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:

  1. 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.
  2. 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
  1. Pendaftaran Pasien
  2. Pendaftaran Kunjungan
  3. Pengiriman Data Medis terkait Kondisi Medis
  4. Pengiriman Data Medis terkait Laboratorium
  5. Pengiriman Data Kuesioner ILI

b. SARI
  1. Pendaftaran Pasien
  2. Pendaftaran Kunjungan
  3. Pengiriman Data Diagnosis Masuk
  4. Pengiriman Data Medis terkait Kondisi Medis
  5. Pengiriman Data Medis terkait Laboratorium
  6. Pengiriman Data Form Keluar
  7. 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:

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.

covid-skema-pelaporan-ili

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

B. Strategi Pengiriman Data ke SATUSEHAT

SATUSEHAT menyediakan dua pilihan cara mengirimkan data use case ILI:

1. Berbasis Resource

Data dapat dikirimkan secara berurutan sesuai resource yang terlibat pada alur pelayanan terkait. Sebagai contoh: ketika mengirimkan data registrasi kasus saja yang berisikan resource Encounter dan Condition, maka implementor mengirimkan resource-resource tersebut ke SATUSEHAT secara berurutan sesuai dependensinya.

2. Berbasis Bundle

Data dapat dikirimkan seluruh resource yang terlibat pada alur pelayanan terkait dengan menggunakan satu langkah pengiriman data ke SATUSEHAT menggunakan profil FHIR bernama Bundle.

Resource-resource yang terlibat di setiap tahapan alur pelayanan untuk use case ILI adalah sebagai berikut:

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


Notes:

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

C. Langkah-Langkah Pengiriman Data ke SATUSEHAT

[Pre-Use Case Requirement] Pencarian Data Pasien

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

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

Step 1. Pendaftaran Kunjungan Pasien

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

Pendataan Kunjungan Rawat Jalan

{
"resourceType": "Encounter",
"identifier": [
{
"use": "temp",
"system": "http://sys-ids.kemkes.go.id/encounter/10000004",
"value": "P20240001"
}
],
"status": "arrived",
"statusHistory": [
{
"status": "arrived",
"period": {
"start": "2022-10-14T07:00:00+00:00"
}
}
],
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
},
"subject": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"participant": [
{
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "ATND",
"display": "attender"
}
]
}
],
"individual": {
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
}
}
],
"period": {
"start": "2022-10-15T07:00:00+00:00"
},
"location": [
{
"location": {
"reference": "Location/b017aa54-f1df-4ec2-9d84-8823815d7228",
"display": "Ruang 1A, Poliklinik Bedah Rawat Jalan Terpadu, Lantai 2, Gedung G"
}
}
],
"serviceProvider": {
"reference": "Organization/10000004"
}
}
{
    "resourceType": "Encounter",
    "identifier":  [
        {
            "use": "temp",
            "system": "http://sys-ids.kemkes.go.id/encounter/
Command 'ORGANIZATION_IHS_NUMBER' could not render: There is no placeholder called 'ORGANIZATION_IHS_NUMBER'
",
            "value": "
Command 'ENCOUNTER_LOCAL_CODE' could not render: There is no placeholder called 'ENCOUNTER_LOCAL_CODE'
"
        }
    ],
    "status": "arrived",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "reference": "Patient/
Command 'PATIENT_IHS_NUMBER' could not render: There is no placeholder called 'PATIENT_IHS_NUMBER'
",
        "display": "
Command 'PATIENT_NAME' could not render: There is no placeholder called 'PATIENT_NAME'
"
    },
    "participant":  [
        {
            "type":  [
                {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "individual": {
                "reference": "Practitioner/
Command 'PRACTITIONER_IHS_NUMBER' could not render: There is no placeholder called 'PRACTITIONER_IHS_NUMBER'
",
                "display": "
Command 'DOCTOR_NAME' could not render: There is no placeholder called 'DOCTOR_NAME'
"
            }
        }
    ],
    "period": {
        "start": "
Command 'ENCOUNTER_PERIOD1_START' could not render: There is no placeholder called 'ENCOUNTER_PERIOD1_START'
"
    },
    "location":  [
        {
            "location": {
                "reference": "Location/
Command 'ID_RESOURCE_LOCATION' could not render: There is no placeholder called 'ID_RESOURCE_LOCATION'
",
                "display": "
Command 'ENCOUNTER_LOCATION_NAME' could not render: There is no placeholder called 'ENCOUNTER_LOCATION_NAME'
"
            }
        }
    ],
    "statusHistory":  [
        {
            "status": "arrived",
            "period": {
                "start": "
Command 'ENCOUNTER_PERIOD1_START' could not render: There is no placeholder called 'ENCOUNTER_PERIOD1_START'
"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/
Command 'ORGANIZATION_IHS_NUMBER' could not render: There is no placeholder called 'ORGANIZATION_IHS_NUMBER'
"
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER pada SATUSEHAT
ENCOUNTER_LOCAL_CODE ID Lokal untuk Kunjungan/Encounter
PATIENT_IHS_NUMBER pada SATUSEHAT
PATIENT_NAME Nama Pasien
PRACTITIONER_IHS_NUMBER pada SATUSEHAT
DOCTOR_NAME Nama Dokter/Nakes
ENCOUNTER_PERIOD1_START Waktu mulai/check-in kunjungan
ENCOUNTER_PERIOD1_END Waktu mulai/check-out kunjungan
ID_RESOURCE_LOCATION ID Location tempat kunjungan dilakukan
ENCOUNTER_LOCATION_NAME Nama Location tempat kunjungan dilakukan
[none]

Step 2. Pengiriman Data Medis terkait Kondisi Pasien

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

Suhu

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

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

[none]

Frekuensi Napas

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

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

[none]

Gejala + Tanda Mulai Sakit/Gejala

Gejala batuk
{
"resourceType": "Condition",
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
]
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "problem-list-item",
"display": "Problem List Item"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "49727002",
"display": "Cough"
}
]
},
"subject": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8"
},
"onsetDateTime": "2022-07-14",
"recordedDate": "2022-07-14"
}
{
    "resourceType": "Condition",
    "clinicalStatus": {
        "coding": [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "active",
                "display": "Active"
            }
        ]
    },
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code": "problem-list-item",
                    "display": "Problem List Item"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "49727002",
                "display": "Cough"
            }
        ]
    },
    "subject": {
        "reference": "Patient/
Command 'PATIENT_IHS_NUMBER' could not render: There is no placeholder called 'PATIENT_IHS_NUMBER'
",
        "display": "
Command 'PATIENT_NAME' could not render: There is no placeholder called 'PATIENT_NAME'
"
    },
    "encounter": {
        "reference": "Encounter/
Command 'ID_RESOURCE_ENCOUNTER' could not render: There is no placeholder called 'ID_RESOURCE_ENCOUNTER'
"
    },
    "onsetDateTime": "
Command 'CONDITION_ONSET_DATETIME' could not render: There is no placeholder called 'CONDITION_ONSET_DATETIME'
",
    "recordedDate": "
Command 'CONDITION_RECORDED_DATETIME' could not render: There is no placeholder called 'CONDITION_RECORDED_DATETIME'
"
}
| Variabel | Deskripsi | | ------------------------------ | --------- | | __PATIENT_IHS_NUMBER__ | {patient-ihs-number} pada SATUSEHAT | | __PATIENT_NAME__ | Nama Pasien | | __CONDITION_ONSET_DATETIME__ | Tanggal perkiraan atau tanggal aktual atau tanggal-waktu kondisi mulai, menurut pendapat dokter.| | __CONDITION_RECORDED_DATETIME__ | Tanggal kapan kondisi/keluhan ini tercatat dalam sistem (tanggal yang dibuat oleh sistem)|

