Kesehatan Maternal dan Neonatal

Use-case Kesehatan Maternal Dan Neonatal atau sering disebut dengan Maternal and Neonatal Health (MNH) dapat dibagi menjadi beberapa kategori sub use-case yang meliputi:

  • Kematian Maternal dan Perinatal : Meliputi skenario pelaporan kematian ibu dan anak. Data pelaporan kematian di use-case ini akan dijadikan sebagai dasar analisis penyebab kematian. Melalui pelaporan yang sistematis dan terstruktur, data tersebut dapat dikumpulkan dan dianalisis untuk mengidentifikasi faktor-faktor yang berperan dalam kematian ibu dan anak dan mengembangkan intervensi yang tepat untuk mencegah atau mengurangi angka kematian ibu dan anak di masa depan.

  • Antenatal Care (ANC) : Meliputi pemantauan dan perawatan selama masa kehamilan. Ini termasuk pemeriksaan kehamilan, skrining dan deteksi dini penyakit, pemantauan pertumbuhan janin, penanganan komplikasi kehamilan, serta penyuluhan dan konseling kepada ibu mengenai perawatan dan persiapan persalinan. Data setiap kunjungan pasien akan dicatat dan dikirim sesuai dengan kunjungan pasien secara rutin. Kemudian pada kunjungan akhir perawatan ANC dilakukan pencatatan hasil akhir dan dikirimkan ke SATUSEHAT.

Implementasi Use Case Kematian Maternal dan Perinatal

Last Updated: 2023/10/20

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 Kematian Ibu dan Anak Playbook Kematian Ibu dan Anak Postman Resume Medis Rawat Jalan SatuSehat

Implementasi Use Case Antenatal Care

Last Updated: 2023/12/12

A. Pendahuluan

Implementasi pelaporan pemeriksaan antenatal care (ANC) secara umum dapat dibagi menjadi 14 bagian:

  1. Pendaftaran Pasien
  2. Pendaftaran Kunjungan Pasien
  3. Pengiriman Data Status Obstetri
  4. Pengiriman Data Kunjungan Kehamilan
  5. Pengiriman Data Pelayanan Kehamilan (Hasil Pemeriksaan Ibu dan Janin)
  6. Pengiriman Data Tindakan
  7. Pengiriman Data Tema Konseling/Temu Wicara/Edukasi
  8. Pengiriman Data Pemeriksaan Penunjang (Laboratorium dan Radiologi)
  9. Pengiriman Data Peresepan Obat
  10. Pengiriman Data Pengeluaran Obat
  11. Pengiriman Data Diagnosis
  12. Pengiriman Data Kondisi Saat Meninggalkan Faskes
  13. Pengiriman Data Rencana Tindak lanjut / Cara Keluar
  14. Pengiriman Data Menutup Episode Kehamilan

Rangkaian proses pelayanan antenatal dimulai ketika pasien Ibu datang ke fasyankes untuk mendapatkan pelayanan antenatal. Pemeriksaan ibu akan dilakukan secara berkala hingga 6 kali pertemuan. Setiap pertemuan tersebut akan mencakup proses pemeriksaan, pengobatan, dan pelaporan keadaan ibu. Hasil pemeriksaan ini berperan dalam proses pemantauan kehamilan ibu dan juga sebagai dasar tatalaksana medis selama masa kehamilan hingga nifas.

Alur proses kegiatan ANC dapat direpresentasikan dengan alur di bawah ini:

anc_skema

Gambar 1. Skema Pelayanan ANC beserta FHIR resource yang terlibat

Data setiap kunjungan pasien akan dicatat dan dikirim sesuai dengan kunjungan pasien secara rutin. Kemudian pada kunjungan akhir perawatan ANC dilakukan pencatatan hasil akhir dan dikirimkan ke SATUSEHAT.

B. Strategi Pengiriman data ke SATUSEHAT

SATUSEHAT menyediakan dua pilihan cara mengirimkan data use case Pelayanan Antenatal:

1. Berbasis Resource

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

2. Berbasis Bundle

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

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

Category No Resource Entry Mandatory
Base 1 Patient Required
2 Practitioner Required
3 Organization Required
4 Location Required
5 Encounter * Required
Clinical 6 Condition Required
7 Observation Required
8 ServiceRequest Optional
9 Specimen Optional
10 QuestionnaireResponse Optional
11 Medication Optional
12 MedicationRequest Optional
13 MedicationDispense Optional
14 DiagnosticReport Optional
15 FamilyMemberHistory Optional
16 EpisodeOfCare Optional
17 Immunization Optional
18 Procedure Optional


Notes:

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

C. Langkah-Langkah Pengiriman Data ke SATUSEHAT

Step 1. Pendaftaran Pasien

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

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

Step 2. Pendaftaran Kunjungan Pasien

Pembuatan Kunjungan Baru

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.

CATATAN: Penjelasan tipe mandatoris, deskripsi dan format pengisian dari setiap elemen data/path di dalam resource Encounter (data pendaftaran kunjungan pasien), dapat dilihat dalam resource Encounter.

