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{
  "resourceType": "CodeSystem",
  "id": "code-system-lab-id-core",
  "meta": {
    "versionId": "4",
    "lastUpdated": "2022-11-22T09:15:01.895+00:00",
    "source": "#KYjMFtjaYi7IQx6S"
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>CodeSystemLab (ID Core)</h2><tt>http://fhir.hie.moh.gov.id/CodeSystem/lab-id-core</tt><p>Indonesia PIK Lab Code System</p></div>"
  },
  "url": "http://fhir.hie.moh.gov.id/CodeSystem/lab-id-core",
  "version": "1.0.0",
  "name": "CodeSystemLabIdCore",
  "title": "CodeSystemLab (ID Core)",
  "status": "active",
  "date": "2023-06-12T02:58:04.5929883+00:00",
  "description": "Indonesia PIK Lab Code System",
  "compositional": false,
  "content": "complete",
  "count": 594,
  "property": [
    {
      "code": "subGroup",
      "type": "code"
    },
    {
      "code": "containerType",
      "type": "code"
    },
    {
      "code": "combineSample",
      "type": "boolean"
    },
    {
      "code": "specimenType",
      "type": "code"
    },
    {
      "code": "codeLoinc",
      "type": "code"
    },
    {
      "code": "containerTypeDisplay",
      "type": "string"
    },
    {
      "code": "specimenTypeDisplay",
      "type": "string"
    },
    {
      "code": "subGroupDisplay",
      "type": "string"
    },
    {
      "code": "formType",
      "type": "string"
    },
    {
      "code": "formRequired",
      "type": "boolean"
    }
  ],
  "concept": [
    {
      "code": "00001",
      "display": "17-OH Progesterone",
      "definition": "17-OH Progesterone",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "10964-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00002",
      "display": "24hrs urine calcium",
      "definition": "24hrs urine calcium",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "25362-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00003",
      "display": "24hrs urine chloride",
      "definition": "24hrs urine chloride",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "21194-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00004",
      "display": "24hrs urine creatinine",
      "definition": "24hrs urine creatinine",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "25886-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00005",
      "display": "24hrs urine magnesium",
      "definition": "24hrs urine magnesium",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "25954-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00006",
      "display": "24hrs urine phosphate",
      "definition": "24hrs urine phosphate",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "25973-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00007",
      "display": "24hrs urine potassium",
      "definition": "24hrs urine potassium",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "51720-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00008",
      "display": "24hrs urine protein",
      "definition": "24hrs urine protein",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "21482-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00009",
      "display": "24hrs urine sodium",
      "definition": "24hrs urine sodium",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "21525-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00010",
      "display": "24hrs urine urea",
      "definition": "24hrs urine urea",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "25998-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00011",
      "display": "24hrs urine uric acid",
      "definition": "24hrs urine uric acid",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "25997-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00012",
      "display": "5-Hydroxy-Indol-Acetic Acid (5-HIAA)",
      "definition": "5-Hydroxy-Indol-Acetic Acid (5-HIAA)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "31203-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "24hrs Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "003"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "24hr urine bottle with 10mL 25% HCl"
        },
        {
          "code": "containerType",
          "valueCode": "003"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00013",
      "display": "Acetaminophen",
      "definition": "Acetaminophen",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "70198-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00014",
      "display": "Acetaminophen",
      "definition": "Acetaminophen",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "3299-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00015",
      "display": "Acid & Alpha-Glucosidase (POMPE) blood spot",
      "definition": "Acid & Alpha-Glucosidase (POMPE) blood spot",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "55827-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Dried blood spot"
        },
        {
          "code": "specimenType",
          "valueCode": "004"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Whatmann 903 Filter Paper"
        },
        {
          "code": "containerType",
          "valueCode": "004"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00016",
      "display": "Adenosine Deaminase",
      "definition": "Adenosine Deaminase",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "35704-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Pleural Fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "005"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00017",
      "display": "Adrenocorticotropic Hormone (ACTH)",
      "definition": "Adrenocorticotropic Hormone (ACTH)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "66732-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Pre-chilled EDTA"
        },
        {
          "code": "containerType",
          "valueCode": "006"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00018",
      "display": "Alagille Syndrome (JAG1, JAG1Del/Dup Analysis, NOTCH2 Sequencing)",
      "definition": "Alagille Syndrome (JAG1, JAG1Del/Dup Analysis, NOTCH2 Sequencing)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "82253-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00019",
      "display": "Alanine Amino Transferases (ALT/SGPT)",
      "definition": "Alanine Amino Transferases (ALT/SGPT)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "1742-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00020",
      "display": "Albumin",
      "definition": "Albumin",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "54347-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00021",
      "display": "Albumin",
      "definition": "Albumin",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "1746-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Cerebrospinal fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "006"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Falcon tube"
        },
        {
          "code": "containerType",
          "valueCode": "007"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00022",
      "display": "Albumin creatinine ratio/ index",
      "definition": "Albumin creatinine ratio/ index",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "9318-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00023",
      "display": "Alcohol (Ethanol)",
      "definition": "Alcohol (Ethanol)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "74205-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00024",
      "display": "Alcohol / Ethyl Alcohol / Ethanol / Methanol (Quantitative by GCFID) - Non medicolegal case",
      "definition": "Alcohol / Ethyl Alcohol / Ethanol / Methanol (Quantitative by GCFID) - Non medicolegal case",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "74205-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sodium Fluoride tube"
        },
        {
          "code": "containerType",
          "valueCode": "008"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00025",
      "display": "Alcohol / Ethyl Alcohol / Ethanol / Methanol (Quantitative by GCFID) - Non medicolegal case",
      "definition": "Alcohol / Ethyl Alcohol / Ethanol / Methanol (Quantitative by GCFID) - Non medicolegal case",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "74205-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sodium Fluoride tube"
        },
        {
          "code": "containerType",
          "valueCode": "008"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00026",
      "display": "Alcohol / Ethyl Alcohol / Ethanol / Methanol (Quantitative by GCFID) - Non medicolegal case",
      "definition": "Alcohol / Ethyl Alcohol / Ethanol / Methanol (Quantitative by GCFID) - Non medicolegal case",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "74205-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Ocular Fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "007"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sodium Fluoride tube"
        },
        {
          "code": "containerType",
          "valueCode": "008"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00027",
      "display": "Aldosterone",
      "definition": "Aldosterone",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14586-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00028",
      "display": "Alkaline phosphatase (ALP)",
      "definition": "Alkaline phosphatase (ALP)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "77141-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00029",
      "display": "Alpha-1-Antitrypsin (Phenotyping)",
      "definition": "Alpha-1-Antitrypsin (Phenotyping)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "32769-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00030",
      "display": "Alpha-1-Antitrypsin (Quantitation)",
      "definition": "Alpha-1-Antitrypsin (Quantitation)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "76481-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00031",
      "display": "Alpha-2-Macroglobulin",
      "definition": "Alpha-2-Macroglobulin",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2868-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00032",
      "display": "Alpha-Feto protein (AFP)",
      "definition": "Alpha-Feto protein (AFP)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "1834-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00033",
      "display": "Amikacin",
      "definition": "Amikacin",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "56628-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00034",
      "display": "Aminoacids",
      "definition": "Aminoacids",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "12467-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00035",
      "display": "Aminoacids",
      "definition": "Aminoacids",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "43804-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Cerebrospinal fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "006"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00036",
      "display": "Aminoacids",
      "definition": "Aminoacids",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "12176-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube / Lithium Heparin tube"
        },
        {
          "code": "containerType",
          "valueCode": "009"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00037",
      "display": "Ammonia",
      "definition": "Ammonia",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "22763-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "K2 EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "010"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00038",
      "display": "Amphetamine Type Stimulants",
      "definition": "Amphetamine Type Stimulants - non medicolegal case / Clinical case:\ni - Amphetamine\nii - Metamphetamine\niii - Methylenedioxyamphetamine (MDA)\niv - 3,4-Methylenedioxymetamphetamine (MDMA)\nv - Ephedrine\nvi - Phentermine\nvii - 3,4-Methylenedioxyethylamphetamine (MDEA)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "40419-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
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        },
        {
          "code": "containerType",
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        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00039",
      "display": "Amylase",
      "definition": "Amylase",
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        {
          "code": "codeLoinc",
          "valueCode": "1798-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00040",
      "display": "Amylase",
      "definition": "Amylase",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "1799-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00041",
      "display": "Anti-Mullerian Hormone",
      "definition": "Anti-Mullerian Hormone",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "48377-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00042",
      "display": "Anti-Thyroglobulin Antibodies (ATG)",
      "definition": "Anti-Thyroglobulin Antibodies (ATG)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "8098-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00043",
      "display": "Anti-Thyroid Microsomal Antibody / Anti-Thyroid Peroxidase Antibody (aTSHR)",
      "definition": "Anti-Thyroid Microsomal Antibody / Anti-Thyroid Peroxidase Antibody (aTSHR)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "56477-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00044",
      "display": "Argininosuccinate Lyase Deficiency (ASL)",
      "definition": "Argininosuccinate Lyase Deficiency (ASL)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "1898-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00045",
      "display": "Argininosuccinic Acid (ASA)",
      "definition": "Argininosuccinic Acid (ASA)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "74484-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00046",
      "display": "Aromatic Amino Acid Decarboxylase Deficiency (DDC)",
      "definition": "Aromatic Amino Acid Decarboxylase Deficiency (DDC)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "40700-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00047",
      "display": "Arsenic",
      "definition": "Arsenic",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "15115-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00048",
      "display": "Aspartate amino transferase (AST/SGOT)",
      "definition": "Aspartate amino transferase (AST/SGOT)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "27344-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00049",
      "display": "Benzodiazepine",
      "definition": "Benzodiazepine",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "32052-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00050",
      "display": "Benzodiazepines",
      "definition": "Benzodiazepines: Non medico legal case / Clinical Case\ni - Alprazolam\nii - Alpha-Hydroxyalprazolam\niii - Alpha-Hydroxytriazolam\niv - 7-Aminoclonazepam\nv - 7-Aminoflunitrazepam\nvi -7-Aminonitrazepam\nvii - 7-Aminometazepam\nviii - Clonazepam\nix - Diazepam\nx - Flurazepam\nxi - Flunitrazepam\nxii - Lorazepam\nxiii - Midazolam\nxiv - Nimetazepam\nxv - Nitrazepam\nxvi - Nordiazepam\nxvii - Oxazepam\nxviii - Temazepam",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "52955-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00051",
      "display": "Beta Human Chorionic Gonadotropin (B-hCG)",
      "definition": "Beta Human Chorionic Gonadotropin (B-hCG)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "19080-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00052",
      "display": "Beta-2-Microglobulin",
      "definition": "Beta-2-Microglobulin",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "76484-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00053",
      "display": "Beta-2-Microglobulin",
      "definition": "Beta-2-Microglobulin",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "32301-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Cerebrospinal fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "006"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00054",
      "display": "Beta-2-Microglobulin",
      "definition": "Beta-2-Microglobulin",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "54357-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00055",
      "display": "Bilirubin - Total & Direct",
      "definition": "Bilirubin - Total & Direct",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "35194-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00056",
      "display": "Biotinidase Deficiency (BTD)",
      "definition": "Biotinidase Deficiency (BTD)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "80370-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00057",
      "display": "Biotinidase Enzyme Activity",
      "definition": "Biotinidase Enzyme Activity",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "75217-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Dried blood spot"
        },
        {
          "code": "specimenType",
          "valueCode": "004"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Whatmann 903 Filter Paper"
        },
        {
          "code": "containerType",
          "valueCode": "004"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00058",
      "display": "Blood Gas Analysis",
      "definition": "Blood Gas Analysis",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18767-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Heparinised syringe"
        },
        {
          "code": "containerType",
          "valueCode": "012"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00059",
      "display": "Body fluids biochemistry",
      "definition": "Body fluids biochemistry:\ni - LDH\nii - Total Protein",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2529-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Body fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "008"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00060",
      "display": "C-Peptide",
      "definition": "C-Peptide",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "35195-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00061",
      "display": "C-Reactive Protein (CRP)",
      "definition": "C-Reactive Protein (CRP)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "1988-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00062",
      "display": "CA 125",
      "definition": "CA 125",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "10334-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00063",
      "display": "CA 15-3",
      "definition": "CA 15-3",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "6875-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00064",
      "display": "CA 19-9",
      "definition": "CA 19-9",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "24108-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00065",
      "display": "Caeruloplasmin",
      "definition": "Caeruloplasmin",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "47600-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00066",
      "display": "Calcium",
      "definition": "Calcium",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2000-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00067",
      "display": "Calcium",
      "definition": "Calcium",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2004-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00068",
      "display": "Cannabinoids / THC",
      "definition": "Cannabinoids / THC",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "26760-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00069",
      "display": "Carbamazepine",
      "definition": "Carbamazepine",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14639-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00070",
      "display": "Carbamoyl Phosphate Synthetase 1 Deficiency (CPS1)",
      "definition": "Carbamoyl Phosphate Synthetase 1 Deficiency (CPS1)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2016-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00071",
      "display": "Carcinoembryonic Antigen (CEA)",
      "definition": "Carcinoembryonic Antigen (CEA)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2039-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00072",
      "display": "Cardiac Enzyme",
      "definition": "Cardiac Enzyme:\ni - AST\nii - CK",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "58260-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00073",
      "display": "Carnithine Uptake Deficiency (OCTN2)",
      "definition": "Carnithine Uptake Deficiency (OCTN2)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "46774-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00074",
      "display": "Carnithine-Acylcarnitine Translocase Deficiency (SLC25A20)",
      "definition": "Carnithine-Acylcarnitine Translocase Deficiency (SLC25A20)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2041-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00075",
      "display": "Carnitine",
      "definition": "Carnitine",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "34257-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "24hrs Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "003"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "24hr urine bottle"
        },
        {
          "code": "containerType",
          "valueCode": "013"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00076",
      "display": "Carnitine (Total & Free)",
      "definition": "Carnitine (Total & Free)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14288-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube / Lithium Heparin tube"
        },
        {
          "code": "containerType",
          "valueCode": "010"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00077",
      "display": "Carnitine Palmitoyltransferase 1 Deficiency (CPT1A)",
      "definition": "Carnitine Palmitoyltransferase 1 Deficiency (CPT1A)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "53441-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00078",
      "display": "Carnitine Palmitoyltransferase 2 Deficiency (CPT2)",
      "definition": "Carnitine Palmitoyltransferase 2 Deficiency (CPT2)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "53442-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00079",
      "display": "Cathinones (Khat)",
      "definition": "Cathinones (Khat) : Non medico\nlegal case/Clinical case\ni. Cathinones (Khat)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "78817-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00080",
      "display": "Chloride",
      "definition": "Chloride",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2075-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00081",
      "display": "Chloride",
      "definition": "Chloride",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2078-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00082",
      "display": "Cholesterol, Total",
      "definition": "Cholesterol, Total",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14647-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00083",
      "display": "Cholinesterase",
      "definition": "Cholinesterase",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2098-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00084",
      "display": "Citrate",
      "definition": "Citrate",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "34266-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00085",
      "display": "Classical Galactosemia (GALT)",
      "definition": "Classical Galactosemia (GALT)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "46771-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00086",
      "display": "Classical Homocysteinuria (CBS)",
      "definition": "Classical Homocysteinuria (CBS)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "13965-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00087",
      "display": "Complement C3",
      "definition": "Complement C3",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "4485-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00088",
      "display": "Complement C4",
      "definition": "Complement C4",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "4498-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00089",
      "display": "Copper",
      "definition": "Copper",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14665-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00090",
      "display": "Copper",
      "definition": "Copper",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "21219-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "24hrs Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "003"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "24hr urine bottle"
        },
        {
          "code": "containerType",
          "valueCode": "013"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00091",
      "display": "Cortisol (Blood)",
      "definition": "Cortisol (Blood)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "83090-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00092",
      "display": "Cortisol (Urine)",
      "definition": "Cortisol (Urine)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "20622-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "24hrs Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "003"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "24hr urine bottle"
        },
        {
          "code": "containerType",
          "valueCode": "013"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00093",
      "display": "Creatine & Guanidino acetic acid",
      "definition": "Creatine & Guanidino acetic acid",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "79289-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Dried blood spot"
        },
        {
          "code": "specimenType",
          "valueCode": "004"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Whatmann 903 Filter Paper"
        },
        {
          "code": "containerType",
          "valueCode": "004"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00094",
      "display": "Creatine & Guanidino acetic acid",
      "definition": "Creatine & Guanidino acetic acid",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "79289-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube / Heparin tube"
        },
        {
          "code": "containerType",
          "valueCode": "014"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00095",
      "display": "Creatine & Guanidino acetic acid",
      "definition": "Creatine & Guanidino acetic acid",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "79290-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00096",
      "display": "Creatine Kinase (CK)",
      "definition": "Creatine Kinase (CK)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2157-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00097",
      "display": "Creatinine",
      "definition": "Creatinine",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14682-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00098",
      "display": "Creatinine",
      "definition": "Creatinine",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14683-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00099",
