Implementasi Use Case Tuberkulosis
Implementasi pelaporan kasus Tuberculosis (TB) secara umum dapat dikelompokkan menjadi 5 tahapan proses sebagai berikut:
- Registrasi Kasus
- Pemeriksaan Penunjang
- Verifikasi Kasus
- Kunjungan Pengobatan Bulanan
- Kunjungan Akhir Pengobatan
Proses dimulai dari megistrasikan kasus yang berupa identitas pasien dan FASYANKES tempat terjadinya pemeriksaan disertai dengan permintaan pemeriksaan penunjang (laboratorium dan radiologi) yang dibutuhkan untuk dapat melakukan case finding. Hasil temuan yang diperoleh dari pemeriksaan penunjang digunakan untuk memverifikasi data kasus untuk menentukan bagaimana perawatan(pengobatan) kasus Tuberculosis selanjutnya.
Dalam pelaksanaannya proses Registrasi Kasus, Pemeriksaan Penunjang hingga Verifikasi Kasus dapat dilaksanakan satu rangkaian pencatatan di awal perekaman kasus. Sehingga proses perekaman data TB dapat dikelompokkan menjadi tiga sesuai dengan fase pelaksanaannya seperti yang tergambar pada diagram berikut.
Data yang telah Terkonfirmasi Bakteriologis dan Terdiagnosis Klinis akan ditindaklanjuti dengan pencatatan pada kunjungan perawatan bulanan. Data kunjungan tiap bulan tersebut dicatat dan dikirim sesuai tata laksana yaitu pada bulan kedua, ketiga dan kelima secara rutin. Baru kemudian pada kunjungan akhir perawatan dilakukan pencatatan hasil akhir dan dikirimkan ke SATUSEHAT.
Strategi Pengiriman data ke SATUSEHAT
SATUSEHAT menyediakan dua pilihan cara mengirimkan data use case Tuberkulosis:
1. Berbasis Resource
Data dapat dikirimkan secara berurutan sesuai resource yang terlibat pada alur pelayanan terkait. Sebagai contoh: ketika mengirimkan data registrasi pasus saja yang berisikan resource Encounter dan Condition, maka implementor mengirimkan resource-resource tersebut ke SATUSEHAT secara berurutan sesuai dependensinya.
2. Berbasis Bundle
Data dapat dikirimkan seluruh resource yang terlibat pada alur pelayanan terkait dengan menggunakan satu langkah pengiriman data ke SATUSEHAT menggunakan profil FHIR bernama Bundle.
Resource-resource yang terlibat di setiap tahapan alur pelayanan untuk use case Tuberkulosis adalah sebagai berikut:
| No | Resource | Entry Mandatory |
|---|---|---|
| 1 | Encounter * | Required |
| 2 | Observation | Required |
| 3 | DiagnosticReport | Required |
| 4 | Condition | Required |
| 5 | EpisodeOfCare | Required |
| 6 | Medication | Optional |
| 7 | MedicationRequest | Optional |
| 8 | QuestionnaireResponse | Required |
* ) Profile Resource yang direkomendasikan tersedia pada proses pencatatan Mandatory )
- Required: Entry resource harus dilibatkan setiap kali mengirimkan bundle
- Optional: Entry resource dapat tidak dilibatkan setiap kali mengirimkan bundle
Perekaman awal kasus Tuberkulosis: dimulai dari Registrasi Kasus, Pemeriksaan Penunjang dan diakhiri oleh Verifikasi Kasus Temuan
A. Registrasi Kasus
Proses ini secara khusus untuk meregistrasikan data kunjungan pasien, fasyankes tempat pemeriksaan serta permintaan pemeriksaan laboratorium atau radiologis. Karena data pasien di dalam SATUSEHAT sudah terdaftar lebih dulu, sehingga registrasi data pasien baru tidak perlukan. Dengan demikian maka entry data untuk resource Patient tidak perlu diikutsertakan dalam bundle data yang dikirim.
Disamping itu terkait dengan data FASYANKES tempat dilakukannya perawatan TB juga tidak perlu dikirimkan data alamat seperti provinsi, dan kabupaten/kota karena data sudah tersedia pada Facility Master Index yang ada di SATUSEHAT. Referensi terkait data FASYANKES dapat dilakukan menggunakan kode referensi SATUSEHAT Number FASYANKES untuk menandai EpisodeOfCare.managingOrganization dan Encounter.serviceProvider.
I. Berbasis Resource
Entry Resources yang digunakan
| No | Nama Resource | Entry Mandatory | Metode |
|---|---|---|---|
| 1 | Encounter | Required | BUAT BARU (POST) |
1. Encouter
{ "resourceType": "Encounter", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/encounter/10084561", "value": "P20240001" } ], "status": "arrived", "class": { "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "AMB", "display": "ambulatory" }, "subject": { "reference": "Patient/100000030009", "display": "Budi Santoso" }, "participant": [ { "type": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "ATND", "display": "attender" } ] } ], "individual": { "reference": "Practitioner/N10000001", "display": "Dokter Bronsig" } } ], "period": { "start": "2022-06-14T07:00:00+07:00" }, "location": [ { "location": { "reference": "Location/ef011065-38c9-46f8-9c35-d1fe68966a3e", "display": "Ruang 1A, Poliklinik Rawat Jalan" } } ], "statusHistory": [ { "status": "arrived", "period": { "start": "2022-06-14T07:00:00+07:00", "end": "2022-06-14T09:00:00+07:00" } } ], "serviceProvider": { "reference": "Organization/10084561" } }
{
"resourceType": "Encounter",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/encounter/{{FACILITY_IHS_NUMBER}}",
"value": "{{ENCOUNTER_LOCAL_CODE}}"
}
],
"status": "arrived",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
},
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}",
"display": "{{PATIENT_NAME}}"
},
"participant": [
{
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "ATND",
"display": "attender"
}
]
}
],
"individual": {
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
"display": "{{DOCTOR_NAME}}"
}
}
],
"period": {
"start": "{{ENCOUNTER_PERIOD1_START}}"
},
"location": [
{
"location": {
"reference": "Location/{{ENCOUNTER_LOCATION_ID}}",
"display": "{{ENCOUNTER_LOCATION_NAME}}"
}
}
],
"statusHistory": [
{
"status": "arrived",
"period": {
"start": "{{ENCOUNTER_PERIOD1_START}}",
"end": "{{ENCOUNTER_PERIOD1_END}}"
}
}
],
"serviceProvider": {
"reference": "Organization/{{FACILITY_IHS_NUMBER}}"
}
}
| Variabel | Deskripsi |
|---|---|
| ENCOUNTER_LOCAL_CODE | ID Lokal untuk Kunjungan/Encounter |
| PATIENT_IHS_NUMBER | SATUSEHAT ID Number untuk Pasien |
| PATIENT_NAME | Nama Pasien |
| DOCTOR_IHS_NUMBER | SATUSEHAT ID untuk Dokter/Nakes |
| DOCTOR_NAME | Nama Dokter/Nakes |
| FACILITY_IHS_NUMBER | SATUSEHAT ID untuk FASYANKES |
| ENCOUNTER_PERIOD1_START | Waktu mulai/check-in kunjungan |
| ENCOUNTER_PERIOD1_END | Waktu mulai/check-out kunjungan |
| ENCOUNTER_LOCATION_ID | ID Location tempat kunjungan dilakukan |
| ENCOUNTER_LOCATION_NAME | Nama Location tempat kunjungan dilakukan |
II. Berbasis Bundle
B. Pemeriksaan Penunjang
Pada tahap ini dilakukan pencatatan terhadap hasil pemeriksaan penunjang laboratorium atau radiologis berupa DiagnosticReport.
CATATAN:Hasil pemeriksaan penunjang tersebut dapat mereferensi ke Encounter (kunjungan) yang sama dengan Encounter registrasi, jika hasil pemeriksaan dapat diperoleh di kunjungan (hari) yang sama. Jika hasil pemeriksaan tidak bisa segera didapatkan dan harus kembali di kunjungan berikutnya maka dapat membuat Encounter baru sesuai kunjungan tersebut.
I. Berbasis Resource
Entry Resources yang digunakan
| No | Nama Resource | Entry Mandatory | Metode |
|---|---|---|---|
| 1 | Encounter | Required | UPDATE(PUT) jika pemeriksaan dilakukan dikunjungan yang sama atau BUAT BARU(POST) jika berbeda kunjungan |
| 2 | Observation | Required | BUAT BARU(POST) |
| 3 | DiagnosticReport | Required | BUAT BARU(POST) |
1. Encouter
{ "resourceType": "Encounter", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/encounter/10084561", "value": "P20240001" } ], "status": "arrived", "class": { "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "AMB", "display": "ambulatory" }, "subject": { "reference": "Patient/100000030009", "display": "Budi Santoso" }, "participant": [ { "type": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "ATND", "display": "attender" } ] } ], "individual": { "reference": "Practitioner/N10000001", "display": "Dokter Bronsig" } } ], "period": { "start": "2022-06-14T07:00:00+07:00" }, "location": [ { "location": { "reference": "Location/ef011065-38c9-46f8-9c35-d1fe68966a3e", "display": "Ruang 1A, Poliklinik Rawat Jalan" } } ], "statusHistory": [ { "status": "arrived", "period": { "start": "2022-06-14T07:00:00+07:00", "end": "2022-06-14T09:00:00+07:00" } } ], "serviceProvider": { "reference": "Organization/10084561" } }
{
"resourceType": "Encounter",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/encounter/{{FACILITY_IHS_NUMBER}}",
"value": "{{ENCOUNTER_LOCAL_CODE}}"
}
],
"status": "arrived",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
},
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}",
"display": "{{PATIENT_NAME}}"
},
"participant": [
{
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "ATND",
"display": "attender"
}
]
}
],
"individual": {
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
"display": "{{DOCTOR_NAME}}"
}
}
],
"period": {
"start": "{{ENCOUNTER_PERIOD1_START}}"
},
"location": [
{
"location": {
"reference": "Location/{{ENCOUNTER_LOCATION_ID}}",
"display": "{{ENCOUNTER_LOCATION_NAME}}"
}
}
],
"statusHistory": [
{
"status": "arrived",
"period": {
"start": "{{ENCOUNTER_PERIOD1_START}}",
"end": "{{ENCOUNTER_PERIOD1_END}}"
}
}
],
"serviceProvider": {
"reference": "Organization/{{FACILITY_IHS_NUMBER}}"
}
}
| Variabel | Deskripsi |
|---|---|
| ENCOUNTER_LOCAL_CODE | ID Lokal untuk Kunjungan/Encounter |
| PATIENT_IHS_NUMBER | SATUSEHAT ID Number untuk Pasien |
| PATIENT_NAME | Nama Pasien |
| DOCTOR_IHS_NUMBER | SATUSEHAT ID untuk Dokter/Nakes |
| DOCTOR_NAME | Nama Dokter/Nakes |
| FACILITY_IHS_NUMBER | SATUSEHAT ID untuk FASYANKES |
| ENCOUNTER_PERIOD1_START | Waktu mulai/check-in kunjungan |
| ENCOUNTER_PERIOD1_END | Waktu mulai/check-out kunjungan |
| ENCOUNTER_LOCATION_ID | ID Location tempat kunjungan dilakukan |
| ENCOUNTER_LOCATION_NAME | Nama Location tempat kunjungan dilakukan |
2. Observation
Hasil Pemeriksaan Mikroskopis
{ "resourceType": "Observation", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/observation/10080058", "value": "O111111" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "11477-7", "display": "Microscopic observation [Identifier] in Sputum by Acid fast stain" } ] }, "subject": { "reference": "Patient/100000030009" }, "encounter": { "reference": "Encounter/fea39334-09bc-42a7-8063-a5d66abf4520" }, "effectiveDateTime": "2021-07-02", "issued": "2022-08-07T15:30:10+01:00", "performer": [ { "reference": "Practitioner/N10000001" }, { "reference": "Organization/10080058" } ], "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "260347006", "display": "+" } ] }, "referenceRange": [ { "text": "Negative" } ] }
Hasil Pemeriksaan Test Cepat Molekuler
{ "resourceType": "Observation", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/observation/1000004", "value": "O111111" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "88874-3", "display": "Mycobacterium tuberculosis complex DNA [Presence] in Isolate or Specimen by Molecular genetics method" } ] }, "subject": { "reference": "Patient/100000030009" }, "encounter": { "reference": "Encounter/14e8398c-1016-44b8-b619-a802b80d2c94" }, "effectiveDateTime": "2021-07-02", "issued": "2022-08-07T15:30:10+01:00", "performer": [ { "reference": "Practitioner/N10000001" }, { "reference": "Organization/10000004" } ], "valueCodeableConcept": { "coding": [ { "system": "http://loinc.org", "code": "LA11882-0", "display": "Detected" } ] }, "referenceRange": [ { "text": "Undetected" } ] }
