Last Updated: 2024/01/03

ILI (Influenza-like Illness)

A. Pendahuluan

Tahapan alur integrasi dan resource yang digunakan untuk integrasi pelaporan kasus ILI dapat dilihat pada gambar dibawah ini.

covid-skema-pelaporan-ili

Gambar 2. Alur Integrasi Pelaporan ILI (Influenza-like Illness)

B. Strategi Pengiriman Data ke SATUSEHAT

SATUSEHAT menyediakan dua pilihan cara mengirimkan data use case ILI:

1. Berbasis Resource

Data dapat dikirimkan secara berurutan sesuai resource yang terlibat pada alur pelayanan terkait. Sebagai contoh: ketika mengirimkan data registrasi kasus 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 ILI adalah sebagai berikut:

Category No Resource Entry Mandatory
Base 1 Patient Required
2 Practitioner Required
3 Organization Required
4 Location Required
5 Encounter * Required
Clinical 6 Condition Required
7 Observation Required
8 ServiceRequest Required
9 Specimen Required
10 QuestionnaireResponse Required
11 DiagnosticReport Required
12 Composition Required


Notes:

  1. *) Profile Resource yang direkomendasikan tersedia pada proses pencatatan
  2. Required: Entry resource harus dilibatkan setiap kali mengirimkan bundle
  3. Optional: Entry resource dapat tidak dilibatkan setiap kali mengirimkan bundle

C. Langkah-Langkah Pengiriman Data ke SATUSEHAT

[Pre-Use Case Requirement] Pencarian Data Pasien

Apabila melakukan pengiriman data kesehatan melalui SATUSEHAT yang memiliki elemen data terkait pasien, maka diperlukan informasi {patient-ihs-number} dari pasien yang bersangkutan. {patient-ihs-number} seorang pasien didapatkan dari Master Patient Index (MPI) Kementerian Kesehatan. MPI menyimpan data-data demografi pasien berskala nasional, mulai dari nama, tanggal lahir, alamat, IDentitas resmi yang diterbitkan pemerintah, dan lain lain. Setelah mendapatkan {patient-ihs-number}, ID dapat disimpan secara di masing-masing sistem internal fasyankes maupun partner non-fasyankes. {patient-ihs-number} akan mempermudah pelaporan pelayanan kesehatan yang berhubungan dengan pasien, karena partner tidak diwajibkan menyertakan data diri setiap ada pengiriman data {patient-ihs-number} juga dapat digunakan untuk melihat data diri pasien secara menyeluruh.

CATATAN: Proses pencarian {patient-ihs-number} dari pasien dapat dilakukan melalui FHIR API dengan metode GET. Untuk metode pencarian data pasien di SATUSEHAT secara detail dapat dilihat dalam resource Patient dan terkait panduan/playbook MPI dapat dilihat dalam dokumen Master Patient Index.

Step 1. Pendaftaran Kunjungan Pasien

Kunjungan pasien dapat didefinisikan sebagai interaksi pasien terhadap suatu layanan fasyankes. Sebagai contoh, dalam satu rangkaian rawat jalan, seluruh rangkaian dapat didefinisikan sebagai satu “Encounter”. Data-data kunjungan pasien yang direkam meliputi kapan pertemuan tersebut mulai dan selesai, siapa tenaga kesehatan yang melayani, siapa subjek dari pelayanannya, dan informasi pendukung lainnya.

Pendataan Kunjungan Rawat Jalan

{
"resourceType": "Encounter",
"identifier": [
{
"use": "temp",
"system": "http://sys-ids.kemkes.go.id/encounter/10000004",
"value": "P20240001"
}
],
"status": "arrived",
"statusHistory": [
{
"status": "arrived",
"period": {
"start": "2022-10-14T07:00:00+00:00"
}
}
],
"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": "2022-10-15T07:00:00+00:00"
},
"location": [
{
"location": {
"reference": "Location/b017aa54-f1df-4ec2-9d84-8823815d7228",
"display": "Ruang 1A, Poliklinik Bedah Rawat Jalan Terpadu, Lantai 2, Gedung G"
}
}
],
"serviceProvider": {
"reference": "Organization/10000004"
}
}
{
    "resourceType": "Encounter",
    "identifier":  [
        {
            "use": "temp",
            "system": "http://sys-ids.kemkes.go.id/encounter/
Command 'ORGANIZATION_IHS_NUMBER' could not render: There is no placeholder called 'ORGANIZATION_IHS_NUMBER'
",
            "value": "
Command 'ENCOUNTER_LOCAL_CODE' could not render: There is no placeholder called 'ENCOUNTER_LOCAL_CODE'
"
        }
    ],
    "status": "arrived",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "reference": "Patient/
Command 'PATIENT_IHS_NUMBER' could not render: There is no placeholder called 'PATIENT_IHS_NUMBER'
",
        "display": "
Command 'PATIENT_NAME' could not render: There is no placeholder called 'PATIENT_NAME'
"
    },
    "participant":  [
        {
            "type":  [
                {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "individual": {
                "reference": "Practitioner/
Command 'PRACTITIONER_IHS_NUMBER' could not render: There is no placeholder called 'PRACTITIONER_IHS_NUMBER'
",
                "display": "
Command 'DOCTOR_NAME' could not render: There is no placeholder called 'DOCTOR_NAME'
"
            }
        }
    ],
    "period": {
        "start": "
Command 'ENCOUNTER_PERIOD1_START' could not render: There is no placeholder called 'ENCOUNTER_PERIOD1_START'
"
    },
    "location":  [
        {
            "location": {
                "reference": "Location/
Command 'ID_RESOURCE_LOCATION' could not render: There is no placeholder called 'ID_RESOURCE_LOCATION'
",
                "display": "
Command 'ENCOUNTER_LOCATION_NAME' could not render: There is no placeholder called 'ENCOUNTER_LOCATION_NAME'
"
            }
        }
    ],
    "statusHistory":  [
        {
            "status": "arrived",
            "period": {
                "start": "
Command 'ENCOUNTER_PERIOD1_START' could not render: There is no placeholder called 'ENCOUNTER_PERIOD1_START'
"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/
Command 'ORGANIZATION_IHS_NUMBER' could not render: There is no placeholder called 'ORGANIZATION_IHS_NUMBER'
"
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER pada SATUSEHAT
ENCOUNTER_LOCAL_CODE ID Lokal untuk Kunjungan/Encounter
PATIENT_IHS_NUMBER pada SATUSEHAT
PATIENT_NAME Nama Pasien
PRACTITIONER_IHS_NUMBER pada SATUSEHAT
DOCTOR_NAME Nama Dokter/Nakes
ENCOUNTER_PERIOD1_START Waktu mulai/check-in kunjungan
ENCOUNTER_PERIOD1_END Waktu mulai/check-out kunjungan
ID_RESOURCE_LOCATION ID Location tempat kunjungan dilakukan
ENCOUNTER_LOCATION_NAME Nama Location tempat kunjungan dilakukan
[none]

Step 2. Pengiriman Data Medis terkait Kondisi Pasien

Data terkait kondisi pasien pada modul ILI mencakup informasi sebagai berikut:
1. Suhu (resource Observation)
2. Frekuensi napas (resource Observation)
3. Gejala + Tanda Mulai Sakit/Gejala (resource Condition)
4. Kondisi medis (resource Observation)
5. Faktor Penularan & Alasan Tidak Mau Diambil Spesimen (resource QuestionnaireResponse)

Suhu

{
"resourceType": "Observation",
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital Signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8310-5",
"display": "Body temperature"
}
]
},
"subject": {
"reference": "Patient/100000030009"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
"display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
},
"effectiveDateTime": "2022-10-14T07:00:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueQuantity": {
"value": 38.5,
"unit": "Celcius",
"system": "http://unitsofmeasure.org",
"code": "Cel"
}
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "vital-signs",
                    "display": "Vital Signs"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "8310-5",
                "display": "Body temperature"
            }
        ]
    },
    "subject": {
        "reference": "Patient/
Command 'PATIENT_IHS_NUMBER' could not render: There is no placeholder called 'PATIENT_IHS_NUMBER'
"
    },
    "encounter": {
        "reference": "Encounter/
Command 'ID_RESOURCE_ENCOUNTER' could not render: There is no placeholder called 'ID_RESOURCE_ENCOUNTER'
"
    },
    "effectiveDateTime": "
Command 'OBSERVATION_EFFECTIVE_DATETIME' could not render: There is no placeholder called 'OBSERVATION_EFFECTIVE_DATETIME'
",
    "performer": [
        {
            "reference": "Practitioner/
Command 'PRACTITIONER_IHS_NUMBER' could not render: There is no placeholder called 'PRACTITIONER_IHS_NUMBER'
"
        },
        {
            "reference": "Organization/
Command 'ORGANIZATION_IHS_NUMBER' could not render: There is no placeholder called 'ORGANIZATION_IHS_NUMBER'
"
        }
    ],
    "valueQuantity": {
		"value": "
Command 'OBSERVATION_VALUE' could not render: There is no placeholder called 'OBSERVATION_VALUE'
",
		"unit": "C",
		"system": "http://unitsofmeasure.org",
		"code": "Cel"
	}
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER pada SATUSEHAT
PATIENT_IHS_NUMBER pada SATUSEHAT
ID_RESOURCE_ENCOUNTER pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
PRACTITIONER_IHS_NUMBER pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi untuk suhu tubuh pasien dalam satuan Celcius

