Last Updated: 2024/01/26

Pelaporan Kematian Ibu dan Anak

Pelaporan kematian ibu dan anak merupakan kegiatan yang penting untuk mengarahkan pengambilan keputusan dan kebijakan yang berbasis data. Laporan kematian ibu dan anak dapat dilakukan oleh pelapor, yang merupakan semua orang yang mengetahui adanya kasus kematian ibu atau anak. Laporan ini kemudian akan diverifikasi oleh penerima laporan yang berkompetensi untuk melakukan analisis lebih lanjut terhadap laporan tersebut. Laporan ini akan bertujuan untuk membantu pengambilan kebijakan yang penting dalam kasus kematian ibu dan anak.

Implementasi use case ini mendefinisikan serangkaian FHIR profile pada resource Composition untuk pertukaran data notifikasi kematian ibu dan anak yang dilakukan oleh pelapor (misalnya dokter spesialis obstetri dan ginekologi di rumah sakit, petugas kesehatan di tingkat Puskesmas, dsb) ke Kementrian Kesehatan melalui Platform SatuSehat. Laporan yang dimaksud mencakup informasi medis/kesehatan tentang riwayat kematian ibu/anak, riwayat persalinan, dan riwayat kehamilan, sebagaimana yang ditunjukkan dalam sistem MPDN (Maternal Perinatal Death Notification), dimana sistem ini merupakan pencatatan secara digital data kematian Maternal dan Perinatal di Indonesia oleh Direktorat Kesehatan Keluarga Kementerian Kesehatan Republik Indonesia. Informasi di sistem MPDN bersifat pemberitahuan awal (Notifikasi) terhadap adanya kematian ibu dan anak.

Implementasi pelaporan kasus kematian ibu dan anak secara umum dapat dibagi menjadi 2 bagian:

  1. Pelaporan Kematian Ibu
  2. Pelaporan Kematian Anak
Postman Maternal and Perinatal Death Playbook Maternal and Perinatal Death Postman SATUSEHAT Outpatient Medical Record

Last Updated: 2024/01/26

Pelaporan Kematian Ibu

A. Pendahuluan

Kematian ibu yang dilaporkan didefinisikan sebagai segala kematian ibu yang terjadi selama kehamilan atau dalam periode 42 hari setelah persalinan, akibat semua sebab yang terkait dengan atau diperberat oleh kehamilan atau penanganannya, tetapi bukan disebabkan oleh kecelakaan/cedera. Dalam pelaporan kematian ibu, dibutuhkan data yang penting yang mencakup identitas, alamat KTP, alamat tinggal, alamat meninggal, jenis tempat meninggal, dan data-data medis seperti riwayat kehamilan, riwayat penyakit sebelumnya, dan dugaan penyebab kematian.

Implementasi pelaporan kasus kematian Ibu secara umum dapat dikelompokkan menjadi 2 tahapan proses sebagai berikut:

Tahapan alur pelaporan dan resource yang digunakan untuk pelaporan kematian ibu dapat dilihat di Gambar 1.

mortality_skema_kematian_ibu_v4

Figure 1. Skema Pelaporan Kematian Ibu

Proses dimulai dari meregistrasikan kasus yang berupa identitas pasien, nakes, dan fasyankes yang melaporkan kasus kematian. Apabila pasien Ibu meninggal saat sedang dalam perawatan di fasyankes (baik itu rawat jalan, rawat inap, ataupun IGD), maka data kunjungan pasien akan terlibat dalam alur pelaporan kematian. Selanjutnya, laporan notifikasi kematian Ibu yang terdiri dari data riwayat kematian Ibu dan riwayat kehamilan Ibu akan dikirimkan ke SATUSEHAT, yang selanjutnya akan diverifikasi oleh penerima laporan yang berkompetensi untuk melakukan analisis lebih lanjut terhadap laporan tersebut.

B. Strategi Pengiriman Data ke SATUSEHAT

Berhubung data notifikasi kematian berbentuk form sekali kirim, data yang dicatat dalam pelaporan kematian hanya data terakhir yang ditemukan oleh FASYANKES saat pasien meninggal, misalnya data kunjungan perawatan terakhir (khusus untuk kasus pasien yang meninggal saat sedang dalam masa perawatan), umur saat pasien meninggal, berat badan pasien saat meninggal, alamat meninggal, dsb. Sehingga metode pengiriman data ke SATUSEHAT yang sesuai dengan alur ini adalah menggunakan metode berbasis Bundle. Profil FHIR bernama Bundle dapat digunakan untuk mengirim seluruh resource yang terlibat pada alur pelayanan terkait dengan menggunakan satu langkah pengiriman.

Resource-resource yang terlibat di setiap tahapan alur pelaporan kematian Ibu adalah sebagai berikut:

Category No Resource Entry Mandatory
Base 1 Patient Required
2 Practitioner Required
3 Organization Required
4 Location Required
5 Encounter Optional
Foundation 6 Composition Required
Clinical 7 Observation Required

* Notes:

  1. Required: Entry resource harus dilibatkan setiap kali mengirimkan bundle
  2. Optional: Entry resource dapat tidak dilibatkan setiap kali mengirimkan bundle

C. Langkah-Langkah Pengiriman Data ke SATUSEHAT

Step 1. Pencarian data pasien, nakes, dan fasyankes

Karena data pasien di dalam SATUSEHAT sudah terdaftar lebih dulu di Master Patient Index (MPI) Kementerian Kesehatan, sehingga registrasi data pasien baru tidak diperlukan. Dengan demikian maka entry data untuk resource Patient tidak perlu diikutsertakan dalam bundle data yang dikirim.

Disamping itu, data Fasyankes yang melaporkan kasus kematian Ibu juga tidak perlu dikirimkan data alamat seperti provinsi, dan kabupaten/kota karena data sudah tersedia pada Master Sarana Index yang ada di SATUSEHAT, begitu juga dengan identitas data nakes yang mengisi data laporan kematian tersebut juga tidak perlu dikirimkan karena sudah tersedia di Master Nakes Index yang ada di SATUSEHAT.

Proses pencarian data pasien, nakes, dan fasyankes dapat dilakukan melalui FHIR API dengan metode GET dengan parameter dibawah ini:

No Data Resource Parameter Pencarian
1 Pasien Patient NIK, Pasien SATUSEHAT Number
2 Nakes Practitioner NIK, Nakes SATUSEHAT Number
3 Fasyankes Organization Fasyankes SATUSEHAT Number

CATATAN: Untuk metode pencarian data pasien, nakes, dan fasyankes di SATUSEHAT secara detail dapat dilihat dalam dokumen Petunjuk Teknis SATUSEHAT (Juknis SATSET).

Output yang didapatkan dari hasil pencarian ini adalah serangkaian JSON yang didalamnya terdapat kolom "id". Id tersebut selanjutnya akan dilampirkan pada data-data form pelaporan kematian di step berikutnya.

No Data Output Resource ID Dilampirkan Pada Resource
1 Pasien Patient/[PATIENT_IHS_NUMBER] Observation.subject, Composition.subject
2 Nakes Practitioner/[DOCTOR_IHS_NUMBER] Observation.performer, Composition.author
3 Fasyankes Organization/[FACILITY_IHS_NUMBER] Observation.performer, Composition.attester

Contoh lampiran data pasien, nakes, dan fasyankes pada resource Observation:

{
    "resourceType": "Observation",
    "subject" : {
        "reference" : "Patient/P02280547535",
        "display": "Patient - Mother (Teresa Lee)"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        },
        {
            "reference" : "Organization/abddd50b-b22f-4d68-a1c3-d2c29a27698b",
            "display" : "Puskesmas Ibu Anak"
        }
    ]
    ...
    ...
    ...
}

Contoh lampiran data pasien, nakes, dan fasyankes pada resource Composition:

{
    "resourceType" : "Composition",
    "identifier" : {
        "system": "https://mpdn.kemkes.go.id/nmrkasus_kodeunik",
        "value" : "2361720001"
    },
    "status" : "final",
    "type" : {
        "coding" : [
            {
                "system" : "http://fhir.org/guides/who/ikm-cds/CodeSystem/ikm-custom-codes",
                "code" : "IKM.SS",
                "display" : "Indonesia standard report of maternal death notification - MPDN version"
            }
        ]
    },
     "subject" : {
        "reference" : "Patient/P02280547535",
        "display": "Patient - Mother (Teresa Lee)"
    },
    "date" : "2022-12-01T02:46:13-05:00",
    "author" : [
        {
            "reference" : "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "title" : "Notifikasi Kematian Maternal",
    "attester" : [
        {
            "mode" : "legal",
            "party" : {
                "reference" : "Organization/abddd50b-b22f-4d68-a1c3-d2c29a27698b",
                "display" : "Puskesmas Ibu Anak"
            }
        }
    ],
    ...
    ...
    ...
}

Step 2. Pengiriman notifikasi pelaporan kematian ibu

Pada dasarnya di step-2 ini akan dilakukan 1 kali pengiriman data ke server SATUSEHAT dengan menggunakan resource Bundle tipe "Transaction". Berikut data-data yang akan dimasukkan ke dalam resource Bundle:

2.1. 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.

Pencarian Kunjungan Sebelumnya

Apabila kasus kematian yang dilaporkan bersumber dari data kunjungan *existing*, maka akan dilakukan proses pencarian data Encounter, yang dapat dilakukan melalui FHIR API dengan metode GET. Untuk metode pencarian data kunjungan di SATUSEHAT secara detail dapat dilihat dalam dokumen Petunjuk Teknis SATUSEHAT (Juknis SATSET).

Pembuatan Kunjungan Baru

{
    "resourceType": "Encounter",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/10000004",
            "value": "MPDN-MATERNAL-23_3578_0053"
        },
        {
            "use": "temp",
            "system": "http://sys-ids.kemkes.go.id/mpdn/10000004",
            "value": "MPDN-MATERNAL-23_3578_0053"
        }
    ],
    "status": "arrived",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "display": "Patient - Mother (Teresa Lee)",
        "reference": "Patient/P02280547535"
    },
    "participant":  [
        {
            "type":  [
                {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "individual": {
                "reference": "Practitioner/N10000001",
                "display": "Dokter Bronsig"
            }
        }
    ],
    "period": {
        "start": "12/30/2022 00:00:30"
    },
    "location":  [
        {
            "location": {
                "display": "General Ward, Ruang 1 No 3",
                "reference": "Location/ef011065-38c9-46f8-9c35-d1fe68966a3e"
            }
        }
    ],
    "statusHistory":  [
        {
            "status": "arrived",
            "period": {
                "start": "12/30/2022 00:00:30"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/10000004"
    }
}
{
    "resourceType": "Encounter",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/{{FACILITY_IHS_NUMBER}}",
            "value": "{{ENCOUNTER_LOCAL_CODE}}"
        },
        {
            "use": "temp",
            "system": "http://sys-ids.kemkes.go.id/mpdn/{{FACILITY_IHS_NUMBER}}",
            "value": "{{MPDN_NO_KASUS}}"
        }
    ],
    "status": "arrived",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "participant": [
        {
            "type": [
                {
                    "coding": [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "indivID_MPD_Mual": {
                "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
                "display": "{{DOCTOR_NAME}}"
            }
        }
    ],
    "period": {
        "start": "{{ENCOUNTER_PERIOD1_START}}"
    },
    "location": [
        {
            "location": {
                "reference": "Location/{{ENCOUNTER_LOCATION_ID}}",
                "display": "{{ENCOUNTER_LOCATION_NAME}}"
            }
        }
    ],
    "statusHistory": [
        {
            "status": "arrived",
            "period": {
                "start": "{{ENCOUNTER_PERIOD1_START}}",
                "end": "{{ENCOUNTER_PERIOD1_END}}"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/{{FACILITY_IHS_NUMBER}}"
    }
}
Variabel Deskripsi
ENCOUNTER_LOCAL_CODE ID Lokal untuk Kunjungan/Encounter
MPDN_NO_KASUS No kasus MPDN
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

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

[none]

2.2. Riwayat Kematian

Usia Ketika Meninggal

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "39016-1",
                "display": "Age at death"
            }
        ]
    },
    "subject": {
        "reference": "Patient/P02280547535",
        "display": "Patient - Mother (Teresa Lee)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 07:20:00",
    "issued": "06/22/2023 07:20:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueQuantity": {
        "value": 35,
        "unit": "years",
        "system": "http://unitsofmeasure.org",
        "code": "a"
    }
}
{
    "resourceType": "Observation",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "39016-1",
                "display": "Age at death"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
    "valueQuantity": {
        "value": "{{VALUE_OBSERVATION}}",
        "unit": "year",
        "system": "http://unitsofmeasure.org",
        "code": "a"
    }
}
		
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION Usia pasien ketika meninggal (dalam tahun)

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

[none]

Tanggal Meninggal

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "81956-5",
                "display": "Date and time of death [TimeStamp]"
            }
        ]
    },
    "subject": {
        "reference": "Patient/P02280547535",
        "display": "Patient - Mother (Teresa Lee)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "issued": "06/22/2023 07:20:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueDateTime": "06/22/2023 07:10:00"
}
{
    "resourceType": "Observation",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "81954-0",
                "display": "Date of death [Date]"
            },
            {
                "system": "http://fhir.org/guides/who/ikm-cds/CodeSystem/ikm-custom-codes",
                "code": "IKM.SS.DE1",
                "display": "Tanggal Meninggal"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
    "valueDateTime": "{{VALUE_OBSERVATION}}"
}
			
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION Tanggal pasien meninggal

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

[none]

Masa Terjadi Kematian Ibu

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "OC000026",
                "display": "Masa terjadi Kematian Ibu"
            }
        ]
    },
    "subject": {
        "reference": "Patient/P02280547535",
        "display": "Patient - Mother (Teresa Lee)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 07:20:00",
    "issued": "06/22/2023 07:20:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "1156679005",
                "display": "Maternal antenatal period"
            }
        ]
    }
}
{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://fhir.org/guides/who/ikm-cds/CodeSystem/ikm-custom-codes",
                "code": "IKM.SS.DE2",
                "display": "Masa Terjadi Kematian Ibu"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "{{VALUE_OBSERVATION_CODE}}",
                "display": "{{VALUE_OBSERVATION_DISPLAY}}"
            }
        ]
    }
}
			
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION_CODE (*) Kode data masa terjadi kematian
VALUE_OBSERVATION_DISPLAY (*) Deskripsi data masa terjadi kematian

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

Jenis Data URL Kamus Terminology
Masa terjadi kematian #tba

Dugaan Sebab Kematian

CATATAN: Dikarenakan data "Dugaan Sebab Kematian" bersifat belum pasti (belum bisa dianggap sebagai diagnosa final penyebab kematian), maka status yang digunakan pada kolom Condition.verificationStatus adalah "Unconfirmed"

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "OC000033",
                "display": "Dugaan Sebab Kematian"
            }
        ]
    },
    "subject": {
        "reference": "Patient/P02280547535",
        "display": "Patient - Mother (Teresa Lee)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 07:20:00",
    "issued": "06/22/2023 07:20:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "grup3-icdmm",
                "display": "Perdarahan obstetrik"
            }
        ]
    }
}
{
    "resourceType": "Condition",
    "verificationStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                "code": "unconfirmed",
                "display": "Unconfirmed"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code": "encounter-diagnosis",
                    "display": "Encounter Diagnosis"
                },
                {
                    "system": "http://fhir.org/guides/who/ikm-cds/CodeSystem/ikm-custom-codes",
                    "code": "IKM.SS.DE6",
                    "display": "Dugaan Sebab Kematian"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "{{CONDITION_VALUE_CODE}}",
                "display": "{{CONDITION_VALUE_DISPLAY}}"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "onsetDateTime": "{{CONDITION_ONSET_DATETIME}}",
    "recordedDate": "{{CONDITION_RECORDED_DATETIME}}",
    "recorder": {
        "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
        "display": "{{DOCTOR_NAME}}"
    }
}
			
Variabel Deskripsi
CONDITION_VALUE_CODE (*) Kode data dugaan sebab kematian
CONDITION_VALUE_DISPLAY (*) Deskripsi data dugaan sebab kematian
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
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)
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes

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

Dugaan sebab kematian
Code System http://terminology.kemkes.go.id/CodeSystem/clinical-term
Kode Teks Display
grup1-icdmm Kehamilan dengan komplikasi abortus
grup2-icdmm Hipertensi dalam kehamilan, persalinan atau nifas
grup3-icdmm Perdarahan obstetrik
grup4-icdmm Infeksi terkait kehamilan
grup5-icdmm Komplikasi obstetrik lain
grup6-icdmm Komplikasi manajemen yang tidak terantisipasi
grup7-icdmm Komplikasi non obstetrik
grup8-icdmm Penyebab dasar tidak diketahui
grup9-icdmm Ko insiden

Jenis Tempat Meninggal

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "code": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "OC000028",
                "display": "Jenis Tempat Meninggal"
            }
        ]
    },
    "subject": {
        "reference": "Patient/P02280547535",
        "display": "Patient - Mother (Teresa Lee)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 07:20:00",
    "issued": "06/22/2023 07:20:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "79993009",
                "display": "Government hospital"
            }
        ]
    }
}
{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "code": {
        "coding":  [
            {
                "system": "http://fhir.org/guides/who/ikm-cds/CodeSystem/ikm-custom-codes",
                "code": "IKM.SS.DE19",
                "display": "Jenis Tempat Meninggal"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
                    "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
                "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "{{VALUE_OBSERVATION_CODE}}",
                "display": "{{VALUE_OBSERVATION_DESCRIPTION}}"
            }
        ]
    }
}
			
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION_CODE (*) Kode data jenis tempat meninggal
VALUE_OBSERVATION_DESCRIPTION (*) Deskripsi data jenis tempat meninggal

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

##### Jenis Tempat Meninggal | Kode | Teks Display | URL Code System | |-|-|-| | 79993009 | Government hospital| [http://snomed.info/sct](http://snomed.info/sct) | | 309895006 | Private hospital| [http://snomed.info/sct](http://snomed.info/sct) | | 102 | Pusat Kesehatan Masyarakat | [http://terminology.kemkes.go.id/CodeSystem/organization-type](http://terminology.kemkes.go.id/CodeSystem/organization-type) | | OT000002 | Pustu | [http://terminology.kemkes.go.id/CodeSystem/organization-type](http://terminology.kemkes.go.id/CodeSystem/organization-type) | | 394573001 | Maternity clinic | [http://snomed.info/sct](http://snomed.info/sct) | | OT000001 | Polindes | http://terminology.kemkes.go.id/CodeSystem/organization-type | | 264362003 | Home | [http://snomed.info/sct](http://snomed.info/sct) | | OT000005 | Rumah Dukun | [ ](http://terminology.kemkes.go.id/CodeSystem/organization-type)[http://terminology.kemkes.go.id/CodeSystem/organization-type](http://terminology.kemkes.go.id/CodeSystem/organization-type) | | LO000001 | Dalam perjalanan dari rumah/ masyarakat | [ ](http://terminology.kemkes.go.id/CodeSystem/location-type)[http://terminology.kemkes.go.id/CodeSystem/location-type](http://terminology.kemkes.go.id/CodeSystem/location-type) | | LO000002 | Dalam perjalanan ke faskes lain | [ ](http://terminology.kemkes.go.id/CodeSystem/location-type)[http://terminology.kemkes.go.id/CodeSystem/location-type](http://terminology.kemkes.go.id/CodeSystem/location-type) | | LO000003 | Tempat Meninggal Lainnya | [ ](http://terminology.kemkes.go.id/CodeSystem/location-type)[http://terminology.kemkes.go.id/CodeSystem/location-type](http://terminology.kemkes.go.id/CodeSystem/location-type) | | LO000004 | Belum Tahu Jenis Tempat Meninggal | [ ](http://terminology.kemkes.go.id/CodeSystem/location-type)[http://terminology.kemkes.go.id/CodeSystem/location-type](http://terminology.kemkes.go.id/CodeSystem/location-type) |

Alamat Meninggal

{
    "resourceType": "Location",
    "name": "Puskemas Sangat Waras",
    "type":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.kemkes.go.id/CodeSystem/location-type",
                    "code": "LT000002",
                    "display": "Tempat Meninggal Faskes"
                }
            ]
        },
        {
            "coding":  [
                {
                    "system": "http://terminology.kemkes.go.id/CodeSystem/location-type",
                    "code": "LT000005",
                    "display": "Alamat Mati"
                }
            ]
        }
    ],
    "managingOrganization": {
        "reference": "Organization/10000004",
        "display": "Puskesmas Sangat Waras"
    },
    "address": {
        "use": "work",
        "line":  [
            "Gd. Prof. Dr. Sujudi Lt.5, Jl. H.R. Rasuna Said Blok X5 Kav. 4-9 Kuningan"
        ],
        "city": "Jakarta",
        "postalCode": "12950",
        "country": "ID",
        "extension":  [
            {
                "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/administrativeCode",
                "extension":  [
                    {
                        "url": "province",
                        "valueCode": "10"
                    },
                    {
                        "url": "city",
                        "valueCode": "10101"
                    },
                    {
                        "url": "district",
                        "valueCode": "1010101"
                    },
                    {
                        "url": "village",
                        "valueCode": "1010101101"
                    },
                    {
                        "url": "rt",
                        "valueCode": "1"
                    },
                    {
                        "url": "rw",
                        "valueCode": "2"
                    }
                ]
            }
        ]
    }
}
{
    "resourceType": "Location",
    "name": "{{LOCATION_NAME}}",
    "type":  [
        {
            "coding":  [
                {
                    "system": "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
                    "code": "death",
                    "display": "death location"
                }
            ]
        }
    ],
    "address": {
        "use": "work",
        "line":  [
            "{{LOCATION_ADDRESS}}"
        ],
        "city": "{{LOCATION_CITY}}",
        "postalCode": "{{LOCATION_POSTAL_CODE}}",
        "country": "ID",
        "extension":  [
            {
                "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/administrativeCode",
                "extension":  [
                    {
                        "url": "province",
                        "valueCode": "{{LOCATION_PROVINCE_CODE}}"
                    },
                    {
                        "url": "city",
                        "valueCode": "{{LOCATION_CITY_CODE}}"
                    },
                    {
                        "url": "district",
                        "valueCode": "{{LOCATION_DISTRICT_CODE}}"
                    },
                    {
                        "url": "village",
                        "valueCode": "{{LOCATION_VILLAGE_CODE}}"
                    },
                    {
                        "url": "rt",
                        "valueCode": "{{LOCATION_RT}}"
                    },
                    {
                        "url": "rw",
                        "valueCode": "{{LOCATION_RW}}"
                    }
                ]
            }
        ]
    }
}
			
