	1..*	BackboneElement	Vision lens authorization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
product	SΣ	1..1	CodeableConcept	Product to be supplied Binding: ExampleVisionPrescriptionProductCodes (example): A coded concept describing the vision products.
eye	SΣ	1..1	code	right | left Binding: VisionEyes (required): A coded concept listing the eye codes.
sphere	S	0..1	decimal	Power of the lens
cylinder	S	0..1	decimal	Lens power for astigmatism
axis	S	0..1	integer	Lens meridian which contain no power for astigmatism
prism	S	0..*	BackboneElement	Eye alignment compensation
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
amount	S	1..1	decimal	Amount of adjustment
base	S	1..1	code	up | down | in | out Binding: VisionBase (required): A coded concept listing the base codes.
add	S	0..1	decimal	Added power for multifocal levels
power	S	0..1	decimal	Contact lens power
backCurve	S	0..1	decimal	Contact lens back curvature
diameter	S	0..1	decimal	Contact lens diameter
duration	S	0..1	SimpleQuantity	Lens wear duration
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
VisionPrescription.status	required	Fixed Value: draft http://hl7.org/fhir/ValueSet/fm-status|4.0.1 from the FHIR Standard
VisionPrescription.lensSpecification.product	example	ExampleVisionPrescriptionProductCodes http://hl7.org/fhir/ValueSet/vision-product from the FHIR Standard
VisionPrescription.lensSpecification.eye	required	VisionEyes http://hl7.org/fhir/ValueSet/vision-eye-codes|4.0.1 from the FHIR Standard
VisionPrescription.lensSpecification.prism.base	required	VisionBase http://hl7.org/fhir/ValueSet/vision-base-codes|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
crd-ci-q1	error	VisionPrescription.extension:Coverage-Information	Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' : extension.where(url='questionnaire' or url='response').exists() implies (extension.where(url = 'doc-needed').exists() and extension.where(url = 'doc-needed').all(value != 'no-doc'))
crd-ci-q2	error	VisionPrescription.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' should not exist. : extension.where(url = 'covered' and value != 'not-covered') implies extension.where(url = 'pa-needed').exists()
crd-ci-q3	error	VisionPrescription.extension:Coverage-Information	If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. : extension.where(url = 'info-needed').exists() implies extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1
crd-ci-q4	error	VisionPrescription.extension:Coverage-Information	If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'PA')
crd-ci-q5	error	VisionPrescription.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
dom-2	error	VisionPrescription	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	VisionPrescription	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	VisionPrescription	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	VisionPrescription	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	VisionPrescription	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
VisionPrescription		0..*	VisionPrescription	Prescription for vision correction products for a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	SC	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information crd-ci-q1: Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' should not exist. crd-ci-q3: If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	S	0..*	Identifier	Business Identifier for vision prescription
status	?!SΣ	1..1	code	active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. Fixed Value: draft
created	SΣ	1..1	dateTime	Response creation date
patient	SΣ	1..1	Reference(CRD Patient)	Who prescription is for
encounter	S	0..1	Reference(CRD Encounter - USCDI 1 | CRD Encounter - USCDI 3)	Created during encounter / admission / stay
dateWritten	SΣ	1..1	dateTime	When prescription was authorized
prescriber	SΣ	1..1	Reference(CRD Practitioner | HRex PractitionerRole Profile)	Who authorized the vision prescription
lensSpecification	SΣ	1..*	BackboneElement	Vision lens authorization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
product	SΣ	1..1	CodeableConcept	Product to be supplied Binding: ExampleVisionPrescriptionProductCodes (example): A coded concept describing the vision products.
eye	SΣ	1..1	code	right | left Binding: VisionEyes (required): A coded concept listing the eye codes.
sphere	S	0..1	decimal	Power of the lens
cylinder	S	0..1	decimal	Lens power for astigmatism
axis	S	0..1	integer	Lens meridian which contain no power for astigmatism
prism	S	0..*	BackboneElement	Eye alignment compensation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
amount	S	1..1	decimal	Amount of adjustment
base	S	1..1	code	up | down | in | out Binding: VisionBase (required): A coded concept listing the base codes.
add	S	0..1	decimal	Added power for multifocal levels
power	S	0..1	decimal	Contact lens power
backCurve	S	0..1	decimal	Contact lens back curvature
diameter	S	0..1	decimal	Contact lens diameter
duration	S	0..1	SimpleQuantity	Lens wear duration
color		0..1	string	Color required
brand		0..1	string	Brand required
note		0..*	Annotation	Notes for coatings
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
VisionPrescription.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
VisionPrescription.status	required	Fixed Value: draft http://hl7.org/fhir/ValueSet/fm-status|4.0.1 from the FHIR Standard
VisionPrescription.lensSpecification.product	example	ExampleVisionPrescriptionProductCodes http://hl7.org/fhir/ValueSet/vision-product from the FHIR Standard
VisionPrescription.lensSpecification.eye	required	VisionEyes http://hl7.org/fhir/ValueSet/vision-eye-codes|4.0.1 from the FHIR Standard
VisionPrescription.lensSpecification.prism.base	required	VisionBase http://hl7.org/fhir/ValueSet/vision-base-codes|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
crd-ci-q1	error	VisionPrescription.extension:Coverage-Information	Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' : extension.where(url='questionnaire' or url='response').exists() implies (extension.where(url = 'doc-needed').exists() and extension.where(url = 'doc-needed').all(value != 'no-doc'))
crd-ci-q2	error	VisionPrescription.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' should not exist. : extension.where(url = 'covered' and value != 'not-covered') implies extension.where(url = 'pa-needed').exists()
crd-ci-q3	error	VisionPrescription.extension:Coverage-Information	If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. : extension.where(url = 'info-needed').exists() implies extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1
crd-ci-q4	error	VisionPrescription.extension:Coverage-Information	If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'PA')
crd-ci-q5	error	VisionPrescription.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
dom-2	error	VisionPrescription	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	VisionPrescription	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	VisionPrescription	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	VisionPrescription	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	VisionPrescription	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from VisionPrescription