CATATAN:
(*): Jenis data yang memiliki terminologi spesifik. Kamus terminologi bisa ditemukan pada tab "ValueSet"

[none]

Frekuensi Napas

{
"resourceType": "Observation",
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital Signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
}
]
},
"subject": {
"reference": "Patient/100000030009"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
"display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
},
"effectiveDateTime": "2022-10-14T07:00:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueQuantity": {
"value": 20,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "vital-signs",
                    "display": "Vital Signs"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "9279-1",
                "display": "Respiratory rate"
            }
        ]
    },
    "subject": {
        "reference": "Patient/
Command 'PATIENT_IHS_NUMBER' could not render: There is no placeholder called 'PATIENT_IHS_NUMBER'
"
    },
    "encounter": {
        "reference": "Encounter/
Command 'ID_RESOURCE_ENCOUNTER' could not render: There is no placeholder called 'ID_RESOURCE_ENCOUNTER'
"
    },
    "effectiveDateTime": "
Command 'OBSERVATION_EFFECTIVE_DATETIME' could not render: There is no placeholder called 'OBSERVATION_EFFECTIVE_DATETIME'
",
    "performer": [
        {
            "reference": "Practitioner/
Command 'PRACTITIONER_IHS_NUMBER' could not render: There is no placeholder called 'PRACTITIONER_IHS_NUMBER'
"
        },
        {
            "reference": "Organization/
Command 'ORGANIZATION_IHS_NUMBER' could not render: There is no placeholder called 'ORGANIZATION_IHS_NUMBER'
"
        }
    ],
    "valueQuantity": {
		"value": "
Command 'OBSERVATION_VALUE' could not render: There is no placeholder called 'OBSERVATION_VALUE'
",
		"unit": "/min",
        "system": "http://unitsofmeasure.org",
        "code": "/min"
	}
}
| Variabel | Deskripsi | | ------------------------------ | --------- | | __ORGANIZATION_IHS_NUMBER__ | {organization-ihs-number} pada SATUSEHAT | | __PATIENT_IHS_NUMBER__ | {patient-ihs-number} pada SATUSEHAT | | __ID_RESOURCE_ENCOUNTER__ | {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan | | __OBSERVATION_EFFECTIVE_DATETIME__ | Tanggal dan waktu nilai observasi yang diamati dinyatakan benar | | __PRACTITIONER_IHS_NUMBER__ | {practitioner-ihs-number} pada SATUSEHAT | | __OBSERVATION_VALUE__ | Nilai observasi untuk pernapasan tubuh pasien dalam satuan per menit|

CATATAN:
(*): Jenis data yang memiliki terminologi spesifik. Kamus terminologi bisa ditemukan pada tab "ValueSet"

[none]

Gejala + Tanda Mulai Sakit/Gejala

Gejala batuk
{
"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": "problem-list-item",
"display": "Problem List Item"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "49727002",
"display": "Cough"
}
]
},
"subject": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8"
},
"onsetDateTime": "2022-07-14",
"recordedDate": "2022-07-14"
}
{
    "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": "problem-list-item",
                    "display": "Problem List Item"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "49727002",
                "display": "Cough"
            }
        ]
    },
    "subject": {
        "reference": "Patient/
Command 'PATIENT_IHS_NUMBER' could not render: There is no placeholder called 'PATIENT_IHS_NUMBER'
",
        "display": "
Command 'PATIENT_NAME' could not render: There is no placeholder called 'PATIENT_NAME'
"
    },
    "encounter": {
        "reference": "Encounter/
Command 'ID_RESOURCE_ENCOUNTER' could not render: There is no placeholder called 'ID_RESOURCE_ENCOUNTER'
"
    },
    "onsetDateTime": "
Command 'CONDITION_ONSET_DATETIME' could not render: There is no placeholder called 'CONDITION_ONSET_DATETIME'
",
    "recordedDate": "
Command 'CONDITION_RECORDED_DATETIME' could not render: There is no placeholder called 'CONDITION_RECORDED_DATETIME'
"
}
| Variabel | Deskripsi | | ------------------------------ | --------- | | __PATIENT_IHS_NUMBER__ | {patient-ihs-number} pada SATUSEHAT | | __PATIENT_NAME__ | Nama Pasien | | __CONDITION_ONSET_DATETIME__ | Tanggal perkiraan atau tanggal aktual atau tanggal-waktu kondisi mulai, menurut pendapat dokter.| | __CONDITION_RECORDED_DATETIME__ | Tanggal kapan kondisi/keluhan ini tercatat dalam sistem (tanggal yang dibuat oleh sistem)|

CATATAN:
(*): Jenis data yang memiliki terminologi spesifik. Kamus terminologi bisa ditemukan pada tab "ValueSet"

[none]

Kondisi Medis

Merokok
{
"resourceType": "Observation",
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social History"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "80943009",
"display": "Risk factor"
}
]
},
"subject": {
"reference": "Patient/100000030009"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
"display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
},
"effectiveDateTime": "2022-10-14T07:00:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "77176002",
"display": "Smoker"
}
]
}
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "social-history",
                    "display": "Social History"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "80943009",
                "display": "Risk factor"
            }
        ]
    },
    "subject": {
        "reference": "Patient/
Command 'PATIENT_IHS_NUMBER' could not render: There is no placeholder called 'PATIENT_IHS_NUMBER'
"
    },
    "encounter": {
        "reference": "Encounter/
Command 'ID_RESOURCE_ENCOUNTER' could not render: There is no placeholder called 'ID_RESOURCE_ENCOUNTER'
"
    },
    "effectiveDateTime": "
Command 'OBSERVATION_EFFECTIVE_DATETIME' could not render: There is no placeholder called 'OBSERVATION_EFFECTIVE_DATETIME'
",
    "performer": [
        {
            "reference": "Practitioner/
Command 'PRACTITIONER_IHS_NUMBER' could not render: There is no placeholder called 'PRACTITIONER_IHS_NUMBER'
"
        },
        {
            "reference": "Organization/
Command 'ORGANIZATION_IHS_NUMBER' could not render: There is no placeholder called 'ORGANIZATION_IHS_NUMBER'
"
        }
    ],
    "valueCodeableConcept": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "77176002",
                "display": "Smoker"
            }
        ]
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT

CATATAN:
(*): Jenis data yang memiliki terminologi spesifik. Kamus terminologi bisa ditemukan pada tab "ValueSet"

[none]

Faktor Penularan & Alasan Tidak Mau Diambil Spesimen

Selain melakukan anamnesis dan pemeriksaan fisik, wawancara faktor penularan adalah kegiatan yang penting dilakukan untuk memberikan informasi epidemiologis. Data dari proses pemeriksaan dapat dikirimkan resource QuestionnaireResponse
{
"resourceType": "QuestionnaireResponse",
"questionnaire": "https://fhir.kemkes.go.id/Questionnaire/Q0009",
"status": "completed",
"subject": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"encounter": {
"reference": "Encounter/5631f3e5-aa76-48a4-bc99-f5c847b395d9"
},
"authored": "2023-07-18T10:00:00+07:00",
"author": {
"reference": "Practitioner/N10000001"
},
"source": {
"reference": "Patient/100000030009"
},
"item": [
{
"linkId": "1",
"text": "Faktor Penularan",
"item": [
{
"linkId": "1.1",
"text": "Apakah dalam dua minggu terakhir, anda bepergian keluar negeri?",
"answer": [
{
"valueBoolean": true
},
{
"item": [
{
"linkId": "1.1.1",
"text": "Sebutkan Negaranya",
"answer": [
{
"valueCoding": {
"system": "urn:iso:std:iso:3166",
"code": "BR",
"display": "Brazil"
}
}
]
}
]
}
]
},
{
"linkId": "1.2",
"text": "Ada orang serumah yang menderita sakit sepulang dari bepergian ke luar negeri?",
"answer": [
{
"valueBoolean": true
},
{
"item": [
{
"linkId": "1.2.1",
"text": "Sebutkan Negaranya",
"answer": [
{
"valueCoding": {
"system": "urn:iso:std:iso:3166",
"code": "BR",
"display": "Brazil"
}
}
]
}
]
}
]
},
{
"linkId": "1.3",
"text": "Dalam 2 minggu terakhir, apakah pernah kontak dengan unggas mati mendadak?",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "1.4",
"text": "Apakah rumah pasien dekat dengan peternakan unggas (< 100m)?",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "1.5",
"text": "Apakah sudah melakukan vaksinasi influenza 12 bulan terakhir?",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "1.6",
"text": "Apakah sudah melakukan vaksinasi COVID-19 12 bulan terakhir?",
"answer": [
{
"valueBoolean": true
}
]
}
]
}
]
}
{
    "resourceType": "QuestionnaireResponse",
    "questionnaire": "https://fhir.kemkes.go.id/Questionnaire/Q0008",
    "status": "completed",
    "subject": {
        "reference": "Patient/
Command 'PATIENT_IHS_NUMBER' could not render: There is no placeholder called 'PATIENT_IHS_NUMBER'
"
        "display": "
Command 'PATIENT_NAME' could not render: There is no placeholder called 'PATIENT_NAME'
"
    },
    "encounter": {
        "reference": "Encounter/
Command 'ID_RESOURCE_ENCOUNTER' could not render: There is no placeholder called 'ID_RESOURCE_ENCOUNTER'
"
    },
    "authored": "
Command 'AUTHORED_DATETIME' could not render: There is no placeholder called 'AUTHORED_DATETIME'
",
    "author": {
        "reference": "Practitioner/
Command 'PRACTITIONER_IHS_NUMBER' could not render: There is no placeholder called 'PRACTITIONER_IHS_NUMBER'
"
    },
    "source": {
        "reference": "Patient/
Command 'PATIENT_IHS_NUMBER' could not render: There is no placeholder called 'PATIENT_IHS_NUMBER'
"
    },
    "item": [
        {
            "linkId": "1",
            "text": "Faktor Penularan",
            "item": [
                {
                    "linkId": "1.1",
                    "text": "Apakah dalam dua minggu terakhir, anda bepergian keluar negeri?",
                    "answer": [
                        {
                            "valueBoolean": 
Command 'ANSWER_1_1' could not render: There is no placeholder called 'ANSWER_1_1'

