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<!-- Hieronder wordt een transclude page aangeroepen -->
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.20(EN)|1|Refraction-v1.0(2020EN)}}
<!-- Tot hier de transclude page -->
==General information<!--hdGeneralInformation-->==
Name<!--hdName-->: '''nl.zorg.Refraction''' [[Bestand:NL.png|link=Refractie-v1.0(2020NL)]]<BR>
Version<!--hdVersion-->: '''1.0''' <br>
HCIM Status<!--hdStatus-->:Final<br>
Release<!--hdPublication-->: '''2020''' <br>
Release status<!--hdPublicationStatus-->: Published<br>
Release date<!--hdPublicationDate-->: 01-09-2020
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2020(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2020(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>
 
==Metadata==
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|style="width:250px; "|DCM::CoderList||*
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|style="width:250px; "|DCM::ContentAuthorList||*
|-
|style="width:250px; "|DCM::CreationDate||17-5-2020
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|style="width:250px; "|DCM::DeprecatedDate||
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|style="width:250px; "|DCM::DescriptionLanguage||nl
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|style="width:250px; "|DCM::EndorsingAuthority.Name||*
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|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
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|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||01-09-2020
|-
|style="width:250px; "|DCM::PublicationStatus||Published
|-
|style="width:250px; "|DCM::ReviewerList||
|-
|style="width:250px; "|DCM::RevisionDate||
|-
|style="width:250px; "|DCM::Supersedes||*
|-
|style="width:250px; "|DCM::Version||1.0
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}
 
==Revision History==
<div class="mw-collapsible mw-collapsed">
'' Only available in Dutch<!--noTranslation-->''
 
<u>Publicatieversie 1.0</u> (01-09-2020).
</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 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==
<BR>
<imagemap> Bestand:Refraction-v1.0Model(2020EN).png | center
rect 239 43 344 93 [[#LateralityCodelist]]
rect 246 152 336 222 [[#14344]]
rect 389 467 479 537 [[#14351]]
rect 606 63 771 113 [[#RefractionMeasurementMethodCodelist]]
rect 191 445 346 538 [[#14354]]
rect 233 329 323 399 [[#14348]]
rect 35 317 190 410 [[#14339]]
rect 256 599 401 692 [[#14338]]
rect 433 599 581 692 [[#14349]]
rect 619 599 740 692 [[#14346]]
rect 610 433 748 526 [[#14340]]
rect 674 318 812 411 [[#14353]]
rect 538 329 628 399 [[#14355]]
rect 636 151 740 221 [[#14341]]
rect 517 151 607 221 [[#14352]]
rect 348 151 456 221 [[AnatomicalLocation-v1.0(2020EN)]]
rect 389 329 479 399 [[#14347]]
desc none
</imagemap>
<BR>
{| 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<!--imType-->||style="width:100px;"|Id<!--imId-->||colspan="6 " style="width:140px;"|Concept<!--imConcept-->||Card.<!--imCard-->||style="width: 600px;"|Definition<!--imDefinition-->||style="width:200px;"|DefinitionCode<!--imDefinitionCode-->||style="width:200px;"|Reference<!--imReference-->
|-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"|<span Id=14347 Title="NL: Refractie">[[Bestand: arrowdown.png | 10px | link=]]Refraction</span>
|
|Root concept of the Refractie information model.This root concept contains all data elements of the Refraction information model.
|
{|
|-
|<span title = "Codesystem: SNOMED CT (observable entity)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=251718005 251718005] Refractive power</span>
|}
|
|-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"|<span Id=14341 Title="NL: RefractieMeetMethode">[[Bestand: arrowright.png | 10px | link=]]RefractionMeasurementMethod</span>
|0..1
|The method used to measure the refraction.
|
{|
|-
|<span title = "Codesystem: SNOMED CT (observable entity)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=251794006 251794006] Refraction</span>
|}
|
{|
|-
|[[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"|<span Id=14352 Title="NL: RefractieDatumTijd">[[Bestand: arrowright.png | 10px | link=]]RefractionDateTime</span>
|0..1
|The date and time when the refraction measurement was carried out.
|
{|
|-
|<span title = "Codesystem: SNOMED CT; Datum van gebeurtenis (observable entity)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=439771001 439771001] Date of event</span>
|}
|
|-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"|<span Id=14348 Title="NL: CilindrischeRefractie">[[Bestand: arrowdown.png | 10px | link=]]CilindricalRefraction</span>
|0..1
|Container of the CilindricalRefraction concept.This container contains all data elements of the CilindricalRefraction 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"|<span Id=14339 Title="NL: CilindrischeRefractieWaarde">[[Bestand: arrowright.png | 10px | link=]]CylindricalRefractionValue</span>
|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.
|
{|
|-
|<span title = "Codesystem: SNOMED CT (observable entity)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=251797004 251797004] Power of cylinder</span>
|}
|
|-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"|<span Id=14354 Title="NL: CilindrischeRefractieAs">[[Bestand: arrowright.png | 10px | link=]]CilindricRefractionAxis</span>
|1
|The axis direction of the cylindrical refraction value expressed in degrees.
|
{|
|-
|<span title = "Codesystem: SNOMED CT (observable entity)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=251799001 251799001] Axis of cylinder</span>
|}
|
|-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"|<span Id=14355 Title="NL: Prisma">[[Bestand: arrowdown.png | 10px | link=]]Prisma</span>
|0..1
|Container of the Prisma concept.This container contains all data elements of the Prisma 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"|<span Id=14353 Title="NL: PrismaWaarde">[[Bestand: arrowright.png | 10px | link=]]PrismaValue</span>
|1
|The power of the prism, expressed in diopters.
 