{
    "resourceType": "Encounter",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/10000004",
            "value": "P20240005"
        },
        {
            "system": "http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC",
            "value": "K1A"
        }
    ],
    "status": "arrived",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "participant":  [
        {
            "type":  [
                {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "individual": {
                "reference": "Practitioner/N10000001",
                "display": "Dokter Bronsig"
            }
        }
    ],
    "period": {
        "start": "2023-08-31T00:00:00+00:00"
    },
    "location":  [
        {
            "location": {
                "reference": "Location/c87e0ca7-badc-4c60-9080-277aaaf27a88",
                "display": "Ruang Poli ANC, Departemen KIA, Lantai 2, Gedung Utama"
            }
        }
    ],
    "statusHistory":  [
        {
            "status": "arrived",
            "period": {
                "start": "2023-08-31T00:00:00+00:00"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/10000004"
    }
}
{
    "resourceType": "Encounter",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/{{ORGANIZATION_IHS_NUMBER}}",
            "value": "{{ENCOUNTER_LOCAL_CODE}}"
        },
        {
            "system": "http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC",
            "value": "{{STATUS_KUNJUNGAN_ANC}}"
        }
    ],
    "status": "arrived",
    "statusHistory": [
        {
            "status": "arrived",
            "period": {
                "start": "{{ENCOUNTER_PERIOD1_START}}",
            }
        }
    ],
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "participant": [
        {
            "type": [
                {
                    "coding": [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "individual": {
                "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
                "display": "{{DOCTOR_NAME}}"
            }
        }
    ],
    "period": {
        "start": "{{ENCOUNTER_PERIOD1_START}}"
    },
    "location": [
        {
            "location": {
                "reference": "Location/{{ENCOUNTER_LOCATION_ID}}",
                "display": "{{ENCOUNTER_LOCATION_NAME}}"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/{{ORGANIZATION_IHS_NUMBER}}"
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER ID organisasi induk yang didapatkan dari master sarana indeks
ENCOUNTER_LOCAL_CODE Kode atau ID lokal/nomor kunjungan lokal yang disimpan di sistem internal masing-masing organisasi
STATUS_KUNJUNGAN_ANC (*) Status kunjungan ANC yang menyatakan apakah kunjungan tersebut masuk kedalam kunjungan K1 akses, kunjungan K1 murni, kunjungan K2 dan lain sebagainya. Referensi ke value set "Status Kunjungan ANC"
ENCOUNTER_PERIOD1_START Waktu mulai, sama dengan waktu kedatangan pasien
ENCOUNTER_PERIOD1_END Waktu selesai, sama dengan waktu berakhirnya suatu status kunjungan
PATIENT_IHS_NUMBER ID Patient yang didapatkan dari master pasien indeks
PATIENT_NAME Nama Pasien
DOCTOR_IHS_NUMBER ID Nakes organisasi induk yang didapatkan dari master Nakes indeks
DOCTOR_NAME Nama Nakes
ENCOUNTER_LOCATION_ID Berisi data lokasi dari pertemuan pasien. Dapat diisi oleh ruangan periksa pasien / poli pemeriksaannya dengan tipe data Reference, yang direferensikan ke ID Location yang didapatkan dari server
ENCOUNTER_LOCATION_NAME Nama lokasi dari pertemuan pasien

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


Masuk ke ruang pemeriksaan

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.

CATATAN: Penjelasan tipe mandatoris, deskripsi dan format pengisian dari setiap elemen data/path di dalam resource Encounter (data pendaftaran kunjungan pasien), dapat dilihat dalam resource Encounter.

{
    "resourceType": "Encounter",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/10000004",
            "value": "P20240005"
        },
        {
            "system": "http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC",
            "value": "K1A"
        }
    ],
    "status": "arrived",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "participant":  [
        {
            "type":  [
                {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "individual": {
                "reference": "Practitioner/N10000001",
                "display": "Dokter Bronsig"
            }
        }
    ],
    "period": {
        "start": "2023-08-31T00:00:00+00:00"
    },
    "location":  [
        {
            "location": {
                "reference": "Location/c87e0ca7-badc-4c60-9080-277aaaf27a88",
                "display": "Ruang Poli ANC, Departemen KIA, Lantai 2, Gedung Utama"
            }
        }
    ],
    "statusHistory":  [
        {
            "status": "arrived",
            "period": {
                "start": "2023-08-31T00:00:00+00:00"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/10000004"
    }
}
{
    "resourceType": "Encounter",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/{{ORGANIZATION_IHS_NUMBER}}",
            "value": "{{ENCOUNTER_LOCAL_CODE}}"
        },
        {
            "system": "http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC",
            "value": "{{STATUS_KUNJUNGAN_ANC}}"
        }
    ],
    "status": "in-progress",
    "statusHistory": [
        {
            "status": "arrived",
            "period": {
                "start": "{{ENCOUNTER_PERIOD1_START}}",
				"end": "{{ENCOUNTER_PERIOD1_END}}"
            }
        },
        {
            "status": "in-progress",
            "period": {
                "start": "{{ENCOUNTER_PERIOD1_START}}",
            }
        }
    ],
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "participant": [
        {
            "type": [
                {
                    "coding": [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "individual": {
                "reference": "Practitioner/{{DOCTOR_IHS_NUMBER}}",
                "display": "{{DOCTOR_NAME}}"
            }
        }
    ],
    "period": {
        "start": "{{ENCOUNTER_PERIOD1_START}}"
    },
    "location": [
        {
            "location": {
                "reference": "Location/{{ENCOUNTER_LOCATION_ID}}",
                "display": "{{ENCOUNTER_LOCATION_NAME}}"
            }
        }
    ],
    "serviceProvider": {
        "reference": "Organization/{{ORGANIZATION_IHS_NUMBER}}"
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER ID organisasi induk yang didapatkan dari master sarana indeks
ENCOUNTER_LOCAL_CODE Kode atau ID lokal/nomor kunjungan lokal yang disimpan di sistem internal masing-masing organisasi
STATUS_KUNJUNGAN_ANC (*) Status kunjungan ANC yang menyatakan apakah kunjungan tersebut masuk kedalam kunjungan K1 akses, kunjungan K1 murni, kunjungan K2 dan lain sebagainya. Referensi ke value set "Status Kunjungan ANC"
ENCOUNTER_PERIOD1_START Waktu mulai, sama dengan waktu kedatangan pasien
ENCOUNTER_PERIOD1_END Waktu selesai, sama dengan waktu berakhirnya suatu status kunjungan
PATIENT_IHS_NUMBER ID Patient yang didapatkan dari master pasien indeks
PATIENT_NAME Nama Pasien
DOCTOR_IHS_NUMBER ID Nakes organisasi induk yang didapatkan dari master Nakes indeks
DOCTOR_NAME Nama Nakes
ENCOUNTER_LOCATION_ID Berisi data lokasi dari pertemuan pasien. Dapat diisi oleh ruangan periksa pasien / poli pemeriksaannya dengan tipe data Reference, yang direferensikan ke ID Location yang didapatkan dari server
ENCOUNTER_LOCATION_NAME Nama lokasi dari pertemuan pasien