Variabel Deskripsi
LOCATION_NAME Nama lokasi
LOCATION_ADDRESS Alamat lokasi tempat meninggal
LOCATION_CITY Nama kota
LOCATION_POSTAL_CODE Kode pos
LOCATION_PROVINCE_CODE Kode provinsi berdasarkan kemendagri
LOCATION_CITY_CODE Kode kabupaten berdasarkan kemendagri
LOCATION_DISTRICT_CODE Kode kecamatan berdasarkan kemendagri
LOCATION_VILLAGE_CODE Kode kelurahan berdasarkan kemendagri
LOCATION_RT Nomor RT
LOCATION_RW Nomor RW

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

[none]

2.2. Riwayat Kehamilan

Gravida

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11996-6",
                "display": "[#] Pregnancies"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B6.DE24",
                "display": "Number of pregnancies (gravida)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/P02280547535",
        "display": "Patient - Mother (Teresa Lee)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 07:30:00",
    "issued": "06/22/2023 07:30:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueInteger": 4
}
{
    "resourceType": "Observation",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
        {
            "system": "http://loinc.org",
            "code": "11996-6",
            "display": "[#] Pregnancies"
        },
        {
            "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
            "code": "ANC.B6.DE24",
            "display": "Number of pregnancies (gravida)"
        }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
    "valueInteger": {{VALUE_OBSERVATION}}
}
		
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION Jumlah gravida (total kehamilan ibu)

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

[none]

Paritas

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11977-6",
                "display": "[#] Parity"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B6.DE32",
                "display": "Parity"
            }
        ]
    },
    "subject": {
        "reference": "Patient/P02280547535",
        "display": "Patient - Mother (Teresa Lee)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 06:50:00",
    "issued": "06/22/2023 06:50:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueInteger": 1
}
{
    "resourceType": "Observation",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
        {
            "system": "http://loinc.org",
            "code": "11977-6",
            "display": "[#] Parity"
        },
        {
            "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
            "code": "ANC.B6.DE32",
            "display": "Parity"
        }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
    "valueInteger": {{VALUE_OBSERVATION}}
}
		
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION Jumlah partus

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

[none]

Abortus

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "69043-8",
                "display": "Other pregnancy outcomes #"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B6.DE25",
                "display": "Number of miscarriages and/or abortions"
            }
        ]
    },
    "subject": {
        "reference": "Patient/P02280547535",
        "display": "Patient - Mother (Teresa Lee)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 06:50:00",
    "issued": "06/22/2023 06:50:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueInteger": 0
}
{
    "resourceType": "Observation",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
        {
            "system": "http://loinc.org",
            "code": "69043-8",
            "display": "Other pregnancy outcomes #"
        },
        {
            "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
            "code": "ANC.B6.DE25",
            "display": "Number of miscarriages and/or abortions"
        }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
    "valueInteger": {{VALUE_OBSERVATION}}
}
		
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION Jumlah abortus

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

[none]

Usia Kehamilan

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "18185-9",
                "display": "Gestational age"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B6.DE17",
                "display": "Gestational age"
            }
        ]
    },
    "subject": {
        "reference": "Patient/P02280547535",
        "display": "Patient - Mother (Teresa Lee)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 07:30:00",
    "issued": "06/22/2023 07:30:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueQuantity": {
        "value": 32,
        "unit": "week",
        "system": "http://unitsofmeasure.org",
        "code": "wk"
    }
}
{
    "resourceType": "Observation",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
			{
                "system": "http://loinc.org",
                "code": "18185-9",
                "display": "Gestational age"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B6.DE17",
                "display": "Gestational age"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
	"valueQuantity": {
        "value": "{{VALUE_OBSERVATION}}",
        "unit": "week",
        "system": "http://unitsofmeasure.org",
        "code": "wk"
    }
}
		
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION Usia kehamilan ibu (dalam minggu)

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

[none]

2.3. Data Dasar Ibu

Dalam kasus pelaporan kematian Ibu, ada keperluan untuk meminta informasi alamat tinggal/ domisili pasien yang terbaru, karena ada skenario dimana pasien mungkin tidak tinggal di alamat yang terdaftar di KTP mereka. Informasi alamat tinggal yang terbaru dari ibu yang sudah meninggal sangat penting untuk melacak asal dan kondisi kesehatan ibu tersebut sebelum meninggal. Informasi tersebut dapat membantu dalam mengetahui faktor-faktor penyebab kematian dan memperbaiki pelayanan kesehatan maternal di masa depan. Selain itu, informasi alamat tinggal yang terbaru juga dapat membantu dalam menghubungi keluarga dan kerabat dekat ibu yang meninggal untuk memberikan informasi lebih lanjut mengenai kondisi ibu tersebut.

Alamat Domisili

Data alamat domisili akan diupdate pada resource Patient dengan metode PATCH, tambahan data dilakukan pada kolom Patient.address dengan Patient.address[x].use= "temp"

[
    {
        "op": "replace",
        "path": "/address",
        "value": [
            {
                "use": "home",
                "line": [
                    "Gd. Prof. Dr. Sujudi Lt.5, Jl. H.R. Rasuna Said Blok X5 Kav. 4-9 Kuningan"
                ],
                "city": "Jakarta",
                "postalCode": "12950",
                "country": "ID",
                "extension": [
                    {
                        "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/administrativeCode",
                        "extension": [
                            {
                                "url": "province",
                                "valueCode": "10"
                            },
                            {
                                "url": "city",
                                "valueCode": "1010"
                            },
                            {
                                "url": "district",
                                "valueCode": "1010101"
                            },
                            {
                                "url": "village",
                                "valueCode": "1010101101"
                            },
                            {
                                "url": "rt",
                                "valueCode": "2"
                            },
                            {
                                "url": "rw",
                                "valueCode": "2"
                            }
                        ]
                    }
                ]
            },
            {
                "use": "temp",
                "line": [
                    "Jl. Markisa Blok E3 Kav. 1 Serpong Utara"
                ],
                "city": "Tangerang Selatan",
                "postalCode": "15345",
                "country": "ID",
                "extension": [
                    {
                        "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/administrativeCode",
                        "extension": [
                            {
                                "url": "province",
                                "valueCode": "12"
                            },
                            {
                                "url": "city",
                                "valueCode": "1212"
                            },
                            {
                                "url": "district",
                                "valueCode": "1212121"
                            },
                            {
                                "url": "village",
                                "valueCode": "1212121121"
                            },
                            {
                                "url": "rt",
                                "valueCode": "33"
                            },
                            {
                                "url": "rw",
                                "valueCode": "7"
                            }
                        ]
                    }
                ]
			}
		]
	}
]
        
[
    {
        "op": "replace",
        "path": "/address",
        "value": [
            {
                "use": "home",
                "line":  [
					"{{LOCATION_ADDRESS}}"
				],
				"city": "{{LOCATION_CITY}}",
				"postalCode": "{{LOCATION_POSTAL_CODE}}",
                "country": "ID",
                "extension": [
                    {
                        "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/administrativeCode",
                        "extension": [
                            {
								"url": "province",
								"valueCode": "{{LOCATION_PROVINCE_CODE}}"
							},
							{
								"url": "city",
								"valueCode": "{{LOCATION_CITY_CODE}}"
							},
							{
								"url": "district",
								"valueCode": "{{LOCATION_DISTRICT_CODE}}"
							},
							{
								"url": "village",
								"valueCode": "{{LOCATION_VILLAGE_CODE}}"
							},
							{
								"url": "rt",
								"valueCode": "{{LOCATION_RT}}"
							},
							{
								"url": "rw",
								"valueCode": "{{LOCATION_RW}}"
							}
                        ]
                    }
                ]
            },
            {
				"use": "temp",
				"line":  [
					"{{LOCATION_ADDRESS}}"
				],
				"city": "{{LOCATION_CITY}}",
				"postalCode": "{{LOCATION_POSTAL_CODE}}",
				"country": "ID",
				"extension":  [
					{
						"url": "https://fhir.kemkes.go.id/r4/StructureDefinition/administrativeCode",
						"extension":  [
							{
								"url": "province",
								"valueCode": "{{LOCATION_PROVINCE_CODE}}"
							},
							{
								"url": "city",
								"valueCode": "{{LOCATION_CITY_CODE}}"
							},
							{
								"url": "district",
								"valueCode": "{{LOCATION_DISTRICT_CODE}}"
							},
							{
								"url": "village",
								"valueCode": "{{LOCATION_VILLAGE_CODE}}"
							},
							{
								"url": "rt",
								"valueCode": "{{LOCATION_RT}}"
							},
							{
								"url": "rw",
								"valueCode": "{{LOCATION_RW}}"
							}
						]
					}
				]
			}
		]
    }
]
			
Variabel Deskripsi
LOCATION_ADDRESS Alamat lokasi tempat tinggal
LOCATION_CITY Nama kota
LOCATION_POSTAL_CODE Kode pos
LOCATION_PROVINCE_CODE Kode provinsi berdasarkan kemendagri
LOCATION_CITY_CODE Kode kabupaten berdasarkan kemendagri
LOCATION_DISTRICT_CODE Kode kecamatan berdasarkan kemendagri
LOCATION_VILLAGE_CODE Kode kelurahan berdasarkan kemendagri
LOCATION_RT Nomor RT
LOCATION_RW Nomor RW
LOCATION_PERIOD_START Periode dimulainya masa tinggal ibu di lokasi domisili tersebut
LOCATION_PERIOD_END Periode berakhirnya masa tinggal ibu di lokasi domisili tersebut

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

[none]

2.4. Form laporan kematian Ibu

Pada use-case pelaporan kematian Ibu, resource Composition akan digunakan sebagai penghubung antara satu resource dengan resource lainnya. Composition akan menghubungkan data-data seperti tanggal meninggal, siapa pasien yang meninggal, siapa tenaga kesehatan yang melaporkan, dan informasi pendukung lainnya.
Composition hanya menyimpan metadata resource yg berbentuk sebuah ID, misalnya kolom id pada resource Observation (Observation.id), resource Location (Location.id), dan resource pendukung lainnya. Resource Composition akan mereferensi ke data riwayat kematian (step 2.1.), riwayat kehamilan (step 2.2.), dan data dasar Ibu (step 2.3.)

Composition Form Pelaporan Kematian Ibu

{
    "resourceType": "Composition",
    "identifier": {
        "system": "http://sys-ids.kemkes.go.id/composition/10000004",
        "value": "2361720001"
    },
    "status": "final",
    "extension":  [
        {
            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/DocumentStatus",
            "extension":  [
                {
                    "url": "statusCode",
                    "valueCode": "final"
                },
                {
                    "url": "statusTime",
                    "valueDateTime": "06/22/2023 07:30:00"
                },
                {
                    "url": "statusAssigner",
                    "valueReference": {
                        "reference": "Practitioner/123",
                        "display": "Dr. John Doe"
                    }
                }
            ]
        }
    ],
    "type": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/composition-type",
                "code": "COM000001",
                "display": "Form Kematian Ibu"
            }
        ]
    },
    "subject": {
        "reference": "Patient/P02280547535",
        "display": "Patient - Mother (Teresa Lee)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "date": "06/22/2023 07:30:00",
    "author":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "title": "Notifikasi Kematian Maternal",
    "attester":  [
        {
            "mode": "legal",
            "party": {
                "reference": "Organization/10000004",
                "display": "Puskesmas Sangat Waras"
            }
        }
    ],
    "section":  [
        {
            "title": "Riwayat Kematian Ibu",
            "code": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "64297-5",
                        "display": "DeathInvestigation"
                    }
                ]
            },
            "entry":  [
                {
                    "display": "Tempat Meninggal Faskes",
                    "reference": "urn:uuid:9d2dec10-23e7-48c6-b257-23469626068f"
                },
                {
                    "display": "Usia ketika meninggal (tahun)",
                    "reference": "urn:uuid:52917cc9-15f7-4373-932b-3b0915a517b7"
                },
                {
                    "display": "Tanggal Meninggal",
                    "reference": "urn:uuid:d3986419-1df5-49e7-a8f7-49f3f429c084"
                },
                {
                    "display": "Masa Terjadi Kematian Ibu",
                    "reference": "urn:uuid:e09c9a1b-de7f-467b-877a-1dfb937b36e6"
                },
                {
                    "display": "Dugaan Sebab Kematian",
                    "reference": "urn:uuid:93dc613b-22ad-491c-8017-ead734a62769"
                },
                {
                    "display": "Jenis Tempat Meninggal",
                    "reference": "urn:uuid:6ce43fac-05b6-4435-9ff6-2af2cdbac608"
                }
            ]
        },
        {
            "title": "Riwayat Kehamilan",
            "code": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "57073-9",
                        "display": "Prenatal records"
                    }
                ]
            },
            "entry":  [
                {
                    "display": "Gravida",
                    "reference": "urn:uuid:55299c3f-1c6e-4011-b77a-eefb52027a62"
                },
                {
                    "display": "Paritas",
                    "reference": "urn:uuid:ed0bbc43-c36e-4a17-b012-9be07217a452"
                },
                {
                    "display": "Abortus",
                    "reference": "urn:uuid:12a838bb-a2fa-4ad6-b81e-cce6295a1973"
                },
                {
                    "display": "Usia kehamilan",
                    "reference": "urn:uuid:62c7bc1d-cbab-4cf1-b223-192e3d6bf5a5"
                }
            ]
        }
    ]
}
{
    "resourceType": "Composition",
    "identifier": {
        "system": "https://mpdn.kemkes.go.id/nmrkasus_kodeunik",
        "value": "{{COMPOSITION_LOCAL_CODE}}"
    },
    "status": "final",
    "type": {
        "coding":  [
            {
                "system" : "http://fhir.org/guides/who/ikm-cds/CodeSystem/ikm-custom-codes",
                "code" : "IKM.SS",
                "display" : "Indonesia standard report of maternal death notification - MPDN version"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "date": "{{COMPOSITION_RECORD_DATETIME}}",
    "author":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        }
    ],
    "title": "Notifikasi Kematian Maternal",
    "attester":  [
        {
            "mode": "legal",
            "party": {
                "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
                "display": "{{FACILITY_NAME}}"
            }
        }
    ],
    "section":  [
        {
            "title": "Riwayat Kematian Ibu",
            "code": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "64297-5",
                        "display": "DeathInvestigation"
                    }
                ]
            },
            "entry":  [
                {
                    "display": "Usia ketika meninggal (tahun)",
                    "reference": "Observation/{{OBSERVATION1_FHIR_ID}}"
                },
                {
                    "display": "Tanggal Meninggal",
                    "reference": "Observation/{{OBSERVATION2_FHIR_ID}}"
                },
                {
                    "display": "Masa Terjadi Kematian Ibu",
                    "reference": "Observation/{{OBSERVATION3_FHIR_ID}}"
                },
                {
                    "display": "Dugaan Sebab Kematian",
                    "reference": "Condition/{{CONDITION1_FHIR_ID}}"
                },
                {
                    "display": "Jenis Tempat Meninggal",
                    "reference": "Observation/{{OBSERVATION4_FHIR_ID}}"
                },
                {
                    "display": "Lokasi Meninggal",
                    "reference": "Location/{{LOCATION1_FHIR_ID}}"
                }
            ]
        },
		{
            "title": "Riwayat kehamilan Ibu",
            "code": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "57073-9",
                        "display": "Prenatal records"
                    }
                ]
            },
            "entry":  [
                {
                    "display": "Gravida",
                    "reference": "Observation/{{OBSERVATION5_FHIR_ID}}"
                },
                {
                    "display": "Paritas",
                    "reference": "Observation/{{OBSERVATION6_FHIR_ID}}"
                },
                {
                    "display": "Abortus",
                    "reference": "Observation/{{OBSERVATION7_FHIR_ID}}"
                },
                {
                    "display": "Usia kehamilan (bulan)",
                    "reference": "Observation/{{OBSERVATION8_FHIR_ID}}"
                }
            ]
        },
		{
            "title": "Data Dasar Ibu",
            "code": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "45970-1",
                        "display": "Demographic information section"
                    }
                ]
            },
            "entry":  [
                {
                    "display": "Alamat Tinggal",
                    "reference": "Location/{{LOCATION2_FHIR_ID}}"
                }
            ]
        }
    ]
}
		
Variabel Deskripsi
COMPOSITION_LOCAL_CODE ID Lokal untuk Composition
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
COMPOSITION_RECORD_DATETIME Tanggal form ini dikirimkan ke (tanggal yang dibuat oleh sistem)
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION1_FHIR_ID Observation ID data usia ketika meninggal (tahun)
OBSERVATION2_FHIR_ID Observation ID data tanggal meninggal
OBSERVATION3_FHIR_ID Observation ID data masa terjadi kematian ibu
OBSERVATION4_FHIR_ID Observation ID data jenis tempat meninggal
OBSERVATION5_FHIR_ID Observation ID data gravida
OBSERVATION6_FHIR_ID Observation ID data paritas
OBSERVATION7_FHIR_ID Observation ID data abortus
OBSERVATION8_FHIR_ID Observation ID data usia kehamilan (bulan)
CONDITION1_FHIR_ID Condition ID data dugaan sebab kematian
LOCATION1_FHIR_ID Location ID data lokasi meninggal
LOCATION2_FHIR_ID Location ID data alamat tinggal/ domisili

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

[none]

Setelah data pada step 2.1. - 2.4. sudah terbentuk, maka langkah selanjutnya adalah semua data akan dikirimkan secara bersamaan menggunakan resource Bundle dengan template dibawah ini:

CATATAN: Bundle.entry adalah sebuah Array, yang bisa menampung lebih dari 1 data. Diisikan dengan semua data FHIR resource dalam format JSON yang sudah dibuat di part 2.1. - 2.4.

Bundle Pengiriman Data Riwayat Kematian, Kehamilan, dan Data Dasar Ibu

{
    "resourceType": "Bundle",
    "type": "transaction",
    "entry":  [
        {
            "fullUrl": "urn:uuid:58959850-7cfb-4100-bbfa-67dd64efd1a6",
            "resource": {
                "resourceType": "Composition",
                "identifier": {
                    "system": "https://mpdn.kemkes.go.id/nmrkasus_kodeunik",
                    "value": "2361720001"
                },
                "status": "final",
                "extension":  [
                    {
                        "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/DocumentStatus",
                        "extension":  [
                            {
                                "url": "statusCode",
                                "valueCode": "final"
                            },
                            {
                                "url": "statusTime",
                                "valueDateTime": "06/22/2023 07:30:00"
                            },
                            {
                                "url": "statusAssigner",
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    "resourceType" : "Bundle",
    "type" : "transaction",
    "entry" : [
        {
            "fullUrl" : "urn:uuid:{{BUNDLE_TEMPORARY_UUID}}",
            "resource" : {{BUNDLE_RESOURCE_VALUE}},
            "request": {
                "method": "POST",
                "url": "{{BUNDLE_RESOURCE_URL_PATH}}"
            }
        }
    ]
}
		
Variabel Deskripsi
BUNDLE_TEMPORARY_UUID Digunakan untuk mengidentifikasi resource yang ada di dalam bundle secara sementara. Dapat menggunakan uuid yang dapat di generate di UUID generator.
Setelah mendapat uuid, input dengan format: "urn:uuid:[uuid number]"
Contoh "fullUrl": "urn:uuid:ba5a7dec-023f-45e1-adb9-1b9d71737a5f"
BUNDLE_RESOURCE_VALUE Isi dari resource yang ingin dikirim.
BUNDLE_RESOURCE_URL_PATH Jenis tipe resource yang ingin dikirim

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

[none]

D. Referensi:

Postman Mortality Record Playbook Mortality Record Postman SATUSEHAT Outpatient Medical Record

Last Updated: 2024/01/26

Pelaporan Kematian Anak

A. Pendahuluan

Kasus kematian anak yang dilaporkan merupakan kematian bayi karena sebab apapun, yang dibagi menjadi:

  • Kematian anak dalam kandungan (intrauterine fetal death), yaitu kematian bayi didalam kandungan selama atau sebelum proses persalinan di Indonesia pada waktu tertentu karena sebab apapun.
  • Kematian neonatal, yaitu kematian bayi baru lahir usia 0-28 hari di Indonesia pada waktu tertentu karena sebab apapun.
  • Kematian bayi, yaitu kematian anak usia 0-1 tahun yang meninggal di Indonesia pada waktu tertentu karena sebab apapun.
  • Kematian balita, yaitu kematian anak usia 0-5 tahun di Indonesia pada waktu tertentu karena sebab apapun.

