Last Updated: 2023/12/20
SARI (Severe Acute Respiratory Infections)
A. Pendahuluan
Tahapan alur integrasi dan resource yang digunakan untuk integrasi pelaporan kasus SARI dapat dilihat pada gambar dibawah ini.
Gambar 2. Alur Integrasi Pelaporan SARI
B. Strategi Pengiriman Data ke SATUSEHAT
SATUSEHAT menyediakan dua pilihan cara mengirimkan data use case SARI:
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 SARI 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:
- *) Profile Resource yang direkomendasikan tersedia pada proses pencatatan
- Required: Entry resource harus dilibatkan setiap kali mengirimkan bundle
- 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 resourcePatientdan terkait panduan/playbook MPI dapat dilihat dalam dokumen Master Patient Index.
Step 1. Pendataan Kunjungan Rawat Inap (Awal Masuk)
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 Inap
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"display": "Bed 2, Ruang 210, Bangsal Rawat Inap Kelas 1, Layanan Penyakit Dalam, Lantai 2, Gedung Utama"
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"resourceType": "Encounter",
"identifier": [
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"system": "http://sys-ids.kemkes.go.id/encounter/Command 'FACILITY_IHS_NUMBER' could not render: There is no placeholder called 'FACILITY_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 'DOCTOR_IHS_NUMBER' could not render: There is no placeholder called 'DOCTOR_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 'ENCOUNTER_LOCATION_ID' could not render: There is no placeholder called 'ENCOUNTER_LOCATION_ID'",
"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'",
"end": "Command 'ENCOUNTER_PERIOD1_END' could not render: There is no placeholder called 'ENCOUNTER_PERIOD1_END'"
}
}
],
"serviceProvider": {
"reference": "Organization/Command 'FACILITY_IHS_NUMBER' could not render: There is no placeholder called '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 |
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Diagnosa Awal Saat Masuk
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Step 2. Kondisi Pasien
Data terkait kondisi pasien pada modul SARI mencakup informasi sebagai berikut:
1. Suhu (resource Observation)
2. Riwayat Demam (resource Condition)
3. Gejala & Tanggal Mulai Gejala SARI (resource Condition)
4. Frekuensi napas (resource Observation)
5. Kondisi medis (resource Observation)
6. Faktor Penularan(resource QuestionnaireResponse)
7. Tanggal Wawancara (resource Observation)
1. Suhu (resource Observation)
2. Riwayat Demam (resource Condition)
3. Gejala & Tanggal Mulai Gejala SARI (resource Condition)
4. Frekuensi napas (resource Observation)
5. Kondisi medis (resource Observation)
6. Faktor Penularan(resource QuestionnaireResponse)
7. Tanggal Wawancara (resource Observation)
Suhu
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| Variabel | Deskripsi |
|---|---|
| PATIENT_IHS_NUMBER | SATUSEHAT ID Number untuk Pasien |
| DOCTOR_IHS_NUMBER | SATUSEHAT ID untuk Dokter/Nakes |
| ENCOUNTER_REFERENCE_ID | SATUSEHAT ID untuk Encounter |
| ENCOUNTER_DISPLAY_TEXT | Teks Keterangan untuk Encounter |
| OBSERVATION_EFFECTIVE_DATETIME | Waktu Observation dilakukan |
| OBSERVATION_BODY_TEMPERATURE | Hasil Observation suhu badan |
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Riwayat Demam
Riwayat Demam - Ya
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| Variabel | Deskripsi |
|---|---|
| PATIENT_IHS_NUMBER | SATUSEHAT ID Number untuk Pasien |
| DOCTOR_IHS_NUMBER | SATUSEHAT ID untuk Dokter/Nakes |
| ENCOUNTER_REFERENCE_ID | SATUSEHAT ID untuk Encounter |
| ENCOUNTER_DISPLAY_TEXT | Teks Keterangan untuk Encounter |
| OBSERVATION_EFFECTIVE_DATETIME | Waktu Observation dilakukan |
| OBSERVATION_VALUE | Hasil Observation |
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Gejala & Tanggal Mulai Gejala SARI
Gejala batuk
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Frekuensi Napas
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Kondisi Medis
Merokok
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Faktor Penularan
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 QuestionnaireResponseThe resource cannot be rendered.