      "display": "Creatinine Clearance",
      "definition": "Creatinine Clearance",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "33558-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood & Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "009"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube & Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "015"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00100",
      "display": "CSF Biochemistry",
      "definition": "CSF Biochemistry:\ni - Chloride\nii - Total Protein\niii - Glucose",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2879-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Cerebrospinal fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "006"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00101",
      "display": "CSF Electrophoresis/ Oligoclonal band",
      "definition": "CSF Electrophoresis/ Oligoclonal band",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "12782-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Cerebrospinal fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "006"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00102",
      "display": "Cyclosporine",
      "definition": "Cyclosporine",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "15103-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00103",
      "display": "Cystine",
      "definition": "Cystine",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "34277-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00104",
      "display": "Cystine & Homocystine",
      "definition": "Cystine & Homocystine",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "16711-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00105",
      "display": "Dehydroepiendrosterone Sulphate (DHEA-S)",
      "definition": "Dehydroepiendrosterone Sulphate (DHEA-S)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "15054-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00106",
      "display": "Delta-Amino Levulinic Acids (Delta-ALA)",
      "definition": "Delta-Amino Levulinic Acids (Delta-ALA)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "11215-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00107",
      "display": "Digoxin",
      "definition": "Digoxin",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14698-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00108",
      "display": "DNA Extraction & Storage",
      "definition": "DNA Extraction & Storage",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "55208-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00109",
      "display": "Dopamine",
      "definition": "Dopamine",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "25906-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "24hrs Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "003"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "24hr urine bottle with 10mL 25% HCl"
        },
        {
          "code": "containerType",
          "valueCode": "003"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00110",
      "display": "eGFR",
      "definition": "eGFR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "66615-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00111",
      "display": "Epinephrine",
      "definition": "Epinephrine",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "25908-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "24hrs Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "003"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "24hr urine bottle with 10mL 25% HCl"
        },
        {
          "code": "containerType",
          "valueCode": "003"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00112",
      "display": "Estradiol / Estrogen",
      "definition": "Estradiol / Estrogen",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14715-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00113",
      "display": "Ethylmalonic Encephalopathy (ETHE1)",
      "definition": "Ethylmalonic Encephalopathy (ETHE1)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "79476-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00114",
      "display": "Everolimus",
      "definition": "Everolimus",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "50544-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00115",
      "display": "Fasting Serum Lipid (FSL)",
      "definition": "Fasting Serum Lipid (FSL):\ni - Cholesterol, Total\nii - HDL - cholesterol\niii - LDL - cholesterol\niv - Triglyceride",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "24331-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00116",
      "display": "Ferritin",
      "definition": "Ferritin",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2276-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00117",
      "display": "Fluconazole",
      "definition": "Fluconazole",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "10987-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00118",
      "display": "Folate",
      "definition": "Folate",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14732-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00119",
      "display": "Follicle Stimulating Hormone (FSH)",
      "definition": "Follicle Stimulating Hormone (FSH)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "15067-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00120",
      "display": "Fragile X Syndrome (FRAXA)",
      "definition": "Fragile X Syndrome (FRAXA)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "64433-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00121",
      "display": "Free Light Chain ( Kappa : Lambda ratio)",
      "definition": "Free Light Chain ( Kappa : Lambda ratio)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "15189-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00122",
      "display": "Free Light Chain ( Kappa : Lambda ratio)",
      "definition": "Free Light Chain ( Kappa : Lambda ratio)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "33559-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00123",
      "display": "Free PSA",
      "definition": "Free PSA",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "19203-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00124",
      "display": "Fructosamine",
      "definition": "Fructosamine",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "15069-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00125",
      "display": "FT3 (Tri-Iodothyronine Free)",
      "definition": "FT3 (Tri-Iodothyronine Free)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14928-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00126",
      "display": "Galactokinase Deficiency (GALK1)",
      "definition": "Galactokinase Deficiency (GALK1)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2305-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00127",
      "display": "Galactosemia Epimerase Deficiency (GALE)",
      "definition": "Galactosemia Epimerase Deficiency (GALE)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "10970-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00128",
      "display": "Galactosemia Screening",
      "definition": "Galactosemia Screening",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "46737-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Dried blood spot"
        },
        {
          "code": "specimenType",
          "valueCode": "004"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Whatmann 903 Filter Paper"
        },
        {
          "code": "containerType",
          "valueCode": "004"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00129",
      "display": "Gamma-glutamyl transaminase (GGT)",
      "definition": "Gamma-glutamyl transaminase (GGT)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2324-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00130",
      "display": "Gaucher Disease (GBA)",
      "definition": "Gaucher Disease (GBA)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "62311-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00131",
      "display": "Gentamicin",
      "definition": "Gentamicin",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "35668-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00132",
      "display": "Glucose",
      "definition": "Glucose",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14749-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sodium Fluoride tube / Dissodium EDTA / Potassium Oxalate + Sodium Fluoride tube"
        },
        {
          "code": "containerType",
          "valueCode": "016"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00133",
      "display": "Glucose",
      "definition": "Glucose",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2350-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00134",
      "display": "Glutaric Aciduria Type 1 (GCDH)",
      "definition": "Glutaric Aciduria Type 1 (GCDH)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "27301-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00135",
      "display": "Glycogen Storage Disease Type 1a (G6PC)",
      "definition": "Glycogen Storage Disease Type 1a (G6PC)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2394-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00136",
      "display": "Glycogen Storage Disease Type 1b (SLC37A4)",
      "definition": "Glycogen Storage Disease Type 1b (SLC37A4)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2394-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00137",
      "display": "Glycogen Storage Disease Type III (AGL)",
      "definition": "Glycogen Storage Disease Type III (AGL)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2394-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00138",
      "display": "Growth Hormone",
      "definition": "Growth Hormone",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14177-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00139",
      "display": "Haptoglobulin",
      "definition": "Haptoglobulin",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "70209-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00140",
      "display": "HbA1c",
      "definition": "HbA1c",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "4548-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "K2 EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "010"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00141",
      "display": "HDL-Cholesterol",
      "definition": "HDL-Cholesterol",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14646-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00142",
      "display": "Hereditary Orotic Aciduria (UMPS)",
      "definition": "Hereditary Orotic Aciduria (UMPS)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "79470-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00143",
      "display": "Homocysteine Total (Adult)",
      "definition": "Homocysteine Total (Adult)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "13965-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00144",
      "display": "Homocysteine Total (Inborn Error Metabolism)",
      "definition": "Homocysteine Total (Inborn Error Metabolism)",
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        {
          "code": "codeLoinc",
          "valueCode": "54301-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00145",
      "display": "Hypophosphatasia (ALPL)",
      "definition": "Hypophosphatasia (ALPL)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "77084-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00146",
      "display": "Inorganic Phosphates",
      "definition": "Inorganic Phosphates",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14879-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00147",
      "display": "Insulin",
      "definition": "Insulin",
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        {
          "code": "codeLoinc",
          "valueCode": "14796-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00148",
      "display": "Insulin Like Growth Factor-1 (IGF-1)",
      "definition": "Insulin Like Growth Factor-1 (IGF-1)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "25528-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00149",
      "display": "Intact Parathyroid Hormone (i-PTH)",
      "definition": "Intact Parathyroid Hormone (i-PTH)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14866-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube / EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "017"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00150",
      "display": "Iron",
      "definition": "Iron",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14798-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00151",
      "display": "Kennedy Disease (CAG Repeat Analysis -AR)",
      "definition": "Kennedy Disease (CAG Repeat Analysis -AR)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "21754-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
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        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
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        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00152",
      "display": "Ketamine",
      "definition": "Ketamine : Non medico legal\ncase/Clinical case:\ni. Ketamine\nii. Norketamine\niii. Dehydronorketamine",
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          "code": "codeLoinc",
          "valueCode": "11052-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
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        {
          "code": "containerType",
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        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
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          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
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        }
      ]
    },
    {
      "code": "00153",
      "display": "Lactate",
      "definition": "Lactate",
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        {
          "code": "codeLoinc",
          "valueCode": "2524-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
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          "code": "subGroup",
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        },
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          "code": "specimenTypeDisplay",
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        {
          "code": "specimenType",
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        },
        {
          "code": "containerTypeDisplay",
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        {
          "code": "containerType",
          "valueCode": "016"
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        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00154",
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          "code": "codeLoinc",
          "valueCode": "2520-5"
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        {
          "code": "subGroupDisplay",
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        },
        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Cerebrospinal fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "006"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Falcon tube"
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        {
          "code": "containerType",
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        {
          "code": "combineSample",
          "valueBoolean": true
        },
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          "code": "formRequired",
          "valueBoolean": false
        },
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          "code": "formType",
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      ]
    },
    {
      "code": "00155",
      "display": "Lactate Dehydrogenase (LDH)",
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          "code": "codeLoinc",
          "valueCode": "21754-7"
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          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
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          "code": "subGroup",
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          "code": "specimenTypeDisplay",
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          "code": "specimenType",
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          "code": "containerTypeDisplay",
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          "code": "containerType",
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          "code": "combineSample",
          "valueBoolean": true
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          "code": "formRequired",
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        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
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      ]
    },
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      "code": "00156",
      "display": "LDL-Cholesterol",
      "definition": "LDL-Cholesterol",
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          "code": "codeLoinc",
          "valueCode": "39469-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
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        {
          "code": "subGroup",
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        },
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          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
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        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00157",
      "display": "Leber Hereditary Optic Neuropathy (LHON) Syndrome",
      "definition": "Leber Hereditary Optic Neuropathy (LHON) Syndrome",
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          "code": "codeLoinc",
          "valueCode": "41093-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
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        {
          "code": "containerType",
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        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00158",
      "display": "Leigh Syndrome (mtDNA Full Panel)",
      "definition": "Leigh Syndrome (mtDNA Full Panel)",
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          "code": "codeLoinc",
          "valueCode": "40995-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00159",
      "display": "Leopard Syndrome (PTPN11)",
      "definition": "Leopard Syndrome (PTPN11)",
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        {
          "code": "codeLoinc",
          "valueCode": "82537-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
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        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00160",
      "display": "Lesch-Nyhan Syndrome (HPRT1)",
      "definition": "Lesch-Nyhan Syndrome (HPRT1)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "53869-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
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        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00161",
      "display": "Lissencephaly (LIS1,DCX)",
      "definition": "Lissencephaly (LIS1,DCX)",
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          "code": "codeLoinc",
          "valueCode": "82243-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
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        {
          "code": "subGroup",
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        },
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          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
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          "code": "containerType",
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          "code": "combineSample",
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          "code": "formRequired",
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        },
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          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
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      "code": "00162",
      "display": "Litihium",
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          "code": "codeLoinc",
          "valueCode": "14334-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
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        {
          "code": "subGroup",
          "valueCode": "01"
        },
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          "code": "specimenTypeDisplay",
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        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
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          "code": "containerType",
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          "code": "combineSample",
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        },
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          "code": "formRequired",
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        },
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          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00163",
      "display": "Liver function Test (LFT)",
      "definition": "Liver function Test (LFT):\ni - Total Bilirubin\nii - Direct Bilirubin\niii - Total Protein\niv - Albumin\nv - Globullin\nvi - ALP\nvii - ALT",
      "property": [
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          "code": "codeLoinc",
          "valueCode": "Ser/Plas"
        },
        {
          "code": "subGroupDisplay",
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          "code": "subGroup",
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        },
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          "code": "specimenTypeDisplay",
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          "code": "containerType",
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        },
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          "code": "formRequired",
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        },
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        }
      ]
    },
    {
      "code": "00164",
      "display": "Luteinizing Hormone (LH)",
      "definition": "Luteinizing Hormone (LH)",
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          "code": "codeLoinc",
          "valueCode": "10501-5"
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        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
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          "valueCode": "01"
        },
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          "code": "specimenTypeDisplay",
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        {
          "code": "specimenType",
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        {
          "code": "containerTypeDisplay",
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          "code": "combineSample",
          "valueBoolean": true
        },
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          "code": "formRequired",
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        },
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          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00165",
      "display": "Lysine Metabolism Profile (Piperideine-6-carboxylate (P6C) and pipecolic acid)",
      "definition": "Lysine Metabolism Profile (Piperideine-6-carboxylate (P6C) and pipecolic acid)",
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          "code": "codeLoinc",
          "valueCode": "27304-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
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          "code": "formRequired",
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          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
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    },
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      "code": "00166",
      "display": "Magnesium",
      "definition": "Magnesium",
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          "code": "codeLoinc",
          "valueCode": "2601-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
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        {
          "code": "containerType",
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          "code": "combineSample",
          "valueBoolean": true
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          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
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      "code": "00167",
      "display": "Magnesium",
      "definition": "Magnesium",
      "property": [
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          "code": "codeLoinc",
          "valueCode": "19124-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
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        },
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          "code": "specimenTypeDisplay",
          "valueString": "Urine"
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        },
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          "code": "combineSample",
          "valueBoolean": true
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        }
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      "code": "00168",
      "display": "Maroteaux-Lamy Syndrome, MPS VI (ARSB)",
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          "valueCode": "55725-6"
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        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
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          "code": "subGroup",
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        },
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          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
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        {
          "code": "containerTypeDisplay",
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          "code": "containerType",
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        },
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          "code": "combineSample",
          "valueBoolean": true
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        {
          "code": "formRequired",
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        }
      ]
    },
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      "code": "00169",
      "display": "Mercury",
      "definition": "Mercury",
      "property": [
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          "code": "codeLoinc",
          "valueCode": "34338-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
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      "code": "00170",
      "display": "Metanephrin (Pediatric)",
      "definition": "Metanephrin (Pediatric)",
      "property": [
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          "code": "codeLoinc",