Dalam kasus kematian anak yang merupakan anak kembar, pelaporan kematian anak dilakukan untuk masing-masing anak. Selain itu, berdasarkan masa kematian anak, pelaporan kematian anak dibagi menjadi:

  • Pada saat kehamilan, yaitu kematian anak yang terjadi sebelum masa persalinan, atau disebut juga dengan anak lahir mati
  • Setelah masa persalinan, yaitu kematian anak yang meninggal setelah masa persalinan, atau disebut juga dengan anak lahir hidup

Dalam skenario Pelaporan Kematian Anak, kita menggunakan asumsi bahwa data pasien bayi atau janin sudah terdaftar di SATUSEHAT sehingga SATUSEHAT number untuk sang anak sudah terbentuk. Perlu diperhatikan juga bahwa data pasien di skenario ini terdiri dari 2 tipe pasien, yaitu pasien anak dan juga pasien Ibu. Perhatikan juga bahwa pasien "Ibu" disini selalu mengacu pada wanita yang melahirkan bayinya. Data terkait dengan ibu dari anak yang akan digunakan pada use-case ini bisa berupa riwayat kehamilan, persalinan, ataupun alamat domisili.

Implementasi pelaporan kasus kematian anak secara umum dapat dikelompokkan menjadi 2 tahapan proses sebagai berikut:

Tahapan alur pelaporan dan resource yang digunakan untuk pelaporan kematian anak dapat dilihat dalam Gambar 1.

mortality_skema_kematian_anak_v4

Gambar 1. Skema Pelaporan Kematian Anak

Proses dimulai dengan meregistrasikan kasus yang berupa identitas pasien, nakes, dan fasyankes yang melaporkan kasus kematian. Apabila pasien anak meninggal saat sedang dalam perawatan di fasyankes (baik itu rawat jalan, rawat inap, ataupun IGD), maka data kunjungan pasien akan terlibat dalam alur pelaporan kematian. Selanjutnya, laporan notifikasi kematian anak yang terdiri dari data riwayat kematian anak, riwayat persalinan, dan riwayat kehamilan ibu akan dikirimkan ke Server SatuSehat, yang selanjutnya akan diverifikasi oleh penerima laporan yang berkompetensi untuk melakukan analisis lebih lanjut terhadap laporan tersebut.

B. Strategi Pengiriman Data ke SATUSEHAT

Berhubung data notifikasi kematian berbentuk form sekali kirim, data yang dicatat dalam pelaporan kematian hanya data terakhir yang ditemukan oleh FASYANKES saat pasien meninggal, misalnya data kunjungan perawatan terakhir (khusus untuk kasus pasien yang meninggal saat sedang dalam masa perawatan), berat badan pasien saat meninggal, alamat meninggal, dsb. Sehingga metode pengiriman data ke SATUSEHAT yang sesuai dengan alur ini adalah menggunakan metode berbasis Bundle. Profil FHIR bernama Bundle dapat digunakan untuk mengirim seluruh resource yang terlibat pada alur pelayanan terkait dengan menggunakan satu langkah pengiriman.

Resource-resource yang terlibat di setiap tahapan alur pelaporan kematian anak adalah sebagai berikut:

Category No Resource Entry Mandatory
Base 1 Patient Required
2 Practitioner Required
3 Organization Required
4 Location Required
5 Encounter Optional
Foundation 6 Composition Required
Clinical 7 Observation Required
8 Condition Required

* Notes:

  1. Required: Entry resource harus dilibatkan setiap kali mengirimkan bundle
  2. Optional: Entry resource dapat tidak dilibatkan setiap kali mengirimkan bundle

C. Langkah-Langkah Pengiriman Data ke SatuSehat

Untuk penjelasan terkait alur dan variabel yang digunakan dalam pelaporan kematian anak pada SATUSEHAT berikut ini akan dikategorikan berdasarkan masa kematian anak. Berikut variabel yang dikirimkan pada kematian lahir mati dan lahir hidup anak:

Kategori Variabel Form Lahir Mati Form Lahir Hidup
Riwayat Kematian Jenis Kematian Y Y
Tempat Meninggal Faskes* Y Y
Tempat Meninggal Non Faskes* Y Y
Tanggal dan jam Meninggal* Y
Masa Terjadi Kematian Anak Y
Dugaan sebab kematian Y Y
Jenis Tempat Meninggal Y
Maserasi Y
Keluhan/gejala utama sebelum bayi meninggal Y
Kondisi ibu sebelum janin meninggal (Penyulit Obstetri/ Non Obstetri) Y
Usia Ketika Meninggal Y
Berat saat meninggal Y
Riwayat Persalinan Berat Lahir Y
Kelainan bawaan Y
Alamat lahir Y
Lokasi Tempat Bersalin Y
Urutan Kelahiran (Untuk bayi kembar) Y
Jenis tempat Bersalin Y
Riwayat Kehamilan Gravida Y
Usia Kehamilan Y
Tanggal HPHT Y
Kehamilan Tunggal/Kembar Y
Data Dasar Ibu Umur Ibu Ketika Anak Meninggal Y
Alamat Domisili Y
Alamat KTP Y

I. Lahir Mati

Step 1. Pembuatan Data Pasien Bayi

Dalam use case kematian anak lahir mati, dikarenakan ada pasien yang merupakan bayi baru lahir, maka pasien tersebut tidak akan memiliki {patient-ihs-number} di dalam MPI. Sehingga, fasyankes perlu mendaftarkan data pasien bayi baru lahir ini terlebih dahulu ke SATUSEHAT. Proses pembuatan {patient-ihs-number} pasien dapat dilakukan melalui FHIR API dengan metode POST. Untuk metode pembuatan data pasien di SATUSEHAT secara detail dapat dilihat dalam portal SATUSEHAT pada bagian Pasien Bayi Baru Lahir.

Step 2. Mencari Data Pasien Ibu, Nakes, dan Fasyankes

Karena data pasien Ibu di dalam SATUSEHAT sudah terdaftar lebih dulu di *Master Patient Index* (MPI) Kementerian Kesehatan, sehingga registrasi data pasien Ibu tidak diperlukan. Dengan demikian maka entry data untuk resource Patient tidak perlu diikutsertakan dalam bundle data yang dikirim.

Disamping itu, data Fasyankes yang melaporkan kasus kematian anak juga tidak perlu dikirimkan data alamat seperti provinsi, dan kabupaten/kota karena data sudah tersedia pada Master Sarana Index yang ada di SATUSEHAT, begitu juga dengan identitas data nakes yang mengisi data laporan kematian tersebut juga tidak perlu dikirimkan karena sudah tersedia di Master Nakes Index yang ada di SATUSEHAT.

Proses pencarian data pasien Ibu, nakes, dan fasyankes dapat dilakukan melalui FHIR API dengan metode GET dengan parameter dibawah ini:

No Data Resource Parameter Pencarian
1 Pasien (Ibu) Patient NIK, Pasien SATUSEHAT Number
2 Nakes Practitioner NIK, Nakes SATUSEHAT Number
3 Fasyankes Organization Fasyankes SATUSEHAT Number

CATATAN: Metode pencarian data pasien, nakes, dan fasyankes di SATUSEHAT secara detail dapat dilihat dalam dokumen Petunjuk Teknis SATUSEHAT (Juknis SATSET).

Output yang didapatkan dari hasil pencarian maupun hasil pembuatan data pasien bayi (step 1) adalah serangkaian JSON yang didalamnya terdapat kolom "id". Id tersebut selanjutnya akan dilampirkan pada data pelaporan kematian di step berikutnya.

No Data Contoh Id Resource Disimpan pada Resource
1 Pasien (Anak) Patient/[PATIENT_IHS_NUMBER] Observation.subject, Condition.subject, Composition.subject, Composition.section.focus
2 Pasien (Ibu) Patient/[PATIENT_IHS_NUMBER] Observation.subject, Condition.subject, Composition.section.focus
3 Nakes Practitioner/[DOCTOR_IHS_NUMBER] Observation.performer, Condition.recorder, Composition.author
4 Fasyankes Organization/[FACILITY_IHS_NUMBER] Observation.performer, Composition.attester

Contoh lampiran data pasien, nakes, dan fasyankes pada resource Observation:

{
    "resourceType": "Observation",
     "subject" : {
        "reference" : "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        },
        {
            "reference" : "Organization/abddd50b-b22f-4d68-a1c3-d2c29a27698b",
            "display" : "Puskesmas Ibu Anak"
        }
    ]
    ...
    ...
    ...
}

Contoh lampiran data pasien, nakes, dan fasyankes pada resource Condition:

{
    "resourceType": "Condition",
     "subject" : {
        "reference" : "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
     "recorder":  {
        "reference": "Practitioner/N10000001",
        "display": "Dokter Bronsig"
    }
    ...
    ...
    ...
}

Contoh lampiran data pasien, nakes, dan fasyankes pada resource Composition:

{
    "resourceType" : "Composition",
    "identifier" : {
        "system": "https://mpdn.kemkes.go.id/nmrkasus_kodeunik",
        "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": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "date" : "2022-12-01T02:46:13-05:00",
    "author" : [
        {
            "reference" : "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "title" : "Notifikasi Kematian Perinatal",
    "attester" : [
        {
            "mode" : "legal",
            "party" : {
                "reference" : "Organization/abddd50b-b22f-4d68-a1c3-d2c29a27698b",
                "display" : "Puskesmas Ibu Anak"
            }
        }
    ],
    "section" : [
        {
            "title" : "Riwayat Kematian Anak",
             "focus" : {
                 "reference" : "Patient/100000030009" ,
                "display": "Baby of Teresa Lee (Fetus Not Named)"
            },
            ...
            ...
            ...
        },
        {
            "title" : "Riwayat Persalinan",
             "focus" : {
                 "reference" : "Patient/100000030009" ,
                "display": "Baby of Teresa Lee (Fetus Not Named)"
            },
            ...
            ...
            ...
        },
        {
            "title" : "Riwayat Kehamilan",
              "focus"  : {
                 "reference" : "Patient/P02280547535" , 
                "display": "Patient - Mother (Teresa Lee)"
            },
            ...
            ...
            ...
        },
        {
            "title" : "Data Dasar Ibu",
             "focus"  : {
                 "reference" : "Patient/P02280547535" ,
                "display": "Patient - Mother (Teresa Lee)"
            },
            ...
            ...
            ...
        }
    ] 
}

Step 3. Pengiriman notifikasi pelaporan kematian anak

Pada dasarnya di step-3 ini akan dilakukan 1 kali pengiriman data ke server SATUSEHAT dengan menggunakan resource Bundle tipe "Transaction". Berikut data-data yang akan dimasukkan ke dalam resource Bundle:

CATATAN: Catatan riwayat kematian dan persalinan akan mereferensi ke Patient.id sang anak, sedangkan data kehamilan dan data dasar ibu akan mereferensi ke data ibunya dengan patokan referensi pada kolom Observation.subject dan juga Composition.section.focus. Dalam hal ini, ID Pasien yang mana merupakan SatuSehat Number akan menjadi kode unik yang digunakan untuk menghubungkan catatan medis sesuai dengan data pasien yang terkait.

3.1. 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.

Pencarian Kunjungan Sebelumnya

Apabila kasus kematian yang dilaporkan bersumber dari data kunjungan *existing*, maka akan dilakukan proses pencarian data Encounter, yang dapat dilakukan melalui FHIR API dengan metode GET. Untuk metode pencarian data kunjungan di SATUSEHAT secara detail dapat dilihat dalam dokumen Petunjuk Teknis SATUSEHAT (Juknis SATSET).

Pembuatan Kunjungan Baru

{
    "resourceType": "Encounter",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/10000004",
            "value": "MPDN-MATERNAL-23_3578_0053"
        },
        {
            "use": "temp",
            "system": "http://sys-ids.kemkes.go.id/mpdn/10000004",
            "value": "MPDN-MATERNAL-23_3578_0053"
        }
    ],
    "status": "arrived",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "display": "Patient - Mother (Teresa Lee)",
        "reference": "Patient/P02280547535"
    },
    "participant":  [
        {
            "type":  [
                {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "individual": {
                "reference": "Practitioner/N10000001",
                "display": "Dokter Bronsig"
            }
        }
    ],
    "period": {
        "start": "12/30/2022 00:00:30"
    },
    "location":  [
        {
            "location": {
                "display": "General Ward, Ruang 1 No 3",
                "reference": "Location/ef011065-38c9-46f8-9c35-d1fe68966a3e"
            }
        }
    ],
    "statusHistory":  [
        {
            "status": "arrived",
            "period": {
                "start": "12/30/2022 00:00:30"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/10000004"
    }
}
{
    "resourceType": "Encounter",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/{{FACILITY_IHS_NUMBER}}",
            "value": "{{ENCOUNTER_LOCAL_CODE}}"
        },
        {
            "system": "http://sys-ids.kemkes.go.id/mpdn/{{FACILITY_IHS_NUMBER}}",
            "value": "{{MPDN_NO_KASUS}}"
        }
    ],
    "status": "arrived",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "participant": [
        {
            "type": [
                {
                    "coding": [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "indivID_MPD_Pual": {
                "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
                "display": "{{DOCTOR_NAME}}"
            }
        }
    ],
    "period": {
        "start": "{{ENCOUNTER_PERIOD1_START}}"
    },
    "location": [
        {
            "location": {
                "reference": "Location/{{ENCOUNTER_LOCATION_ID}}",
                "display": "{{ENCOUNTER_LOCATION_NAME}}"
            }
        }
    ],
    "statusHistory": [
        {
            "status": "arrived",
            "period": {
                "start": "{{ENCOUNTER_PERIOD1_START}}",
                "end": "{{ENCOUNTER_PERIOD1_END}}"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/{{FACILITY_IHS_NUMBER}}"
    }
}
Variabel Deskripsi
ENCOUNTER_LOCAL_CODE ID Lokal untuk Kunjungan/Encounter
MPDN_NO_KASUS No kasus MPDN
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 Usia pasien ketika meninggal (dalam tahun)

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

[none]

3.2. Riwayat Kematian

Jenis Kematian

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "64710-7",
                "display": "Was your pregnancy a live birth, stillbirth, miscarriage, abortion, or ectopic pregnancy [PhenX]"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "2022-01-01",
    "issued": "01/01/2022 14:30:10",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "237361005",
                "display": "Antepartum fetal death"
            }
        ]
    }
}
{
    "resourceType": "Observation",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
			{
                "system": "http://loinc.org",
                "code": "64710-7",
                "display": "Was your pregnancy a live birth, stillbirth, miscarriage, abortion, or ectopic pregnancy [PhenX]"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
	"valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "{{VALUE_OBSERVATION_CODE}}",
                "display": "{{VALUE_OBSERVATION_DISPLAY}}"
            }
        ]
    }
}
		
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION_CODE (*) Kode data jenis kematian
VALUE_OBSERVATION_DISPLAY (*) Deskripsi data jenis kematian

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

Jenis Data URL Kamus Terminology
Jenis Kematian #tba

Alamat Meninggal

Alamat meninggal anak baik di dalam fasilitas kesehatan (e.g. Rumah Sakit, Puskesmas, dll) ataupun tempat meninggal di luar fasilitas kesehatan (e.g. kematian di jalanan pada saat merujuk).
{
    "resourceType": "Location",
    "name": "Puskemas Sangat Waras",
    "type":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.kemkes.go.id/CodeSystem/location-type",
                    "code": "LT000002",
                    "display": "Tempat Meninggal Faskes"
                }
            ]
        },
        {
            "coding":  [
                {
                    "system": "http://terminology.kemkes.go.id/CodeSystem/location-type",
                    "code": "LT000005",
                    "display": "Alamat Mati"
                }
            ]
        }
    ],
    "managingOrganization": {
        "reference": "Organization/10000004",
        "display": "Puskesmas Sangat Waras"
    },
    "address": {
        "use": "work",
        "line":  [
            "Gd. Prof. Dr. Sujudi Lt.5, Jl. H.R. Rasuna Said Blok X5 Kav. 4-9 Kuningan"
        ],
        "city": "Jakarta",
        "postalCode": "12950",
        "country": "ID",
        "extension":  [
            {
                "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/administrativeCode",
                "extension":  [
                    {
                        "url": "province",
                        "valueCode": "10"
                    },
                    {
                        "url": "city",
                        "valueCode": "10101"
                    },
                    {
                        "url": "district",
                        "valueCode": "1010101"
                    },
                    {
                        "url": "village",
                        "valueCode": "1010101101"
                    },
                    {
                        "url": "rt",
                        "valueCode": "1"
                    },
                    {
                        "url": "rw",
                        "valueCode": "2"
                    }
                ]
            }
        ]
    }
}
{
    "resourceType": "Location",
    "name": "{{LOCATION_NAME}}",
    "type":  [
        {
            "coding":  [
                {
                    "system": "http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-location-type-cs",
                    "code": "death",
                    "display": "death location"
                }
            ]
        }
    ],
    "address": {
        "use": "work",
        "line":  [
            "{{LOCATION_ADDRESS}}"
        ],
        "city": "{{LOCATION_CITY}}",
        "postalCode": "{{LOCATION_POSTAL_CODE}}",
        "country": "ID",
        "extension":  [
            {
                "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/administrativeCode",
                "extension":  [
                    {
                        "url": "province",
                        "valueCode": "{{LOCATION_PROVINCE_CODE}}"
                    },
                    {
                        "url": "city",
                        "valueCode": "{{LOCATION_CITY_CODE}}"
                    },
                    {
                        "url": "district",
                        "valueCode": "{{LOCATION_DISTRICT_CODE}}"
                    },
                    {
                        "url": "village",
                        "valueCode": "{{LOCATION_VILLAGE_CODE}}"
                    },
                    {
                        "url": "rt",
                        "valueCode": "{{LOCATION_RT}}"
                    },
                    {
                        "url": "rw",
                        "valueCode": "{{LOCATION_RW}}"
                    }
                ]
            }
        ]
    }
}
			
Variabel Deskripsi
LOCATION_NAME Nama lokasi
LOCATION_ADDRESS Alamat lokasi tempat tinggal
LOCATION_CITY Nama kota
LOCATION_POSTAL_CODE Kode pos
LOCATION_PROVINCE_CODE Kode provinsi berdasarkan kemendagri
LOCATION_CITY_CODE Kode kabupaten berdasarkan kemendagri
LOCATION_DISTRICT_CODE Kode kecamatan berdasarkan kemendagri
LOCATION_VILLAGE_CODE Kode kelurahan berdasarkan kemendagri
LOCATION_RT Nomor RT
LOCATION_RW Nomor RW

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

[none]

Tanggal dan Jam Meninggal

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "81956-5",
                "display": "Date and time of death [TimeStamp]"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 07:30:00",
    "issued": "06/22/2023 07:30:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueDateTime": "06/22/2023 06:40:00"
}
{
    "resourceType": "Observation",
   "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "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+time of death"
            },
            {
                "system": "http://fhir.org/guides/who/ikp-cds/CodeSystem/ikp-custom-codes",
                "code": "IKP.SS.DE1",
                "display": "Tanggal dan Jam Meninggal"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
    "valueDateTime": "{{VALUE_OBSERVATION}}"
}
		
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION Usia pasien ketika meninggal (dalam tahun)

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

[none]

Masa Terjadi Kematian Anak

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "OC000027",
                "display": "Masa terjadi Kematian Anak"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/who/ikp-custom-codes",
                "code": "IKP.SS.DE2",
                "display": "Masa Terjadi Kematian Anak"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 07:30:00",
    "issued": "06/22/2023 07:30:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "1156673006",
                "display": "Fetal antenatal period"
            }
        ],
        "text": "Sebelum proses persalinan/sedang hamil"
    }
}
{
    "resourceType": "Observation",
   "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
             {
                "system": "http://loinc.org",
                "code": "73811-2",
                "display": "Estimated timing of fetal death"
            },
            {
                "system": "http://fhir.org/guides/who/ikp-cds/CodeSystem/ikp-custom-codes",
                "code": "IKP.SS.DE2",
                "display": "Masa Terjadi Kematian Anak"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "{{VALUE_OBSERVATION_CODE}}",
                "display": "{{VALUE_OBSERVATION_DISPLAY}}"
            }
        ]
    }
}
		
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION_CODE (*) Kode data masa terjadi kematian
VALUE_OBSERVATION_DISPLAY (*) Deskripsi data masa terjadi kematian

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

Jenis Data URL Kamus Terminology
Masa terjadi kematian #tba

Dugaan Sebab Kematian

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "OC000033",
                "display": "Dugaan Sebab Kematian"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 07:30:00",
    "issued": "06/22/2023 07:30:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "261665006",
                "display": "Unknown"
            }
        ]
    }
}
{
    "resourceType": "Condition",
    "verificationStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                "code": "unconfirmed",
                "display": "Unconfirmed"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code": "encounter-diagnosis",
                    "display": "Encounter Diagnosis"
                },
                {
                    "system": "http://fhir.org/guides/who/ikp-cds/CodeSystem/ikp-custom-codes",
                    "code": "#tba",
                    "display": "Dugaan Sebab Kematian Bayi"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "{{CONDITION_VALUE_CODE}}",
                "display": "{{CONDITION_VALUE_DISPLAY}}"
            }
        ]
    },
   