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Tanggal Wawancara
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}
| Variabel | Deskripsi |
|---|---|
| PATIENT_IHS_NUMBER | SATUSEHAT ID Number untuk Pasien |
| DOCTOR_IHS_NUMBER | SATUSEHAT ID untuk Dokter/Nakes |
| ENCOUNTER_REFERENCE_ID | SATUSEHAT ID untuk Encounter |
| ENCOUNTER_DISPLAY_TEXT | Teks Keterangan untuk Encounter |
| OBSERVATION_EFFECTIVE_DATETIME | Waktu Observation dilakukan |
| OBSERVATION_VALUE | Hasil Observation |
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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
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"display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection"
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Permintaan Pemeriksaan Influenza A
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{
"display": "Influenza virus A RNA [Presence] in Respiratory system specimen by NAA with probe detection"
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Permintaan Pemeriksaan Influenza B
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"display": "Influenza virus B RNA [Presence] in Respiratory system specimen by NAA with probe detection"
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B. Permintaan Pemeriksaan Laboratorium Dalam Faskes
Permintaan Pemeriksaan COVID-19 PCR
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"display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection"
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Permintaan Pemeriksaan Influenza A
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"display": "Influenza virus A RNA [Presence] in Respiratory system specimen by NAA with probe detection"
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Permintaan Pemeriksaan Influenza B
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{
"display": "Influenza virus B RNA [Presence] in Respiratory system specimen by NAA with probe detection"
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Step 4. Spesimen
A. Spesimen Swab Tenggorok & Swab Hidung
Specimen Keadaan Baik
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Specimen Keadaan Tidak Baik
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B. Specimen Lainnya
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Step 5. Hasil Pemeriksaan Laboratorium
COVID-19 PCR
COVID-19 PCR - Positif
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{
"display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection"
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B. Influenza A
Influenza A - Positif
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"display": "Influenza virus A RNA [Presence] in Respiratory system specimen by NAA with probe detection"
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Influenza A - Subtype
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Influenza A - Invalid
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{
"display": "Influenza virus A RNA [Presence] in Respiratory system specimen by NAA with probe detection"
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}
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Step 6. Laporan Hasil Pemeriksaan Laboratorium (Waktu Verifikasi Hasil)
A. Covid 19
Covid 19 - Positif
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B. Influenza A
Influenza A - Positif
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Influenza A Subtype
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Step 7. Update Kunjungan Rawat Inap (Status Keluar)
7.1. Diagnosis Akhir
Diagnosa Primer
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Diagnosa Sekunder
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7.2. Status Keluar
7.1.1. Apabila Pasien dipulangkan
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"display": "Bed 2, Ruang 210, Bangsal Rawat Inap Kelas 1, Layanan Penyakit Dalam, Lantai 2, Gedung Utama"
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7.1.2. Apabila Pasien dirujuk
Update Status Kunjungan
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"display": "Bed 2, Ruang 210, Bangsal Rawat Inap Kelas 1, Layanan Penyakit Dalam, Lantai 2, Gedung Utama"
}
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}
}
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Create Permintaan Rujukan
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7.1.3. Apabila Pasien Meninggal
Update Status Kunjungan
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"display": "Bed 2, Ruang 210, Bangsal Rawat Inap Kelas 1, Layanan Penyakit Dalam, Lantai 2, Gedung Utama"
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Tanggal Meninggal
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Step 8. Kuesioner Kasus SARI
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SARI (Severe Acute Respiratory Infections)
A. Introduction
The step-by-step of the data submission workflow and FHIR resources used for SARI use-case can be seen in Figure 1.
Tahapan alur integrasi dan resource yang digunakan untuk integrasi pelaporan kasus dapat dilihat pada gambar dibawah ini.
Figure 1. SARI Case Reporting Workflow Data Schema
B. Data Submission to SATUSEHAT
SATUSEHAT provides two options for sending antenatal care use case data:
1. Resource-Based
Data is sent sequentially according to the resources involved in the corresponding workflow. For example, when sending registration data containing the Encounter and Condition resources, the implementors will send these resources to SATUSEHAT sequentially based on their dependencies.
2. Bundle-Based
All resources involved in the workflow can be sent in a one step using a FHIR resource called "Bundle".
The resources involved in each step of the ANC use-case are as follows:
| 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:
- *) Recommended Profile Resource for documentation processes.
- Required: The resource must be included each time a FHIR Bundle is sent.
- Optional: The resource can be excluded when sending the FHIR Bundle.