          "valueCode": "21019-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "24hrs Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "003"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "24hr urine bottle with 10mL 25% HCl"
        },
        {
          "code": "containerType",
          "valueCode": "003"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00171",
      "display": "Metanephrine",
      "definition": "Metanephrine",
      "property": [
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          "code": "codeLoinc",
          "valueCode": "21019-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "24hrs Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "003"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "24hr urine bottle with 10mL 25% HCl"
        },
        {
          "code": "containerType",
          "valueCode": "003"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
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        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00172",
      "display": "Methanol",
      "definition": "Methanol",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14835-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sodium Fluoride tube tube"
        },
        {
          "code": "containerType",
          "valueCode": "018"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00173",
      "display": "Methaqualone",
      "definition": "Methaqualone : Non medico legal case/Clinical case",
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          "code": "codeLoinc",
          "valueCode": "3787-9"
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        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
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        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
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        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
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        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
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        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00174",
      "display": "Methotrexate",
      "definition": "Methotrexate",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14836-1"
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        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
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        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
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        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
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        {
          "code": "containerType",
          "valueCode": "001"
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        {
          "code": "combineSample",
          "valueBoolean": true
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        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00175",
      "display": "Microalbumin",
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        {
          "code": "codeLoinc",
          "valueCode": "34535-5"
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        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
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        {
          "code": "subGroup",
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        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
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        {
          "code": "specimenType",
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        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
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          "code": "containerType",
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          "code": "combineSample",
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          "code": "formRequired",
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          "code": "formType",
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    {
      "code": "00176",
      "display": "Mitochondrial Encephalomyopathy, Lactic Acidosis, and Stroke-Like Episodes (MELAS) Syndrome (3243 hotspot)",
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        {
          "code": "codeLoinc",
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        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
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          "code": "subGroup",
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        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine & Blood"
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          "code": "specimenType",
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          "code": "containerTypeDisplay",
          "valueString": "Urine container & EDTA tube"
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          "code": "containerType",
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          "code": "combineSample",
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          "code": "formRequired",
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          "code": "formType",
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      "code": "00177",
      "display": "Mitragynine (Ketom) : Non medico legal case/Clinical case",
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          "code": "codeLoinc",
          "valueCode": "72732-1"
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          "code": "subGroupDisplay",
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          "code": "subGroup",
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          "code": "specimenTypeDisplay",
          "valueString": "Urine"
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        {
          "code": "specimenType",
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          "code": "containerTypeDisplay",
          "valueString": "Urine container"
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          "code": "containerType",
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          "code": "combineSample",
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          "code": "formRequired",
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          "code": "formType",
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      "code": "00178",
      "display": "Morphine / Opiate",
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          "code": "codeLoinc",
          "valueCode": "3830-7"
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        {
          "code": "subGroupDisplay",
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          "code": "subGroup",
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          "code": "specimenTypeDisplay",
          "valueString": "Urine"
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          "code": "specimenType",
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        {
          "code": "containerTypeDisplay",
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          "code": "containerType",
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          "code": "combineSample",
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          "code": "formRequired",
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          "code": "formType",
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      "code": "00179",
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          "code": "codeLoinc",
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          "code": "subGroupDisplay",
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          "code": "subGroup",
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          "code": "specimenTypeDisplay",
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          "code": "specimenType",
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          "code": "containerTypeDisplay",
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          "code": "containerType",
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          "code": "combineSample",
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          "code": "formType",
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      "code": "00180",
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          "code": "codeLoinc",
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        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
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          "code": "subGroup",
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          "code": "specimenTypeDisplay",
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          "code": "specimenType",
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          "code": "containerTypeDisplay",
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        {
          "code": "containerType",
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          "code": "combineSample",
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          "code": "formRequired",
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      "code": "00181",
      "display": "Myoclonic Epilepsy with Ragged-Red Fibers (MERRF) Syndrome (8344 hotspot)",
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          "code": "codeLoinc",
          "valueCode": "41082-9"
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          "code": "subGroupDisplay",
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          "code": "subGroup",
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          "code": "specimenTypeDisplay",
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          "code": "specimenType",
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          "code": "containerTypeDisplay",
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          "code": "containerType",
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          "code": "combineSample",
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          "code": "formRequired",
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          "code": "formType",
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      "code": "00182",
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          "code": "codeLoinc",
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          "code": "subGroupDisplay",
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          "code": "subGroup",
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          "code": "specimenTypeDisplay",
          "valueString": "Urine"
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          "code": "specimenType",
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          "code": "containerTypeDisplay",
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          "code": "containerType",
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          "code": "combineSample",
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          "code": "formRequired",
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          "code": "formType",
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      "code": "00183",
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          "code": "codeLoinc",
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          "code": "subGroupDisplay",
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          "code": "subGroup",
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          "code": "specimenTypeDisplay",
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          "code": "specimenType",
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          "code": "containerTypeDisplay",
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          "code": "containerType",
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          "code": "combineSample",
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          "code": "formRequired",
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          "code": "formType",
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      "code": "00184",
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          "code": "codeLoinc",
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          "code": "subGroupDisplay",
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          "code": "subGroup",
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          "code": "specimenTypeDisplay",
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          "code": "specimenType",
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          "code": "containerTypeDisplay",
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          "code": "containerType",
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          "code": "combineSample",
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          "code": "formRequired",
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          "code": "formType",
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      "code": "00185",
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          "code": "specimenTypeDisplay",
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          "code": "formType",
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      "code": "00186",
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          "code": "combineSample",
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      "code": "00187",
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          "code": "codeLoinc",
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          "code": "subGroupDisplay",
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          "code": "specimenTypeDisplay",
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          "code": "containerTypeDisplay",
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          "code": "combineSample",
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          "code": "formType",
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      "code": "00188",
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          "code": "codeLoinc",
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          "code": "specimenTypeDisplay",
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          "code": "specimenType",
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          "code": "containerTypeDisplay",
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          "code": "containerType",
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        {
          "code": "combineSample",
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          "code": "formType",
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      "code": "00189",
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          "code": "codeLoinc",
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          "code": "subGroup",
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          "code": "specimenTypeDisplay",
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          "code": "specimenType",
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          "code": "containerTypeDisplay",
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          "code": "containerType",
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          "code": "combineSample",
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          "code": "formType",
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      "code": "00190",
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          "code": "codeLoinc",
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          "code": "subGroupDisplay",
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          "code": "specimenTypeDisplay",
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          "code": "specimenType",
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          "code": "containerTypeDisplay",
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        {
          "code": "containerType",
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        {
          "code": "combineSample",
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          "code": "formType",
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      "code": "00191",
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          "code": "codeLoinc",
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          "code": "subGroupDisplay",
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          "code": "subGroup",
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        {
          "code": "specimenTypeDisplay",
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          "code": "specimenType",
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        {
          "code": "containerTypeDisplay",
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          "code": "containerType",
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          "code": "combineSample",
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          "code": "formType",
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      "code": "00192",
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          "code": "codeLoinc",
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        {
          "code": "subGroupDisplay",
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        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
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        {
          "code": "specimenType",
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        {
          "code": "containerTypeDisplay",
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        {
          "code": "containerType",
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          "code": "combineSample",
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          "code": "formRequired",
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          "code": "formType",
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      "code": "00193",
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        {
          "code": "codeLoinc",
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          "code": "subGroupDisplay",
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        {
          "code": "subGroup",
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          "code": "specimenTypeDisplay",
          "valueString": "Blood"
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          "code": "specimenType",
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          "code": "containerTypeDisplay",
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          "code": "containerType",
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          "code": "combineSample",
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          "code": "formRequired",
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          "code": "formType",
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      "code": "00194",
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        {
          "code": "codeLoinc",
          "valueCode": "13963-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00195",
      "display": "Osmolality (Blood)",
      "definition": "Osmolality (Blood)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2692-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00196",
      "display": "Osmolality (Urine)",
      "definition": "Osmolality (Urine)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2695-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00197",
      "display": "Oxalate",
      "definition": "Oxalate",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "15086-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00198",
      "display": "Lysosomal Storage",
      "definition": "Panel Test: Lysosomal Storage\nDisorder Enzyme Assay :\ni. Asparylglucosaminuria (GASP)\nii. Sandhoff Disease (BHEX)\niii. ẞ- Mannosidosis (BMAN)\niv. Tay-Sachs Disease (MUGS)\nv. Fabry Disease (AGAL)\nvi. Mucolipids (AMANP)\nvii. Leukodystrophy (ASA)\nviii. GM1-Gangliosidosis (BGAL)\nix. ɑ-mannosidosis(AMAN)\nx. Fucosidosis (AFUC)\nxi. Ceroid Lipofuscinosis (PPT)\nxii. Gaucher Disease (BGLU)\nxiii. Krabbe Disease (GALC)\nxiv. General LSD Marker (CHITO)\nxv. Schindler Disease (ANAG)\nxvi. Niemann Pick A/B (ASM)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "48311-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00199",
      "display": "Mucopolysaccharidoses",
      "definition": "Panel Test: Mucopolysaccharidoses\nEnzyme Assay :\ni. MPS Type I (IDA)\nii. MPS Type II (IDS)\niii. MPS Type IIIa (SULP)\niv. MPS Type IIIb (AHEX)\nv. MPS IVa (GALSO)\nvi. MPS Type IVb (BGAL)\nvii. MPS Type VI (ASB)\nviii. MPS Type VII (BGLUCU)\nix. Multiple Sulphatase (ASA",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "79563-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00200",
      "display": "Paraquat",
      "definition": "Paraquat",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "12339-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00201",
      "display": "Paraquat",
      "definition": "Paraquat",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "50893-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sodium Fluoride tube"
        },
        {
          "code": "containerType",
          "valueCode": "008"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00202",
      "display": "Phenobarbital",
      "definition": "Phenobarbital",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14874-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00203",
      "display": "Phenytoin",
      "definition": "Phenytoin",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14877-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00204",
      "display": "Phosphate",
      "definition": "Phosphate",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "13539-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00205",
      "display": "Phosphate",
      "definition": "Phosphate",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14879-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00206",
      "display": "Pipecolic Acid",
      "definition": "Pipecolic Acid",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "32334-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Heparin tube"
        },
        {
          "code": "containerType",
          "valueCode": "021"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00207",
      "display": "Plumbum / Lead",
      "definition": "Plumbum / Lead",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14807-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube / Heparin tube"
        },
        {
          "code": "containerType",
          "valueCode": "014"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00208",
      "display": "POLG-Related Disorders (POLG)",
      "definition": "POLG-Related Disorders (POLG)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "48976-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00209",
      "display": "Pompe Disease (GSD II)- (GAA)",
      "definition": "Pompe Disease (GSD II)- (GAA)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "63414-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00210",
      "display": "Porphyria Profile\n(Porphobilinogen (qualitative),\nQuantitation of Uro-, Hepta-, Hexa-,\nPenta-, Coproporphyrin; Total\nPorphyrin",
      "definition": "Porphyria Profile\n(Porphobilinogen (qualitative),\nQuantitation of Uro-, Hepta-, Hexa-,\nPenta-, Coproporphyrin; Total\nPorphyrin",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "43116-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00211",
      "display": "Potassium",
      "definition": "Potassium",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2823-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00212",
      "display": "Potassium",
      "definition": "Potassium",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2828-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00213",
      "display": "Prader-Willi Syndrome (SNRPN\nMethylation Analysis)",
      "definition": "Prader-Willi Syndrome (SNRPN\nMethylation Analysis)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "75582-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00214",
      "display": "Prealbumin (Quantitative)",
      "definition": "Prealbumin (Quantitative)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "77192-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00215",
      "display": "ProCalcitonin",
      "definition": "ProCalcitonin",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "33959-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00216",
      "display": "Progesterone",
      "definition": "Progesterone",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14890-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00217",
      "display": "Prolactin",
      "definition": "Prolactin",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2842-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00218",
      "display": "Prostate Spesific Antigen (PSA)",
      "definition": "Prostate Spesific Antigen (PSA)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2857-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00219",
      "display": "Protein Creatinine Ratio / Index",
      "definition": "Protein Creatinine Ratio / Index",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "87434-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00220",
      "display": "Protein Electrophoresis",
      "definition": "Protein Electrophoresis",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "24351-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00221",
      "display": "Protein Electrophoresis",
      "definition": "Protein Electrophoresis",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "34539-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00222",
      "display": "PTEN-Associated Disease (PTEN)",
      "definition": "PTEN-Associated Disease (PTEN)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "47969-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00223",
      "display": "Pterins",
      "definition": "Pterins",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "80168-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Cerebrospinal fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "006"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Special microtube with EDTA & DTE"
        },
        {
          "code": "containerType",
          "valueCode": "022"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00224",
      "display": "Pterins",
      "definition": "Pterins",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "80170-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00225",
      "display": "Purine & Pyramidine",
      "definition": "Purine & Pyramidine",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "79673-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00226",
      "display": "Purine Nucleoside Phosphorylase Deficiency (PNP)",
