Last Updated: 2024/01/03

Implementasi Use Case Pelaporan Kasus ILI-SARI

Kegiatan surveilans untuk kasus ILI (Influenza-like Illness) dan SARI (Severe Acute Respiratory Infections) adalah kegiatan penting yang dapat memberikan data epidemiologis yang tepat dan berkualitas pada saat dibutuhkan. Dalam kegiatan surveilans ini, diperlukan data yang menyangkut data klinis (riwayat kesehatan pasien, gejala pasien, kondisi medis pasien) dan data isolat virus.

Dalam implementasi use case ini, terdapat dua jenis kasus yang perlu dilaporkan, yaitu:

ILI (Influenza-like Illness), adalah suatu infeksi saluran pernapasan akut ditandai dengan:
1. Demam ≥ 38℃, dan
2. Batuk
3. Tanggal mulainya gejala (demam atau batuk) tidak dak lebih dari 10 hari
4. Pengukuran suhu tubuh pada saat pasien datang ke Puskesmas.
SARI (Severe Acute Respiratory Infections), adalah Infeksi Saluran Pernapasan Akut (ISPA) berat yang ditandai dengan gejala:
1. Riwayat demam atau Demam ≥ 38℃
2. Batuk;
3. Tanggal mulainya gejala (demam atau batuk) tidak lebih dari 10 hari; dan
4. Memerlukan perawatan rumah sakit.

Petunjuk implementasi use case ILI SARI dibuat sebagai panduan teknis untuk fasilitas pelayanan kesehatan atau pengembang rekam medis elektronik lainnya dalam melakukan proses integrasi dan interoperabilitas di dalam SATUSEHAT Platform, khususnya informasi terkait kejadian ILI SARI. Petunjuk implementasi ini menjelaskan secara detail mengenai standar tahapan alur integrasi dan format pengiriman data, mulai dari:

a. ILI

Pendaftaran Pasien
Pendaftaran Kunjungan
Pengiriman Data Medis terkait Kondisi Medis
Pengiriman Data Medis terkait Laboratorium
Pengiriman Data Kuesioner ILI

b. SARI

Pendaftaran Pasien
Pendaftaran Kunjungan
Pengiriman Data Diagnosis Masuk
Pengiriman Data Medis terkait Kondisi Medis
Pengiriman Data Medis terkait Laboratorium
Pengiriman Data Form Keluar
Pengiriman Data Kuesioner SARI

Resource FHIR yang digunakan pada use case ini yaitu:

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	Composition	Required
	8	DiagnosticReport	Required
	9	Observation	Required
	10	QuestionnaireResponse	Required
	11	ServiceRequest	Required
	12	Specimen	Required

Implementasi pelaporan kasus ILI-SARI secara umum dapat dibagi menjadi 2 bagian:
1. ILI
2. SARI

Referensi:

Implementation of ILI-SARI Case Reporting Use Case

Surveillance activities for ILI (Influenza-like Illness) and SARI (Severe Acute Respiratory Infections) cases are important activities that can provide accurate and quality epidemiological data when needed. In this surveillance activity, data is needed regarding clinical data (patient health history, patient symptoms, patient medical conditions) and virus isolate data. In the implementation of this use case, there are two types of cases that need to be reported, namely:

ILI (Influenza-like Illness), is an acute respiratory infection characterized by:
1. Fever ≥ 38℃, and
2. Cough
3. The start date of symptoms (fever or cough) is no more than 10 days
4. Body temperature measurement when the patient comes to the Health Center.
SARI (Severe Acute Respiratory Infections), is a severe Acute Respiratory Infection (ARI) characterized by symptoms:
1. History of fever or Fever ≥ 38℃
2. Cough;
3. The onset date of symptoms (fever or cough) is not more than 10 days; and
4. Requires hospitalization.

The ILI SARI use case implementation guideline is created as a technical guide for health care facilities or other electronic medical record developers in carrying out the integration and interoperability process within the SATUSEHAT Platform, especially information related to ILI SARI events. This implementation guideline explains in detail the standard stages of the integration flow and data delivery format, starting from:

a. ILI

Patient Registration
Visit Registration
Sending Medical Data related to Medical Conditions
Sending Medical Data related to Laboratories
Sending ILI Questionnaire Data

b. SARI

Patient Registration
Visit Registration
Sending Incoming Diagnosis Data
Sending Medical Data related to Medical Conditions
Sending Medical Data related to Laboratories
Sending Outgoing Form Data
Sending SARI Questionnaire Data

The FHIR resources used in this use case are:

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	Composition	Required
	8	DiagnosticReport	Required
	9	Observation	Required
	10	QuestionnaireResponse	Required
	11	ServiceRequest	Required
	12	Specimen	Required

The implementation of ILI-SARI case reporting can generally be divided into 2 parts:
1. ILI
2. SARI

Reference:

Postman ILI-SARI	Playbook ILI-SARI	Postman Resume Medis Rawat Jalan SATUSEHAT

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.

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:

*) 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 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",
    "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": "10/15/2022 07:00:00"
    },
    "location":  [
        {
            "location": {
                "reference": "Location/b017aa54-f1df-4ec2-9d84-8823815d7228",
                "display": "Ruang 1A, Poliklinik Bedah Rawat Jalan Terpadu, Lantai 2, Gedung G"
            }
        }
    ],
    "statusHistory":  [
        {
            "status": "arrived",
            "period": {
                "start": "10/14/2022 07:00:00"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/10000004"
    }
}

{
    "resourceType": "Encounter",
    "identifier":  [
        {
            "use": "temp",
            "system": "http://sys-ids.kemkes.go.id/encounter/{{ORGANIZATION_IHS_NUMBER}}",
            "value": "{{ENCOUNTER_LOCAL_CODE}}"
        }
    ],
    "status": "arrived",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "participant":  [
        {
            "type":  [
                {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "individual": {
                "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}",
                "display": "{{DOCTOR_NAME}}"
            }
        }
    ],
    "period": {
        "start": "{{ENCOUNTER_PERIOD1_START}}"
    },
    "location":  [
        {
            "location": {
                "reference": "Location/{{ID_RESOURCE_LOCATION}}",
                "display": "{{ENCOUNTER_LOCATION_NAME}}"
            }
        }
    ],
    "statusHistory":  [
        {
            "status": "arrived",
            "period": {
                "start": "{{ENCOUNTER_PERIOD1_START}}"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/{{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": "10/14/2022 07:00:00",
    "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/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        },
        {
            "reference": "Organization/{{ORGANIZATION_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
		"value": "{{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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/14/2022 07:00:00",
    "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/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        },
        {
            "reference": "Organization/{{ORGANIZATION_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
		"value": "{{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/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "onsetDateTime": "{{CONDITION_ONSET_DATETIME}}",
    "recordedDate": "{{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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/14/2022 07:00:00",
    "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/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        },
        {
            "reference": "Organization/{{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": "07/18/2023 03:00:00",
    "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/{{PATIENT_IHS_NUMBER}}"
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "authored": "{{AUTHORED_DATETIME}}",
    "author": {
        "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
    },
    "source": {
        "reference": "Patient/{{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": {{ANSWER_1_1}}
                        },
                        {
                            "item": [
                                {
                                    "linkId": "1.1.1",
                                    "text": "Sebutkan Negaranya",
                                    "answer": [
                                        {
                                            "valueCoding": {
                                                "system": "{{ANSWER_1_1_1}}",
                                                "code": "{{ANSWER_1_1_1}}",
                                                "display": "{{ANSWER_1_1_1}}"
                                            }
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "1.2",
                    "text": "Ada orang serumah yang menderita sakit sepulang dari bepergian ke luar negeri?",
                    "answer": [
                        {
                            "valueBoolean": {{ANSWER_1_2}}
                        },
                        {
                            "item": [
                                {
                                    "linkId": "1.2.1",
                                    "text": "Sebutkan Negaranya",
                                    "answer": [
                                        {
                                            "valueCoding": {
                                                "system": "{{ANSWER_1_2_1}}",
                                                "code": "{{ANSWER_1_2_1}}",
                                                "display": "{{ANSWER_1_2_1}}"
                                            }
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "1.3",
                    "text": "Dalam 2 minggu terakhir, apakah pernah kontak dengan unggas mati mendadak?",
                    "answer": [
                        {
                            "valueBoolean": {{ANSWER_1_3}}
                        }
                    ]
                },
                {
                    "linkId": "1.4",
                    "text": "Apakah rumah pasien dekat dengan peternakan unggas (< 100m)?",
                    "answer": [
                        {
                            "valueBoolean": {{ANSWER_1_4}}
                        }
                    ]
                },
                {
                    "linkId": "1.5",
                    "text": "Apakah sudah melakukan vaksinasi influenza 12 bulan terakhir?",
                    "answer": [
                        {
                            "valueBoolean": {{ANSWER_1_5}}
                        }
                    ]
                },
                {
                    "linkId": "1.6",
                    "text": "Apakah sudah melakukan vaksinasi COVID-19 12 bulan terakhir?",
                    "answer": [
                        {
                            "valueBoolean": {{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": "07/14/2022 03:00:00",
    "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/{{FACILITY_IHS_NUMBER}}",
            "value": "{{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/{{PATIENT_IHS_NUMBER}}"
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "occurrenceDateTime":  "{{SERVICEREQUEST_OCCURRENCE_DATETIME}}",
    "requester": {
        "reference": "Organization/{{FACILITY_IHS_NUMBER}}"
    },
    "performer":  [
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}"
        }
    ],
    "locationCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code": "HLAB",
                    "display": "hospital laboratory"
                }
            ]
        }
    ],
    "locationReference":  [
        {
            "reference": "Location/{{ID_RESOURCE_LOCATION}}",
        }
    ],
    "reasonCode":  [
        {
            "text": "{{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": "07/14/2022 03:00:00",
    "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/{{FACILITY_IHS_NUMBER}}",
            "value": "{{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/{{PATIENT_IHS_NUMBER}}"
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "occurrenceDateTime":  "{{SERVICEREQUEST_OCCURRENCE_DATETIME}}",
    "requester": {
        "reference": "Organization/{{FACILITY_IHS_NUMBER}}"
    },
    "performer":  [
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}"
        }
    ],
    "locationCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code": "HLAB",
                    "display": "hospital laboratory"
                }
            ]
        }
    ],
    "locationReference":  [
        {
            "reference": "Location/{{ID_RESOURCE_LOCATION}}",
        }
    ],
    "reasonCode":  [
        {
            "text": "{{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

[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": "07/14/2022 03:00:00",
    "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/{{FACILITY_IHS_NUMBER}}",
            "value": "{{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/{{PATIENT_IHS_NUMBER}}"
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "occurrenceDateTime":  "{{SERVICEREQUEST_OCCURRENCE_DATETIME}}",
    "requester": {
        "reference": "Organization/{{FACILITY_IHS_NUMBER}}"
    },
    "performer":  [
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}"
        }
    ],
    "locationCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code": "HLAB",
                    "display": "hospital laboratory"
                }
            ]
        }
    ],
    "locationReference":  [
        {
            "reference": "Location/{{ID_RESOURCE_LOCATION}}",
        }
    ],
    "reasonCode":  [
        {
            "text": "{{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

[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": "07/14/2022 03:00:00",
    "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/{{FACILITY_IHS_NUMBER}}",
            "value": "{{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/{{PATIENT_IHS_NUMBER}}"
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "occurrenceDateTime":  "{{SERVICEREQUEST_OCCURRENCE_DATETIME}}",
    "requester": {
        "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}"
    },
    "performer":  [
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}"
        }
    ],
    "locationCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code": "HLAB",
                    "display": "hospital laboratory"
                }
            ]
        }
    ],
    "locationReference":  [
        {
            "reference": "Location/{{ID_RESOURCE_LOCATION}}",
        }
    ],
    "reasonCode":  [
        {
            "text": "{{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": "07/14/2022 03:00:00",
    "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/{{FACILITY_IHS_NUMBER}}",
            "value": "{{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/{{PATIENT_IHS_NUMBER}}"
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "occurrenceDateTime":  "{{SERVICEREQUEST_OCCURRENCE_DATETIME}}",
    "requester": {
        "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}"
    },
    "performer":  [
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}"
        }
    ],
    "locationCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code": "HLAB",
                    "display": "hospital laboratory"
                }
            ]
        }
    ],
    "locationReference":  [
        {
            "reference": "Location/{{ID_RESOURCE_LOCATION}}",
        }
    ],
    "reasonCode":  [
        {
            "text": "{{REASON_FOR_SERVICEREQUEST}}"
        }
    ]
}

| 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": "07/14/2022 03:00:00",
    "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/{{FACILITY_IHS_NUMBER}}",
            "value": "{{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/{{PATIENT_IHS_NUMBER}}"
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "occurrenceDateTime":  "{{SERVICEREQUEST_OCCURRENCE_DATETIME}}",
    "requester": {
        "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}"
    },
    "performer":  [
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}"
        }
    ],
    "locationCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code": "HLAB",
                    "display": "hospital laboratory"
                }
            ]
        }
    ],
    "locationReference":  [
        {
            "reference": "Location/{{ID_RESOURCE_LOCATION}}",
        }
    ],
    "reasonCode":  [
        {
            "text": "{{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",
    "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"
            }
        ]
    },
    "collection": {
        "collectedDateTime": "06/14/2022 08:15:00",
        "extension":  [
            {
                "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/CollectorOrganization",
                "valueReference": {
                    "reference": "Organization/10083042"
                }
            }
        ]
    },
    "processing":  [
        {
            "timeDateTime": "06/15/2022 08:23:00"
        }
    ],
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "request":  [
        {
            "reference": "ServiceRequest/6c37226f-cac3-4731-93ed-60fc9c74e399"
        }
    ],
    "extension":  [
        {
            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/TransportedTime",
            "valueDateTime": "06/14/2022 09:23:00"
        }
    ],
    "receivedTime": "11/14/2022 15:25:00",
    "note":  [
        {
            "authorReference": {
                "reference": "Practitioner/N10000001",
                "display": "Dokter Bronsig"
            },
            "time": "06/14/2022 09:30:00",
            "text": "Waktu Entry Spesimen"
        }
    ]
}