Hasil Pemeriksaan Biakan
{ "resourceType": "Observation", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/observation/1000004", "value": "O111111" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "539-7", "display": "Mycobacterium sp identified in Sputum by Organism specific culture" } ] }, "subject": { "reference": "Patient/100000030009" }, "encounter": { "reference": "Encounter/14e8398c-1016-44b8-b619-a802b80d2c94" }, "effectiveDateTime": "2021-07-02", "issued": "2022-08-07T15:30:10+01:00", "performer": [ { "reference": "Practitioner/N10000001" }, { "reference": "Organization/10000004" } ], "dataAbsentReason": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason", "code": "not-performed", "display": "Not Performed" } ] }, "referenceRange": [ { "text": "Negative" } ] }
Hasil Pemeriksaan Foto Thorax
{ "resourceType": "Observation", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/observation/1000004", "value": "O111112" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "RAD", "display": "Radiology" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "24648-8", "display": "XR Chest PA upright" } ] }, "subject": { "reference": "Patient/100000030009" }, "encounter": { "reference": "Encounter/14e8398c-1016-44b8-b619-a802b80d2c94" }, "effectiveDateTime": "2022-06-14", "bodySite": { "coding": [ { "system": "http://snomed.info/sct", "code": "51185008", "display": "Chest" } ] }, "valueString": "Uraian hasil pemeriksaan: foto thorax, proyeksi PA, posisi erect, asimetris, inspirasi dan kondisi cukup dengan hasil: 1) tampak cavitas inhomogen di proyeksi pulmo bilateral terutama dextra, batas tak tegas disertai penebalan fibrotic, cavitas (+), 2) tak tampak pemadatan limfonodi hilus bilateral, 3) tampak kedua costofrenicus lancip, 4) tampak kedua diafragma licin dan tak mendatar, 5) cor CTR tak valid dinilai (asimetri), tampak kalsifikasi di arcus aorta dengan bentuk crescent, 6) sistem tulang yang tervisualisasi intact. Kesan: TB paru lama aktif, besar cor tak valid dinilai, aortosclerosis", "performer": [ { "reference": "Practitioner/N10000001" }, { "reference": "Organization/10000004" } ], "interpretation": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code": "POS", "display": "Positive" } ] } ], "referenceRange": [ { "text": "No abnormalities found" } ] }
Hasil Pemeriksaan Mikroskopis
{
"resourceType": "Observation",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
"value": "{{OBSERVATION1_LOCAL_CODE}}"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "11477-7",
"display": "Microscopic observation [Identifier] in Sputum by Acid fast stain"
}
]
},
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}"
},
"encounter": {
"reference": "Encounter/{{ENCOUNTER_REFERENCE_ID}}"
},
"effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
"issued": "{{OBSERVATION_ISSUED}}",
"performer": [
{
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}"
},
{
"reference": "Organization/{{FACILITY_IHS_NUMBER}}"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "260347006",
"display": "+"
}
]
},
"referenceRange": [
{
"text": "Negative"
}
]
}
Hasil Pemeriksaan Test Cepat Molekuler
{
"resourceType": "Observation",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
"value": "{{OBSERVATION3_LOCAL_CODE}}"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "88874-3",
"display": "Mycobacterium tuberculosis complex DNA [Presence] in Isolate or Specimen by Molecular genetics method"
}
]
},
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}"
},
"encounter": {
"reference": "Encounter/{{ENCOUNTER_REFERENCE_ID}}"
},
"effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
"issued": "{{OBSERVATION_ISSUED}}",
"performer": [
{
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}"
},
{
"reference": "Organization/{{FACILITY_IHS_NUMBER}}"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://loinc.org",
"code": "LA11882-0",
"display": "Detected"
}
]
},
"referenceRange": [
{
"text": "Undetected"
}
]
}
Hasil Pemeriksaan Biakan
{
"resourceType": "Observation",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
"value": "{{OBSERVATION7_LOCAL_CODE}}"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "539-7",
"display": "Mycobacterium sp identified in Sputum by Organism specific culture"
}
]
},
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}"
},
"encounter": {
"reference": "Encounter/{{ENCOUNTER_REFERENCE_ID}}"
},
"effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
"issued": "{{OBSERVATION_ISSUED}}",
"performer": [
{
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}"
},
{
"reference": "Organization/{{FACILITY_IHS_NUMBER}}"
}
],
"dataAbsentReason": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/data-absent-reason",
"code": "not-performed",
"display": "Not Performed"
}
]
},
"referenceRange": [
{
"text": "Negative"
}
]
}
Hasil Pemeriksaan Foto Thorax
{
"resourceType": "Observation",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
"value": "{{OBSERVATION8_LOCAL_CODE}}"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "RAD",
"display": "Radiology"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "24648-8",
"display": "XR Chest PA upright"
}
]
},
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}"
},
"encounter": {
"reference": "Encounter/{{ENCOUNTER_REFERENCE_ID}}"
},
"effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
"bodySite": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "51185008",
"display": "Chest"
}
]
},
"valueString": "Uraian hasil pemeriksaan: foto thorax, proyeksi PA, posisi erect, asimetris, inspirasi dan kondisi cukup dengan hasil: 1) tampak cavitas inhomogen di proyeksi pulmo bilateral terutama dextra, batas tak tegas disertai penebalan fibrotic, cavitas (+), 2) tak tampak pemadatan limfonodi hilus bilateral, 3) tampak kedua costofrenicus lancip, 4) tampak kedua diafragma licin dan tak mendatar, 5) cor CTR tak valid dinilai (asimetri), tampak kalsifikasi di arcus aorta dengan bentuk crescent, 6) sistem tulang yang tervisualisasi intact. Kesan: TB paru lama aktif, besar cor tak valid dinilai, aortosclerosis",
"performer": [
{
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}"
},
{
"reference": "Organization/{{FACILITY_IHS_NUMBER}}"
}
],
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "POS",
"display": "Positive"
}
]
}
],
"referenceRange": [
{
"text": "No abnormalities found"
}
]
}
| Variabel | Deskripsi |
|---|---|
| $GENERATED_UUID_ENCOUNTER | UUID Encounter yang digenerate |
| $CODE_OBSERVATION_1 | CodeSystem pemeriksaan mikroskopis |
| $CODE_OBSERVATION_2 | CodeSystem pemeriksaan test cepat |
| $CODE_OBSERVATION_3 | CodeSystem pemeriksaan biakan |
| $CODE_OBSERVATION_4 | CodeSystem pemeriksaan foto thorax |
| $VALUE_OBSERVATION_1 | Value pemeriksaan mikroskopis |
| $VALUE_OBSERVATION_2 | Value pemeriksaan test cepat |
| $VALUE_OBSERVATION_3 | Value pemeriksaan biakan |
| $VALUE_OBSERVATION_4 | Value pemeriksaan foto thorax |
3. DiagnosticReport
Hasil Pemeriksaan Mikroskopis
{ "resourceType": "DiagnosticReport", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/diagnostic/10000004/lab", "use": "official", "value": "5234342" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "MB", "display": "Microbiology" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "11477-7", "display": "Microscopic observation [Identifier] in Sputum by Acid fast stain" } ] }, "subject": { "reference": "Patient/100000030009" }, "encounter": { "reference": "Encounter/14e8398c-1016-44b8-b619-a802b80d2c94" }, "effectiveDateTime": "2012-12-01T12:00:00+01:00", "issued": "2012-12-01T12:00:00+01:00", "performer": [ { "reference": "Practitioner/N10000001" }, { "reference": "Organization/10000004" } ], "result": [ { "reference": "Observation/fee00417-ce11-41b7-9965-f0c11678efa1" } ], "conclusionCode": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "260347006", "display": "+" } ] } ] }
Hasil Pemeriksaan Test Cepat Molekuler
{ "resourceType": "DiagnosticReport", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/diagnostic/10000004/lab", "use": "official", "value": "5234342" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "MB", "display": "Microbiology" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "647-8", "display": "Microscopic observation [Identifier] in Sputum by Acid fast stain.Ziehl-Neelsen" } ] }, "subject": { "reference": "Patient/100000030009" }, "encounter": { "reference": "Encounter/14e8398c-1016-44b8-b619-a802b80d2c94" }, "effectiveDateTime": "2012-12-01T12:00:00+01:00", "issued": "2012-12-01T12:00:00+01:00", "performer": [ { "reference": "Practitioner/N10000001" }, { "reference": "Organization/10000004" } ], "result": [ { "reference": "Observation/a7cbd8da-6dc5-4bce-b078-55079c909d22", "display": "Mycobacterium tuberculosis complex DNA [Presence] in Isolate or Specimen by Molecular genetics method" }, { "reference": "Observation/5706a45e-52d1-4021-ab73-18239a0db648", "display": "Mycobacterium tuberculosis complex rpoB gene rifAMPin resistance mutation [Presence] by Molecular method" } ], "conclusionCode": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code": "S", "display": "Susceptible" } ] } ] }
Hasil Pemeriksaan Biakan
{ "resourceType": "DiagnosticReport", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/diagnostic/10000004/lab", "use": "official", "value": "5234342" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "MB", "display": "Microbiology" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "647-8", "display": "Microscopic observation [Identifier] in Sputum by Acid fast stain.Ziehl-Neelsen" } ] }, "subject": { "reference": "Patient/100000030009" }, "encounter": { "reference": "Encounter/14e8398c-1016-44b8-b619-a802b80d2c94" }, "effectiveDateTime": "2012-12-01T12:00:00+01:00", "issued": "2012-12-01T12:00:00+01:00", "performer": [ { "reference": "Practitioner/N10000001" }, { "reference": "Organization/10000004" } ], "result": [ { "reference": "Observation/93ee0e9e-3e17-4c8a-ab25-4ab3d0069d6d", "display": "Mycobacterium sp identified in Sputum by Organism specific culture" } ], "conclusionCode": [ { "coding": [ { "system": "http://loinc.org", "code": "LA6577-6", "display": "Negative" } ] } ] }
Hasil Pemeriksaan Foto Thorax
{ "resourceType": "DiagnosticReport", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/diagnostic/10000004/radiology", "use": "official", "value": "5234342" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "RAD", "display": "Radiology" } ] } ], "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "imaging", "display": "Imaging" } ] }, "subject": { "reference": "Patient/100000030009" }, "encounter": { "reference": "Encounter/14e8398c-1016-44b8-b619-a802b80d2c94" }, "effectiveDateTime": "2012-12-01T12:00:00+01:00", "issued": "2012-12-01T12:00:00+01:00", "performer": [ { "reference": "Practitioner/N10000001" }, { "reference": "Organization/10000004" } ], "result": [ { "reference": "Observation/359c66f2-0383-487a-8dee-69e71aea4de3", "display": "XR Chest PA upright" } ], "conclusionCode": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code": "POS", "display": "Positive" } ] } ] }