Summary

Must-Support: 22 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• CRD Patient (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient)
• CRD Encounter - USCDI 1 (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-encounter3.1)
• CRD Encounter - USCDI 3 (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-encounter6.1)
• CRD Practitioner (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-practitioner)
• HRex PractitionerRole Profile (http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-practitionerrole)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information

Maturity: 1

Differential View

This structure is derived from VisionPrescription

Name	Flags	Card.	Type	Description & Constraints
VisionPrescription		0..*	VisionPrescription	Prescription for vision correction products for a patient
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	S	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
identifier	S	0..*	Identifier	Business Identifier for vision prescription
status	S	1..1	code	active | cancelled | draft | entered-in-error Fixed Value: draft
created	S	1..1	dateTime	Response creation date
patient	S	1..1	Reference(CRD Patient)	Who prescription is for
encounter	S	0..1	Reference(CRD Encounter - USCDI 1 | CRD Encounter - USCDI 3)	Created during encounter / admission / stay
dateWritten	S	1..1	dateTime	When prescription was authorized
prescriber	S	1..1	Reference(CRD Practitioner | HRex PractitionerRole Profile)	Who authorized the vision prescription
lensSpecification	S	1..*	BackboneElement	Vision lens authorization
product	S	1..1	CodeableConcept	Product to be supplied
eye	S	1..1	code	right | left
sphere	S	0..1	decimal	Power of the lens
cylinder	S	0..1	decimal	Lens power for astigmatism
axis	S	0..1	integer	Lens meridian which contain no power for astigmatism
prism	S	0..*	BackboneElement	Eye alignment compensation
amount	S	1..1	decimal	Amount of adjustment
base	S	1..1	code	up | down | in | out
add	S	0..1	decimal	Added power for multifocal levels
power	S	0..1	decimal	Contact lens power
backCurve	S	0..1	decimal	Contact lens back curvature
diameter	S	0..1	decimal	Contact lens diameter
duration	S	0..1	SimpleQuantity	Lens wear duration
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
VisionPrescription		0..*	VisionPrescription	Prescription for vision correction products for a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	SC	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information crd-ci-q1: Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' should not exist. crd-ci-q3: If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	S	0..*	Identifier	Business Identifier for vision prescription
status	?!SΣ	1..1	code	active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. Fixed Value: draft
created	SΣ	1..1	dateTime	Response creation date
patient	SΣ	1..1	Reference(CRD Patient)	Who prescription is for
encounter	S	0..1	Reference(CRD Encounter - USCDI 1 | CRD Encounter - USCDI 3)	Created during encounter / admission / stay
dateWritten	SΣ	1..1	dateTime	When prescription was authorized
prescriber	SΣ	1..1	Reference(CRD Practitioner | HRex PractitionerRole Profile)	Who authorized the vision prescription
lensSpecification	SΣ	1..*	BackboneElement	Vision lens authorization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
product	SΣ	1..1	CodeableConcept	Product to be supplied Binding: ExampleVisionPrescriptionProductCodes (example): A coded concept describing the vision products.
eye	SΣ	1..1	code	right | left Binding: VisionEyes (required): A coded concept listing the eye codes.
sphere	S	0..1	decimal	Power of the lens
cylinder	S	0..1	decimal	Lens power for astigmatism
axis	S	0..1	integer	Lens meridian which contain no power for astigmatism
prism	S	0..*	BackboneElement	Eye alignment compensation
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
amount	S	1..1	decimal	Amount of adjustment
base	S	1..1	code	up | down | in | out Binding: VisionBase (required): A coded concept listing the base codes.
add	S	0..1	decimal	Added power for multifocal levels
power	S	0..1	decimal	Contact lens power
backCurve	S	0..1	decimal	Contact lens back curvature
diameter	S	0..1	decimal	Contact lens diameter
duration	S	0..1	SimpleQuantity	Lens wear duration
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
VisionPrescription.status	required	Fixed Value: draft http://hl7.org/fhir/ValueSet/fm-status|4.0.1 from the FHIR Standard
VisionPrescription.lensSpecification.product	example	ExampleVisionPrescriptionProductCodes http://hl7.org/fhir/ValueSet/vision-product from the FHIR Standard
VisionPrescription.lensSpecification.eye	required	VisionEyes http://hl7.org/fhir/ValueSet/vision-eye-codes|4.0.1 from the FHIR Standard
VisionPrescription.lensSpecification.prism.base	required	VisionBase http://hl7.org/fhir/ValueSet/vision-base-codes|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
crd-ci-q1	error	VisionPrescription.extension:Coverage-Information	Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' : extension.where(url='questionnaire' or url='response').exists() implies (extension.where(url = 'doc-needed').exists() and extension.where(url = 'doc-needed').all(value != 'no-doc'))
crd-ci-q2	error	VisionPrescription.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' should not exist. : extension.where(url = 'covered' and value != 'not-covered') implies extension.where(url = 'pa-needed').exists()
crd-ci-q3	error	VisionPrescription.extension:Coverage-Information	If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. : extension.where(url = 'info-needed').exists() implies extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1