C. Step-by-Step Data Submission to SATUSEHAT
[Pre-Use Case Requirement] Search for patient
When sending health data through SATUSEHAT that includes patient-related data elements, information on the patient's {patient-ihs-number} is required. A patient's {patient-ihs-number} is obtained from the SATUSEHAT Master Patient Index (MPI) of the Ministry of Health. The MPI stores national-level patient demographic data, such as name, date of birth, address, official government-issued identification, and more. Once the {patient-ihs-number} is obtained, the ID can be stored in the internal systems of health facilities or non-health facility partners. The {patient-ihs-number} simplifies health service reporting related to patients because partners are not required to include personal data every time data is sent. The {patient-ihs-number} can also be used to comprehensively view the patient's personal data.
NOTES:The process of searching for from a patient can be done via the FHIR API with the GET method. For detailed patient data search methods in SATUSEHAT, see resourcePatientand related MPI guidelines/playbooks can be seen in the document SATUSEHAT Master Patient Index.
Step 1. In-patient Visit Registration Process
A patient visit can be defined as a patient's interaction with a healthcare facility service. For example, in one outpatient series, the entire series can be defined as one `Encounter`. The patient visit data contains the datetime when the consultation visit start and end, who is the responsible healthcare practitioner, who is the subject of the consultation, and other supporting information.
In-patient Visit Registration
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{
"display": "Bed 2, Ruang 210, Bangsal Rawat Inap Kelas 1, Layanan Penyakit Dalam, Lantai 2, Gedung Utama"
}
}
],
}
}
{
"resourceType": "Encounter",
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/encounter/Command 'FACILITY_IHS_NUMBER' could not render: There is no placeholder called 'FACILITY_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 'DOCTOR_IHS_NUMBER' could not render: There is no placeholder called 'DOCTOR_IHS_NUMBER'"
}
}
],
"period": {
"start": "Command 'ENCOUNTER_PERIOD1_START' could not render: There is no placeholder called 'ENCOUNTER_PERIOD1_START'"
},
"location": [
{
"location": {
"reference": "Location/Command 'ENCOUNTER_LOCATION_ID' could not render: There is no placeholder called 'ENCOUNTER_LOCATION_ID'",
"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'",
"end": "Command 'ENCOUNTER_PERIOD1_END' could not render: There is no placeholder called 'ENCOUNTER_PERIOD1_END'"
}
}
],
"serviceProvider": {
"reference": "Organization/Command 'ORGANIZATION_IHS_NUMBER' could not render: There is no placeholder called 'ORGANIZATION_IHS_NUMBER'"
}
}
| Variabel | Deskripsi |
|---|---|
| ENCOUNTER_LOCAL_CODE | The local code or ID/ consultation visit number stored in each organization's internal system. |
| PATIENT_IHS_NUMBER | Patient ID obtained from the SATUSEHAT Master Patient Index |
| PATIENT_NAME | Patient name |
| PRACTITIONER_IHS_NUMBER | Healthcare professional ID obtained from the "Master Healthcare Professional Index" |
| ORGANIZATION_IHS_NUMBER | ID of the healthcare facility organization obtained from the SATUSEHAT Master Facility Index. |
| ENCOUNTER_PERIOD1_START | Start time, same as patient's arrival time |
| ENCOUNTER_PERIOD1_END | End time, same as the finished time of a visit |
| ENCOUNTER_LOCATION_ID | Contains location ID of the patient's encounter. Can be filled with the patient's examination room/ clinic room with "reference" data type, referenced to the Location ID obtained from the SATUSEHAT |
| ENCOUNTER_LOCATION_NAME | The location name of the patient encounter |
[none]
Preliminary Diagnosis
{
{
}
]
},
{
{
}
]
}
],
]
},
},
},
}
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Step 2. Patient Condition
Data related to the patient's condition in the SARI module includes the following information:
1. Body Temperature (resource Observation)
2. Fever History (resource Condition)
3. Symptoms & Symptom Onset Date of SARI (resource Condition)
4. Respiratory Rate (resource Observation)
5. Clinical Condition (resource Observation)
6. Transmission Factors (resource QuestionnaireResponse)
7. Interview Date (resource Observation)
1. Body Temperature (resource Observation)
2. Fever History (resource Condition)
3. Symptoms & Symptom Onset Date of SARI (resource Condition)
4. Respiratory Rate (resource Observation)
5. Clinical Condition (resource Observation)
6. Transmission Factors (resource QuestionnaireResponse)
7. Interview Date (resource Observation)
Body Temperature
{
{
{
}
]
}
],
},
},
},
],
}
}
| Variabel | Deskripsi |
|---|---|
| PATIENT_IHS_NUMBER | Patient ID obtained from the SATUSEHAT Master Patient Index |
| PRACTITIONER_IHS_NUMBER | Healthcare professional ID obtained from the "Master Healthcare Professional Index" |
| ID_RESOURCE_ENCOUNTER | {id-resource-Encounter} in SATUSEHAT for patient visit data |
| OBSERVATION_EFFECTIVE_DATETIME | The date and time when the observed value is considered valid |
| OBSERVATION_VALUE | The observed value for body temperature |
NOTES:
(*): Data types that have specific terminology. The terminology dictionary can be found on the "Value Set" tab.