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


Memulai Episode Kehamilan saat Kunjungan pertama kali ANC

Saat pasien berkunjung untuk mendapatkan pelayanan ANC yang pertama kali, maka data resource EpisodeOfCare harus dikirimkan. Pembuatan resource EpisodeOfCare cukup dikirimkan satu kali saja saat pertama kali melakukan kunjungan ANC. Respons balikan dari SATUSEHAT berupa UUID kemudian digunakan untuk menandai data Encounter.episodeOfCare selama pasien hamil.

Pada saat pembuatan pembuatan baru EpisodeOfCare, maka EpisodeOfCare.period.start diisikan dengan nilai yang sama persis dengan tanggal HPHT (Hari Pertama Haid Terakhir) jika tersedia. Untuk pengisian EpisodeOfCare.period.end dilakukan saat menandai EpisodeOfCare.status sebagai finished dan harus diisikan dengan tanggal persalinan ibu.

CATATAN: Penjelasan tipe mandatoris, deskripsi dan format pengisian dari setiap elemen data/path di dalam resource EpisodeOfCare (episode kehamilan), dapat dilihat dalam resource EpisodeOfCare.

{
    "resourceType": "EpisodeOfCare",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/episode-of-care/10000004",
            "value": "EOC998802"
        }
    ],
    "status": "active",
    "statusHistory":  [
        {
            "status": "active",
            "period": {
                "start": "2023-08-31T00:00:00+00:00"
            }
        }
    ],
    "type":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.kemkes.go.id/CodeSystem/episodeofcare-type",
                    "code": "ANC",
                    "display": "Antenatal Care"
                }
            ]
        }
    ],
    "patient": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "managingOrganization": {
        "reference": "Organization/10000004"
    },
    "period": {
        "start": "2023-08-31T00:00:00+00:00"
    }
}
{
    "resourceType": "EpisodeOfCare",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/episode-of-care/{{ORGANIZATION_IHS_NUMBER}}",
            "value": "{{EPISODEOFCARE_LOCAL_CODE}}"
        }
    ],
    "status": "active",
    "statusHistory": [
        {
            "status": "active",
            "period": {
                "start": "{{EPISODEOFCARE_PERIOD1_START}}",
            }
        }
    ],
    "type": [
        {
            "coding": [
                {
                    "system": "http://terminology.kemkes.go.id/CodeSystem/episodeofcare-type",
                    "code": "ANC",
                    "display": "Antenatal Care"
                }
            ]
        }
    ],
    "patient": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "managingOrganization": {
        "reference": "Organization/{{ORGANIZATION_IHS_NUMBER}}"
    },
    "period": {
        "start": "{{EPISODEOFCARE_PERIOD1_START}}"
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER ID organisasi induk yang didapatkan dari master sarana indeks
EPISODEOFCARE_LOCAL_CODE Berisi kode atau nomor internal sub organisasi
EPISODEOFCARE_PERIOD1_START Waktu dimulainya suatu kategori status EpisodeOfCare
PATIENT_IHS_NUMBER ID Patient yang didapatkan dari master pasien indeks
PATIENT_NAME Nama Pasien

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

[none]

Step 3. Pengiriman Data Status Obstetri

Berikut adalah variabel hasil pemeriksaan yang dapat dikirimkan menggunakan resource Observation:
  1. Gravida
  2. Paritas
  3. Abortus
  4. Tanggal HPHT
  5. Hari Perkiraan Lahir (HPL)
  6. Berat Badan Sebelum Hamil
  7. Tinggi badan
  8. IMT Sebelum Hamil
  9. Target Kenaikan BB
  10. Jarak kehamilan saat ini dengan kehamilan sebelumnya

Sedangkan variabel Status TT (Imunisasi Tetanus Toxoid) dapat dikirimkan melalui resource Immunization.

CATATAN: Penjelasan tipe mandatoris, deskripsi dan format pengisian dari setiap elemen data/path di dalam resource Observation dan Immunization, dan contoh pengiriman data atau payload dari data tanda vital dapat dilihat dalam Postman Collection pada Petunjuk Teknis SATUSEHAT (Juknis SATSET).