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

[none]

Kondisi Medis

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

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

[none]

Faktor Penularan & Alasan Tidak Mau Diambil Spesimen

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

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

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

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

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

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

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

Step 3. Permintaan Pemeriksaan (Laboratorium Pemeriksa/Dituju)

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

A. Rujukan dari Faskes Sentinel ke Lab Terpilih

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

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

[none]

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

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

[none]

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

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

[none]

B. Permintaan Pemeriksaan Laboratorium Dalam Faskes

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

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

[none]

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

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

[none]

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

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

[none]

Step 4. Spesimen

Specimen Keadaan Baik

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

Specimen Keadaan Tidak Baik

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

Step 5. Hasil Pemeriksaan Laboratorium

A. COVID-19 PCR

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

B. Influenza A

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

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

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

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

A. Covid 19

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

B. Influenza A

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

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

Step 7. Update Data Kunjungan

Pasien Pulang

{
"resourceType": "Encounter",
"id": "8571fcf0-a699-4c73-81c5-bae97b6e68ad",
"identifier": [
{
"use": "temp",
"system": "http://sys-ids.kemkes.go.id/encounter/10000004",
"value": "P20240001"
}
],
"status": "finished",
"statusHistory": [
{
"status": "arrived",
"period": {
"start": "2022-06-14T07:00:00+00:00",
"end": "2022-06-14T08:00:00+00:00"
}
},
{
"status": "in-progress",
"period": {
"start": "2022-06-14T08:00:00+00:00",
"end": "2022-06-14T09:00:00+00:00"
}
},
{
"status": "finished",
"period": {
"start": "2022-06-14T09:00:00+00:00",
"end": "2022-06-14T09:00:00+00:00"
}
}
],
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
},
"subject": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"participant": [
{
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "ATND",
"display": "attender"
}
]
}
],
"individual": {
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
}
}
],
"period": {
"start": "2022-06-15T07:00:00+00:00",
"end": "2022-06-15T09:00:00+00:00"
},
"location": [
{
"location": {
"reference": "Location/b017aa54-f1df-4ec2-9d84-8823815d7228",
"display": "Ruang 1A, Poliklinik Bedah Rawat Jalan Terpadu, Lantai 2, Gedung G"
}
}
],
"serviceProvider": {
"reference": "Organization/10000004"
}
}
#tba
#tba
[none]

Step 8. Kuesioner Kasus ILI

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

Step 4. Specimen

Specimen Keadaan Baik

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

Specimen is in poor condition

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

Step 5. Lab Examination Result

A. COVID-19 PCR

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

B. Influenza A

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

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

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

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

A. Covid 19

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

B. Influenza A

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

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

Step 7. Update Outpatient Visit

Pasien Discharge

{
"resourceType": "Encounter",
"id": "8571fcf0-a699-4c73-81c5-bae97b6e68ad",
"identifier": [
{
"use": "temp",
"system": "http://sys-ids.kemkes.go.id/encounter/10000004",
"value": "P20240001"
}
],
"status": "finished",
"statusHistory": [
{
"status": "arrived",
"period": {
"start": "2022-06-14T07:00:00+00:00",
"end": "2022-06-14T08:00:00+00:00"
}
},
{
"status": "in-progress",
"period": {
"start": "2022-06-14T08:00:00+00:00",
"end": "2022-06-14T09:00:00+00:00"
}
},
{
"status": "finished",
"period": {
"start": "2022-06-14T09:00:00+00:00",
"end": "2022-06-14T09:00:00+00:00"
}
}
],
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
},
"subject": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"participant": [
{
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "ATND",
"display": "attender"
}
]
}
],
"individual": {
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
}
}
],
"period": {
"start": "2022-06-15T07:00:00+00:00",
"end": "2022-06-15T09:00:00+00:00"
},
"location": [
{
"location": {
"reference": "Location/b017aa54-f1df-4ec2-9d84-8823815d7228",
"display": "Ruang 1A, Poliklinik Bedah Rawat Jalan Terpadu, Lantai 2, Gedung G"
}
}
],
"serviceProvider": {
"reference": "Organization/10000004"
}
}
#tba
#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": "2022-06-14T08:15:00+00:00",
"author": [
{
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
}
],
"title": "Kuesioner Kasus ILI",
"attester": [
{
"mode": "legal",
"party": {
"reference": "Organization/10000004",
"display": "Puskesmas Sangat Waras"
}
}
],
"section": [
{
"title": "Keadaan Saat Masuk",
"focus": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"entry": [
{
"reference": "Observation/d8aad3cd-188a-439d-ac20-e055ad386c26",
"display": "Suhu"
},
{
"reference": "Observation/91f7cf4a-470a-49cb-ba24-ed055fa116f1",
"display": "Frekuensi Nafas"
},
{
"reference": "Condition/6d4bf02b-1913-4af5-bbb7-b351c7399132",
"display": "Gejala dan Tanda Mulai Sakit/Gejala"
}
]
},
{
"title": "Kondisi Medis/Faktor Risiko",
"focus": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"entry": [
{
"reference": "Observation/02c40c71-8912-4f6e-b821-eec578b8cfb7",
"display": "Kondisi Medis"
},
{
"reference": "QuestionnaireResponse/791224e2-9145-47c3-a0f8-4ce323bc7399",
"display": "Faktor Penularan"
}
]
},
{
"title": "Pengambilan Spesimen",
"focus": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"entry": [
{
"reference": "QuestionnaireResponse/791224e2-9145-47c3-a0f8-4ce323bc7399",
"display": "Alasan Tidak Mau Diambil Spesimen"
},
{
"reference": "ServiceRequest/5dd79cf6-b799-44b0-ae13-db0a95d63f77",
"display": "Permintaan Pemeriksaan COVID-19 PCR"
},
{
"reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275",
"display": "Permintaan Pemeriksaan Influenza A"
},
{
"reference": "ServiceRequest/db1ea185-8836-4e2c-9468-4e4b43475a4a",
"display": "Permintaan Pemeriksaan Influenza B"
},
{
"reference": "Specimen/2ae3a5e8-416d-4dab-b5c9-cfcef5fd0471",
"display": "Spesimen"
}
]
},
{
"title": "Hasil Pemeriksaan Laboratorium",
"focus": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"entry": [
{
"reference": "Observation/56c3135e-8659-4b02-a73e-3aaa10f48e7f",
"display": "Hasil Pemeriksaan Laboratorium COVID-19 PCR"
},
{
"reference": "Observation/0a074e30-0816-4f13-8e77-55f20704e4f7",
"display": "Hasil Pemeriksaan Laboratorium Influenza A"
},
{
"reference": "Observation/89db8afb-c09d-4184-a512-f3f7a61e72a5",
"display": "Hasil Pemeriksaan Laboratorium Influenza A subtype"
},
{
"reference": "Observation/7ddc5fe6-64a6-4cb7-877e-1f9fd37d4814",
"display": "Hasil Pemeriksaan Laboratorium Influenza B"
},
{
"reference": "Observation/5e574975-3ae0-4bfe-96c1-cb5b4d30c18f",
"display": "Hasil Pemeriksaan Laboratorium Influenza B subtype"
},
{
"reference": "DiagnosticReport/a60b9fb4-cfc0-4568-9524-31a7921b67e8",
"display": "Laporan Hasil Pemeriksaan Laboratorium COVID-19 PCR"
},
{
"reference": "DiagnosticReport/c0543144-2fff-4365-81c6-053d6323b057",
"display": "Laporan Hasil Pemeriksaan Laboratorium Influenza A"
},
{
"reference": "DiagnosticReport/cd98a04a-99ae-41d8-a844-3a55bb19dac6",
"display": "Laporan Hasil Pemeriksaan Laboratorium Influenza A Subtype"
},
{
"reference": "DiagnosticReport/df498577-e61b-458d-8001-146af6be610d",
"display": "Laporan Hasil Pemeriksaan Laboratorium Influenza B"
},
{
"reference": "DiagnosticReport/7d6a9f6c-158c-4c51-8195-cb7be87a6721",
"display": "Laporan Hasil Pemeriksaan Laboratorium Influenza B Subtype"
}
]
}
]
}
#tba
#tba
[none]