[none]
Fever History
Fever History - Yes
{
{
}
]
},
{
{
}
]
}
],
},
},
},
}
| Variabel | Deskripsi |
|---|---|
| PATIENT_IHS_NUMBER | Patient ID obtained from the SATUSEHAT Master Patient Index |
| PRACTITIONER_IHS_NUMBER | Healthcare professional ID obtained from the "Master Healthcare Professional Index" |
| ID_RESOURCE_ENCOUNTER | {id-resource-Encounter} in SATUSEHAT for patient visit data |
| OBSERVATION_EFFECTIVE_DATETIME | The date and time when the observed value is considered valid |
| OBSERVATION_VALUE | The observed value for body temperature |
[none]
Symptoms & Symptom Onset Date of SARI
Symptom of Cough
{
{
}
]
},
{
{
}
]
}
],
},
},
},
}
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Respiratory Rate
{
{
{
}
]
}
],
},
},
},
],
}
}
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Clinical Condition
Merokok
{
{
{
}
]
}
],
},
},
},
],
}
}
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Transmission Factors
In addition to conducting anamnesis and physical examinations, interviewing about transmission factors is an important activity to provide epidemiological information. Data from the examination process can be sent as a QuestionnaireResponse resource.The resource cannot be rendered.
#tba
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[none]
Interview Date
{
{
{
}
]
}
],
},
},
},
],
}
| Variabel | Deskripsi |
|---|---|
| PATIENT_IHS_NUMBER | Patient ID obtained from the SATUSEHAT Master Patient Index |
| PRACTITIONER_IHS_NUMBER | Healthcare professional ID obtained from the "Master Healthcare Professional Index" |
| ID_RESOURCE_ENCOUNTER | {id-resource-Encounter} in SATUSEHAT for patient visit data |
| OBSERVATION_EFFECTIVE_DATETIME | The date and time when the observed value is considered valid |
| OBSERVATION_VALUE | The observed value for body temperature |
[none]
Step 3. Laboratory Examination Request
Data regarding nasal or throat swab examination requests can be sent using the ServiceRequest resource.
A. Referral from Sentinel Health Facility to Selected Lab
COVID-19 PCR Examination Request
{
],
{
]
},
{
]
}
],
{
"display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection"
}
]
},
},
},
},
],
{
{
}
]
}
],
],
]
}
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Influenza A Examination Request
{
],
{
]
}
],
{
"display": "Influenza virus A RNA [Presence] in Respiratory system specimen by NAA with probe detection"
}
]
},
},
},
},
],
{
{
}
]
}
],
],
]
}
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Influenza B Examination Request
{
],
{
]
}
],
{
"display": "Influenza virus B RNA [Presence] in Respiratory system specimen by NAA with probe detection"
}
]
},
},
},
},
],
{
{
}
]
}
],
],
]
}
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B. Laboratory Examination Request Within the Health Facility
COVID-19 PCR Examination Request
{
],
{
]
}
],
{
"display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection"
}
]
},
},
},
},
],
{
{
}
]
}
],
],
]
}
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Influenza A Examination Request
{
],
{
]
}
],
{
"display": "Influenza virus A RNA [Presence] in Respiratory system specimen by NAA with probe detection"
}
]
},
},
},
},
],
{
{
}
]
}
],
],
]
}
#tba
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Influenza B Examination Request
{
],
{
]
}
],
{
"display": "Influenza virus B RNA [Presence] in Respiratory system specimen by NAA with probe detection"
}
]
},
},
},
},
],
{
{
}
]
}
],
],
]
}
#tba
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Step 4. Specimen
A. Throat Swab & Nasal Swab Specimen
Specimen in Good Condition