                        },
                        {
                            "item": [
                                {
                                    "linkId": "1.1.1",
                                    "text": "Sebutkan Negaranya",
                                    "answer": [
                                        {
                                            "valueCoding": {
                                                "system": "
Command 'ANSWER_1_1_1' could not render: There is no placeholder called 'ANSWER_1_1_1'
",
                                                "code": "
Command 'ANSWER_1_1_1' could not render: There is no placeholder called 'ANSWER_1_1_1'
",
                                                "display": "
Command 'ANSWER_1_1_1' could not render: There is no placeholder called 'ANSWER_1_1_1'
"
                                            }
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "1.2",
                    "text": "Ada orang serumah yang menderita sakit sepulang dari bepergian ke luar negeri?",
                    "answer": [
                        {
                            "valueBoolean": 
Command 'ANSWER_1_2' could not render: There is no placeholder called 'ANSWER_1_2'

                        },
                        {
                            "item": [
                                {
                                    "linkId": "1.2.1",
                                    "text": "Sebutkan Negaranya",
                                    "answer": [
                                        {
                                            "valueCoding": {
                                                "system": "
Command 'ANSWER_1_2_1' could not render: There is no placeholder called 'ANSWER_1_2_1'
",
                                                "code": "
Command 'ANSWER_1_2_1' could not render: There is no placeholder called 'ANSWER_1_2_1'
",
                                                "display": "
Command 'ANSWER_1_2_1' could not render: There is no placeholder called 'ANSWER_1_2_1'
"
                                            }
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "1.3",
                    "text": "Dalam 2 minggu terakhir, apakah pernah kontak dengan unggas mati mendadak?",
                    "answer": [
                        {
                            "valueBoolean": 
Command 'ANSWER_1_3' could not render: There is no placeholder called 'ANSWER_1_3'

                        }
                    ]
                },
                {
                    "linkId": "1.4",
                    "text": "Apakah rumah pasien dekat dengan peternakan unggas (< 100m)?",
                    "answer": [
                        {
                            "valueBoolean": 
Command 'ANSWER_1_4' could not render: There is no placeholder called 'ANSWER_1_4'

                        }
                    ]
                },
                {
                    "linkId": "1.5",
                    "text": "Apakah sudah melakukan vaksinasi influenza 12 bulan terakhir?",
                    "answer": [
                        {
                            "valueBoolean": 
Command 'ANSWER_1_5' could not render: There is no placeholder called 'ANSWER_1_5'

                        }
                    ]
                },
                {
                    "linkId": "1.6",
                    "text": "Apakah sudah melakukan vaksinasi COVID-19 12 bulan terakhir?",
                    "answer": [
                        {
                            "valueBoolean": 
Command 'ANSWER_1_6' could not render: There is no placeholder called 'ANSWER_1_6'

                        }
                    ]
                }
            ]
        }
    ]
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama pasien
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
AUTHORED_DATETIME Waktu di mana jawaban kuesioner didapatkan dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
ANSWER_1_1 Pernyataan apakah pasien bepergian keluar negeri dalam 2 minggu terakhir dengan tipe data boolean
ANSWER_1_1_1 Negara yang dikunjungi pasien dalam 2 minggu terakhir dengan kode ISO 3166
ANSWER_1_2 Pernyataan apakah ada orang serumah yang menderita sakit sepulang dari bepergian ke luar negeri dengan tipe data boolean
ANSWER_1_2_1 Negara yang dikunjungi orang serumah dengan kode ISO 3166
ANSWER_1_3 Pernyataan apakah pasien pernah kontak dengan unggas mati mendadak dalam 2 minggu terakhir dengan tipe data boolean
ANSWER_1_4 Pernyataan apakah rumah pasien dekat dengan peternakan unggas (< 100m) dengan tipe data boolean
ANSWER_1_5 Pernyataan apakah sudah melakukan vaksinasi influenza 12 bulan terakhir dengan tipe data boolean
ANSWER_1_6 Pernyataan apakah sudah melakukan vaksinasi COVID-19 12 bulan terakhir dengan tipe data boolean
[none]

Step 3. Permintaan Pemeriksaan (Laboratorium Pemeriksa/Dituju)

Data mengenai permintaan pemeriksaan swab nasal ataupun tenggorokan dapat dikirimkan dengan resource ServiceRequest.

A. Rujukan dari Faskes Sentinel ke Lab Terpilih

Permintaan Pemeriksaan COVID-19 PCR
{
"resourceType": "ServiceRequest",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/servicerequest/10000004",
"value": "00001"
}
],
"status": "active",
"intent": "original-order",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "108252007",
"display": "Laboratory procedure"
}
]
},
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "3457005",
"display": "Patient referral"
}
]
}
],
"priority": "routine",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "94500-6",
"display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection"
}
]
},
"subject": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8"
},
"occurrenceDateTime": "2022-07-14T10:00:00+07:00",
"requester": {
"reference": "Organization/10000004",
"display": "Puskesmas Bagelen"
},
"performer": [
{
"reference": "Organization/10083042",
"display": "IHS Hospital"
}
],
"locationCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "HLAB",
"display": "hospital laboratory"
}
]
}
],
"locationReference": [
{
"reference": "Location/612fcf96-843a-45c7-a6f7-ff3a08eb7c88",
"display": "Laboratorium"
}
],
"reasonCode": [
{
"text": "Suspect ILI"
}
]
}
{
    "resourceType": "ServiceRequest",
	"identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/servicerequest/
Command 'FACILITY_IHS_NUMBER' could not render: There is no placeholder called 'FACILITY_IHS_NUMBER'
",
            "value": "
Command 'SERVICEREQUEST_LOCAL_CODE' could not render: There is no placeholder called 'SERVICEREQUEST_LOCAL_CODE'
"
        }
    ],
    "status": "active",
    "intent": "original-order",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "108252007",
                    "display": "Laboratory procedure"
                }
            ]
        },
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "3457005",
                    "display": "Patient referral"
                }
            ]
        }
    ],
    "priority": "routine",
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "94500-6",
                "display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection"
            }
        ]
    },
    "subject": {
        "reference": "Patient/
Command 'PATIENT_IHS_NUMBER' could not render: There is no placeholder called 'PATIENT_IHS_NUMBER'
"
        "display": "
Command 'PATIENT_NAME' could not render: There is no placeholder called 'PATIENT_NAME'
"
    },
    "encounter": {
        "reference": "Encounter/
Command 'ID_RESOURCE_ENCOUNTER' could not render: There is no placeholder called 'ID_RESOURCE_ENCOUNTER'
"
    },
    "occurrenceDateTime":  "
Command 'SERVICEREQUEST_OCCURRENCE_DATETIME' could not render: There is no placeholder called 'SERVICEREQUEST_OCCURRENCE_DATETIME'
",
    "requester": {
        "reference": "Organization/
Command 'FACILITY_IHS_NUMBER' could not render: There is no placeholder called 'FACILITY_IHS_NUMBER'
"
    },
    "performer":  [
        {
            "reference": "Organization/
Command 'FACILITY_IHS_NUMBER' could not render: There is no placeholder called 'FACILITY_IHS_NUMBER'
"
        }
    ],
    "locationCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code": "HLAB",
                    "display": "hospital laboratory"
                }
            ]
        }
    ],
    "locationReference":  [
        {
            "reference": "Location/
Command 'ID_RESOURCE_LOCATION' could not render: There is no placeholder called 'ID_RESOURCE_LOCATION'
",
        }
    ],
    "reasonCode":  [
        {
            "text": "
Command 'REASON_FOR_SERVICEREQUEST' could not render: There is no placeholder called 'REASON_FOR_SERVICEREQUEST'
"
        }
    ]
}
Variabel Deskripsi
SERVICEREQUEST_LOCAL_CODE Kode atau ID lokal/nomor service request lokal yang disimpan di sistem internal masing-masing organisasi
PATIENT_IHS_NUMBER ID Patient yang didapatkan dari master pasien indeks
PATIENT_NAME Nama Pasien

| ID_RESOURCE_ENCOUNTER | pada SATUSEHAT untuk data kunjungan | | SERVICEREQUEST_OCCURRENCE_DATETIME | Berisi data informasi kapan kontrol harus terlaksana dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz | | ORGANIZATION_IHS_NUMBER | ID organisasi induk yang didapatkan dari master sarana indeks | | ID_RESOURCE_LOCATION | pada SATUSEHAT untuk data lokasi faskes | | REASON_FOR_SERVICEREQUEST |Berisi data yang berkaitan dengan penjelasan atau justifikasi mengenai mengapa pelayanan ini diminta dalam bentuk kode atau teks |