      "definition": "Purine Nucleoside Phosphorylase Deficiency (PNP)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "47740-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00227",
      "display": "Pyruvate Dehydrogenase Deficiency (PDHA1)",
      "definition": "Pyruvate Dehydrogenase Deficiency (PDHA1)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2910-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00228",
      "display": "Renal Profile (RP)",
      "definition": "Renal Profile (RP)\ni - Urea\nii - Sodium\niii - Potassium\niv - Chloride\nv - Creatinine",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "24362-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00229",
      "display": "Renin",
      "definition": "Renin",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "12249-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00230",
      "display": "Retinoblastoma : (RB - Sequencing,\nRB1 Del/Dup Analysis)",
      "definition": "Retinoblastoma : (RB - Sequencing,\nRB1 Del/Dup Analysis)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "21731-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00231",
      "display": "S-Sulfocysteine (SSC)",
      "definition": "S-Sulfocysteine (SSC)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "34168-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00232",
      "display": "Salicylate",
      "definition": "Salicylate",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14909-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00233",
      "display": "Sex Hormone Binding Globulin (SHBG)",
      "definition": "Sex Hormone Binding Globulin (SHBG)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "13967-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00234",
      "display": "Sialic Acid (Total & Free )",
      "definition": "Sialic Acid (Total & Free )",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2944-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00235",
      "display": "Sirolimus",
      "definition": "Sirolimus",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "29247-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00236",
      "display": "Sodium",
      "definition": "Sodium",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2951-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00237",
      "display": "Sodium",
      "definition": "Sodium",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2955-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
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        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00238",
      "display": "Spinal Muscular Atrophy (SMA) : (SNM1 Gene Dosage Analysis, SMN Sequencing)",
      "definition": "Spinal Muscular Atrophy (SMA) : (SNM1 Gene Dosage Analysis, SMN Sequencing)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "41053-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00239",
      "display": "Spinocerebellar Ataxia (SCA) : (Trinucleotide Repeat Analysis : SCA1, SCA2, SCA3, SCA6 and SCA7)",
      "definition": "Spinocerebellar Ataxia (SCA) : (Trinucleotide Repeat Analysis : SCA1, SCA2, SCA3, SCA6 and SCA7)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "21768-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00240",
      "display": "Stool Occult Blood",
      "definition": "Stool Occult Blood",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "50196-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Stool"
        },
        {
          "code": "specimenType",
          "valueCode": "014"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00241",
      "display": "Succinylacetone (SAC)",
      "definition": "Succinylacetone (SAC)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "2973-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00242",
      "display": "Sugar & Polyols (Sugar Metabolites)",
      "definition": "Sugar & Polyols (Sugar Metabolites)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "74447-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00243",
      "display": "Sulphite (Dipstick)",
      "definition": "Sulphite (Dipstick)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "58457-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00244",
      "display": "Synthethic Cathinones",
      "definition": "Synthethic Cathinones, Non medico\nlegal case/Clinical case:\ni. Mephedrone",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "72795-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00245",
      "display": "Tacrolimus",
      "definition": "Tacrolimus",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "32721-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00246",
      "display": "Testosterone",
      "definition": "Testosterone",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "35224-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00247",
      "display": "Theophylline",
      "definition": "Theophylline",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14915-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00248",
      "display": "Thyroglobulin",
      "definition": "Thyroglobulin",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14918-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00249",
      "display": "Thyroid Stimulating Hormone (TSH)",
      "definition": "Thyroid Stimulating Hormone (TSH)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "30166-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00250",
      "display": "Thyroid Stimulating Hormone (TSH)",
      "definition": "Thyroid Stimulating Hormone (TSH)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "69561-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
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        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
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        },
        {
          "code": "specimenType",
          "valueCode": "015"
        },
        {
          "code": "containerTypeDisplay",
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        {
          "code": "containerType",
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        {
          "code": "combineSample",
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        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00251",
      "display": "Thyroxine, Free (FT4)",
      "definition": "Thyroxine, Free (FT4)",
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          "code": "codeLoinc",
          "valueCode": "14920-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00252",
      "display": "Thyroxine, Free (FT4)",
      "definition": "Thyroxine, Free (FT4)",
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          "code": "codeLoinc",
          "valueCode": "14921-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Cord Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "015"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
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      ]
    },
    {
      "code": "00253",
      "display": "TIBC",
      "definition": "TIBC",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14800-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
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      "code": "00254",
      "display": "Total Protein",
      "definition": "Total Protein",
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          "code": "codeLoinc",
          "valueCode": "2885-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood & Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "009"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube & Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "015"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00255",
      "display": "Toxicology (Non Police Case) -\nScreening for Basic Drugs in Blood by\nGCMS",
      "definition": "Toxicology (Non Police Case) -\nScreening for Basic Drugs in Blood by\nGCMS",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "29587-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sodium Fluoride tube"
        },
        {
          "code": "containerType",
          "valueCode": "008"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00256",
      "display": "Toxicology (Non Police Case) -\nScreening for Basic Drugs in Blood by\nGCMS",
      "definition": "Toxicology (Non Police Case) -\nScreening for Basic Drugs in Blood by\nGCMS",
      "property": [
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          "code": "codeLoinc",
          "valueCode": "65750-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sodium Fluoride tube"
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        {
          "code": "containerType",
          "valueCode": "008"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
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        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
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    },
    {
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      "display": "Toxicology (Non Police Case) -\nScreening for Basic Drugs in Blood by\nGCMS",
      "definition": "Toxicology (Non Police Case) -\nScreening for Basic Drugs in Blood by\nGCMS",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "12287-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Stomach wash-out"
        },
        {
          "code": "specimenType",
          "valueCode": "012"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sodium Fluoride tube"
        },
        {
          "code": "containerType",
          "valueCode": "008"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00258",
      "display": "Transferrin (Quantitation)",
      "definition": "Transferrin (Quantitation)",
      "property": [
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          "code": "codeLoinc",
          "valueCode": "22674-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00259",
      "display": "Triglycerides",
      "definition": "Triglycerides",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "35217-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00260",
      "display": "Troponin I (High Sensitivity)",
      "definition": "Troponin I (High Sensitivity)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "10839-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00261",
      "display": "Urea",
      "definition": "Urea",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "22664-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00262",
      "display": "Urea",
      "definition": "Urea",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "3095-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00263",
      "display": "Uric Acid",
      "definition": "Uric Acid",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14933-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00264",
      "display": "Uric Acid",
      "definition": "Uric Acid",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14934-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00265",
      "display": "Urine Pregnancy Test",
      "definition": "Urine Pregnancy Test",
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        {
          "code": "codeLoinc",
          "valueCode": "2106-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
        },
        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00266",
      "display": "Valproate Acid",
      "definition": "Valproate Acid",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14946-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00267",
      "display": "Vancomycin",
      "definition": "Vancomycin",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "20578-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00268",
      "display": "Vitamin B12",
      "definition": "Vitamin B12",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14685-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00269",
      "display": "Vitamin D",
      "definition": "Vitamin D",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "81930-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
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        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
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        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
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        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00270",
      "display": "Zinc",
      "definition": "Zinc",
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        {
          "code": "codeLoinc",
          "valueCode": "14955-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
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        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
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        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
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        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00271",
      "display": "Zinc",
      "definition": "Zinc",
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        {
          "code": "codeLoinc",
          "valueCode": "34387-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Chemical Pathology"
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        {
          "code": "subGroup",
          "valueCode": "01"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
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        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Urine container"
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        {
          "code": "containerType",
          "valueCode": "002"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
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        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00272",
      "display": "Body / Nipple Discharge for Cytology",
      "definition": "Body / Nipple Discharge for Cytology",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "47522-8"
        },
        {
          "code": "subGroupDisplay",
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        },
        {
          "code": "subGroup",
          "valueCode": "02"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Body discharge"
        },
        {
          "code": "specimenType",
          "valueCode": "017"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Fixed thin smear prepared on glass slide or sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "024"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00273",
      "display": "Body Fluid for Cytology",
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          "code": "codeLoinc",
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        {
          "code": "subGroupDisplay",
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        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Pericardial, Oeritoneal, Ascetic, Pleural, etc."
        },
        {
          "code": "specimenType",
          "valueCode": "018"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
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        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
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        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00274",
      "display": "Breast Fine Needle Aspirate Cytology (FNAC)",
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        {
          "code": "codeLoinc",
          "valueCode": "47521-0"
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        {
          "code": "subGroupDisplay",
          "valueString": "Anatomical Pathology"
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        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Aspirate"
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        {
          "code": "specimenType",
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        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Smear"
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        {
          "code": "containerType",
          "valueCode": "026"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
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        },
        {
          "code": "formType",
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      ]
    },
    {
      "code": "00275",
      "display": "Bronchial Brushing for Cytology",
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          "code": "codeLoinc",
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        {
          "code": "subGroupDisplay",
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        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Bronchial brushing"
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        {
          "code": "specimenType",
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        },
        {
          "code": "containerTypeDisplay",
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        {
          "code": "containerType",
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        },
        {
          "code": "combineSample",
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        },
        {
          "code": "formType",
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      ]
    },
    {
      "code": "00276",
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          "code": "codeLoinc",
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        {
          "code": "subGroupDisplay",
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        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
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        {
          "code": "specimenType",
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        },
        {
          "code": "containerTypeDisplay",
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        {
          "code": "containerType",
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        },
        {
          "code": "combineSample",
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        },
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          "code": "formRequired",
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        },
        {
          "code": "formType",
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      ]
    },
    {
      "code": "00277",
      "display": "EGFR Mutation Study",
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          "code": "codeLoinc",
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        {
          "code": "subGroupDisplay",
          "valueString": "Anatomical Pathology"
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        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
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        {
          "code": "specimenType",
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        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
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      ]
    },
    {
      "code": "00278",
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          "code": "codeLoinc",
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        {
          "code": "subGroupDisplay",
          "valueString": "Anatomical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "02"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Paraffin embedded tissue block"
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        {
          "code": "specimenType",
          "valueCode": "027"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
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        },
        {
          "code": "formType",
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      ]
    },
    {
      "code": "00279",
      "display": "KRAS",
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          "code": "codeLoinc",
          "valueCode": "21703-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Anatomical Pathology"
        },
        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
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        },
        {
          "code": "specimenType",
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        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00280",
      "display": "Pap Smear Conventional",
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        {
          "code": "codeLoinc",
          "valueCode": "86662-4"
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        {
          "code": "subGroupDisplay",
          "valueString": "Anatomical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "02"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Gynaecology specimen"
        },
        {
          "code": "specimenType",
          "valueCode": "028"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Fixed thin smear prepared on glass slide"
        },
        {
          "code": "containerType",
          "valueCode": "027"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00281",
      "display": "Pap Smear Liquid based",
      "definition": "Pap Smear Liquid based",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "10524-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Anatomical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "02"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Gynaecology specimen"
        },
        {
          "code": "specimenType",
          "valueCode": "028"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Supplied vial with fixative"
        },
        {
          "code": "containerType",
          "valueCode": "030"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00282",
      "display": "Seminal Analysis",
      "definition": "Seminal Analysis",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "13361-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Anatomical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "02"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Seminal fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "030"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00283",
      "display": "Sputum for Cytology",
      "definition": "Sputum for Cytology",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "47520-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Anatomical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "02"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Sputum"
        },
        {
          "code": "specimenType",
          "valueCode": "031"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00284",
      "display": "Thyroid Fine Needle Aspirate Cytology (FNAC)",
      "definition": "Thyroid Fine Needle Aspirate Cytology (FNAC)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "47524-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Anatomical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "02"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Aspirate"
        },
        {
          "code": "specimenType",
          "valueCode": "019"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Smear"
        },
        {
          "code": "containerType",
          "valueCode": "026"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00285",
      "display": "Tissue Fine Needle Aspirate Cytology (FNAC)",
      "definition": "Tissue Fine Needle Aspirate Cytology (FNAC)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "33718-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Anatomical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "02"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Aspirate"
        },
        {
          "code": "specimenType",
          "valueCode": "019"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Smear"
        },
        {
          "code": "containerType",
          "valueCode": "026"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00286",
      "display": "Urine for Cytology",
      "definition": "Urine for Cytology",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "47525-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Anatomical Pathology"
        },
        {
          "code": "subGroup",
          "valueCode": "02"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00287",
      "display": "Acute Myeloid Leukimia Mutation Studies (FLT3, NPM1, CEBPA, cKIT)",
      "definition": "Acute Myeloid Leukimia Mutation Studies (FLT3, NPM1, CEBPA, cKIT)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "54447-8; 75034-9; 75032-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Bone Marrow Aspirate / Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "032"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00288",
      "display": "Anti-D titre",
      "definition": "Anti-D titre",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "50401-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "3.2% trisodium citrate"
        },
        {
          "code": "containerType",
          "valueCode": "031"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00289",
      "display": "Anti-Xa",
      "definition": "Anti-Xa",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "31159-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "3.2% trisodium citrate"
        },
        {
          "code": "containerType",
          "valueCode": "031"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00290",
      "display": "BCR-ABL1 Minor (p190) Quantitative",
      "definition": "BCR-ABL1 Minor (p190) Quantitative",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "55148-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Bone Marrow Aspirate"
        },
        {
          "code": "specimenType",
          "valueCode": "033"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00291",
      "display": "BCR-ABL1 Qualitative (for suspected CML or MPN cases only)",
      "definition": "BCR-ABL1 Qualitative (for suspected CML or MPN cases only)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "55148-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Bone Marrow Aspirate / Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "032"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00292",
      "display": "BCR-ABL1 Quantitative (for known case CML)",
      "definition": "BCR-ABL1 Quantitative (for known case CML)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "55148-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Bone Marrow Aspirate / Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "032"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
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          "code": "containerType",
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        },
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          "code": "combineSample",
          "valueBoolean": true
        },
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          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00293",
      "display": "BCR-ABL1 Quantitative (for knwon case Ph+ ALL/AML)",
      "definition": "BCR-ABL1 Quantitative (for knwon case Ph+ ALL/AML)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "55148-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Bone Marrow Aspirate"
        },
        {
          "code": "specimenType",
          "valueCode": "033"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