    "onsetDateTime": "{{CONDITION_ONSET_DATETIME}}",
    "recordedDate": "{{CONDITION_RECORDED_DATETIME}}",
    "recorder": 
}
		
Variabel Deskripsi
CONDITION_VALUE_CODE (*) Kode data dugaan sebab kematian
CONDITION_VALUE_DISPLAY (*) Deskripsi data dugaan sebab kematian
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
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)
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes

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

Jenis Data URL Kamus Terminology
Dugaan sebab kematian #tba

Jenis Tempat Meninggal

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "OC000028",
                "display": "Jenis Tempat Meninggal"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 07:30:00",
    "issued": "06/22/2023 07:30:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "79993009",
                "display": "Government hospital"
            }
        ],
        "text": "RS Pemerintah"
    }
}
{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "code": {
        "coding":  [
            {
                "system": "http://fhir.org/guides/who/ikm-cds/CodeSystem/ikm-custom-codes",
                "code": "IKM.SS.DE19",
                "display": "Jenis Tempat Meninggal"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
		"display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
	"issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "{{VALUE_OBSERVATION_CODE}}",
                "display": "{{VALUE_OBSERVATION_DESCRIPTION}}"
            }
        ]
    }
}
			
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION_CODE (*) Kode data jenis tempat meninggal
VALUE_OBSERVATION_DESCRIPTION (*) Deskripsi data jenis tempat meninggal

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

Jenis Data URL Kamus Terminology
Jenis tempat meninggal #tba

Maserasi

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "198901003",
                "display": "Macerated fetus"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 07:30:00",
    "issued": "06/22/2023 07:30:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "OV000049",
                "display": "Maserasi Tingkat Dua"
            }
        ]
    }
}
{
    "resourceType": "Observation",
   "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "#tba",
                "code": "#tba",
                "display": "Macerated"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "{{VALUE_OBSERVATION_CODE}}",
                "display": "{{VALUE_OBSERVATION_DISPLAY}}"
            }
        ]
    }
}
		
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION_CODE (*) Kode data tingkat maserasi
VALUE_OBSERVATION_DISPLAY (*) Deskripsi data tingkat maserasi

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

Jenis Data URL Kamus Terminology
Tingkat maserasi #tba

Keluhan/Gejala Utama Sebelum Bayi Meninggal

{
    "resourceType": "Condition",
    "verificationStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                "code": "confirmed",
                "display": "Confirmed"
            }
        ]
    },
    "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": "261665006",
                "display": "Unknown"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "onsetDateTime": "06/22/2023 07:30:00",
    "recordedDate": "06/22/2023 07:30:00",
    "recorder": {
        "reference": "Practitioner/N10000001",
        "display": "Dokter Bronsig"
    }
}
{
    "resourceType": "Condition",
    "verificationStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                "code": "confirmed",
                "display": "Confirmed"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
				{
                    "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code": "problem-list-item",
                    "display": "Problem List Item"
                },
                {
                    "system": "http://loinc.org",
                    "code": "75321-0",
                    "display": "Clinical finding"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "{{CONDITION_VALUE_CODE}}",
                "display": "{{CONDITION_VALUE_DISPLAY}}"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "onsetDateTime": "{{CONDITION_ONSET_DATETIME}}",
    "recordedDate": "{{CONDITION_RECORDED_DATETIME}}",
    "recorder": {
        "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
        "display": "{{DOCTOR_NAME}}"
    }
}
		
Variabel Deskripsi
CONDITION_VALUE_CODE (*) Kode data keluhan/ gejala utama sebelum meninggal
CONDITION_VALUE_DISPLAY (*) Deskripsi data keluhan/ gejala utama sebelum meninggal
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
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)
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes

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

Jenis Data URL Kamus Terminology
Keluhan/ gejala utama sebelum meninggal #tba

Kondisi Ibu Sebelum Janin Meninggal

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "social-history",
                    "display": "Social History"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "OC000031",
                "display": "Kondisi ibu sebelum janin meninggal (Penyulit Obstetrik)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 07:30:00",
    "issued": "06/22/2023 07:30:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "276369006",
                "display": "Reduced fetal movement"
            }
        ]
    }
}
{
    "resourceType": "Condition",
    "verificationStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                "code": "confirmed",
                "display": "Confirmed"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
				{
                    "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code": "problem-list-item",
                    "display": "Problem List Item"
                },
                {
                    "system": "http://loinc.org",
                    "code": "75321-0",
                    "display": "Clinical finding"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "{{CONDITION_VALUE_CODE}}",
                "display": "{{CONDITION_VALUE_DISPLAY}}"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "onsetDateTime": "{{CONDITION_ONSET_DATETIME}}",
    "recordedDate": "{{CONDITION_RECORDED_DATETIME}}",
    "recorder": {
        "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
        "display": "{{DOCTOR_NAME}}"
    }
}
		
Variabel Deskripsi
CONDITION_VALUE_CODE (*) Kode data kondisi Ibu sebelum janin meninggal
CONDITION_VALUE_DISPLAY (*) Deskripsi data kondisi Ibu sebelum janin meninggal
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
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)
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes

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

Jenis Data URL Kamus Terminology
Kondisi Ibu sebelum janin meninggal #tba

3.2. Riwayat Persalinan

Berat Lahir

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "status": "final",
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "8339-4",
                "display": "Birth weight Measured"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 07:30:00",
    "issued": "06/22/2023 07:30:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueQuantity": {
        "value": 3000,
        "unit": "gram",
        "system": "http://unitsofmeasure.org",
        "code": "g"
    }
}
{
    "resourceType": "Observation",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
			{
                "system": "http://loinc.org",
                "code": "8339-4",
                "display": "Birth weight Measured"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
	"valueQuantity": {
        "value": {{VALUE_OBSERVATION}},
        "unit": "gram",
        "system": "http://unitsofmeasure.org",
        "code": "g"
    }
}
		
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION Berat bayi ketika lahir (dalam gram)

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

[none]

Kelainan Bawaan

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "276654001",
                "display": "Congenital malformation"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 07:30:00",
    "issued": "06/22/2023 07:30:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "89369001",
                "display": "Anencephaly"
            }
        ]
    }
}
{
    "resourceType": "Observation",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
			{
                "system": "http://snomed.info/sct",
                "code": "276654001",
                "display": "Congenital malformation"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
	"valueBoolean": {{VALUE_OBSERVATION}}
}
		
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION Opsinya "true" apabila ada kelainan bawaan dan "false" apabila tidak ada

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

[none]

3.3. Riwayat Kehamilan

Usia Kehamilan

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "18185-9",
                "display": "Gestational age"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B6.DE17",
                "display": "Gestational age"
            }
        ]
    },
    "subject": {
        "reference": "Patient/P02280547535",
        "display": "Patient - Mother (Teresa Lee)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 07:30:00",
    "issued": "06/22/2023 07:30:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueQuantity": {
        "value": 32,
        "unit": "week",
        "system": "http://unitsofmeasure.org",
        "code": "wk"
    }
}
{
    "resourceType": "Observation",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
			{
                "system": "http://loinc.org",
                "code": "18185-9",
                "display": "Gestational age"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B6.DE17",
                "display": "Gestational age"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
	"valueQuantity": {
        "value": "{{VALUE_OBSERVATION}}",
        "unit": "week",
        "system": "http://unitsofmeasure.org",
        "code": "wk"
    }
}
		
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION Usia kehamilan ibu (dalam minggu)

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

[none]

Gravida

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11996-6",
                "display": "[#] Pregnancies"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B6.DE24",
                "display": "Number of pregnancies (gravida)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/P02280547535",
        "display": "Patient - Mother (Teresa Lee)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 07:30:00",
    "issued": "06/22/2023 07:30:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueInteger": 4
}
{
    "resourceType": "Observation",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
        {
            "system": "http://loinc.org",
            "code": "11996-6",
            "display": "[#] Pregnancies"
        },
        {
            "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
            "code": "ANC.B6.DE24",
            "display": "Number of pregnancies (gravida)"
        }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
    "valueInteger": {{VALUE_OBSERVATION}}
}
		
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION Jumlah gravida (total kehamilan ibu)

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

[none]

Tanggal HPHT

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "8665-2",
                "display": "Last menstrual period start date"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B6.DE14",
                "display": "Last menstrual period (LMP) date"
            }
        ]
    },
    "subject": {
        "reference": "Patient/P02280547535",
        "display": "Patient - Mother (Teresa Lee)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 07:30:00",
    "issued": "06/22/2023 07:30:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueDateTime": "12/22/2022 07:30:00"
}
{
    "resourceType": "Observation",
	"identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "8665-2",
                "display": "Last menstrual period start date"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B6.DE14",
                "display": "Last menstrual period (LMP) date"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
    "valueDateTime": "{{VALUE_OBSERVATION}}"
}
		
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION (*) Tanggal terakhir menstruasi

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

[none]

3.4. Data Dasar Ibu

Dalam kasus pelaporan kematian Ibu, ada keperluan untuk meminta informasi alamat domisili pasien yang terbaru, karena ada skenario dimana pasien mungkin tidak tinggal di alamat yang terdaftar di KTP mereka. Informasi alamat domisili saat ini dari ibu yang sudah meninggal sangat penting untuk melacak asal dan kondisi kesehatan ibu tersebut sebelum meninggal. Informasi tersebut dapat membantu dalam mengetahui faktor-faktor penyebab kematian dan memperbaiki pelayanan kesehatan maternal di masa depan. Selain itu, informasi alamat domisili sekarang juga dapat membantu dalam menghubungi keluarga dan kerabat dekat ibu yang meninggal untuk memberikan informasi lebih lanjut mengenai kondisi ibu tersebut.

Alamat Domisili

Data alamat domisili akan diupdate pada resource Patient dengan metode PATCH, tambahan data dilakukan pada kolom Patient.address dengan Patient.address[x].use= "temp". Apabila alamat domisili pasien sudah tersedia sebelumnya, maka *operation* PATCH yang akan digunakan adalah op= "replace", sedangkan pada skenario menambahkan alamat domisili dapat menggunakan op= "add"

[
    { 
        "op": "add", "path": "/address/1", "value": 
        {    
            "use": "temp",
            "line": [
                "Gd. Dr. Sujuki Lt.1, Jl. H.R. Rasuna Said Blok X5 Kav. 4-9 Kuningan"
            ],
            "city": "Jakarta index new1",
            "postalCode": "12950",
            "country": "ID",
            "extension": [
                {
                    "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/administrativeCode",
                    "extension": [
                        {
                            "url": "province",
                            "valueCode": "10"
                        },
                        {
                            "url": "city",
                            "valueCode": "1010"
                        },
                        {
                            "url": "district",
                            "valueCode": "1010101"
                        },
                        {
                            "url": "village",
                            "valueCode": "1010101101"
                        },
                        {
                            "url": "rt",
                            "valueCode": "2"
                        },
                        {
                            "url": "rw",
                            "valueCode": "2"
                        }
                    ]
                }
            ]
        } 
    }
]
        
[
    {
        "op": "replace",
        "path": "/address",
        "value": [
            {
                "use": "home",
                "line":  [
					"{{LOCATION_ADDRESS}}"
				],
				"city": "{{LOCATION_CITY}}",
				"postalCode": "{{LOCATION_POSTAL_CODE}}",
                "country": "ID",
                "extension": [
                    {
                        "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/administrativeCode",
                        "extension": [
                            {
								"url": "province",
								"valueCode": "{{LOCATION_PROVINCE_CODE}}"
							},
							{
								"url": "city",
								"valueCode": "{{LOCATION_CITY_CODE}}"
							},
							{
								"url": "district",
								"valueCode": "{{LOCATION_DISTRICT_CODE}}"
							},
							{
								"url": "village",
								"valueCode": "{{LOCATION_VILLAGE_CODE}}"
							},
							{
								"url": "rt",
								"valueCode": "{{LOCATION_RT}}"
							},
							{
								"url": "rw",
								"valueCode": "{{LOCATION_RW}}"
							}
                        ]
                    }
                ]
            },
            {
				"use": "temp",
				"line":  [
					"{{LOCATION_ADDRESS}}"
				],
				"city": "{{LOCATION_CITY}}",
				"postalCode": "{{LOCATION_POSTAL_CODE}}",
				"country": "ID",
				"extension":  [
					{
						"url": "https://fhir.kemkes.go.id/r4/StructureDefinition/administrativeCode",
						"extension":  [
							{
								"url": "province",
								"valueCode": "{{LOCATION_PROVINCE_CODE}}"
							},
							{
								"url": "city",
								"valueCode": "{{LOCATION_CITY_CODE}}"
							},
							{
								"url": "district",
								"valueCode": "{{LOCATION_DISTRICT_CODE}}"
							},
							{
								"url": "village",
								"valueCode": "{{LOCATION_VILLAGE_CODE}}"
							},
							{
								"url": "rt",
								"valueCode": "{{LOCATION_RT}}"
							},
							{
								"url": "rw",
								"valueCode": "{{LOCATION_RW}}"
							}
						]
					}
				]
			}
		]
    }
]
			
Variabel Deskripsi
LOCATION_ADDRESS Alamat lokasi tempat tinggal
LOCATION_CITY Nama kota
LOCATION_POSTAL_CODE Kode pos
LOCATION_PROVINCE_CODE Kode provinsi berdasarkan kemendagri
LOCATION_CITY_CODE Kode kabupaten berdasarkan kemendagri
LOCATION_DISTRICT_CODE Kode kecamatan berdasarkan kemendagri
LOCATION_VILLAGE_CODE Kode kelurahan berdasarkan kemendagri
LOCATION_RT Nomor RT
LOCATION_RW Nomor RW
LOCATION_PERIOD_START Periode dimulainya masa tinggal ibu di lokasi domisili tersebut
LOCATION_PERIOD_END Periode berakhirnya masa tinggal ibu di lokasi domisili tersebut

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

[none]

Umur Ibu Ketika Anak Meninggal

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "30525-0",
                "display": "Age"
            }
        ]
    },
    "subject": {
        "reference": "Patient/P02280547535",
        "display": "Patient - Mother (Teresa Lee)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 07:30:00",
    "issued": "06/22/2023 07:30:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueQuantity": {
        "value": 40,
        "unit": "years",
        "system": "http://unitsofmeasure.org",
        "code": "a"
    }
}
{
    "resourceType": "Observation",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "30525-0",
                "display": "Age"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
    "valueQuantity": {
        "value": "{{VALUE_OBSERVATION}}",
        "unit": "year",
        "system": "http://unitsofmeasure.org",
        "code": "a"
    }
}
			
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION Usia Ibu ketika anak meninggal (dalam tahun)

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

[none]

2.5. Form laporan kematian Ibu

Pada use-case pelaporan kematian Anak, resource Composition akan digunakan sebagai penghubung antara satu resource dengan resource lainnya. Composition akan menghubungkan data-data seperti tanggal meninggal, siapa bayi yang meninggal, siapa tenaga kesehatan yang melaporkan, dan informasi pendukung lainnya.
Composition hanya menyimpan metadata resource yg berbentuk sebuah ID, misalnya kolom id pada resource Observation (Observation.id), resource Condition (Condition.id), dan resource pendukung lainnya. Resource Composition akan mereferensi ke data riwayat kematian (step 2.1.), riwayat persalinan (step 2.2.), riwayat kehamilan (step 2.3.), dan data dasar Ibu (step 2.4.)

Composition Form Pelaporan Kematian Anak

{
    "resourceType": "Composition",
    "identifier": {
        "system": "http://sys-ids.kemkes.go.id/composition/10000004",
        "value": "2361720002"
    },
    "status": "final",
    "extension":  [
        {
            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/DocumentStatus",
            "extension":  [
                {
                    "url": "statusCode",
                    "valueCode": "final"
                },
                {
                    "url": "statusTime",
                    "valueDateTime": "06/22/2023 07:30:00"
                },
                {
                    "url": "statusAssigner",
                    "valueReference": {
                        "reference": "Practitioner/123",
                        "display": "Dr. John Doe"
                    }
                }
            ]
        }
    ],
    "type": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/composition-type",
                "code": "COM000002",
                "display": "Form Lahir Mati"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "date": "06/22/2023 07:30:00",
    "author":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "title": "Notifikasi Kematian Perinatal",
    "attester":  [
        {
            "mode": "legal",
            "party": {
                "reference": "Organization/10000004",
                "display": "Puskesmas Sangat Waras"
            }
        }
    ],
    "section":  [
        {
            "title": "Riwayat Kematian Anak",
            "code": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "64297-5",
                        "display": "DeathInvestigation"
                    }
                ]
            },
            "focus": {
                "reference": "Patient/100000030009",
                "display": "Baby of Teresa Lee (Fetus Not Named)"
            },
            "entry":  [
                {
                    "display": "Tempat Meninggal Faskes",
                    "reference": "urn:uuid:93fb25ed-5566-4c97-975e-25bfb18a79b8"
                },
                {
                    "display": "Jenis Kematian",
                    "reference": "urn:uuid:c238dbef-13b7-4641-bcac-39efcc8ae48f"
                },
                {
                    "display": "Tanggal dan Jam Meninggal",
                    "reference": "urn:uuid:1bd4f381-4518-472d-9714-0bc76421da9e"
                },
                {
                    "display": "Masa Terjadi Kematian Anak",
                    "reference": "urn:uuid:3a7d80eb-7b9a-4761-809b-e155205852d8"
                },
                {
                    "display": "Dugaan Sebab Kematian",
                    "reference": "urn:uuid:0396b598-b28d-4f5c-8917-550e0b68a612"
                },
                {
                    "display": "Jenis Tempat Meninggal",
                    "reference": "urn:uuid:a45ce50a-7b00-4b49-985c-5e3b46f7b372"
                },
                {
                    "display": "Maserasi",
                    "reference": "urn:uuid:013dcfcc-2c69-4b59-8ebd-04061bcf1f64"
                },
                {
                    "display": "Keluhan/Gejala Utama Sebelum Bayi Meninggal",
                    "reference": "urn:uuid:90c958b9-0273-420f-8a0f-7c5b1dc11311"
                },
                {
                    "display": "Kondisi Ibu sebelum janin meninggal",
                    "reference": "urn:uuid:05a7c9fc-7097-4c55-b2e8-081a64fd48d0"
                },
                {
                    "display": "Berat Meninggal (dalam gram)",
                    "reference": "urn:uuid:493e888d-b22d-4877-ac60-6d731482e1ab"
                }
            ]
        },
        {
            "title": "Riwayat Persalinan",
            "code": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "15508-5",
                        "display": "Labor and delivery records"
                    }
                ]
            },
            "focus": {
                "reference": "Patient/100000030009",
                "display": "Baby of Teresa Lee (Fetus Not Named)"
            },
            "entry":  [
                {
                    "display": "Kelainan Bawaan",
                    "reference": "urn:uuid:69b48064-b605-4944-8ec7-5e207d3f2c83"
                }
            ]
        },
        {
            "title": "Riwayat Kehamilan",
            "code": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "57073-9",
                        "display": "Prenatal records"
                    }
                ]
            },
            "focus": {
                "reference": "Patient/P02280547535",
                "display": "Patient - Mother (Teresa Lee)"
            },
            "entry":  [
                {
                    "display": "Gravida",
                    "reference": "urn:uuid:ee28d7b9-8912-4e64-a4ae-ea9b05419b0c"
                },
                {
                    "display": "Usia kehamilan",
                    "reference": "urn:uuid:30ae2630-80ed-4046-a7be-17b069de4d2e"
                },
                {
                    "display": "Tanggal HPHT",
                    "reference": "urn:uuid:ceb122af-e464-463d-91ec-7f7fc84e3b63"
                }
            ]
        },
        {
            "title": "Data Dasar Ibu",
            "code": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "45970-1",
                        "display": "Demographic information section"
                    }
                ]
            },
            "focus": {
                "reference": "Patient/P02280547535",
                "display": "Patient - Mother (Teresa Lee)"
            },
            "entry":  [
                {
                    "display": "Umur Ibu Ketika Anak Meninggal",
                    "reference": "urn:uuid:af8f89dd-51f5-43b8-b7dc-36df958e3f52"
                }
            ]
        }
    ]
}
        
Variabel Deskripsi
COMPOSITION_LOCAL_CODE ID Lokal untuk Composition
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
COMPOSITION_RECORD_DATETIME Tanggal form ini dikirimkan ke (tanggal yang dibuat oleh sistem)
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION1_FHIR_ID Observation ID data usia ketika meninggal (tahun)
OBSERVATION2_FHIR_ID Observation ID data tanggal meninggal
OBSERVATION3_FHIR_ID Observation ID data masa terjadi kematian ibu
OBSERVATION4_FHIR_ID Observation ID data jenis tempat meninggal
OBSERVATION5_FHIR_ID Observation ID data gravida
OBSERVATION6_FHIR_ID Observation ID data paritas
OBSERVATION7_FHIR_ID Observation ID data abortus
OBSERVATION8_FHIR_ID Observation ID data usia kehamilan (bulan)
CONDITION1_FHIR_ID Condition ID data dugaan sebab kematian
LOCATION1_FHIR_ID Location ID data lokasi meninggal
LOCATION2_FHIR_ID Location ID data alamat domisili

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

[none]

Setelah data pada step 2.1. - 2.5. sudah terbentuk, maka langkah selanjutnya adalah semua data akan dikirimkan secara bersamaan menggunakan resource Bundle dengan template dibawah ini:

CATATAN: Bundle.entry adalah sebuah Array, yang bisa menampung lebih dari 1 data. Diisikan dengan semua data FHIR resource dalam format JSON yang sudah dibuat di part 2.1. - 2.5.