#tba

[none]

Specimen Keadaan Tidak Baik

{
    "resourceType": "Specimen",
    "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"
            }
        ]
    },
    "collection": {
        "collectedDateTime": "06/14/2022 08:15:00",
        "extension":  [
            {
                "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/CollectorOrganization",
                "valueReference": {
                    "reference": "Organization/10083042"
                }
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "request":  [
        {
            "reference": "ServiceRequest/6c37226f-cac3-4731-93ed-60fc9c74e399"
        }
    ],
    "extension":  [
        {
            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/TransportedTime",
            "valueDateTime": "06/14/2022 09:23:00"
        }
    ],
    "receivedTime": "11/14/2022 15:25:00",
    "note":  [
        {
            "authorReference": {
                "reference": "Practitioner/N10000001",
                "display": "Dokter Bronsig"
            },
            "time": "06/14/2022 09:30:00",
            "text": "Waktu Entry Spesimen"
        }
    ]
}

#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"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/5dd79cf6-b799-44b0-ae13-db0a95d63f77"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "LA6576-8",
                "display": "Positive"
            }
        ]
    }
}

#tba

[none]

B. Influenza A

Influenza A - Positif

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "LA6576-8",
                "display": "Positive"
            }
        ]
    }
}

#tba

[none]

Influenza A - Subtype

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "449024000",
                "display": "Pandemic Influenza A (H1N1) 2009"
            }
        ]
    }
}

#tba

[none]

Influenza A - Invalid

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "dataAbsentReason": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "LA15841-2",
                "display": "Invalid"
            }
        ]
    },
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ]
}

#tba

[none]

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

A. Covid 19

Covid 19 - Positif

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "449024000",
                "display": "Pandemic Influenza A (H1N1) 2009"
            }
        ]
    }
}

#tba

[none]

B. Influenza A

Influenza A - Positif

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "449024000",
                "display": "Pandemic Influenza A (H1N1) 2009"
            }
        ]
    }
}

#tba

[none]

Influenza A Subtype

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "449024000",
                "display": "Pandemic Influenza A (H1N1) 2009"
            }
        ]
    }
}

#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",
    "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": "06/15/2022 07:00:00",
        "end": "06/15/2022 09:00:00"
    },
    "location":  [
        {
            "location": {
                "reference": "Location/b017aa54-f1df-4ec2-9d84-8823815d7228",
                "display": "Ruang 1A, Poliklinik Bedah Rawat Jalan Terpadu, Lantai 2, Gedung G"
            }
        }
    ],
    "statusHistory":  [
        {
            "status": "arrived",
            "period": {
                "start": "06/14/2022 07:00:00",
                "end": "06/14/2022 08:00:00"
            }
        },
        {
            "status": "in-progress",
            "period": {
                "start": "06/14/2022 08:00:00",
                "end": "06/14/2022 09:00:00"
            }
        },
        {
            "status": "finished",
            "period": {
                "start": "06/14/2022 09:00:00",
                "end": "06/14/2022 09:00:00"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/10000004"
    }
}

#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": "06/14/2022 08:15:00",
    "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":  [
                {
                    "display": "Suhu",
                    "reference": "Observation/d8aad3cd-188a-439d-ac20-e055ad386c26"
                },
                {
                    "display": "Frekuensi Nafas",
                    "reference": "Observation/91f7cf4a-470a-49cb-ba24-ed055fa116f1"
                },
                {
                    "display": "Gejala dan Tanda Mulai Sakit/Gejala",
                    "reference": "Condition/6d4bf02b-1913-4af5-bbb7-b351c7399132"
                }
            ]
        },
        {
            "title": "Kondisi Medis/Faktor Risiko",
            "focus": {
                "reference": "Patient/100000030009",
                "display": "Budi Santoso"
            },
            "entry":  [
                {
                    "display": "Kondisi Medis",
                    "reference": "Observation/02c40c71-8912-4f6e-b821-eec578b8cfb7"
                },
                {
                    "display": "Faktor Penularan",
                    "reference": "QuestionnaireResponse/791224e2-9145-47c3-a0f8-4ce323bc7399"
                }
            ]
        },
        {
            "title": "Pengambilan Spesimen",
            "focus": {
                "reference": "Patient/100000030009",
                "display": "Budi Santoso"
            },
            "entry":  [
                {
                    "display": "Alasan Tidak Mau Diambil Spesimen",
                    "reference": "QuestionnaireResponse/791224e2-9145-47c3-a0f8-4ce323bc7399"
                },
                {
                    "display": "Permintaan Pemeriksaan COVID-19 PCR",
                    "reference": "ServiceRequest/5dd79cf6-b799-44b0-ae13-db0a95d63f77"
                },
                {
                    "display": "Permintaan Pemeriksaan Influenza A",
                    "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
                },
                {
                    "display": "Permintaan Pemeriksaan Influenza B",
                    "reference": "ServiceRequest/db1ea185-8836-4e2c-9468-4e4b43475a4a"
                },
                {
                    "display": "Spesimen",
                    "reference": "Specimen/2ae3a5e8-416d-4dab-b5c9-cfcef5fd0471"
                }
            ]
        },
        {
            "title": "Hasil Pemeriksaan Laboratorium",
            "focus": {
                "reference": "Patient/100000030009",
                "display": "Budi Santoso"
            },
            "entry":  [
                {
                    "display": "Hasil Pemeriksaan Laboratorium COVID-19 PCR",
                    "reference": "Observation/56c3135e-8659-4b02-a73e-3aaa10f48e7f"
                },
                {
                    "display": "Hasil Pemeriksaan Laboratorium Influenza A",
                    "reference": "Observation/0a074e30-0816-4f13-8e77-55f20704e4f7"
                },
                {
                    "display": "Hasil Pemeriksaan Laboratorium Influenza A subtype",
                    "reference": "Observation/89db8afb-c09d-4184-a512-f3f7a61e72a5"
                },
                {
                    "display": "Hasil Pemeriksaan Laboratorium Influenza B",
                    "reference": "Observation/7ddc5fe6-64a6-4cb7-877e-1f9fd37d4814"
                },
                {
                    "display": "Hasil Pemeriksaan Laboratorium Influenza B subtype",
                    "reference": "Observation/5e574975-3ae0-4bfe-96c1-cb5b4d30c18f"
                },
                {
                    "display": "Laporan Hasil Pemeriksaan Laboratorium COVID-19 PCR",
                    "reference": "DiagnosticReport/a60b9fb4-cfc0-4568-9524-31a7921b67e8"
                },
                {
                    "display": "Laporan Hasil Pemeriksaan Laboratorium Influenza A",
                    "reference": "DiagnosticReport/c0543144-2fff-4365-81c6-053d6323b057"
                },
                {
                    "display": "Laporan Hasil Pemeriksaan Laboratorium Influenza A Subtype",
                    "reference": "DiagnosticReport/cd98a04a-99ae-41d8-a844-3a55bb19dac6"
                },
                {
                    "display": "Laporan Hasil Pemeriksaan Laboratorium Influenza B",
                    "reference": "DiagnosticReport/df498577-e61b-458d-8001-146af6be610d"
                },
                {
                    "display": "Laporan Hasil Pemeriksaan Laboratorium Influenza B Subtype",
                    "reference": "DiagnosticReport/7d6a9f6c-158c-4c51-8195-cb7be87a6721"
                }
            ]
        }
    ]
}

#tba

[none]

ILI (Influenza-like Illness)

A. Introduction

The step-by-step of the data submission workflow and FHIR resources used for ILI 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. ILI 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 resource Patient and related MPI guidelines/playbooks can be seen in the document SATUSEHAT Master Patient Index.

Step 1. Outpatient Visit Registration

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.

Outpatient Visit Registration

{
    "resourceType": "Encounter",
    "identifier":  [
        {
            "use": "temp",
            "system": "http://sys-ids.kemkes.go.id/encounter/10000004",
            "value": "P20240001"
        }
    ],
    "status": "arrived",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "participant":  [
        {
            "type":  [
                {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "individual": {
                "reference": "Practitioner/N10000001",
                "display": "Dokter Bronsig"
            }
        }
    ],
    "period": {
        "start": "10/15/2022 07:00:00"
    },
    "location":  [
        {
            "location": {
                "reference": "Location/b017aa54-f1df-4ec2-9d84-8823815d7228",
                "display": "Ruang 1A, Poliklinik Bedah Rawat Jalan Terpadu, Lantai 2, Gedung G"
            }
        }
    ],
    "statusHistory":  [
        {
            "status": "arrived",
            "period": {
                "start": "10/14/2022 07:00:00"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/10000004"
    }
}

{
    "resourceType": "Encounter",
    "identifier":  [
        {
            "use": "temp",
            "system": "http://sys-ids.kemkes.go.id/encounter/{{ORGANIZATION_IHS_NUMBER}}",
            "value": "{{ENCOUNTER_LOCAL_CODE}}"
        }
    ],
    "status": "arrived",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "participant":  [
        {
            "type":  [
                {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "individual": {
                "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}",
                "display": "{{DOCTOR_NAME}}"
            }
        }
    ],
    "period": {
        "start": "{{ENCOUNTER_PERIOD1_START}}"
    },
    "location":  [
        {
            "location": {
                "reference": "Location/{{ID_RESOURCE_LOCATION}}",
                "display": "{{ENCOUNTER_LOCATION_NAME}}"
            }
        }
    ],
    "statusHistory":  [
        {
            "status": "arrived",
            "period": {
                "start": "{{ENCOUNTER_PERIOD1_START}}"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/{{ORGANIZATION_IHS_NUMBER}}"
    }
}

Variable	Description
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]

Step 2. Patient Condition

Data related to the patient's condition in the ILI use-case includes the following information:
1. Body Temperature (resource Observation)
2. Respiratory Rate (resource Observation)
3. Symptoms + Symptom Onset Date (resource Condition)
4. Clinical Condition (resource Observation)
5. Transmission Factors & Reason for Refusing Specimen Collection (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": "10/14/2022 07:00:00",
    "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/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        },
        {
            "reference": "Organization/{{ORGANIZATION_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
		"value": "{{OBSERVATION_VALUE}}",
		"unit": "C",
		"system": "http://unitsofmeasure.org",
		"code": "Cel"
	}
}

Variable	Description
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]

Respiratory Rate

{
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/14/2022 07:00:00",
    "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/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        },
        {
            "reference": "Organization/{{ORGANIZATION_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
		"value": "{{OBSERVATION_VALUE}}",
		"unit": "/min",
        "system": "http://unitsofmeasure.org",
        "code": "/min"
	}
}

| Variable | Description | | ------------------------------ | --------- | | __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 for the patient's respiration in units per minute|

NOTES:
(*): Data types that have specific terminology. The terminology dictionary can be found on the "Value Set" tab.

[none]

Symptoms + Symptom Onset Date

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/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "onsetDateTime": "{{CONDITION_ONSET_DATETIME}}",
    "recordedDate": "{{CONDITION_RECORDED_DATETIME}}"
}

| Variable | Description | | ------------------------------ | --------- | | __PATIENT_IHS_NUMBER__ | {patient-ihs-number} pada SATUSEHAT | | __PATIENT_NAME__ | Nama Pasien | | __CONDITION_VALUE__ | Berisi data diagnosis menggunakan ICD-10 tahun 2010 | | __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)|

NOTES:
(*): Data types that have specific terminology. The terminology dictionary can be found on the "Value Set" tab.