|
{|
|-
|<span title = "Codesystem: SNOMED CT (observable entity)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=251762001 251762001] Prism strength</span>
|}
|
|-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"|<span Id=14340 Title="NL: PrismaBasis">[[Bestand: arrowright.png | 10px | link=]]PrismaBase</span>
|1
|The base of the prism, expressed in degrees.
 
|
{|
|-
|<span title = "Codesystem: SNOMED CT (observable entity)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=246223004 246223004] Prism base direction</span>
|}
|
|-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"|<span Id=14351 Title="NL: SferischeRefractie">[[Bestand: arrowdown.png | 10px | link=]]SfericRefraction</span>
|0..1
|Container of the SfericRefraction concept.This container contains all data elements of the SfericRefraction 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"|<span Id=14349 Title="NL: SferischeRefractieWaarde">[[Bestand: arrowright.png | 10px | link=]]SfericRefractionValue</span>
|1
|The spherical spectacle strength power needed to correct nearsightedness (myopia) or farsightedness (hyperopia), expressed in diopters, ascending by 0.25D.
|
{|
|-
|<span title = "Codesystem: SNOMED CT (observable entity)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=251795007 251795007] Power of sphere</span>
|}
|
|-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"|<span Id=14338 Title="NL: SferischEquivalent">[[Bestand: arrowright.png | 10px | link=]]SfericalEquivalent</span>
|0..1
| The spherical power added to half of the cylindrical power. Expressed in diopters, ascending by 0.1D. Some equipment automatically calculates the spherical equivalent automatically.
|
|
|-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"|<span Id=14346 Title="NL: LeesAdditie">[[Bestand: arrowright.png | 10px | link=]]ReadAddition</span>
|0..1
|A supplement that is added to the refraction value to determine the strength of the reading glasses, expressed in diopters.
|
{|
|-
|<span title = "Codesystem: SNOMED CT (observable entity)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=251718005 251718005] Refractive power</span>
|}
|
|-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"|<span Id=14342 Title="NL: AnatomischeLocatie">[[Bestand: arrowright.png | 10px | link=]]AnatomicalLocation</span>
|0..1
|The laterality of the eye whose of which the refraction has been measured.
|
{|
|-
|<span title = "Codesystem: SNOMED CT; Lateraliteit (attribute)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=272741003 272741003] Laterality</span>
|}
|
{|
|-
|[[Bestand: block.png | link=AnatomicalLocation-v1.0(2020EN)]]||[[AnatomicalLocation-v1.0(2020EN) |AnatomicalLocation]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:12.20.15
|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: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="3" style ="padding-left: 0px"|<span Id=14344 Title="NL: Lateraliteit">[[Bestand: arrowright.png | 10px | link=]]Laterality</span>
|
|Laterality adds information about body site to the anatomic location, e.g. left.&nbsp;
|
|
{|
|-
|[[Bestand: List2.png | link=#LateralityCodelist]]||[[#LateralityCodelist|LateralityCodelist]]
|}
|}
Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR>
For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]]
 