{
{
}
],
{
}
}
],
]
},
},
],
{
}
}
],
},
],
{
},
}
]
}
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[none]
Specimen in Poor Condition
{
{
}
],
{
}
}
],
]
},
},
],
{
}
}
],
},
{
},
}
]
}
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B. Another Specimens
{
{
}
],
{
}
}
],
{
}
],
},
},
],
{
}
}
],
},
],
{
},
}
]
}
[none]
[none]
Step 5. Laboratory Examination Result
COVID-19 PCR
COVID-19 PCR - Positive
{
],
],
{
{
}
]
}
],
{
"display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection"
}
]
},
},
},
],
},
}
}
#tba
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B. Influenza A
Influenza A - Positive
{
],
],
{
{
}
]
}
],
{
"display": "Influenza virus A RNA [Presence] in Respiratory system specimen by NAA with probe detection"
}
]
},
},
},
],
},
}
}
#tba
#tba
[none]
Influenza A - Subtype
{
],
],
{
{
}
]
}
],
{
}
]
},
},
},
],
{
}
]
},
}
}
#tba
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Influenza A - Invalid
{
],
],
{
{
}
]
}
],
{
"display": "Influenza virus A RNA [Presence] in Respiratory system specimen by NAA with probe detection"
}
]
},
},
},
],
},
}
}
#tba
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[none]
Step 6. Laboratory Test Result Report (Result Verification Time)
A. Covid 19
Covid 19 - Positive
{
],
],
{
{
}
]
}
],
{
}
]
},
},
},
],
{
}
]
},
}
}
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B. Influenza A
Influenza A - Positive
{
],
],
{
{
}
]
}
],
{
}
]
},
},
},
],
{
}
]
},
}
}
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Influenza A Subtype
{
],
],
{
{
}
]
}
],
{
}
]
},
},
},
],
{
}
]
},
}
}
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Step 7. Update Inpatient Visit (Discharge Status)
7.1. Final Diagnosis
Primary Diagnosis
{
{
}
]
},
{
{
}
]
}
],
]
},
},
},
}
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Secondary Diagnosis
{
{
}
]
},
{
{
}
]
}
],
]
},
},
},
}
#tba
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7.2. Discharged Status
7.1.1. If the Patient is Discharged
{
],
{
}
},
{
}
}
],
},
},
{
{
{
}
]
}
],
}
}
],
},
{
},
{
}
]
},
},
{
},
{
}
]
},
},
{
},
{
}
]
},
}
],
{
}
],
}
},
{
"display": "Bed 2, Ruang 210, Bangsal Rawat Inap Kelas 1, Layanan Penyakit Dalam, Lantai 2, Gedung Utama"
}
}
],
}
}
#tba
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7.1.2. If the Patient is Referred to Another Healthcare Facility
Update Patient Visit Status
{
],
{
}
},
{
}
}
],
},
},
{
{
{
}
]
}
],
}
}
],
},
{
},
{
}
]
},
},
{
},
{
}
]
},
},
{
},
{
}
]
},
}
],
{
}
],
}
},
{
"display": "Bed 2, Ruang 210, Bangsal Rawat Inap Kelas 1, Layanan Penyakit Dalam, Lantai 2, Gedung Utama"
}
}
],
}
}
#tba
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[none]
Create Patient Referral Request
{
],
]
},
},
},
},
],
]
}
#tba
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[none]
7.1.3. If the Patient Passes Away
Update Visit Status
{
],
{
}
},
{
}
}
],
},
},
{
{
{
}
]
}
],
}
}
],
},
{
},
{
}
]
},
},
{
},
{
}
]
},
},
{
},
{
}
]
},
}
],
{
}
],
}
},
{
"display": "Bed 2, Ruang 210, Bangsal Rawat Inap Kelas 1, Layanan Penyakit Dalam, Lantai 2, Gedung Utama"
}
}
],
}
}
#tba
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[none]
Date of Death
{
{
{
}
]
}
],
{
}
]
},
},
},
],
}
#tba
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Step 8. SARI Case Questionnaire
{
},
{
}
]
},
},
},
],
{
}
}
],
{
},
{
},
{
},
{
},
{
}
]
},
{
},
{
},
{
},
{
}
]
},
{
},
{
},
{
},
{
},
{
},
{
}
]
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
}
]
},
{
},
{
},
{
},
{
},
{
}
]
}
]
}
#tba
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[none]