Refraction-v1.1(2021EN)

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General information

Name: nl.zorg.Refraction
Version: 1.1
HCIM Status:Final
Release: 2021
Release status: Prepublished
Release date: 01-12-2021

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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

Uitvouwen

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
	NL-CM:12.20.1	Refraction							Root concept of the Refraction information model.This root concept contains all data elements of the Refraction information model.	366060000 Refraction measurement - finding
	NL-CM:12.20.4		RefractionMeasurementMethod					0..1	The method used to measure the refraction.	252886007 Refraction assessment	RefractionMeasurementMethodCodelist
	NL-CM:12.20.3		RefractionDateTime					0..1	The date and time when the refraction measurement was carried out.	439771001 Date of event
	NL-CM:12.20.12		CylindricalRefraction					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.
	NL-CM:12.20.11			CylindricalRefractionValue				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
	NL-CM:12.20.13			CilindricRefractionAxis				1	The axis direction of the cylindrical refraction value expressed in degrees.	251799001 Axis of cylinder
	NL-CM:12.20.5		Prism					0..1	Container of the Prism concept.This container contains all data elements of the Prism container.
	NL-CM:12.20.6			PrismaValue				1	The power of the prism, expressed in prism diopters.	251762001 Prism strength
	NL-CM:12.20.7			PrismaBase				1	The base of the prism, expressed in degrees.	246223004 Prism base direction
	NL-CM:12.20.14		SphericRefraction					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.
	NL-CM:12.20.9			SphericRefractionValue				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
	NL-CM:12.20.10			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.	112881000146107 Spherical equivalent
	NL-CM:12.20.8		ReadAddition					0..1	A supplement that is added to the refraction value to determine the strength of the reading glasses, expressed in diopters.	251796008 Spherical addition
	NL-CM:12.20.2		AnatomicalLocation					0..1	Indication and the laterality of the eye of which the refraction measurement relates to.	272741003 Laterality	AnatomicalLocation

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

• AnatomicalLocation-v1.0.1

This information model is used in

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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

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