Gravida

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "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/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T01:03:00+00:00",
    "issued": "2023-08-31T01:03:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueInteger": 2
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "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}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueInteger": "{{OBSERVATION_VALUE}}"
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi

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

[none]

Paritas

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "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/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T01:05:00+00:00",
    "issued": "2023-08-31T01:05:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueInteger": 1
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "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}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueInteger": "{{OBSERVATION_VALUE}}"
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi

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

[none]

Abortus

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "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/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T01:05:00+00:00",
    "issued": "2023-08-31T01:05:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueInteger": 0
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "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}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueInteger": "{{OBSERVATION_VALUE}}"
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi

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

[none]

Tanggal HPHT (Hari Pertama Haid Terakhir)

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "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/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T01:07:00+00:00",
    "issued": "2023-08-31T01:07:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueDateTime": "2023-08-31T01:07:00+00:00"
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "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}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueDateTime": "{{OBSERVATION_VALUE}}"
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi

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

[none]

Hari Perkiraan Lahir (HPL)

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11778-8",
                "display": "Delivery date Estimated"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B6.DE22",
                "display": "Expected date of delivery (EDD)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T01:08:00+00:00",
    "issued": "2023-08-31T01:08:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueDateTime": "2023-08-31T01:08:00+00:00"
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "11778-8",
                "display": "Delivery date Estimated"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B6.DE22",
                "display": "Expected date of delivery (EDD)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueDateTime": "{{OBSERVATION_VALUE}}"
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi

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

[none]

Berat Badan Sebelum Hamil

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "56077-1",
                "display": "Body weight --pre current pregnancy"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE2",
                "display": "Pre-gestational weight"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T01:09:00+00:00",
    "issued": "2023-08-31T01:09:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 58,
        "unit": "kg",
        "system": "http://unitsofmeasure.org",
        "code": "kg"
    }
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "56077-1",
                "display": "Body weight --pre current pregnancy"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE2",
                "display": "Pre-gestational weight"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "kg",
        "system": "http://unitsofmeasure.org",
        "code": "kg"
    }
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi

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

[none]

Tinggi Badan

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "vital-signs",
                    "display": "Vital Signs"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "8302-2",
                "display": "Body height"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE1",
                "display": "Height"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T01:10:00+00:00",
    "issued": "2023-08-31T01:10:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 158,
        "unit": "cm",
        "system": "http://unitsofmeasure.org",
        "code": "cm"
    }
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "vital-signs",
                    "display": "Vital Signs"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "8302-2",
                "display": "Body height"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE1",
                "display": "Height"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "cm",
        "system": "http://unitsofmeasure.org",
        "code": "cm"
    }
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi

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

[none]

Indeks massa tubuh (IMT) Sebelum Hamil

{
    "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": "OC000010",
                "display": "Indeks Massa Tubuh Sebelum Hamil"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE58",
                "display": "IMT Sebelum Hamil"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T01:10:00+00:00",
    "issued": "2023-08-31T01:10:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 25.2,
        "unit": "kg/m2",
        "system": "http://unitsofmeasure.org",
        "code": "kg/m2"
    },
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.kemkes.go.id/CodeSystem/ObservationInterpretation",
                    "code": "BMI-Normal",
                    "display": "Normal weight"
                }
            ]
        }
    ],
    "referenceRange":  [
        {
            "high": {
                "value": 18.5,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "text": "Kurus"
        },
        {
            "low": {
                "value": 18.5,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "high": {
                "value": 25,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "text": "Normal"
        },
        {
            "low": {
                "value": 25,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "high": {
                "value": 30,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "text": "Gemuk"
        },
        {
            "low": {
                "value": 30,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "text": "Obesitas"
        }
    ]
}
{
    "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": "OC000010",
                "display": "Indeks Massa Tubuh Sebelum Hamil"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE58",
                "display": "IMT Sebelum Hamil"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "kg/m2",
        "system": "http://unitsofmeasure.org",
        "code": "kg/m2"
    },
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "{{OBSERVATION_INTERPRETATION}}",
                    "code": "{{OBSERVATION_INTERPRETATION}}",
                    "display": "{{OBSERVATION_INTERPRETATION}}"
                }
            ]
        }
    ],
    "referenceRange":  [
        {
            "high": {
                "value": 18.5,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "text": "Kurus"
        },
        {
            "low": {
                "value": 18.5,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "high": {
                "value": 25,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "text": "Normal"
        },
        {
            "low": {
                "value": 25,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "high": {
                "value": 30,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "text": "Gemuk"
        },
        {
            "low": {
                "value": 30,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "text": "Obesitas"
        }
    ]
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi
OBSERVATION_INTERPRETATION (*) Berisi data hasil kesimpulan dari observasi yang dilakukan. Referensi ke value set "Interpretasi Indeks massa tubuh (IMT) Sebelum Hamil"

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

Interpretasi Indeks massa tubuh (IMT) Sebelum Hamil
No. Keterangan Observation.interpretation.coding.code Observation.interpretation.coding.display Observation.interpretation.coding.system
1 Kurus 248342006 Underweight http://snomed.info/sct
2 Normal BMI-Normal Normal weight http://terminology.kemkes.go.id/CodeSystem/ObservationInterpretation
3 Gemuk 238131007 Overweight http://snomed.info/sct
4 Obesitas 414915002 Obese http://snomed.info/sct

Target Kenaikan Berat Badan (BB)