Hasil Pemeriksaan Mikroskopis
{
"resourceType": "DiagnosticReport",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/diagnostic/{{FACILITY_IHS_NUMBER}}/lab",
"use": "official",
"value": "{{DIAGNOSTICREPORT_LOCAL_CODE}}"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "Microbiology"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "11477-7",
"display": "Microscopic observation [Identifier] in Sputum by Acid fast stain"
}
]
},
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}"
},
"encounter": {
"reference": "Encounter/{{ENCOUNTER_REFERENCE_ID}}"
},
"effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
"issued": "{{OBSERVATION_ISSUED}}",
"performer": [
{
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}"
},
{
"reference": "Organization/{{FACILITY_IHS_NUMBER}}"
}
],
"result": [
{
"reference": "Observation/{{OBSERVATION1_REFERENCE_ID}}",
"display": "Microscopic observation [Identifier] in Sputum by Acid fast stain"
}
],
"conclusionCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "260347006",
"display": "+"
}
]
}
]
}
Hasil Pemeriksaan Test Cepat Molekuler
{
"resourceType": "DiagnosticReport",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/diagnostic/{{FACILITY_IHS_NUMBER}}/lab",
"use": "official",
"value": "{{DIAGNOSTICREPORT_LOCAL_CODE}}"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "Microbiology"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "647-8",
"display": "Microscopic observation [Identifier] in Sputum by Acid fast stain.Ziehl-Neelsen"
}
]
},
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}"
},
"encounter": {
"reference": "Encounter/{{ENCOUNTER_REFERENCE_ID}}"
},
"effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
"issued": "{{OBSERVATION_ISSUED}}",
"performer": [
{
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}"
},
{
"reference": "Organization/{{FACILITY_IHS_NUMBER}}"
}
],
"result": [
{
"reference": "Observation/{{OBSERVATION3_REFERENCE_ID}}",
"display": "Mycobacterium tuberculosis complex DNA [Presence] in Isolate or Specimen by Molecular genetics method"
},
{
"reference": "Observation/{{OBSERVATION5_REFERENCE_ID}}",
"display": "Mycobacterium tuberculosis complex rpoB gene rifAMPin resistance mutation [Presence] by Molecular method"
}
],
"conclusionCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "S",
"display": "Susceptible"
}
]
}
]
}
Hasil Pemeriksaan Biakan
{
"resourceType": "DiagnosticReport",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/diagnostic/{{FACILITY_IHS_NUMBER}}/lab",
"use": "official",
"value": "{{DIAGNOSTICREPORT_LOCAL_CODE}}"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "Microbiology"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "647-8",
"display": "Microscopic observation [Identifier] in Sputum by Acid fast stain.Ziehl-Neelsen"
}
]
},
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}"
},
"encounter": {
"reference": "Encounter/{{ENCOUNTER_REFERENCE_ID}}"
},
"effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
"issued": "{{OBSERVATION_ISSUED}}",
"performer": [
{
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}"
},
{
"reference": "Organization/{{FACILITY_IHS_NUMBER}}"
}
],
"result": [
{
"reference": "Observation/{{OBSERVATION6_REFERENCE_ID}}",
"display": "Mycobacterium sp identified in Sputum by Organism specific culture"
}
],
"conclusionCode": [
{
"coding": [
{
"system": "http://loinc.org",
"code": "LA6577-6",
"display": "Negative"
}
]
}
]
}
Hasil Pemeriksaan Foto Thorax
{
"resourceType": "DiagnosticReport",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/diagnostic/{{FACILITY_IHS_NUMBER}}/radiology",
"use": "official",
"value": "{{DIAGNOSTICREPORT_LOCAL_CODE}}"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "RAD",
"display": "Radiology"
}
]
}
],
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "imaging",
"display": "Imaging"
}
]
},
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}"
},
"encounter": {
"reference": "Encounter/{{ENCOUNTER_REFERENCE_ID}}"
},
"effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
"issued": "{{OBSERVATION_ISSUED}}",
"performer": [
{
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}"
},
{
"reference": "Organization/{{FACILITY_IHS_NUMBER}}"
}
],
"result": [
{
"reference": "Observation/{{OBSERVATION8_REFERENCE_ID}}",
"display": "XR Chest PA upright"
}
],
"conclusionCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "POS",
"display": "Positive"
}
]
}
]
}
| Variabel | Deskripsi |
|---|---|
| $GENERATED_UUID_DIAGNOSTIC_REPORT | UUID DiagnosticReport yang digenerate |
| $GENERATED_UUID_OBSERVATION_1 | UUID pemeriksaan mikroskopis yang digenerate |
| $GENERATED_UUID_OBSERVATION_2 | UUID pemeriksaan test cepat yang digenerate |
| $GENERATED_UUID_OBSERVATION_3 | UUID pemeriksaan biakan yang digenerate |
| $GENERATED_UUID_OBSERVATION_4 | UUID pemeriksaan foto thorax yang digenerate |
| $IHS_NUMBER_PASIEN | SATUSEHAT ID Number untuk Pasien |
| $IHS_NUMBER_DOKTER | SATUSEHAT ID Number untuk Dokter/Nakes |
| $IHS_NUMBER_FASYANKES | SATUSEHAT ID Number untuk FASYANKES |
| $NAMA_FASYANKES | Nama FASYANKES |
| $SNOMEDCT_TB_CONCLUSION | Kode SNOMED CT hasil diagnosa |
| $SNOMEDCT_TB_CONCLUSION_DISPLAY | Teks SNOMED CT hasil diagnosa |
II. Berbasis Bundle
C. Verifikasi Kasus
Data verifikasi kasus temuan merupakan kumpulan data hasil pemeriksaan lab dan diagnosis kasus TB yang terbungkus melalui resource Encounter (kunjungan).
Pembuatan Resource EpisodeOfCare bergantung pada hasil asesmen kasus TB. Jika asesmen menyatakan bahwa kasus Terkonfirmasi Bakteriologis atau Terdiagnosis Klinis maka entry resource EpisodeOfCare harus dipersiapkan terlebih dahulu sebagai wadah referensi untuk tiap Encounter yang dibuat baik pada tahap verifikasi kasus maupun saat melakukan kunjungan perawatan TB. Jika hasil asesmen tidak merujuk pada kesimpulan tersebut maka tidak perlu dibuatkan EpisodeOfCare, MedicationStatement dan QuestionnaireResponse untuk melengkapi pencatatan TB. Dengan demikian maka kasus dapat ditutup.
I. Berbasis Resouce
Entry Resources yang digunakan
| No | Nama Resource | Entry Mandatory | Metode |
|---|---|---|---|
| 1 | Condition | Required | BUAT BARU (POST) |
| 2 | EpisodeOfCare | Required | BUAT BARU (POST) |
| 3 | Encounter | Required | UPDATE (PUT) |
| 4 | Medication | Optional | BUAT BARU (POST) |
| 5 | MedicationRequest | Optional | BUAT BARU (POST) |
| 6 | QuestionnaireResponse | Required | BUAT BARU (POST) |
1. Condition
Diagnosis Primer
{ "resourceType": "Condition", "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active", "display": "Active" } ] }, "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-category", "code": "encounter-diagnosis", "display": "Encounter Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://hl7.org/fhir/sid/icd-10", "code": "A15.0", "display": "Tuberculosis of lung, confirmed by sputum microscopy with or without culture" } ] }, "subject": { "reference": "Patient/100000030009", "display": "Budi Santoso" }, "encounter": { "reference": "Encounter/14e8398c-1016-44b8-b619-a802b80d2c94" }, "onsetDateTime": "2022-07-29", "recordedDate": "2022-07-29" }
Diagnosis Sekunder (Opsional)
{ "resourceType": "Condition", "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active", "display": "Active" } ] }, "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-category", "code": "encounter-diagnosis", "display": "Encounter Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://hl7.org/fhir/sid/icd-10", "code": "E11.9", "display": "Non-insulin-dependent diabetes mellitus without complications " } ] }, "subject": { "reference": "Patient/100000030009", "display": "Budi Santoso" }, "encounter": { "reference": "Encounter/14e8398c-1016-44b8-b619-a802b80d2c94", "display": "Kunjungan Budi Santoso di hari Selasa, 14 Juni 2022" }, "onsetDateTime": "2022-07-29", "recordedDate": "2022-07-29" }
Diagnosis Primer
{
"resourceType": "Condition",
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
]
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
}
]
}
],
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/icd-10",
"code": "{{CONDITION1_ICD_CODE}}",
"display": "{{CONDITION1_ICD_DISPLAY}}"
}
]
},
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}",
"display": "{{PATIENT_NAME}}"
},
"encounter": {
"reference": "Encounter/{{ENCOUNTER_REFERENCE_ID}}"
},
"onsetDateTime": "{{CONDITION1_ONSET_DATETIME}}",
"recordedDate": "{{CONDITION1_RECORDED_DATETIME}}"
}
Diagnosis Sekunder (Opsional)
{
"resourceType": "Condition",
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
]
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
}
]
}
],
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/icd-10",
"code": "{{CONDITION2_ICD_CODE}}",
"display": "{{CONDITION2_ICD_DISPLAY}}"
}
]
},
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}",
"display": "{{PATIENT_NAME}}"
},
"encounter": {
"reference": "Encounter/{{ENCOUNTER_REFERENCE_ID}}"
},
"onsetDateTime": "{{CONDITION2_ONSET_DATETIME}}",
"recordedDate": "{{CONDITION2_RECORDED_DATETIME}}"
}
| Variabel | Deskripsi |
|---|---|
| $GENERATED_UUID_DIAGNOSIS | UUID untuk Diagnosis ICD-10 TB yang digenerate |
| $CODE_ICD10 | Kode ICD-10 untuk diagnosis Tuberculosis |
2. EpisodeOfCare
{ "resourceType": "EpisodeOfCare", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/episode-of-care/10084561/", "value": "EOC12345" } ], "status": "active", "statusHistory": [ { "status": "active", "period": { "start": "2022-01-01", "end": "2022-06-30" } } ], "type": [ { "coding": [ { "system": "https://terminology.kemkes.go.id/CodeSystem/episodeofcare-type", "code": "TB-SO", "display": "Tuberkulosis Sensitif Obat" } ] } ], "diagnosis": [ { "condition": { "reference": "Condition/20902b7d-bddd-4458-9d6c-8399eb8479be", "display": "Tuberculosis of lung, confirmed by sputum microscopy with or without culture" }, "role": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role", "code": "DD", "display": "Discharged Diagnosis" } ] }, "rank": 1 } ], "patient": { "reference": "Patient/100000030009", "display": "Budi Santoso" }, "managingOrganization": { "reference": "Organization/10084561" }, "period": { "start": "2022-01-01", "end": "2022-06-30" }, "careManager": { "reference": "Practitioner/N10000001", "display": "Dokter Bronsig" } }
{
"resourceType": "EpisodeOfCare",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/episode-of-care/{{FACILITY_IHS_NUMBER}}/",
"value": "{{EPISODEOFCARE_LOCAL_CODE}}"
}
],
"status": "active",
"statusHistory": [
{
"status": "active",
"period": {
"start": "{{EPISODEOFCARE_PERIOD1_START}}",
"end": "{{EPISODEOFCARE_PERIOD1_END}}"
}
}
],
"type": [
{
"coding": [
{
"system": "https://terminology.kemkes.go.id/CodeSystem/episodeofcare-type",
"code": "{{EPISODEOFCARE_TYPE_CODE}}",
"display": "{{EPISODEOFCARE_TYPE_DISPLAY}}"
}