[none]

Permintaan Pemeriksaan Influenza A
{
"resourceType": "ServiceRequest",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/servicerequest/10000004",
"value": "00001"
}
],
"status": "active",
"intent": "original-order",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "108252007",
"display": "Laboratory procedure"
}
]
},
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "3457005",
"display": "Patient referral"
}
]
}
],
"priority": "routine",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "92142-9",
"display": "Influenza virus A RNA [Presence] in Respiratory system specimen by NAA with probe detection"
}
]
},
"subject": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8"
},
"occurrenceDateTime": "2022-07-14T10:00:00+07:00",
"requester": {
"reference": "Organization/10000004",
"display": "Puskesmas Bagelen"
},
"performer": [
{
"reference": "Organization/10083042",
"display": "IHS Hospital"
}
],
"locationCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "HLAB",
"display": "hospital laboratory"
}
]
}
],
"locationReference": [
{
"reference": "Location/612fcf96-843a-45c7-a6f7-ff3a08eb7c88",
"display": "Laboratorium"
}
],
"reasonCode": [
{
"text": "Suspect ILI"
}
]
}
{
    "resourceType": "ServiceRequest",
	"identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/servicerequest/
Command 'FACILITY_IHS_NUMBER' could not render: There is no placeholder called 'FACILITY_IHS_NUMBER'
",
            "value": "
Command 'SERVICEREQUEST_LOCAL_CODE' could not render: There is no placeholder called 'SERVICEREQUEST_LOCAL_CODE'
"
        }
    ],
    "status": "active",
    "intent": "original-order",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "108252007",
                    "display": "Laboratory procedure"
                }
            ]
        },
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "3457005",
                    "display": "Patient referral"
                }
            ]
        }
    ],
    "priority": "routine",
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "92142-9",
                "display": "Influenza virus A RNA [Presence] in Respiratory system specimen by NAA with probe detection"
            }
        ]
    },
    "subject": {
        "reference": "Patient/
Command 'PATIENT_IHS_NUMBER' could not render: There is no placeholder called 'PATIENT_IHS_NUMBER'
"
        "display": "
Command 'PATIENT_NAME' could not render: There is no placeholder called 'PATIENT_NAME'
"
    },
    "encounter": {
        "reference": "Encounter/
Command 'ID_RESOURCE_ENCOUNTER' could not render: There is no placeholder called 'ID_RESOURCE_ENCOUNTER'
"
    },
    "occurrenceDateTime":  "
Command 'SERVICEREQUEST_OCCURRENCE_DATETIME' could not render: There is no placeholder called 'SERVICEREQUEST_OCCURRENCE_DATETIME'
",
    "requester": {
        "reference": "Organization/
Command 'FACILITY_IHS_NUMBER' could not render: There is no placeholder called 'FACILITY_IHS_NUMBER'
"
    },
    "performer":  [
        {
            "reference": "Organization/
Command 'FACILITY_IHS_NUMBER' could not render: There is no placeholder called 'FACILITY_IHS_NUMBER'
"
        }
    ],
    "locationCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code": "HLAB",
                    "display": "hospital laboratory"
                }
            ]
        }
    ],
    "locationReference":  [
        {
            "reference": "Location/
Command 'ID_RESOURCE_LOCATION' could not render: There is no placeholder called 'ID_RESOURCE_LOCATION'
",
        }
    ],
    "reasonCode":  [
        {
            "text": "
Command 'REASON_FOR_SERVICEREQUEST' could not render: There is no placeholder called 'REASON_FOR_SERVICEREQUEST'
"
        }
    ]
}
Variabel Deskripsi
SERVICEREQUEST_LOCAL_CODE Kode atau ID lokal/nomor service request lokal yang disimpan di sistem internal masing-masing organisasi
PATIENT_IHS_NUMBER ID Patient yang didapatkan dari master pasien indeks
PATIENT_NAME Nama Pasien

| ID_RESOURCE_ENCOUNTER | pada SATUSEHAT untuk data kunjungan | | SERVICEREQUEST_OCCURRENCE_DATETIME | Berisi data informasi kapan kontrol harus terlaksana dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz | | ORGANIZATION_IHS_NUMBER | ID organisasi induk yang didapatkan dari master sarana indeks | | ID_RESOURCE_LOCATION | pada SATUSEHAT untuk data lokasi faskes | | REASON_FOR_SERVICEREQUEST |Berisi data yang berkaitan dengan penjelasan atau justifikasi mengenai mengapa pelayanan ini diminta dalam bentuk kode atau teks |

[none]

Permintaan Pemeriksaan Influenza B
{
"resourceType": "ServiceRequest",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/servicerequest/10000004",
"value": "00001"
}
],
"status": "active",
"intent": "original-order",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "108252007",
"display": "Laboratory procedure"
}
]
},
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "3457005",
"display": "Patient referral"
}
]
}
],
"priority": "routine",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "92141-1",
"display": "Influenza virus B RNA [Presence] in Respiratory system specimen by NAA with probe detection"
}
]
},
"subject": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8"
},
"occurrenceDateTime": "2022-07-14T10:00:00+07:00",
"requester": {
"reference": "Organization/10000004",
"display": "Puskesmas Bagelen"
},
"performer": [
{
"reference": "Organization/10083042",
"display": "IHS Hospital"
}
],
"locationCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "HLAB",
"display": "hospital laboratory"
}
]
}
],
"locationReference": [
{
"reference": "Location/612fcf96-843a-45c7-a6f7-ff3a08eb7c88",
"display": "Laboratorium"
}
],
"reasonCode": [
{
"text": "Suspect ILI"
}
]
}
{
    "resourceType": "ServiceRequest",
	"identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/servicerequest/
Command 'FACILITY_IHS_NUMBER' could not render: There is no placeholder called 'FACILITY_IHS_NUMBER'
",
            "value": "
Command 'SERVICEREQUEST_LOCAL_CODE' could not render: There is no placeholder called 'SERVICEREQUEST_LOCAL_CODE'
"
        }
    ],
    "status": "active",
    "intent": "original-order",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "108252007",
                    "display": "Laboratory procedure"
                }
            ]
        },
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "3457005",
                    "display": "Patient referral"
                }
            ]
        }
    ],
    "priority": "routine",
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "92141-1",
                "display": "Influenza virus B RNA [Presence] in Respiratory system specimen by NAA with probe detection"
            }
        ]
    },
    "subject": {
        "reference": "Patient/
Command 'PATIENT_IHS_NUMBER' could not render: There is no placeholder called 'PATIENT_IHS_NUMBER'
"
        "display": "
Command 'PATIENT_NAME' could not render: There is no placeholder called 'PATIENT_NAME'
"
    },
    "encounter": {
        "reference": "Encounter/
Command 'ID_RESOURCE_ENCOUNTER' could not render: There is no placeholder called 'ID_RESOURCE_ENCOUNTER'
"
    },
    "occurrenceDateTime":  "
Command 'SERVICEREQUEST_OCCURRENCE_DATETIME' could not render: There is no placeholder called 'SERVICEREQUEST_OCCURRENCE_DATETIME'
",
    "requester": {
        "reference": "Organization/
Command 'FACILITY_IHS_NUMBER' could not render: There is no placeholder called 'FACILITY_IHS_NUMBER'
"
    },
    "performer":  [
        {
            "reference": "Organization/
Command 'FACILITY_IHS_NUMBER' could not render: There is no placeholder called 'FACILITY_IHS_NUMBER'
"
        }
    ],
    "locationCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code": "HLAB",
                    "display": "hospital laboratory"
                }
            ]
        }
    ],
    "locationReference":  [
        {
            "reference": "Location/
Command 'ID_RESOURCE_LOCATION' could not render: There is no placeholder called 'ID_RESOURCE_LOCATION'
",
        }
    ],
    "reasonCode":  [
        {
            "text": "
Command 'REASON_FOR_SERVICEREQUEST' could not render: There is no placeholder called 'REASON_FOR_SERVICEREQUEST'
"
        }
    ]
}
Variabel Deskripsi
SERVICEREQUEST_LOCAL_CODE Kode atau ID lokal/nomor service request lokal yang disimpan di sistem internal masing-masing organisasi
PATIENT_IHS_NUMBER ID Patient yang didapatkan dari master pasien indeks
PATIENT_NAME Nama Pasien

| ID_RESOURCE_ENCOUNTER | pada SATUSEHAT untuk data kunjungan | | SERVICEREQUEST_OCCURRENCE_DATETIME | Berisi data informasi kapan kontrol harus terlaksana dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz | | ORGANIZATION_IHS_NUMBER | ID organisasi induk yang didapatkan dari master sarana indeks | | ID_RESOURCE_LOCATION | pada SATUSEHAT untuk data lokasi faskes | | REASON_FOR_SERVICEREQUEST |Berisi data yang berkaitan dengan penjelasan atau justifikasi mengenai mengapa pelayanan ini diminta dalam bentuk kode atau teks |

[none]