{
    "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": "OC000011",
                "display": "Target Kenaikan Berat Badan"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE10",
                "display": "Expected weight gain"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T01:11:00+00:00",
    "issued": "2023-08-31T01:11:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "OV000009",
                "display": "7–11.5 kg"
            }
        ]
    }
}
{
    "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": "OC000011",
                "display": "Target Kenaikan Berat Badan"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE10",
                "display": "Expected weight gain"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueCodeableConcept": {
        "coding": [
            {
                "system": "{{OBSERVATION_VALUE}}",
                "code": "{{OBSERVATION_VALUE}}",
                "display": "{{OBSERVATION_VALUE}}"
            }
        ]
    }
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE (*) Nilai observasi. Referensi ke value set "Target Kenaikan Berat Badan"

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

Target Kenaikan Berat Badan
No Kode Display System
1 OV000008 5–9 kg Untuk IMT ≥ 30 (Obese)
2 OV000009 7–11.5 kg Untuk IMT 25.0-29.9 (Overweight)
3 OV000010 11.5–16 kg Untuk IMT 18.5-24.99 (Normal weight)
4 OV000011 12.5–18 kg Untuk IMT

Jarak kehamilan saat ini dengan kehamilan sebelumnya

{
    "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": "OC000001",
                "display": "Jarak kehamilan"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE53",
                "display": "Jarak kehamilan"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T01:12:00+00:00",
    "issued": "2023-08-31T01:12:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 34,
        "unit": "mo",
        "system": "http://unitsofmeasure.org",
        "code": "mo"
    }
}
{
    "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": "OC000001",
                "display": "Jarak kehamilan"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE53",
                "display": "Jarak kehamilan"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "mo",
        "system": "http://unitsofmeasure.org",
        "code": "mo"
    }
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi

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

[none]

Status Imunisasi TT (Tetanus Toxoid)

Pengiriman data status imunisasi tetanus disini mencakup imunisasi T0 (belum pernah), T1, T2, T3, T4, dan T5.

T0 (belum pernah)

Variabel dan terminologi yang digunakan dalam pengiriman data status imunisasi tetanus untuk T0/belum pernah melalui resource Immunization adalah sebagai berikut:
{
    "resourceType": "Immunization",
    "status": "not-done",
    "primarySource": false,
    "vaccineCode": {
        "coding":  [
            {
                "system": "http://sys-ids.kemkes.go.id/kfa",
                "code": "VG139",
                "display": "Td"
            }
        ]
    },
    "patient": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "occurrenceDateTime": "2023-08-31T01:13:00+00:00",
    "recorded": "2023-08-31T01:13:00+00:00",
    "reportOrigin": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/immunization-origin",
                "code": "recall",
                "display": "Parent/Guardian/Patient Recall"
            }
        ]
    },
    "performer":  [
        {
            "function": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0443",
                        "code": "AP",
                        "display": "Administering Provider"
                    }
                ]
            },
            "actor": {
                "reference": "Practitioner/N10000001"
            }
        }
    ],
    "statusReason": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "171257003",
                "display": "No consent - Tetanus/low dose diphtheria vaccine"
            }
        ]
    },
    "reasonCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.kemkes.go.id/CodeSystem/immunization-reason",
                    "code": "IM-WUS",
                    "display": "Imunisasi Program Rutin Lanjutan Wanita Usia Subur"
                }
            ]
        }
    ]
}
{
    "resourceType": "Immunization",
    "status": "not-done",
    "primarySource": false,
    "vaccineCode": {
        "coding":  [
            {
                "system": "http://sys-ids.kemkes.go.id/kfa",
                "code": "VG139",
                "display": "Td"
            },
            {
                "system": "http://hl7.org/fhir/sid/cvx",
                "code": "28",
                "display": "DT (pediatric)"
            },
            {
                "system": "http://sys-ids.kemkes.go.id/kfa",
                "code": "VG107",
                "display": "DTAP"
            }
        ]
    },
    "patient": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "occurrenceDateTime": "{{IMMUNIZATION_OCCURENCEDATETIME}}",
    "recorded": "{{IMMUNIZATION_RECORDED}}",
    "reportOrigin": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/immunization-origin",
                "code": "recall",
                "display": "Parent/Guardian/Patient Recall"
            }
        ]
    },
    "performer":  [
        {
            "function": {
                "coding":  [
                    {
                        "system": "{{IMMUNIZATION_PERFORMER_ROLE}}",
                        "code": "{{IMMUNIZATION_PERFORMER_ROLE}}",
                        "display": "{{IMMUNIZATION_PERFORMER_ROLE}}"
                    }
                ]
            },
            "actor": {
                "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
            }
        }
    ],
"statusReason": {
        "coding":  [
            {
                "system": "{{VACCINE_STATUS_REASON}}",
                "code": "{{VACCINE_STATUS_REASON}}",
                "display": "{{VACCINE_STATUS_REASON}}"
            }
        ]
    },
    "reasonCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.kemkes.go.id/CodeSystem/immunization-reason",
                    "code": "IM-WUS",
                    "display": "Imunisasi Program Rutin Lanjutan Wanita Usia Subur"
                }
            ]
        }
    ]
}
Variabel Deskripsi
VACCINE_STATUS_REASON (*) Berisi data alasan yang menyebabkan tidak dilakukannya vaksinasi, sehingga kolom ini hanya diisi apabila Immunization.status= "not-done". Referensi ke value set "Alasan Tidak Dilakukan Imunisasi"
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama Pasien
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
IMMUNIZATION_OCCURENCEDATETIME Kapan vaksin diadministrasikan dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz
IMMUNIZATION_RECORDED Kapan pencatatan vaksin dicatatkan (kemungkinan terjadi setelah vaksin diadministrasikan) dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz
IMMUNIZATION_PERFORMER_ROLE (*) Berisi data peran tenaga kesehatan dalam proses vaksin/imunisasi. Referensi ke value set "Peran Tenaga Kesehatan dalam Proses Imunisasi"
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
VACCINE_STATUS_REASON (*) Berisi data alasan yang menyebabkan tidak dilakukannya vaksinasi, sehingga kolom ini hanya diisi apabila Immunization.status= "not-done". Referensi ke value set "Alasan Tidak Dilakukan Imunisasi"