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.

covid-skema-pelaporan-sari

Gambar 2. Alur Integrasi Pelaporan SARI

B. Strategi Pengiriman Data ke SATUSEHAT

SATUSEHAT menyediakan dua pilihan cara mengirimkan data use case SARI:

1. Berbasis Resource

Data dapat dikirimkan secara berurutan sesuai resource yang terlibat pada alur pelayanan terkait. Sebagai contoh: ketika mengirimkan data registrasi kasus saja yang berisikan resource Encounter dan Condition, maka implementor mengirimkan resource-resource tersebut ke SATUSEHAT secara berurutan sesuai dependensinya.

2. Berbasis Bundle

Data dapat dikirimkan seluruh resource yang terlibat pada alur pelayanan terkait dengan menggunakan satu langkah pengiriman data ke SATUSEHAT menggunakan profil FHIR bernama Bundle.

Resource-resource yang terlibat di setiap tahapan alur pelayanan untuk use case SARI adalah sebagai berikut:

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


Notes:

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

C. Langkah-Langkah Pengiriman Data ke SATUSEHAT

[Pre-Use Case Requirement] Pencarian Data Pasien

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

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

Step 1. Pendataan Kunjungan Rawat Inap (Awal Masuk)

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

Pendataan Kunjungan Rawat Inap

{
"resourceType": "Encounter",
"identifier": [
{
"use": "temp",
"system": "http://sys-ids.kemkes.go.id/encounter/10000004",
"value": "10085103"
}
],
"status": "in-progress",
"statusHistory": [
{
"status": "in-progress",
"period": {
"start": "2022-12-24T23:00:00+00:00"
}
}
],
"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": "2022-12-25T23:00:00+00:00"
},
"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
}
],
"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"
}
}
],
"serviceProvider": {
"reference": "Organization/3c8f6d64-7eec-4747-a980-3e2a0e54b026"
}
}
{
    "resourceType": "Encounter",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/
Command 'FACILITY_IHS_NUMBER' could not render: There is no placeholder called 'FACILITY_IHS_NUMBER'
",
            "value": "
Command 'ENCOUNTER_LOCAL_CODE' could not render: There is no placeholder called 'ENCOUNTER_LOCAL_CODE'
"
        }
    ],
    "status": "arrived",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "reference": "Patient/
Command 'PATIENT_IHS_NUMBER' could not render: There is no placeholder called 'PATIENT_IHS_NUMBER'
",
        "display": "
Command 'PATIENT_NAME' could not render: There is no placeholder called 'PATIENT_NAME'
"
    },
    "participant": [
        {
            "type": [
                {
                    "coding": [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "individual": {
                "reference": "Practitioner/
Command 'DOCTOR_IHS_NUMBER' could not render: There is no placeholder called 'DOCTOR_IHS_NUMBER'
",
                "display": "
Command 'DOCTOR_NAME' could not render: There is no placeholder called 'DOCTOR_NAME'
"
            }
        }
    ],
    "period": {
        "start": "
Command 'ENCOUNTER_PERIOD1_START' could not render: There is no placeholder called 'ENCOUNTER_PERIOD1_START'
"
    },
    "location": [
        {
            "location": {
                "reference": "Location/
Command 'ENCOUNTER_LOCATION_ID' could not render: There is no placeholder called 'ENCOUNTER_LOCATION_ID'
",
                "display": "
Command 'ENCOUNTER_LOCATION_NAME' could not render: There is no placeholder called 'ENCOUNTER_LOCATION_NAME'
"
            }
        }
    ],
    "statusHistory": [
        {
            "status": "arrived",
            "period": {
                "start": "
Command 'ENCOUNTER_PERIOD1_START' could not render: There is no placeholder called 'ENCOUNTER_PERIOD1_START'
",
                "end": "
Command 'ENCOUNTER_PERIOD1_END' could not render: There is no placeholder called 'ENCOUNTER_PERIOD1_END'
"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/
Command 'FACILITY_IHS_NUMBER' could not render: There is no placeholder called 'FACILITY_IHS_NUMBER'
"
    }
}
Variabel Deskripsi
ENCOUNTER_LOCAL_CODE ID Lokal untuk Kunjungan/Encounter
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
ENCOUNTER_PERIOD1_START Waktu mulai/check-in kunjungan
ENCOUNTER_PERIOD1_END Waktu mulai/check-out kunjungan
ENCOUNTER_LOCATION_ID ID Location tempat kunjungan dilakukan
ENCOUNTER_LOCATION_NAME Nama Location tempat kunjungan dilakukan
[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": "2022-12-21T07:00:00+00:00",
"recordedDate": "2022-12-23T07:00:00+00:00"
}
#tba
#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": "2022-10-14T07:00:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueQuantity": {
"value": 38.5,
"unit": "Celcius",
"system": "http://unitsofmeasure.org",
"code": "Cel"
}
}
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": "2022-12-21T07:00:00+00:00",
"recordedDate": "2022-12-23T07:00:00+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": "2022-12-21T07:00:00+00:00",
"recordedDate": "2022-12-23T07:00:00+00:00"
}
#tba
#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"
},
"encounter": {
"reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
},
"issued": "2022-12-23T07:00:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueQuantity": {
"value": 20,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
}
#tba
#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"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
"display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
},
"effectiveDateTime": "2022-10-14T07:00:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "77176002",
"display": "Smoker"
}
]
}
}
#tba
#tba
[none]