]
}
],
"diagnosis": [
{
"condition": {
"reference": "Condition/{{CONDITION1_REFERENCE_ID}}",
"display": "{{CONDITION1_ICD_DISPLAY}}"
},
"role": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
"code": "DD",
"display": "Discharged Diagnosis"
}
]
},
"rank": 1
}
],
"patient": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}",
"display": "{{PATIENT_NAME}}"
},
"managingOrganization": {
"reference": "Organization/{{FACILITY_IHS_NUMBER}}"
},
"period": {
"start": "{{EPISODEOFCARE_PERIOD1_START}}",
"end": "{{EPISODEOFCARE_PERIOD1_END}}"
},
"careManager": {
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
"display": "{{DOCTOR_NAME}}"
}
}
| Variabel | Deskripsi |
|---|---|
| $GENERATED_UUID_EPISODEOFCARE | UUID EpisodeOfCare yang digenerate |
| $DATETIME_MULAI_PENGOBATAN | DateTime mulai pengobatan TB |
| $IHS_NUMBER_PASIEN | SATUSEHAT ID Number untuk Pasien |
| $NAMA_PASIEN | Nama Pasien |
| $IHS_NUMBER_DOKTER | SATUSEHAT ID Number untuk Dokter/Nakes |
| $IHS_NUMBER_FASYANKES | SATUSEHAT ID Number untuk FASYANKES |
3. Encounter
{ "resourceType": "Encounter", "id": "daf4f30b-f4e2-4dc4-8cd1-110e07f431ec", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/encounter/10084561", "value": "P20240001" } ], "status": "finished", "class": { "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "AMB", "display": "ambulatory" }, "subject": { "reference": "Patient/100000030009", "display": "Budi Santoso" }, "participant": [ { "type": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "ATND", "display": "attender" } ] } ], "individual": { "reference": "Practitioner/N10000001", "display": "Dokter Bronsig" } } ], "period": { "start": "2022-06-14T09:00:00+07:00", "end": "2022-06-14T09:00:00+07:00" }, "location": [ { "location": { "reference": "Location/ef011065-38c9-46f8-9c35-d1fe68966a3e", "display": "Ruang 1A, Poliklinik Rawat Jalan" } } ], "diagnosis": [ { "condition": { "reference": "Condition/fb2375e6-627e-40f5-9c82-d6a71a71e689", "display": "Tuberculosis of lung, confirmed by sputum microscopy with or without culture" }, "use": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role", "code": "DD", "display": "Discharge diagnosis" } ] }, "rank": 1 }, { "condition": { "reference": "Condition/c3f4a0d7-dd0b-4672-a642-383ccd8500dc", "display": "Non-insulin-dependent diabetes mellitus without complications" }, "use": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role", "code": "DD", "display": "Discharge diagnosis" } ] }, "rank": 2 } ], "statusHistory": [ { "status": "arrived", "period": { "start": "2022-06-14T07:00:00+07:00", "end": "2022-06-14T09:00:00+07:00" } }, { "status": "in-progress", "period": { "start": "2022-06-14T08:00:00+07:00", "end": "2022-06-14T09:00:00+07:00" } }, { "status": "finished", "period": { "start": "2022-06-14T09:00:00+07:00", "end": "2022-06-14T09:00:00+07:00" } } ], "serviceProvider": { "reference": "Organization/10084561" }, "episodeOfCare": [ { "reference": "EpisodeOfCare/296b5ead-a10c-42db-bcc0-469c79c668f6" } ] }
{
"resourceType": "Encounter",
"id": "{{ENCOUNTER_REFERENCE_ID}}",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/encounter/{{FACILITY_IHS_NUMBER}}",
"value": "{{ENCOUNTER_LOCAL_CODE}}"
}
],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
},
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}",
"display": "{{PATIENT_NAME}}"
},
"participant": [
{
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "ATND",
"display": "attender"
}
]
}
],
"individual": {
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
"display": "{{DOCTOR_NAME}}"
}
}
],
"period": {
"start": "{{ENCOUNTER_PERIOD3_START}}",
"end": "{{ENCOUNTER_PERIOD3_END}}"
},
"location": [
{
"location": {
"reference": "Location/{{ENCOUNTER_LOCATION_ID}}",
"display": "{{ENCOUNTER_LOCATION_NAME}}"
}
}
],
"diagnosis": [
{
"condition": {
"reference": "Condition/{{CONDITION1_REFERENCE_ID}}",
"display": "{{CONDITION1_ICD_DISPLAY}}"
},
"use": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
"code": "DD",
"display": "Discharge diagnosis"
}
]
},
"rank": 1
},
{
"condition": {
"reference": "Condition/{{CONDITION2_REFERENCE_ID}}",
"display": "{{CONDITION2_ICD_DISPLAY}}"
},
"use": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
"code": "DD",
"display": "Discharge diagnosis"
}
]
},
"rank": 2
}
],
"statusHistory": [
{
"status": "arrived",
"period": {
"start": "{{ENCOUNTER_PERIOD1_START}}",
"end": "{{ENCOUNTER_PERIOD1_END}}"
}
},
{
"status": "in-progress",
"period": {
"start": "{{ENCOUNTER_PERIOD2_START}}",
"end": "{{ENCOUNTER_PERIOD2_END}}"
}
},
{
"status": "finished",
"period": {
"start": "{{ENCOUNTER_PERIOD3_START}}",
"end": "{{ENCOUNTER_PERIOD3_END}}"
}
}
],
"serviceProvider": {
"reference": "Organization/{{FACILITY_IHS_NUMBER}}"
},
"episodeOfCare": [
{
"reference": "EpisodeOfCare/{{EPISODEOFCARE_REFERENCE_ID}}"
}
]
}
| Variabel | Deskripsi |
|---|---|
| ENCOUNTER_LOCAL_CODE | ID Lokal untuk Kunjungan/Encounter |
| PATIENT_IHS_NUMBER | SATUSEHAT ID Number untuk Pasien |
| PATIENT_NAME | Nama Pasien |
| DOCTOR_IHS_NUMBER | SATUSEHAT ID untuk Dokter/Nakes |
| DOCTOR_NAME | Nama Dokter/Nakes |
| FACILITY_IHS_NUMBER | SATUSEHAT ID untuk FASYANKES |
| ENCOUNTER_PERIOD1_START | Waktu mulai/check-in kunjungan |
| ENCOUNTER_PERIOD1_END | Waktu mulai/check-out kunjungan |
| ENCOUNTER_LOCATION_ID | ID Location tempat kunjungan dilakukan |
| ENCOUNTER_LOCATION_NAME | Nama Location tempat kunjungan dilakukan |
4. Medication
{ "resourceType": "Medication", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/medication/10000004", "use": "official", "value": "123456789" } ], "code": { "coding": [ { "system": "http://sys-ids.kemkes.go.id/kfa", "code": "93001019", "display": "Obat Anti Tuberculosis / Rifampicin 150 mg / Isoniazid 75 mg / Pyrazinamide 400 mg / Ethambutol 275 mg Kaplet Salut Selaput (KIMIA FARMA)" } ] }, "status": "active", "manufacturer": { "reference": "Organization/900001" }, "form": { "coding": [ { "system": "https://terminology.kemkes.go.id/CodeSystem/medication-form", "code": "BS023", "display": "Kaplet Salut Selaput" } ] }, "ingredient": [ { "itemCodeableConcept": { "coding": [ { "system": "http://sys-ids.kemkes.go.id/kfa", "code": "91000330", "display": "Rifampin" } ] }, "isActive": true, "strength": { "numerator": { "value": 150, "system": "http://unitsofmeasure.org", "code": "mg" }, "denominator": { "value": 1, "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code": "TAB" } } }, { "itemCodeableConcept": { "coding": [ { "system": "http://sys-ids.kemkes.go.id/kfa", "code": "91000328", "display": "Isoniazid" } ] }, "isActive": true, "strength": { "numerator": { "value": 75, "system": "http://unitsofmeasure.org", "code": "mg" }, "denominator": { "value": 1, "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code": "TAB" } } }, { "itemCodeableConcept": { "coding": [ { "system": "http://sys-ids.kemkes.go.id/kfa", "code": "91000329", "display": "Pyrazinamide" } ] }, "isActive": true, "strength": { "numerator": { "value": 400, "system": "http://unitsofmeasure.org", "code": "mg" }, "denominator": { "value": 1, "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code": "TAB" } } }, { "itemCodeableConcept": { "coding": [ { "system": "http://sys-ids.kemkes.go.id/kfa", "code": "91000288", "display": "Ethambutol" } ] }, "isActive": true, "strength": { "numerator": { "value": 275, "system": "http://unitsofmeasure.org", "code": "mg" }, "denominator": { "value": 1, "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code": "TAB" } } } ], "extension": [ { "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/MedicationType", "valueCodeableConcept": { "coding": [ { "system": "https://terminology.kemkes.go.id/CodeSystem/medication-type", "code": "NC", "display": "Non-compound" } ] } } ] }
{
"resourceType": "Medication",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/medication/{{FACILITY_IHS_NUMBER}}",
"use": "official",
"value": "{{MEDICATION1_LOCAL_CODE}}"
}
],
"code": {
"coding": [
{
"system": "http://sys-ids.kemkes.go.id/kfa",
"code": "{{MEDICATION1_CODE_CODE}}",
"display": "{{MEDICATION1_CODE_DISPLAY}}"
}
]
},
"status": "active",
"manufacturer": {
"reference": "Organization/{{FACILITY_IHS_NUMBER}}"
},
"form": {
"coding": [
{
"system": "https://terminology.kemkes.go.id/CodeSystem/medication-form",
"code": "{{MEDICATION1_FORM_CODE}}",
"display": "{{MEDICATION1_FORM_DISPLAY}}"
}
]
},
"ingredient": [
{
"itemCodeableConcept": {
"coding": [
{
"system": "http://sys-ids.kemkes.go.id/kfa",
"code": "{{MEDICATION1_INGREDIENT1_CODE}}",
"display": "{{MEDICATION1_INGREDIENT1_DISPLAY}}"
}
]
},
"isActive": true,
"strength": {
"numerator": {
"value": {{MEDICATION1_INGREDIENT1_NUMERATOR_VALUE}},
"system": "http://unitsofmeasure.org",
"code": "{{MEDICATION_INGREDIENT_NUMERATOR_CODE}}"
},
"denominator": {
"value": {{MEDICATION1_INGREDIENT1_DENUMERATOR_VALUE}},
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "{{MEDICATION_INGREDIENT_DENUMERATOR_CODE1}}"
}
}
},
{
"itemCodeableConcept": {
"coding": [
{
"system": "http://sys-ids.kemkes.go.id/kfa",
"code": "{{MEDICATION1_INGREDIENT2_CODE}}",
"display": "{{MEDICATION1_INGREDIENT2_DISPLAY}}"
}
]
},
"isActive": true,
"strength": {
"numerator": {
"value": {{MEDICATION1_INGREDIENT2_DENUMERATOR_VALUE}},
"system": "http://unitsofmeasure.org",
"code": "{{MEDICATION_INGREDIENT_NUMERATOR_CODE}}"
},
"denominator": {
"value": {{MEDICATION1_INGREDIENT2_DENUMERATOR_VALUE}},
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "{{MEDICATION_INGREDIENT_DENUMERATOR_CODE1}}"
}
}
},
{
"itemCodeableConcept": {
"coding": [
{
"system": "http://sys-ids.kemkes.go.id/kfa",
"code": "{{MEDICATION1_INGREDIENT3_CODE}}",
"display": "{{MEDICATION1_INGREDIENT3_DISPLAY}}"
}
]
},
"isActive": true,
"strength": {
"numerator": {
"value": {{MEDICATION1_INGREDIENT3_DENUMERATOR_VALUE}},
"system": "http://unitsofmeasure.org",
"code": "{{MEDICATION_INGREDIENT_NUMERATOR_CODE}}"
},
"denominator": {
"value": {{MEDICATION1_INGREDIENT3_DENUMERATOR_VALUE}},
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "{{MEDICATION_INGREDIENT_DENUMERATOR_CODE1}}"
}
}
},
{
"itemCodeableConcept": {
"coding": [
{
"system": "http://sys-ids.kemkes.go.id/kfa",
"code": "{{MEDICATION1_INGREDIENT4_CODE}}",
"display": "{{MEDICATION1_INGREDIENT4_DISPLAY}}"
}
]
},
"isActive": true,
"strength": {
"numerator": {
"value": {{MEDICATION1_INGREDIENT4_DENUMERATOR_VALUE}},
"system": "http://unitsofmeasure.org",
"code": "{{MEDICATION_INGREDIENT_NUMERATOR_CODE}}"
},
"denominator": {
"value": {{MEDICATION1_INGREDIENT4_DENUMERATOR_VALUE}},
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "{{MEDICATION_INGREDIENT_DENUMERATOR_CODE1}}"
}
}
}
],
"extension": [
{
"url": "https://fhir.kemkes.go.id/r4/StructureDefinition/MedicationType",
"valueCodeableConcept": {
"coding": [
{
"system": "https://terminology.kemkes.go.id/CodeSystem/medication-type",
"code": "{{MEDICATION1_TYPE_CODE}}",
"display": "{{MEDICATION1_TYPE_DISPLAY}}"
}
]
}
}
]
}
| Variabel | Deskripsi |
|---|---|
| $CODE_OBAT_TB | Kode obat sesuai kategori perawatan TB |
| $CODE_NAMA_OBAT_TB | Nama obat sesuai kategori perawatan TB |
