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Version: '''2.0'''
HCIM Status:Final
Release: '''2026-1'''
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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.20(EN)|1|Refraction-v2.0(2026-1EN)}}

==General information==
Name: '''nl.zorg.Refraction''' [[Bestand:NL.png|link=Refractie-v2.0(2026-1NL)]] 
Version: '''2.0''' 
HCIM Status:Final 
Release: '''2026-1''' 
Release status: Prepublished 
Release date: 17-04-2026

{{ErrataEN|2026-1|{{PAGENAME}}}}

-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2026-1(EN)]] [[HCIM_Release_2026-1(EN) |Back to HCIM list ]]</div>

==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|-
|style="width:250px; "|DCM::CoderList||*
|-
|style="width:250px; "|DCM::ContactInformation.Address||*
|-
|style="width:250px; "|DCM::ContactInformation.Name||*
|-
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|-
|style="width:250px; "|DCM::ContentAuthorList||*
|-
|style="width:250px; "|DCM::CreationDate||17-5-2020
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||*
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.12.20
|-
|style="width:250px; "|DCM::KeywordList||
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||*
|-
|style="width:250px; "|DCM::Name||nl.zorg.Refractie
|-
|style="width:250px; "|DCM::PublicationDate||17-04-2026
|-
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|-
|style="width:250px; "|DCM::ReviewerList||
|-
|style="width:250px; "|DCM::RevisionDate||04-09-2023
|-
|style="width:250px; "|DCM::Supersedes||nl.zorg.Refractie-v1.2
|-
|style="width:250px; "|DCM::Version||2.0
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

==Revision History==
<div class="mw-collapsible mw-collapsed">
'' Only available in Dutch''

Publicatieversie 1.0 (01-09-2020)

Publicatieversie 1.1 (01-12-2021)
{|
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1420 | ZIB-1420 ]]
|zib Refractie definition code SfericalEquivalent
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1421 | ZIB-1421 ]]
|Zib Refractie vertaling
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1442 | ZIB-1442 ]]
|zib Visus AnatomischeLocatie en Lateraliteit
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1443 | ZIB-1443 ]]
|zib Refractie twee concepten met dezelfde definitiecode
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1449 | ZIB-1449 ]]
|zib Refractie diopter-eenheid (en UCUM-eenheden algemeen)
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1522 | ZIB-1522 ]]
|Aanpassing definitie sferische equivalent
|}

Publicatieversie 1.2 (10-06-2022)
{|
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1716 | ZIB-1716 ]]
|wijzigingen taalkundig
|}

Publicatieversie 2.0 (15-10-2023)
{|
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1889 | ZIB-1889 ]]
|Definitiecode van Laterality
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1868 | ZIB-1868 ]]
|Tekstuele wijzigingen zib Refractie
|}
</div>

==Concept==
The refraction measurement is a measurement with which the refractive error of the eye is determined. During the refraction measurement, the necessary correction is established: the spherical power (in diopters), the cylindrical power (in diopters), the axis direction (in degrees) for any cylindrical correction, the prism (in prism diopters) and any additional power of the reading area (in diopters), the so-called reading addition

==Purpose==
The purpose of a refraction measurement is to determine the correction (through glasses or lenses) with which the patient can see optimally.

==Patient Population==
Adults and children from the age that they can interpret a picture chart.

==Information Model==
 
<imagemap> Bestand:Refraction-v2.0Model(2026-1EN).png | center
rect 314 197 404 267 [[#2173]]
rect 591 470 749 530 [[#RefractionMeasurementMethodCodelist]]
rect 622 57 736 138 [[#2176]]
rect 450 198 554 268 [[#2170]]
rect 447 57 570 138 [[#2163]]
rect 295 57 409 138 [[#2162]]
rect 143 57 257 138 [[#2171]]
rect 150 381 252 441 [[#2168]]
rect 447 525 549 585 [[#2164]]
rect 311 525 413 585 [[#2175]]
rect 378 418 480 478 [[#2177]]
rect 634 381 736 441 [[#2165]]
rect 150 248 252 308 [[#2174]]
rect 646 248 736 305 [[AnatomicalLocation-v1.0.4(2026-1EN)]]
rect 378 307 480 367 [[#2169]]
desc none
</imagemap>
 