==Example Instances==
''Only available in Dutch<!--noTranslation-->''
 
{|class="wikitable" width="842px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
| style="background-color: #1F497D; width: 11%; "|<font color=#FFFFFF><b>Refractie DatumTijd</b></font>
| style="background-color: #1F497D; width: 19%; "|<font color=#FFFFFF><b>Refractie Methode</b></font>
| style="background-color: #1F497D; width: 9%; "|<font color=#FFFFFF><b>Refractie Lateraliteit</b></font>
|colspan="2" style="background-color: #1F497D; width: 16%; "|<font color=#FFFFFF><b>Prisma</b></font>
|colspan="2" style="background-color: #1F497D; width: 18%; "|<font color=#FFFFFF><b>Cilindrische Refractie</b></font>
|colspan="2" style="background-color: #1F497D; width: 18%; "|<font color=#FFFFFF><b>Sferisch Equivalent</b></font>
| style="background-color: #1F497D; width: 9%; "|<font color=#FFFFFF><b>Lees</b><BR></font><font color=#FFFFFF><b>Additie</b></font>
|-style=vertical-align:top;
| style="background-color: #548DD4; width: 11%; "|
| style="background-color: #548DD4; width: 19%; "|
| style="background-color: #548DD4; width: 9%; "|
| style="background-color: #548DD4; width: 8%; "|<font color=#FFFFFF><b>Waarde</b></font>
| style="background-color: #548DD4; width: 8%; "|<font color=#FFFFFF><b>Basis</b></font>
| style="background-color: #548DD4; width: 9%; "|<font color=#FFFFFF><b>Waarde</b></font>
| style="background-color: #548DD4; width: 8%; "|<font color=#FFFFFF><b>As</b></font>
| style="background-color: #548DD4; width: 9%; "|<font color=#FFFFFF><b>Equivalent</b></font>
| style="background-color: #548DD4; width: 8%; "|<font color=#FFFFFF><b>Waarde</b></font>
| style="background-color: #548DD4; width: 9%; "|
|-style=vertical-align:top;
| style="width: 11%; "|01-01-2020
| style="width: 19%; "|Objectieve refractie
| style="width: 9%; "|Rechts
| style="width: 8%; "|2.00
| style="width: 8%; "|90
| style="width: 9%; "|<noWiki>-</noWiki>0.75
| style="width: 8%; "|90<sup>0</sup>
| style="width: 9%; "|<noWiki>+</noWiki>0.63
| style="width: 8%; "|<noWiki>+</noWiki>1.00
| style="width: 9%; "|<noWiki>+</noWiki>2.00
|-style=vertical-align:top;
| style="width: 11%; "|01-01-2020
| style="width: 19%; "|Objectieve refractie
| style="width: 9%; "|Links
| style="width: 8%; "|1.50
| style="width: 8%; "|45
| style="width: 9%; "|<noWiki>-</noWiki>1.00
| style="width: 8%; "|0<sup>0</sup>
| style="width: 9%; "|0
| style="width: 8%; "|<noWiki>+</noWiki>0.5
| style="width: 9%; "|<noWiki>+</noWiki>2.00
|-style=vertical-align:top;
| style="width: 11%; "|12-01-2020<BR>
| style="width: 19%; "|Subjectieve refractie
| style="width: 9%; "|Rechts
| style="width: 8%; "|<noWiki>-</noWiki>-
| style="width: 8%; "|<noWiki>-</noWiki>-
| style="width: 9%; "|<noWiki>-</noWiki>-
| style="width: 8%; "|<noWiki>-</noWiki>-
| style="width: 9%; "|<noWiki>-</noWiki>-
| style="width: 8%; "|<noWiki>+</noWiki>1.50
| style="width: 9%; "|<noWiki>-</noWiki>-
|-style=vertical-align:top;
| style="width: 11%; "|12-01-2020<BR>
| style="width: 19%; "|Subjectieve refractie
| style="width: 9%; "|Links
| style="width: 8%; "|<noWiki>-</noWiki>-
| style="width: 8%; "|<noWiki>-</noWiki>-
| style="width: 9%; "|<noWiki>-</noWiki>-
| style="width: 8%; "|<noWiki>-</noWiki>-
| style="width: 9%; "|<noWiki>-</noWiki>-
| style="width: 8%; "|<noWiki>+</noWiki>2.00
| style="width: 9%; "|<noWiki>-</noWiki>-
|}
 