Bundle Pengiriman Data Riwayat Kematian, Persalinan, Kehamilan, dan Data Dasar Ibu

{
    "resourceType": "Bundle",
    "type": "transaction",
    "entry":  [
        {
            "fullUrl": "urn:uuid:3fc32f06-f711-440a-abda-2ff2c1bf53ec",
            "resource": {
                "resourceType": "Composition",
                "identifier": {
                    "system": "http://sys-ids.kemkes.go.id/composition/10000004",
                    "value": "2361720002"
                },
                "status": "final",
                "extension":  [
                    {
                        "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/DocumentStatus",
                        "extension":  [
                            {
                                "url": "statusCode",
                                "valueCode": "final"
                            },
                            {
                                "url": "statusTime",
                                "valueDateTime": "06/22/2023 07:30:00"
                            },
                            {
                                "url": "statusAssigner",
                                "valueReference": {
                                    "reference": "Practitioner/123",
                                    "display": "Dr. John Doe"
                                }
                            }
                        ]
                    }
                ],
                "type": {
                    "coding":  [
                        {
                            "system": "http://terminology.kemkes.go.id/CodeSystem/composition-type",
                            "code": "COM000003",
                            "display": "Form Lahir Hidup"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "date": "06/22/2023 07:30:30",
                "author":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "title": "Notifikasi Kematian Perinatal",
                "attester":  [
                    {
                        "mode": "legal",
                        "party": {
                            "reference": "Organization/10000004",
                            "display": "Puskesmas Sangat Waras"
                        }
                    }
                ],
                "section":  [
                    {
                        "title": "Riwayat Kematian Anak",
                        "code": {
                            "coding":  [
                                {
                                    "system": "http://loinc.org",
                                    "code": "64297-5",
                                    "display": "DeathInvestigation"
                                }
                            ]
                        },
                        "focus": {
                            "reference": "Patient/100000030009",
                            "display": "Baby of Teresa Lee (Fetus Not Named)"
                        },
                        "entry":  [
                            {
                                "display": "Tempat Meninggal Faskes",
                                "reference": "urn:uuid:93fb25ed-5566-4c97-975e-25bfb18a79b8"
                            },
                            {
                                "display": "Jenis Kematian",
                                "reference": "urn:uuid:c238dbef-13b7-4641-bcac-39efcc8ae48f"
                            },
                            {
                                "display": "Usia Ketika Meninggal",
                                "reference": "urn:uuid:842978d0-ce9e-4261-bfb5-2454b22e7ebc"
                            },
                            {
                                "display": "Berat Saat Meninggal",
                                "reference": "urn:uuid:555fea33-3758-4ac6-8ab4-58f44ae03393"
                            }
                        ]
                    },
                    {
                        "title": "Riwayat Persalinan",
                        "code": {
                            "coding":  [
                                {
                                    "system": "http://loinc.org",
                                    "code": "15508-5",
                                    "display": "Labor and delivery records"
                                }
                            ]
                        },
                        "focus": {
                            "reference": "Patient/100000030009",
                            "display": "Baby of Teresa Lee (Fetus Not Named)"
                        },
                        "entry":  [
                            {
                                "display": "Alamat Lahir",
                                "reference": "urn:uuid:9c5d9423-dbb5-4e7d-b50d-37975efb5405"
                            },
                            {
                                "display": "Urutan Kelahiran (Apabila kembar)",
                                "reference": "urn:uuid:a780f795-3f60-4c61-8183-950828554bd1"
                            },
                            {
                                "display": "Jenis Tempat Bersalin",
                                "reference": "urn:uuid:42c99d94-0f6a-4089-bbea-bddf48349481"
                            }
                        ]
                    },
                    {
                        "title": "Riwayat Kehamilan",
                        "code": {
                            "coding":  [
                                {
                                    "system": "http://loinc.org",
                                    "code": "57073-9",
                                    "display": "Prenatal records"
                                }
                            ]
                        },
                        "focus": {
                            "reference": "Patient/P02280547535",
                            "display": "Patient - Mother (Teresa Lee)"
                        },
                        "entry":  [
                            {
                                "display": "Kehamilan Tunggal/Kembar",
                                "reference": "urn:uuid:8e9abd33-7bc8-4071-a48b-135bb20fd07b"
                            }
                        ]
                    }
                ]
            },
            "request": {
                "method": "POST",
                "url": "Composition"
            }
        },
        {
            "fullUrl": "urn:uuid:93fb25ed-5566-4c97-975e-25bfb18a79b8",
            "resource": {
                "resourceType": "Location",
                "name": "Puskemas Sangat Waras",
                "type":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.kemkes.go.id/CodeSystem/location-type",
                                "code": "LT000002",
                                "display": "Tempat Meninggal Faskes"
                            }
                        ]
                    },
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.kemkes.go.id/CodeSystem/location-type",
                                "code": "LT000005",
                                "display": "Alamat Mati"
                            }
                        ]
                    }
                ],
                "managingOrganization": {
                    "reference": "Organization/10000004",
                    "display": "Puskesmas Sangat Waras"
                },
                "address": {
                    "use": "work",
                    "line":  [
                        "Gd. Prof. Dr. Sujudi Lt.5, Jl. H.R. Rasuna Said Blok X5 Kav. 4-9 Kuningan"
                    ],
                    "city": "Jakarta",
                    "postalCode": "12950",
                    "country": "ID",
                    "extension":  [
                        {
                            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/administrativeCode",
                            "extension":  [
                                {
                                    "url": "province",
                                    "valueCode": "10"
                                },
                                {
                                    "url": "city",
                                    "valueCode": "1010"
                                },
                                {
                                    "url": "district",
                                    "valueCode": "1010101"
                                },
                                {
                                    "url": "village",
                                    "valueCode": "101010110"
                                },
                                {
                                    "url": "rt",
                                    "valueCode": "1"
                                },
                                {
                                    "url": "rw",
                                    "valueCode": "30"
                                }
                            ]
                        }
                    ]
                }
            },
            "request": {
                "method": "POST",
                "url": "Location"
            }
        },
        {
            "fullUrl": "urn:uuid:c238dbef-13b7-4641-bcac-39efcc8ae48f",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://loinc.org",
                            "code": "64710-7",
                            "display": "Was your pregnancy a live birth, stillbirth, miscarriage, abortion, or ectopic pregnancy [PhenX]"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "06/22/2023 07:30:30",
                "issued": "06/22/2023 07:30:30",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "276506001",
                            "display": "Newborn death"
                        }
                    ]
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:842978d0-ce9e-4261-bfb5-2454b22e7ebc",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://loinc.org",
                            "code": "39016-1",
                            "display": "Age at death"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:30",
                "issued": "01/01/2023 08:30:30",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueQuantity": {
                    "value": 120,
                    "unit": "minutes",
                    "system": "http://unitsofmeasure.org",
                    "code": "min"
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:555fea33-3758-4ac6-8ab4-58f44ae03393",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O111111"
                    }
                ],
                "status": "final",
                "code": {
                    "coding":  [
                        {
                            "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                            "code": "OC000030",
                            "display": "Berat saat meninggal"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:30",
                "issued": "01/01/2023 08:30:30",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueQuantity": {
                    "value": 3000,
                    "unit": "gram",
                    "system": "http://unitsofmeasure.org",
                    "code": "g"
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:9c5d9423-dbb5-4e7d-b50d-37975efb5405",
            "resource": {
                "resourceType": "Location",
                "name": "Puskemas Ibu Anak",
                "type":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.kemkes.go.id/CodeSystem/location-type",
                                "code": "LT000004",
                                "display": "Alamat Lahir"
                            }
                        ]
                    }
                ],
                "address": {
                    "use": "work",
                    "line":  [
                        "Gd. Prof. Dr. Sujudi Lt.5, Jl. H.R. Rasuna Said Blok X5 Kav. 4-9 Kuningan"
                    ],
                    "city": "Jakarta",
                    "postalCode": "12950",
                    "country": "ID",
                    "extension":  [
                        {
                            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/administrativeCode",
                            "extension":  [
                                {
                                    "url": "province",
                                    "valueCode": "10"
                                },
                                {
                                    "url": "city",
                                    "valueCode": "1010"
                                },
                                {
                                    "url": "district",
                                    "valueCode": "1010101"
                                },
                                {
                                    "url": "village",
                                    "valueCode": "1010101101"
                                },
                                {
                                    "url": "rt",
                                    "valueCode": "1"
                                },
                                {
                                    "url": "rw",
                                    "valueCode": "30"
                                }
                            ]
                        }
                    ]
                }
            },
            "request": {
                "method": "POST",
                "url": "Location"
            }
        },
        {
            "fullUrl": "urn:uuid:a780f795-3f60-4c61-8183-950828554bd1",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                            "code": "OC000029",
                            "display": "Urutan ke (untuk bayi kembar)"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "06/22/2023 07:30:30",
                "issued": "06/22/2023 07:30:30",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueInteger": 1
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:42c99d94-0f6a-4089-bbea-bddf48349481",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                            "code": "OC000037",
                            "display": "Jenis Tempat Bersalin"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "06/22/2023 07:30:30",
                "issued": "06/22/2023 07:30:30",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "79993009",
                            "display": "Government hospital"
                        }
                    ]
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:41b01de6-745c-4d0c-baa6-185e3f307891",
            "resource": {
                "resourceType": "Location",
                "name": "Puskemas Ibu Anak",
                "type":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.kemkes.go.id/CodeSystem/location-type",
                                "code": "LT000001",
                                "display": "Lokasi Tempat Bersalin"
                            }
                        ]
                    }
                ],
                "address": {
                    "use": "work",
                    "city": "Jakarta",
                    "postalCode": "12950",
                    "country": "ID",
                    "extension":  [
                        {
                            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/administrativeCode",
                            "extension":  [
                                {
                                    "url": "province",
                                    "valueCode": "10"
                                },
                                {
                                    "url": "city",
                                    "valueCode": "1010"
                                },
                                {
                                    "url": "district",
                                    "valueCode": "1010101"
                                },
                                {
                                    "url": "village",
                                    "valueCode": "1010101101"
                                },
                                {
                                    "url": "rt",
                                    "valueCode": "1"
                                },
                                {
                                    "url": "rw",
                                    "valueCode": "30"
                                }
                            ]
                        }
                    ]
                }
            },
            "request": {
                "method": "POST",
                "url": "Location"
            }
        },
        {
            "fullUrl": "urn:uuid:8e9abd33-7bc8-4071-a48b-135bb20fd07b",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://loinc.org",
                            "code": "57722-1",
                            "display": "Birth plurality of Pregnancy"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/P02280547535",
                    "display": "Patient - Mother (Teresa Lee)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:30",
                "issued": "01/01/2023 08:30:30",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "237244005",
                            "display": "Single pregnancy"
                        }
                    ]
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:45e436ea-d6c7-4059-8cbe-e00fb2c665d8",
            "resource": {
                "resourceType": "Encounter",
                "id": "45e436ea-d6c7-4059-8cbe-e00fb2c665d8",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/encounter/10000004",
                        "value": "MPDN-MATERNAL-23_3578_0053"
                    },
                    {
                        "use": "temp",
                        "system": "http://sys-ids.kemkes.go.id/mpdn/10000004",
                        "value": "MPDN-MATERNAL-23_3578_0053"
                    }
                ],
                "status": "finished",
                "class": {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                    "code": "AMB",
                    "display": "ambulatory"
                },
                "subject": {
                    "display": "Patient - Mother (Teresa Lee)",
                    "reference": "Patient/P02280547535"
                },
                "participant":  [
                    {
                        "type":  [
                            {
                                "coding":  [
                                    {
                                        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                                        "code": "ATND",
                                        "display": "attender"
                                    }
                                ]
                            }
                        ],
                        "individual": {
                            "reference": "Practitioner/N10000001",
                            "display": "Dokter Bronsig"
                        }
                    }
                ],
                "period": {
                    "start": "12/30/2022 00:00:30",
                    "end": "12/30/2022 08:30:30"
                },
                "location":  [
                    {
                        "location": {
                            "display": "General Ward, Ruang 1 No 3",
                            "reference": "Location/ef011065-38c9-46f8-9c35-d1fe68966a3e"
                        }
                    }
                ],
                "statusHistory":  [
                    {
                        "status": "arrived",
                        "period": {
                            "start": "12/30/2022 00:00:30",
                            "end": "12/30/2022 00:15:30"
                        }
                    },
                    {
                        "period": {
                            "start": "12/30/2022 00:15:30",
                            "end": "12/30/2022 08:30:30"
                        },
                        "status": "in-progress"
                    },
                    {
                        "period": {
                            "start": "12/30/2022 08:30:30",
                            "end": "12/30/2022 08:30:30"
                        },
                        "status": "finished"
                    }
                ],
                "serviceProvider": {
                    "reference": "Organization/10000004"
                }
            },
            "request": {
                "method": "PUT",
                "url": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
            }
        }
    ]
}
{
    "resourceType" : "Bundle",
    "type" : "transaction",
    "entry" : [
        {
            "fullUrl" : "urn:uuid:{{BUNDLE_TEMPORARY_UUID}}",
            "resource" : {{BUNDLE_RESOURCE_VALUE}},
            "request": {
                "method": "POST",
                "url": "{{BUNDLE_RESOURCE_URL_PATH}}"
            }
        }
    ]
}
		
Variabel Deskripsi
BUNDLE_TEMPORARY_UUID Digunakan untuk mengidentifikasi resource yang ada di dalam bundle secara sementara. Dapat menggunakan uuid yang dapat di generate di UUID generator.
Setelah mendapat uuid, input dengan format: "urn:uuid:[uuid number]"
Contoh "fullUrl": "urn:uuid:ba5a7dec-023f-45e1-adb9-1b9d71737a5f"
BUNDLE_RESOURCE_VALUE Isi dari resource yang ingin dikirim.
BUNDLE_RESOURCE_URL_PATH Jenis tipe resource yang ingin dikirim

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

[none]

D. Referensi:

Postman Mortality Record Playbook Mortality Record Postman Resume Medis Rawat Jalan SatuSehat

2. Lahir Hidup

Step 1. Pencarian data pasien, nakes, dan fasyankes

Karena data pasien di dalam SATUSEHAT sudah terdaftar lebih dulu di *Master Patient Index* (MPI) Kementerian Kesehatan, sehingga registrasi data pasien baru tidak diperlukan. Dengan demikian maka entry data untuk resource Patient tidak perlu diikutsertakan dalam bundle data yang dikirim.

Disamping itu, data Fasyankes yang melaporkan kasus kematian anak juga tidak perlu dikirimkan data alamat seperti provinsi, dan kabupaten/kota karena data sudah tersedia pada Master Sarana Index yang ada di SATUSEHAT, begitu juga dengan identitas data nakes yang mengisi data laporan kematian tersebut juga tidak perlu dikirimkan karena sudah tersedia di Master Nakes Index yang ada di SATUSEHAT.

Proses pencarian data pasien (baik untuk anak dan juga ibu), nakes, dan fasyankes dapat dilakukan melalui FHIR API dengan metode GET dengan parameter dibawah ini:

No Data Resource Parameter Pencarian
1 Pasien (Anak) Patient NIK Ibu, Pasien SATUSEHAT Number
1 Pasien (Ibu) Patient NIK, Pasien SATUSEHAT Number
2 Nakes Practitioner NIK, Nakes SATUSEHAT Number
3 Fasyankes Organization Fasyankes SATUSEHAT Number

CATATAN: Untuk metode pencarian data pasien, nakes, dan fasyankes di SATUSEHAT secara detail dapat dilihat dalam dokumen Petunjuk Teknis SATUSEHAT (Juknis SATSET).

Output yang didapatkan dari hasil pencarian ini adalah serangkaian JSON yang didalamnya terdapat kolom "id". Id tersebut selanjutnya akan dilampirkan pada data-data form pelaporan kematian di step berikutnya.

No Data Contoh Id Resource Disimpan pada Resource
1 Pasien (Anak) Patient/[PATIENT_IHS_NUMBER] Observation.subject, Condition.subject, Composition.subject, Composition.section.focus
2 Pasien (Ibu) Patient/[PATIENT_IHS_NUMBER] Observation.subject, Condition.subject, Composition.section.focus
3 Nakes Practitioner/[DOCTOR_IHS_NUMBER] Observation.performer, Condition.recorder, Composition.author
4 Fasyankes Organization/[FACILITY_IHS_NUMBER] Observation.performer, Composition.attester

Contoh lampiran data pasien, nakes, dan fasyankes pada resource Observation:

{
    "resourceType": "Observation",
     "subject" : {
        "reference" : "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        },
        {
            "reference" : "Organization/abddd50b-b22f-4d68-a1c3-d2c29a27698b",
            "display" : "Puskesmas Ibu Anak"
        }
    ]
    ...
    ...
    ...
}

Contoh lampiran data pasien, nakes, dan fasyankes pada resource Condition:

{
    "resourceType": "Condition",
     "subject" : {
        "reference" : "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
     "recorder":  {
        "reference": "Practitioner/N10000001",
        "display": "Dokter Bronsig"
    }
    ...
    ...
    ...
}

Contoh lampiran data pasien, nakes, dan fasyankes pada resource Composition:

{
    "resourceType" : "Composition",
    "identifier" : {
        "system": "https://mpdn.kemkes.go.id/nmrkasus_kodeunik",
        "value" : "2361720002"
    },
    "status" : "final",
    "type" : {
        "coding" : [
            {
                "system" : "http://fhir.org/guides/who/ikp-cds/CodeSystem/ikp-custom-codes",
                "code" : "IKP.SS",
                "display" : "Indonesia standard report of perinatal death notification - MPDN version"
            }
        ]
    },
     "subject" : {
        "reference" : "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "date" : "2022-12-01T02:46:13-05:00",
    "author" : [
        {
            "reference" : "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "title" : "Notifikasi Kematian Perinatal",
    "attester" : [
        {
            "mode" : "legal",
            "party" : {
                "reference" : "Organization/abddd50b-b22f-4d68-a1c3-d2c29a27698b",
                "display" : "Puskesmas Ibu Anak"
            }
        }
    ],
    "section" : [
        {
            "title" : "Riwayat Kematian Anak",
             "focus" : {
                 "reference" : "Patient/100000030009" ,
                "display": "Baby of Teresa Lee (Fetus Not Named)"
            },
            ...
            ...
            ...
        },
        {
            "title" : "Riwayat Persalinan",
             "focus" : {
                 "reference" : "Patient/100000030009" ,
                "display": "Baby of Teresa Lee (Fetus Not Named)"
            },
            ...
            ...
            ...
        },
        {
            "title" : "Riwayat Kehamilan",
              "focus"  : {
                 "reference" : "Patient/P02280547535" , 
                "display": "Patient - Mother (Teresa Lee)"
            },
            ...
            ...
            ...
        },
        {
            "title" : "Data Dasar Ibu",
             "focus"  : {
                 "reference" : "Patient/P02280547535" ,
                "display": "Patient - Mother (Teresa Lee)"
            },
            ...
            ...
            ...
        }
    ] 
}

Step 2. Pengiriman notifikasi pelaporan kematian anak

Pada dasarnya di step-2 ini akan dilakukan 1 kali pengiriman data ke server SATUSEHAT dengan menggunakan resource Bundle tipe "Transaction". Berikut data-data yang akan dimasukkan ke dalam resource Bundle:

CATATAN: Catatan riwayat kematian dan persalinan akan mereferensi ke Patient.id sang anak, sedangkan data kehamilan dan data dasar ibu akan mereferensi ke data ibunya dengan patokan referensi pada kolom Observation.subject dan juga Composition.section.focus. Dalam hal ini, ID Pasien yang mana merupakan SatuSehat Number akan menjadi kode unik yang digunakan untuk menghubungkan catatan medis sesuai dengan data pasien yang terkait.

2.1. 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.

Pencarian Kunjungan Sebelumnya

Apabila kasus kematian yang dilaporkan bersumber dari data kunjungan *existing*, maka akan dilakukan proses pencarian data Encounter, yang dapat dilakukan melalui FHIR API dengan metode GET. Untuk metode pencarian data kunjungan di SATUSEHAT secara detail dapat dilihat dalam dokumen Petunjuk Teknis SATUSEHAT (Juknis SATSET).