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

[none]

T1-T5

Variabel dan terminologi yang digunakan dalam pengiriman data status imunisasi tetanus untuk T1, T2, T3, T4, dan T5 melalui resource Immunization adalah sebagai berikut: Nilai T1-T5 dilampirkan pada field Immunization.doseNumberPositiveInt[0]

Cara pengisian Immunization.vaccineCode dibedakan berdasarkan kategori:

  1. Pencatatan Riwayat Imunisasi: dimana informasi jenis vaksin yang digunakan tidak diketahui secara detail, sehingga hanya perlu melampirkan 1 kode CVX Group.
  2. Pencatatan Tindakan Imunisasi: dimana informasi terkait jenis vaksin yang digunakan tercatat secara detail, sehingga perlu melampirkan 3 kode yaitu: kode KFA + kode CVX Name + kode CVX Group

Detail cara pengisian Immunization.vaccineCode dapat diakses di SATUSEHAT Portal

Pencatatan Riwayat Imunisasi

{
    "resourceType": "Immunization",
    "status": "completed",
    "primarySource": false,
    "vaccineCode": {
        "coding":  [
            {
                "system": "http://sys-ids.kemkes.go.id/kfa",
                "code": "VG139",
                "display": "Td"
            }
        ]
    },
    "patient": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "occurrenceDateTime": "2023-08-31T01:14:00+00:00",
    "recorded": "2023-08-31T01:14:00+00:00",
    "reportOrigin": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/immunization-origin",
                "code": "recall",
                "display": "Parent/Guardian/Patient Recall"
            }
        ]
    },
    "performer":  [
        {
            "function": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0443",
                        "code": "AP",
                        "display": "Administering Provider"
                    }
                ]
            },
            "actor": {
                "reference": "Practitioner/N10000001"
            }
        }
    ],
    "reasonCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.kemkes.go.id/CodeSystem/immunization-reason",
                    "code": "IM-WUS",
                    "display": "Imunisasi Program Rutin Lanjutan Wanita Usia Subur"
                }
            ]
        }
    ],
    "protocolApplied":  [
        {
            "doseNumberPositiveInt": 1
        }
    ],
    "lotNumber": "AB0092",
    "expirationDate": "2025-11-19"
}
{
    "resourceType": "Immunization",
    "status": "completed",
    "primarySource": false,
    "vaccineCode": {
        "coding":  [
            {
                "system": "http://sys-ids.kemkes.go.id/kfa",
                "code": "VG139",
                "display": "Td"
            },
            {
                "system": "http://hl7.org/fhir/sid/cvx",
                "code": "28",
                "display": "DT (pediatric)"
            },
            {
                "system": "http://sys-ids.kemkes.go.id/kfa",
                "code": "VG107",
                "display": "DTAP"
            }
        ]
    },
    "patient": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "occurrenceDateTime": "{{IMMUNIZATION_OCCURENCEDATETIME}}",
    "recorded": "{{IMMUNIZATION_RECORDED}}",
    "reportOrigin": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/immunization-origin",
                "code": "recall",
                "display": "Parent/Guardian/Patient Recall"
            }
        ]
    },
    "performer":  [
        {
            "function": {
                "coding":  [
                    {
                        "system": "{{IMMUNIZATION_PERFORMER_ROLE}}",
                        "code": "{{IMMUNIZATION_PERFORMER_ROLE}}",
                        "display": "{{IMMUNIZATION_PERFORMER_ROLE}}"
                    }
                ]
            },
            "actor": {
                "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
            }
        }
    ],
    "reasonCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.kemkes.go.id/CodeSystem/immunization-reason",
                    "code": "IM-WUS",
                    "display": "Imunisasi Program Rutin Lanjutan Wanita Usia Subur"
                }
            ]
        }
    ],
    "protocolApplied":  [
        {
            "doseNumberPositiveInt": "{{IMMUNIZATION_DOSE_NUMBER}}"
        }
    ],
    "lotNumber": "{{IMMUNIZATION_BATCH_NO}}",
    "expirationDate": "{{IMMUNIZATION_EXPIRATIONDATE}}"
}
Variabel Deskripsi
VACCINE_STATUS_REASON (*) Berisi data alasan yang menyebabkan tidak dilakukannya vaksinasi, sehingga kolom ini hanya diisi apabila Immunization.status= "not-done". Referensi ke value set "Alasan Tidak Dilakukan Imunisasi"
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama Pasien
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
IMMUNIZATION_OCCURENCEDATETIME Kapan vaksin diadministrasikan dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz
IMMUNIZATION_RECORDED Kapan pencatatan vaksin dicatatkan (kemungkinan terjadi setelah vaksin diadministrasikan) dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz
IMMUNIZATION_PERFORMER_ROLE (*) Berisi data peran tenaga kesehatan dalam proses vaksin/imunisasi. Referensi ke value set "Peran Tenaga Kesehatan dalam Proses Imunisasi"
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
IMMUNIZATION_DOSE_NUMBER Urutan dosis vaksin dalam seri pemberian vaksin yang direkomendasikan untuk diisi dengan tipe data positiveInt.
IMMUNIZATION_BATCH_NO Nomor batch vaksin yang diberikan dengan tipe data string
IMMUNIZATION_EXPIRATIONDATE Tanggal kadaluarsa vaksin yang diberikan dengan tipe data date dalam format YYYY-MM-DD