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          "code": "containerType",
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        },
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          "code": "combineSample",
          "valueBoolean": true
        },
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          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00294",
      "display": "Blood Cytogenetic (Conventional)",
      "definition": "Blood Cytogenetic (Conventional)",
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        {
          "code": "codeLoinc",
          "valueCode": "29770-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Lithium Heparin tube"
        },
        {
          "code": "containerType",
          "valueCode": "032"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
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          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00295",
      "display": "Blood Cytogenetic (Molecular)",
      "definition": "Blood Cytogenetic (Molecular)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "48818-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
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        {
          "code": "specimenType",
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        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
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          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
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          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00296",
      "display": "Bone Marrow Aspiration",
      "definition": "Bone Marrow Aspiration",
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        {
          "code": "codeLoinc",
          "valueCode": "48807-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Bone Marrow Aspirate"
        },
        {
          "code": "specimenType",
          "valueCode": "033"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Direct Smear"
        },
        {
          "code": "containerType",
          "valueCode": "033"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00297",
      "display": "Bone Marrow or Blood (Neoplasia) Chromosome Study & Leukimia FISH Analysis",
      "definition": "Bone Marrow or Blood (Neoplasia) Chromosome Study & Leukimia FISH Analysis",
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          "code": "codeLoinc",
          "valueCode": "48807-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Bone Marrow Aspirate / Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "032"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sodium Heparin tube"
        },
        {
          "code": "containerType",
          "valueCode": "034"
        },
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          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00298",
      "display": "CD4 / CD8",
      "definition": "CD4 / CD8",
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        {
          "code": "codeLoinc",
          "valueCode": "17146-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
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          "code": "combineSample",
          "valueBoolean": true
        },
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        },
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          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00299",
      "display": "D-Dimer",
      "definition": "D-Dimer",
      "property": [
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          "code": "codeLoinc",
          "valueCode": "15129-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "3.2% trisodium citrate"
        },
        {
          "code": "containerType",
          "valueCode": "031"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
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        },
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          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00300",
      "display": "Elution Test",
      "definition": "Elution Test",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "34477-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00301",
      "display": "ESR",
      "definition": "ESR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "30341-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00302",
      "display": "Factor Assays (FII, FV, FVII, FVIII, FIX, FX, FXI, FXII, FXIII)",
      "definition": "Factor Assays (FII, FV, FVII, FVIII, FIX, FX, FXI, FXII, FXIII)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18720-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "3.2% trisodium citrate"
        },
        {
          "code": "containerType",
          "valueCode": "031"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00303",
      "display": "Factor Inhibitor Assay",
      "definition": "Factor Inhibitor Assay",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "13591-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "3.2% trisodium citrate"
        },
        {
          "code": "containerType",
          "valueCode": "031"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00304",
      "display": "Factor IX",
      "definition": "Factor IX",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "3187-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
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        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
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        {
          "code": "specimenType",
          "valueCode": "001"
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        {
          "code": "containerTypeDisplay",
          "valueString": "3.2% trisodium citrate"
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        {
          "code": "containerType",
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        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
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      ]
    },
    {
      "code": "00305",
      "display": "Factor VIII",
      "definition": "Factor VIII",
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        {
          "code": "codeLoinc",
          "valueCode": "3209-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
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        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
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        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "3.2% trisodium citrate"
        },
        {
          "code": "containerType",
          "valueCode": "031"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00306",
      "display": "Factor XII",
      "definition": "Factor XII",
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        {
          "code": "codeLoinc",
          "valueCode": "27815-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
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        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "3.2% trisodium citrate"
        },
        {
          "code": "containerType",
          "valueCode": "031"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00307",
      "display": "Fibrinogen",
      "definition": "Fibrinogen",
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        {
          "code": "codeLoinc",
          "valueCode": "16859-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
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        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
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        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "3.2% trisodium citrate"
        },
        {
          "code": "containerType",
          "valueCode": "031"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00308",
      "display": "FLT3-ITD Qualitative (AML: diagnosis and follow-up)",
      "definition": "FLT3-ITD Qualitative (AML: diagnosis and follow-up)",
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        {
          "code": "codeLoinc",
          "valueCode": "54447-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
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        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Bone Marrow Aspirate / Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "032"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
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        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
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        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00309",
      "display": "Full Blood Count (FBC) / Immature platelet fraction (IPF) / Reticulocyte count",
      "definition": "Full Blood Count (FBC) / Immature platelet fraction (IPF) / Reticulocyte count",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14196-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
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        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
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        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00310",
      "display": "Full Blood Count (FBC) / Immature platelet fraction (IPF) / Reticulocyte count",
      "definition": "Full Blood Count (FBC) / Immature platelet fraction (IPF) / Reticulocyte count",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14196-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
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        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Microtainer K2EDTA tube"
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        {
          "code": "containerType",
          "valueCode": "035"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00311",
      "display": "Full Blood Count (FBC) / Immature platelet fraction (IPF) / Reticulocyte count",
      "definition": "Full Blood Count (FBC) / Immature platelet fraction (IPF) / Reticulocyte count",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14196-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
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        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube MAP (pediatric infectious sample)"
        },
        {
          "code": "containerType",
          "valueCode": "036"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00312",
      "display": "Full Blood Picture (FBP)",
      "definition": "Full Blood Picture (FBP)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "58408-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00313",
      "display": "Full Blood Picture (FBP)",
      "definition": "Full Blood Picture (FBP)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "58408-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
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        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Microtainer K2EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "035"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00314",
      "display": "G6PD Assay (Quantitative)",
      "definition": "G6PD Assay (Quantitative)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18228-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
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        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
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        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
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        {
          "code": "formType",
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        }
      ]
    },
    {
      "code": "00315",
      "display": "G6PD Assay (Quantitative)",
      "definition": "G6PD Assay (Quantitative)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18228-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
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        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Microtainer K2EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "035"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00316",
      "display": "G6PD Screening",
      "definition": "G6PD Screening",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18228-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Filter paper"
        },
        {
          "code": "containerType",
          "valueCode": "037"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00317",
      "display": "G6PD Screening",
      "definition": "G6PD Screening",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18228-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
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        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
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        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00318",
      "display": "Hb Analysis (ABO& RhD)",
      "definition": "Hb Analysis (ABO& RhD)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "46268-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00319",
      "display": "Hb Analysis (ABO& RhD) (Pediatric)",
      "definition": "Hb Analysis (ABO& RhD) (Pediatric)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "46268-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Microtainer K2EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "035"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00320",
      "display": "Hemophilia A Diagnosis",
      "definition": "Hemophilia A Diagnosis:\n(A) Severe Hemophilia:\ni - Intron 22 inversion\nii - Intron 1 inversion\niii - Saner Sequencing of Factor VIII Gene",
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        {
          "code": "codeLoinc",
          "valueCode": "81761-9"
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        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
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        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
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        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "3.2% trisodium citrate"
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        {
          "code": "containerType",
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        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00321",
      "display": "Hemophilia B Diagnosis",
      "definition": "Hemophilia B Diagnosis:\ni - Full Sequencing (all 8 exons for FIX gene)\nii - Familial Mutation (only 1 exon for FIX gene)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "38896-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
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        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
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        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
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        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
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      ]
    },
    {
      "code": "00322",
      "display": "Hypereosinophilia FISH Analysis (FIP1L1-PDGFRA, PDFGRB and FGFR1)",
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      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "55297-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Bone Marrow Aspirate / Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "032"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sodium Heparin tube"
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        {
          "code": "containerType",
          "valueCode": "034"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00323",
      "display": "JAK2 and / Calreticulin",
      "definition": "JAK2 and / Calreticulin",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "80187-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Bone Marrow Aspirate / Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "032"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00324",
      "display": "Kleihaeur test",
      "definition": "Kleihaeur test",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14276-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00325",
      "display": "Mixing Study",
      "definition": "Mixing Study",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "50008-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "3.2% trisodium citrate"
        },
        {
          "code": "containerType",
          "valueCode": "031"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00326",
      "display": "NPM1 Qualitative (AML: Diagnosis and follow-up)",
      "definition": "NPM1 Qualitative (AML: Diagnosis and follow-up)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "54448-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Bone Marrow Aspirate / Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "032"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00327",
      "display": "Osmotic Fragility Test (OFT)",
      "definition": "Osmotic Fragility Test (OFT)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "12241-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Lithium Heparin tube"
        },
        {
          "code": "containerType",
          "valueCode": "032"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00328",
      "display": "Osmotic Fragility Test (OFT)",
      "definition": "Osmotic Fragility Test (OFT)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "12241-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00329",
      "display": "PML-RARA Quantitative (bcr1, bcr2 and bcr3)",
      "definition": "PML-RARA Quantitative (bcr1, bcr2 and bcr3)",
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          "code": "codeLoinc",
          "valueCode": "75011-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Bone Marrow Aspirate"
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        {
          "code": "specimenType",
          "valueCode": "033"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
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        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00330",
      "display": "PT / APTT / INR",
      "definition": "PT / APTT / INR",
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        {
          "code": "codeLoinc",
          "valueCode": "11067-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "3.2% trisodium citrate"
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        {
          "code": "containerType",
          "valueCode": "031"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00331",
      "display": "RUNX1-RUNX1T1 Quantitative",
      "definition": "RUNX1-RUNX1T1 Quantitative",
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        {
          "code": "codeLoinc",
          "valueCode": "75013-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Bone Marrow Aspirate"
        },
        {
          "code": "specimenType",
          "valueCode": "033"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
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        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00332",
      "display": "Serum Erythropoietin (EPO)",
      "definition": "Serum Erythropoietin (EPO)",
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        {
          "code": "codeLoinc",
          "valueCode": "14714-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
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        },
        {
          "code": "formType",
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        }
      ]
    },
    {
      "code": "00333",
      "display": "Sickling Test",
      "definition": "Sickling Test",
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        {
          "code": "codeLoinc",
          "valueCode": "39230-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
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        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
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        },
        {
          "code": "containerTypeDisplay",
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        {
          "code": "containerType",
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        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
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        },
        {
          "code": "formType",
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        }
      ]
    },
    {
      "code": "00334",
      "display": "Urine Hemosiderin",
      "definition": "Urine Hemosiderin",
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        {
          "code": "codeLoinc",
          "valueCode": "4645-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
          "valueCode": "03"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
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        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
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        },
        {
          "code": "formType",
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        }
      ]
    },
    {
      "code": "00335",
      "display": "Von Willebrand Disease",
      "definition": "Von Willebrand Disease:\ni - VWF Antigen\nii - VWF CBA\niii - VWF Ricof",
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        {
          "code": "codeLoinc",
          "valueCode": "50378-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Hematology"
        },
        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
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        {
          "code": "specimenType",
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        },
        {
          "code": "containerTypeDisplay",
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        {
          "code": "containerType",
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        },
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          "code": "combineSample",
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        },
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          "code": "formRequired",
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          "code": "formType",
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        }
      ]
    },
    {
      "code": "00336",
      "display": "Von Willebrand Factor: Collagen Binding Assay - ELISA",
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          "code": "codeLoinc",
          "valueCode": "50377-1"
        },
        {
          "code": "subGroupDisplay",
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        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
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        {
          "code": "specimenType",
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        },
        {
          "code": "containerTypeDisplay",
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        {
          "code": "containerType",
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        },
        {
          "code": "combineSample",
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          "code": "formRequired",
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        },
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          "code": "formType",
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        }
      ]
    },
    {
      "code": "00337",
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          "code": "codeLoinc",
          "valueCode": "51411-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
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        },
        {
          "code": "combineSample",
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        },
        {
          "code": "formRequired",
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        },
        {
          "code": "formType",
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        }
      ]
    },
    {
      "code": "00338",
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          "code": "codeLoinc",
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        {
          "code": "subGroupDisplay",
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        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
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        },
        {
          "code": "specimenType",
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        },
        {
          "code": "containerTypeDisplay",
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        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
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        },
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          "code": "formType",
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        }
      ]
    },
    {
      "code": "00339",
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        },
        {
          "code": "subGroupDisplay",
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        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Broncho-alveolar lavage"
        },
        {
          "code": "specimenType",
          "valueCode": "038"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
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        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
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        },
        {
          "code": "formType",
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        }
      ]
    },
    {
      "code": "00340",
      "display": "Aspirate Culture & Sensitivity",
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          "code": "codeLoinc",
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        },
        {
          "code": "subGroupDisplay",
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        },
        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
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        },
        {
          "code": "specimenType",
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        },
        {
          "code": "containerTypeDisplay",
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        },
        {
          "code": "containerType",
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        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
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        },
        {
          "code": "formType",
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        }
      ]
    },
    {
      "code": "00341",
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          "code": "codeLoinc",
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        },
        {
          "code": "subGroupDisplay",
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        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Cerebrospinal fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "006"
        },
        {
          "code": "containerTypeDisplay",
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        },
        {
          "code": "containerType",