[none]

Clinical Condition

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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/14/2022 07:00:00",
    "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/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        },
        {
            "reference": "Organization/{{ORGANIZATION_IHS_NUMBER}}"
        }
    ],
    "valueCodeableConcept": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "77176002",
                "display": "Smoker"
            }
        ]
    }
}

Variable	Description
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

NOTES:
(*): Data types that have specific terminology. The terminology dictionary can be found on the "Value Set" tab.

[none]

Transmission Factors & Reason for Refusing Specimen Collection

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 using the QuestionnaireResponse resource.

{
    "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": "07/18/2023 03:00:00",
    "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/{{PATIENT_IHS_NUMBER}}"
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "authored": "{{AUTHORED_DATETIME}}",
    "author": {
        "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
    },
    "source": {
        "reference": "Patient/{{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": {{ANSWER_1_1}}
                        },
                        {
                            "item": [
                                {
                                    "linkId": "1.1.1",
                                    "text": "Sebutkan Negaranya",
                                    "answer": [
                                        {
                                            "valueCoding": {
                                                "system": "{{ANSWER_1_1_1}}",
                                                "code": "{{ANSWER_1_1_1}}",
                                                "display": "{{ANSWER_1_1_1}}"
                                            }
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "1.2",
                    "text": "Ada orang serumah yang menderita sakit sepulang dari bepergian ke luar negeri?",
                    "answer": [
                        {
                            "valueBoolean": {{ANSWER_1_2}}
                        },
                        {
                            "item": [
                                {
                                    "linkId": "1.2.1",
                                    "text": "Sebutkan Negaranya",
                                    "answer": [
                                        {
                                            "valueCoding": {
                                                "system": "{{ANSWER_1_2_1}}",
                                                "code": "{{ANSWER_1_2_1}}",
                                                "display": "{{ANSWER_1_2_1}}"
                                            }
                                        }
                                    ]
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "1.3",
                    "text": "Dalam 2 minggu terakhir, apakah pernah kontak dengan unggas mati mendadak?",
                    "answer": [
                        {
                            "valueBoolean": {{ANSWER_1_3}}
                        }
                    ]
                },
                {
                    "linkId": "1.4",
                    "text": "Apakah rumah pasien dekat dengan peternakan unggas (< 100m)?",
                    "answer": [
                        {
                            "valueBoolean": {{ANSWER_1_4}}
                        }
                    ]
                },
                {
                    "linkId": "1.5",
                    "text": "Apakah sudah melakukan vaksinasi influenza 12 bulan terakhir?",
                    "answer": [
                        {
                            "valueBoolean": {{ANSWER_1_5}}
                        }
                    ]
                },
                {
                    "linkId": "1.6",
                    "text": "Apakah sudah melakukan vaksinasi COVID-19 12 bulan terakhir?",
                    "answer": [
                        {
                            "valueBoolean": {{ANSWER_1_6}}
                        }
                    ]
                }
            ]
        }
    ]
}

Variable	Description
PATIENT_IHS_NUMBER	{patient-ihs-number} in SATUSEHAT
PATIENT_NAME	Patient name
ORGANIZATION_IHS_NUMBER	{organization-ihs-number} in SATUSEHAT
ID_RESOURCE_ENCOUNTER	{id-resource-Encounter} in SATUSEHAT for visit data
AUTHORED_DATETIME	The time when the questionnaire answers were obtained, with data type dateTime, in the allowed format YYYY-MM-DDThh:mm:ss+zz:zz
PRACTITIONER_IHS_NUMBER	{practitioner-ihs-number} in SATUSEHAT
ID_RESOURCE_ENCOUNTER	{id-resource-Encounter} in SATUSEHAT for visit data
ANSWER_1_1	Statement on whether the patient traveled abroad in the last 2 weeks (boolean data type)
ANSWER_1_1_1	Country visited by the patient in the last 2 weeks (ISO 3166 code)
ANSWER_1_2	Statement on whether a household member was sick after returning from abroad (boolean data type)
ANSWER_1_2_1	Country visited by the household member (ISO 3166 code)
ANSWER_1_3	Statement on whether the patient had contact with a suddenly dead bird in the last 2 weeks (boolean data type)
ANSWER_1_4	Statement on whether the patient's home is near a poultry farm (< 100m) (boolean data type)
ANSWER_1_5	Statement on whether the patient has received an influenza vaccination in the last 12 months (boolean data type)
ANSWER_1_6	Statement on whether the patient has received a COVID-19 vaccination in the last 12 months (boolean data type)

[none]

Step 3. Lab 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

{
    "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": "07/14/2022 03:00:00",
    "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/{{FACILITY_IHS_NUMBER}}",
            "value": "{{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/{{PATIENT_IHS_NUMBER}}"
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "occurrenceDateTime":  "{{SERVICEREQUEST_OCCURRENCE_DATETIME}}",
    "requester": {
        "reference": "Organization/{{FACILITY_IHS_NUMBER}}"
    },
    "performer":  [
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}"
        }
    ],
    "locationCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code": "HLAB",
                    "display": "hospital laboratory"
                }
            ]
        }
    ],
    "locationReference":  [
        {
            "reference": "Location/{{ID_RESOURCE_LOCATION}}",
        }
    ],
    "reasonCode":  [
        {
            "text": "{{SERVICEREQUEST_REASON}}"
        }
    ]
}

Variable	Description
ORGANIZATION_IHS_NUMBER	ID organisasi induk yang didapatkan dari master sarana indeks
SERVICEREQUEST_LOCAL_CODE	Berisi data id lokal dari masing-masing institusi terkait tindak lanjut
SERVICEREQUEST_VALUE	Berisi data format pengisian rencana tindak lanjut dengan tipe data CodeableConcept. Referensi ke value set "Permintaan Lab"
PATIENT_IHS_NUMBER	{patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER	{id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
PRACTITIONER_IHS_NUMBER1	Berisi data siapa yang melakukan permintaan, merujuk ke {practitioner-ihs-number} pada SATUSEHAT
PRACTITIONER_NAME1	Nama dokter yang melakukan permintaan
PRACTITIONER_IHS_NUMBER2	Berisi satu atau lebih data siapa yang diharapkan melakukan permintaan, merujuk ke {practitioner-ihs-number} pada SATUSEHAT
PRACTITIONER_NAME2	Nama dokter yang diharapkan melakukan permintaan
SERVICEREQUEST_REASON	Berisi data yang berkaitan dengan penjelasan atau justifikasi mengenai mengapa pelayanan ini diminta dalam bentuk teks (free-text)
ID_RESOURCE_LOCATION	{id-resource-location} pada SATUSEHAT

[none]

Influenza A Examination Request

{
    "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": "07/14/2022 03:00:00",
    "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/{{FACILITY_IHS_NUMBER}}",
            "value": "{{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/{{PATIENT_IHS_NUMBER}}"
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "occurrenceDateTime":  "{{SERVICEREQUEST_OCCURRENCE_DATETIME}}",
    "requester": {
        "reference": "Organization/{{FACILITY_IHS_NUMBER}}"
    },
    "performer":  [
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}"
        }
    ],
    "locationCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code": "HLAB",
                    "display": "hospital laboratory"
                }
            ]
        }
    ],
    "locationReference":  [
        {
            "reference": "Location/{{ID_RESOURCE_LOCATION}}",
        }
    ],
    "reasonCode":  [
        {
            "text": "{{SERVICEREQUEST_REASON}}"
        }
    ]
}

Variable	Description
ORGANIZATION_IHS_NUMBER	ID organisasi induk yang didapatkan dari master sarana indeks
SERVICEREQUEST_LOCAL_CODE	Berisi data id lokal dari masing-masing institusi terkait tindak lanjut
SERVICEREQUEST_VALUE	Berisi data format pengisian rencana tindak lanjut dengan tipe data CodeableConcept. Referensi ke value set "Permintaan Lab"
PATIENT_IHS_NUMBER	{patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER	{id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
PRACTITIONER_IHS_NUMBER1	Berisi data siapa yang melakukan permintaan, merujuk ke {practitioner-ihs-number} pada SATUSEHAT
PRACTITIONER_NAME1	Nama dokter yang melakukan permintaan
PRACTITIONER_IHS_NUMBER2	Berisi satu atau lebih data siapa yang diharapkan melakukan permintaan, merujuk ke {practitioner-ihs-number} pada SATUSEHAT
PRACTITIONER_NAME2	Nama dokter yang diharapkan melakukan permintaan
SERVICEREQUEST_REASON	Berisi data yang berkaitan dengan penjelasan atau justifikasi mengenai mengapa pelayanan ini diminta dalam bentuk teks (free-text)
ID_RESOURCE_LOCATION	{id-resource-location} pada SATUSEHAT

[none]

Influenza B Examination Request

{
    "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": "07/14/2022 03:00:00",
    "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/{{FACILITY_IHS_NUMBER}}",
            "value": "{{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/{{PATIENT_IHS_NUMBER}}"
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "occurrenceDateTime":  "{{SERVICEREQUEST_OCCURRENCE_DATETIME}}",
    "requester": {
        "reference": "Organization/{{FACILITY_IHS_NUMBER}}"
    },
    "performer":  [
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}"
        }
    ],
    "locationCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code": "HLAB",
                    "display": "hospital laboratory"
                }
            ]
        }
    ],
    "locationReference":  [
        {
            "reference": "Location/{{ID_RESOURCE_LOCATION}}",
        }
    ],
    "reasonCode":  [
        {
            "text": "{{SERVICEREQUEST_REASON}}"
        }
    ]
}

Variable	Description
ORGANIZATION_IHS_NUMBER	ID organisasi induk yang didapatkan dari master sarana indeks
SERVICEREQUEST_LOCAL_CODE	Berisi data id lokal dari masing-masing institusi terkait tindak lanjut
SERVICEREQUEST_VALUE	Berisi data format pengisian rencana tindak lanjut dengan tipe data CodeableConcept. Referensi ke value set "Permintaan Lab"
PATIENT_IHS_NUMBER	{patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER	{id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
PRACTITIONER_IHS_NUMBER1	Berisi data siapa yang melakukan permintaan, merujuk ke {practitioner-ihs-number} pada SATUSEHAT
PRACTITIONER_NAME1	Nama dokter yang melakukan permintaan
PRACTITIONER_IHS_NUMBER2	Berisi satu atau lebih data siapa yang diharapkan melakukan permintaan, merujuk ke {practitioner-ihs-number} pada SATUSEHAT
PRACTITIONER_NAME2	Nama dokter yang diharapkan melakukan permintaan
SERVICEREQUEST_REASON	Berisi data yang berkaitan dengan penjelasan atau justifikasi mengenai mengapa pelayanan ini diminta dalam bentuk teks (free-text)
ID_RESOURCE_LOCATION	{id-resource-location} pada SATUSEHAT

[none]

B. Laboratory Examination Request Within the Health Facility

COVID-19 PCR Examination Request

{
    "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": "07/14/2022 03:00:00",
    "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/{{FACILITY_IHS_NUMBER}}",
            "value": "{{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/{{PATIENT_IHS_NUMBER}}"
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "occurrenceDateTime":  "{{SERVICEREQUEST_OCCURRENCE_DATETIME}}",
    "requester": {
        "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}"
    },
    "performer":  [
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}"
        }
    ],
    "locationCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code": "HLAB",
                    "display": "hospital laboratory"
                }
            ]
        }
    ],
    "locationReference":  [
        {
            "reference": "Location/{{ID_RESOURCE_LOCATION}}",
        }
    ],
    "reasonCode":  [
        {
            "text": "{{SERVICEREQUEST_REASON}}"
        }
    ]
}

| Variable | Description | | ------------------------------ | --------- | | __ORGANIZATION_IHS_NUMBER__ | ID organisasi induk yang didapatkan dari master sarana indeks | | __SERVICEREQUEST_LOCAL_CODE__ | Berisi data id lokal dari masing-masing institusi terkait tindak lanjut | | __SERVICEREQUEST_VALUE__ | Berisi data format pengisian rencana tindak lanjut dengan tipe data CodeableConcept. Referensi ke value set "Permintaan Lab" | | __PATIENT_IHS_NUMBER__ | {patient-ihs-number} pada SATUSEHAT | | __ID_RESOURCE_ENCOUNTER__ | {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan | | __PRACTITIONER_IHS_NUMBER1__ | Berisi data siapa yang melakukan permintaan, merujuk ke {practitioner-ihs-number} pada SATUSEHAT | | __PRACTITIONER_NAME1__ | Nama dokter yang melakukan permintaan| | __PRACTITIONER_IHS_NUMBER2__ | Berisi satu atau lebih data siapa yang diharapkan melakukan permintaan, merujuk ke {practitioner-ihs-number} pada SATUSEHAT | | __PRACTITIONER_NAME2__ | Nama dokter yang diharapkan melakukan permintaan | | __SERVICEREQUEST_REASON__ | Berisi data yang berkaitan dengan penjelasan atau justifikasi mengenai mengapa pelayanan ini diminta dalam bentuk teks (free-text)| | __ID_RESOURCE_LOCATION__ | {id-resource-location} pada SATUSEHAT |