Faktor Penularan

Selain melakukan anamnesis dan pemeriksaan fisik, wawancara faktor penularan adalah kegiatan yang penting dilakukan untuk memberikan informasi epidemiologis. Data dari proses pemeriksaan dapat dikirimkan resource QuestionnaireResponse

The resource cannot be rendered.

#tba
#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"
},
"encounter": {
"reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
},
"issued": "2022-12-23T07:00:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"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": "2022-07-14T10:00:00+07:00",
"requester": {
"reference": "Organization/10000004",
"display": "Puskesmas Bagelen"
},
"performer": [
{
"reference": "Organization/10083042",
"display": "IHS Hospital"
}
],
"locationCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "HLAB",
"display": "hospital laboratory"
}
]
}
],
"locationReference": [
{
"reference": "Location/612fcf96-843a-45c7-a6f7-ff3a08eb7c88",
"display": "Laboratorium"
}
],
"reasonCode": [
{
"text": "Suspect ILI"
}
]
}
#tba
#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": "2022-07-14T10:00:00+07:00",
"requester": {
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
},
"performer": [
{
"reference": "Organization/10083042",
"display": "IHS Hospital"
}
],
"locationCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "HLAB",
"display": "hospital laboratory"
}
]
}
],
"locationReference": [
{
"reference": "Location/612fcf96-843a-45c7-a6f7-ff3a08eb7c88",
"display": "Laboratorium"
}
],
"reasonCode": [
{
"text": "Suspect ILI"
}
]
}
#tba
#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": "2022-07-14T10:00:00+07:00",
"requester": {
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
},
"performer": [
{
"reference": "Organization/10083042",
"display": "IHS Hospital"
}
],
"locationCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "HLAB",
"display": "hospital laboratory"
}
]
}
],
"locationReference": [
{
"reference": "Location/612fcf96-843a-45c7-a6f7-ff3a08eb7c88",
"display": "Laboratorium"
}
],
"reasonCode": [
{
"text": "Suspect ILI"
}
]
}
#tba
#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": "2022-07-14T10:00:00+07:00",
"requester": {
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
},
"performer": [
{
"reference": "Organization/10083042",
"display": "IHS Hospital"
}
],
"locationCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "HLAB",
"display": "hospital laboratory"
}
]
}
],
"locationReference": [
{
"reference": "Location/612fcf96-843a-45c7-a6f7-ff3a08eb7c88",
"display": "Laboratorium"
}
],
"reasonCode": [
{
"text": "Suspect ILI"
}
]
}
#tba
#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": "2022-07-14T10:00:00+07:00",
"requester": {
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
},
"performer": [
{
"reference": "Organization/10083042",
"display": "IHS Hospital"
}
],
"locationCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "HLAB",
"display": "hospital laboratory"
}
]
}
],
"locationReference": [
{
"reference": "Location/612fcf96-843a-45c7-a6f7-ff3a08eb7c88",
"display": "Laboratorium"
}
],
"reasonCode": [
{
"text": "Suspect ILI"
}
]
}
#tba
#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": "2022-07-14T10:00:00+07:00",
"requester": {
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
},
"performer": [
{
"reference": "Organization/10083042",
"display": "IHS Hospital"
}
],
"locationCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "HLAB",
"display": "hospital laboratory"
}
]
}
],
"locationReference": [
{
"reference": "Location/612fcf96-843a-45c7-a6f7-ff3a08eb7c88",
"display": "Laboratorium"
}
],
"reasonCode": [
{
"text": "Suspect ILI"
}
]
}
#tba
#tba
[none]

Step 4. Spesimen

A. Spesimen Swab Tenggorok & Swab Hidung

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

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

B. Specimen Lainnya

{
"resourceType": "Specimen",
"extension": [
{
"url": "https://fhir.kemkes.go.id/r4/StructureDefinition/TransportedTime",
"valueDateTime": "2022-06-14T09:23:00+00:00"
}
],
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/specimen/10000004",
"value": "00001",
"assigner": {
"reference": "Organization/10000004"
}
}
],
"status": "available",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "258604001",
"display": "Upper respiratory specimen"
}
],
"text": "Aspirat Trakea"
},
"subject": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"receivedTime": "2022-11-14T15:25:00+00:00",
"request": [
{
"reference": "ServiceRequest/6c37226f-cac3-4731-93ed-60fc9c74e399"
}
],
"collection": {
"extension": [
{
"url": "https://fhir.kemkes.go.id/r4/StructureDefinition/CollectorOrganization",
"valueReference": {
"reference": "Organization/10083042"
}
}
],
"collectedDateTime": "2022-06-14T08:15:00+00:00"
},
"processing": [
{
"timeDateTime": "2022-06-15T08:23:00+00:00"
}
],
"note": [
{
"authorReference": {
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
},
"time": "2022-06-14T09:30:00+00:00",
"text": "Waktu Entry Spesimen"
}
]
}
[none]
[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"
}
],
"basedOn": [
{
"reference": "ServiceRequest/5dd79cf6-b799-44b0-ae13-db0a95d63f77"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "94500-6",
"display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection"
}
]
},
"subject": {
"reference": "Patient/100000030009"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
"display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
},
"effectiveDateTime": "2022-10-15T08:23:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://loinc.org",
"code": "LA6576-8",
"display": "Positive"
}
]
},
"specimen": {
"reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
}
}
#tba
#tba
[none]