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

[none]

Pencatatan Tindakan Imunisasi

{
    "resourceType": "Immunization",
    "status": "completed",
    "primarySource": false,
    "vaccineCode": {
        "coding":  [
            {
                "system": "http://sys-ids.kemkes.go.id/kfa",
                "code": "93006992",
                "display": "Vaksin Tetanus Toxoid 10 Lf 0.5 mL (BIO FARMA)"
            },
            {
                "system": "http://hl7.org/fhir/sid/cvx",
                "code": "35",
                "display": "tetanus toxoid, adsorbed"
            },
            {
                "system": "http://sys-ids.kemkes.go.id/kfa",
                "code": "VG139",
                "display": "Td"
            }
        ]
    },
    "patient": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "occurrenceDateTime": "2023-08-31T01:14:00+00:00",
    "recorded": "2023-08-31T01:14:00+00:00",
    "reportOrigin": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/immunization-origin",
                "code": "provider",
                "display": "Other Provider"
            }
        ]
    },
    "performer":  [
        {
            "function": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0443",
                        "code": "AP",
                        "display": "Administering Provider"
                    }
                ]
            },
            "actor": {
                "reference": "Practitioner/N10000001"
            }
        }
    ],
    "reasonCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.kemkes.go.id/CodeSystem/immunization-reason",
                    "code": "IM-WUS",
                    "display": "Imunisasi Program Rutin Lanjutan Wanita Usia Subur"
                }
            ]
        }
    ],
    "protocolApplied":  [
        {
            "doseNumberPositiveInt": 1
        }
    ],
    "lotNumber": "AB0092",
    "expirationDate": "2025-11-19"
}
{
    "resourceType": "Immunization",
    "status": "completed",
    "primarySource": false,
    "vaccineCode": {
        "coding":  [
            {
                "system": "http://sys-ids.kemkes.go.id/kfa",
                "code": "{{IMMUNIZATION_KODE_KFA}}",
                "display": "{{IMMUNIZATION_KODE_KFA}}"
            },
            {
                "system": "http://hl7.org/fhir/sid/cvx",
                "code": "{{IMMUNIZATION_KODE_CVX_NAME}}",
                "display": "{{IMMUNIZATION_KODE_CVX_NAME}}"
            },
            {
                "system": "http://sys-ids.kemkes.go.id/kfa",
                "code": "{{IMMUNIZATION_KODE_CVX_GROUP}}",
                "display": "{{IMMUNIZATION_KODE_CVX_GROUP}}"
            }
        ]
    },
    "patient": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "occurrenceDateTime": "{{IMMUNIZATION_OCCURENCEDATETIME}}",
    "recorded": "{{IMMUNIZATION_RECORDED}}",
    "reportOrigin": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/immunization-origin",
                "code": "recall",
                "display": "Parent/Guardian/Patient Recall"
            }
        ]
    },
    "performer":  [
        {
            "function": {
                "coding":  [
                    {
                        "system": "{{IMMUNIZATION_PERFORMER_ROLE}}",
                        "code": "{{IMMUNIZATION_PERFORMER_ROLE}}",
                        "display": "{{IMMUNIZATION_PERFORMER_ROLE}}"
                    }
                ]
            },
            "actor": {
                "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
            }
        }
    ],
    "reasonCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.kemkes.go.id/CodeSystem/immunization-reason",
                    "code": "IM-WUS",
                    "display": "Imunisasi Program Rutin Lanjutan Wanita Usia Subur"
                }
            ]
        }
    ],
    "protocolApplied":  [
        {
            "doseNumberPositiveInt": "{{IMMUNIZATION_DOSE_NUMBER}}"
        }
    ],
    "lotNumber": "{{IMMUNIZATION_BATCH_NO}}",
    "expirationDate": "{{IMMUNIZATION_EXPIRATIONDATE}}"
}
Variabel Deskripsi
VACCINE_STATUS_REASON (*) Berisi data alasan yang menyebabkan tidak dilakukannya vaksinasi, sehingga kolom ini hanya diisi apabila Immunization.status= "not-done". Referensi ke value set "Alasan Tidak Dilakukan Imunisasi"
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama Pasien
IMMUNIZATION_KODE_KFA Jenis vaksin yang digunakan. Referensi ke browser KFA (Kode Kamus Farmasi dan Alat Kesehatan)
IMMUNIZATION_KODE_CXV_NAME Kategori jenis vaksin yang digunakan. Kode CVX Name sudah 1 set dengan kode KFA vaksin.
IMMUNIZATION_KODE_CXV_GROUP Kategori grup vaksin yang digunakan. Kode CVX Group sudah 1 set dengan kode KFA vaksin.
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
IMMUNIZATION_OCCURENCEDATETIME Kapan vaksin diadministrasikan dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz
IMMUNIZATION_RECORDED Kapan pencatatan vaksin dicatatkan (kemungkinan terjadi setelah vaksin diadministrasikan) dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz
IMMUNIZATION_PERFORMER_ROLE (*) Berisi data peran tenaga kesehatan dalam proses vaksin/imunisasi. Referensi ke value set "Peran Tenaga Kesehatan dalam Proses Imunisasi"
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
IMMUNIZATION_DOSE_NUMBER Urutan dosis vaksin dalam seri pemberian vaksin yang direkomendasikan untuk diisi dengan tipe data positiveInt.
IMMUNIZATION_BATCH_NO Nomor batch vaksin yang diberikan dengan tipe data string
IMMUNIZATION_EXPIRATIONDATE Tanggal kadaluarsa vaksin yang diberikan dengan tipe data date dalam format YYYY-MM-DD