[none]

Influenza A Examination Request

{
    "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": "07/14/2022 03:00:00",
    "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/{{FACILITY_IHS_NUMBER}}",
            "value": "{{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/{{PATIENT_IHS_NUMBER}}"
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "occurrenceDateTime":  "{{SERVICEREQUEST_OCCURRENCE_DATETIME}}",
    "requester": {
        "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}"
    },
    "performer":  [
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}"
        }
    ],
    "locationCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code": "HLAB",
                    "display": "hospital laboratory"
                }
            ]
        }
    ],
    "locationReference":  [
        {
            "reference": "Location/{{ID_RESOURCE_LOCATION}}",
        }
    ],
    "reasonCode":  [
        {
            "text": "{{SERVICEREQUEST_REASON}}"
        }
    ]
}

[none]

Influenza B Examination Request

{
    "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": "07/14/2022 03:00:00",
    "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/{{FACILITY_IHS_NUMBER}}",
            "value": "{{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/{{PATIENT_IHS_NUMBER}}"
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "occurrenceDateTime":  "{{SERVICEREQUEST_OCCURRENCE_DATETIME}}",
    "requester": {
        "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}"
    },
    "performer":  [
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}"
        }
    ],
    "locationCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code": "HLAB",
                    "display": "hospital laboratory"
                }
            ]
        }
    ],
    "locationReference":  [
        {
            "reference": "Location/{{ID_RESOURCE_LOCATION}}",
        }
    ],
    "reasonCode":  [
        {
            "text": "{{SERVICEREQUEST_REASON}}"
        }
    ]
}

Variable	Description
ORGANIZATION_IHS_NUMBER	ID organisasi induk yang didapatkan dari master sarana indeks
SERVICEREQUEST_LOCAL_CODE	Berisi data id lokal dari masing-masing institusi terkait tindak lanjut
SERVICEREQUEST_VALUE	Berisi data format pengisian rencana tindak lanjut dengan tipe data CodeableConcept. Referensi ke value set "Permintaan Lab"
PATIENT_IHS_NUMBER	{patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER	{id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
PRACTITIONER_IHS_NUMBER1	Berisi data siapa yang melakukan permintaan, merujuk ke {practitioner-ihs-number} pada SATUSEHAT
PRACTITIONER_NAME1	Nama dokter yang melakukan permintaan
PRACTITIONER_IHS_NUMBER2	Berisi satu atau lebih data siapa yang diharapkan melakukan permintaan, merujuk ke {practitioner-ihs-number} pada SATUSEHAT
PRACTITIONER_NAME2	Nama dokter yang diharapkan melakukan permintaan
SERVICEREQUEST_REASON	Berisi data yang berkaitan dengan penjelasan atau justifikasi mengenai mengapa pelayanan ini diminta dalam bentuk teks (free-text)
ID_RESOURCE_LOCATION	{id-resource-location} pada SATUSEHAT

[none]

Step 4. Specimen

Specimen Keadaan Baik

{
    "resourceType": "Specimen",
    "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"
            }
        ]
    },
    "collection": {
        "collectedDateTime": "06/14/2022 08:15:00",
        "extension":  [
            {
                "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/CollectorOrganization",
                "valueReference": {
                    "reference": "Organization/10083042"
                }
            }
        ]
    },
    "processing":  [
        {
            "timeDateTime": "06/15/2022 08:23:00"
        }
    ],
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "request":  [
        {
            "reference": "ServiceRequest/6c37226f-cac3-4731-93ed-60fc9c74e399"
        }
    ],
    "extension":  [
        {
            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/TransportedTime",
            "valueDateTime": "06/14/2022 09:23:00"
        }
    ],
    "receivedTime": "11/14/2022 15:25:00",
    "note":  [
        {
            "authorReference": {
                "reference": "Practitioner/N10000001",
                "display": "Dokter Bronsig"
            },
            "time": "06/14/2022 09:30:00",
            "text": "Waktu Entry Spesimen"
        }
    ]
}

#tba

[none]

Specimen is in poor condition

{
    "resourceType": "Specimen",
    "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"
            }
        ]
    },
    "collection": {
        "collectedDateTime": "06/14/2022 08:15:00",
        "extension":  [
            {
                "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/CollectorOrganization",
                "valueReference": {
                    "reference": "Organization/10083042"
                }
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "request":  [
        {
            "reference": "ServiceRequest/6c37226f-cac3-4731-93ed-60fc9c74e399"
        }
    ],
    "extension":  [
        {
            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/TransportedTime",
            "valueDateTime": "06/14/2022 09:23:00"
        }
    ],
    "receivedTime": "11/14/2022 15:25:00",
    "note":  [
        {
            "authorReference": {
                "reference": "Practitioner/N10000001",
                "display": "Dokter Bronsig"
            },
            "time": "06/14/2022 09:30:00",
            "text": "Waktu Entry Spesimen"
        }
    ]
}

#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"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/5dd79cf6-b799-44b0-ae13-db0a95d63f77"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "LA6576-8",
                "display": "Positive"
            }
        ]
    }
}

#tba

[none]

B. Influenza A

Influenza A - Positive

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "LA6576-8",
                "display": "Positive"
            }
        ]
    }
}

#tba

[none]

Influenza A - Subtype

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "449024000",
                "display": "Pandemic Influenza A (H1N1) 2009"
            }
        ]
    }
}

#tba

[none]

Influenza A - Invalid

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "dataAbsentReason": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "LA15841-2",
                "display": "Invalid"
            }
        ]
    },
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ]
}

#tba

[none]

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

A. Covid 19

Covid 19 - Positive

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "449024000",
                "display": "Pandemic Influenza A (H1N1) 2009"
            }
        ]
    }
}

#tba

[none]

B. Influenza A

Influenza A - Positive

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "449024000",
                "display": "Pandemic Influenza A (H1N1) 2009"
            }
        ]
    }
}

#tba

[none]

Influenza A Subtype

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "449024000",
                "display": "Pandemic Influenza A (H1N1) 2009"
            }
        ]
    }
}

#tba

[none]

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",
    "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": "06/15/2022 07:00:00",
        "end": "06/15/2022 09:00:00"
    },
    "location":  [
        {
            "location": {
                "reference": "Location/b017aa54-f1df-4ec2-9d84-8823815d7228",
                "display": "Ruang 1A, Poliklinik Bedah Rawat Jalan Terpadu, Lantai 2, Gedung G"
            }
        }
    ],
    "statusHistory":  [
        {
            "status": "arrived",
            "period": {
                "start": "06/14/2022 07:00:00",
                "end": "06/14/2022 08:00:00"
            }
        },
        {
            "status": "in-progress",
            "period": {
                "start": "06/14/2022 08:00:00",
                "end": "06/14/2022 09:00:00"
            }
        },
        {
            "status": "finished",
            "period": {
                "start": "06/14/2022 09:00:00",
                "end": "06/14/2022 09:00:00"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/10000004"
    }
}

#tba

[none]

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": "06/14/2022 08:15:00",
    "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":  [
                {
                    "display": "Suhu",
                    "reference": "Observation/d8aad3cd-188a-439d-ac20-e055ad386c26"
                },
                {
                    "display": "Frekuensi Nafas",
                    "reference": "Observation/91f7cf4a-470a-49cb-ba24-ed055fa116f1"
                },
                {
                    "display": "Gejala dan Tanda Mulai Sakit/Gejala",
                    "reference": "Condition/6d4bf02b-1913-4af5-bbb7-b351c7399132"
                }
            ]
        },
        {
            "title": "Kondisi Medis/Faktor Risiko",
            "focus": {
                "reference": "Patient/100000030009",
                "display": "Budi Santoso"
            },
            "entry":  [
                {
                    "display": "Kondisi Medis",
                    "reference": "Observation/02c40c71-8912-4f6e-b821-eec578b8cfb7"
                },
                {
                    "display": "Faktor Penularan",
                    "reference": "QuestionnaireResponse/791224e2-9145-47c3-a0f8-4ce323bc7399"
                }
            ]
        },
        {
            "title": "Pengambilan Spesimen",
            "focus": {
                "reference": "Patient/100000030009",
                "display": "Budi Santoso"
            },
            "entry":  [
                {
                    "display": "Alasan Tidak Mau Diambil Spesimen",
                    "reference": "QuestionnaireResponse/791224e2-9145-47c3-a0f8-4ce323bc7399"
                },
                {
                    "display": "Permintaan Pemeriksaan COVID-19 PCR",
                    "reference": "ServiceRequest/5dd79cf6-b799-44b0-ae13-db0a95d63f77"
                },
                {
                    "display": "Permintaan Pemeriksaan Influenza A",
                    "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
                },
                {
                    "display": "Permintaan Pemeriksaan Influenza B",
                    "reference": "ServiceRequest/db1ea185-8836-4e2c-9468-4e4b43475a4a"
                },
                {
                    "display": "Spesimen",
                    "reference": "Specimen/2ae3a5e8-416d-4dab-b5c9-cfcef5fd0471"
                }
            ]
        },
        {
            "title": "Hasil Pemeriksaan Laboratorium",
            "focus": {
                "reference": "Patient/100000030009",
                "display": "Budi Santoso"
            },
            "entry":  [
                {
                    "display": "Hasil Pemeriksaan Laboratorium COVID-19 PCR",
                    "reference": "Observation/56c3135e-8659-4b02-a73e-3aaa10f48e7f"
                },
                {
                    "display": "Hasil Pemeriksaan Laboratorium Influenza A",
                    "reference": "Observation/0a074e30-0816-4f13-8e77-55f20704e4f7"
                },
                {
                    "display": "Hasil Pemeriksaan Laboratorium Influenza A subtype",
                    "reference": "Observation/89db8afb-c09d-4184-a512-f3f7a61e72a5"
                },
                {
                    "display": "Hasil Pemeriksaan Laboratorium Influenza B",
                    "reference": "Observation/7ddc5fe6-64a6-4cb7-877e-1f9fd37d4814"
                },
                {
                    "display": "Hasil Pemeriksaan Laboratorium Influenza B subtype",
                    "reference": "Observation/5e574975-3ae0-4bfe-96c1-cb5b4d30c18f"
                },
                {
                    "display": "Laporan Hasil Pemeriksaan Laboratorium COVID-19 PCR",
                    "reference": "DiagnosticReport/a60b9fb4-cfc0-4568-9524-31a7921b67e8"
                },
                {
                    "display": "Laporan Hasil Pemeriksaan Laboratorium Influenza A",
                    "reference": "DiagnosticReport/c0543144-2fff-4365-81c6-053d6323b057"
                },
                {
                    "display": "Laporan Hasil Pemeriksaan Laboratorium Influenza A Subtype",
                    "reference": "DiagnosticReport/cd98a04a-99ae-41d8-a844-3a55bb19dac6"
                },
                {
                    "display": "Laporan Hasil Pemeriksaan Laboratorium Influenza B",
                    "reference": "DiagnosticReport/df498577-e61b-458d-8001-146af6be610d"
                },
                {
                    "display": "Laporan Hasil Pemeriksaan Laboratorium Influenza B Subtype",
                    "reference": "DiagnosticReport/7d6a9f6c-158c-4c51-8195-cb7be87a6721"
                }
            ]
        }
    ]
}

#tba

[none]

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

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

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. Pendataan Kunjungan Rawat Inap (Awal Masuk)

Pendataan Kunjungan Rawat Inap

{
    "resourceType": "Encounter",
    "identifier":  [
        {
            "use": "temp",
            "system": "http://sys-ids.kemkes.go.id/encounter/10000004",
            "value": "10085103"
        }
    ],
    "status": "in-progress",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "IMP",
        "display": "inpatient encounter"
    },
    "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": "12/25/2022 23:00:00"
    },
    "location":  [
        {
            "location": {
                "reference": "Location/fbd65f98-4864-48bd-a6f3-7b477a23e763",
                "display": "Bed 2, Ruang 210, Bangsal Rawat Inap Kelas 1, Layanan Penyakit Dalam, Lantai 2, Gedung Utama"
            }
        }
    ],
    "diagnosis":  [
        {
            "condition": {
                "reference": "Condition/35fa402e-76fc-4d34-9cfe-b24eb8b428d6",
                "display": "Fever, unspecified"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "AD",
                        "display": "Admission diagnosis"
                    }
                ]
            },
            "rank": 1
        }
    ],
    "statusHistory":  [
        {
            "status": "in-progress",
            "period": {
                "start": "12/24/2022 23:00:00"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/3c8f6d64-7eec-4747-a980-3e2a0e54b026"
    }
}