B. Permintaan Pemeriksaan Laboratorium Dalam Faskes

Permintaan Pemeriksaan COVID-19 PCR
{
"resourceType": "ServiceRequest",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/servicerequest/10000004",
"value": "00001"
}
],
"status": "active",
"intent": "original-order",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "108252007",
"display": "Laboratory procedure"
}
]
}
],
"priority": "routine",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "94500-6",
"display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection"
}
]
},
"subject": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8"
},
"occurrenceDateTime": "2022-07-14T10:00:00+07:00",
"requester": {
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
},
"performer": [
{
"reference": "Organization/10083042",
"display": "IHS Hospital"
}
],
"locationCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "HLAB",
"display": "hospital laboratory"
}
]
}
],
"locationReference": [
{
"reference": "Location/612fcf96-843a-45c7-a6f7-ff3a08eb7c88",
"display": "Laboratorium"
}
],
"reasonCode": [
{
"text": "Suspect ILI"
}
]
}
{
    "resourceType": "ServiceRequest",
	"identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/servicerequest/
Command 'FACILITY_IHS_NUMBER' could not render: There is no placeholder called 'FACILITY_IHS_NUMBER'
",
            "value": "
Command 'SERVICEREQUEST_LOCAL_CODE' could not render: There is no placeholder called 'SERVICEREQUEST_LOCAL_CODE'
"
        }
    ],
    "status": "active",
    "intent": "original-order",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "108252007",
                    "display": "Laboratory procedure"
                }
            ]
        }
    ],
    "priority": "routine",
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "94500-6",
                "display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection"
            }
        ]
    },
    "subject": {
        "reference": "Patient/
Command 'PATIENT_IHS_NUMBER' could not render: There is no placeholder called 'PATIENT_IHS_NUMBER'
"
        "display": "
Command 'PATIENT_NAME' could not render: There is no placeholder called 'PATIENT_NAME'
"
    },
    "encounter": {
        "reference": "Encounter/
Command 'ID_RESOURCE_ENCOUNTER' could not render: There is no placeholder called 'ID_RESOURCE_ENCOUNTER'
"
    },
    "occurrenceDateTime":  "
Command 'SERVICEREQUEST_OCCURRENCE_DATETIME' could not render: There is no placeholder called 'SERVICEREQUEST_OCCURRENCE_DATETIME'
",
    "requester": {
        "reference": "Practitioner/
Command 'DOCTOR_IHS_NUMBER' could not render: There is no placeholder called 'DOCTOR_IHS_NUMBER'
"
    },
    "performer":  [
        {
            "reference": "Organization/
Command 'FACILITY_IHS_NUMBER' could not render: There is no placeholder called 'FACILITY_IHS_NUMBER'
"
        }
    ],
    "locationCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code": "HLAB",
                    "display": "hospital laboratory"
                }
            ]
        }
    ],
    "locationReference":  [
        {
            "reference": "Location/
Command 'ID_RESOURCE_LOCATION' could not render: There is no placeholder called 'ID_RESOURCE_LOCATION'
",
        }
    ],
    "reasonCode":  [
        {
            "text": "
Command 'REASON_FOR_SERVICEREQUEST' could not render: There is no placeholder called 'REASON_FOR_SERVICEREQUEST'
"
        }
    ]
}
| Variabel | Deskripsi | | ------------------------------ | --------- | | __SERVICEREQUEST_LOCAL_CODE__ | Kode atau ID lokal/nomor service request lokal yang disimpan di sistem internal masing-masing organisasi | | __PATIENT_IHS_NUMBER__ | ID Patient yang didapatkan dari master pasien indeks | | __PATIENT_NAME__ | Nama Pasien |

| ID_RESOURCE_ENCOUNTER | pada SATUSEHAT untuk data kunjungan | | SERVICEREQUEST_OCCURRENCE_DATETIME | Berisi data informasi kapan kontrol harus terlaksana dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz | | DOCTOR_IHS_NUMBER | ID Nakes organisasi induk yang didapatkan dari master Nakes indeks | | ORGANIZATION_IHS_NUMBER | ID organisasi induk yang didapatkan dari master sarana indeks | | ID_RESOURCE_LOCATION | pada SATUSEHAT untuk data lokasi faskes | | REASON_FOR_SERVICEREQUEST |Berisi data yang berkaitan dengan penjelasan atau justifikasi mengenai mengapa pelayanan ini diminta dalam bentuk kode atau teks |

[none]

Permintaan Pemeriksaan Influenza A
{
"resourceType": "ServiceRequest",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/servicerequest/10000004",
"value": "00001"
}
],
"status": "active",
"intent": "original-order",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "108252007",
"display": "Laboratory procedure"
}
]
}
],
"priority": "routine",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "92142-9",
"display": "Influenza virus A RNA [Presence] in Respiratory system specimen by NAA with probe detection"
}
]
},
"subject": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8"
},
"occurrenceDateTime": "2022-07-14T10:00:00+07:00",
"requester": {
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
},
"performer": [
{
"reference": "Organization/10083042",
"display": "IHS Hospital"
}
],
"locationCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "HLAB",
"display": "hospital laboratory"
}
]
}
],
"locationReference": [
{
"reference": "Location/612fcf96-843a-45c7-a6f7-ff3a08eb7c88",
"display": "Laboratorium"
}
],
"reasonCode": [
{
"text": "Suspect ILI"
}
]
}
{
    "resourceType": "ServiceRequest",
	"identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/servicerequest/
Command 'FACILITY_IHS_NUMBER' could not render: There is no placeholder called 'FACILITY_IHS_NUMBER'
",
            "value": "
Command 'SERVICEREQUEST_LOCAL_CODE' could not render: There is no placeholder called 'SERVICEREQUEST_LOCAL_CODE'
"
        }
    ],
    "status": "active",
    "intent": "original-order",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "108252007",
                    "display": "Laboratory procedure"
                }
            ]
        }
    ],
    "priority": "routine",
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "92142-9",
                "display": "Influenza virus A RNA [Presence] in Respiratory system specimen by NAA with probe detection"
            }
        ]
    },
    "subject": {
        "reference": "Patient/
Command 'PATIENT_IHS_NUMBER' could not render: There is no placeholder called 'PATIENT_IHS_NUMBER'
"
        "display": "
Command 'PATIENT_NAME' could not render: There is no placeholder called 'PATIENT_NAME'
"
    },
    "encounter": {
        "reference": "Encounter/
Command 'ID_RESOURCE_ENCOUNTER' could not render: There is no placeholder called 'ID_RESOURCE_ENCOUNTER'
"
    },
    "occurrenceDateTime":  "
Command 'SERVICEREQUEST_OCCURRENCE_DATETIME' could not render: There is no placeholder called 'SERVICEREQUEST_OCCURRENCE_DATETIME'
",
    "requester": {
        "reference": "Practitioner/
Command 'DOCTOR_IHS_NUMBER' could not render: There is no placeholder called 'DOCTOR_IHS_NUMBER'
"
    },
    "performer":  [
        {
            "reference": "Organization/
Command 'FACILITY_IHS_NUMBER' could not render: There is no placeholder called 'FACILITY_IHS_NUMBER'
"
        }
    ],
    "locationCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code": "HLAB",
                    "display": "hospital laboratory"
                }
            ]
        }
    ],
    "locationReference":  [
        {
            "reference": "Location/
Command 'ID_RESOURCE_LOCATION' could not render: There is no placeholder called 'ID_RESOURCE_LOCATION'
",
        }
    ],
    "reasonCode":  [
        {
            "text": "
Command 'REASON_FOR_SERVICEREQUEST' could not render: There is no placeholder called 'REASON_FOR_SERVICEREQUEST'
"
        }
    ]
}
| Variabel | Deskripsi | | ------------------------------ | --------- | | __SERVICEREQUEST_LOCAL_CODE__ | Kode atau ID lokal/nomor service request lokal yang disimpan di sistem internal masing-masing organisasi | | __PATIENT_IHS_NUMBER__ | ID Patient yang didapatkan dari master pasien indeks | | __PATIENT_NAME__ | Nama Pasien |

| ID_RESOURCE_ENCOUNTER | pada SATUSEHAT untuk data kunjungan | | SERVICEREQUEST_OCCURRENCE_DATETIME | Berisi data informasi kapan kontrol harus terlaksana dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz | | DOCTOR_IHS_NUMBER | ID Nakes organisasi induk yang didapatkan dari master Nakes indeks | | ORGANIZATION_IHS_NUMBER | ID organisasi induk yang didapatkan dari master sarana indeks | | ID_RESOURCE_LOCATION | pada SATUSEHAT untuk data lokasi faskes | | REASON_FOR_SERVICEREQUEST |Berisi data yang berkaitan dengan penjelasan atau justifikasi mengenai mengapa pelayanan ini diminta dalam bentuk kode atau teks |

[none]