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:12.20.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]Refraction
|
|Root concept of the Refraction information model.This root concept contains all data elements of the Refraction information model.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=366060000 366060000] Refraction measurement - finding
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:12.20.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]RefractionMeasurementMethod
|0..1
|The method used to measure the refraction.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=252886007 252886007] Refraction assessment
|}
|
{|
|-
|[[Bestand: List2.png | link=#RefractionMeasurementMethodCodelist]]||[[#RefractionMeasurementMethodCodelist|RefractionMeasurementMethodCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:12.20.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]RefractionDateTime
|0..1
|The date and time when the refraction measurement was carried out.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=439771001 439771001] Date of event
|}
|
|-style="vertical-align:top; background-color: #E8D7BE; "
|style = "text-align:center" |[[Bestand: folder.png| 16px | link=]]
||NL-CM:12.20.12
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]CylindricalRefraction
|0..1
|Container of the CylindricalRefraction concept.This container contains all data elements of the CylindricalRefraction concept.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||NL-CM:12.20.11
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]CylindricalRefractionValue
|1
| The power of the cylinder needed to correct the cylindrical error (astigmatism), expressed in diopters, increasing per 0.25D. When a cylindrical refraction is registered, the axis of the cylinder must also be specified.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=251797004 251797004] Power of cylinder
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||NL-CM:12.20.13
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]CylindricalRefractionAxis
|1
|The axis direction of the cylindrical refraction value expressed in degrees.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=251799001 251799001] Axis of cylinder
|}
|
|-style="vertical-align:top; background-color: #E8D7BE; "
|style = "text-align:center" |[[Bestand: folder.png| 16px | link=]]
||NL-CM:12.20.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]Prism
|0..1
|Container of the Prism concept.This container contains all data elements of the Prism container.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||NL-CM:12.20.6
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]PrismValue
|1
|The power of the prism, expressed in prism diopters.

|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=251762001 251762001] Prism strength
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||NL-CM:12.20.7
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]PrismBase
|1
|The base of the prism, expressed in degrees.

|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=246223004 246223004] Prism base direction
|}
|
|-style="vertical-align:top; background-color: #E8D7BE; "
|style = "text-align:center" |[[Bestand: folder.png| 16px | link=]]
||NL-CM:12.20.14
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]SphericalRefraction
|0..1
|Container of the SphericalRefraction concept.This container contains all data elements of the SphericalRefraction concept.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||NL-CM:12.20.9
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]SphericalRefractionValue
|1
|The spherical spectacle strength power needed to correct nearsightedness (myopia) or farsightedness (hyperopia), expressed in diopters, ascending by 0.25D.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=251795007 251795007] Power of sphere
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||NL-CM:12.20.10
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]SphericalEquivalent
|0..1
| The spherical power added to half of the cylindrical power. Expressed in diopters, with two digits after the decimal point. Some equipment automatically calculates the spherical equivalent.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=112881000146107 112881000146107] Spherical equivalent
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||NL-CM:12.20.8
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]ReadAddition
|0..1
|A supplement that is added to the refraction value to determine the strength of the reading glasses, expressed in diopters.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=251796008 251796008] Spherical addition
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:12.20.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]AnatomicalLocation
|0..1
|Indication and the laterality of the eye of which the refraction measurement relates to.
|
|
{|
|-
|[[Bestand: block.png | link=AnatomicalLocation-v1.0.4(2026-1EN)]]||[[AnatomicalLocation-v1.0.4(2026-1EN) |AnatomicalLocation]]
|}
|}
Columns Concept and DefinitionCode: hover over the values for more information 
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]

==Example Instances==
''Only available in Dutch''