{
    "resourceType": "Encounter",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/{{FACILITY_IHS_NUMBER}}",
            "value": "{{ENCOUNTER_LOCAL_CODE}}"
        }
    ],
    "status": "arrived",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "participant": [
        {
            "type": [
                {
                    "coding": [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "individual": {
                "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
                "display": "{{DOCTOR_NAME}}"
            }
        }
    ],
    "period": {
        "start": "{{ENCOUNTER_PERIOD1_START}}"
    },
    "location": [
        {
            "location": {
                "reference": "Location/{{ENCOUNTER_LOCATION_ID}}",
                "display": "{{ENCOUNTER_LOCATION_NAME}}"
            }
        }
    ],
    "statusHistory": [
        {
            "status": "arrived",
            "period": {
                "start": "{{ENCOUNTER_PERIOD1_START}}",
                "end": "{{ENCOUNTER_PERIOD1_END}}"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/{{FACILITY_IHS_NUMBER}}"
    }
}

Variabel	Deskripsi
ENCOUNTER_LOCAL_CODE	ID Lokal untuk Kunjungan/Encounter
PATIENT_IHS_NUMBER	SATUSEHAT ID Number untuk Pasien
PATIENT_NAME	Nama Pasien
DOCTOR_IHS_NUMBER	SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME	Nama Dokter/Nakes
FACILITY_IHS_NUMBER	SATUSEHAT ID untuk FASYANKES
ENCOUNTER_PERIOD1_START	Waktu mulai/check-in kunjungan
ENCOUNTER_PERIOD1_END	Waktu mulai/check-out kunjungan
ENCOUNTER_LOCATION_ID	ID Location tempat kunjungan dilakukan
ENCOUNTER_LOCATION_NAME	Nama Location tempat kunjungan dilakukan

[none]

Diagnosa Awal Saat Masuk

{
    "resourceType": "Condition",
    "clinicalStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "active",
                "display": "Active"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code": "encounter-diagnosis",
                    "display": "Encounter Diagnosis"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://hl7.org/fhir/sid/icd-10",
                "code": "R50.9",
                "display": "Fever, unspecified"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "encounter": {
        "reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
    },
    "onsetDateTime": "12/21/2022 07:00:00",
    "recordedDate": "12/23/2022 07:00:00"
}

#tba

[none]

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)

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": "10/14/2022 07:00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "valueQuantity": {
        "value": 38.5,
        "unit": "Celcius",
        "system": "http://unitsofmeasure.org",
        "code": "Cel"
    }
}

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

[none]

Riwayat Demam

Riwayat Demam - Ya

{
    "resourceType": "Condition",
    "clinicalStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "inactive",
                "display": "Inactive"
            }
        ]
    },
    "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": "386661006",
                "display": "Fever"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "encounter": {
        "reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
    },
    "onsetDateTime": "12/21/2022 07:00:00",
    "recordedDate": "12/23/2022 07:00:00"
}

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

[none]

Gejala & Tanggal Mulai Gejala SARI

Gejala batuk

{
    "resourceType": "Condition",
    "clinicalStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "inactive",
                "display": "Inactive"
            }
        ]
    },
    "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": "386661006",
                "display": "Fever"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "encounter": {
        "reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
    },
    "onsetDateTime": "12/21/2022 07:00:00",
    "recordedDate": "12/23/2022 07:00:00"
}

#tba

[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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
    },
    "issued": "12/23/2022 07:00:00",
    "valueQuantity": {
        "value": 20,
        "unit": "/min",
        "system": "http://unitsofmeasure.org",
        "code": "/min"
    }
}

#tba

[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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/14/2022 07:00:00",
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "77176002",
                "display": "Smoker"
            }
        ]
    }
}

#tba

[none]

Faktor Penularan

{
    "resourceType": "QuestionnaireResponse",
    "questionnaire": "https://fhir.kemkes.go.id/Questionnaire/Q0002",
    "status": "completed",
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "authored": "06/14/2022 03:00:00",
    "author": {
        "reference": "Practitioner/N10000001",
        "display": "Dokter Bronsig"
    },
    "source": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "item":  [
        {
            "linkId": "1",
            "text": "Apakah dalam Dua Minggu Terakhir, anda bepergian keluar negeri?",
            "answer":  [
                {
                    "valueBoolean": true
                }
            ]
        },
        {
            "linkId": "1.1",
            "text": "Sebutkan Negaranya",
            "answer":  [
                {
                    "valueString": "Malaysia"
                }
            ]
        },
        {
            "linkId": "2",
            "text": "Ada orang serumah yang menderita sakit sepulang dari bepergian ke luar negeri?",
            "answer":  [
                {
                    "valueBoolean": true
                }
            ]
        },
        {
            "linkId": "2.1",
            "text": "Sebutkan Negaranya",
            "answer":  [
                {
                    "valueString": "Thailand"
                }
            ]
        },
        {
            "linkId": "3",
            "text": "Dalam 2 minggu terakhir, apakah pernah kontak dg ayam/unggas sakit atau mati mendadak?",
            "answer":  [
                {
                    "valueBoolean": true
                }
            ]
        },
        {
            "linkId": "4",
            "text": "Apakah rumah pasien dekat dengan peternakan unggas (< 100m)?",
            "answer":  [
                {
                    "valueBoolean": true
                }
            ]
        }
    ]
}

#tba

[none]

Tanggal Wawancara

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "91714-6",
                "display": "Date of interview"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
    },
    "issued": "12/23/2022 07:00:00",
    "valueDateTime": "2022-12-23"
}

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

[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": "07/14/2022 03:00:00",
    "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"
        }
    ]
}

#tba

[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": "07/14/2022 03:00:00",
    "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"
        }
    ]
}

#tba

[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": "07/14/2022 03:00:00",
    "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"
        }
    ]
}

#tba

[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": "07/14/2022 03:00:00",
    "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"
        }
    ]
}

#tba

[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": "07/14/2022 03:00:00",
    "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"
        }
    ]
}

#tba

[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": "07/14/2022 03:00:00",
    "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"
        }
    ]
}

#tba

[none]

Step 4. Spesimen

A. Spesimen Swab Tenggorok & Swab Hidung

Specimen Keadaan Baik

{
    "resourceType": "Specimen",
    "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"
            }
        ]
    },
    "collection": {
        "collectedDateTime": "06/14/2022 08:15:00",
        "extension":  [
            {
                "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/CollectorOrganization",
                "valueReference": {
                    "reference": "Organization/10083042"
                }
            }
        ]
    },
    "processing":  [
        {
            "timeDateTime": "06/15/2022 08:23:00"
        }
    ],
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "request":  [
        {
            "reference": "ServiceRequest/6c37226f-cac3-4731-93ed-60fc9c74e399"
        }
    ],
    "extension":  [
        {
            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/TransportedTime",
            "valueDateTime": "06/14/2022 09:23:00"
        }
    ],
    "receivedTime": "11/14/2022 15:25:00",
    "note":  [
        {
            "authorReference": {
                "reference": "Practitioner/N10000001",
                "display": "Dokter Bronsig"
            },
            "time": "06/14/2022 09:30:00",
            "text": "Waktu Entry Spesimen"
        }
    ]
}

#tba

[none]

Specimen Keadaan Tidak Baik

{
    "resourceType": "Specimen",
    "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"
            }
        ]
    },
    "collection": {
        "collectedDateTime": "06/14/2022 08:15:00",
        "extension":  [
            {
                "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/CollectorOrganization",
                "valueReference": {
                    "reference": "Organization/10083042"
                }
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "request":  [
        {
            "reference": "ServiceRequest/6c37226f-cac3-4731-93ed-60fc9c74e399"
        }
    ],
    "extension":  [
        {
            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/TransportedTime",
            "valueDateTime": "06/14/2022 09:23:00"
        }
    ],
    "receivedTime": "11/14/2022 15:25:00",
    "note":  [
        {
            "authorReference": {
                "reference": "Practitioner/N10000001",
                "display": "Dokter Bronsig"
            },
            "time": "06/14/2022 09:30:00",
            "text": "Waktu Entry Spesimen"
        }
    ]
}

#tba

[none]

B. Specimen Lainnya

{
    "resourceType": "Specimen",
    "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": "258604001",
                "display": "Upper respiratory specimen"
            }
        ],
        "text": "Aspirat Trakea"
    },
    "collection": {
        "collectedDateTime": "06/14/2022 08:15:00",
        "extension":  [
            {
                "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/CollectorOrganization",
                "valueReference": {
                    "reference": "Organization/10083042"
                }
            }
        ]
    },
    "processing":  [
        {
            "timeDateTime": "06/15/2022 08:23:00"
        }
    ],
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "request":  [
        {
            "reference": "ServiceRequest/6c37226f-cac3-4731-93ed-60fc9c74e399"
        }
    ],
    "extension":  [
        {
            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/TransportedTime",
            "valueDateTime": "06/14/2022 09:23:00"
        }
    ],
    "receivedTime": "11/14/2022 15:25:00",
    "note":  [
        {
            "authorReference": {
                "reference": "Practitioner/N10000001",
                "display": "Dokter Bronsig"
            },
            "time": "06/14/2022 09:30:00",
            "text": "Waktu Entry Spesimen"
        }
    ]
}

[none]

Step 5. Hasil Pemeriksaan Laboratorium

COVID-19 PCR

COVID-19 PCR - Positif

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "laboratory",
                    "display": "Laboratory"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "94500-6",
                "display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/5dd79cf6-b799-44b0-ae13-db0a95d63f77"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "LA6576-8",
                "display": "Positive"
            }
        ]
    }
}

#tba

[none]

B. Influenza A

Influenza A - Positif

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "LA6576-8",
                "display": "Positive"
            }
        ]
    }
}

#tba

[none]

Influenza A - Subtype

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "449024000",
                "display": "Pandemic Influenza A (H1N1) 2009"
            }
        ]
    }
}

#tba

[none]

Influenza A - Invalid

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "dataAbsentReason": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "LA15841-2",
                "display": "Invalid"
            }
        ]
    },
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ]
}

#tba

[none]

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

A. Covid 19

Covid 19 - Positif

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "449024000",
                "display": "Pandemic Influenza A (H1N1) 2009"
            }
        ]
    }
}

#tba

[none]

B. Influenza A

Influenza A - Positif

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "449024000",
                "display": "Pandemic Influenza A (H1N1) 2009"
            }
        ]
    }
}

#tba

[none]

Influenza A Subtype

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "449024000",
                "display": "Pandemic Influenza A (H1N1) 2009"
            }
        ]
    }
}

#tba

[none]

Step 7. Update Kunjungan Rawat Inap (Status Keluar)

7.1. Diagnosis Akhir

Diagnosa Primer

{
    "resourceType": "Condition",
    "clinicalStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "active",
                "display": "Active"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code": "encounter-diagnosis",
                    "display": "Encounter Diagnosis"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://hl7.org/fhir/sid/icd-10",
                "code": "A01.0",
                "display": "Typhoid fever"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "encounter": {
        "reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
    },
    "onsetDateTime": "12/21/2022 07:00:00",
    "recordedDate": "12/26/2022 07:00:00"
}

#tba

[none]

Diagnosa Sekunder

{
    "resourceType": "Condition",
    "clinicalStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "active",
                "display": "Active"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code": "encounter-diagnosis",
                    "display": "Encounter Diagnosis"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://hl7.org/fhir/sid/icd-10",
                "code": "J45.9",
                "display": "Asthma, unspecified"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "encounter": {
        "reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
    },
    "onsetDateTime": "12/21/2022 07:00:00",
    "recordedDate": "12/26/2022 07:00:00"
}

#tba

[none]

7.2. Status Keluar

7.1.1. Apabila Pasien dipulangkan

{
    "resourceType": "Encounter",
    "id": "34f8006c-5d3a-4140-96ea-f4a009a8e4d4",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/10000004",
            "value": "10085103"
        }
    ],
    "status": "finished",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "IMP",
        "display": "inpatient encounter"
    },
    "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": "12/25/2022 23:00:00",
        "end": "12/26/2022 02:30:27"
    },
    "location":  [
        {
            "location": {
                "reference": "Location/fbd65f98-4864-48bd-a6f3-7b477a23e763",
                "display": "Bed 2, Ruang 210, Bangsal Rawat Inap Kelas 1, Layanan Penyakit Dalam, Lantai 2, Gedung Utama"
            }
        }
    ],
    "diagnosis":  [
        {
            "condition": {
                "reference": "Condition/35fa402e-76fc-4d34-9cfe-b24eb8b428d6",
                "display": "Fever, unspecified"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "AD",
                        "display": "Admission diagnosis"
                    }
                ]
            },
            "rank": 1
        },
        {
            "condition": {
                "reference": "Condition/85a22cfb-550d-483d-80c7-19016b37385f",
                "display": "Typhoid fever"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "DD",
                        "display": "Discharge diagnosis"
                    }
                ]
            },
            "rank": 1
        },
        {
            "condition": {
                "reference": "Condition/42ad7faa-e9a2-4e7e-a603-c4384fddc433",
                "display": "Asthma, unspecified"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "DD",
                        "display": "Discharge diagnosis"
                    }
                ]
            },
            "rank": 2
        }
    ],
    "statusHistory":  [
        {
            "status": "in-progress",
            "period": {
                "start": "12/24/2022 23:00:00",
                "end": "12/26/2022 09:30:27"
            }
        },
        {
            "status": "finished",
            "period": {
                "start": "12/26/2022 09:30:27",
                "end": "12/26/2022 09:30:27"
            }
        }
    ],
    "hospitalization": {
        "dischargeDisposition": {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                    "code": "home",
                    "display": "Home"
                }
            ],
            "text": "Anjuran dokter untuk pulang dan kontrol kembali 1 bulan setelah minum obat"
        }
    },
    "serviceProvider": {
        "reference": "Organization/3c8f6d64-7eec-4747-a980-3e2a0e54b026"
    }
}