Pembuatan Kunjungan Baru

{
    "resourceType": "Encounter",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/10000004",
            "value": "MPDN-MATERNAL-23_3578_0053"
        },
        {
            "use": "temp",
            "system": "http://sys-ids.kemkes.go.id/mpdn/10000004",
            "value": "MPDN-MATERNAL-23_3578_0053"
        }
    ],
    "status": "arrived",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "display": "Patient - Mother (Teresa Lee)",
        "reference": "Patient/P02280547535"
    },
    "participant":  [
        {
            "type":  [
                {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "individual": {
                "reference": "Practitioner/N10000001",
                "display": "Dokter Bronsig"
            }
        }
    ],
    "period": {
        "start": "12/30/2022 00:00:30"
    },
    "location":  [
        {
            "location": {
                "display": "General Ward, Ruang 1 No 3",
                "reference": "Location/ef011065-38c9-46f8-9c35-d1fe68966a3e"
            }
        }
    ],
    "statusHistory":  [
        {
            "status": "arrived",
            "period": {
                "start": "12/30/2022 00:00:30"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/10000004"
    }
}
{
    "resourceType": "Encounter",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/{{FACILITY_IHS_NUMBER}}",
            "value": "{{ENCOUNTER_LOCAL_CODE}}"
        },
        {
            "system": "http://sys-ids.kemkes.go.id/mpdn/{{FACILITY_IHS_NUMBER}}",
            "value": "{{MPDN_NO_KASUS}}"
        }
    ],
    "status": "arrived",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "participant": [
        {
            "type": [
                {
                    "coding": [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "indivID_MPD_Pual": {
                "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
                "display": "{{DOCTOR_NAME}}"
            }
        }
    ],
    "period": {
        "start": "{{ENCOUNTER_PERIOD1_START}}"
    },
    "location": [
        {
            "location": {
                "reference": "Location/{{ENCOUNTER_LOCATION_ID}}",
                "display": "{{ENCOUNTER_LOCATION_NAME}}"
            }
        }
    ],
    "statusHistory": [
        {
            "status": "arrived",
            "period": {
                "start": "{{ENCOUNTER_PERIOD1_START}}",
                "end": "{{ENCOUNTER_PERIOD1_END}}"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/{{FACILITY_IHS_NUMBER}}"
    }
}
Variabel Deskripsi
ENCOUNTER_LOCAL_CODE ID Lokal untuk Kunjungan/Encounter
MPDN_NO_KASUS No kasus MPDN
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 Usia pasien ketika meninggal (dalam tahun)

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

[none]

2.2. Riwayat Kematian

Dugaan Sebab Kematian

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "OC000033",
                "display": "Dugaan Sebab Kematian"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 07:30:00",
    "issued": "06/22/2023 07:30:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "261665006",
                "display": "Unknown"
            }
        ]
    }
}
{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
				"system" : "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
				"code" : "OC000033",
				"display" : "Dugaan Sebab Kematian"
			}
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
    "valueCodeableConcept" : {
        "coding" : [
            {
                "system": "http://snomed.info/sct",
                "code": "{{VALUE_OBSERVATION_CODE}}",
                "display": "{{VALUE_OBSERVATION_DISPLAY}}"
            }
        ]
    }
}
		
Variabel Deskripsi
CONDITION_VALUE_CODE (*) Kode data dugaan sebab kematian
CONDITION_VALUE_DISPLAY (*) Deskripsi data dugaan sebab kematian
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
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)
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes

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

Jenis Data URL Kamus Terminology
Dugaan sebab kematian #tba

Usia Ketika Meninggal

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "39016-1",
                "display": "Age at death"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "2022-01-01",
    "issued": "01/01/2022 14:30:10",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "component":  [
        {
            "code": {
                "coding":  [
                    {
                        "system": "http://hl7.org/fhir/ValueSet/age-units",
                        "code": "a",
                        "display": "years"
                    }
                ]
            },
            "valueQuantity": {
                "value": 0,
                "unit": "years",
                "system": "http://unitsofmeasure.org",
                "code": "a"
            }
        },
        {
            "code": {
                "coding":  [
                    {
                        "system": "http://hl7.org/fhir/ValueSet/age-units",
                        "code": "mo",
                        "display": "months"
                    }
                ]
            },
            "valueQuantity": {
                "value": 0,
                "unit": "months",
                "system": "http://unitsofmeasure.org",
                "code": "mo"
            }
        },
        {
            "code": {
                "coding":  [
                    {
                        "system": "http://hl7.org/fhir/ValueSet/age-units",
                        "code": "d",
                        "display": "days"
                    }
                ]
            },
            "valueQuantity": {
                "value": 0,
                "unit": "days",
                "system": "http://unitsofmeasure.org",
                "code": "d"
            }
        },
        {
            "code": {
                "coding":  [
                    {
                        "system": "http://hl7.org/fhir/ValueSet/age-units",
                        "code": "h",
                        "display": "hours"
                    }
                ]
            },
            "valueQuantity": {
                "value": 2,
                "unit": "hours",
                "system": "http://unitsofmeasure.org",
                "code": "h"
            }
        },
        {
            "code": {
                "coding":  [
                    {
                        "system": "http://hl7.org/fhir/ValueSet/age-units",
                        "code": "min",
                        "display": "minutes"
                    }
                ]
            },
            "valueQuantity": {
                "value": 5,
                "unit": "minutes",
                "system": "http://unitsofmeasure.org",
                "code": "min"
            }
        }
    ]
}
{
    "resourceType": "Observation",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "39016-1",
                "display": "Age at death"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
    "component":  [
        {
            "code": {
                "coding":  [
                    {
                        "system": "http://hl7.org/fhir/ValueSet/age-units",
                        "code": "a",
                        "display": "year"
                    }
                ]
            },
            "valueQuantity": {
                "value": {{VALUE1_OBSERVATION}},
                "unit": "year",
                "system": "http://unitsofmeasure.org",
                "code": "a"
            }
        },
        {
            "code": {
                "coding":  [
                    {
                        "system": "http://hl7.org/fhir/ValueSet/age-units",
                        "code": "mo",
                        "display": "month"
                    }
                ]
            },
            "valueQuantity": {
                "value": {{VALUE2_OBSERVATION}},
                "unit": "month",
                "system": "http://unitsofmeasure.org",
                "code": "mo"
            }
        },
        {
            "code": {
                "coding":  [
                    {
                        "system": "http://hl7.org/fhir/ValueSet/age-units",
                        "code": "d",
                        "display": "day"
                    }
                ]
            },
            "valueQuantity": {
                "value": {{VALUE3_OBSERVATION}},
                "unit": "day",
                "system": "http://unitsofmeasure.org",
                "code": "d"
            }
        },
        {
            "code": {
                "coding":  [
                    {
                        "system": "http://hl7.org/fhir/ValueSet/age-units",
                        "code": "h",
                        "display": "hour"
                    }
                ]
            },
            "valueQuantity": {
                "value": {{VALUE4_OBSERVATION}},
                "unit": "hour",
                "system": "http://unitsofmeasure.org",
                "code": "h"
            }
        },
        {
            "code": {
                "coding":  [
                    {
                        "system": "http://hl7.org/fhir/ValueSet/age-units",
                        "code": "min",
                        "display": "minute"
                    }
                ]
            },
            "valueQuantity": {
                "value": {{VALUE5_OBSERVATION}},
                "unit": "minute",
                "system": "http://unitsofmeasure.org",
                "code": "min"
            }
        }
    ]
}
		
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE1_OBSERVATION Usia pasien ketika meninggal (dalam tahun)
VALUE2_OBSERVATION Usia pasien ketika meninggal (dalam bulan)
VALUE3_OBSERVATION Usia pasien ketika meninggal (dalam hari)
VALUE4_OBSERVATION Usia pasien ketika meninggal (dalam jam)
VALUE5_OBSERVATION Usia pasien ketika meninggal (dalam menit)

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

[none]

Berat Saat Meninggal

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "code": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "OC000030",
                "display": "Berat saat meninggal"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "2022-01-01",
    "issued": "01/01/2022 14:30:10",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueQuantity": {
        "value": 3000,
        "unit": "gram",
        "system": "http://unitsofmeasure.org",
        "code": "g"
    }
}
{
    "resourceType": "Observation",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
			{
                "system": "http://loinc.org",
                "code": "3141-9",
                "display": "Body weight Measured"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
	"valueQuantity": {
        "value": {{VALUE_OBSERVATION}},
        "unit": "gram",
        "system": "http://unitsofmeasure.org",
        "code": "g"
    }
}
		
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION Berat badan pasien saat meninggal (dalam gram)

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

[none]

Jenis Kematian

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "64710-7",
                "display": "Was your pregnancy a live birth, stillbirth, miscarriage, abortion, or ectopic pregnancy [PhenX]"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "2022-01-01",
    "issued": "01/01/2022 14:30:10",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "237361005",
                "display": "Antepartum fetal death"
            }
        ]
    }
}
{
    "resourceType": "Observation",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
			{
                "system": "http://loinc.org",
                "code": "64710-7",
                "display": "Was your pregnancy a live birth, stillbirth, miscarriage, abortion, or ectopic pregnancy [PhenX]"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
	"valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "{{VALUE_OBSERVATION_CODE}}",
                "display": "{{VALUE_OBSERVATION_DISPLAY}}"
            }
        ]
    }
}
		
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION_CODE (*) Kode data jenis kematian
VALUE_OBSERVATION_DISPLAY (*) Deskripsi data jenis kematian

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

Jenis Data URL Kamus Terminology
Jenis Kematian #tba

2.2. Riwayat Persalinan

Alamat Lahir

{
    "resourceType": "Location",
    "name": "Puskemas Ibu Anak",
    "type":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.kemkes.go.id/CodeSystem/location-type",
                    "code": "LT000004",
                    "display": "Alamat Lahir"
                }
            ]
        }
    ],
    "address": {
        "use": "work",
        "line":  [
            "Gd. Prof. Dr. Sujudi Lt.5, Jl. H.R. Rasuna Said Blok X5 Kav. 4-9 Kuningan"
        ],
        "city": "Jakarta",
        "postalCode": "12950",
        "country": "ID",
        "extension":  [
            {
                "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/administrativeCode",
                "extension":  [
                    {
                        "url": "province",
                        "valueCode": "10"
                    },
                    {
                        "url": "city",
                        "valueCode": "1010"
                    },
                    {
                        "url": "district",
                        "valueCode": "1010101"
                    },
                    {
                        "url": "village",
                        "valueCode": "1010101101"
                    },
                    {
                        "url": "rt",
                        "valueCode": "1"
                    },
                    {
                        "url": "rw",
                        "valueCode": "2"
                    }
                ]
            }
        ]
    }
}
{
    "resourceType": "Location",
    "name": "{{LOCATION_NAME}}",
    "type":  [
        {
            "coding":  [
                {
                    "system": "http://loinc.org",
                    "code": "21842-0",
                    "display": "Birthplace"
                }
            ]
        }
    ],
    "address": {
        "use": "home",
        "line":  [
            "{{LOCATION_ADDRESS}}"
        ],
        "city": "{{LOCATION_CITY}}",
        "postalCode": "{{LOCATION_POSTAL_CODE}}",
        "country": "ID",
        "extension":  [
            {
                "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/administrativeCode",
                "extension":  [
                    {
                        "url": "province",
                        "valueCode": "{{LOCATION_PROVINCE_CODE}}"
                    },
                    {
                        "url": "city",
                        "valueCode": "{{LOCATION_CITY_CODE}}"
                    },
                    {
                        "url": "district",
                        "valueCode": "{{LOCATION_DISTRICT_CODE}}"
                    },
                    {
                        "url": "village",
                        "valueCode": "{{LOCATION_VILLAGE_CODE}}"
                    },
                    {
                        "url": "rt",
                        "valueCode": "{{LOCATION_RT}}"
                    },
                    {
                        "url": "rw",
                        "valueCode": "{{LOCATION_RW}}"
                    }
                ]
            }
        ]
    }
}
		
Variabel Deskripsi
LOCATION_NAME Nama lokasi
LOCATION_ADDRESS Alamat lokasi tempat tinggal
LOCATION_CITY Nama kota
LOCATION_POSTAL_CODE Kode pos
LOCATION_PROVINCE_CODE Kode provinsi berdasarkan kemendagri
LOCATION_CITY_CODE Kode kabupaten berdasarkan kemendagri
LOCATION_DISTRICT_CODE Kode kecamatan berdasarkan kemendagri
LOCATION_VILLAGE_CODE Kode kelurahan berdasarkan kemendagri
LOCATION_RT Nomor RT
LOCATION_RW Nomor RW

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

[none]

Jenis Tempat Bersalin

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "code": {
        "coding":  [
            {
                "system": "http://hl7.org/fhir/location-type",
                "code": "LO000003",
                "display": "Jenis Tempat Bersalin"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "2022-01-01",
    "issued": "01/01/2022 14:30:10",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "79993009",
                "display": "Government hospital (environment)"
            }
        ],
        "text": "RS Pemerintah"
    }
}
{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "code": {
        "coding":  [
            {
                "system": "#tba",
                "code": "#tba",
                "display": "Jenis Tempat Bersalin"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
                    "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
                "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "{{VALUE_OBSERVATION_CODE}}",
                "display": "{{VALUE_OBSERVATION_DESCRIPTION}}"
            }
        ]
    }
}
		
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION_CODE (*) Kode data jenis tempat bersalin
VALUE_OBSERVATION_DESCRIPTION (*) Deskripsi data jenis tempat bersalin

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

Jenis Data URL Kamus Terminology
Jenis tempat bersalin #tba

Lokasi Tempat Bersalin

{
    "resourceType": "Location",
    "name": "Puskemas Ibu Anak",
    "type":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.kemkes.go.id/CodeSystem/location-type",
                    "code": "LT000001",
                    "display": "Lokasi Tempat Bersalin"
                }
            ]
        }
    ],
    "address": {
        "use": "work",
        "city": "Jakarta",
        "postalCode": "12950",
        "country": "ID",
        "extension":  [
            {
                "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/administrativeCode",
                "extension":  [
                    {
                        "url": "province",
                        "valueCode": "10"
                    },
                    {
                        "url": "city",
                        "valueCode": "1010"
                    },
                    {
                        "url": "district",
                        "valueCode": "1010101"
                    },
                    {
                        "url": "village",
                        "valueCode": "1010101101"
                    },
                    {
                        "url": "rt",
                        "valueCode": "1"
                    },
                    {
                        "url": "rw",
                        "valueCode": "2"
                    }
                ]
            }
        ]
    }
}
{
    "resourceType": "Location",
    "name": "{{LOCATION_NAME}}",
    "type":  [
        {
            "coding":  [
                {
				  "system": "#tba",
				  "code": "#tba",
				  "display": "Place of birth delivery"
				}
            ]
        }
    ],
    "address": {
        "line":  [
            "{{LOCATION_ADDRESS}}"
        ],
        "city": "{{LOCATION_CITY}}",
        "postalCode": "{{LOCATION_POSTAL_CODE}}",
        "country": "ID",
        "extension":  [
            {
                "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/administrativeCode",
                "extension":  [
                    {
                        "url": "province",
                        "valueCode": "{{LOCATION_PROVINCE_CODE}}"
                    },
                    {
                        "url": "city",
                        "valueCode": "{{LOCATION_CITY_CODE}}"
                    },
                    {
                        "url": "district",
                        "valueCode": "{{LOCATION_DISTRICT_CODE}}"
                    },
                    {
                        "url": "village",
                        "valueCode": "{{LOCATION_VILLAGE_CODE}}"
                    },
                    {
                        "url": "rt",
                        "valueCode": "{{LOCATION_RT}}"
                    },
                    {
                        "url": "rw",
                        "valueCode": "{{LOCATION_RW}}"
                    }
                ]
            }
        ]
    }
}
		
Variabel Deskripsi
LOCATION_NAME Nama lokasi
LOCATION_ADDRESS Alamat lokasi tempat meninggal
LOCATION_CITY Nama kota
LOCATION_POSTAL_CODE Kode pos
LOCATION_PROVINCE_CODE Kode provinsi berdasarkan kemendagri
LOCATION_CITY_CODE Kode kabupaten berdasarkan kemendagri
LOCATION_DISTRICT_CODE Kode kecamatan berdasarkan kemendagri
LOCATION_VILLAGE_CODE Kode kelurahan berdasarkan kemendagri
LOCATION_RT Nomor RT
LOCATION_RW Nomor RW

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

[none]

Urutan Kelahiran (apabila kembar)

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "OC000029",
                "display": "Urutan ke (untuk bayi kembar)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "2022-01-01",
    "issued": "01/01/2022 14:30:10",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueInteger": 2
}
{
    "resourceType": "Observation",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
			{
                "system": "http://loinc.org",
                "code": "73771-8",
                "display": "Birth order"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
    "valueInteger": {{VALUE_OBSERVATION}}
}
		
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION Urutan kelahiran (apabila kembar)

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

[none]

3.3. Riwayat Kehamilan

Kehamilan Tunggal/Kembar

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "57722-1",
                "display": "Birth plurality of Pregnancy"
            }
        ]
    },
    "subject": {
        "reference": "Patient/P02280547535",
        "display": "Patient - Mother (Teresa Lee)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 07:30:00",
    "issued": "06/22/2023 07:30:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "237244005",
                "display": "Single pregnancy"
            }
        ]
    }
}
{
    "resourceType": "Observation",
	"identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{FACILITY_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
			{
                "system": "http://loinc.org",
                "code": "57722-1",
                "display": "Birth plurality of Pregnancy"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
            "display": "{{DOCTOR_NAME}}"
        },
        {
            "reference": "Organization/{{FACILITY_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "{{VALUE_OBSERVATION_CODE}}",
                "display": "{{VALUE_OBSERVATION_DISPLAY}}"
            }
        ]
    }
}
		
Variabel Deskripsi
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
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
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
VALUE_OBSERVATION_CODE (*) Kode data kehamilan tunggal/kembar
VALUE_OBSERVATION_DISPLAY (*) Deskripsi data kehamilan tunggal/kembar

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

Jenis Data URL Kamus Terminology
Kehamilan tunggal/kembar #tba

2.5. Form laporan kematian Anak

Pada use-case pelaporan kematian Anak, resource Composition akan digunakan sebagai penghubung antara satu resource dengan resource lainnya. Composition akan menghubungkan data-data seperti tanggal meninggal, siapa bayi yang meninggal, siapa tenaga kesehatan yang melaporkan, dan informasi pendukung lainnya.
Composition hanya menyimpan metadata resource yg berbentuk sebuah ID, misalnya kolom id pada resource Observation (Observation.id), resource Condition (Condition.id), dan resource pendukung lainnya. Resource Composition akan mereferensi ke data riwayat kematian (step 2.1.), riwayat persalinan (step 2.2.), riwayat kehamilan (step 2.3.), dan data dasar Ibu (step 2.4.)

Composition Form Pelaporan Kematian Anak

{
    "resourceType": "Composition",
    "identifier": {
        "system": "http://sys-ids.kemkes.go.id/composition/10000004",
        "value": "2361720002"
    },
    "status": "final",
    "extension":  [
        {
            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/DocumentStatus",
            "extension":  [
                {
                    "url": "statusCode",
                    "valueCode": "final"
                },
                {
                    "url": "statusTime",
                    "valueDateTime": "06/22/2023 07:30:00"
                },
                {
                    "url": "statusAssigner",
                    "valueReference": {
                        "reference": "Practitioner/123",
                        "display": "Dr. John Doe"
                    }
                }
            ]
        }
    ],
    "type": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/composition-type",
                "code": "COM000003",
                "display": "Form Lahir Hidup"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "date": "06/22/2023 07:30:00",
    "author":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "title": "Notifikasi Kematian Perinatal",
    "attester":  [
        {
            "mode": "legal",
            "party": {
                "reference": "Organization/10000004",
                "display": "Puskesmas Sangat Waras"
            }
        }
    ],
    "section":  [
        {
            "title": "Riwayat Kematian Anak",
            "code": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "64297-5",
                        "display": "DeathInvestigation"
                    }
                ]
            },
            "focus": {
                "reference": "Patient/100000030009",
                "display": "Baby of Teresa Lee (Fetus Not Named)"
            },
            "entry":  [
                {
                    "display": "Tempat Meninggal Faskes",
                    "reference": "urn:uuid:93fb25ed-5566-4c97-975e-25bfb18a79b8"
                },
                {
                    "display": "Jenis Kematian",
                    "reference": "urn:uuid:c238dbef-13b7-4641-bcac-39efcc8ae48f"
                },
                {
                    "display": "Usia Ketika Meninggal",
                    "reference": "urn:uuid:842978d0-ce9e-4261-bfb5-2454b22e7ebc"
                },
                {
                    "display": "Berat Saat Meninggal",
                    "reference": "urn:uuid:555fea33-3758-4ac6-8ab4-58f44ae03393"
                }
            ]
        },
        {
            "title": "Riwayat Persalinan",
            "code": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "15508-5",
                        "display": "Labor and delivery records"
                    }
                ]
            },
            "focus": {
                "reference": "Patient/100000030009",
                "display": "Baby of Teresa Lee (Fetus Not Named)"
            },
            "entry":  [
                {
                    "display": "Alamat Lahir",
                    "reference": "urn:uuid:9c5d9423-dbb5-4e7d-b50d-37975efb5405"
                },
                {
                    "display": "Urutan Kelahiran (Apabila kembar)",
                    "reference": "urn:uuid:a780f795-3f60-4c61-8183-950828554bd1"
                },
                {
                    "display": "Jenis Tempat Bersalin",
                    "reference": "urn:uuid:42c99d94-0f6a-4089-bbea-bddf48349481"
                },
                {
                    "display": "Lokasi Tempat Bersalin",
                    "reference": "urn:uuid:41b01de6-745c-4d0c-baa6-185e3f307891"
                }
            ]
        },
        {
            "title": "Riwayat Kehamilan",
            "code": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "57073-9",
                        "display": "Prenatal records"
                    }
                ]
            },
            "focus": {
                "reference": "Patient/P02280547535",
                "display": "Patient - Mother (Teresa Lee)"
            },
            "entry":  [
                {
                    "display": "Kehamilan Tunggal/Kembar",
                    "reference": "urn:uuid:8e9abd33-7bc8-4071-a48b-135bb20fd07b"
                }
            ]
        }
    ]
}
        
Variabel Deskripsi
COMPOSITION_LOCAL_CODE ID Lokal untuk Composition
PATIENT_IHS_NUMBER SATUSEHAT ID Number untuk Pasien
PATIENT_NAME Nama Pasien
COMPOSITION_RECORD_DATETIME Tanggal form ini dikirimkan ke (tanggal yang dibuat oleh sistem)
DOCTOR_IHS_NUMBER SATUSEHAT ID untuk Dokter/Nakes
DOCTOR_NAME Nama Dokter/Nakes
FACILITY_IHS_NUMBER SATUSEHAT ID untuk FASYANKES
FACILITY_NAME Nama FASYANKES
OBSERVATION1_FHIR_ID Observation ID data usia ketika meninggal (tahun)
OBSERVATION2_FHIR_ID Observation ID data tanggal meninggal
OBSERVATION3_FHIR_ID Observation ID data masa terjadi kematian ibu
OBSERVATION4_FHIR_ID Observation ID data jenis tempat meninggal
OBSERVATION5_FHIR_ID Observation ID data gravida
OBSERVATION6_FHIR_ID Observation ID data paritas
OBSERVATION7_FHIR_ID Observation ID data abortus
OBSERVATION8_FHIR_ID Observation ID data usia kehamilan (bulan)
CONDITION1_FHIR_ID Condition ID data dugaan sebab kematian
LOCATION1_FHIR_ID Location ID data lokasi meninggal
LOCATION2_FHIR_ID Location ID data alamat domisili

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

[none]

Setelah data pada step 2.1. - 2.5. sudah terbentuk, maka langkah selanjutnya adalah semua data akan dikirimkan secara bersamaan menggunakan resource Bundle dengan template dibawah ini:

CATATAN: Bundle.entry adalah sebuah Array, yang bisa menampung lebih dari 1 data. Diisikan dengan semua data FHIR resource dalam format JSON yang sudah dibuat di part 2.1. - 2.5.