B. Influenza A

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

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

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

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

A. Covid 19

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

B. Influenza A

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

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

Step 7. Update 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": "2022-12-21T07:00:00+00:00",
"recordedDate": "2022-12-26T07:00:00+00:00"
}
#tba
#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": "2022-12-21T07:00:00+00:00",
"recordedDate": "2022-12-26T07:00:00+00:00"
}
#tba
#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",
"statusHistory": [
{
"status": "in-progress",
"period": {
"start": "2022-12-24T23:00:00+00:00",
"end": "2022-12-26T09:30:27+00:00"
}
},
{
"status": "finished",
"period": {
"start": "2022-12-26T09:30:27+00:00",
"end": "2022-12-26T09:30:27+00:00"
}
}
],
"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": "2022-12-25T23:00:00+00:00",
"end": "2022-12-26T09:30:27+07:00"
},
"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
}
],
"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"
}
},
"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"
}
}
],
"serviceProvider": {
"reference": "Organization/3c8f6d64-7eec-4747-a980-3e2a0e54b026"
}
}
#tba
#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",
"statusHistory": [
{
"status": "in-progress",
"period": {
"start": "2022-12-24T23:00:00+00:00",
"end": "2022-12-26T09:30:27+00:00"
}
},
{
"status": "finished",
"period": {
"start": "2022-12-26T09:30:27+00:00",
"end": "2022-12-26T09:30:27+00:00"
}
}
],
"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": "2022-12-25T23:00:00+00:00",
"end": "2022-12-26T09:30:27+07:00"
},
"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
}
],
"hospitalization": {
"dischargeDisposition": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
"code": "other-hcf",
"display": "Other healthcare facility"
}
],
"text": "Dirujuk ke RSUP"
}
},
"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"
}
}
],
"serviceProvider": {
"reference": "Organization/3c8f6d64-7eec-4747-a980-3e2a0e54b026"
}
}
#tba
#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": "2022-12-23T07:00:00+00:00",
"requester": {
"reference": "Organization/10000004",
"display": "Puskesmas Bagelen"
},
"performer": [
{
"reference": "Organization/10083042",
"display": "IHS Hospital"
}
],
"reasonCode": [
{
"text": "Perburukan"
}
]
}
#tba
#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",
"statusHistory": [
{
"status": "in-progress",
"period": {
"start": "2022-12-24T23:00:00+00:00",
"end": "2022-12-26T09:30:27+00:00"
}
},
{
"status": "finished",
"period": {
"start": "2022-12-26T09:30:27+00:00",
"end": "2022-12-26T09:30:27+00:00"
}
}
],
"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": "2022-12-25T23:00:00+00:00",
"end": "2022-12-26T09:30:27+07:00"
},
"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
}
],
"hospitalization": {
"dischargeDisposition": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
"code": "exp",
"display": "Expired"
}
],
"text": "Meninggal"
}
},
"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"
}
}
],
"serviceProvider": {
"reference": "Organization/3c8f6d64-7eec-4747-a980-3e2a0e54b026"
}
}
#tba
#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"
},
"encounter": {
"reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
},
"issued": "2022-12-23T07:00:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
}
],
"valueDateTime": "2022-12-26"
}
#tba
#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": "2022-06-14T08:15:00+00:00",
"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": [
{
"reference": "Observation/d8aad3cd-188a-439d-ac20-e055ad386c26",
"display": "Suhu"
},
{
"reference": "Condition/5cb67341-9636-41c4-a871-f4d46b06fd64",
"display": "Riwayat Demam"
},
{
"reference": "Observation/91f7cf4a-470a-49cb-ba24-ed055fa116f1",
"display": "Frekuensi Nafas"
},
{
"reference": "Condition/6d4bf02b-1913-4af5-bbb7-b351c7399132",
"display": "Gejala dan Tanda Mulai Gejala"
}
]
},
{
"title": "Kondisi Medis/Faktor Risiko",
"focus": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"entry": [
{
"reference": "Observation/02c40c71-8912-4f6e-b821-eec578b8cfb7",
"display": "Kondisi Medis"
},
{
"reference": "QuestionnaireResponse/791224e2-9145-47c3-a0f8-4ce323bc7399",
"display": "Faktor Penularan"
},
{
"reference": "Observation/56000b4b-9024-40c4-8701-d7ef0a99c1c5",
"display": "Tanggal Wawancara"
}
]
},
{
"title": "Pengambilan Spesimen",
"focus": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"entry": [
{
"reference": "QuestionnaireResponse/791224e2-9145-47c3-a0f8-4ce323bc7399",
"display": "Alasan Tidak Mau Diambil Spesimen"
},
{
"reference": "ServiceRequest/5dd79cf6-b799-44b0-ae13-db0a95d63f77",
"display": "Permintaan Pemeriksaan COVID-19 PCR"
},
{
"reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275",
"display": "Permintaan Pemeriksaan Influenza A"
},
{
"reference": "ServiceRequest/db1ea185-8836-4e2c-9468-4e4b43475a4a",
"display": "Permintaan Pemeriksaan Influenza B"
},
{
"reference": "Specimen/2ae3a5e8-416d-4dab-b5c9-cfcef5fd0471",
"display": "Spesimen"
}
]
},
{
"title": "Hasil Pemeriksaan Laboratorium",
"focus": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"entry": [
{
"reference": "Observation/56c3135e-8659-4b02-a73e-3aaa10f48e7f",
"display": "Hasil Pemeriksaan Laboratorium COVID-19 PCR"
},
{
"reference": "Observation/0a074e30-0816-4f13-8e77-55f20704e4f7",
"display": "Hasil Pemeriksaan Laboratorium Influenza A"
},
{
"reference": "Observation/89db8afb-c09d-4184-a512-f3f7a61e72a5",
"display": "Hasil Pemeriksaan Laboratorium Influenza A subtype"
},
{
"reference": "Observation/7ddc5fe6-64a6-4cb7-877e-1f9fd37d4814",
"display": "Hasil Pemeriksaan Laboratorium Influenza B"
},
{
"reference": "Observation/5e574975-3ae0-4bfe-96c1-cb5b4d30c18f",
"display": "Hasil Pemeriksaan Laboratorium Influenza B subtype"
},
{
"reference": "DiagnosticReport/a60b9fb4-cfc0-4568-9524-31a7921b67e8",
"display": "Laporan Hasil Pemeriksaan Laboratorium COVID-19 PCR"
},
{
"reference": "DiagnosticReport/c0543144-2fff-4365-81c6-053d6323b057",
"display": "Laporan Hasil Pemeriksaan Laboratorium Influenza A"
},
{
"reference": "DiagnosticReport/cd98a04a-99ae-41d8-a844-3a55bb19dac6",
"display": "Laporan Hasil Pemeriksaan Laboratorium Influenza A Subtype"
},
{
"reference": "DiagnosticReport/df498577-e61b-458d-8001-146af6be610d",
"display": "Laporan Hasil Pemeriksaan Laboratorium Influenza B"
},
{
"reference": "DiagnosticReport/7d6a9f6c-158c-4c51-8195-cb7be87a6721",
"display": "Laporan Hasil Pemeriksaan Laboratorium Influenza B Subtype"
}
]
},
{
"title": "Form Keluar",
"focus": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"entry": [
{
"reference": "Condition/85a22cfb-550d-483d-80c7-19016b37385f",
"display": "Diagnosis Primer"
},
{
"reference": "Condition/42ad7faa-e9a2-4e7e-a603-c4384fddc433",
"display": "Diagnosis Sekunder"
},
{
"reference": "ServiceRequest/d3b0d43a-c1ff-4e17-8372-49e2bae6d1af",
"display": "Permintaan Rujukan"
},
{
"reference": "Observation/ea7ef5b1-0cef-4ecf-835f-e61a9141f977",
"display": "Tanggal Meninggal"
}
]
}
]
}
#tba
#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.