== Valuesets ==
=== LateralityCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.20.2
|Binding<!--vsBindingTag-->: Required
|}
{| class="wikitable"  width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname<!--vsConceptName-->
|Conceptcode<!--vsConceptCode-->
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Description<!--vsDescription-->
|-style="vertical-align:top; "
|<span title = "Links (qualifier value)">Left</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=7771000 7771000]
|SNOMED CT
|2.16.840.1.113883.6.96
|Links
|-style="vertical-align:top; "
|<span title = "Rechts (qualifier value)">Right</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=24028007 24028007]
|SNOMED CT
|2.16.840.1.113883.6.96
|Rechts
|}
=== RefractionMeasurementMethodCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.12.20.1
|Binding<!--vsBindingTag-->: Extensible
|}
{| class="wikitable"  width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname<!--vsConceptName-->
|Conceptcode<!--vsConceptCode-->
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Description<!--vsDescription-->
|-style="vertical-align:top; "
|<span title = "Subjectieve refractiemeting (procedure)">Subjective refraction</span>
|[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; "
|<span title = "Objectieve refractiemeting (procedure)">Objective refraction</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=397276001 397276001]
|SNOMED CT
|2.16.840.1.113883.6.96
|Objectieve refractie
|}
 
==This information model in other releases<!--ftOtherReleases-->==
<!-- Hieronder wordt een transclude page aangeroepen -->
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.12.20(EN)|2|2020}}
<!-- Tot hier de transclude page -->
==Information model references<!--ftReferences-->==
====This information model refers to<!--ftRefersTo-->====
*[[AnatomicalLocation-v1.0(2020EN)|AnatomicalLocation-v1.0]]
====This information model is used in<!--ftReferredBy-->====
:--
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2020bbr-?id=2.16.840.1.113883.2.4.3.11.60.10.4.2.12.20&effectiveDate=2020-09-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2020}}</li>
</ul>
==Downloads<!--ftDownloadTitle-->==
This information model is also available as [[Media:nl.zorg.Refraction-v1.0(2020EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Refraction-v1.0(2020EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
==About this information<!--ftHeader2-->==
The information in this wikipage is based on<!--ftInfoBase--> Release 2020 <BR>
SNOMED CT and LOINC codes are based on:
<ul>
<li>SNOMED Clinical Terms version: 20200309 [R] (March 2020 Interim Release)</li>
<li>LOINC version 2.67</li>
</ul>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
This page is generated on 19/09/2020 21:02:19 with ZibExtraction v. 4.0.7556.18438<!--ftDate--> <BR>
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2020(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2020(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Versie van 19 sep 2020 19:16


Attention!! This is not the most recent version of this information model. You can find the most recent version ''here''.

General information

Name: nl.zorg.Refraction NL.png
Version: 1.0
HCIM Status:Final
Release: 2020
Release status: Published
Release date: 01-09-2020

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 01-09-2020
DCM::PublicationStatus Published
DCM::ReviewerList
DCM::RevisionDate
DCM::Supersedes *
DCM::Version 1.0
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-09-2020).