Bundle Pengiriman Data Riwayat Kematian, Persalinan, Kehamilan, dan Data Dasar Ibu

{
    "resourceType": "Bundle",
    "type": "transaction",
    "entry":  [
        {
            "fullUrl": "urn:uuid:3fc32f06-f711-440a-abda-2ff2c1bf53ec",
            "resource": {
                "resourceType": "Composition",
                "identifier": {
                    "system": "http://sys-ids.kemkes.go.id/composition/10000004",
                    "value": "2361720002"
                },
                "status": "final",
                "extension":  [
                    {
                        "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/DocumentStatus",
                        "extension":  [
                            {
                                "url": "statusCode",
                                "valueCode": "final"
                            },
                            {
                                "url": "statusTime",
                                "valueDateTime": "06/22/2023 07:30:00"
                            },
                            {
                                "url": "statusAssigner",
                                "valueReference": {
                                    "reference": "Practitioner/123",
                                    "display": "Dr. John Doe"
                                }
                            }
                        ]
                    }
                ],
                "type": {
                    "coding":  [
                        {
                            "system": "http://terminology.kemkes.go.id/CodeSystem/composition-type",
                            "code": "COM000002",
                            "display": "Form Lahir Mati"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "date": "06/22/2023 07:30:00",
                "author":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "title": "Notifikasi Kematian Perinatal",
                "attester":  [
                    {
                        "mode": "legal",
                        "party": {
                            "reference": "Organization/10000004",
                            "display": "Puskesmas Sangat Waras"
                        }
                    }
                ],
                "section":  [
                    {
                        "title": "Riwayat Kematian Anak",
                        "code": {
                            "coding":  [
                                {
                                    "system": "http://loinc.org",
                                    "code": "64297-5",
                                    "display": "DeathInvestigation"
                                }
                            ]
                        },
                        "focus": {
                            "reference": "Patient/100000030009",
                            "display": "Baby of Teresa Lee (Fetus Not Named)"
                        },
                        "entry":  [
                            {
                                "display": "Tempat Meninggal Faskes",
                                "reference": "urn:uuid:93fb25ed-5566-4c97-975e-25bfb18a79b8"
                            },
                            {
                                "display": "Jenis Kematian",
                                "reference": "urn:uuid:c238dbef-13b7-4641-bcac-39efcc8ae48f"
                            },
                            {
                                "display": "Tanggal dan Jam Meninggal",
                                "reference": "urn:uuid:1bd4f381-4518-472d-9714-0bc76421da9e"
                            },
                            {
                                "display": "Masa Terjadi Kematian Anak",
                                "reference": "urn:uuid:3a7d80eb-7b9a-4761-809b-e155205852d8"
                            },
                            {
                                "display": "Dugaan Sebab Kematian",
                                "reference": "urn:uuid:0396b598-b28d-4f5c-8917-550e0b68a612"
                            },
                            {
                                "display": "Jenis Tempat Meninggal",
                                "reference": "urn:uuid:a45ce50a-7b00-4b49-985c-5e3b46f7b372"
                            },
                            {
                                "display": "Maserasi",
                                "reference": "urn:uuid:013dcfcc-2c69-4b59-8ebd-04061bcf1f64"
                            },
                            {
                                "display": "Keluhan/Gejala Utama Sebelum Bayi Meninggal",
                                "reference": "urn:uuid:90c958b9-0273-420f-8a0f-7c5b1dc11311"
                            },
                            {
                                "display": "Kondisi Ibu sebelum janin meninggal",
                                "reference": "urn:uuid:05a7c9fc-7097-4c55-b2e8-081a64fd48d0"
                            }
                        ]
                    },
                    {
                        "title": "Riwayat Persalinan",
                        "code": {
                            "coding":  [
                                {
                                    "system": "http://loinc.org",
                                    "code": "15508-5",
                                    "display": "Labor and delivery records"
                                }
                            ]
                        },
                        "focus": {
                            "reference": "Patient/100000030009",
                            "display": "Baby of Teresa Lee (Fetus Not Named)"
                        },
                        "entry":  [
                            {
                                "display": "Berat Lahir (dalam gram)",
                                "reference": "urn:uuid:493e888d-b22d-4877-ac60-6d731482e1ab"
                            },
                            {
                                "display": "Kelainan Bawaan",
                                "reference": "urn:uuid:69b48064-b605-4944-8ec7-5e207d3f2c83"
                            }
                        ]
                    },
                    {
                        "title": "Riwayat Kehamilan",
                        "code": {
                            "coding":  [
                                {
                                    "system": "http://loinc.org",
                                    "code": "57073-9",
                                    "display": "Prenatal records"
                                }
                            ]
                        },
                        "focus": {
                            "reference": "Patient/P02280547535",
                            "display": "Patient - Mother (Teresa Lee)"
                        },
                        "entry":  [
                            {
                                "display": "Gravida",
                                "reference": "urn:uuid:ee28d7b9-8912-4e64-a4ae-ea9b05419b0c"
                            },
                            {
                                "display": "Usia kehamilan",
                                "reference": "urn:uuid:30ae2630-80ed-4046-a7be-17b069de4d2e"
                            },
                            {
                                "display": "Tanggal HPHT",
                                "reference": "urn:uuid:ceb122af-e464-463d-91ec-7f7fc84e3b63"
                            }
                        ]
                    },
                    {
                        "title": "Data Dasar Ibu",
                        "code": {
                            "coding":  [
                                {
                                    "system": "http://loinc.org",
                                    "code": "45970-1",
                                    "display": "Demographic information section"
                                }
                            ]
                        },
                        "focus": {
                            "reference": "Patient/P02280547535",
                            "display": "Patient - Mother (Teresa Lee)"
                        },
                        "entry":  [
                            {
                                "display": "Umur Ibu Ketika Anak Meninggal",
                                "reference": "urn:uuid:af8f89dd-51f5-43b8-b7dc-36df958e3f52"
                            }
                        ]
                    }
                ]
            },
            "request": {
                "method": "POST",
                "url": "Composition"
            }
        },
        {
            "fullUrl": "urn:uuid:93fb25ed-5566-4c97-975e-25bfb18a79b8",
            "resource": {
                "resourceType": "Location",
                "name": "Puskemas Sangat Waras",
                "type":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.kemkes.go.id/CodeSystem/location-type",
                                "code": "LT000002",
                                "display": "Tempat Meninggal Faskes"
                            }
                        ]
                    },
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.kemkes.go.id/CodeSystem/location-type",
                                "code": "LT000005",
                                "display": "Alamat Mati"
                            }
                        ]
                    }
                ],
                "managingOrganization": {
                    "reference": "Organization/10000004",
                    "display": "Puskesmas Sangat Waras"
                },
                "address": {
                    "use": "work",
                    "line":  [
                        "Gd. Prof. Dr. Sujudi Lt.5, Jl. H.R. Rasuna Said Blok X5 Kav. 4-9 Kuningan"
                    ],
                    "city": "Jakarta",
                    "postalCode": "12950",
                    "country": "ID",
                    "extension":  [
                        {
                            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/administrativeCode",
                            "extension":  [
                                {
                                    "url": "province",
                                    "valueCode": "10"
                                },
                                {
                                    "url": "city",
                                    "valueCode": "1010"
                                },
                                {
                                    "url": "district",
                                    "valueCode": "1010101"
                                },
                                {
                                    "url": "village",
                                    "valueCode": "101010110"
                                },
                                {
                                    "url": "rt",
                                    "valueCode": "1"
                                },
                                {
                                    "url": "rw",
                                    "valueCode": "25"
                                }
                            ]
                        }
                    ]
                }
            },
            "request": {
                "method": "POST",
                "url": "Location"
            }
        },
        {
            "fullUrl": "urn:uuid:c238dbef-13b7-4641-bcac-39efcc8ae48f",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://loinc.org",
                            "code": "64710-7",
                            "display": "Was your pregnancy a live birth, stillbirth, miscarriage, abortion, or ectopic pregnancy [PhenX]"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "237361005",
                            "display": "Antepartum fetal death"
                        }
                    ]
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:1bd4f381-4518-472d-9714-0bc76421da9e",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "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",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueDateTime": "01/01/2023 08:30:25"
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:3a7d80eb-7b9a-4761-809b-e155205852d8",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                            "code": "OC000027",
                            "display": "Masa terjadi Kematian Anak"
                        },
                        {
                            "system": "http://terminology.kemkes.go.id/CodeSystem/who/ikp-custom-codes",
                            "code": "IKP.SS.DE2",
                            "display": "Masa Terjadi Kematian Anak"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "1156673006",
                            "display": "Fetal antenatal period"
                        }
                    ],
                    "text": "Sebelum proses persalinan/sedang hamil"
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:0396b598-b28d-4f5c-8917-550e0b68a612",
            "resource": {
                "resourceType": "Observation",
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                            "code": "OC000033",
                            "display": "Dugaan Sebab Kematian"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "276659006",
                            "display": "Clinical infection of newborn"
                        }
                    ]
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:a45ce50a-7b00-4b49-985c-5e3b46f7b372",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                            "code": "OC000028",
                            "display": "Jenis Tempat Meninggal"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "79993009",
                            "display": "Government hospital"
                        }
                    ],
                    "text": "RS Pemerintah"
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:013dcfcc-2c69-4b59-8ebd-04061bcf1f64",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "198901003",
                            "display": "Macerated fetus"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                            "code": "OV000048",
                            "display": "Maserasi Tingkat Satu"
                        }
                    ]
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:90c958b9-0273-420f-8a0f-7c5b1dc11311",
            "resource": {
                "resourceType": "Condition",
                "verificationStatus": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                            "code": "confirmed",
                            "display": "Confirmed"
                        }
                    ]
                },
                "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": "91175000",
                            "display": "Seizure"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "onsetDateTime": "01/01/2023 08:30:25",
                "recordedDate": "01/01/2023 08:30:25",
                "recorder": {
                    "reference": "Practitioner/N10000001",
                    "display": "Dokter Bronsig"
                }
            },
            "request": {
                "method": "POST",
                "url": "Condition"
            }
        },
        {
            "fullUrl": "urn:uuid:05a7c9fc-7097-4c55-b2e8-081a64fd48d0",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "social-history",
                                "display": "Social History"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                            "code": "OC000031",
                            "display": "Kondisi ibu sebelum janin meninggal (Penyulit Obstetrik)"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "90325002",
                            "display": "Vomiting of pregnancy"
                        }
                    ]
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:493e888d-b22d-4877-ac60-6d731482e1ab",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "status": "final",
                "code": {
                    "coding":  [
                        {
                            "system": "http://loinc.org",
                            "code": "8339-4",
                            "display": "Birth weight Measured"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueQuantity": {
                    "value": 3000,
                    "unit": "gram",
                    "system": "http://unitsofmeasure.org",
                    "code": "g"
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:69b48064-b605-4944-8ec7-5e207d3f2c83",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "status": "final",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "276654001",
                            "display": "Congenital malformation"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "89369001",
                            "display": "Anencephaly"
                        }
                    ]
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:ee28d7b9-8912-4e64-a4ae-ea9b05419b0c",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://loinc.org",
                            "code": "11996-6",
                            "display": "[#] Pregnancies"
                        },
                        {
                            "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                            "code": "ANC.B6.DE24",
                            "display": "Number of pregnancies (gravida)"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/P02280547535",
                    "display": "Patient - Mother (Teresa Lee)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueInteger": 2
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:30ae2630-80ed-4046-a7be-17b069de4d2e",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://loinc.org",
                            "code": "18185-9",
                            "display": "Gestational age"
                        },
                        {
                            "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                            "code": "ANC.B6.DE17",
                            "display": "Gestational age"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/P02280547535",
                    "display": "Patient - Mother (Teresa Lee)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueQuantity": {
                    "value": 7,
                    "unit": "week",
                    "system": "http://unitsofmeasure.org",
                    "code": "wk"
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:caea22e9-4fd0-440d-9427-b42dbb333780",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://loinc.org",
                            "code": "8665-2",
                            "display": "Last menstrual period start date"
                        },
                        {
                            "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                            "code": "ANC.B6.DE14",
                            "display": "Last menstrual period (LMP) date"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/P02280547535",
                    "display": "Patient - Mother (Teresa Lee)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueDateTime": "11/01/2021 08:30:25"
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:af8f89dd-51f5-43b8-b7dc-36df958e3f52",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://loinc.org",
                            "code": "30525-0",
                            "display": "Age"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/P02280547535",
                    "display": "Patient - Mother (Teresa Lee)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueQuantity": {
                    "value": 40,
                    "unit": "years",
                    "system": "http://unitsofmeasure.org",
                    "code": "a"
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:45e436ea-d6c7-4059-8cbe-e00fb2c665d8",
            "resource": {
                "resourceType": "Encounter",
                "id": "45e436ea-d6c7-4059-8cbe-e00fb2c665d8",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/encounter/10000004",
                        "value": "MPDN-MATERNAL-23_3578_0053"
                    },
                    {
                        "use": "temp",
                        "system": "http://sys-ids.kemkes.go.id/mpdn/10000004",
                        "value": "MPDN-MATERNAL-23_3578_0053"
                    }
                ],
                "status": "finished",
                "class": {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                    "code": "AMB",
                    "display": "ambulatory"
                },
                "subject": {
                    "display": "Patient - Mother (Teresa Lee)",
                    "reference": "Patient/P02280547535"
                },
                "participant":  [
                    {
                        "type":  [
                            {
                                "coding":  [
                                    {
                                        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                                        "code": "ATND",
                                        "display": "attender"
                                    }
                                ]
                            }
                        ],
                        "individual": {
                            "reference": "Practitioner/N10000001",
                            "display": "Dokter Bronsig"
                        }
                    }
                ],
                "period": {
                    "start": "12/30/2022 00:00:30",
                    "end": "12/30/2022 08:30:30"
                },
                "location":  [
                    {
                        "location": {
                            "display": "General Ward, Ruang 1 No 3",
                            "reference": "Location/ef011065-38c9-46f8-9c35-d1fe68966a3e"
                        }
                    }
                ],
                "statusHistory":  [
                    {
                        "status": "arrived",
                        "period": {
                            "start": "12/30/2022 00:00:30",
                            "end": "12/30/2022 00:15:30"
                        }
                    },
                    {
                        "period": {
                            "start": "12/30/2022 00:15:30",
                            "end": "12/30/2022 08:30:30"
                        },
                        "status": "in-progress"
                    },
                    {
                        "period": {
                            "start": "12/30/2022 08:30:30",
                            "end": "12/30/2022 08:30:30"
                        },
                        "status": "finished"
                    }
                ],
                "serviceProvider": {
                    "reference": "Organization/10000004"
                }
            },
            "request": {
                "method": "PUT",
                "url": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
            }
        }
    ]
}
{
    "resourceType" : "Bundle",
    "type" : "transaction",
    "entry" : [
        {
            "fullUrl" : "urn:uuid:{{BUNDLE_TEMPORARY_UUID}}",
            "resource" : {{BUNDLE_RESOURCE_VALUE}},
            "request": {
                "method": "POST",
                "url": "{{BUNDLE_RESOURCE_URL_PATH}}"
            }
        }
    ]
}
		
Variabel Deskripsi
BUNDLE_TEMPORARY_UUID Digunakan untuk mengidentifikasi resource yang ada di dalam bundle secara sementara. Dapat menggunakan uuid yang dapat di generate di UUID generator.
Setelah mendapat uuid, input dengan format: "urn:uuid:[uuid number]"
Contoh "fullUrl": "urn:uuid:ba5a7dec-023f-45e1-adb9-1b9d71737a5f"
BUNDLE_RESOURCE_VALUE Isi dari resource yang ingin dikirim.
BUNDLE_RESOURCE_URL_PATH Jenis tipe resource yang ingin dikirim

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

[none]

D. Referensi:

Postman Mortality Record Playbook Mortality Record Postman Resume Medis Rawat Jalan SatuSehat

3.3. Pregnancy History

Birth plurality of Pregnancy (Single/Twin Pregnancy)

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/1000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "57722-1",
                "display": "Birth plurality of Pregnancy"
            }
        ]
    },
    "subject": {
        "reference": "Patient/P02280547535",
        "display": "Patient - Mother (Teresa Lee)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "effectiveDateTime": "06/22/2023 07:30:00",
    "issued": "06/22/2023 07:30:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "237244005",
                "display": "Single pregnancy"
            }
        ]
    }
}
{
    "resourceType": "Observation",
	"identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/{{ORGANIZATION_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
			{
                "system": "http://loinc.org",
                "code": "57722-1",
                "display": "Birth plurality of Pregnancy"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}",
            "display": "{{PRACTITIONER_NAME}}"
        },
        {
            "reference": "Organization/{{ORGANIZATION_IHS_NUMBER}}",
            "display": "{{FACILITY_NAME}}"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "{{VALUE_OBSERVATION_CODE}}",
                "display": "{{VALUE_OBSERVATION_DISPLAY}}"
            }
        ]
    }
}
		
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} in SATUSEHAT
FACILITY_NAME Organization name
OBSERVATION_LOCAL_CODE Local ID for Observation
PATIENT_IHS_NUMBER Patient ID obtained from the SATUSEHAT Master Patient Index
PATIENT_NAME Patient name
OBSERVATION_EFFECTIVE_DATETIME The date and time when the observed value is considered valid
OBSERVATION_ISSUED The date and time when the observation version is made available, usually after being reviewed and verified
PRACTITIONER_IHS_NUMBER Healthcare professional ID obtained from the "Master Healthcare Professional Index"
PRACTITIONER_NAME Healthcare professional name
VALUE_OBSERVATION_CODE (*) Code value of variable "Birth plurality of Pregnancy (Single/Twin Pregnancy)"
VALUE_OBSERVATION_DISPLAY (*) Description value of variable "Birth plurality of Pregnancy (Single/Twin Pregnancy)"

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

Data Type Terminology Dictionary URL
Kehamilan tunggal/kembar #tba

2.5. Perinatal Death Reporting Form

In perinatal death use-case, the Composition resource will be used as a link between one resource and another. Composition will connect data such as the date of death, who the baby died, who the health worker reported, and other supporting information.
Composition only stores resource metadata in the form of an ID, for example the id column in the Observation resource (Observation.id), the Condition resource (Condition.id), and other supporting resources. The Composition resource will refer to death history data (step 2.1.), childbirth history (step 2.2.), pregnancy history (step 2.3.), and basic maternal data (step 2.4.)