| $KODE_BENTUK_SEDIAAN | Kode bentuk sediaan obat |
| $NAMA_BENTUK_SEDIAAN | Nama bentuk sedian obat |
5. MedicationRequest
{ "resourceType": "MedicationRequest", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/prescription/10000004", "use": "official", "value": "123456788" }, { "system": "http://sys-ids.kemkes.go.id/prescription-item/10000004", "use": "official", "value": "123456788-1" } ], "status": "completed", "statusReason": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason", "code": "clarif", "display": "Prescription requires clarification" } ] }, "intent": "order", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code": "outpatient", "display": "Outpatient" } ] } ], "priority": "routine", "medicationReference": { "reference": "Medication/c2843f5d-54a6-4491-9ebe-bd56594713aa", "display": "Obat Anti Tuberculosis / Rifampicin 150 mg / Isoniazid 75 mg / Pyrazinamide 400 mg / Ethambutol 275 mg Kaplet Salut Selaput (KIMIA FARMA)" }, "subject": { "reference": "Patient/100000030009", "display": "Budi Santoso" }, "encounter": { "reference": "Encounter/14e8398c-1016-44b8-b619-a802b80d2c94" }, "authoredOn": "2022-08-04", "requester": { "reference": "Practitioner/N10000001", "display": "Dokter Bronsig" }, "performerType": { "coding": [ { "system": "http://snomed.info/sct", "code": "309343006", "display": "Physician" } ] }, "reasonCode": [ { "coding": [ { "system": "http://hl7.org/fhir/sid/icd-10", "code": "A15.0", "display": "Tuberculosis of lung, confirmed by sputum microscopy with or without culture" } ] } ], "courseOfTherapyType": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy", "code": "continuous", "display": "Continuing long term therapy" } ] }, "dosageInstruction": [ { "sequence": 1, "text": "4 tablet per hari", "additionalInstruction": [ { "text": "Diminum setiap hari" } ], "patientInstruction": "4 tablet perhari, diminum setiap hari tanpa jeda sampai prose pengobatan berakhir", "timing": { "repeat": { "frequency": 1, "period": 1, "periodUnit": "d" } }, "route": { "coding": [ { "system": "http://www.whocc.no/atc", "code": "O", "display": "Oral" } ] }, "doseAndRate": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code": "ordered", "display": "Ordered" } ] }, "doseQuantity": { "value": 4, "unit": "TAB", "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code": "TAB" } } ] } ], "dispenseRequest": { "dispenseInterval": { "value": 1, "unit": "days", "system": "http://unitsofmeasure.org", "code": "d" }, "validityPeriod": { "start": "2022-01-01", "end": "2022-01-30" }, "numberOfRepeatsAllowed": 0, "quantity": { "value": 120, "unit": "TAB", "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code": "TAB" }, "expectedSupplyDuration": { "value": 30, "unit": "days", "system": "http://unitsofmeasure.org", "code": "d" } } }
{
"resourceType": "MedicationRequest",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/prescription/{{FACILITY_IHS_NUMBER}}",
"use": "official",
"value": "{{MEDICATIONREQ_LOCAL1_CODE}}"
},
{
"system": "http://sys-ids.kemkes.go.id/prescription-item/{{FACILITY_IHS_NUMBER}}",
"use": "official",
"value": "{{MEDICATIONREQ_LOCAL2_CODE}}"
}
],
"status": "completed",
"statusReason": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason",
"code": "clarif",
"display": "Prescription requires clarification"
}
]
},
"intent": "order",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "outpatient",
"display": "Outpatient"
}
]
}
],
"priority": "routine",
"medicationReference": {
"reference": "Medication/{{MEDICATION1_RERERENCE_ID}}",
"display": "{{MEDICATION1_CODE_DISPLAY}}"
},
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}",
"display": "{{PATIENT_NAME}}"
},
"encounter": {
"reference": "Encounter/{{ENCOUNTER_REFERENCE_ID}}"
},
"authoredOn": "{{MEDICATIONREQ_AUTHOREDON}}",
"requester": {
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
"display": "{{DOCTOR_NAME}}"
},
"performerType": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "309343006",
"display": "Physician"
}
]
},
"reasonCode": [
{
"coding": [
{
"system": "http://hl7.org/fhir/sid/icd-10",
"code": "{{CONDITION1_ICD_CODE}}",
"display": "{{CONDITION1_ICD_DISPLAY}}"
}
]
}
],
"courseOfTherapyType": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
"code": "continuous",
"display": "Continuing long term therapy"
}
]
},
"dosageInstruction": [
{
"sequence": 1,
"text": "{{MEDICATIONREQ_DOSAGE_TEXT}}",
"additionalInstruction": [
{
"text": "{{MEDICATIONREQ_DOSAGE_TEXT_ADD}}"
}
],
"patientInstruction": "{{MEDICATIONREQ_DOSAGE_TEXT_INSTRUCTION}}",
"timing": {
"repeat": {
"frequency": 1,
"period": 1,
"periodUnit": "d"
}
},
"route": {
"coding": [
{
"system": "http://www.whocc.no/atc",
"code": "O",
"display": "Oral"
}
]
},
"doseAndRate": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
}
]
},
"doseQuantity": {
"value": 4,
"unit": "{{MEDICATIONREQ_DOSE_UNIT}}",
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "{{MEDICATIONREQ_DOSE_UNIT}}"
}
}
]
}
],
"dispenseRequest": {
"dispenseInterval": {
"value": {{MEDICATIONREQ_DISPENSE_INTERVAL}},
"unit": "days",
"system": "http://unitsofmeasure.org",
"code": "d"
},
"validityPeriod": {
"start": "{{MEDICATIONREQ_DISPENSE_START}}",
"end": "{{MEDICATIONREQ_DISPENSE_END}}"
},
"numberOfRepeatsAllowed": 0,
"quantity": {
"value": {{MEDICATIONREQ_DISPENSE_QUANTITY}},
"unit": "{{MEDICATIONREQ_DOSE_UNIT}}",
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "{{MEDICATIONREQ_DOSE_UNIT}}"
},
"expectedSupplyDuration": {
"value": {{MEDICATIONREQ_DISPENSE_DURATION}},
"unit": "days",
"system": "http://unitsofmeasure.org",
"code": "d"
}
}
}
| Variabel | Deskripsi |
|---|---|
| $GENERATED_UUID_MEDICATION_REQUEST | UUID MedicationRequest yang digenerate |
| $IHS_NUMBER_PASIEN | SATUSEHAT ID Number untuk Pasien |
| $GENERATED_UUID_EPISODEOFCARE | UUID EpisodeOfCare yang digenerate |
| $GENERATED_UUID_MEDICATION | UUID Medication yang digenerate |
| $GENERATED_UUID_CAREPLAN | UUID CarePlan yang digenerate |
6. QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "questionnaire": "https://fhir.kemkes.go.id/Questionnaire/Q0001", "status": "completed", "subject": { "reference": "Patient/100000030009", "display": "Budi Santoso" }, "encounter": { "reference": "Encounter/14e8398c-1016-44b8-b619-a802b80d2c94" }, "authored": "2022-07-26T10:00:00+07:00", "author": { "reference": "Practitioner/N10000001" }, "source": { "reference": "Patient/100000030009" }, "item": [ { "linkId": "1", "text": "Tipe diagnosis tuberkulosis", "answer": [ { "valueCoding": { "system": "https://terminology.kemkes.go.id/CodeSystem/tb-case-definition", "code": "tb-bac", "display": "Terkonfirmasi bakteriologis" } } ] }, { "linkId": "2", "text": "Klasifikasi tuberkulosis berdasarkan lokasi anatomis", "answer": [ { "valueCoding": { "system": "https://terminology.kemkes.go.id/CodeSystem/tb-anatomical", "code": "PTB", "display": "Tuberkulosis Paru" } } ] }, { "linkId": "3", "text": "Klasifikasi tuberkulosis berdasarkan riwayat pengobatan", "answer": [ { "valueCoding": { "system": "https://terminology.kemkes.go.id/CodeSystem/prev-tb-treatment", "code": "new", "display": "Kasus Baru" } } ] }, { "linkId": "4", "text": "Hasil akhir pengobatan tuberkulosis", "answer": [ { "valueCoding": { "system": "https://terminology.kemkes.go.id/CodeSystem/tb-outcome-class", "code": "cured", "display": "Sembuh" } } ] } ] }
{
"resourceType": "QuestionnaireResponse",
"questionnaire": "https://fhir.kemkes.go.id/Questionnaire/Q0001",
"status": "completed",
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}",
"display": "{{PATIENT_NAME}}"
},
"encounter": {
"reference": "Encounter/{{ENCOUNTER_REFERENCE_ID}}"
},
"authored": "{{QUESTRESPONSE_AUTHORED}}",
"author": {
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}"
},
"source": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}"
},
"item": [
{
"linkId": "1",
"text": "Tipe diagnosis tuberkulosis",
"answer": [
{
"valueCoding": {
"system": "https://terminology.kemkes.go.id/CodeSystem/tb-case-definition",
"code": "{{QUESTRESPONSE_ITEM1_CODE}}",
"display": "{{QUESTRESPONSE_ITEM1_DISPLAY}}"
}
}
]
},
{
"linkId": "2",
"text": "Klasifikasi tuberkulosis berdasarkan lokasi anatomis",
"answer": [
{
"valueCoding": {
"system": "https://terminology.kemkes.go.id/CodeSystem/tb-anatomical",
"code": "{{QUESTRESPONSE_ITEM2_CODE}}",
"display": "{{QUESTRESPONSE_ITEM2_DISPLAY}}"
}
}
]
},
{
"linkId": "3",
"text": "Klasifikasi tuberkulosis berdasarkan riwayat pengobatan",
"answer": [
{
"valueCoding": {
"system": "https://terminology.kemkes.go.id/CodeSystem/prev-tb-treatment",
"code": "{{QUESTRESPONSE_ITEM3_CODE}}",
"display": "{{QUESTRESPONSE_ITEM3_DISPLAY}}"
}
}
]
}
]
}
| Variabel | Deskripsi |
|---|---|
| $IHS_NUMBER_PASIEN | SATUSEHAT ID Number untuk Pasien |
| $NAMA_PASIEN | Nama Pasien |
| $GENERATED_UUID_ENCOUNTER | UUID Encounter yang digenerate |
| $TIMESTAMP_AUTHORED | Tanggal dan waktu Questionnaire dibuat |
| $IHS_NUMBER_DOKTER | SATUSEHAT ID Number untuk Dokter/Nakes |
| $CODE_TB_CASE | Kode Tipe diagnosis TB (lihat ValueSet) |
| $DISPLAY_TB_CASE | Teks display Tipe diagnosis TB (lihat ValueSet) |
| $CODE_TB_ANATOMICAL | Kode klasifikasi Anatomis (lihat ValueSet) |
| $DISPLAY_TB_ANATOMICAL | Teks display klasifikasi Anatomis (lihat ValueSet) |
| $CODE_TB_TREATMENT | Kode riwayat pengobatan (lihat ValueSet) |
| $DISPLAY_TB_TREATMENT | Teks display riwayat pengobatan (lihat ValueSet) |
Tipe diagnosis tuberkulosis
| Code System | https://terminology.kemkes.go.id/CodeSystem/tb-case-definition |
| Value Set url | https://terminology.kemkes.go.id/ValueSet/tb-case-definition |
| Kode | Teks Display |
|---|---|
| tb-bac | Terkonfirmasi bakteriologis |
| tb-clin | Terdiagnosis klinis |
Klasifikasi tuberkulosis berdasarkan lokasi anatomis
| Code System | https://terminology.kemkes.go.id/CodeSystem/tb-anatomical |
| Value Set url | https://terminology.kemkes.go.id/ValueSet/tb-anatomical |
| Kode | Teks Display |
|---|---|
| PTB | TB Paru |
| EPTB | TB Ekstraparu |
Klasifikasi tuberkulosis berdasarkan riwayat pengobatan
| Code System | https://terminology.kemkes.go.id/CodeSystem/prev-tb-treatment |
| Value Set url | https://terminology.kemkes.go.id/ValueSet/prev-tb-treatment |
| Kode | Teks Display |
|---|---|
| new | Kasus Baru |
| relapse | Kasus Kambuh |
| failure | Kasus Pengobatan Setelah Gagal |
| failure-cat1 | Kasus Pengobatan Setelah Gagal Kategori 1 |
| failure-cat2 | Kasus Pengobatan Setelah Gagal Kategori 2 |
| failure-2line | Kasus Pengobatan Setelah Gagal lini 2 |
| loss-to-follow-up | Kasus Setelah Loss To Follow Up |
| other | Kasus lain-lain |
| unknown | Kasus dengan riwayat pengobatan tidak diketahui |
II. Berbasis Bundle
D. Kunjungan Pengobatan Bulanan
Saat pasien melakukan kunjungan perawatan TB setiap bulannya selama proses pengobatan (sesuai desain integrasi SITB hasil dilaporkan pada bulan 2, 3 dan 5). Setiap kunjungan harus dibungkus dengan Resource Encounter dengan menyebutkan referensi ID EpisodeOfCare pada tiap Encounter tersebut untuk menandakan kunjungan dalam satu episode yang sama.