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        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
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        },
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          "code": "formType",
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        }
      ]
    },
    {
      "code": "00342",
      "display": "Biopsy Culture & Sensitivity",
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          "code": "codeLoinc",
          "valueCode": "20474-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Biopsy Specimen"
        },
        {
          "code": "specimenType",
          "valueCode": "038"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
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        },
        {
          "code": "combineSample",
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        },
        {
          "code": "formRequired",
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        },
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          "code": "formType",
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        }
      ]
    },
    {
      "code": "00343",
      "display": "Blood Culture & Sensitivity ( Fungal)",
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          "code": "codeLoinc",
          "valueCode": "10852-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Myco F Lytic blood bottle"
        },
        {
          "code": "containerType",
          "valueCode": "041"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00344",
      "display": "Blood Culture & Sensitivity (Aerobic)",
      "definition": "Blood Culture & Sensitivity (Aerobic)",
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          "code": "codeLoinc",
          "valueCode": "17928-3"
        },
        {
          "code": "subGroupDisplay",
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        },
        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Aerobic blood bottle"
        },
        {
          "code": "containerType",
          "valueCode": "042"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00345",
      "display": "Blood Culture & Sensitivity (Anaerobic)",
      "definition": "Blood Culture & Sensitivity (Anaerobic)",
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          "code": "codeLoinc",
          "valueCode": "17934-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
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        {
          "code": "subGroup",
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        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Anaerobic blood bottle"
        },
        {
          "code": "containerType",
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        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00346",
      "display": "Blood Culture & Sensitivity (MTB)",
      "definition": "Blood Culture & Sensitivity (MTB)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "533-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Myco F Lytic blood bottle"
        },
        {
          "code": "containerType",
          "valueCode": "041"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00347",
      "display": "Blood Culture & Sensitivity (Pediatric)",
      "definition": "Blood Culture & Sensitivity (Pediatric)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "6463-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Pediatric blood bottle"
        },
        {
          "code": "containerType",
          "valueCode": "044"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00348",
      "display": "Blood Film Filariasis Parasites",
      "definition": "Blood Film Filariasis Parasites",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "10710-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Thick film"
        },
        {
          "code": "containerType",
          "valueCode": "045"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00349",
      "display": "Blood Film Malaria Parasites (BFMP) Thick",
      "definition": "Blood Film Malaria Parasites (BFMP) Thick",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "10663-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Thick film"
        },
        {
          "code": "containerType",
          "valueCode": "045"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00350",
      "display": "Blood Film Malaria Parasites (BFMP) Thin",
      "definition": "Blood Film Malaria Parasites (BFMP) Thin",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "10664-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Thin film"
        },
        {
          "code": "containerType",
          "valueCode": "046"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00351",
      "display": "Body Fluid Culture & Sensitivity",
      "definition": "Body Fluid Culture & Sensitivity",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "636-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Pleural fluid, Peritoneal fluid, Broncho-alveolar lavage, Gastric lavage, Ascites fluid, Pericardial fluid, Dialysate, Synovial/joint fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "039"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00352",
      "display": "Bone Culture & Sensitivity",
      "definition": "Bone Culture & Sensitivity",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "75358-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Bone"
        },
        {
          "code": "specimenType",
          "valueCode": "040"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00353",
      "display": "Bordetella Pertussis PCR",
      "definition": "Bordetella Pertussis PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "48741-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Nasopharyngeal aspirate"
        },
        {
          "code": "specimenType",
          "valueCode": "041"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container / Falcon tube"
        },
        {
          "code": "containerType",
          "valueCode": "040"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00354",
      "display": "Brucella PCR",
      "definition": "Brucella PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "551-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00355",
      "display": "Cerebrospinal Fluid (CSF) Culture & Sensitivity",
      "definition": "Cerebrospinal Fluid (CSF) Culture & Sensitivity",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "606-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Cerebrospinal fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "006"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00356",
      "display": "Clostridium Difficile Toxin",
      "definition": "Clostridium Difficile Toxin",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "34713-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Stool"
        },
        {
          "code": "specimenType",
          "valueCode": "014"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00357",
      "display": "Cryptosporidium/ Isopora/ Microsporidium",
      "definition": "Cryptosporidium/ Isopora/ Microsporidium",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "20781-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Stool"
        },
        {
          "code": "specimenType",
          "valueCode": "014"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00358",
      "display": "Ear Swab Culture & Sensitivity",
      "definition": "Ear Swab Culture & Sensitivity",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "608-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Pus"
        },
        {
          "code": "specimenType",
          "valueCode": "043"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Charcoal/ Stuart transport medium"
        },
        {
          "code": "containerType",
          "valueCode": "047"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00359",
      "display": "Eye Swab Culture & Sensitivity",
      "definition": "Eye Swab Culture & Sensitivity",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "74816-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Eye swab"
        },
        {
          "code": "specimenType",
          "valueCode": "045"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Charcoal/ Stuart transport medium"
        },
        {
          "code": "containerType",
          "valueCode": "047"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00360",
      "display": "Fungal Culture",
      "definition": "Fungal Culture",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "42805-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Tissue, Hair, Nail, Skin, Sputum, Fluid, Urine, Corneal scraping, Dialysate, Cerebrospinal fluid, bronchial lavage, tissue, bone marrow (trephine), sinus aspirate"
        },
        {
          "code": "specimenType",
          "valueCode": "046"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00361",
      "display": "Fungal Identification",
      "definition": "Fungal Identification",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "613-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Isolate from culture plate"
        },
        {
          "code": "specimenType",
          "valueCode": "047"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "NA Slant/ Culture plate"
        },
        {
          "code": "containerType",
          "valueCode": "039"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00362",
      "display": "Fungal PCR",
      "definition": "Fungal PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "601-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00363",
      "display": "Genital Female Culture & Sensitivity",
      "definition": "Genital Female Culture & Sensitivity",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "10354-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "High vaginal swab, Vaginal swab, Endocervical swab"
        },
        {
          "code": "specimenType",
          "valueCode": "048"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain sterile swab"
        },
        {
          "code": "containerType",
          "valueCode": "049"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00364",
      "display": "Genital Male Culture & Sensitivity",
      "definition": "Genital Male Culture & Sensitivity",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "10354-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urethral swab"
        },
        {
          "code": "specimenType",
          "valueCode": "049"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain sterile swab"
        },
        {
          "code": "containerType",
          "valueCode": "049"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00365",
      "display": "Genital Male Culture & Sensitivity",
      "definition": "Genital Male Culture & Sensitivity",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "10354-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urethral swab"
        },
        {
          "code": "specimenType",
          "valueCode": "049"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Charcoal/ Stuart transport medium"
        },
        {
          "code": "containerType",
          "valueCode": "047"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00366",
      "display": "Legionella Antigen Detection",
      "definition": "Legionella Antigen Detection",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "41499-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00367",
      "display": "Malaria PCR",
      "definition": "Malaria PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "9671-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00368",
      "display": "Mycobacterium (MTB)  Culture & Sensitivity",
      "definition": "Mycobacterium (MTB)  Culture & Sensitivity",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "535-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Sputum, Pus, Urine, Aspirate, Gastric lavage, Dialysate, ETT, Body fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "035"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00369",
      "display": "Mycobacterium (MTB)  Culture & Sensitivity",
      "definition": "Mycobacterium (MTB)  Culture & Sensitivity",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "543-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Bone"
        },
        {
          "code": "specimenType",
          "valueCode": "040"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00370",
      "display": "Mycobacterium (MTB)  Culture & Sensitivity",
      "definition": "Mycobacterium (MTB)  Culture & Sensitivity",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "540-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Tissue, slough, skin"
        },
        {
          "code": "specimenType",
          "valueCode": "050"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00371",
      "display": "Mycobacterium (MTB)  Culture & Sensitivity",
      "definition": "Mycobacterium (MTB)  Culture & Sensitivity",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "536-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Bone marrow (trephine)"
        },
        {
          "code": "specimenType",
          "valueCode": "051"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00372",
      "display": "Mycobacterium (MTB)  Culture & Sensitivity (BACTEC)",
      "definition": "Mycobacterium (MTB)  Culture & Sensitivity (BACTEC)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "533-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "blood, dialysate, bone marrow"
        },
        {
          "code": "specimenType",
          "valueCode": "052"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Myco F Lytic BACTEC bottle"
        },
        {
          "code": "containerType",
          "valueCode": "050"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00373",
      "display": "Respiratory Culture & Sensitivity",
      "definition": "Respiratory Culture & Sensitivity",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "624-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Sputum / Endotracheal secretion"
        },
        {
          "code": "specimenType",
          "valueCode": "055"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00374",
      "display": "Stool Culture & Sensitivity (Salmonella, Shigella, Vibrio cholerae)",
      "definition": "Stool Culture & Sensitivity (Salmonella, Shigella, Vibrio cholerae)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "625-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Stool"
        },
        {
          "code": "specimenType",
          "valueCode": "014"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00375",
      "display": "Stool for Giardia",
      "definition": "Stool for Giardia",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "27265-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Stool"
        },
        {
          "code": "specimenType",
          "valueCode": "014"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00376",
      "display": "Stool for Ova & Cyst",
      "definition": "Stool for Ova & Cyst",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "32357-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Stool"
        },
        {
          "code": "specimenType",
          "valueCode": "014"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00377",
      "display": "Stool for Rotavirus/ Adenovirus Antigen",
      "definition": "Stool for Rotavirus/ Adenovirus Antigen",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "5880-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Stool"
        },
        {
          "code": "specimenType",
          "valueCode": "014"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00378",
      "display": "Streptococcus Pneumoniae Antigen Detection",
      "definition": "Streptococcus Pneumoniae Antigen Detection",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "24027-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00379",
      "display": "Throat Swab Culture & Sensitivity",
      "definition": "Throat Swab Culture & Sensitivity",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "43214-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Throat swab"
        },
        {
          "code": "specimenType",
          "valueCode": "056"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Charcoal/ Stuart transport medium"
        },
        {
          "code": "containerType",
          "valueCode": "047"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00380",
      "display": "Tissue Culture & Sensitivity (Aerobic)",
      "definition": "Tissue Culture & Sensitivity (Aerobic)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "627-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Tissue (Aerobic)"
        },
        {
          "code": "specimenType",
          "valueCode": "060"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Stuart transport medium"
        },
        {
          "code": "containerType",
          "valueCode": "052"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00381",
      "display": "Tissue Culture & Sensitivity (Anaerobic)",
      "definition": "Tissue Culture & Sensitivity (Anaerobic)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "628-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Tissue (Anaerobic)"
        },
        {
          "code": "specimenType",
          "valueCode": "061"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Thioglycolate transport medium"
        },
        {
          "code": "containerType",
          "valueCode": "053"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00382",
      "display": "Tissue Culture & Sensitivity (Tissue)",
      "definition": "Tissue Culture & Sensitivity (Tissue)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "43408-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Tissue"
        },
        {
          "code": "specimenType",
          "valueCode": "062"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00383",
      "display": "Urine Culture & Sensitivity",
      "definition": "Urine Culture & Sensitivity",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "630-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container / boric acid"
        },
        {
          "code": "containerType",
          "valueCode": "054"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00384",
      "display": "Urine FEME",
      "definition": "Urine FEME",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "72375-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Bacteriology"
        },
        {
          "code": "subGroup",
          "valueCode": "04"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00385",
      "display": "Acute Flaccid Paralysis (AFP) Polio Virus",
      "definition": "Acute Flaccid Paralysis (AFP) Polio Virus",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "53645-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Stool"
        },
        {
          "code": "specimenType",
          "valueCode": "014"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00386",
      "display": "Adenovirus PCR",
      "definition": "Adenovirus PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "66721-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Sputum, nasopharyngeal aspirate, tracheal aspirate, endotracheal tube aspirate, broncho-alveolar lavage, throat swab, nasopharyngeal swab, nasal swab"
        },
        {
          "code": "specimenType",
          "valueCode": "063"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container contains VTM"
        },
        {
          "code": "containerType",
          "valueCode": "055"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00387",
      "display": "Amoebiasis Serology",
      "definition": "Amoebiasis Serology",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "6594-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube / EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "017"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00388",
      "display": "Anti ds-DNA",
      "definition": "Anti ds-DNA",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "5130-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
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        {
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    },
    {
      "code": "00389",
      "display": "Anti-Acetylcholine Receptor (ACR)",
      "definition": "Anti-Acetylcholine Receptor (ACR)",
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          "code": "codeLoinc",
          "valueCode": "20427-1"
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          "code": "subGroupDisplay",
          "valueString": "Serology"
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          "code": "subGroup",
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          "code": "specimenTypeDisplay",
          "valueString": "Blood"
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          "code": "specimenType",
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          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
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          "code": "containerType",
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          "code": "combineSample",
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      "code": "00390",
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      "definition": "Anti-Aquaporin 4 (AQ4) / Cytokines (IL6)",
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        {
          "code": "codeLoinc",
          "valueCode": "61117-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
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        {
          "code": "subGroup",
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        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
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          "code": "specimenType",
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          "code": "containerTypeDisplay",
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          "code": "containerType",
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        {
          "code": "combineSample",
          "valueBoolean": true
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        {
          "code": "formRequired",
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        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
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      ]
    },
    {
      "code": "00391",
      "display": "Anti-Aquaporin 4 (AQ4) / Cytokines (IL6)",
      "definition": "Anti-Aquaporin 4 (AQ4) / Cytokines (IL6)",
      "property": [
        {
          "code": "codeLoinc",
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        {
          "code": "subGroupDisplay",
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        {
          "code": "subGroup",
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        {
          "code": "specimenTypeDisplay",
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        {
          "code": "specimenType",
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          "code": "containerTypeDisplay",
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          "code": "containerType",
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        {
          "code": "combineSample",
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          "code": "formRequired",
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      "code": "00392",
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          "code": "codeLoinc",
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        {
          "code": "subGroupDisplay",
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          "code": "subGroup",
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          "code": "specimenTypeDisplay",
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          "code": "specimenType",
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          "code": "containerTypeDisplay",
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          "code": "containerType",
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          "code": "combineSample",
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          "code": "formRequired",
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          "code": "formType",
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    },
    {
      "code": "00393",
      "display": "Anti-Ganglioside Antibodies:\n(Gullain-Barre Syndrome)",
      "definition": "Anti-Ganglioside Antibodies:\n(Gullain-Barre Syndrome)\ni - Anti-GM1\nii - Anti-GM2\niii - Anti-GM3\niv - Anti-GM4\nv - Anti-GD1a\nvi - Anti-GD1b\nvii - Anti-GD2\nviii - Anti-GD3\nix - Anti-GT 1a\nx -  Anti-GT 1\nxi - Anti-GQ1b",
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          "code": "codeLoinc",
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        {
          "code": "subGroupDisplay",
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        {
          "code": "subGroup",
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        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
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        {
          "code": "specimenType",
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        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
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        {
          "code": "containerType",
          "valueCode": "001"
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        {
          "code": "combineSample",
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          "code": "formRequired",
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        {
          "code": "formType",
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      ]
    },
    {
      "code": "00394",
      "display": "Anti-Ganglioside Antibodies:\n(Gullain-Barre Syndrome)",
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        {
          "code": "codeLoinc",
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        {
          "code": "subGroupDisplay",
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        {
          "code": "subGroup",
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        {
          "code": "specimenTypeDisplay",
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          "code": "specimenType",
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        {
          "code": "containerTypeDisplay",
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        {
          "code": "containerType",
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        {
          "code": "combineSample",
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          "code": "formRequired",
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          "code": "formType",
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    },
    {
      "code": "00395",
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        {
          "code": "codeLoinc",
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        {
          "code": "subGroupDisplay",