Permintaan Pemeriksaan Influenza B
{
"resourceType": "ServiceRequest",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/servicerequest/10000004",
"value": "00001"
}
],
"status": "active",
"intent": "original-order",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "108252007",
"display": "Laboratory procedure"
}
]
}
],
"priority": "routine",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "92141-1",
"display": "Influenza virus B RNA [Presence] in Respiratory system specimen by NAA with probe detection"
}
]
},
"subject": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8"
},
"occurrenceDateTime": "2022-07-14T10:00:00+07:00",
"requester": {
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
},
"performer": [
{
"reference": "Organization/10083042",
"display": "IHS Hospital"
}
],
"locationCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "HLAB",
"display": "hospital laboratory"
}
]
}
],
"locationReference": [
{
"reference": "Location/612fcf96-843a-45c7-a6f7-ff3a08eb7c88",
"display": "Laboratorium"
}
],
"reasonCode": [
{
"text": "Suspect ILI"
}
]
}
{
    "resourceType": "ServiceRequest",
	"identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/servicerequest/
Command 'FACILITY_IHS_NUMBER' could not render: There is no placeholder called 'FACILITY_IHS_NUMBER'
",
            "value": "
Command 'SERVICEREQUEST_LOCAL_CODE' could not render: There is no placeholder called 'SERVICEREQUEST_LOCAL_CODE'
"
        }
    ],
    "status": "active",
    "intent": "original-order",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "108252007",
                    "display": "Laboratory procedure"
                }
            ]
        }
    ],
    "priority": "routine",
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "92141-1",
                "display": "Influenza virus B RNA [Presence] in Respiratory system specimen by NAA with probe detection"
            }
        ]
    },
    "subject": {
        "reference": "Patient/
Command 'PATIENT_IHS_NUMBER' could not render: There is no placeholder called 'PATIENT_IHS_NUMBER'
"
        "display": "
Command 'PATIENT_NAME' could not render: There is no placeholder called 'PATIENT_NAME'
"
    },
    "encounter": {
        "reference": "Encounter/
Command 'ID_RESOURCE_ENCOUNTER' could not render: There is no placeholder called 'ID_RESOURCE_ENCOUNTER'
"
    },
    "occurrenceDateTime":  "
Command 'SERVICEREQUEST_OCCURRENCE_DATETIME' could not render: There is no placeholder called 'SERVICEREQUEST_OCCURRENCE_DATETIME'
",
    "requester": {
        "reference": "Practitioner/
Command 'DOCTOR_IHS_NUMBER' could not render: There is no placeholder called 'DOCTOR_IHS_NUMBER'
"
    },
    "performer":  [
        {
            "reference": "Organization/
Command 'FACILITY_IHS_NUMBER' could not render: There is no placeholder called 'FACILITY_IHS_NUMBER'
"
        }
    ],
    "locationCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code": "HLAB",
                    "display": "hospital laboratory"
                }
            ]
        }
    ],
    "locationReference":  [
        {
            "reference": "Location/
Command 'ID_RESOURCE_LOCATION' could not render: There is no placeholder called 'ID_RESOURCE_LOCATION'
",
        }
    ],
    "reasonCode":  [
        {
            "text": "
Command 'REASON_FOR_SERVICEREQUEST' could not render: There is no placeholder called 'REASON_FOR_SERVICEREQUEST'
"
        }
    ]
}
Variabel Deskripsi
SERVICEREQUEST_LOCAL_CODE Kode atau ID lokal/nomor service request lokal yang disimpan di sistem internal masing-masing organisasi
PATIENT_IHS_NUMBER ID Patient yang didapatkan dari master pasien indeks
PATIENT_NAME Nama Pasien

| ID_RESOURCE_ENCOUNTER | pada SATUSEHAT untuk data kunjungan | | SERVICEREQUEST_OCCURRENCE_DATETIME | Berisi data informasi kapan kontrol harus terlaksana dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz | | DOCTOR_IHS_NUMBER | ID Nakes organisasi induk yang didapatkan dari master Nakes indeks | | ORGANIZATION_IHS_NUMBER | ID organisasi induk yang didapatkan dari master sarana indeks | | ID_RESOURCE_LOCATION | pada SATUSEHAT untuk data lokasi faskes | | REASON_FOR_SERVICEREQUEST |Berisi data yang berkaitan dengan penjelasan atau justifikasi mengenai mengapa pelayanan ini diminta dalam bentuk kode atau teks |

[none]

Step 4. Spesimen

Specimen Keadaan Baik

{
"resourceType": "Specimen",
"extension": [
{
"url": "https://fhir.kemkes.go.id/r4/StructureDefinition/TransportedTime",
"valueDateTime": "2022-06-14T09:23:00+00:00"
}
],
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/specimen/10000004",
"value": "00001",
"assigner": {
"reference": "Organization/10000004"
}
}
],
"status": "available",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "258500001",
"display": "Nasopharyngeal swab"
}
]
},
"subject": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"receivedTime": "2022-11-14T15:25:00+00:00",
"request": [
{
"reference": "ServiceRequest/6c37226f-cac3-4731-93ed-60fc9c74e399"
}
],
"collection": {
"extension": [
{
"url": "https://fhir.kemkes.go.id/r4/StructureDefinition/CollectorOrganization",
"valueReference": {
"reference": "Organization/10083042"
}
}
],
"collectedDateTime": "2022-06-14T08:15:00+00:00"
},
"processing": [
{
"timeDateTime": "2022-06-15T08:23:00+00:00"
}
],
"note": [
{
"authorReference": {
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
},
"time": "2022-06-14T09:30:00+00:00",
"text": "Waktu Entry Spesimen"
}
]
}
#tba
#tba
[none]

Specimen Keadaan Tidak Baik

{
"resourceType": "Specimen",
"extension": [
{
"url": "https://fhir.kemkes.go.id/r4/StructureDefinition/TransportedTime",
"valueDateTime": "2022-06-14T09:23:00+00:00"
}
],
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/specimen/10000004",
"value": "00001",
"assigner": {
"reference": "Organization/10000004"
}
}
],
"status": "unsatisfactory",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "258500001",
"display": "Nasopharyngeal swab"
}
]
},
"subject": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"receivedTime": "2022-11-14T15:25:00+00:00",
"request": [
{
"reference": "ServiceRequest/6c37226f-cac3-4731-93ed-60fc9c74e399"
}
],
"collection": {
"extension": [
{
"url": "https://fhir.kemkes.go.id/r4/StructureDefinition/CollectorOrganization",
"valueReference": {
"reference": "Organization/10083042"
}
}
],
"collectedDateTime": "2022-06-14T08:15:00+00:00"
},
"note": [
{
"authorReference": {
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
},
"time": "2022-06-14T09:30:00+00:00",
"text": "Waktu Entry Spesimen"
}
]
}
#tba
#tba
[none]

Step 5. Hasil Pemeriksaan Laboratorium

A. COVID-19 PCR

COVID-19 PCR - Positif
{
"resourceType": "Observation",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/observation/10000004",
"value": "O111111"
}
],
"basedOn": [
{
"reference": "ServiceRequest/5dd79cf6-b799-44b0-ae13-db0a95d63f77"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "94500-6",
"display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection"
}
]
},
"subject": {
"reference": "Patient/100000030009"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
"display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
},
"effectiveDateTime": "2022-10-15T08:23:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://loinc.org",
"code": "LA6576-8",
"display": "Positive"
}
]
},
"specimen": {
"reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
}
}
#tba
#tba
[none]

B. Influenza A

Influenza A - Positif
{
"resourceType": "Observation",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/observation/10000004",
"value": "O111111"
}
],
"basedOn": [
{
"reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "92142-9",
"display": "Influenza virus A RNA [Presence] in Respiratory system specimen by NAA with probe detection"
}
]
},
"subject": {
"reference": "Patient/100000030009"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
"display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
},
"effectiveDateTime": "2022-10-15T08:23:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://loinc.org",
"code": "LA6576-8",
"display": "Positive"
}
]
},
"specimen": {
"reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
}
}
#tba
#tba
[none]

Influenza A - Subtype
{
"resourceType": "Observation",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/observation/10000004",
"value": "O111111"
}
],
"basedOn": [
{
"reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "22827-0",
"display": "Influenza virus A subtype [Identifier] in Specimen by NAA with probe detection"
}
]
},
"subject": {
"reference": "Patient/100000030009"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
"display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
},
"effectiveDateTime": "2022-10-15T08:23:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "449024000",
"display": "Pandemic Influenza A (H1N1) 2009"
}
]
},
"specimen": {
"reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
}
}
#tba
#tba
[none]

Influenza A - Invalid
{
"resourceType": "Observation",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/observation/10000004",
"value": "O111111"
}
],
"basedOn": [
{
"reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "92142-9",
"display": "Influenza virus A RNA [Presence] in Respiratory system specimen by NAA with probe detection"
}
]
},
"subject": {
"reference": "Patient/100000030009"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
"display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
},
"effectiveDateTime": "2022-10-15T08:23:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"dataAbsentReason": {
"coding": [
{
"system": "http://loinc.org",
"code": "LA15841-2",
"display": "Invalid"
}
]
},
"specimen": {
"reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
}
}
#tba
#tba
[none]

Step 6. Laporan Hasil Pemeriksaan Laboratorium (Waktu Verifikasi Hasil)

A. Covid 19

Covid 19 - Positif
{
"resourceType": "Observation",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/observation/10000004",
"value": "O111111"
}
],
"basedOn": [
{
"reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "22827-0",
"display": "Influenza virus A subtype [Identifier] in Specimen by NAA with probe detection"
}
]
},
"subject": {
"reference": "Patient/100000030009"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
"display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
},
"effectiveDateTime": "2022-10-15T08:23:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "449024000",
"display": "Pandemic Influenza A (H1N1) 2009"
}
]
},
"specimen": {
"reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
}
}
#tba
#tba
[none]

B. Influenza A

Influenza A - Positif
{
"resourceType": "Observation",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/observation/10000004",
"value": "O111111"
}
],
"basedOn": [
{
"reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "22827-0",
"display": "Influenza virus A subtype [Identifier] in Specimen by NAA with probe detection"
}
]
},
"subject": {
"reference": "Patient/100000030009"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
"display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
},
"effectiveDateTime": "2022-10-15T08:23:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "449024000",
"display": "Pandemic Influenza A (H1N1) 2009"
}
]
},
"specimen": {
"reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
}
}
#tba
#tba
[none]