#tba

[none]

7.1.2. Apabila Pasien dirujuk

Update Status Kunjungan

{
    "resourceType": "Encounter",
    "id": "34f8006c-5d3a-4140-96ea-f4a009a8e4d4",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/10000004",
            "value": "10085103"
        }
    ],
    "status": "finished",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "IMP",
        "display": "inpatient encounter"
    },
    "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": "12/25/2022 23:00:00",
        "end": "12/26/2022 02:30:27"
    },
    "location":  [
        {
            "location": {
                "reference": "Location/fbd65f98-4864-48bd-a6f3-7b477a23e763",
                "display": "Bed 2, Ruang 210, Bangsal Rawat Inap Kelas 1, Layanan Penyakit Dalam, Lantai 2, Gedung Utama"
            }
        }
    ],
    "diagnosis":  [
        {
            "condition": {
                "reference": "Condition/35fa402e-76fc-4d34-9cfe-b24eb8b428d6",
                "display": "Fever, unspecified"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "AD",
                        "display": "Admission diagnosis"
                    }
                ]
            },
            "rank": 1
        },
        {
            "condition": {
                "reference": "Condition/85a22cfb-550d-483d-80c7-19016b37385f",
                "display": "Typhoid fever"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "DD",
                        "display": "Discharge diagnosis"
                    }
                ]
            },
            "rank": 1
        },
        {
            "condition": {
                "reference": "Condition/42ad7faa-e9a2-4e7e-a603-c4384fddc433",
                "display": "Asthma, unspecified"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "DD",
                        "display": "Discharge diagnosis"
                    }
                ]
            },
            "rank": 2
        }
    ],
    "statusHistory":  [
        {
            "status": "in-progress",
            "period": {
                "start": "12/24/2022 23:00:00",
                "end": "12/26/2022 09:30:27"
            }
        },
        {
            "status": "finished",
            "period": {
                "start": "12/26/2022 09:30:27",
                "end": "12/26/2022 09:30:27"
            }
        }
    ],
    "hospitalization": {
        "dischargeDisposition": {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                    "code": "other-hcf",
                    "display": "Other healthcare facility"
                }
            ],
            "text": "Dirujuk ke RSUP"
        }
    },
    "serviceProvider": {
        "reference": "Organization/3c8f6d64-7eec-4747-a980-3e2a0e54b026"
    }
}

#tba

[none]

Create Permintaan Rujukan

{
    "resourceType": "ServiceRequest",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/servicerequest/10000004",
            "value": "00001"
        }
    ],
    "status": "active",
    "intent": "original-order",
    "priority": "routine",
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "3457005",
                "display": "Patient referral"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "encounter": {
        "reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
    },
    "occurrenceDateTime": "12/23/2022 07:00:00",
    "requester": {
        "reference": "Organization/10000004",
        "display": "Puskesmas Bagelen"
    },
    "performer":  [
        {
            "reference": "Organization/10083042",
            "display": "IHS Hospital"
        }
    ],
    "reasonCode":  [
        {
            "text": "Perburukan"
        }
    ]
}

#tba

[none]

7.1.3. Apabila Pasien Meninggal

Update Status Kunjungan

{
    "resourceType": "Encounter",
    "id": "34f8006c-5d3a-4140-96ea-f4a009a8e4d4",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/10000004",
            "value": "10085103"
        }
    ],
    "status": "finished",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "IMP",
        "display": "inpatient encounter"
    },
    "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": "12/25/2022 23:00:00",
        "end": "12/26/2022 02:30:27"
    },
    "location":  [
        {
            "location": {
                "reference": "Location/fbd65f98-4864-48bd-a6f3-7b477a23e763",
                "display": "Bed 2, Ruang 210, Bangsal Rawat Inap Kelas 1, Layanan Penyakit Dalam, Lantai 2, Gedung Utama"
            }
        }
    ],
    "diagnosis":  [
        {
            "condition": {
                "reference": "Condition/35fa402e-76fc-4d34-9cfe-b24eb8b428d6",
                "display": "Fever, unspecified"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "AD",
                        "display": "Admission diagnosis"
                    }
                ]
            },
            "rank": 1
        },
        {
            "condition": {
                "reference": "Condition/85a22cfb-550d-483d-80c7-19016b37385f",
                "display": "Typhoid fever"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "DD",
                        "display": "Discharge diagnosis"
                    }
                ]
            },
            "rank": 1
        },
        {
            "condition": {
                "reference": "Condition/42ad7faa-e9a2-4e7e-a603-c4384fddc433",
                "display": "Asthma, unspecified"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "DD",
                        "display": "Discharge diagnosis"
                    }
                ]
            },
            "rank": 2
        }
    ],
    "statusHistory":  [
        {
            "status": "in-progress",
            "period": {
                "start": "12/24/2022 23:00:00",
                "end": "12/26/2022 09:30:27"
            }
        },
        {
            "status": "finished",
            "period": {
                "start": "12/26/2022 09:30:27",
                "end": "12/26/2022 09:30:27"
            }
        }
    ],
    "hospitalization": {
        "dischargeDisposition": {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                    "code": "exp",
                    "display": "Expired"
                }
            ],
            "text": "Meninggal"
        }
    },
    "serviceProvider": {
        "reference": "Organization/3c8f6d64-7eec-4747-a980-3e2a0e54b026"
    }
}

#tba

[none]

Tanggal Meninggal

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "81956-5",
                "display": "Date and time of death [TimeStamp]"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "encounter": {
        "reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
    },
    "issued": "12/23/2022 07:00:00",
    "valueDateTime": "2022-12-26"
}

#tba

[none]

Step 8. Kuesioner Kasus SARI

{
    "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": "06/14/2022 08:15:00",
    "author":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "title": "Kuesioner Kasus SARI",
    "attester":  [
        {
            "mode": "legal",
            "party": {
                "reference": "Organization/10000004",
                "display": "Puskesmas Sangat Waras"
            }
        }
    ],
    "section":  [
        {
            "title": "Keadaan Saat Masuk",
            "focus": {
                "reference": "Patient/100000030009",
                "display": "Budi Santoso"
            },
            "entry":  [
                {
                    "display": "Suhu",
                    "reference": "Observation/d8aad3cd-188a-439d-ac20-e055ad386c26"
                },
                {
                    "display": "Riwayat Demam",
                    "reference": "Condition/5cb67341-9636-41c4-a871-f4d46b06fd64"
                },
                {
                    "display": "Frekuensi Nafas",
                    "reference": "Observation/91f7cf4a-470a-49cb-ba24-ed055fa116f1"
                },
                {
                    "display": "Gejala dan Tanda Mulai Gejala",
                    "reference": "Condition/6d4bf02b-1913-4af5-bbb7-b351c7399132"
                }
            ]
        },
        {
            "title": "Kondisi Medis/Faktor Risiko",
            "focus": {
                "reference": "Patient/100000030009",
                "display": "Budi Santoso"
            },
            "entry":  [
                {
                    "display": "Kondisi Medis",
                    "reference": "Observation/02c40c71-8912-4f6e-b821-eec578b8cfb7"
                },
                {
                    "display": "Faktor Penularan",
                    "reference": "QuestionnaireResponse/791224e2-9145-47c3-a0f8-4ce323bc7399"
                },
                {
                    "display": "Tanggal Wawancara",
                    "reference": "Observation/56000b4b-9024-40c4-8701-d7ef0a99c1c5"
                }
            ]
        },
        {
            "title": "Pengambilan Spesimen",
            "focus": {
                "reference": "Patient/100000030009",
                "display": "Budi Santoso"
            },
            "entry":  [
                {
                    "display": "Alasan Tidak Mau Diambil Spesimen",
                    "reference": "QuestionnaireResponse/791224e2-9145-47c3-a0f8-4ce323bc7399"
                },
                {
                    "display": "Permintaan Pemeriksaan COVID-19 PCR",
                    "reference": "ServiceRequest/5dd79cf6-b799-44b0-ae13-db0a95d63f77"
                },
                {
                    "display": "Permintaan Pemeriksaan Influenza A",
                    "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
                },
                {
                    "display": "Permintaan Pemeriksaan Influenza B",
                    "reference": "ServiceRequest/db1ea185-8836-4e2c-9468-4e4b43475a4a"
                },
                {
                    "display": "Spesimen",
                    "reference": "Specimen/2ae3a5e8-416d-4dab-b5c9-cfcef5fd0471"
                }
            ]
        },
        {
            "title": "Hasil Pemeriksaan Laboratorium",
            "focus": {
                "reference": "Patient/100000030009",
                "display": "Budi Santoso"
            },
            "entry":  [
                {
                    "display": "Hasil Pemeriksaan Laboratorium COVID-19 PCR",
                    "reference": "Observation/56c3135e-8659-4b02-a73e-3aaa10f48e7f"
                },
                {
                    "display": "Hasil Pemeriksaan Laboratorium Influenza A",
                    "reference": "Observation/0a074e30-0816-4f13-8e77-55f20704e4f7"
                },
                {
                    "display": "Hasil Pemeriksaan Laboratorium Influenza A subtype",
                    "reference": "Observation/89db8afb-c09d-4184-a512-f3f7a61e72a5"
                },
                {
                    "display": "Hasil Pemeriksaan Laboratorium Influenza B",
                    "reference": "Observation/7ddc5fe6-64a6-4cb7-877e-1f9fd37d4814"
                },
                {
                    "display": "Hasil Pemeriksaan Laboratorium Influenza B subtype",
                    "reference": "Observation/5e574975-3ae0-4bfe-96c1-cb5b4d30c18f"
                },
                {
                    "display": "Laporan Hasil Pemeriksaan Laboratorium COVID-19 PCR",
                    "reference": "DiagnosticReport/a60b9fb4-cfc0-4568-9524-31a7921b67e8"
                },
                {
                    "display": "Laporan Hasil Pemeriksaan Laboratorium Influenza A",
                    "reference": "DiagnosticReport/c0543144-2fff-4365-81c6-053d6323b057"
                },
                {
                    "display": "Laporan Hasil Pemeriksaan Laboratorium Influenza A Subtype",
                    "reference": "DiagnosticReport/cd98a04a-99ae-41d8-a844-3a55bb19dac6"
                },
                {
                    "display": "Laporan Hasil Pemeriksaan Laboratorium Influenza B",
                    "reference": "DiagnosticReport/df498577-e61b-458d-8001-146af6be610d"
                },
                {
                    "display": "Laporan Hasil Pemeriksaan Laboratorium Influenza B Subtype",
                    "reference": "DiagnosticReport/7d6a9f6c-158c-4c51-8195-cb7be87a6721"
                }
            ]
        },
        {
            "title": "Form Keluar",
            "focus": {
                "reference": "Patient/100000030009",
                "display": "Budi Santoso"
            },
            "entry":  [
                {
                    "display": "Diagnosis Primer",
                    "reference": "Condition/85a22cfb-550d-483d-80c7-19016b37385f"
                },
                {
                    "display": "Diagnosis Sekunder",
                    "reference": "Condition/42ad7faa-e9a2-4e7e-a603-c4384fddc433"
                },
                {
                    "display": "Permintaan Rujukan",
                    "reference": "ServiceRequest/d3b0d43a-c1ff-4e17-8372-49e2bae6d1af"
                },
                {
                    "display": "Tanggal Meninggal",
                    "reference": "Observation/ea7ef5b1-0cef-4ecf-835f-e61a9141f977"
                }
            ]
        }
    ]
}

#tba

[none]

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

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

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 resource Patient and related MPI guidelines/playbooks can be seen in the document SATUSEHAT Master Patient Index.