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        {
          "code": "subGroup",
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        {
          "code": "specimenTypeDisplay",
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        {
          "code": "specimenType",
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          "code": "containerTypeDisplay",
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          "code": "containerType",
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          "code": "combineSample",
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          "code": "formRequired",
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    {
      "code": "00396",
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          "code": "codeLoinc",
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        {
          "code": "subGroupDisplay",
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        {
          "code": "subGroup",
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        {
          "code": "specimenTypeDisplay",
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          "code": "specimenType",
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        {
          "code": "containerTypeDisplay",
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          "code": "containerType",
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        {
          "code": "combineSample",
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      "code": "00397",
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          "code": "subGroupDisplay",
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          "code": "subGroup",
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        {
          "code": "specimenTypeDisplay",
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          "code": "specimenType",
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          "code": "combineSample",
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      "code": "00398",
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      "code": "00399",
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          "code": "codeLoinc",
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          "code": "subGroupDisplay",
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          "code": "subGroup",
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          "code": "specimenTypeDisplay",
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      "code": "00400",
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          "code": "combineSample",
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          "code": "subGroup",
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        {
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        {
          "code": "specimenType",
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          "code": "containerTypeDisplay",
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          "code": "containerType",
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          "code": "combineSample",
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        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00410",
      "display": "Chlamydia Trachomatis/ Neisseria Gonorrhea PCR",
      "definition": "Chlamydia Trachomatis/ Neisseria Gonorrhea PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "44806-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00411",
      "display": "CMV Culture",
      "definition": "CMV Culture",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "32675-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Nasopharyngeal aspirate, nasopharyngeal swab, throat swab, throat gargle, broncho-alveolar lavage, sputum, nasal swab, organ biopsies"
        },
        {
          "code": "specimenType",
          "valueCode": "064"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Viral Transport Medium"
        },
        {
          "code": "containerType",
          "valueCode": "056"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00412",
      "display": "CMV Culture",
      "definition": "CMV Culture",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "5837-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00413",
      "display": "CMV DNA Genome Detection",
      "definition": "CMV DNA Genome Detection",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "28008-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00414",
      "display": "CMV DNA Genome Detection",
      "definition": "CMV DNA Genome Detection",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "30326-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Cerebrospinal fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "006"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Falcon tube"
        },
        {
          "code": "containerType",
          "valueCode": "007"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00415",
      "display": "CMV DNA Genome Detection",
      "definition": "CMV DNA Genome Detection",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "35401-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Broncho-alveolar lavage"
        },
        {
          "code": "specimenType",
          "valueCode": "037"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00416",
      "display": "CMV IgG",
      "definition": "CMV IgG",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "13225-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00417",
      "display": "CMV IgM",
      "definition": "CMV IgM",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "7853-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00418",
      "display": "Coeliac Antibodies",
      "definition": "Coeliac Antibodies:\ni - Anti-Endomysium\nii - Anti-Gliadin\niii - Anti-Tissue Transglutaminase",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "13092-2; 7893-1; 53023-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00419",
      "display": "Cryptococcal Antigen",
      "definition": "Cryptococcal Antigen",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "31790-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00420",
      "display": "Cryptococcal Antigen",
      "definition": "Cryptococcal Antigen",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "46964-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Cerebrospinal fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "006"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00421",
      "display": "Cyclic Citrulinated Peptide Antibodies",
      "definition": "Cyclic Citrulinated Peptide Antibodies",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "53027-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00422",
      "display": "Cysticercosis / Taeniasis",
      "definition": "Cysticercosis / Taeniasis",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "88912-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube / EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "017"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00423",
      "display": "Dengue IgG",
      "definition": "Dengue IgG",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "23958-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00424",
      "display": "Dengue IgG & IgM",
      "definition": "Dengue IgG & IgM",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "51785-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00425",
      "display": "Dengue IgM",
      "definition": "Dengue IgM",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "23968-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00426",
      "display": "Dengue NS-1",
      "definition": "Dengue NS-1",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "75377-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00427",
      "display": "Dengue PCR",
      "definition": "Dengue PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "88203-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00428",
      "display": "Dengue PCR",
      "definition": "Dengue PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "77958-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Cerebrospinal fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "006"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Falcon tube"
        },
        {
          "code": "containerType",
          "valueCode": "007"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00429",
      "display": "Dengue PCR",
      "definition": "Dengue PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "6387-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Organ biopsies"
        },
        {
          "code": "specimenType",
          "valueCode": "065"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Viral Transport Medium"
        },
        {
          "code": "containerType",
          "valueCode": "056"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00430",
      "display": "Dengue Rapid Test",
      "definition": "Dengue Rapid Test",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "31798-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00431",
      "display": "Dengue Serotyping",
      "definition": "Dengue Serotyping",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "81150-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00432",
      "display": "Dengue Serotyping",
      "definition": "Dengue Serotyping",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "87440-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Organ biopsies"
        },
        {
          "code": "specimenType",
          "valueCode": "065"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Viral Transport Medium"
        },
        {
          "code": "containerType",
          "valueCode": "056"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00433",
      "display": "EBOLA Virus PCR",
      "definition": "EBOLA Virus PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "86518-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00434",
      "display": "EBV DNA Genome Detection",
      "definition": "EBV DNA Genome Detection",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "5002-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00435",
      "display": "EBV DNA Genome Detection",
      "definition": "EBV DNA Genome Detection",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "23858-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Cerebrospinal fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "006"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Falcon tube"
        },
        {
          "code": "containerType",
          "valueCode": "007"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00436",
      "display": "Echinococcosis Serology (Hydatid Disease)",
      "definition": "Echinococcosis Serology (Hydatid Disease)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "6391-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00437",
      "display": "Enterovirus Culture",
      "definition": "Enterovirus Culture",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "5842-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Stool"
        },
        {
          "code": "specimenType",
          "valueCode": "014"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00438",
      "display": "Enterovirus Culture",
      "definition": "Enterovirus Culture",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "5843-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Rectal swab, vesicle swab, throat swab, ulcer swab"
        },
        {
          "code": "specimenType",
          "valueCode": "066"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Viral Transport Medium"
        },
        {
          "code": "containerType",
          "valueCode": "056"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00439",
      "display": "Enterovirus Culture",
      "definition": "Enterovirus Culture",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "5839-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Cerebrospinal fluid, pleural fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "067"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Falcon tube"
        },
        {
          "code": "containerType",
          "valueCode": "007"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00440",
      "display": "Enterovirus Culture",
      "definition": "Enterovirus Culture",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "76632-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00441",
      "display": "Enterovirus Culture",
      "definition": "Enterovirus Culture",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "43364-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Organ biopsies"
        },
        {
          "code": "specimenType",
          "valueCode": "065"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Viral Transport Medium"
        },
        {
          "code": "containerType",
          "valueCode": "056"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00442",
      "display": "Epstein-Barr Virus (EBV) IgG/ IgM",
      "definition": "Epstein-Barr Virus (EBV) IgG/ IgM",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "24316-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00443",
      "display": "Extractable Nuclear Antibody (ENA)",
      "definition": "Extractable Nuclear Antibody (ENA):\ni - Anti-Centromere\nii - Anti- Jo1\niii - Anti-Ribosomal P\niv - Anti-RNP\nv - Anti-Ro52\nvi - Anti-Ro60\nvii - Anti-Scl70\nviii - Anti SSB",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "11090-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00444",
      "display": "Filariasis PCR",
      "definition": "Filariasis PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "88918-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00445",
      "display": "Filariasis Serology",
      "definition": "Filariasis Serology",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "7887-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube / EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "017"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00446",
      "display": "H1N1 (Death Case)",
      "definition": "H1N1 (Death Case)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "49521-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Liver"
        },
        {
          "code": "specimenType",
          "valueCode": "068"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00447",
      "display": "H1N1 (Death Case)",
      "definition": "H1N1 (Death Case)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "77026-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Lung"
        },
        {
          "code": "specimenType",
          "valueCode": "069"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00448",
      "display": "H7N9 PCR",
      "definition": "H7N9 PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "38270-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Nasopharyngeal aspirate, nasopharyngeal wash, broncho-alveolar lavage, endotracheal tube aspirate"
        },
        {
          "code": "specimenType",
          "valueCode": "070"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Falcon tube"
        },
        {
          "code": "containerType",
          "valueCode": "007"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00449",
      "display": "H7N9 PCR",
      "definition": "H7N9 PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "49527-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Nasopharyngeal swab, nasal swab, throat swab"
        },
        {
          "code": "specimenType",
          "valueCode": "071"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Viral Transport Medium"
        },
        {
          "code": "containerType",
          "valueCode": "056"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00450",
      "display": "HCV-RNA PCR Genotyping",
      "definition": "HCV-RNA PCR Genotyping",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "32286-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00451",
      "display": "Hepatitis A IgM/ IgG",
      "definition": "Hepatitis A IgM/ IgG",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "22312-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00452",
      "display": "Hepatitis B Core IgM Ab",
      "definition": "Hepatitis B Core IgM Ab",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "24113-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00453",
      "display": "Hepatitis B core Total Antibody (HBc Total Ab)",
      "definition": "Hepatitis B core Total Antibody (HBc Total Ab)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "22316-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube / EDTA tube / Lithium Heparin tube"
        },
        {
          "code": "containerType",
          "valueCode": "057"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00454",
      "display": "Hepatitis B DNA Viral Load",
      "definition": "Hepatitis B DNA Viral Load",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "29615-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00455",
      "display": "Hepatitis B e Antibody (HBeAb)",
      "definition": "Hepatitis B e Antibody (HBeAb)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "13953-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube / EDTA tube / Lithium Heparin tube"
        },
        {
          "code": "containerType",
          "valueCode": "057"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00456",
      "display": "Hepatitis B e Antigen (HBeAg)",
      "definition": "Hepatitis B e Antigen (HBeAg)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "13954-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube / EDTA tube / Lithium Heparin tube"
        },
        {
          "code": "containerType",
          "valueCode": "057"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00457",
      "display": "Hepatitis B Surface Antibody (HBsAb)",
      "definition": "Hepatitis B Surface Antibody (HBsAb)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "16935-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube / EDTA tube / Lithium Heparin tube"
        },
        {
          "code": "containerType",
          "valueCode": "057"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00458",
      "display": "Hepatitis B Surface Antigen (HBsAg)",
      "definition": "Hepatitis B Surface Antigen (HBsAg)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "58452-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube / EDTA tube / Lithium Heparin tube"
        },
        {
          "code": "containerType",
          "valueCode": "057"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00459",
      "display": "Hepatitis C Anibody (Anti HCV)",
      "definition": "Hepatitis C Anibody (Anti HCV)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "5198-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube / EDTA tube / Lithium Heparin tube"
        },
        {
          "code": "containerType",
          "valueCode": "057"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00460",
      "display": "Hepatitis C Antigen",
      "definition": "Hepatitis C Antigen",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "49846-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00461",
      "display": "Hepatitis C RNA PCR",
      "definition": "Hepatitis C RNA PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "10676-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00462",
      "display": "Herpes Simplex Virus (HSV) I & II IgG & IgM",
      "definition": "Herpes Simplex Virus (HSV) I & II IgG & IgM",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "44480-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00463",
      "display": "HFMD",
      "definition": "HFMD",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "88540-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Throat swab, vesicle swab, rectal swab"
        },
        {
          "code": "specimenType",
          "valueCode": "072"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Viral Transport Medium"
        },
        {
          "code": "containerType",
          "valueCode": "056"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00464",
      "display": "HFMD",
      "definition": "HFMD",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "74424-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Stool"
        },
        {
          "code": "specimenType",
          "valueCode": "014"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00465",
      "display": "HFMD",
      "definition": "HFMD",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "62464-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00466",
      "display": "HIV Antibody",
      "definition": "HIV Antibody",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "22356-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube / EDTA tube / Lithium Heparin tube"
        },
        {
          "code": "containerType",
          "valueCode": "057"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00467",
      "display": "HIV Antibody (Rapid Test)",
      "definition": "HIV Antibody (Rapid Test)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "89365-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00468",
      "display": "HIV Antigen",
      "definition": "HIV Antigen",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "16976-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube / EDTA tube / Lithium Heparin tube"
        },
        {
          "code": "containerType",
          "valueCode": "057"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00469",
      "display": "HIV RNA Viral Load",
      "definition": "HIV RNA Viral Load",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "20447-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00470",
      "display": "HIV-1 RNAs",
      "definition": "HIV-1 RNAs",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "25835-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00471",
      "display": "HLA Antibody Test Panel Reactive Antibody Test (PRA) / Donor Spesific Antibody",
      "definition": "HLA Antibody Test Panel Reactive Antibody Test (PRA) / Donor Spesific Antibody",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "46993-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00472",
      "display": "HLA Cross Matching (Donor)",
      "definition": "HLA Cross Matching (Donor)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "51938-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sodium Heparin tube"
        },
        {
          "code": "containerType",
          "valueCode": "034"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00473",
      "display": "HLA Cross Matching (Patient)",
      "definition": "HLA Cross Matching (Patient)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "51937-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00474",
      "display": "HPV DNA",
      "definition": "HPV DNA",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "162280-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00475",
      "display": "HSV I & II Genome DNA Detection",
      "definition": "HSV I & II Genome DNA Detection",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "47409-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00476",
      "display": "HSV I & II Genome DNA Detection",
      "definition": "HSV I & II Genome DNA Detection",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "34655-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Cerebrospinal fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "006"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Falcon tube"
        },
        {
          "code": "containerType",
          "valueCode": "007"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00477",
      "display": "HTLV I &II - Antibody Screening ELISA",
      "definition": "HTLV I &II - Antibody Screening ELISA",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "22363-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00478",
      "display": "IgE, Spesific (per allergen)",
      "definition": "IgE, Spesific (per allergen)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14292-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00479",
      "display": "Influenza A Serotyping",
      "definition": "Influenza A Serotyping",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "80381-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Nasopharyngeal aspirate"
        },
        {
          "code": "specimenType",
          "valueCode": "041"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Falcon tube"
        },
        {
          "code": "containerType",
          "valueCode": "007"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00480",
      "display": "Influenza-like Illness (ILI)",
      "definition": "Influenza-like Illness (ILI)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "72365-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Nasopharyngeal swab, nasal swab, throat swab"
        },
        {
          "code": "specimenType",
          "valueCode": "071"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Viral Transport Medium"
        },
        {
          "code": "containerType",
          "valueCode": "056"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00481",
      "display": "Influenza-like Illness (ILI)",
      "definition": "Influenza-like Illness (ILI)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "72366-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Nasopharyngeal aspirate, bronchoalveolar lavage, ETT aspirate"
        },
        {
          "code": "specimenType",
          "valueCode": "073"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Falcon tube"
        },
        {
          "code": "containerType",
          "valueCode": "007"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00482",
      "display": "Japanese Encephalitis Virus (JE) Serology / PCR",
      "definition": "Japanese Encephalitis Virus (JE) Serology / PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "22370-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00483",
      "display": "Japanese Encephalitis Virus (JE) Serology / PCR",
      "definition": "Japanese Encephalitis Virus (JE) Serology / PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "22369-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Cerebrospinal fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "006"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Falcon tube"
        },
        {
          "code": "containerType",
          "valueCode": "007"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00484",
      "display": "JC PCR",
      "definition": "JC PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "32363-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00485",
      "display": "JC PCR",
      "definition": "JC PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "33295-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Cerebrospinal fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "006"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Falcon tube"
        },
        {
          "code": "containerType",