Influenza A Subtype
{
"resourceType": "Observation",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/observation/10000004",
"value": "O111111"
}
],
"basedOn": [
{
"reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "22827-0",
"display": "Influenza virus A subtype [Identifier] in Specimen by NAA with probe detection"
}
]
},
"subject": {
"reference": "Patient/100000030009"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
"display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
},
"effectiveDateTime": "2022-10-15T08:23:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "449024000",
"display": "Pandemic Influenza A (H1N1) 2009"
}
]
},
"specimen": {
"reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
}
}
#tba
#tba
[none]

Step 7. Update Data Kunjungan

Pasien Pulang

{
"resourceType": "Encounter",
"id": "8571fcf0-a699-4c73-81c5-bae97b6e68ad",
"identifier": [
{
"use": "temp",
"system": "http://sys-ids.kemkes.go.id/encounter/10000004",
"value": "P20240001"
}
],
"status": "finished",
"statusHistory": [
{
"status": "arrived",
"period": {
"start": "2022-06-14T07:00:00+00:00",
"end": "2022-06-14T08:00:00+00:00"
}
},
{
"status": "in-progress",
"period": {
"start": "2022-06-14T08:00:00+00:00",
"end": "2022-06-14T09:00:00+00:00"
}
},
{
"status": "finished",
"period": {
"start": "2022-06-14T09:00:00+00:00",
"end": "2022-06-14T09:00:00+00:00"
}
}
],
"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": "2022-06-15T07:00:00+00:00",
"end": "2022-06-15T09:00:00+00:00"
},
"location": [
{
"location": {
"reference": "Location/b017aa54-f1df-4ec2-9d84-8823815d7228",
"display": "Ruang 1A, Poliklinik Bedah Rawat Jalan Terpadu, Lantai 2, Gedung G"
}
}
],
"serviceProvider": {
"reference": "Organization/10000004"
}
}
#tba
#tba
[none]

Step 8. Kuesioner Kasus ILI

{
"resourceType": "Composition",
"identifier": {
"system": "http://sys-ids.kemkes.go.id/composition/10000004",
"value": "2361720002"
},
"status": "final",
"type": {
"coding": [
{
"system": "http://terminology.kemkes.go.id/CodeSystem/composition-type",
"code": "COM000002",
"display": "Form Lahir Mati"
}
]
},
"subject": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"encounter": {
"reference": "Encounter/8571fcf0-a699-4c73-81c5-bae97b6e68ad"
},
"date": "2022-06-14T08:15:00+00:00",
"author": [
{
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
}
],
"title": "Kuesioner Kasus ILI",
"attester": [
{
"mode": "legal",
"party": {
"reference": "Organization/10000004",
"display": "Puskesmas Sangat Waras"
}
}
],
"section": [
{
"title": "Keadaan Saat Masuk",
"focus": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"entry": [
{
"reference": "Observation/d8aad3cd-188a-439d-ac20-e055ad386c26",
"display": "Suhu"
},
{
"reference": "Observation/91f7cf4a-470a-49cb-ba24-ed055fa116f1",
"display": "Frekuensi Nafas"
},
{
"reference": "Condition/6d4bf02b-1913-4af5-bbb7-b351c7399132",
"display": "Gejala dan Tanda Mulai Sakit/Gejala"
}
]
},
{
"title": "Kondisi Medis/Faktor Risiko",
"focus": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"entry": [
{
"reference": "Observation/02c40c71-8912-4f6e-b821-eec578b8cfb7",
"display": "Kondisi Medis"
},
{
"reference": "QuestionnaireResponse/791224e2-9145-47c3-a0f8-4ce323bc7399",
"display": "Faktor Penularan"
}
]
},
{
"title": "Pengambilan Spesimen",
"focus": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"entry": [
{
"reference": "QuestionnaireResponse/791224e2-9145-47c3-a0f8-4ce323bc7399",
"display": "Alasan Tidak Mau Diambil Spesimen"
},
{
"reference": "ServiceRequest/5dd79cf6-b799-44b0-ae13-db0a95d63f77",
"display": "Permintaan Pemeriksaan COVID-19 PCR"
},
{
"reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275",
"display": "Permintaan Pemeriksaan Influenza A"
},
{
"reference": "ServiceRequest/db1ea185-8836-4e2c-9468-4e4b43475a4a",
"display": "Permintaan Pemeriksaan Influenza B"
},
{
"reference": "Specimen/2ae3a5e8-416d-4dab-b5c9-cfcef5fd0471",
"display": "Spesimen"
}
]
},
{
"title": "Hasil Pemeriksaan Laboratorium",
"focus": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"entry": [
{
"reference": "Observation/56c3135e-8659-4b02-a73e-3aaa10f48e7f",
"display": "Hasil Pemeriksaan Laboratorium COVID-19 PCR"
},
{
"reference": "Observation/0a074e30-0816-4f13-8e77-55f20704e4f7",
"display": "Hasil Pemeriksaan Laboratorium Influenza A"
},
{
"reference": "Observation/89db8afb-c09d-4184-a512-f3f7a61e72a5",
"display": "Hasil Pemeriksaan Laboratorium Influenza A subtype"
},
{
"reference": "Observation/7ddc5fe6-64a6-4cb7-877e-1f9fd37d4814",
"display": "Hasil Pemeriksaan Laboratorium Influenza B"
},
{
"reference": "Observation/5e574975-3ae0-4bfe-96c1-cb5b4d30c18f",
"display": "Hasil Pemeriksaan Laboratorium Influenza B subtype"
},
{
"reference": "DiagnosticReport/a60b9fb4-cfc0-4568-9524-31a7921b67e8",
"display": "Laporan Hasil Pemeriksaan Laboratorium COVID-19 PCR"
},
{
"reference": "DiagnosticReport/c0543144-2fff-4365-81c6-053d6323b057",
"display": "Laporan Hasil Pemeriksaan Laboratorium Influenza A"
},
{
"reference": "DiagnosticReport/cd98a04a-99ae-41d8-a844-3a55bb19dac6",
"display": "Laporan Hasil Pemeriksaan Laboratorium Influenza A Subtype"
},
{
"reference": "DiagnosticReport/df498577-e61b-458d-8001-146af6be610d",
"display": "Laporan Hasil Pemeriksaan Laboratorium Influenza B"
},
{
"reference": "DiagnosticReport/7d6a9f6c-158c-4c51-8195-cb7be87a6721",
"display": "Laporan Hasil Pemeriksaan Laboratorium Influenza B Subtype"
}
]
}
]
}
#tba
#tba
[none]

Step 4. Specimen

Specimen Keadaan Baik

{
"resourceType": "Specimen",
"extension": [
{
"url": "https://fhir.kemkes.go.id/r4/StructureDefinition/TransportedTime",
"valueDateTime": "2022-06-14T09:23:00+00:00"
}
],
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/specimen/10000004",
"value": "00001",
"assigner": {
"reference": "Organization/10000004"
}
}
],
"status": "available",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "258500001",
"display": "Nasopharyngeal swab"
}
]
},
"subject": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"receivedTime": "2022-11-14T15:25:00+00:00",
"request": [
{
"reference": "ServiceRequest/6c37226f-cac3-4731-93ed-60fc9c74e399"
}
],
"collection": {
"extension": [
{
"url": "https://fhir.kemkes.go.id/r4/StructureDefinition/CollectorOrganization",
"valueReference": {
"reference": "Organization/10083042"
}
}
],
"collectedDateTime": "2022-06-14T08:15:00+00:00"
},
"processing": [
{
"timeDateTime": "2022-06-15T08:23:00+00:00"
}
],
"note": [
{
"authorReference": {
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
},
"time": "2022-06-14T09:30:00+00:00",
"text": "Waktu Entry Spesimen"
}
]
}
#tba
#tba
[none]

Specimen is in poor condition

{
"resourceType": "Specimen",
"extension": [
{
"url": "https://fhir.kemkes.go.id/r4/StructureDefinition/TransportedTime",
"valueDateTime": "2022-06-14T09:23:00+00:00"
}
],
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/specimen/10000004",
"value": "00001",
"assigner": {
"reference": "Organization/10000004"
}
}
],
"status": "unsatisfactory",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "258500001",
"display": "Nasopharyngeal swab"
}
]
},
"subject": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"receivedTime": "2022-11-14T15:25:00+00:00",
"request": [
{
"reference": "ServiceRequest/6c37226f-cac3-4731-93ed-60fc9c74e399"
}
],
"collection": {
"extension": [
{
"url": "https://fhir.kemkes.go.id/r4/StructureDefinition/CollectorOrganization",
"valueReference": {
"reference": "Organization/10083042"
}
}
],
"collectedDateTime": "2022-06-14T08:15:00+00:00"
},
"note": [
{
"authorReference": {
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
},
"time": "2022-06-14T09:30:00+00:00",
"text": "Waktu Entry Spesimen"
}
]
}
#tba
#tba
[none]

Step 5. Lab Examination Result

A. COVID-19 PCR

COVID-19 PCR - Positive
{
"resourceType": "Observation",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/observation/10000004",
"value": "O111111"
}
],
"basedOn": [
{
"reference": "ServiceRequest/5dd79cf6-b799-44b0-ae13-db0a95d63f77"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "94500-6",
"display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection"
}
]
},
"subject": {
"reference": "Patient/100000030009"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
"display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
},
"effectiveDateTime": "2022-10-15T08:23:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://loinc.org",
"code": "LA6576-8",
"display": "Positive"
}
]
},
"specimen": {
"reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
}
}
#tba
#tba
[none]