covid-skema-pelaporan-sari

Figure 1. SARI Case Reporting Workflow Data Schema

B. Data Submission to SATUSEHAT

SATUSEHAT provides two options for sending antenatal care use case data:

1. Resource-Based

Data is sent sequentially according to the resources involved in the corresponding workflow. For example, when sending registration data containing the Encounter and Condition resources, the implementors will send these resources to SATUSEHAT sequentially based on their dependencies.

2. Bundle-Based

All resources involved in the workflow can be sent in a one step using a FHIR resource called "Bundle".

The resources involved in each step of the ANC use-case are as follows:

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


Notes:

  1. *) Recommended Profile Resource for documentation processes.
  2. Required: The resource must be included each time a FHIR Bundle is sent.
  3. 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. In-patient Visit Registration Process

A patient visit can be defined as a patient's interaction with a healthcare facility service. For example, in one outpatient series, the entire series can be defined as one `Encounter`. The patient visit data contains the datetime when the consultation visit start and end, who is the responsible healthcare practitioner, who is the subject of the consultation, and other supporting information.

In-patient Visit Registration

{
"resourceType": "Encounter",
"identifier": [
{
"use": "temp",
"system": "http://sys-ids.kemkes.go.id/encounter/10000004",
"value": "10085103"
}
],
"status": "in-progress",
"statusHistory": [
{
"status": "in-progress",
"period": {
"start": "2022-12-24T23:00:00+00:00"
}
}
],
"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": "2022-12-25T23:00:00+00:00"
},
"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
}
],
"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"
}
}
],
"serviceProvider": {
"reference": "Organization/3c8f6d64-7eec-4747-a980-3e2a0e54b026"
}
}
{
    "resourceType": "Encounter",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/
Command 'FACILITY_IHS_NUMBER' could not render: There is no placeholder called 'FACILITY_IHS_NUMBER'
",
            "value": "
Command 'ENCOUNTER_LOCAL_CODE' could not render: There is no placeholder called 'ENCOUNTER_LOCAL_CODE'
"
        }
    ],
    "status": "arrived",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "reference": "Patient/
Command 'PATIENT_IHS_NUMBER' could not render: There is no placeholder called 'PATIENT_IHS_NUMBER'
",
        "display": "
Command 'PATIENT_NAME' could not render: There is no placeholder called 'PATIENT_NAME'
"
    },
    "participant": [
        {
            "type": [
                {
                    "coding": [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "individual": {
                "reference": "Practitioner/
Command 'DOCTOR_IHS_NUMBER' could not render: There is no placeholder called 'DOCTOR_IHS_NUMBER'
"
            }
        }
    ],
    "period": {
        "start": "
Command 'ENCOUNTER_PERIOD1_START' could not render: There is no placeholder called 'ENCOUNTER_PERIOD1_START'
"
    },
    "location": [
        {
            "location": {
                "reference": "Location/
Command 'ENCOUNTER_LOCATION_ID' could not render: There is no placeholder called 'ENCOUNTER_LOCATION_ID'
",
                "display": "
Command 'ENCOUNTER_LOCATION_NAME' could not render: There is no placeholder called 'ENCOUNTER_LOCATION_NAME'
"
            }
        }
    ],
    "statusHistory": [
        {
            "status": "arrived",
            "period": {
                "start": "
Command 'ENCOUNTER_PERIOD1_START' could not render: There is no placeholder called 'ENCOUNTER_PERIOD1_START'
",
                "end": "
Command 'ENCOUNTER_PERIOD1_END' could not render: There is no placeholder called 'ENCOUNTER_PERIOD1_END'
"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/
Command 'ORGANIZATION_IHS_NUMBER' could not render: There is no placeholder called 'ORGANIZATION_IHS_NUMBER'
"
    }
}
Variabel Deskripsi
ENCOUNTER_LOCAL_CODE The local code or ID/ consultation visit number stored in each organization's internal system.
PATIENT_IHS_NUMBER Patient ID obtained from the SATUSEHAT Master Patient Index
PATIENT_NAME Patient name
PRACTITIONER_IHS_NUMBER Healthcare professional ID obtained from the "Master Healthcare Professional Index"
ORGANIZATION_IHS_NUMBER ID of the healthcare facility organization obtained from the SATUSEHAT Master Facility Index.
ENCOUNTER_PERIOD1_START Start time, same as patient's arrival time
ENCOUNTER_PERIOD1_END End time, same as the finished time of a visit
ENCOUNTER_LOCATION_ID Contains location ID of the patient's encounter. Can be filled with the patient's examination room/ clinic room with "reference" data type, referenced to the Location ID obtained from the SATUSEHAT
ENCOUNTER_LOCATION_NAME The location name of the patient encounter
[none]

Preliminary Diagnosis

{
"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": "2022-12-21T07:00:00+00:00",
"recordedDate": "2022-12-23T07:00:00+00:00"
}
#tba
#tba
[none]

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": "2022-10-14T07:00:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueQuantity": {
"value": 38.5,
"unit": "Celcius",
"system": "http://unitsofmeasure.org",
"code": "Cel"
}
}
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": "2022-12-21T07:00:00+00:00",
"recordedDate": "2022-12-23T07:00:00+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": "2022-12-21T07:00:00+00:00",
"recordedDate": "2022-12-23T07:00:00+00:00"
}
#tba
#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"
},
"encounter": {
"reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
},
"issued": "2022-12-23T07:00:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueQuantity": {
"value": 20,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
}
#tba
#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"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
"display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
},
"effectiveDateTime": "2022-10-14T07:00:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "77176002",
"display": "Smoker"
}
]
}
}
#tba
#tba
[none]

Transmission Factors

In addition to conducting anamnesis and physical examinations, interviewing about transmission factors is an important activity to provide epidemiological information. Data from the examination process can be sent as a QuestionnaireResponse resource.

The resource cannot be rendered.