I. Berbasis Resouce
Entry Resources yang digunakan
| No | Nama Resource | Entry Mandatory | Metode |
|---|---|---|---|
| 1 | Encounter | Required | BUAT BARU (POST) |
| 2 | DiagnosticReport | Required | BUAT BARU (POST) |
| 3 | Observation | Required | BUAT BARU (POST) |
| 4 | Medication | Optional | BUAT BARU (POST) |
| 5 | MedicationRequest | Optional | BUAT BARU (POST) |
1. Encouter
{ "resourceType": "Encounter", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/encounter/10084561", "value": "P20240001" } ], "status": "arrived", "class": { "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "AMB", "display": "ambulatory" }, "subject": { "reference": "Patient/100000030009", "display": "Budi Santoso" }, "participant": [ { "type": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "ATND", "display": "attender" } ] } ], "individual": { "reference": "Practitioner/N10000001", "display": "Dokter Bronsig" } } ], "period": { "start": "2022-06-14T07:00:00+07:00" }, "location": [ { "location": { "reference": "Location/ef011065-38c9-46f8-9c35-d1fe68966a3e", "display": "Ruang 1A, Poliklinik Rawat Jalan" } } ], "statusHistory": [ { "status": "arrived", "period": { "start": "2022-06-14T07:00:00+07:00", "end": "2022-06-14T09:00:00+07:00" } } ], "serviceProvider": { "reference": "Organization/10084561" } }
{
"resourceType": "Encounter",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/encounter/{{FACILITY_IHS_NUMBER}}",
"value": "{{ENCOUNTER_LOCAL_CODE}}"
}
],
"status": "arrived",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
},
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}",
"display": "{{PATIENT_NAME}}"
},
"participant": [
{
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "ATND",
"display": "attender"
}
]
}
],
"individual": {
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
"display": "{{DOCTOR_NAME}}"
}
}
],
"period": {
"start": "{{ENCOUNTER_PERIOD1_START}}"
},
"location": [
{
"location": {
"reference": "Location/{{ENCOUNTER_LOCATION_ID}}",
"display": "{{ENCOUNTER_LOCATION_NAME}}"
}
}
],
"statusHistory": [
{
"status": "arrived",
"period": {
"start": "{{ENCOUNTER_PERIOD1_START}}",
"end": "{{ENCOUNTER_PERIOD1_END}}"
}
}
],
"serviceProvider": {
"reference": "Organization/{{FACILITY_IHS_NUMBER}}"
}
}
| Variabel | Deskripsi |
|---|---|
| ENCOUNTER_LOCAL_CODE | ID Lokal untuk Kunjungan/Encounter |
| PATIENT_IHS_NUMBER | SATUSEHAT ID Number untuk Pasien |
| PATIENT_NAME | Nama Pasien |
| DOCTOR_IHS_NUMBER | SATUSEHAT ID untuk Dokter/Nakes |
| DOCTOR_NAME | Nama Dokter/Nakes |
| FACILITY_IHS_NUMBER | SATUSEHAT ID untuk FASYANKES |
| ENCOUNTER_PERIOD1_START | Waktu mulai/check-in kunjungan |
| ENCOUNTER_PERIOD1_END | Waktu mulai/check-out kunjungan |
| ENCOUNTER_LOCATION_ID | ID Location tempat kunjungan dilakukan |
| ENCOUNTER_LOCATION_NAME | Nama Location tempat kunjungan dilakukan |
2. DiagnosticReport
{ "resourceType": "DiagnosticReport", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/diagnostic/10000004/lab", "use": "official", "value": "5234342" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "MB", "display": "Microbiology" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "11477-7", "display": "Microscopic observation [Identifier] in Sputum by Acid fast stain" } ] }, "subject": { "reference": "Patient/100000030009" }, "encounter": { "reference": "Encounter/14e8398c-1016-44b8-b619-a802b80d2c94" }, "effectiveDateTime": "2012-12-01T12:00:00+01:00", "issued": "2012-12-01T12:00:00+01:00", "performer": [ { "reference": "Practitioner/N10000001" }, { "reference": "Organization/10000004" } ], "result": [ { "reference": "Observation/fee00417-ce11-41b7-9965-f0c11678efa1" } ], "conclusionCode": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "260347006", "display": "+" } ] } ] }
{
"resourceType": "DiagnosticReport",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/diagnostic/{{FACILITY_IHS_NUMBER}}/lab",
"use": "official",
"value": "{{DIAGNOSTICREPORT_LOCAL_CODE}}"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "MB",
"display": "Microbiology"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "11477-7",
"display": "Microscopic observation [Identifier] in Sputum by Acid fast stain"
}
]
},
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}"
},
"encounter": {
"reference": "Encounter/{{ENCOUNTER_REFERENCE_ID}}"
},
"effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
"issued": "{{OBSERVATION_ISSUED}}",
"performer": [
{
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}"
},
{
"reference": "Organization/{{FACILITY_IHS_NUMBER}}"
}
],
"result": [
{
"reference": "Observation/{{OBSERVATION1_REFERENCE_ID}}",
"display": "Microscopic observation [Identifier] in Sputum by Acid fast stain"
}
],
"conclusionCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "260347006",
"display": "+"
}
]
}
]
}
| Variabel | Deskripsi |
|---|---|
| $GENERATED_UUID_DIAGNOSTIC_REPORT | UUID DiagnosticReport yang digenerate |
| $GENERATED_UUID_OBSERVATION_1 | UUID pemeriksaan mikroskopis yang digenerate |
| $GENERATED_UUID_ENCOUNTER | UUID Encounter yang digenerate |
| $IHS_NUMBER_PASIEN | SATUSEHAT ID Number untuk Pasien |
| $IHS_NUMBER_FASYANKES | SATUSEHAT ID Number untuk FASYANKES |
| $NAMA_FASYANKES | Nama FASYANKES |
3. Observation
{ "resourceType": "Observation", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/observation/10080058", "value": "O111111" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "11477-7", "display": "Microscopic observation [Identifier] in Sputum by Acid fast stain" } ] }, "subject": { "reference": "Patient/100000030009" }, "encounter": { "reference": "Encounter/fea39334-09bc-42a7-8063-a5d66abf4520" }, "effectiveDateTime": "2021-07-02", "issued": "2022-08-07T15:30:10+01:00", "performer": [ { "reference": "Practitioner/N10000001" }, { "reference": "Organization/10080058" } ], "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "260347006", "display": "+" } ] }, "referenceRange": [ { "text": "Negative" } ] }
{
"resourceType": "Observation",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
"value": "{{OBSERVATION1_LOCAL_CODE}}"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "11477-7",
"display": "Microscopic observation [Identifier] in Sputum by Acid fast stain"
}
]
},
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}"
},
"encounter": {
"reference": "Encounter/{{ENCOUNTER_REFERENCE_ID}}"
},
"effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
"issued": "{{OBSERVATION_ISSUED}}",
"performer": [
{
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}"
},
{
"reference": "Organization/{{FACILITY_IHS_NUMBER}}"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "260347006",
"display": "+"
}
]
},
"referenceRange": [
{
"text": "Negative"
}
]
}
| Variabel | Deskripsi |
|---|---|
| $GENERATED_UUID_ENCOUNTER | UUID Encounter yang digenerate |
| $CODE_OBSERVATION_1 | CodeSystem pemeriksaan mikroskopis |
| $VALUE_OBSERVATION_1 | Value pemeriksaan mikroskopis |
4. Medication
{ "resourceType": "Medication", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/medication/10000004", "use": "official", "value": "123456789" } ], "code": { "coding": [ { "system": "http://sys-ids.kemkes.go.id/kfa", "code": "93001019", "display": "Obat Anti Tuberculosis / Rifampicin 150 mg / Isoniazid 75 mg / Pyrazinamide 400 mg / Ethambutol 275 mg Kaplet Salut Selaput (KIMIA FARMA)" } ] }, "status": "active", "manufacturer": { "reference": "Organization/900001" }, "form": { "coding": [ { "system": "https://terminology.kemkes.go.id/CodeSystem/medication-form", "code": "BS023", "display": "Kaplet Salut Selaput" } ] }, "ingredient": [ { "itemCodeableConcept": { "coding": [ { "system": "http://sys-ids.kemkes.go.id/kfa", "code": "91000330", "display": "Rifampin" } ] }, "isActive": true, "strength": { "numerator": { "value": 150, "system": "http://unitsofmeasure.org", "code": "mg" }, "denominator": { "value": 1, "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code": "TAB" } } }, { "itemCodeableConcept": { "coding": [ { "system": "http://sys-ids.kemkes.go.id/kfa", "code": "91000328", "display": "Isoniazid" } ] }, "isActive": true, "strength": { "numerator": { "value": 75, "system": "http://unitsofmeasure.org", "code": "mg" }, "denominator": { "value": 1, "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code": "TAB" } } }, { "itemCodeableConcept": { "coding": [ { "system": "http://sys-ids.kemkes.go.id/kfa", "code": "91000329", "display": "Pyrazinamide" } ] }, "isActive": true, "strength": { "numerator": { "value": 400, "system": "http://unitsofmeasure.org", "code": "mg" }, "denominator": { "value": 1, "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code": "TAB" } } }, { "itemCodeableConcept": { "coding": [ { "system": "http://sys-ids.kemkes.go.id/kfa", "code": "91000288", "display": "Ethambutol" } ] }, "isActive": true, "strength": { "numerator": { "value": 275, "system": "http://unitsofmeasure.org", "code": "mg" }, "denominator": { "value": 1, "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code": "TAB" } } } ], "extension": [ { "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/MedicationType", "valueCodeableConcept": { "coding": [ { "system": "https://terminology.kemkes.go.id/CodeSystem/medication-type", "code": "NC", "display": "Non-compound" } ] } } ] }
{
"resourceType": "Medication",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/medication/{{FACILITY_IHS_NUMBER}}",
"use": "official",
"value": "{{MEDICATION1_LOCAL_CODE}}"
}
],
"code": {
"coding": [
{
"system": "http://sys-ids.kemkes.go.id/kfa",
"code": "{{MEDICATION1_CODE_CODE}}",
"display": "{{MEDICATION1_CODE_DISPLAY}}"
}
]
},
"status": "active",
"manufacturer": {
"reference": "Organization/{{FACILITY_IHS_NUMBER}}"
},
"form": {
"coding": [
{
"system": "https://terminology.kemkes.go.id/CodeSystem/medication-form",
"code": "{{MEDICATION1_FORM_CODE}}",
"display": "{{MEDICATION1_FORM_DISPLAY}}"
}
]
},
"ingredient": [
{
"itemCodeableConcept": {
"coding": [
{
"system": "http://sys-ids.kemkes.go.id/kfa",
"code": "{{MEDICATION1_INGREDIENT1_CODE}}",
"display": "{{MEDICATION1_INGREDIENT1_DISPLAY}}"
}
]
},
"isActive": true,
"strength": {
"numerator": {
"value": {{MEDICATION1_INGREDIENT1_NUMERATOR_VALUE}},
"system": "http://unitsofmeasure.org",
"code": "{{MEDICATION_INGREDIENT_NUMERATOR_CODE}}"
},
"denominator": {
"value": {{MEDICATION1_INGREDIENT1_DENUMERATOR_VALUE}},
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "{{MEDICATION_INGREDIENT_DENUMERATOR_CODE1}}"
}
}
},
{
"itemCodeableConcept": {
"coding": [
{
"system": "http://sys-ids.kemkes.go.id/kfa",
"code": "{{MEDICATION1_INGREDIENT2_CODE}}",
"display": "{{MEDICATION1_INGREDIENT2_DISPLAY}}"
}
]
},
"isActive": true,
"strength": {
"numerator": {
"value": {{MEDICATION1_INGREDIENT2_DENUMERATOR_VALUE}},
"system": "http://unitsofmeasure.org",
"code": "{{MEDICATION_INGREDIENT_NUMERATOR_CODE}}"
},
"denominator": {
"value": {{MEDICATION1_INGREDIENT2_DENUMERATOR_VALUE}},
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "{{MEDICATION_INGREDIENT_DENUMERATOR_CODE1}}"
}
}
},
{
"itemCodeableConcept": {
"coding": [
{
"system": "http://sys-ids.kemkes.go.id/kfa",
"code": "{{MEDICATION1_INGREDIENT3_CODE}}",
"display": "{{MEDICATION1_INGREDIENT3_DISPLAY}}"
}
]
},
"isActive": true,
"strength": {
"numerator": {
"value": {{MEDICATION1_INGREDIENT3_DENUMERATOR_VALUE}},
"system": "http://unitsofmeasure.org",
"code": "{{MEDICATION_INGREDIENT_NUMERATOR_CODE}}"
},
"denominator": {
"value": {{MEDICATION1_INGREDIENT3_DENUMERATOR_VALUE}},
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "{{MEDICATION_INGREDIENT_DENUMERATOR_CODE1}}"