Composition Form Perinatal Death

{
    "resourceType": "Composition",
    "identifier": {
        "system": "http://sys-ids.kemkes.go.id/composition/10000004",
        "value": "2361720002"
    },
    "status": "final",
    "extension":  [
        {
            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/DocumentStatus",
            "extension":  [
                {
                    "url": "statusCode",
                    "valueCode": "final"
                },
                {
                    "url": "statusTime",
                    "valueDateTime": "06/22/2023 07:30:00"
                },
                {
                    "url": "statusAssigner",
                    "valueReference": {
                        "reference": "Practitioner/123",
                        "display": "Dr. John Doe"
                    }
                }
            ]
        }
    ],
    "type": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/composition-type",
                "code": "COM000003",
                "display": "Form Lahir Hidup"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Baby of Teresa Lee (Fetus Not Named)"
    },
    "encounter": {
        "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
    },
    "date": "06/22/2023 07:30:00",
    "author":  [
        {
            "reference": "Practitioner/N10000001",
            "display": "Dokter Bronsig"
        }
    ],
    "title": "Notifikasi Kematian Perinatal",
    "attester":  [
        {
            "mode": "legal",
            "party": {
                "reference": "Organization/10000004",
                "display": "Puskesmas Sangat Waras"
            }
        }
    ],
    "section":  [
        {
            "title": "Riwayat Kematian Anak",
            "code": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "64297-5",
                        "display": "DeathInvestigation"
                    }
                ]
            },
            "focus": {
                "reference": "Patient/100000030009",
                "display": "Baby of Teresa Lee (Fetus Not Named)"
            },
            "entry":  [
                {
                    "display": "Tempat Meninggal Faskes",
                    "reference": "urn:uuid:93fb25ed-5566-4c97-975e-25bfb18a79b8"
                },
                {
                    "display": "Jenis Kematian",
                    "reference": "urn:uuid:c238dbef-13b7-4641-bcac-39efcc8ae48f"
                },
                {
                    "display": "Usia Ketika Meninggal",
                    "reference": "urn:uuid:842978d0-ce9e-4261-bfb5-2454b22e7ebc"
                },
                {
                    "display": "Berat Saat Meninggal",
                    "reference": "urn:uuid:555fea33-3758-4ac6-8ab4-58f44ae03393"
                }
            ]
        },
        {
            "title": "Riwayat Persalinan",
            "code": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "15508-5",
                        "display": "Labor and delivery records"
                    }
                ]
            },
            "focus": {
                "reference": "Patient/100000030009",
                "display": "Baby of Teresa Lee (Fetus Not Named)"
            },
            "entry":  [
                {
                    "display": "Alamat Lahir",
                    "reference": "urn:uuid:9c5d9423-dbb5-4e7d-b50d-37975efb5405"
                },
                {
                    "display": "Urutan Kelahiran (Apabila kembar)",
                    "reference": "urn:uuid:a780f795-3f60-4c61-8183-950828554bd1"
                },
                {
                    "display": "Jenis Tempat Bersalin",
                    "reference": "urn:uuid:42c99d94-0f6a-4089-bbea-bddf48349481"
                },
                {
                    "display": "Lokasi Tempat Bersalin",
                    "reference": "urn:uuid:41b01de6-745c-4d0c-baa6-185e3f307891"
                }
            ]
        },
        {
            "title": "Riwayat Kehamilan",
            "code": {
                "coding":  [
                    {
                        "system": "http://loinc.org",
                        "code": "57073-9",
                        "display": "Prenatal records"
                    }
                ]
            },
            "focus": {
                "reference": "Patient/P02280547535",
                "display": "Patient - Mother (Teresa Lee)"
            },
            "entry":  [
                {
                    "display": "Kehamilan Tunggal/Kembar",
                    "reference": "urn:uuid:8e9abd33-7bc8-4071-a48b-135bb20fd07b"
                }
            ]
        }
    ]
}
        
Variable Description
COMPOSITION_LOCAL_CODE Local ID for Composition
PATIENT_IHS_NUMBER Patient ID obtained from the SATUSEHAT Master Patient Index
PATIENT_NAME Patient name
COMPOSITION_RECORD_DATETIME Date this form was submitted (system-generated date)
PRACTITIONER_IHS_NUMBER Healthcare professional ID obtained from the "Master Healthcare Professional Index"
PRACTITIONER_NAME Healthcare professional name
ORGANIZATION_IHS_NUMBER {organization-ihs-number} in SATUSEHAT
FACILITY_NAME Organization name
OBSERVATION1_FHIR_ID Observation ID data age at death (years)
OBSERVATION2_FHIR_ID Observation ID data date of death
OBSERVATION3_FHIR_ID Observation ID data duration of maternal death
OBSERVATION4_FHIR_ID Observation ID data type of place of death
OBSERVATION5_FHIR_ID Observation ID data gravida
OBSERVATION6_FHIR_ID Observation ID data parity
OBSERVATION7_FHIR_ID Observation ID data abortus
OBSERVATION8_FHIR_ID Observation ID data gestational age (months)
CONDITION1_FHIR_ID__ Condition ID data suspected cause of death
LOCATION1_FHIR_ID__ Location ID data place of death
LOCATION2_FHIR_ID__ Location ID data address of residence

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

[none]

After the data in step 2.1. - 2.5. has been formed, the next step is that all data will be sent simultaneously using the Bundle resource with the template below:

> `NOTE:` > Bundle.entry is an *Array*, which can hold more than 1 data. Filled with all FHIR resource data in JSON format that has been created in part 2.1. - 2.5.

Bundle data submission for Death history, birth delivery history, pregnancy history, and Mother's identity data

{
    "resourceType": "Bundle",
    "type": "transaction",
    "entry":  [
        {
            "fullUrl": "urn:uuid:3fc32f06-f711-440a-abda-2ff2c1bf53ec",
            "resource": {
                "resourceType": "Composition",
                "identifier": {
                    "system": "http://sys-ids.kemkes.go.id/composition/10000004",
                    "value": "2361720002"
                },
                "status": "final",
                "extension":  [
                    {
                        "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/DocumentStatus",
                        "extension":  [
                            {
                                "url": "statusCode",
                                "valueCode": "final"
                            },
                            {
                                "url": "statusTime",
                                "valueDateTime": "06/22/2023 07:30:00"
                            },
                            {
                                "url": "statusAssigner",
                                "valueReference": {
                                    "reference": "Practitioner/123",
                                    "display": "Dr. John Doe"
                                }
                            }
                        ]
                    }
                ],
                "type": {
                    "coding":  [
                        {
                            "system": "http://terminology.kemkes.go.id/CodeSystem/composition-type",
                            "code": "COM000002",
                            "display": "Form Lahir Mati"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "date": "06/22/2023 07:30:00",
                "author":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "title": "Notifikasi Kematian Perinatal",
                "attester":  [
                    {
                        "mode": "legal",
                        "party": {
                            "reference": "Organization/10000004",
                            "display": "Puskesmas Sangat Waras"
                        }
                    }
                ],
                "section":  [
                    {
                        "title": "Riwayat Kematian Anak",
                        "code": {
                            "coding":  [
                                {
                                    "system": "http://loinc.org",
                                    "code": "64297-5",
                                    "display": "DeathInvestigation"
                                }
                            ]
                        },
                        "focus": {
                            "reference": "Patient/100000030009",
                            "display": "Baby of Teresa Lee (Fetus Not Named)"
                        },
                        "entry":  [
                            {
                                "display": "Tempat Meninggal Faskes",
                                "reference": "urn:uuid:93fb25ed-5566-4c97-975e-25bfb18a79b8"
                            },
                            {
                                "display": "Jenis Kematian",
                                "reference": "urn:uuid:c238dbef-13b7-4641-bcac-39efcc8ae48f"
                            },
                            {
                                "display": "Tanggal dan Jam Meninggal",
                                "reference": "urn:uuid:1bd4f381-4518-472d-9714-0bc76421da9e"
                            },
                            {
                                "display": "Masa Terjadi Kematian Anak",
                                "reference": "urn:uuid:3a7d80eb-7b9a-4761-809b-e155205852d8"
                            },
                            {
                                "display": "Dugaan Sebab Kematian",
                                "reference": "urn:uuid:0396b598-b28d-4f5c-8917-550e0b68a612"
                            },
                            {
                                "display": "Jenis Tempat Meninggal",
                                "reference": "urn:uuid:a45ce50a-7b00-4b49-985c-5e3b46f7b372"
                            },
                            {
                                "display": "Maserasi",
                                "reference": "urn:uuid:013dcfcc-2c69-4b59-8ebd-04061bcf1f64"
                            },
                            {
                                "display": "Keluhan/Gejala Utama Sebelum Bayi Meninggal",
                                "reference": "urn:uuid:90c958b9-0273-420f-8a0f-7c5b1dc11311"
                            },
                            {
                                "display": "Kondisi Ibu sebelum janin meninggal",
                                "reference": "urn:uuid:05a7c9fc-7097-4c55-b2e8-081a64fd48d0"
                            }
                        ]
                    },
                    {
                        "title": "Riwayat Persalinan",
                        "code": {
                            "coding":  [
                                {
                                    "system": "http://loinc.org",
                                    "code": "15508-5",
                                    "display": "Labor and delivery records"
                                }
                            ]
                        },
                        "focus": {
                            "reference": "Patient/100000030009",
                            "display": "Baby of Teresa Lee (Fetus Not Named)"
                        },
                        "entry":  [
                            {
                                "display": "Berat Lahir (dalam gram)",
                                "reference": "urn:uuid:493e888d-b22d-4877-ac60-6d731482e1ab"
                            },
                            {
                                "display": "Kelainan Bawaan",
                                "reference": "urn:uuid:69b48064-b605-4944-8ec7-5e207d3f2c83"
                            }
                        ]
                    },
                    {
                        "title": "Riwayat Kehamilan",
                        "code": {
                            "coding":  [
                                {
                                    "system": "http://loinc.org",
                                    "code": "57073-9",
                                    "display": "Prenatal records"
                                }
                            ]
                        },
                        "focus": {
                            "reference": "Patient/P02280547535",
                            "display": "Patient - Mother (Teresa Lee)"
                        },
                        "entry":  [
                            {
                                "display": "Gravida",
                                "reference": "urn:uuid:ee28d7b9-8912-4e64-a4ae-ea9b05419b0c"
                            },
                            {
                                "display": "Usia kehamilan",
                                "reference": "urn:uuid:30ae2630-80ed-4046-a7be-17b069de4d2e"
                            },
                            {
                                "display": "Tanggal HPHT",
                                "reference": "urn:uuid:ceb122af-e464-463d-91ec-7f7fc84e3b63"
                            }
                        ]
                    },
                    {
                        "title": "Data Dasar Ibu",
                        "code": {
                            "coding":  [
                                {
                                    "system": "http://loinc.org",
                                    "code": "45970-1",
                                    "display": "Demographic information section"
                                }
                            ]
                        },
                        "focus": {
                            "reference": "Patient/P02280547535",
                            "display": "Patient - Mother (Teresa Lee)"
                        },
                        "entry":  [
                            {
                                "display": "Umur Ibu Ketika Anak Meninggal",
                                "reference": "urn:uuid:af8f89dd-51f5-43b8-b7dc-36df958e3f52"
                            }
                        ]
                    }
                ]
            },
            "request": {
                "method": "POST",
                "url": "Composition"
            }
        },
        {
            "fullUrl": "urn:uuid:93fb25ed-5566-4c97-975e-25bfb18a79b8",
            "resource": {
                "resourceType": "Location",
                "name": "Puskemas Sangat Waras",
                "type":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.kemkes.go.id/CodeSystem/location-type",
                                "code": "LT000002",
                                "display": "Tempat Meninggal Faskes"
                            }
                        ]
                    },
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.kemkes.go.id/CodeSystem/location-type",
                                "code": "LT000005",
                                "display": "Alamat Mati"
                            }
                        ]
                    }
                ],
                "managingOrganization": {
                    "reference": "Organization/10000004",
                    "display": "Puskesmas Sangat Waras"
                },
                "address": {
                    "use": "work",
                    "line":  [
                        "Gd. Prof. Dr. Sujudi Lt.5, Jl. H.R. Rasuna Said Blok X5 Kav. 4-9 Kuningan"
                    ],
                    "city": "Jakarta",
                    "postalCode": "12950",
                    "country": "ID",
                    "extension":  [
                        {
                            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/administrativeCode",
                            "extension":  [
                                {
                                    "url": "province",
                                    "valueCode": "10"
                                },
                                {
                                    "url": "city",
                                    "valueCode": "1010"
                                },
                                {
                                    "url": "district",
                                    "valueCode": "1010101"
                                },
                                {
                                    "url": "village",
                                    "valueCode": "101010110"
                                },
                                {
                                    "url": "rt",
                                    "valueCode": "1"
                                },
                                {
                                    "url": "rw",
                                    "valueCode": "25"
                                }
                            ]
                        }
                    ]
                }
            },
            "request": {
                "method": "POST",
                "url": "Location"
            }
        },
        {
            "fullUrl": "urn:uuid:c238dbef-13b7-4641-bcac-39efcc8ae48f",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://loinc.org",
                            "code": "64710-7",
                            "display": "Was your pregnancy a live birth, stillbirth, miscarriage, abortion, or ectopic pregnancy [PhenX]"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "237361005",
                            "display": "Antepartum fetal death"
                        }
                    ]
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:1bd4f381-4518-472d-9714-0bc76421da9e",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "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",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueDateTime": "01/01/2023 08:30:25"
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:3a7d80eb-7b9a-4761-809b-e155205852d8",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                            "code": "OC000027",
                            "display": "Masa terjadi Kematian Anak"
                        },
                        {
                            "system": "http://terminology.kemkes.go.id/CodeSystem/who/ikp-custom-codes",
                            "code": "IKP.SS.DE2",
                            "display": "Masa Terjadi Kematian Anak"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "1156673006",
                            "display": "Fetal antenatal period"
                        }
                    ],
                    "text": "Sebelum proses persalinan/sedang hamil"
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:0396b598-b28d-4f5c-8917-550e0b68a612",
            "resource": {
                "resourceType": "Observation",
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                            "code": "OC000033",
                            "display": "Dugaan Sebab Kematian"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "276659006",
                            "display": "Clinical infection of newborn"
                        }
                    ]
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:a45ce50a-7b00-4b49-985c-5e3b46f7b372",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                            "code": "OC000028",
                            "display": "Jenis Tempat Meninggal"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "79993009",
                            "display": "Government hospital"
                        }
                    ],
                    "text": "RS Pemerintah"
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:013dcfcc-2c69-4b59-8ebd-04061bcf1f64",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "198901003",
                            "display": "Macerated fetus"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                            "code": "OV000048",
                            "display": "Maserasi Tingkat Satu"
                        }
                    ]
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:90c958b9-0273-420f-8a0f-7c5b1dc11311",
            "resource": {
                "resourceType": "Condition",
                "verificationStatus": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                            "code": "confirmed",
                            "display": "Confirmed"
                        }
                    ]
                },
                "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": "91175000",
                            "display": "Seizure"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "onsetDateTime": "01/01/2023 08:30:25",
                "recordedDate": "01/01/2023 08:30:25",
                "recorder": {
                    "reference": "Practitioner/N10000001",
                    "display": "Dokter Bronsig"
                }
            },
            "request": {
                "method": "POST",
                "url": "Condition"
            }
        },
        {
            "fullUrl": "urn:uuid:05a7c9fc-7097-4c55-b2e8-081a64fd48d0",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "social-history",
                                "display": "Social History"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                            "code": "OC000031",
                            "display": "Kondisi ibu sebelum janin meninggal (Penyulit Obstetrik)"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "90325002",
                            "display": "Vomiting of pregnancy"
                        }
                    ]
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:493e888d-b22d-4877-ac60-6d731482e1ab",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "status": "final",
                "code": {
                    "coding":  [
                        {
                            "system": "http://loinc.org",
                            "code": "8339-4",
                            "display": "Birth weight Measured"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueQuantity": {
                    "value": 3000,
                    "unit": "gram",
                    "system": "http://unitsofmeasure.org",
                    "code": "g"
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:69b48064-b605-4944-8ec7-5e207d3f2c83",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "status": "final",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "276654001",
                            "display": "Congenital malformation"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/100000030009",
                    "display": "Baby of Teresa Lee (Fetus Not Named)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "89369001",
                            "display": "Anencephaly"
                        }
                    ]
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:ee28d7b9-8912-4e64-a4ae-ea9b05419b0c",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://loinc.org",
                            "code": "11996-6",
                            "display": "[#] Pregnancies"
                        },
                        {
                            "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                            "code": "ANC.B6.DE24",
                            "display": "Number of pregnancies (gravida)"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/P02280547535",
                    "display": "Patient - Mother (Teresa Lee)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueInteger": 2
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:30ae2630-80ed-4046-a7be-17b069de4d2e",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://loinc.org",
                            "code": "18185-9",
                            "display": "Gestational age"
                        },
                        {
                            "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                            "code": "ANC.B6.DE17",
                            "display": "Gestational age"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/P02280547535",
                    "display": "Patient - Mother (Teresa Lee)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueQuantity": {
                    "value": 7,
                    "unit": "week",
                    "system": "http://unitsofmeasure.org",
                    "code": "wk"
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:caea22e9-4fd0-440d-9427-b42dbb333780",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://loinc.org",
                            "code": "8665-2",
                            "display": "Last menstrual period start date"
                        },
                        {
                            "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                            "code": "ANC.B6.DE14",
                            "display": "Last menstrual period (LMP) date"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/P02280547535",
                    "display": "Patient - Mother (Teresa Lee)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueDateTime": "11/01/2021 08:30:25"
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:af8f89dd-51f5-43b8-b7dc-36df958e3f52",
            "resource": {
                "resourceType": "Observation",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/observation/1000004",
                        "value": "O1111111"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "survey",
                                "display": "Survey"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://loinc.org",
                            "code": "30525-0",
                            "display": "Age"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/P02280547535",
                    "display": "Patient - Mother (Teresa Lee)"
                },
                "encounter": {
                    "reference": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
                },
                "effectiveDateTime": "01/01/2023 08:30:25",
                "issued": "01/01/2023 08:30:25",
                "performer":  [
                    {
                        "reference": "Practitioner/N10000001",
                        "display": "Dokter Bronsig"
                    }
                ],
                "valueQuantity": {
                    "value": 40,
                    "unit": "years",
                    "system": "http://unitsofmeasure.org",
                    "code": "a"
                }
            },
            "request": {
                "method": "POST",
                "url": "Observation"
            }
        },
        {
            "fullUrl": "urn:uuid:45e436ea-d6c7-4059-8cbe-e00fb2c665d8",
            "resource": {
                "resourceType": "Encounter",
                "id": "45e436ea-d6c7-4059-8cbe-e00fb2c665d8",
                "identifier":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/encounter/10000004",
                        "value": "MPDN-MATERNAL-23_3578_0053"
                    },
                    {
                        "use": "temp",
                        "system": "http://sys-ids.kemkes.go.id/mpdn/10000004",
                        "value": "MPDN-MATERNAL-23_3578_0053"
                    }
                ],
                "status": "finished",
                "class": {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                    "code": "AMB",
                    "display": "ambulatory"
                },
                "subject": {
                    "display": "Patient - Mother (Teresa Lee)",
                    "reference": "Patient/P02280547535"
                },
                "participant":  [
                    {
                        "type":  [
                            {
                                "coding":  [
                                    {
                                        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                                        "code": "ATND",
                                        "display": "attender"
                                    }
                                ]
                            }
                        ],
                        "individual": {
                            "reference": "Practitioner/N10000001",
                            "display": "Dokter Bronsig"
                        }
                    }
                ],
                "period": {
                    "start": "12/30/2022 00:00:30",
                    "end": "12/30/2022 08:30:30"
                },
                "location":  [
                    {
                        "location": {
                            "display": "General Ward, Ruang 1 No 3",
                            "reference": "Location/ef011065-38c9-46f8-9c35-d1fe68966a3e"
                        }
                    }
                ],
                "statusHistory":  [
                    {
                        "status": "arrived",
                        "period": {
                            "start": "12/30/2022 00:00:30",
                            "end": "12/30/2022 00:15:30"
                        }
                    },
                    {
                        "period": {
                            "start": "12/30/2022 00:15:30",
                            "end": "12/30/2022 08:30:30"
                        },
                        "status": "in-progress"
                    },
                    {
                        "period": {
                            "start": "12/30/2022 08:30:30",
                            "end": "12/30/2022 08:30:30"
                        },
                        "status": "finished"
                    }
                ],
                "serviceProvider": {
                    "reference": "Organization/10000004"
                }
            },
            "request": {
                "method": "PUT",
                "url": "Encounter/45e436ea-d6c7-4059-8cbe-e00fb2c665d8"
            }
        }
    ]
}
{
    "resourceType" : "Bundle",
    "type" : "transaction",
    "entry" : [
        {
            "fullUrl" : "urn:uuid:{{BUNDLE_TEMPORARY_UUID}}",
            "resource" : {{BUNDLE_RESOURCE_VALUE}},
            "request": {
                "method": "POST",
                "url": "{{BUNDLE_RESOURCE_URL_PATH}}"
            }
        }
    ]
}
		
Variabel Deskripsi
BUNDLE_TEMPORARY_UUID Used to temporarily identify resources within the bundle. You can use a UUID generated from UUID generator.
After obtaining a UUID, input it in the format: "urn:uuid:[uuid number]"
Example "fullUrl": "urn:uuid:ba5a7dec-023f-45e1-adb9-1b9d71737a5f"
BUNDLE_RESOURCE_VALUE The content of the resource to be sent.
BUNDLE_RESOURCE_URL_PATH The type of resource to be sent.

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

[none]

D. Reference:

Postman Mortality Record Playbook Mortality Record Postman Resume Medis Rawat Jalan SatuSehat