Step 1. In-patient Visit Registration Process

In-patient Visit Registration

{
    "resourceType": "Encounter",
    "identifier":  [
        {
            "use": "temp",
            "system": "http://sys-ids.kemkes.go.id/encounter/10000004",
            "value": "10085103"
        }
    ],
    "status": "in-progress",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "IMP",
        "display": "inpatient encounter"
    },
    "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": "12/25/2022 23:00:00"
    },
    "location":  [
        {
            "location": {
                "reference": "Location/fbd65f98-4864-48bd-a6f3-7b477a23e763",
                "display": "Bed 2, Ruang 210, Bangsal Rawat Inap Kelas 1, Layanan Penyakit Dalam, Lantai 2, Gedung Utama"
            }
        }
    ],
    "diagnosis":  [
        {
            "condition": {
                "reference": "Condition/35fa402e-76fc-4d34-9cfe-b24eb8b428d6",
                "display": "Fever, unspecified"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "AD",
                        "display": "Admission diagnosis"
                    }
                ]
            },
            "rank": 1
        }
    ],
    "statusHistory":  [
        {
            "status": "in-progress",
            "period": {
                "start": "12/24/2022 23:00:00"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/3c8f6d64-7eec-4747-a980-3e2a0e54b026"
    }
}

{
    "resourceType": "Encounter",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/{{FACILITY_IHS_NUMBER}}",
            "value": "{{ENCOUNTER_LOCAL_CODE}}"
        }
    ],
    "status": "arrived",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "participant": [
        {
            "type": [
                {
                    "coding": [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "individual": {
                "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}"
            }
        }
    ],
    "period": {
        "start": "{{ENCOUNTER_PERIOD1_START}}"
    },
    "location": [
        {
            "location": {
                "reference": "Location/{{ENCOUNTER_LOCATION_ID}}",
                "display": "{{ENCOUNTER_LOCATION_NAME}}"
            }
        }
    ],
    "statusHistory": [
        {
            "status": "arrived",
            "period": {
                "start": "{{ENCOUNTER_PERIOD1_START}}",
                "end": "{{ENCOUNTER_PERIOD1_END}}"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/{{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

{
    "resourceType": "Condition",
    "clinicalStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "active",
                "display": "Active"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code": "encounter-diagnosis",
                    "display": "Encounter Diagnosis"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://hl7.org/fhir/sid/icd-10",
                "code": "R50.9",
                "display": "Fever, unspecified"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "encounter": {
        "reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
    },
    "onsetDateTime": "12/21/2022 07:00:00",
    "recordedDate": "12/23/2022 07:00:00"
}

#tba

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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)

Body Temperature

{
    "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": "10/14/2022 07:00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "valueQuantity": {
        "value": 38.5,
        "unit": "Celcius",
        "system": "http://unitsofmeasure.org",
        "code": "Cel"
    }
}

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

{
    "resourceType": "Condition",
    "clinicalStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "inactive",
                "display": "Inactive"
            }
        ]
    },
    "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": "386661006",
                "display": "Fever"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "encounter": {
        "reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
    },
    "onsetDateTime": "12/21/2022 07:00:00",
    "recordedDate": "12/23/2022 07:00:00"
}

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

{
    "resourceType": "Condition",
    "clinicalStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "inactive",
                "display": "Inactive"
            }
        ]
    },
    "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": "386661006",
                "display": "Fever"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "encounter": {
        "reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
    },
    "onsetDateTime": "12/21/2022 07:00:00",
    "recordedDate": "12/23/2022 07:00:00"
}

#tba

[none]

Respiratory Rate

{
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
    },
    "issued": "12/23/2022 07:00:00",
    "valueQuantity": {
        "value": 20,
        "unit": "/min",
        "system": "http://unitsofmeasure.org",
        "code": "/min"
    }
}

#tba

[none]

Clinical Condition

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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/14/2022 07:00:00",
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "77176002",
                "display": "Smoker"
            }
        ]
    }
}

#tba

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Transmission Factors

{
    "resourceType": "QuestionnaireResponse",
    "questionnaire": "https://fhir.kemkes.go.id/Questionnaire/Q0002",
    "status": "completed",
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "authored": "06/14/2022 03:00:00",
    "author": {
        "reference": "Practitioner/N10000001",
        "display": "Dokter Bronsig"
    },
    "source": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "item":  [
        {
            "linkId": "1",
            "text": "Apakah dalam Dua Minggu Terakhir, anda bepergian keluar negeri?",
            "answer":  [
                {
                    "valueBoolean": true
                }
            ]
        },
        {
            "linkId": "1.1",
            "text": "Sebutkan Negaranya",
            "answer":  [
                {
                    "valueString": "Malaysia"
                }
            ]
        },
        {
            "linkId": "2",
            "text": "Ada orang serumah yang menderita sakit sepulang dari bepergian ke luar negeri?",
            "answer":  [
                {
                    "valueBoolean": true
                }
            ]
        },
        {
            "linkId": "2.1",
            "text": "Sebutkan Negaranya",
            "answer":  [
                {
                    "valueString": "Thailand"
                }
            ]
        },
        {
            "linkId": "3",
            "text": "Dalam 2 minggu terakhir, apakah pernah kontak dg ayam/unggas sakit atau mati mendadak?",
            "answer":  [
                {
                    "valueBoolean": true
                }
            ]
        },
        {
            "linkId": "4",
            "text": "Apakah rumah pasien dekat dengan peternakan unggas (< 100m)?",
            "answer":  [
                {
                    "valueBoolean": true
                }
            ]
        }
    ]
}

#tba

[none]

Interview Date

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "91714-6",
                "display": "Date of interview"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
    },
    "issued": "12/23/2022 07:00:00",
    "valueDateTime": "2022-12-23"
}

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

{
    "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": "07/14/2022 03:00:00",
    "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"
        }
    ]
}

#tba

[none]

Influenza A Examination Request

{
    "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": "07/14/2022 03:00:00",
    "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"
        }
    ]
}

#tba

[none]

Influenza B Examination Request

{
    "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": "07/14/2022 03:00:00",
    "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"
        }
    ]
}

#tba

[none]

B. Laboratory Examination Request Within the Health Facility

COVID-19 PCR Examination Request

{
    "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": "07/14/2022 03:00:00",
    "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"
        }
    ]
}

#tba

[none]

Influenza A Examination Request

{
    "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": "07/14/2022 03:00:00",
    "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"
        }
    ]
}

#tba

[none]

Influenza B Examination Request

{
    "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": "07/14/2022 03:00:00",
    "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"
        }
    ]
}

#tba

[none]

Step 4. Specimen

A. Throat Swab & Nasal Swab Specimen

Specimen in Good Condition

{
    "resourceType": "Specimen",
    "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"
            }
        ]
    },
    "collection": {
        "collectedDateTime": "06/14/2022 08:15:00",
        "extension":  [
            {
                "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/CollectorOrganization",
                "valueReference": {
                    "reference": "Organization/10083042"
                }
            }
        ]
    },
    "processing":  [
        {
            "timeDateTime": "06/15/2022 08:23:00"
        }
    ],
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "request":  [
        {
            "reference": "ServiceRequest/6c37226f-cac3-4731-93ed-60fc9c74e399"
        }
    ],
    "extension":  [
        {
            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/TransportedTime",
            "valueDateTime": "06/14/2022 09:23:00"
        }
    ],
    "receivedTime": "11/14/2022 15:25:00",
    "note":  [
        {
            "authorReference": {
                "reference": "Practitioner/N10000001",
                "display": "Dokter Bronsig"
            },
            "time": "06/14/2022 09:30:00",
            "text": "Waktu Entry Spesimen"
        }
    ]
}

#tba

[none]

Specimen in Poor Condition

{
    "resourceType": "Specimen",
    "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"
            }
        ]
    },
    "collection": {
        "collectedDateTime": "06/14/2022 08:15:00",
        "extension":  [
            {
                "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/CollectorOrganization",
                "valueReference": {
                    "reference": "Organization/10083042"
                }
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "request":  [
        {
            "reference": "ServiceRequest/6c37226f-cac3-4731-93ed-60fc9c74e399"
        }
    ],
    "extension":  [
        {
            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/TransportedTime",
            "valueDateTime": "06/14/2022 09:23:00"
        }
    ],
    "receivedTime": "11/14/2022 15:25:00",
    "note":  [
        {
            "authorReference": {
                "reference": "Practitioner/N10000001",
                "display": "Dokter Bronsig"
            },
            "time": "06/14/2022 09:30:00",
            "text": "Waktu Entry Spesimen"
        }
    ]
}

#tba

[none]

B. Another Specimens

{
    "resourceType": "Specimen",
    "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": "258604001",
                "display": "Upper respiratory specimen"
            }
        ],
        "text": "Aspirat Trakea"
    },
    "collection": {
        "collectedDateTime": "06/14/2022 08:15:00",
        "extension":  [
            {
                "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/CollectorOrganization",
                "valueReference": {
                    "reference": "Organization/10083042"
                }
            }
        ]
    },
    "processing":  [
        {
            "timeDateTime": "06/15/2022 08:23:00"
        }
    ],
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "request":  [
        {
            "reference": "ServiceRequest/6c37226f-cac3-4731-93ed-60fc9c74e399"
        }
    ],
    "extension":  [
        {
            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/TransportedTime",
            "valueDateTime": "06/14/2022 09:23:00"
        }
    ],
    "receivedTime": "11/14/2022 15:25:00",
    "note":  [
        {
            "authorReference": {
                "reference": "Practitioner/N10000001",
                "display": "Dokter Bronsig"
            },
            "time": "06/14/2022 09:30:00",
            "text": "Waktu Entry Spesimen"
        }
    ]
}

[none]

Step 5. Laboratory Examination Result

COVID-19 PCR

COVID-19 PCR - Positive

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "laboratory",
                    "display": "Laboratory"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "94500-6",
                "display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/5dd79cf6-b799-44b0-ae13-db0a95d63f77"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "LA6576-8",
                "display": "Positive"
            }
        ]
    }
}

#tba

[none]

B. Influenza A

Influenza A - Positive

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "LA6576-8",
                "display": "Positive"
            }
        ]
    }
}

#tba

[none]

Influenza A - Subtype

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "449024000",
                "display": "Pandemic Influenza A (H1N1) 2009"
            }
        ]
    }
}

#tba

[none]

Influenza A - Invalid

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "dataAbsentReason": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "LA15841-2",
                "display": "Invalid"
            }
        ]
    },
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ]
}

#tba

[none]

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

A. Covid 19

Covid 19 - Positive

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "449024000",
                "display": "Pandemic Influenza A (H1N1) 2009"
            }
        ]
    }
}

#tba

[none]

B. Influenza A

Influenza A - Positive

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "449024000",
                "display": "Pandemic Influenza A (H1N1) 2009"
            }
        ]
    }
}

#tba

[none]

Influenza A Subtype

{
    "resourceType": "Observation",
    "status": "final",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "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"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
        "display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
    },
    "effectiveDateTime": "10/15/2022 08:23:00",
    "specimen": {
        "reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "449024000",
                "display": "Pandemic Influenza A (H1N1) 2009"
            }
        ]
    }
}

#tba

[none]

Step 7. Update Inpatient Visit (Discharge Status)

7.1. Final Diagnosis

Primary Diagnosis

{
    "resourceType": "Condition",
    "clinicalStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "active",
                "display": "Active"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code": "encounter-diagnosis",
                    "display": "Encounter Diagnosis"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://hl7.org/fhir/sid/icd-10",
                "code": "A01.0",
                "display": "Typhoid fever"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "encounter": {
        "reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
    },
    "onsetDateTime": "12/21/2022 07:00:00",
    "recordedDate": "12/26/2022 07:00:00"
}

#tba

[none]

Secondary Diagnosis

{
    "resourceType": "Condition",
    "clinicalStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "active",
                "display": "Active"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code": "encounter-diagnosis",
                    "display": "Encounter Diagnosis"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://hl7.org/fhir/sid/icd-10",
                "code": "J45.9",
                "display": "Asthma, unspecified"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "encounter": {
        "reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
    },
    "onsetDateTime": "12/21/2022 07:00:00",
    "recordedDate": "12/26/2022 07:00:00"
}

#tba

[none]