}
}
},
{
"itemCodeableConcept": {
"coding": [
{
"system": "http://sys-ids.kemkes.go.id/kfa",
"code": "{{MEDICATION1_INGREDIENT4_CODE}}",
"display": "{{MEDICATION1_INGREDIENT4_DISPLAY}}"
}
]
},
"isActive": true,
"strength": {
"numerator": {
"value": {{MEDICATION1_INGREDIENT4_DENUMERATOR_VALUE}},
"system": "http://unitsofmeasure.org",
"code": "{{MEDICATION_INGREDIENT_NUMERATOR_CODE}}"
},
"denominator": {
"value": {{MEDICATION1_INGREDIENT4_DENUMERATOR_VALUE}},
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "{{MEDICATION_INGREDIENT_DENUMERATOR_CODE1}}"
}
}
}
],
"extension": [
{
"url": "https://fhir.kemkes.go.id/r4/StructureDefinition/MedicationType",
"valueCodeableConcept": {
"coding": [
{
"system": "https://terminology.kemkes.go.id/CodeSystem/medication-type",
"code": "{{MEDICATION1_TYPE_CODE}}",
"display": "{{MEDICATION1_TYPE_DISPLAY}}"
}
]
}
}
]
}
| Variabel | Deskripsi |
|---|---|
| $GENERATED_UUID_MEDICATION_DISPENSE | UUID MedicationRequest yang digenerate |
| $GENERATED_UUID_MEDICATION_REQUEST | UUID MedicationRequest yang digenerate |
| $IHS_NUMBER_PASIEN | SATUSEHAT ID Number untuk Pasien |
| $NAMA_PASIEN | Nama Pasien |
| $IHS_NUMBER_DOKTER | SATUSEHAT ID Number untuk Dokter/Nakes |
| $GENERATED_UUID_EPISODEOFCARE | UUID EpisodeOfCare yang digenerate |
| $GENERATED_UUID_MEDICATION | UUID Medication yang digenerate |
| $DATETIME_OBAT_DISIAPKAN | Tanggal dan jam obat disiapkan |
| $DATETIME_OBAT_DIBERIKAN | Tanggal dan jam obat diberikan |
| $DATE_MULAI_PENGOBATAN | Tanggal mulai pemberian obat |
| $DATE_KUNJUNGAN_BULANAN_BERIKUTNYA | Tanggal kunjungan ulang (kontrol) bulan berikutnya |
5. MedicationRequest
{ "resourceType": "MedicationRequest", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/prescription/10000004", "use": "official", "value": "123456788" }, { "system": "http://sys-ids.kemkes.go.id/prescription-item/10000004", "use": "official", "value": "123456788-1" } ], "status": "completed", "statusReason": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason", "code": "clarif", "display": "Prescription requires clarification" } ] }, "intent": "order", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code": "outpatient", "display": "Outpatient" } ] } ], "priority": "routine", "medicationReference": { "reference": "Medication/c2843f5d-54a6-4491-9ebe-bd56594713aa", "display": "Obat Anti Tuberculosis / Rifampicin 150 mg / Isoniazid 75 mg / Pyrazinamide 400 mg / Ethambutol 275 mg Kaplet Salut Selaput (KIMIA FARMA)" }, "subject": { "reference": "Patient/100000030009", "display": "Budi Santoso" }, "encounter": { "reference": "Encounter/14e8398c-1016-44b8-b619-a802b80d2c94" }, "authoredOn": "2022-08-04", "requester": { "reference": "Practitioner/N10000001", "display": "Dokter Bronsig" }, "performerType": { "coding": [ { "system": "http://snomed.info/sct", "code": "309343006", "display": "Physician" } ] }, "reasonCode": [ { "coding": [ { "system": "http://hl7.org/fhir/sid/icd-10", "code": "A15.0", "display": "Tuberculosis of lung, confirmed by sputum microscopy with or without culture" } ] } ], "courseOfTherapyType": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy", "code": "continuous", "display": "Continuing long term therapy" } ] }, "dosageInstruction": [ { "sequence": 1, "text": "4 tablet per hari", "additionalInstruction": [ { "text": "Diminum setiap hari" } ], "patientInstruction": "4 tablet perhari, diminum setiap hari tanpa jeda sampai prose pengobatan berakhir", "timing": { "repeat": { "frequency": 1, "period": 1, "periodUnit": "d" } }, "route": { "coding": [ { "system": "http://www.whocc.no/atc", "code": "O", "display": "Oral" } ] }, "doseAndRate": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code": "ordered", "display": "Ordered" } ] }, "doseQuantity": { "value": 4, "unit": "TAB", "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code": "TAB" } } ] } ], "dispenseRequest": { "dispenseInterval": { "value": 1, "unit": "days", "system": "http://unitsofmeasure.org", "code": "d" }, "validityPeriod": { "start": "2022-01-01", "end": "2022-01-30" }, "numberOfRepeatsAllowed": 0, "quantity": { "value": 120, "unit": "TAB", "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code": "TAB" }, "expectedSupplyDuration": { "value": 30, "unit": "days", "system": "http://unitsofmeasure.org", "code": "d" } } }
{
"resourceType": "MedicationRequest",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/prescription/{{FACILITY_IHS_NUMBER}}",
"use": "official",
"value": "{{MEDICATIONREQ_LOCAL1_CODE}}"
},
{
"system": "http://sys-ids.kemkes.go.id/prescription-item/{{FACILITY_IHS_NUMBER}}",
"use": "official",
"value": "{{MEDICATIONREQ_LOCAL2_CODE}}"
}
],
"status": "completed",
"statusReason": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason",
"code": "clarif",
"display": "Prescription requires clarification"
}
]
},
"intent": "order",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "outpatient",
"display": "Outpatient"
}
]
}
],
"priority": "routine",
"medicationReference": {
"reference": "Medication/{{MEDICATION1_RERERENCE_ID}}",
"display": "{{MEDICATION1_CODE_DISPLAY}}"
},
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}",
"display": "{{PATIENT_NAME}}"
},
"encounter": {
"reference": "Encounter/{{ENCOUNTER_REFERENCE_ID}}"
},
"authoredOn": "{{MEDICATIONREQ_AUTHOREDON}}",
"requester": {
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
"display": "{{DOCTOR_NAME}}"
},
"performerType": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "309343006",
"display": "Physician"
}
]
},
"reasonCode": [
{
"coding": [
{
"system": "http://hl7.org/fhir/sid/icd-10",
"code": "{{CONDITION1_ICD_CODE}}",
"display": "{{CONDITION1_ICD_DISPLAY}}"
}
]
}
],
"courseOfTherapyType": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
"code": "continuous",
"display": "Continuing long term therapy"
}
]
},
"dosageInstruction": [
{
"sequence": 1,
"text": "{{MEDICATIONREQ_DOSAGE_TEXT}}",
"additionalInstruction": [
{
"text": "{{MEDICATIONREQ_DOSAGE_TEXT_ADD}}"
}
],
"patientInstruction": "{{MEDICATIONREQ_DOSAGE_TEXT_INSTRUCTION}}",
"timing": {
"repeat": {
"frequency": 1,
"period": 1,
"periodUnit": "d"
}
},
"route": {
"coding": [
{
"system": "http://www.whocc.no/atc",
"code": "O",
"display": "Oral"
}
]
},
"doseAndRate": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
}
]
},
"doseQuantity": {
"value": 4,
"unit": "{{MEDICATIONREQ_DOSE_UNIT}}",
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "{{MEDICATIONREQ_DOSE_UNIT}}"
}
}
]
}
],
"dispenseRequest": {
"dispenseInterval": {
"value": {{MEDICATIONREQ_DISPENSE_INTERVAL}},
"unit": "days",
"system": "http://unitsofmeasure.org",
"code": "d"
},
"validityPeriod": {
"start": "{{MEDICATIONREQ_DISPENSE_START}}",
"end": "{{MEDICATIONREQ_DISPENSE_END}}"
},
"numberOfRepeatsAllowed": 0,
"quantity": {
"value": {{MEDICATIONREQ_DISPENSE_QUANTITY}},
"unit": "{{MEDICATIONREQ_DOSE_UNIT}}",
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "{{MEDICATIONREQ_DOSE_UNIT}}"
},
"expectedSupplyDuration": {
"value": {{MEDICATIONREQ_DISPENSE_DURATION}},
"unit": "days",
"system": "http://unitsofmeasure.org",
"code": "d"
}
}
}
| Variabel | Deskripsi |
|---|---|
| $GENERATED_UUID_MEDICATION_DISPENSE | UUID MedicationRequest yang digenerate |
| $GENERATED_UUID_MEDICATION_REQUEST | UUID MedicationRequest yang digenerate |
| $IHS_NUMBER_PASIEN | SATUSEHAT ID Number untuk Pasien |
| $NAMA_PASIEN | Nama Pasien |
| $IHS_NUMBER_DOKTER | SATUSEHAT ID Number untuk Dokter/Nakes |
| $GENERATED_UUID_EPISODEOFCARE | UUID EpisodeOfCare yang digenerate |
| $GENERATED_UUID_MEDICATION | UUID Medication yang digenerate |
| $DATETIME_OBAT_DISIAPKAN | Tanggal dan jam obat disiapkan |
| $DATETIME_OBAT_DIBERIKAN | Tanggal dan jam obat diberikan |
| $DATE_MULAI_PENGOBATAN | Tanggal mulai pemberian obat |
| $DATE_KUNJUNGAN_BULANAN_BERIKUTNYA | Tanggal kunjungan ulang (kontrol) bulan berikutnya |
II. Berbasis Bundle
E. Kunjungan Akhir Pengobatan
Proses ini digunakan untuk mencatat hasil akhir dari perawatan TB. diharapkan pada akhir proses pengobatan TB dikirimkan bundle yang berisi update dari informasi periode EpisodeOfCare serta Resource Encounter yang menyatakan hasil pemeriksaan pada akhir periode tersebut. Resource Encounter diberlakukan sama seperti bundle lainnya yaitu tetap menyebutkan referensi ID EpisodeOfCare.
I. Berbasis Resource
Entry Resources yang digunakan
| No | Nama Resource | Entry Mandatory | Metode |
|---|---|---|---|
| 1 | EpisodeOfCare | Required | UPDATE(PUT) |
| 2 | Encounter | Required | BUAT BARU(POST) |
| 3 | DiagnosticReport | Required | BUAT BARU(POST) |
| 4 | Observation | Required | BUAT BARU(POST) |
| 5 | QuestionnaireResponse | Required | UPDATE(PUT) |
1. EpisodeOfCare
{ "resourceType": "EpisodeOfCare", "id": "296b5ead-a10c-42db-bcc0-469c79c668f6", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/episode-of-care/10084561/", "value": "EOC12345" } ], "status": "finished", "statusHistory": [ { "status": "active", "period": { "start": "2022-01-01", "end": "2022-06-30" } }, { "status": "finished", "period": { "start": "2022-06-30", "end": "2022-06-30" } } ], "type": [ { "coding": [ { "system": "https://terminology.kemkes.go.id/CodeSystem/episodeofcare-type", "code": "TB-SO", "display": "Tuberkulosis Sensitif Obat" } ] } ], "diagnosis": [ { "condition": { "reference": "Condition/fb2375e6-627e-40f5-9c82-d6a71a71e689", "display": "Tuberculosis of lung, confirmed by sputum microscopy with or without culture" }, "role": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role", "code": "DD", "display": "Discharged Diagnosis" } ] }, "rank": 1 } ], "patient": { "reference": "Patient/100000030009", "display": "Budi Santoso" }, "managingOrganization": { "reference": "Organization/10084561" }, "period": { "start": "2022-06-30", "end": "2022-06-30" }, "careManager": { "reference": "Practitioner/N10000001", "display": "Dokter Bronsig" } }
{
"resourceType": "EpisodeOfCare",
"id": "{{EPISODEOFCARE_REFERENCE_ID}}",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/episode-of-care/{{FACILITY_IHS_NUMBER}}/",
"value": "{{EPISODEOFCARE_LOCAL_CODE}}"
}
],
"status": "finished",
"statusHistory": [
{
"status": "active",
"period": {
"start": "{{EPISODEOFCARE_PERIOD1_START}}",
"end": "{{EPISODEOFCARE_PERIOD1_END}}"
}
},
{
"status": "finished",
"period": {
"start": "{{EPISODEOFCARE_PERIOD2_START}}",
"end": "{{EPISODEOFCARE_PERIOD2_END}}"
}
}
],
"type": [
{
"coding": [
{
"system": "https://terminology.kemkes.go.id/CodeSystem/episodeofcare-type",
"code": "{{EPISODEOFCARE_TYPE_CODE}}",
"display": "{{EPISODEOFCARE_TYPE_DISPLAY}}"
}
]
}
],
"diagnosis": [
{
"condition": {
"reference": "Condition/{{CONDITION1_REFERENCE_ID}}",
"display": "{{CONDITION1_ICD_DISPLAY}}"
},
"role": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
"code": "DD",
"display": "Discharged Diagnosis"
}
]
},
"rank": 1
}
],
"patient": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}",
"display": "{{PATIENT_NAME}}"
},
"managingOrganization": {
"reference": "Organization/{{FACILITY_IHS_NUMBER}}"
},
"period": {
"start": "{{EPISODEOFCARE_PERIOD2_START}}",
"end": "{{EPISODEOFCARE_PERIOD2_END}}"
},
"careManager": {
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
"display": "{{DOCTOR_NAME}}"
}
}
| Variabel | Deskripsi |
|---|---|
| $GENERATED_UUID_EPISODEOFCARE | UUID EpisodeOfCare |
| $IHS_NUMBER_PASIEN | SATUSEHAT ID Number untuk Pasien |
| $NAMA_PASIEN | Nama Pasien |
| $IHS_NUMBER_DOKTER | SATUSEHAT ID Number untuk Dokter/Nakes |
| $IHS_NUMBER_FASYANKES | SATUSEHAT ID Number untuk FASYANKES |
2. Encounter