          "valueCode": "007"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00486",
      "display": "JC PCR",
      "definition": "JC PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "35661-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00487",
      "display": "Legionella IgM/ IgG",
      "definition": "Legionella IgM/ IgG",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "38392-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00488",
      "display": "Leishmaniasis Serology",
      "definition": "Leishmaniasis Serology",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "10686-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube / EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "017"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00489",
      "display": "Leptospira Antibody IgM (MAT)",
      "definition": "Leptospira Antibody IgM (MAT)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "23197-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00490",
      "display": "Leptospira IgM",
      "definition": "Leptospira IgM",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "23202-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00491",
      "display": "Leptospirosis PCR",
      "definition": "Leptospirosis PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "52989-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00492",
      "display": "Leptospirosis PCR",
      "definition": "Leptospirosis PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "23205-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Body fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "008"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00493",
      "display": "Lymphocyte Proliferation Test",
      "definition": "Lymphocyte Proliferation Test",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "53810-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sodium Heparin tube"
        },
        {
          "code": "containerType",
          "valueCode": "034"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00494",
      "display": "Lymphocyte Subset Enumeration Test",
      "definition": "Lymphocyte Subset Enumeration Test",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "90416-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00495",
      "display": "Measles IgM & IgG",
      "definition": "Measles IgM & IgG",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "44012-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00496",
      "display": "Measles RT-PCR",
      "definition": "Measles RT-PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "91077-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Nasopharyngeal aspirate"
        },
        {
          "code": "specimenType",
          "valueCode": "041"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Falcon tube"
        },
        {
          "code": "containerType",
          "valueCode": "007"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00497",
      "display": "Measles RT-PCR",
      "definition": "Measles RT-PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "86577-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00498",
      "display": "Measles RT-PCR",
      "definition": "Measles RT-PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "91132-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Throat swab"
        },
        {
          "code": "specimenType",
          "valueCode": "056"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Viral Transport Medium"
        },
        {
          "code": "containerType",
          "valueCode": "056"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00499",
      "display": "Measles Virus Isolation",
      "definition": "Measles Virus Isolation",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14538-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Nasopharyngeal aspirate"
        },
        {
          "code": "specimenType",
          "valueCode": "041"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Falcon tube"
        },
        {
          "code": "containerType",
          "valueCode": "007"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00500",
      "display": "Measles Virus Isolation",
      "definition": "Measles Virus Isolation",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14542-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00501",
      "display": "Measles Virus Isolation",
      "definition": "Measles Virus Isolation",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "14535-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Throat swab"
        },
        {
          "code": "specimenType",
          "valueCode": "056"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Viral Transport Medium"
        },
        {
          "code": "containerType",
          "valueCode": "056"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00502",
      "display": "Meiloidosis (Antibody) IgM",
      "definition": "Meiloidosis (Antibody) IgM",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "7989-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00503",
      "display": "MERS-CoV PCR",
      "definition": "MERS-CoV PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "74408-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Sputum, naspharyngeal aspirate, ETT secretion, broncho-alveolar lavage"
        },
        {
          "code": "specimenType",
          "valueCode": "074"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00504",
      "display": "MERS-CoV PCR",
      "definition": "MERS-CoV PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "74408-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Oropharyngeal swab, nasopharyngeal swab"
        },
        {
          "code": "specimenType",
          "valueCode": "075"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Viral Transport Medium"
        },
        {
          "code": "containerType",
          "valueCode": "056"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00505",
      "display": "Mumps IgM & IgG",
      "definition": "Mumps IgM & IgG",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "73560-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00506",
      "display": "Mycoplasma Pneumoniae",
      "definition": "Mycoplasma Pneumoniae",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "5256-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00507",
      "display": "Panel Skin Antibodies",
      "definition": "Panel Skin Antibodies:\ni - Anti-BP 180\nii - Anti-BP 230\niii - Anti-Desmoglein\niv - Anti-Desmoglein 3",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "43309-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00508",
      "display": "Paraneoplastic Neurological Syndrome (PNS) Test",
      "definition": "Paraneoplastic Neurological Syndrome (PNS) Test:\ni - Anti-Amphiphysin\nii - Anti-Ma\niii - Anti-Yo\niv - Anti-Ri\nv - Anti-Hu\nvi - Anti-CV2",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "43104-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00509",
      "display": "Parvovirus PCR",
      "definition": "Parvovirus PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "49431-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00510",
      "display": "Parvovirus PCR",
      "definition": "Parvovirus PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "49429-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Bone Marrow"
        },
        {
          "code": "specimenType",
          "valueCode": "076"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00511",
      "display": "Parvovirus-B19 IgG & IgM",
      "definition": "Parvovirus-B19 IgG & IgM",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "34950-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00512",
      "display": "Phospholipase A2 Receptor Antibody (Anti-PLA2R)",
      "definition": "Phospholipase A2 Receptor Antibody (Anti-PLA2R)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "82991-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00513",
      "display": "Pneumocystic Jirovecii (PCP)",
      "definition": "Pneumocystic Jirovecii (PCP)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "6520-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Sputum"
        },
        {
          "code": "specimenType",
          "valueCode": "031"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00514",
      "display": "Rabies Virus RT-PCR",
      "definition": "Rabies Virus RT-PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "88215-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Sputum"
        },
        {
          "code": "specimenType",
          "valueCode": "031"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00515",
      "display": "Rapid Plasma Reagin (RPR)",
      "definition": "Rapid Plasma Reagin (RPR)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "39231-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00516",
      "display": "Respiratory Virus Ag Rapid Test",
      "definition": "Respiratory Virus Ag Rapid Test",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "5876-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Nasopharyngeal aspirate"
        },
        {
          "code": "specimenType",
          "valueCode": "041"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Falcon tube"
        },
        {
          "code": "containerType",
          "valueCode": "007"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00517",
      "display": "Respiratory Virus Screening (RVS)",
      "definition": "Respiratory Virus Screening (RVS)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "5876-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Nasopharyngeal aspirate"
        },
        {
          "code": "specimenType",
          "valueCode": "041"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Falcon tube"
        },
        {
          "code": "containerType",
          "valueCode": "007"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00518",
      "display": "Respiratory Virus Screening (RVS)",
      "definition": "Respiratory Virus Screening (RVS)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "5876-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Nasopharyngeal swab"
        },
        {
          "code": "specimenType",
          "valueCode": "077"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Viral Transport Medium"
        },
        {
          "code": "containerType",
          "valueCode": "056"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00519",
      "display": "Rheumatoid factor (RF)",
      "definition": "Rheumatoid factor (RF)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "31046-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Broncho-alveolar lavage"
        },
        {
          "code": "specimenType",
          "valueCode": "037"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Falcon tube"
        },
        {
          "code": "containerType",
          "valueCode": "007"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00520",
      "display": "Rheumatoid factor (RF)",
      "definition": "Rheumatoid factor (RF)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "33910-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00521",
      "display": "Rickettsia PCR",
      "definition": "Rickettsia PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "53608-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00522",
      "display": "Rickettsia PCR",
      "definition": "Rickettsia PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "48869-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Eschar tissue biopsy"
        },
        {
          "code": "specimenType",
          "valueCode": "078"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00523",
      "display": "Rubella IgG",
      "definition": "Rubella IgG",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "8014-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube / EDTA tube / Lithium Heparin tube"
        },
        {
          "code": "containerType",
          "valueCode": "057"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00524",
      "display": "Rubella IgM",
      "definition": "Rubella IgM",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "8015-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube / EDTA tube / Lithium Heparin tube"
        },
        {
          "code": "containerType",
          "valueCode": "057"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00525",
      "display": "SARS",
      "definition": "SARS",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "41459-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Nasopharyngeal aspirate, bronchoalveolar lavage, ETT aspirate"
        },
        {
          "code": "specimenType",
          "valueCode": "073"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Falcon tube"
        },
        {
          "code": "containerType",
          "valueCode": "007"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00526",
      "display": "SARS",
      "definition": "SARS",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "41459-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00527",
      "display": "SARS-CoV 2 Antibody",
      "definition": "SARS-CoV 2 Antibody",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "60426-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00528",
      "display": "Toxoplasma IgG",
      "definition": "Toxoplasma IgG",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "5388-4"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube / EDTA tube / Lithium Heparin tube"
        },
        {
          "code": "containerType",
          "valueCode": "057"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00529",
      "display": "Toxoplasma IgM",
      "definition": "Toxoplasma IgM",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "5390-0"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube / EDTA tube / Lithium Heparin tube"
        },
        {
          "code": "containerType",
          "valueCode": "057"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00530",
      "display": "Treponema Pallidum Particle Agglutination (TPPA)",
      "definition": "Treponema Pallidum Particle Agglutination (TPPA)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "6561-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00531",
      "display": "Trichinellosis Serology",
      "definition": "Trichinellosis Serology",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "22595-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube / EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "017"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00532",
      "display": "Tryptase",
      "definition": "Tryptase",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "12733-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00533",
      "display": "Typhidot (Salmonella IgG)",
      "definition": "Typhidot (Salmonella IgG)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "9674-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00534",
      "display": "Typhidot (Salmonella IgM)",
      "definition": "Typhidot (Salmonella IgM)",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "9673-5"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00535",
      "display": "Varicella Zoster (VSV) IgM",
      "definition": "Varicella Zoster (VSV) IgM",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "17766-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00536",
      "display": "Varicella Zoster (VSV) PCR",
      "definition": "Varicella Zoster (VSV) PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "29248-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00537",
      "display": "Varicella Zoster (VSV) PCR",
      "definition": "Varicella Zoster (VSV) PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "88536-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Broncho-alveolar lavage"
        },
        {
          "code": "specimenType",
          "valueCode": "037"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00538",
      "display": "Varicella Zoster (VSV) PCR",
      "definition": "Varicella Zoster (VSV) PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "21598-8"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Cerebrospinal fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "006"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Falcon tube"
        },
        {
          "code": "containerType",
          "valueCode": "007"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00539",
      "display": "Viral Study/ Viral Culture",
      "definition": "Viral Study/ Viral Culture",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "5888-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Autopsy specimen"
        },
        {
          "code": "specimenType",
          "valueCode": "079"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00540",
      "display": "Viral Study/ Viral Culture",
      "definition": "Viral Study/ Viral Culture",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "5884-2"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Cerebrospinal fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "006"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Falcon tube"
        },
        {
          "code": "containerType",
          "valueCode": "007"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00541",
      "display": "Zika Virus PCR",
      "definition": "Zika Virus PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "91078-6"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00542",
      "display": "Zika Virus PCR",
      "definition": "Zika Virus PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "90462-3"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Cord blood"
        },
        {
          "code": "specimenType",
          "valueCode": "015"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Plain tube"
        },
        {
          "code": "containerType",
          "valueCode": "001"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00543",
      "display": "Zika Virus PCR",
      "definition": "Zika Virus PCR",
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        {
          "code": "codeLoinc",
          "valueCode": "85623-7"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Urine"
        },
        {
          "code": "specimenType",
          "valueCode": "002"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Sterile container"
        },
        {
          "code": "containerType",
          "valueCode": "025"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "00544",
      "display": "Zika Virus PCR",
      "definition": "Zika Virus PCR",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "86594-9"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Serology"
        },
        {
          "code": "subGroup",
          "valueCode": "05"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Cerebrospinal fluid"
        },
        {
          "code": "specimenType",
          "valueCode": "006"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "Falcon tube"
        },
        {
          "code": "containerType",
          "valueCode": "007"
        },
        {
          "code": "combineSample",
          "valueBoolean": true
        },
        {
          "code": "formRequired",
          "valueBoolean": false
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS1",
      "display": "Gentamicin PRE",
      "definition": "Gentamicin PRE",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS10",
      "display": "Amikacin post 1 hour",
      "definition": "Amikacin post 1 hour",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS11",
      "display": "Amikacin post 2 hours",
      "definition": "Amikacin post 2 hours",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS12",
      "display": "Amikacin post 6 hours",
      "definition": "Amikacin post 6 hours",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS13",
      "display": "Vancomycin PRE",
      "definition": "Vancomycin PRE",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS14",
      "display": "Vancomycin POST",
      "definition": "Vancomycin POST",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS15",
      "display": "Vancomycin random",
      "definition": "Vancomycin random",
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        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS16",
      "display": "Phenytoin PRE",
      "definition": "Phenytoin PRE",
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        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS17",
      "display": "Phenytoin random",
      "definition": "Phenytoin random",
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        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS18",
      "display": "Valproic Acid PRE",
      "definition": "Valproic Acid PRE",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS19",
      "display": "Valproic Acid random",
      "definition": "Valproic Acid random",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS2",
      "display": "Gentamicin POST",
      "definition": "Gentamicin POST",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS20",
      "display": "Carbamazepine PRE",
      "definition": "Carbamazepine PRE",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS21",
      "display": "Carbamazepine random",
      "definition": "Carbamazepine random",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS22",
      "display": "Phenobarbitone PRE",
      "definition": "Phenobarbitone PRE",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS23",
      "display": "Phenobarbitone random",
      "definition": "Phenobarbitone random",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS24",
      "display": "Digoxin PRE",
      "definition": "Digoxin PRE",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS25",
      "display": "Digoxin random",
      "definition": "Digoxin random",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS26",
      "display": "Aminophylline PRE",
      "definition": "Aminophylline PRE",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS27",
      "display": "Aminophylline random",
      "definition": "Aminophylline random",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS28",
      "display": "Cyclosporin PRE",
      "definition": "Cyclosporin PRE",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS29",
      "display": "Cyclosporin random",
      "definition": "Cyclosporin random",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS3",
      "display": "Gentamicin random",
      "definition": "Gentamicin random",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS30",
      "display": "Tacrolimus PRE",
      "definition": "Tacrolimus PRE",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS31",
      "display": "Sirolimus PRE",
      "definition": "Sirolimus PRE",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS32",
      "display": "Methotrexate Random",
      "definition": "Methotrexate Random",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS33",
      "display": "Salicylate Random",
      "definition": "Salicylate Random",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS34",
      "display": "Paracetamol Random",
      "definition": "Paracetamol Random",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS4",
      "display": "Gentamicin post 1 hour",
      "definition": "Gentamicin post 1 hour",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS5",
      "display": "Gentamicin post 2 hours",
      "definition": "Gentamicin post 2 hours",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS6",
      "display": "Gentamicin post 6 hours",
      "definition": "Gentamicin post 6 hours",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS7",
      "display": "Amikacin PRE",
      "definition": "Amikacin PRE",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS8",
      "display": "Amikacin POST",
      "definition": "Amikacin POST",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS9",
      "display": "Amikacin random",
      "definition": "Amikacin random",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS35",
      "display": "Tacrolimus random",
      "definition": "Tacrolimus random",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS36",
      "display": "Everolimus Pre",
      "definition": "Everolimus Pre",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS37",
      "display": "Everolimus Random",
      "definition": "Everolimus Random",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS38",
      "display": "Salicylate Random",
      "definition": "Salicylate Random",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS39",
      "display": "Lithium Random",
      "definition": "Lithium Random",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS40",
      "display": "Lithium POST",
      "definition": "Lithium POST",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS41",
      "display": "Lithium PRE",
      "definition": "Lithium PRE",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS42",
      "display": "Digoxin POST",
      "definition": "Digoxin POST",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS43",
      "display": "Lamotrigine Random",
      "definition": "Lamotrigine Random",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS44",
      "display": "Levetiracetam Random",
      "definition": "Levetiracetam Random",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS45",
      "display": "Benzodiazepine Random",
      "definition": "Benzodiazepine Random",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS46",
      "display": "Ethanol Random",
      "definition": "Ethanol Random",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS47",
      "display": "Cyclosporin Post2",
      "definition": "Cyclosporin Post2",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS48",
      "display": "Mycophenolate Pre",
      "definition": "Mycophenolate Pre",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS49",
      "display": "Mycophenolate Random",
      "definition": "Mycophenolate Random",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    },
    {
      "code": "TDMS50",
      "display": "Mycophenolate Post",
      "definition": "Mycophenolate Post",
      "property": [
        {
          "code": "codeLoinc",
          "valueCode": "18721-1"
        },
        {
          "code": "subGroupDisplay",
          "valueString": "Pharmacy"
        },
        {
          "code": "subGroup",
          "valueCode": "06"
        },
        {
          "code": "specimenTypeDisplay",
          "valueString": "Blood"
        },
        {
          "code": "specimenType",
          "valueCode": "001"
        },
        {
          "code": "containerTypeDisplay",
          "valueString": "EDTA tube"
        },
        {
          "code": "containerType",
          "valueCode": "005"
        },
        {
          "code": "combineSample",
          "valueBoolean": false
        },
        {
          "code": "formRequired",
          "valueBoolean": true
        },
        {
          "code": "formType",
          "valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
        }
      ]
    }
  ]
}

name : CodeSystemLabIdCore

{

}