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


#LateralityCodelist#14344#14351#RefractionMeasurementMethodCodelist#14354#14348#14339#14338#14349#14346#14340#14353#14355#14341#14352AnatomicalLocation-v1.0(2020EN)#14347Refraction-v1.0Model(2020EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:12.20.1 Arrowdown.pngRefraction Root concept of the Refractie information model.This root concept contains all data elements of the Refraction information model.
251718005 Refractive power
CD.png NL-CM:12.20.4 Arrowright.pngRefractionMeasurementMethod 0..1 The method used to measure the refraction.
251794006 Refraction
List2.png RefractionMeasurementMethodCodelist
TS.png NL-CM:12.20.3 Arrowright.pngRefractionDateTime 0..1 The date and time when the refraction measurement was carried out.
439771001 Date of event
Folder.png NL-CM:12.20.12 Arrowdown.pngCilindricalRefraction 0..1 Container of the CilindricalRefraction concept.This container contains all data elements of the CilindricalRefraction concept.
PQ.png NL-CM:12.20.11 Arrowright.pngCylindricalRefractionValue 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.
251797004 Power of cylinder
PQ.png NL-CM:12.20.13 Arrowright.pngCilindricRefractionAxis 1 The axis direction of the cylindrical refraction value expressed in degrees.
251799001 Axis of cylinder
Folder.png NL-CM:12.20.5 Arrowdown.pngPrisma 0..1 Container of the Prisma concept.This container contains all data elements of the Prisma container.
PQ.png NL-CM:12.20.6 Arrowright.pngPrismaValue 1 The power of the prism, expressed in diopters.
251762001 Prism strength
PQ.png NL-CM:12.20.7 Arrowright.pngPrismaBase 1 The base of the prism, expressed in degrees.
246223004 Prism base direction
Folder.png NL-CM:12.20.14 Arrowdown.pngSfericRefraction 0..1 Container of the SfericRefraction concept.This container contains all data elements of the SfericRefraction concept.
PQ.png NL-CM:12.20.9 Arrowright.pngSfericRefractionValue 1 The spherical spectacle strength power needed to correct nearsightedness (myopia) or farsightedness (hyperopia), expressed in diopters, ascending by 0.25D.
251795007 Power of sphere
PQ.png NL-CM:12.20.10 Arrowright.pngSfericalEquivalent 0..1 The spherical power added to half of the cylindrical power. Expressed in diopters, ascending by 0.1D. Some equipment automatically calculates the spherical equivalent automatically.
PQ.png NL-CM:12.20.8 Arrowright.pngReadAddition 0..1 A supplement that is added to the refraction value to determine the strength of the reading glasses, expressed in diopters.
251718005 Refractive power
Verwijzing.png NL-CM:12.20.2 Arrowright.pngAnatomicalLocation 0..1 The laterality of the eye whose of which the refraction has been measured.
272741003 Laterality
Block.png AnatomicalLocation
CD.png NL-CM:12.20.15 Arrowright.pngLaterality Laterality adds information about body site to the anatomic location, e.g. left. 
List2.png LateralityCodelist

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page List2.png

Example Instances

Only available in Dutch

Refractie DatumTijd Refractie Methode Refractie Lateraliteit Prisma Cilindrische Refractie Sferisch Equivalent Lees
Additie
Waarde Basis Waarde As Equivalent Waarde
01-01-2020 Objectieve refractie Rechts 2.00 90 -0.75 900 +0.63 +1.00 +2.00
01-01-2020 Objectieve refractie Links 1.50 45 -1.00 00 0 +0.5 +2.00
12-01-2020
 Subjectieve refractie Rechts -- -- -- -- -- +1.50 --
12-01-2020
 Subjectieve refractie Links -- -- -- -- -- +2.00 --

Valuesets

LateralityCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.20.2 Binding: Required
Conceptname Conceptcode Codesystem name Codesystem OID Description
Left 7771000 SNOMED CT 2.16.840.1.113883.6.96 Links
Right 24028007 SNOMED CT 2.16.840.1.113883.6.96 Rechts

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

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 Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png

Downloads

This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

About this information

The information in this wikipage is based on Release 2020
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20200309 [R] (March 2020 Interim Release)
  • LOINC version 2.67

Conditions for use are located on the mainpage List2.png
This page is generated on 19/09/2020 21:02:19 with ZibExtraction v. 4.0.7556.18438

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