Release 4B

This page is part of the FHIR Specification (v4.3.0: R4B - STU). This is a downloaded version of the specification. For a full list of available versions, see the Directory of published versions

12.16 Resource VisionPrescription - Content

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

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

12.16.1 Scope and Usage

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.

12.16.1.1 Additional Information

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

12.16.2 Boundaries and Relationships

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.

12.16.3 References

This resource is referenced by CarePlan, Claim and ExplanationOfBenefit.

This resource implements the Request pattern.

12.16.4 Resource Content

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. VisionPrescription TUDomainResourcePrescription for vision correction products for a patient
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier 0..*IdentifierBusiness Identifier for vision prescription
... status ?!Σ1..1codeactive | cancelled | draft | entered-in-error
Financial Resource Status Codes (Required)
... created Σ1..1dateTimeResponse creation date
... encounter 0..1Reference(Encounter)Created during encounter / admission / stay
... dateWritten Σ1..1dateTimeWhen prescription was authorized
... prescriber Σ1..1Reference(Practitioner | PractitionerRole)Who authorized the vision prescription
... lensSpecification Σ1..*BackboneElementVision lens authorization
.... product Σ1..1CodeableConceptProduct to be supplied
Example Vision Prescription Product Codes (Example)
.... eye Σ1..1coderight | left
VisionEyes (Required)
.... sphere 0..1decimalPower of the lens
.... cylinder 0..1decimalLens power for astigmatism
.... axis 0..1integerLens meridian which contain no power for astigmatism
.... prism 0..*BackboneElementEye alignment compensation
..... amount 1..1decimalAmount of adjustment
..... base 1..1codeup | down | in | out
VisionBase (Required)
.... add 0..1decimalAdded power for multifocal levels
.... power 0..1decimalContact lens power
.... backCurve 0..1decimalContact lens back curvature
.... diameter 0..1decimalContact lens diameter
.... duration 0..1SimpleQuantityLens wear duration
.... color 0..1stringColor required
.... brand 0..1stringBrand required
.... note 0..*AnnotationNotes for coatings

doco Documentation for this format

 

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

12.16.4.1 Terminology Bindings

PathDefinitionTypeReference
VisionPrescription.status RequiredFinancialResourceStatusCodes
VisionPrescription.lensSpecification.product ExampleExampleVisionPrescriptionProductCodes
VisionPrescription.lensSpecification.eye RequiredVisionEyes
VisionPrescription.lensSpecification.prism.base RequiredVisionBase

12.16.5 Search Parameters

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

NameTypeDescriptionExpressionIn Common
datewrittendateReturn prescriptions written on this dateVisionPrescription.dateWritten
encounterreferenceReturn prescriptions with this encounter identifierVisionPrescription.encounter
(Encounter)
identifiertokenReturn prescriptions with this external identifierVisionPrescription.identifier
patientreferenceThe identity of a patient to list dispenses forVisionPrescription.patient
(Patient)
prescriberreferenceWho authorized the vision prescriptionVisionPrescription.prescriber
(Practitioner, PractitionerRole)
statustokenThe status of the vision prescriptionVisionPrescription.status