#tba
#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"
},
"encounter": {
"reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
},
"issued": "2022-12-23T07:00:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"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": "2022-07-14T10:00:00+07:00",
"requester": {
"reference": "Organization/10000004",
"display": "Puskesmas Bagelen"
},
"performer": [
{
"reference": "Organization/10083042",
"display": "IHS Hospital"
}
],
"locationCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "HLAB",
"display": "hospital laboratory"
}
]
}
],
"locationReference": [
{
"reference": "Location/612fcf96-843a-45c7-a6f7-ff3a08eb7c88",
"display": "Laboratorium"
}
],
"reasonCode": [
{
"text": "Suspect ILI"
}
]
}
#tba
#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": "2022-07-14T10:00:00+07:00",
"requester": {
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
},
"performer": [
{
"reference": "Organization/10083042",
"display": "IHS Hospital"
}
],
"locationCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "HLAB",
"display": "hospital laboratory"
}
]
}
],
"locationReference": [
{
"reference": "Location/612fcf96-843a-45c7-a6f7-ff3a08eb7c88",
"display": "Laboratorium"
}
],
"reasonCode": [
{
"text": "Suspect ILI"
}
]
}
#tba
#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": "2022-07-14T10:00:00+07:00",
"requester": {
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
},
"performer": [
{
"reference": "Organization/10083042",
"display": "IHS Hospital"
}
],
"locationCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "HLAB",
"display": "hospital laboratory"
}
]
}
],
"locationReference": [
{
"reference": "Location/612fcf96-843a-45c7-a6f7-ff3a08eb7c88",
"display": "Laboratorium"
}
],
"reasonCode": [
{
"text": "Suspect ILI"
}
]
}
#tba
#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": "2022-07-14T10:00:00+07:00",
"requester": {
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
},
"performer": [
{
"reference": "Organization/10083042",
"display": "IHS Hospital"
}
],
"locationCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "HLAB",
"display": "hospital laboratory"
}
]
}
],
"locationReference": [
{
"reference": "Location/612fcf96-843a-45c7-a6f7-ff3a08eb7c88",
"display": "Laboratorium"
}
],
"reasonCode": [
{
"text": "Suspect ILI"
}
]
}
#tba
#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": "2022-07-14T10:00:00+07:00",
"requester": {
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
},
"performer": [
{
"reference": "Organization/10083042",
"display": "IHS Hospital"
}
],
"locationCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "HLAB",
"display": "hospital laboratory"
}
]
}
],
"locationReference": [
{
"reference": "Location/612fcf96-843a-45c7-a6f7-ff3a08eb7c88",
"display": "Laboratorium"
}
],
"reasonCode": [
{
"text": "Suspect ILI"
}
]
}
#tba
#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": "2022-07-14T10:00:00+07:00",
"requester": {
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
},
"performer": [
{
"reference": "Organization/10083042",
"display": "IHS Hospital"
}
],
"locationCode": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "HLAB",
"display": "hospital laboratory"
}
]
}
],
"locationReference": [
{
"reference": "Location/612fcf96-843a-45c7-a6f7-ff3a08eb7c88",
"display": "Laboratorium"
}
],
"reasonCode": [
{
"text": "Suspect ILI"
}
]
}
#tba
#tba
[none]

Step 4. Specimen

A. Throat Swab & Nasal Swab Specimen

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

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

B. Another Specimens

{
"resourceType": "Specimen",
"extension": [
{
"url": "https://fhir.kemkes.go.id/r4/StructureDefinition/TransportedTime",
"valueDateTime": "2022-06-14T09:23:00+00:00"
}
],
"identifier": [
{
"system": "http://sys-ids.kemkes.go.id/specimen/10000004",
"value": "00001",
"assigner": {
"reference": "Organization/10000004"
}
}
],
"status": "available",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "258604001",
"display": "Upper respiratory specimen"
}
],
"text": "Aspirat Trakea"
},
"subject": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"receivedTime": "2022-11-14T15:25:00+00:00",
"request": [
{
"reference": "ServiceRequest/6c37226f-cac3-4731-93ed-60fc9c74e399"
}
],
"collection": {
"extension": [
{
"url": "https://fhir.kemkes.go.id/r4/StructureDefinition/CollectorOrganization",
"valueReference": {
"reference": "Organization/10083042"
}
}
],
"collectedDateTime": "2022-06-14T08:15:00+00:00"
},
"processing": [
{
"timeDateTime": "2022-06-15T08:23:00+00:00"
}
],
"note": [
{
"authorReference": {
"reference": "Practitioner/N10000001",
"display": "Dokter Bronsig"
},
"time": "2022-06-14T09:30:00+00:00",
"text": "Waktu Entry Spesimen"
}
]
}
[none]
[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"
}
],
"basedOn": [
{
"reference": "ServiceRequest/5dd79cf6-b799-44b0-ae13-db0a95d63f77"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "94500-6",
"display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection"
}
]
},
"subject": {
"reference": "Patient/100000030009"
},
"encounter": {
"reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8",
"display": "Pemeriksaan Budi Santoso di hari Selasa, 14 Juni 2022"
},
"effectiveDateTime": "2022-10-15T08:23:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
},
{
"reference": "Organization/10000004"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://loinc.org",
"code": "LA6576-8",
"display": "Positive"
}
]
},
"specimen": {
"reference": "Specimen/bf55c11b-f42a-4098-ad56-723e25526060"
}
}
#tba
#tba
[none]