{|class="wikitable" width="1047px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
| style="background-color: #1F497D; width: 10%; "|Refractie DatumTijd
| style="background-color: #1F497D; width: 9%; "|Refractie Methode
| style="background-color: #1F497D; width: 8%; "|Refractie Lateraliteit
|colspan="2" style="background-color: #1F497D; width: 23%; "|SferischeRefractie
|colspan="2" style="background-color: #1F497D; width: 27%; "|CilindrischeRefractie
| style="background-color: #1F497D; width: 6%; "|Lees additie
|colspan="2" style="background-color: #1F497D; width: 17%; "|Prisma
|-style=vertical-align:top;
| style="background-color: #548DD4; width: 10%; "|
| style="background-color: #548DD4; width: 9%; "|
| style="background-color: #548DD4; width: 8%; "|
| style="background-color: #548DD4; width: 11%; "|SferischeRefractieWaarde
| style="background-color: #548DD4; width: 12%; "|SferischEquivalent
| style="background-color: #548DD4; width: 13%; "|CilindrischeRefractie Waarde
| style="background-color: #548DD4; width: 14%; "|CilindrischeRefractieAs
| style="background-color: #548DD4; width: 6%; "|
| style="background-color: #548DD4; width: 10%; "|PrismaWaarde
| style="background-color: #548DD4; width: 8%; "|PrismaBasis
|-style=vertical-align:top;
| style="width: 10%; "|1-1-2020
| style="width: 9%; "|Subjectieve refractie
| style="width: 8%; "|Rechts
| style="width: 11%; "|<noWiki>+</noWiki>1.00
| style="width: 12%; "|0.63
| style="width: 13%; "|<noWiki>-</noWiki>0.75
| style="width: 14%; "|90
| style="width: 6%; "|1.00
| style="width: 10%; "|2.00
| style="width: 8%; "|90
|-style=vertical-align:top;
| style="width: 10%; "|1-1-2020
| style="width: 9%; "|Subjectieve refractie
| style="width: 8%; "|Links
| style="width: 11%; "|<noWiki>+</noWiki>0.5
| style="width: 12%; "|0
| style="width: 13%; "|<noWiki>-</noWiki>1.00
| style="width: 14%; "|45
| style="width: 6%; "|1.00
| style="width: 10%; "|1.50
| style="width: 8%; "|45
|-style=vertical-align:top;
| style="width: 10%; "|12-1-2020
| style="width: 9%; "|Objectieve refractie
| style="width: 8%; "|Rechts
| style="width: 11%; "|–
| style="width: 12%; "|–
| style="width: 13%; "|–
| style="width: 14%; "|–
| style="width: 6%; "|–
| style="width: 10%; "|–
| style="width: 8%; "|–
|-style=vertical-align:top;
| style="width: 10%; "|12-1-2020
| style="width: 9%; "|Objectieve refractie
| style="width: 8%; "|Links
| style="width: 11%; "|–
| style="width: 12%; "|–
| style="width: 13%; "|–
| style="width: 14%; "|–
| style="width: 6%; "|–
| style="width: 10%; "|–
| style="width: 8%; "|–
|}

== Valuesets ==
=== RefractionMeasurementMethodCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.20.1
|Binding: Extensible
|Status: Active
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Subjective refraction
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=397277005 397277005]
|SNOMED CT
|2.16.840.1.113883.6.96
|Subjectieve refractie
|-style="vertical-align:top; "
|Objective refraction
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=397276001 397276001]
|SNOMED CT
|2.16.840.1.113883.6.96
|Objectieve refractie
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="5"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="5"|Value Other (OTH) from codesystem NullFlavor (OID: 2.16.840.1.113883.5.1008) is allowed in this valueset.
|}

==This information model in other releases==

{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.20(EN)|2|2026-1}}

==Information model references==
====This information model refers to====
*[[AnatomicalLocation-v1.0.4(2026-1EN)|AnatomicalLocation-v1.0.4]]
====This information model is used in====
:--
==Technical specifications in HL7v3 CDA and HL7 FHIR==
To exchange information based on health and care information models, additional, more technical specifications are required. 
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment {{ArtDecorLinks|2026-1|12.20}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR {{SimplefierLinks|2026-1|Refractie}}</li>
</ul>
==Downloads==
This information model is also available as [[Media:nl.zorg.Refraction-v2.0(2026-1EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Refraction-v2.0(2026-1EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on prerelease 2026-1 
SNOMED CT and LOINC codes are based on:
<ul>
<li>SNOMED Clinical Terms versie: 20260331 [R] (maart 2026-editie)</li>
<li>LOINC version 2.81</li>
</ul>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 18/04/2026 18:14:15 with ZibExtraction v. 10.0.9604.31200 
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2026-1(EN)]] [[HCIM_Release_2026-1(EN) |Back to HCIM list ]]</div>

Refraction-v2.0(2026-1EN) - Bewerkingsoverzicht

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.20(EN)|1|Refraction-v2.0(2026-1EN)}} ==General information== Name: '''nl.zorg.Refraction''' link=Refractie-v2.0(2026-1NL) Version: '''2.0''' HCIM Status:Final Release: '''2026-1''' Rele…'

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.20(EN)|1|Refraction-v2.0(2026-1EN)}} ==General information== Name: '''nl.zorg.Refraction''' link=Refractie-v2.0(2026-1NL)
Version: '''2.0'''
HCIM Status:Final
Release: '''2026-1'''
Rele…'