7.2. Discharged Status

7.1.1. If the Patient is Discharged

{
    "resourceType": "Encounter",
    "id": "34f8006c-5d3a-4140-96ea-f4a009a8e4d4",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/10000004",
            "value": "10085103"
        }
    ],
    "status": "finished",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "IMP",
        "display": "inpatient encounter"
    },
    "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": "12/25/2022 23:00:00",
        "end": "12/26/2022 02:30:27"
    },
    "location":  [
        {
            "location": {
                "reference": "Location/fbd65f98-4864-48bd-a6f3-7b477a23e763",
                "display": "Bed 2, Ruang 210, Bangsal Rawat Inap Kelas 1, Layanan Penyakit Dalam, Lantai 2, Gedung Utama"
            }
        }
    ],
    "diagnosis":  [
        {
            "condition": {
                "reference": "Condition/35fa402e-76fc-4d34-9cfe-b24eb8b428d6",
                "display": "Fever, unspecified"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "AD",
                        "display": "Admission diagnosis"
                    }
                ]
            },
            "rank": 1
        },
        {
            "condition": {
                "reference": "Condition/85a22cfb-550d-483d-80c7-19016b37385f",
                "display": "Typhoid fever"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "DD",
                        "display": "Discharge diagnosis"
                    }
                ]
            },
            "rank": 1
        },
        {
            "condition": {
                "reference": "Condition/42ad7faa-e9a2-4e7e-a603-c4384fddc433",
                "display": "Asthma, unspecified"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "DD",
                        "display": "Discharge diagnosis"
                    }
                ]
            },
            "rank": 2
        }
    ],
    "statusHistory":  [
        {
            "status": "in-progress",
            "period": {
                "start": "12/24/2022 23:00:00",
                "end": "12/26/2022 09:30:27"
            }
        },
        {
            "status": "finished",
            "period": {
                "start": "12/26/2022 09:30:27",
                "end": "12/26/2022 09:30:27"
            }
        }
    ],
    "hospitalization": {
        "dischargeDisposition": {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                    "code": "home",
                    "display": "Home"
                }
            ],
            "text": "Anjuran dokter untuk pulang dan kontrol kembali 1 bulan setelah minum obat"
        }
    },
    "serviceProvider": {
        "reference": "Organization/3c8f6d64-7eec-4747-a980-3e2a0e54b026"
    }
}

#tba

[none]

7.1.2. If the Patient is Referred to Another Healthcare Facility

Update Patient Visit Status

{
    "resourceType": "Encounter",
    "id": "34f8006c-5d3a-4140-96ea-f4a009a8e4d4",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/10000004",
            "value": "10085103"
        }
    ],
    "status": "finished",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "IMP",
        "display": "inpatient encounter"
    },
    "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": "12/25/2022 23:00:00",
        "end": "12/26/2022 02:30:27"
    },
    "location":  [
        {
            "location": {
                "reference": "Location/fbd65f98-4864-48bd-a6f3-7b477a23e763",
                "display": "Bed 2, Ruang 210, Bangsal Rawat Inap Kelas 1, Layanan Penyakit Dalam, Lantai 2, Gedung Utama"
            }
        }
    ],
    "diagnosis":  [
        {
            "condition": {
                "reference": "Condition/35fa402e-76fc-4d34-9cfe-b24eb8b428d6",
                "display": "Fever, unspecified"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "AD",
                        "display": "Admission diagnosis"
                    }
                ]
            },
            "rank": 1
        },
        {
            "condition": {
                "reference": "Condition/85a22cfb-550d-483d-80c7-19016b37385f",
                "display": "Typhoid fever"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "DD",
                        "display": "Discharge diagnosis"
                    }
                ]
            },
            "rank": 1
        },
        {
            "condition": {
                "reference": "Condition/42ad7faa-e9a2-4e7e-a603-c4384fddc433",
                "display": "Asthma, unspecified"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "DD",
                        "display": "Discharge diagnosis"
                    }
                ]
            },
            "rank": 2
        }
    ],
    "statusHistory":  [
        {
            "status": "in-progress",
            "period": {
                "start": "12/24/2022 23:00:00",
                "end": "12/26/2022 09:30:27"
            }
        },
        {
            "status": "finished",
            "period": {
                "start": "12/26/2022 09:30:27",
                "end": "12/26/2022 09:30:27"
            }
        }
    ],
    "hospitalization": {
        "dischargeDisposition": {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                    "code": "other-hcf",
                    "display": "Other healthcare facility"
                }
            ],
            "text": "Dirujuk ke RSUP"
        }
    },
    "serviceProvider": {
        "reference": "Organization/3c8f6d64-7eec-4747-a980-3e2a0e54b026"
    }
}

#tba

[none]

Create Patient Referral Request

{
    "resourceType": "ServiceRequest",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/servicerequest/10000004",
            "value": "00001"
        }
    ],
    "status": "active",
    "intent": "original-order",
    "priority": "routine",
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "3457005",
                "display": "Patient referral"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "encounter": {
        "reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
    },
    "occurrenceDateTime": "12/23/2022 07:00:00",
    "requester": {
        "reference": "Organization/10000004",
        "display": "Puskesmas Bagelen"
    },
    "performer":  [
        {
            "reference": "Organization/10083042",
            "display": "IHS Hospital"
        }
    ],
    "reasonCode":  [
        {
            "text": "Perburukan"
        }
    ]
}

#tba

[none]

7.1.3. If the Patient Passes Away

Update Visit Status

{
    "resourceType": "Encounter",
    "id": "34f8006c-5d3a-4140-96ea-f4a009a8e4d4",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/10000004",
            "value": "10085103"
        }
    ],
    "status": "finished",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "IMP",
        "display": "inpatient encounter"
    },
    "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": "12/25/2022 23:00:00",
        "end": "12/26/2022 02:30:27"
    },
    "location":  [
        {
            "location": {
                "reference": "Location/fbd65f98-4864-48bd-a6f3-7b477a23e763",
                "display": "Bed 2, Ruang 210, Bangsal Rawat Inap Kelas 1, Layanan Penyakit Dalam, Lantai 2, Gedung Utama"
            }
        }
    ],
    "diagnosis":  [
        {
            "condition": {
                "reference": "Condition/35fa402e-76fc-4d34-9cfe-b24eb8b428d6",
                "display": "Fever, unspecified"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "AD",
                        "display": "Admission diagnosis"
                    }
                ]
            },
            "rank": 1
        },
        {
            "condition": {
                "reference": "Condition/85a22cfb-550d-483d-80c7-19016b37385f",
                "display": "Typhoid fever"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "DD",
                        "display": "Discharge diagnosis"
                    }
                ]
            },
            "rank": 1
        },
        {
            "condition": {
                "reference": "Condition/42ad7faa-e9a2-4e7e-a603-c4384fddc433",
                "display": "Asthma, unspecified"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "DD",
                        "display": "Discharge diagnosis"
                    }
                ]
            },
            "rank": 2
        }
    ],
    "statusHistory":  [
        {
            "status": "in-progress",
            "period": {
                "start": "12/24/2022 23:00:00",
                "end": "12/26/2022 09:30:27"
            }
        },
        {
            "status": "finished",
            "period": {
                "start": "12/26/2022 09:30:27",
                "end": "12/26/2022 09:30:27"
            }
        }
    ],
    "hospitalization": {
        "dischargeDisposition": {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                    "code": "exp",
                    "display": "Expired"
                }
            ],
            "text": "Meninggal"
        }
    },
    "serviceProvider": {
        "reference": "Organization/3c8f6d64-7eec-4747-a980-3e2a0e54b026"
    }
}

#tba

[none]

Date of Death

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "81956-5",
                "display": "Date and time of death [TimeStamp]"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "encounter": {
        "reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
    },
    "issued": "12/23/2022 07:00:00",
    "valueDateTime": "2022-12-26"
}

#tba

[none]

Step 8. SARI 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": "06/14/2022 08:15:00",
    "author":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "title": "Kuesioner Kasus SARI",
    "attester":  [
        {
            "mode": "legal",
            "party": {
                "reference": "Organization/10000004",
                "display": "Puskesmas Sangat Waras"
            }
        }
    ],
    "section":  [
        {
            "title": "Keadaan Saat Masuk",
            "focus": {
                "reference": "Patient/100000030009",
                "display": "Budi Santoso"
            },
            "entry":  [
                {
                    "display": "Suhu",
                    "reference": "Observation/d8aad3cd-188a-439d-ac20-e055ad386c26"
                },
                {
                    "display": "Riwayat Demam",
                    "reference": "Condition/5cb67341-9636-41c4-a871-f4d46b06fd64"
                },
                {
                    "display": "Frekuensi Nafas",
                    "reference": "Observation/91f7cf4a-470a-49cb-ba24-ed055fa116f1"
                },
                {
                    "display": "Gejala dan Tanda Mulai Gejala",
                    "reference": "Condition/6d4bf02b-1913-4af5-bbb7-b351c7399132"
                }
            ]
        },
        {
            "title": "Kondisi Medis/Faktor Risiko",
            "focus": {
                "reference": "Patient/100000030009",
                "display": "Budi Santoso"
            },
            "entry":  [
                {
                    "display": "Kondisi Medis",
                    "reference": "Observation/02c40c71-8912-4f6e-b821-eec578b8cfb7"
                },
                {
                    "display": "Faktor Penularan",
                    "reference": "QuestionnaireResponse/791224e2-9145-47c3-a0f8-4ce323bc7399"
                },
                {
                    "display": "Tanggal Wawancara",
                    "reference": "Observation/56000b4b-9024-40c4-8701-d7ef0a99c1c5"
                }
            ]
        },
        {
            "title": "Pengambilan Spesimen",
            "focus": {
                "reference": "Patient/100000030009",
                "display": "Budi Santoso"
            },
            "entry":  [
                {
                    "display": "Alasan Tidak Mau Diambil Spesimen",
                    "reference": "QuestionnaireResponse/791224e2-9145-47c3-a0f8-4ce323bc7399"
                },
                {
                    "display": "Permintaan Pemeriksaan COVID-19 PCR",
                    "reference": "ServiceRequest/5dd79cf6-b799-44b0-ae13-db0a95d63f77"
                },
                {
                    "display": "Permintaan Pemeriksaan Influenza A",
                    "reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275"
                },
                {
                    "display": "Permintaan Pemeriksaan Influenza B",
                    "reference": "ServiceRequest/db1ea185-8836-4e2c-9468-4e4b43475a4a"
                },
                {
                    "display": "Spesimen",
                    "reference": "Specimen/2ae3a5e8-416d-4dab-b5c9-cfcef5fd0471"
                }
            ]
        },
        {
            "title": "Hasil Pemeriksaan Laboratorium",
            "focus": {
                "reference": "Patient/100000030009",
                "display": "Budi Santoso"
            },
            "entry":  [
                {
                    "display": "Hasil Pemeriksaan Laboratorium COVID-19 PCR",
                    "reference": "Observation/56c3135e-8659-4b02-a73e-3aaa10f48e7f"
                },
                {
                    "display": "Hasil Pemeriksaan Laboratorium Influenza A",
                    "reference": "Observation/0a074e30-0816-4f13-8e77-55f20704e4f7"
                },
                {
                    "display": "Hasil Pemeriksaan Laboratorium Influenza A subtype",
                    "reference": "Observation/89db8afb-c09d-4184-a512-f3f7a61e72a5"
                },
                {
                    "display": "Hasil Pemeriksaan Laboratorium Influenza B",
                    "reference": "Observation/7ddc5fe6-64a6-4cb7-877e-1f9fd37d4814"
                },
                {
                    "display": "Hasil Pemeriksaan Laboratorium Influenza B subtype",
                    "reference": "Observation/5e574975-3ae0-4bfe-96c1-cb5b4d30c18f"
                },
                {
                    "display": "Laporan Hasil Pemeriksaan Laboratorium COVID-19 PCR",
                    "reference": "DiagnosticReport/a60b9fb4-cfc0-4568-9524-31a7921b67e8"
                },
                {
                    "display": "Laporan Hasil Pemeriksaan Laboratorium Influenza A",
                    "reference": "DiagnosticReport/c0543144-2fff-4365-81c6-053d6323b057"
                },
                {
                    "display": "Laporan Hasil Pemeriksaan Laboratorium Influenza A Subtype",
                    "reference": "DiagnosticReport/cd98a04a-99ae-41d8-a844-3a55bb19dac6"
                },
                {
                    "display": "Laporan Hasil Pemeriksaan Laboratorium Influenza B",
                    "reference": "DiagnosticReport/df498577-e61b-458d-8001-146af6be610d"
                },
                {
                    "display": "Laporan Hasil Pemeriksaan Laboratorium Influenza B Subtype",
                    "reference": "DiagnosticReport/7d6a9f6c-158c-4c51-8195-cb7be87a6721"
                }
            ]
        },
        {
            "title": "Form Keluar",
            "focus": {
                "reference": "Patient/100000030009",
                "display": "Budi Santoso"
            },
            "entry":  [
                {
                    "display": "Diagnosis Primer",
                    "reference": "Condition/85a22cfb-550d-483d-80c7-19016b37385f"
                },
                {
                    "display": "Diagnosis Sekunder",
                    "reference": "Condition/42ad7faa-e9a2-4e7e-a603-c4384fddc433"
                },
                {
                    "display": "Permintaan Rujukan",
                    "reference": "ServiceRequest/d3b0d43a-c1ff-4e17-8372-49e2bae6d1af"
                },
                {
                    "display": "Tanggal Meninggal",
                    "reference": "Observation/ea7ef5b1-0cef-4ecf-835f-e61a9141f977"
                }
            ]
        }
    ]
}

#tba

[none]