B. Influenza A

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

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

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

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

A. Covid 19

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

B. Influenza A

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

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

Step 7. Update 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": "2022-12-21T07:00:00+00:00",
"recordedDate": "2022-12-26T07:00:00+00:00"
}
#tba
#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": "2022-12-21T07:00:00+00:00",
"recordedDate": "2022-12-26T07:00:00+00:00"
}
#tba
#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",
"statusHistory": [
{
"status": "in-progress",
"period": {
"start": "2022-12-24T23:00:00+00:00",
"end": "2022-12-26T09:30:27+00:00"
}
},
{
"status": "finished",
"period": {
"start": "2022-12-26T09:30:27+00:00",
"end": "2022-12-26T09:30:27+00:00"
}
}
],
"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": "2022-12-25T23:00:00+00:00",
"end": "2022-12-26T09:30:27+07:00"
},
"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
}
],
"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"
}
},
"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"
}
}
],
"serviceProvider": {
"reference": "Organization/3c8f6d64-7eec-4747-a980-3e2a0e54b026"
}
}
#tba
#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",
"statusHistory": [
{
"status": "in-progress",
"period": {
"start": "2022-12-24T23:00:00+00:00",
"end": "2022-12-26T09:30:27+00:00"
}
},
{
"status": "finished",
"period": {
"start": "2022-12-26T09:30:27+00:00",
"end": "2022-12-26T09:30:27+00:00"
}
}
],
"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": "2022-12-25T23:00:00+00:00",
"end": "2022-12-26T09:30:27+07:00"
},
"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
}
],
"hospitalization": {
"dischargeDisposition": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
"code": "other-hcf",
"display": "Other healthcare facility"
}
],
"text": "Dirujuk ke RSUP"
}
},
"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"
}
}
],
"serviceProvider": {
"reference": "Organization/3c8f6d64-7eec-4747-a980-3e2a0e54b026"
}
}
#tba
#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": "2022-12-23T07:00:00+00:00",
"requester": {
"reference": "Organization/10000004",
"display": "Puskesmas Bagelen"
},
"performer": [
{
"reference": "Organization/10083042",
"display": "IHS Hospital"
}
],
"reasonCode": [
{
"text": "Perburukan"
}
]
}
#tba
#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",
"statusHistory": [
{
"status": "in-progress",
"period": {
"start": "2022-12-24T23:00:00+00:00",
"end": "2022-12-26T09:30:27+00:00"
}
},
{
"status": "finished",
"period": {
"start": "2022-12-26T09:30:27+00:00",
"end": "2022-12-26T09:30:27+00:00"
}
}
],
"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": "2022-12-25T23:00:00+00:00",
"end": "2022-12-26T09:30:27+07:00"
},
"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
}
],
"hospitalization": {
"dischargeDisposition": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
"code": "exp",
"display": "Expired"
}
],
"text": "Meninggal"
}
},
"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"
}
}
],
"serviceProvider": {
"reference": "Organization/3c8f6d64-7eec-4747-a980-3e2a0e54b026"
}
}
#tba
#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"
},
"encounter": {
"reference": "Encounter/447222f4-32bc-4ec0-9a53-3be1506a8e8a"
},
"issued": "2022-12-23T07:00:00+00:00",
"performer": [
{
"reference": "Practitioner/N10000001"
}
],
"valueDateTime": "2022-12-26"
}
#tba
#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": "2022-06-14T08:15:00+00:00",
"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": [
{
"reference": "Observation/d8aad3cd-188a-439d-ac20-e055ad386c26",
"display": "Suhu"
},
{
"reference": "Condition/5cb67341-9636-41c4-a871-f4d46b06fd64",
"display": "Riwayat Demam"
},
{
"reference": "Observation/91f7cf4a-470a-49cb-ba24-ed055fa116f1",
"display": "Frekuensi Nafas"
},
{
"reference": "Condition/6d4bf02b-1913-4af5-bbb7-b351c7399132",
"display": "Gejala dan Tanda Mulai Gejala"
}
]
},
{
"title": "Kondisi Medis/Faktor Risiko",
"focus": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"entry": [
{
"reference": "Observation/02c40c71-8912-4f6e-b821-eec578b8cfb7",
"display": "Kondisi Medis"
},
{
"reference": "QuestionnaireResponse/791224e2-9145-47c3-a0f8-4ce323bc7399",
"display": "Faktor Penularan"
},
{
"reference": "Observation/56000b4b-9024-40c4-8701-d7ef0a99c1c5",
"display": "Tanggal Wawancara"
}
]
},
{
"title": "Pengambilan Spesimen",
"focus": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"entry": [
{
"reference": "QuestionnaireResponse/791224e2-9145-47c3-a0f8-4ce323bc7399",
"display": "Alasan Tidak Mau Diambil Spesimen"
},
{
"reference": "ServiceRequest/5dd79cf6-b799-44b0-ae13-db0a95d63f77",
"display": "Permintaan Pemeriksaan COVID-19 PCR"
},
{
"reference": "ServiceRequest/0391a2e5-ca06-4a73-b3c9-bf1770d90275",
"display": "Permintaan Pemeriksaan Influenza A"
},
{
"reference": "ServiceRequest/db1ea185-8836-4e2c-9468-4e4b43475a4a",
"display": "Permintaan Pemeriksaan Influenza B"
},
{
"reference": "Specimen/2ae3a5e8-416d-4dab-b5c9-cfcef5fd0471",
"display": "Spesimen"
}
]
},
{
"title": "Hasil Pemeriksaan Laboratorium",
"focus": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"entry": [
{
"reference": "Observation/56c3135e-8659-4b02-a73e-3aaa10f48e7f",
"display": "Hasil Pemeriksaan Laboratorium COVID-19 PCR"
},
{
"reference": "Observation/0a074e30-0816-4f13-8e77-55f20704e4f7",
"display": "Hasil Pemeriksaan Laboratorium Influenza A"
},
{
"reference": "Observation/89db8afb-c09d-4184-a512-f3f7a61e72a5",
"display": "Hasil Pemeriksaan Laboratorium Influenza A subtype"
},
{
"reference": "Observation/7ddc5fe6-64a6-4cb7-877e-1f9fd37d4814",
"display": "Hasil Pemeriksaan Laboratorium Influenza B"
},
{
"reference": "Observation/5e574975-3ae0-4bfe-96c1-cb5b4d30c18f",
"display": "Hasil Pemeriksaan Laboratorium Influenza B subtype"
},
{
"reference": "DiagnosticReport/a60b9fb4-cfc0-4568-9524-31a7921b67e8",
"display": "Laporan Hasil Pemeriksaan Laboratorium COVID-19 PCR"
},
{
"reference": "DiagnosticReport/c0543144-2fff-4365-81c6-053d6323b057",
"display": "Laporan Hasil Pemeriksaan Laboratorium Influenza A"
},
{
"reference": "DiagnosticReport/cd98a04a-99ae-41d8-a844-3a55bb19dac6",
"display": "Laporan Hasil Pemeriksaan Laboratorium Influenza A Subtype"
},
{
"reference": "DiagnosticReport/df498577-e61b-458d-8001-146af6be610d",
"display": "Laporan Hasil Pemeriksaan Laboratorium Influenza B"
},
{
"reference": "DiagnosticReport/7d6a9f6c-158c-4c51-8195-cb7be87a6721",
"display": "Laporan Hasil Pemeriksaan Laboratorium Influenza B Subtype"
}
]
},
{
"title": "Form Keluar",
"focus": {
"reference": "Patient/100000030009",
"display": "Budi Santoso"
},
"entry": [
{
"reference": "Condition/85a22cfb-550d-483d-80c7-19016b37385f",
"display": "Diagnosis Primer"
},
{
"reference": "Condition/42ad7faa-e9a2-4e7e-a603-c4384fddc433",
"display": "Diagnosis Sekunder"
},
{
"reference": "ServiceRequest/d3b0d43a-c1ff-4e17-8372-49e2bae6d1af",
"display": "Permintaan Rujukan"
},
{
"reference": "Observation/ea7ef5b1-0cef-4ecf-835f-e61a9141f977",
"display": "Tanggal Meninggal"
}
]
}
]
}
#tba
#tba
[none]