{ "resourceType": "Encounter", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/encounter/10084561", "value": "P20240001" } ], "status": "arrived", "class": { "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "AMB", "display": "ambulatory" }, "subject": { "reference": "Patient/100000030009", "display": "Budi Santoso" }, "participant": [ { "type": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "ATND", "display": "attender" } ] } ], "individual": { "reference": "Practitioner/N10000001", "display": "Dokter Bronsig" } } ], "period": { "start": "2022-06-14T07:00:00+07:00" }, "location": [ { "location": { "reference": "Location/ef011065-38c9-46f8-9c35-d1fe68966a3e", "display": "Ruang 1A, Poliklinik Rawat Jalan" } } ], "statusHistory": [ { "status": "arrived", "period": { "start": "2022-06-14T07:00:00+07:00", "end": "2022-06-14T09:00:00+07:00" } } ], "serviceProvider": { "reference": "Organization/10084561" } }
{
"resourceType": "Encounter",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/encounter/{{FACILITY_IHS_NUMBER}}",
"value": "{{ENCOUNTER_LOCAL_CODE}}"
}
],
"status": "arrived",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
},
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}",
"display": "{{PATIENT_NAME}}"
},
"participant": [
{
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "ATND",
"display": "attender"
}
]
}
],
"individual": {
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
"display": "{{DOCTOR_NAME}}"
}
}
],
"period": {
"start": "{{ENCOUNTER_PERIOD1_START}}"
},
"location": [
{
"location": {
"reference": "Location/{{ENCOUNTER_LOCATION_ID}}",
"display": "{{ENCOUNTER_LOCATION_NAME}}"
}
}
],
"statusHistory": [
{
"status": "arrived",
"period": {
"start": "{{ENCOUNTER_PERIOD1_START}}",
"end": "{{ENCOUNTER_PERIOD1_END}}"
}
}
],
"serviceProvider": {
"reference": "Organization/{{FACILITY_IHS_NUMBER}}"
}
}
| Variabel | Deskripsi |
|---|---|
| $ID_ENCOUNTER_1 | UUID Encounter yang digenerate |
| $ID_ENCOUNTER_2 | UUID Encounter yang digenerate |
| $IHS_NUMBER_PASIEN | SATUSEHAT ID Number untuk Pasien |
| $NAMA_PASIEN | Nama Pasien |
| $IHS_NUMBER_DOKTER | SATUSEHAT ID Number untuk Dokter/Nakes |
| $IHS_NUMBER_FASYANKES | SATUSEHAT ID Number untuk FASYANKES |
3. DiagnosticReport
{ "resourceType": "DiagnosticReport", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/diagnostic/10000004/radiology", "use": "official", "value": "5234342" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "RAD", "display": "Radiology" } ] } ], "code": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "imaging", "display": "Imaging" } ] }, "subject": { "reference": "Patient/100000030009" }, "encounter": { "reference": "Encounter/14e8398c-1016-44b8-b619-a802b80d2c94" }, "effectiveDateTime": "2012-12-01T12:00:00+01:00", "issued": "2012-12-01T12:00:00+01:00", "performer": [ { "reference": "Practitioner/N10000001" }, { "reference": "Organization/10000004" } ], "result": [ { "reference": "Observation/359c66f2-0383-487a-8dee-69e71aea4de3", "display": "XR Chest PA upright" } ], "conclusionCode": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code": "POS", "display": "Positive" } ] } ] }
{
"resourceType": "DiagnosticReport",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/diagnostic/{{FACILITY_IHS_NUMBER}}/radiology",
"use": "official",
"value": "{{DIAGNOSTICREPORT_LOCAL_CODE}}"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "RAD",
"display": "Radiology"
}
]
}
],
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "imaging",
"display": "Imaging"
}
]
},
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}"
},
"encounter": {
"reference": "Encounter/{{ENCOUNTER_REFERENCE_ID}}"
},
"effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
"issued": "{{OBSERVATION_ISSUED}}",
"performer": [
{
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}"
},
{
"reference": "Organization/{{FACILITY_IHS_NUMBER}}"
}
],
"result": [
{
"reference": "Observation/{{OBSERVATION8_REFERENCE_ID}}",
"display": "XR Chest PA upright"
}
],
"conclusionCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "POS",
"display": "Positive"
}
]
}
]
}
| Variabel | Deskripsi |
|---|---|
| $GENERATED_UUID_DIAGNOSTIC_REPORT | UUID DiagnosticReport yang digenerate |
| $GENERATED_UUID_OBSERVATION_1 | UUID pemeriksaan mikroskopis yang digenerate |
| $GENERATED_UUID_ENCOUNTER | UUID Encounter yang digenerate |
| $IHS_NUMBER_PASIEN | SATUSEHAT ID Number untuk Pasien |
| $IHS_NUMBER_FASYANKES | SATUSEHAT ID Number untuk FASYANKES |
| $NAMA_FASYANKES | Nama FASYANKES |
4. Observation
{ "resourceType": "Observation", "identifier": [ { "system": "http://sys-ids.kemkes.go.id/observation/1000004", "value": "O111112" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "RAD", "display": "Radiology" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "24648-8", "display": "XR Chest PA upright" } ] }, "subject": { "reference": "Patient/100000030009" }, "encounter": { "reference": "Encounter/14e8398c-1016-44b8-b619-a802b80d2c94" }, "effectiveDateTime": "2022-06-14", "bodySite": { "coding": [ { "system": "http://snomed.info/sct", "code": "51185008", "display": "Chest" } ] }, "valueString": "Uraian hasil pemeriksaan: foto thorax, proyeksi PA, posisi erect, asimetris, inspirasi dan kondisi cukup dengan hasil: 1) tampak cavitas inhomogen di proyeksi pulmo bilateral terutama dextra, batas tak tegas disertai penebalan fibrotic, cavitas (+), 2) tak tampak pemadatan limfonodi hilus bilateral, 3) tampak kedua costofrenicus lancip, 4) tampak kedua diafragma licin dan tak mendatar, 5) cor CTR tak valid dinilai (asimetri), tampak kalsifikasi di arcus aorta dengan bentuk crescent, 6) sistem tulang yang tervisualisasi intact. Kesan: TB paru lama aktif, besar cor tak valid dinilai, aortosclerosis", "performer": [ { "reference": "Practitioner/N10000001" }, { "reference": "Organization/10000004" } ], "interpretation": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code": "POS", "display": "Positive" } ] } ], "referenceRange": [ { "text": "No abnormalities found" } ] }
{
"resourceType": "Observation",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
"value": "{{OBSERVATION8_LOCAL_CODE}}"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "RAD",
"display": "Radiology"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "24648-8",
"display": "XR Chest PA upright"
}
]
},
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}"
},
"encounter": {
"reference": "Encounter/{{ENCOUNTER_REFERENCE_ID}}"
},
"effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
"bodySite": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "51185008",
"display": "Chest"
}
]
},
"valueString": "Uraian hasil pemeriksaan: foto thorax, proyeksi PA, posisi erect, asimetris, inspirasi dan kondisi cukup dengan hasil: 1) tampak cavitas inhomogen di proyeksi pulmo bilateral terutama dextra, batas tak tegas disertai penebalan fibrotic, cavitas (+), 2) tak tampak pemadatan limfonodi hilus bilateral, 3) tampak kedua costofrenicus lancip, 4) tampak kedua diafragma licin dan tak mendatar, 5) cor CTR tak valid dinilai (asimetri), tampak kalsifikasi di arcus aorta dengan bentuk crescent, 6) sistem tulang yang tervisualisasi intact. Kesan: TB paru lama aktif, besar cor tak valid dinilai, aortosclerosis",
"performer": [
{
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}"
},
{
"reference": "Organization/{{FACILITY_IHS_NUMBER}}"
}
],
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "POS",
"display": "Positive"
}
]
}
],
"referenceRange": [
{
"text": "No abnormalities found"
}
]
}
| Variabel | Deskripsi |
|---|---|
| $GENERATED_UUID_ENCOUNTER | UUID Encounter yang digenerate |
| $CODE_OBSERVATION_1 | CodeSystem pemeriksaan mikroskopis |
| $VALUE_OBSERVATION_1 | Value pemeriksaan mikroskopis |
5. QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "questionnaire": "https://fhir.kemkes.go.id/Questionnaire/Q0001", "status": "completed", "subject": { "reference": "Patient/100000030009", "display": "Budi Santoso" }, "encounter": { "reference": "Encounter/14e8398c-1016-44b8-b619-a802b80d2c94" }, "authored": "2022-07-26T10:00:00+07:00", "author": { "reference": "Practitioner/N10000001" }, "source": { "reference": "Patient/100000030009" }, "item": [ { "linkId": "1", "text": "Tipe diagnosis tuberkulosis", "answer": [ { "valueCoding": { "system": "https://terminology.kemkes.go.id/CodeSystem/tb-case-definition", "code": "tb-bac", "display": "Terkonfirmasi bakteriologis" } } ] }, { "linkId": "2", "text": "Klasifikasi tuberkulosis berdasarkan lokasi anatomis", "answer": [ { "valueCoding": { "system": "https://terminology.kemkes.go.id/CodeSystem/tb-anatomical", "code": "PTB", "display": "Tuberkulosis Paru" } } ] }, { "linkId": "3", "text": "Klasifikasi tuberkulosis berdasarkan riwayat pengobatan", "answer": [ { "valueCoding": { "system": "https://terminology.kemkes.go.id/CodeSystem/prev-tb-treatment", "code": "new", "display": "Kasus Baru" } } ] }, { "linkId": "4", "text": "Hasil akhir pengobatan tuberkulosis", "answer": [ { "valueCoding": { "system": "https://terminology.kemkes.go.id/CodeSystem/tb-outcome-class", "code": "cured", "display": "Sembuh" } } ] } ] }
{
"resourceType": "QuestionnaireResponse",
"id": "{{QUESTRESPONSE_REFERENCE_ID}}",
"questionnaire": "https://fhir.kemkes.go.id/Questionnaire/Q0001",
"status": "completed",
"subject": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}",
"display": "{{PATIENT_NAME}}"
},
"encounter": {
"reference": "Encounter/{{ENCOUNTER_REFERENCE_ID}}"
},
"authored": "{{QUESTRESPONSE_AUTHORED}}",
"author": {
"reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}"
},
"source": {
"reference": "Patient/{{PATIENT_IHS_NUMBER}}"
},
"item": [
{
"linkId": "1",
"text": "Tipe diagnosis tuberkulosis",
"answer": [
{
"valueCoding": {
"system": "https://terminology.kemkes.go.id/CodeSystem/tb-case-definition",
"code": "{{QUESTRESPONSE_ITEM1_CODE}}",
"display": "{{QUESTRESPONSE_ITEM1_DISPLAY}}"
}
}
]
},
{
"linkId": "2",
"text": "Klasifikasi tuberkulosis berdasarkan lokasi anatomis",
"answer": [
{
"valueCoding": {
"system": "https://terminology.kemkes.go.id/CodeSystem/tb-anatomical",
"code": "{{QUESTRESPONSE_ITEM2_CODE}}",
"display": "{{QUESTRESPONSE_ITEM2_DISPLAY}}"
}
}
]
},
{
"linkId": "3",
"text": "Klasifikasi tuberkulosis berdasarkan riwayat pengobatan",
"answer": [
{
"valueCoding": {
"system": "https://terminology.kemkes.go.id/CodeSystem/prev-tb-treatment",
"code": "{{QUESTRESPONSE_ITEM3_CODE}}",
"display": "{{QUESTRESPONSE_ITEM3_DISPLAY}}"
}
}
]
},
{
"linkId": "4",
"text": "Hasil akhir pengobatan tuberkulosis",
"answer": [
{
"valueCoding": {
"system": "https://terminology.kemkes.go.id/CodeSystem/tb-outcome-class",
"code": "{{QUESTRESPONSE_ITEM4_CODE}}",
"display": "{{QUESTRESPONSE_ITEM4_DISPLAY}}"
}
}
]
}
]
}
| Variabel | Deskripsi |
|---|---|
| $IHS_NUMBER_PASIEN | SATUSEHAT ID Number untuk Pasien |
| $NAMA_PASIEN | Nama Pasien |
| $GENERATED_UUID_ENCOUNTER | UUID Encounter yang digenerate |
| $TIMESTAMP_AUTHORED | Tanggal dan waktu Questionnaire dibuat |
| $IHS_NUMBER_DOKTER | SATUSEHAT ID Number untuk Dokter/Nakes |
| $CODE_TB_OUTCOME | Kode hasil akhir Pengobatan (lihat ValueSet) |
| $DISPLAY_TB_OUTCOME | Teks display hasil akhir Pengobatan (lihat ValueSet) |
Hasil akhir pengobatan tuberkulosis
| Code System | https://terminology.kemkes.go.id/CodeSystem/tb-outcome-class |
| Value Set url | https://terminology.kemkes.go.id/ValueSet/tb-outcome-class |
| Kode | Teks Display |
|---|---|
| cured | Sembuh |
| cmpl | Pengobatan Lengkap |
| failed | Pengobatan Gagal |
| died | Meninggal |
| loss-to-follow-up | Putus Obat |
| not-eval | Tidak dievaluasi |