crd-ci-q4	error	VisionPrescription.extension:Coverage-Information	If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'PA')
crd-ci-q5	error	VisionPrescription.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
dom-2	error	VisionPrescription	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	VisionPrescription	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	VisionPrescription	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	VisionPrescription	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	VisionPrescription	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
VisionPrescription		0..*	VisionPrescription	Prescription for vision correction products for a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	SC	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information crd-ci-q1: Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' should not exist. crd-ci-q3: If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	S	0..*	Identifier	Business Identifier for vision prescription
status	?!SΣ	1..1	code	active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. Fixed Value: draft
created	SΣ	1..1	dateTime	Response creation date
patient	SΣ	1..1	Reference(CRD Patient)	Who prescription is for
encounter	S	0..1	Reference(CRD Encounter - USCDI 1 | CRD Encounter - USCDI 3)	Created during encounter / admission / stay
dateWritten	SΣ	1..1	dateTime	When prescription was authorized
prescriber	SΣ	1..1	Reference(CRD Practitioner | HRex PractitionerRole Profile)	Who authorized the vision prescription
lensSpecification	SΣ	1..*	BackboneElement	Vision lens authorization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
product	SΣ	1..1	CodeableConcept	Product to be supplied Binding: ExampleVisionPrescriptionProductCodes (example): A coded concept describing the vision products.
eye	SΣ	1..1	code	right | left Binding: VisionEyes (required): A coded concept listing the eye codes.
sphere	S	0..1	decimal	Power of the lens
cylinder	S	0..1	decimal	Lens power for astigmatism
axis	S	0..1	integer	Lens meridian which contain no power for astigmatism
prism	S	0..*	BackboneElement	Eye alignment compensation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
amount	S	1..1	decimal	Amount of adjustment
base	S	1..1	code	up | down | in | out Binding: VisionBase (required): A coded concept listing the base codes.
add	S	0..1	decimal	Added power for multifocal levels
power	S	0..1	decimal	Contact lens power
backCurve	S	0..1	decimal	Contact lens back curvature
diameter	S	0..1	decimal	Contact lens diameter
duration	S	0..1	SimpleQuantity	Lens wear duration
color		0..1	string	Color required
brand		0..1	string	Brand required
note		0..*	Annotation	Notes for coatings
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
VisionPrescription.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
VisionPrescription.status	required	Fixed Value: draft http://hl7.org/fhir/ValueSet/fm-status|4.0.1 from the FHIR Standard
VisionPrescription.lensSpecification.product	example	ExampleVisionPrescriptionProductCodes http://hl7.org/fhir/ValueSet/vision-product from the FHIR Standard
VisionPrescription.lensSpecification.eye	required	VisionEyes http://hl7.org/fhir/ValueSet/vision-eye-codes|4.0.1 from the FHIR Standard
VisionPrescription.lensSpecification.prism.base	required	VisionBase http://hl7.org/fhir/ValueSet/vision-base-codes|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
crd-ci-q1	error	VisionPrescription.extension:Coverage-Information	Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' : extension.where(url='questionnaire' or url='response').exists() implies (extension.where(url = 'doc-needed').exists() and extension.where(url = 'doc-needed').all(value != 'no-doc'))
crd-ci-q2	error	VisionPrescription.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' should not exist. : extension.where(url = 'covered' and value != 'not-covered') implies extension.where(url = 'pa-needed').exists()
crd-ci-q3	error	VisionPrescription.extension:Coverage-Information	If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. : extension.where(url = 'info-needed').exists() implies extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1
crd-ci-q4	error	VisionPrescription.extension:Coverage-Information	If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'PA')
crd-ci-q5	error	VisionPrescription.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
dom-2	error	VisionPrescription	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	VisionPrescription	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	VisionPrescription	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	VisionPrescription	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	VisionPrescription	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from VisionPrescription

Summary

Must-Support: 22 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• CRD Patient (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient)
• CRD Encounter - USCDI 1 (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-encounter3.1)
• CRD Encounter - USCDI 3 (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-encounter6.1)
• CRD Practitioner (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-practitioner)
• HRex PractitionerRole Profile (http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-practitionerrole)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information

Maturity: 1

Other representations of profile: CSV, Excel, Schematron