B. Influenza A

Influenza A - Positive
{
"resourceType": "Observation",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/observation/10000004",
"value": "O111111"
}
],
"basedOn": [
{
"reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "92142-9",
"display": "Influenza virus A RNA [Presence] in Respiratory system specimen by NAA with probe detection"
}
]
},
"subject": {
"reference": "Patient/100000030009"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
"display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
},
"effectiveDateTime": "2022-10-15T08:23:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://loinc.org",
"code": "LA6576-8",
"display": "Positive"
}
]
},
"specimen": {
"reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
}
}
#tba
#tba
[none]

Influenza A - Subtype
{
"resourceType": "Observation",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/observation/10000004",
"value": "O111111"
}
],
"basedOn": [
{
"reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "22827-0",
"display": "Influenza virus A subtype [Identifier] in Specimen by NAA with probe detection"
}
]
},
"subject": {
"reference": "Patient/100000030009"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
"display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
},
"effectiveDateTime": "2022-10-15T08:23:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "449024000",
"display": "Pandemic Influenza A (H1N1) 2009"
}
]
},
"specimen": {
"reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
}
}
#tba
#tba
[none]

Influenza A - Invalid
{
"resourceType": "Observation",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/observation/10000004",
"value": "O111111"
}
],
"basedOn": [
{
"reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "92142-9",
"display": "Influenza virus A RNA [Presence] in Respiratory system specimen by NAA with probe detection"
}
]
},
"subject": {
"reference": "Patient/100000030009"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
"display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
},
"effectiveDateTime": "2022-10-15T08:23:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"dataAbsentReason": {
"coding": [
{
"system": "http://loinc.org",
"code": "LA15841-2",
"display": "Invalid"
}
]
},
"specimen": {
"reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
}
}
#tba
#tba
[none]

Step 6. Laboratory Test Result Report (Result Verification Time)

A. Covid 19

Covid 19 - Positive
{
"resourceType": "Observation",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/observation/10000004",
"value": "O111111"
}
],
"basedOn": [
{
"reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "22827-0",
"display": "Influenza virus A subtype [Identifier] in Specimen by NAA with probe detection"
}
]
},
"subject": {
"reference": "Patient/100000030009"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
"display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
},
"effectiveDateTime": "2022-10-15T08:23:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "449024000",
"display": "Pandemic Influenza A (H1N1) 2009"
}
]
},
"specimen": {
"reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
}
}
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B. Influenza A

Influenza A - Positive
{
"resourceType": "Observation",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/observation/10000004",
"value": "O111111"
}
],
"basedOn": [
{
"reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "22827-0",
"display": "Influenza virus A subtype [Identifier] in Specimen by NAA with probe detection"
}
]
},
"subject": {
"reference": "Patient/100000030009"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
"display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
},
"effectiveDateTime": "2022-10-15T08:23:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "449024000",
"display": "Pandemic Influenza A (H1N1) 2009"
}
]
},
"specimen": {
"reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
}
}
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Influenza A Subtype
{
"resourceType": "Observation",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/observation/10000004",
"value": "O111111"
}
],
"basedOn": [
{
"reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "22827-0",
"display": "Influenza virus A subtype [Identifier] in Specimen by NAA with probe detection"
}
]
},
"subject": {
"reference": "Patient/100000030009"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
"display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
},
"effectiveDateTime": "2022-10-15T08:23:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "449024000",
"display": "Pandemic Influenza A (H1N1) 2009"
}
]
},
"specimen": {
"reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
}
}
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Step 7. Update Outpatient Visit

Pasien Discharge

{
"resourceType": "Encounter",
"id": "8571fcf0-a699-4c73-81c5-bae97b6e68ad",
"identifier": [
{
"use": "temp",
"system": "http://sys-ids.kemkes.go.id/encounter/10000004",
"value": "P20240001"
}
],
"status": "finished",
"statusHistory": [
{
"status": "arrived",
"period": {
"start": "2022-06-14T07:00:00+00:00",
"end": "2022-06-14T08:00:00+00:00"
}
},
{
"status": "in-progress",
"period": {
"start": "2022-06-14T08:00:00+00:00",
"end": "2022-06-14T09:00:00+00:00"
}
},
{
"status": "finished",
"period": {
"start": "2022-06-14T09:00:00+00:00",
"end": "2022-06-14T09:00:00+00:00"
}
}
],
"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": "2022-06-15T07:00:00+00:00",
"end": "2022-06-15T09:00:00+00:00"
},
"location": [
{
"location": {
"reference": "Location/b017aa54-f1df-4ec2-9d84-8823815d7228",
"display": "Ruang 1A, Poliklinik Bedah Rawat Jalan Terpadu, Lantai 2, Gedung G"
}
}
],
"serviceProvider": {
"reference": "Organization/10000004"
}
}
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Step 8. ILI Case Questionnaire

{
"resourceType": "Composition",
"identifier": {
"system": "http://sys-ids.kemkes.go.id/composition/10000004",
"value": "2361720002"
},
"status": "final",
"type": {
"coding": [
{
"system": "http://terminology.kemkes.go.id/CodeSystem/composition-type",
"code": "COM000002",
"display": "Form Lahir Mati"
}
]
},
"subject": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"encounter": {
"reference": "Encounter/8571fcf0-a699-4c73-81c5-bae97b6e68ad"
},
"date": "2022-06-14T08:15:00+00:00",
"author": [
{
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
}
],
"title": "Kuesioner Kasus ILI",
"attester": [
{
"mode": "legal",
"party": {
"reference": "Organization/10000004",
"display": "Puskesmas Sangat Waras"
}
}
],
"section": [
{
"title": "Keadaan Saat Masuk",
"focus": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"entry": [
{
"reference": "Observation/d8aad3cd-188a-439d-ac20-e055ad386c26",
"display": "Suhu"
},
{
"reference": "Observation/91f7cf4a-470a-49cb-ba24-ed055fa116f1",
"display": "Frekuensi Nafas"
},
{
"reference": "Condition/6d4bf02b-1913-4af5-bbb7-b351c7399132",
"display": "Gejala dan Tanda Mulai Sakit/Gejala"
}
]
},
{
"title": "Kondisi Medis/Faktor Risiko",
"focus": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"entry": [
{
"reference": "Observation/02c40c71-8912-4f6e-b821-eec578b8cfb7",
"display": "Kondisi Medis"
},
{
"reference": "QuestionnaireResponse/791224e2-9145-47c3-a0f8-4ce323bc7399",
"display": "Faktor Penularan"
}
]
},
{
"title": "Pengambilan Spesimen",
"focus": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"entry": [
{
"reference": "QuestionnaireResponse/791224e2-9145-47c3-a0f8-4ce323bc7399",
"display": "Alasan Tidak Mau Diambil Spesimen"
},
{
"reference": "ServiceRequest/5dd79cf6-b799-44b0-ae13-db0a95d63f77",
"display": "Permintaan Pemeriksaan COVID-19 PCR"
},
{
"reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275",
"display": "Permintaan Pemeriksaan Influenza A"
},
{
"reference": "ServiceRequest/db1ea185-8836-4e2c-9468-4e4b43475a4a",
"display": "Permintaan Pemeriksaan Influenza B"
},
{
"reference": "Specimen/2ae3a5e8-416d-4dab-b5c9-cfcef5fd0471",
"display": "Spesimen"
}
]
},
{
"title": "Hasil Pemeriksaan Laboratorium",
"focus": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"entry": [
{
"reference": "Observation/56c3135e-8659-4b02-a73e-3aaa10f48e7f",
"display": "Hasil Pemeriksaan Laboratorium COVID-19 PCR"
},
{
"reference": "Observation/0a074e30-0816-4f13-8e77-55f20704e4f7",
"display": "Hasil Pemeriksaan Laboratorium Influenza A"
},
{
"reference": "Observation/89db8afb-c09d-4184-a512-f3f7a61e72a5",
"display": "Hasil Pemeriksaan Laboratorium Influenza A subtype"
},
{
"reference": "Observation/7ddc5fe6-64a6-4cb7-877e-1f9fd37d4814",
"display": "Hasil Pemeriksaan Laboratorium Influenza B"
},
{
"reference": "Observation/5e574975-3ae0-4bfe-96c1-cb5b4d30c18f",
"display": "Hasil Pemeriksaan Laboratorium Influenza B subtype"
},
{
"reference": "DiagnosticReport/a60b9fb4-cfc0-4568-9524-31a7921b67e8",
"display": "Laporan Hasil Pemeriksaan Laboratorium COVID-19 PCR"
},
{
"reference": "DiagnosticReport/c0543144-2fff-4365-81c6-053d6323b057",
"display": "Laporan Hasil Pemeriksaan Laboratorium Influenza A"
},
{
"reference": "DiagnosticReport/cd98a04a-99ae-41d8-a844-3a55bb19dac6",
"display": "Laporan Hasil Pemeriksaan Laboratorium Influenza A Subtype"
},
{
"reference": "DiagnosticReport/df498577-e61b-458d-8001-146af6be610d",
"display": "Laporan Hasil Pemeriksaan Laboratorium Influenza B"
},
{
"reference": "DiagnosticReport/7d6a9f6c-158c-4c51-8195-cb7be87a6721",
"display": "Laporan Hasil Pemeriksaan Laboratorium Influenza B Subtype"
}
]
}
]
}
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