Refraction-v1.1(2021EN)
General information
Name: nl.zorg.Refraction 
Version: 1.1
HCIM Status:Final
Release: 2021
Release status: Prepublished
Release date: 01-12-2021
Metadata
| DCM::CoderList | * |
| DCM::ContactInformation.Address | * |
| DCM::ContactInformation.Name | * |
| DCM::ContactInformation.Telecom | * |
| DCM::ContentAuthorList | * |
| DCM::CreationDate | 17-5-2020 |
| DCM::DeprecatedDate | |
| DCM::DescriptionLanguage | nl |
| DCM::EndorsingAuthority.Address | |
| DCM::EndorsingAuthority.Name | * |
| DCM::EndorsingAuthority.Telecom | |
| DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.12.20 |
| DCM::KeywordList | |
| DCM::LifecycleStatus | Final |
| DCM::ModelerList | * |
| DCM::Name | nl.zorg.Refractie |
| DCM::PublicationDate | 01-12-2021 |
| DCM::PublicationStatus | Prepublished |
| DCM::ReviewerList | |
| DCM::RevisionDate | 11-08-2021 |
| DCM::Supersedes | nl.zorg.Refractie-v1.0 |
| DCM::Version | 1.1 |
| HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (01-09-2020)
Publicatieversie 1.1 (01-12-2021)
| ZIB-1420 | zib Refractie definition code SfericalEquivalent |
| ZIB-1421 | Zib Refractie vertaling |
| ZIB-1442 | zib Visus AnatomischeLocatie en Lateraliteit |
| ZIB-1443 | zib Refractie twee concepten met dezelfde definitiecode |
| ZIB-1449 | zib Refractie diopter-eenheid (en UCUM-eenheden algemeen) |
| ZIB-1522 | Aanpassing definitie sferische equivalent |
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 diopter), the cylindrical power (in diopter), the axis direction(in degrees) for any cylindrical correction, the prism (in diopter)and any additional power of the reading area (in diopter), 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
| Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | ||||||||
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NL-CM:12.20.1 |  Refraction
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Root concept of the Refraction information model.This root concept contains all data elements of the Refraction information model. |
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NL-CM:12.20.4 |  RefractionMeasurementMethod
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0..1 | The method used to measure the refraction. |
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NL-CM:12.20.3 | RefractionDateTime
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0..1 | The date and time when the refraction measurement was carried out. |
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NL-CM:12.20.12 | CylindricalRefraction
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0..1 | Container of the CylindricalRefraction concept.This container contains all data elements of the CylindricalRefraction concept.
Container of the CylindricalRefraction concept.This container contains all data elements of the CylindricalRefraction concept. |
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NL-CM:12.20.11 | CylindricalRefractionValue
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1 | The power of the cylinder needed to correct the cylindrical error (astigmatism), expressed in diopters. When a cylindrical refraction is registered, the axis of the cylinder must also be specified. |
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NL-CM:12.20.13 | CilindricRefractionAxis
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1 | The axis direction of the cylindrical refraction value expressed in degrees. |
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NL-CM:12.20.5 | Prism
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0..1 | Container of the Prism concept.This container contains all data elements of the Prism container. | ||||||||||
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NL-CM:12.20.6 | PrismaValue
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1 | The power of the prism, expressed in prism diopters. |
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NL-CM:12.20.7 | PrismaBase
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1 | The base of the prism, expressed in degrees. |
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NL-CM:12.20.14 | SphericRefraction
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0..1 | Container of the SphericRefraction concept.This container contains all data elements of the SphericRefraction concept.
Container of the SphericRefraction concept.This container contains all data elements of the SphericRefraction concept. |
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NL-CM:12.20.9 | SphericRefractionValue
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1 | The spherical spectacle strength power needed to correct nearsightedness (myopia) or farsightedness (hyperopia), expressed in diopters, ascending by 0.25D. |
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NL-CM:12.20.10 | SphericalEquivalent
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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. |
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NL-CM:12.20.8 | ReadAddition
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0..1 | A supplement that is added to the refraction value to determine the strength of the reading glasses, expressed in diopters. |
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NL-CM:12.20.2 | AnatomicalLocation
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0..1 | Indication and the laterality of the eye of which the refraction measurement relates to. |
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Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page 
Example Instances
Only available in Dutch
| Refractie DatumTijd | Refractie Methode | Refractie Lateraliteit | SferischeRefractie | CilindrischeRefractie | Sferische Refractie |
Lees additie | Prisma | ||||||
| SferischeRefractieWaarde | CilindrischeRefractie Waarde | CilindrischeRefractieAs | Sferisch Equivalent | Prisma Waarde | PrismaBasis | ||||||||
| 1-1-2020 | Subjectieve refractie | Rechts | +1.00 | -0.75 | 90 graden | 0.625 | 1.00 | 2.00 | 90 | ||||
| 1-1-2020 | Subjectieve refractie | Links | +0.5 | -1.00 | 45 graden | 0 | 1.00 | 1.50 | 45 | ||||
| 12-1-2020 | Objectieve refractie | Rechts | – | – | – | – | – | – | – | ||||
| 12-1-2020 | Objectieve refractie | Links | – | – | – | – | – | – | – | ||||
Valuesets
RefractionMeasurementMethodCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.20.1 | Binding: Extensible |
| Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
| Subjective refraction | 397277005 | SNOMED CT | 2.16.840.1.113883.6.96 | Subjectieve refractie |
| Objective refraction | 397276001 | SNOMED CT | 2.16.840.1.113883.6.96 | Objectieve refractie |
This information model in other releases
- Release 2020, (Version 1.0)
- Prerelease 2022-1, (Version 1.2)
- Prerelease 2023-1, (Version 2.0)
- Prerelease 2024-1, (Version 2.0)
Information model references
This information model refers to
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:
- HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
- HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR
Downloads
This information model is also available as pdf file 
or as spreadsheet 
About this information
The information in this wikipage is based on Pre-release 2021-2
SNOMED CT and LOINC codes are based on:
- SNOMED Clinical Terms version: 20210731 [R] (July 2021 Release)
- LOINC version 2.67
Conditions for use are located on the mainpage
This page is generated on 30/11/2021 09:45:31 with ZibExtraction v. 6.4.8004.1652