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

[none]

Step 4. Data Kunjungan 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": "2023-06-22T14:30:00+07:00",
    "issued": "2023-06-22T14:30:00+07:00",
    "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/{{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": "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}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "week",
        "system": "http://unitsofmeasure.org",
        "code": "wk"
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi

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

[none]

Trimester ke-

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "32418-6",
                "display": "Obstetric trimester Stated"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE13",
                "display": "Trimester ke"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T14:01:15+00:00",
    "issued": "2023-08-31T14:01:15+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueInteger": 1
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "32418-6",
                "display": "Obstetric trimester Stated"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE13",
                "display": "Trimester ke"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueInteger": "{{OBSERVATION_VALUE}}"
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi

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

[none]

Step 5. Data Pelayanan Kehamilan

A. Pemeriksaan Ibu

Berat Badan Saat Kunjungan

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "vital-signs",
                    "display": "Vital Signs"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "29463-7",
                "display": "Body weight"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE3",
                "display": "Current  weight"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T01:17:00+00:00",
    "issued": "2023-08-31T01:17:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 63,
        "unit": "kg",
        "system": "http://unitsofmeasure.org",
        "code": "kg"
    }
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "vital-signs",
                    "display": "Vital Signs"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "29463-7",
                "display": "Body weight"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE3",
                "display": "Current  weight"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "kg",
        "system": "http://unitsofmeasure.org",
        "code": "kg"
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi

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

[none]

Lingkar lengan atas (LiLA) & Interpretasi LiLA

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "56072-2",
                "display": "Circumference Mid upper arm - right"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE3",
                "display": "Lingkar Lengan Atas (LILA)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T01:18:00+00:00",
    "issued": "2023-08-31T01:18:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 30,
        "unit": "cm",
        "system": "http://unitsofmeasure.org",
        "code": "cm"
    },
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                    "code": "OI000013",
                    "display": "Normal"
                }
            ]
        }
    ]
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "56072-2",
                "display": "Circumference Mid upper arm - right"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE3",
                "display": "Lingkar Lengan Atas (LILA)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "cm",
        "system": "http://unitsofmeasure.org",
        "code": "cm"
    },
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                    "code": "{{OBSERVATION_INTERPRETATION}}",
                    "display": "{{OBSERVATION_INTERPRETATION}}"
                }
            ]
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi
OBSERVATION_INTERPRETATION (*) Berisi data hasil kesimpulan dari observasi yang dilakukan. Referensi ke value set "Interpretasi LiLA (Lingkar Lengan Atas)"

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

Interpretasi LiLA (Lingkar Lengan Atas)
No. Observation.interpretation.coding.code Observation.interpretation.coding.display Observation.interpretation.coding.system
1 OI000018 Kurang Energi Kronis (KEK) http://terminology.kemkes.go.id/CodeSystem/clinical-term
2 OI000013 Normal http://terminology.kemkes.go.id/CodeSystem/clinical-term

Indeks Massa Tubuh

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "39156-5",
                "display": "Body mass index (BMI) [Ratio]"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE4",
                "display": "BMI"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T01:19:00+00:00",
    "issued": "2023-08-31T01:19:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 25.2,
        "unit": "kg/m2",
        "system": "http://unitsofmeasure.org",
        "code": "kg/m2"
    },
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.kemkes.go.id/CodeSystem/ObservationInterpretation",
                    "code": "BMI-Normal",
                    "display": "Normal weight"
                }
            ]
        }
    ],
    "referenceRange":  [
        {
            "high": {
                "value": 17,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "text": "Sangat kurus"
        },
        {
            "low": {
                "value": 17,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "high": {
                "value": 18.5,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "text": "Kurus"
        },
        {
            "low": {
                "value": 18.5,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "high": {
                "value": 25,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "text": "Normal"
        },
        {
            "low": {
                "value": 25,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "high": {
                "value": 27,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "text": "Gemuk"
        },
        {
            "low": {
                "value": 27,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "text": "Obesitas"
        }
    ]
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "39156-5",
                "display": "Body mass index (BMI) [Ratio]"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE4",
                "display": "BMI"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "kg/m2",
        "system": "http://unitsofmeasure.org",
        "code": "kg/m2"
    },
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "{{OBSERVATION_INTERPRETATION}}",
                    "code": "{{OBSERVATION_INTERPRETATION}}",
                    "display": "{{OBSERVATION_INTERPRETATION}}"
                }
            ]
        }
    ],
"referenceRange":  [
        {
            "high": {
                "value": 17,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "text": "Sangat kurus"
        },
        {
            "low": {
                "value": 17,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "high": {
                "value": 18.5,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "text": "Kurus"
        },
        {
            "low": {
                "value": 18.5,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "high": {
                "value": 25,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "text": "Normal"
        },
        {
            "low": {
                "value": 25,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "high": {
                "value": 27,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "text": "Gemuk"
        },
        {
            "low": {
                "value": 27,
                "unit": "kg/m2",
                "system": "http://unitsofmeasure.org",
                "code": "kg/m2"
            },
            "text": "Obesitas"
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi
OBSERVATION_INTERPRETATION (*) Berisi data hasil kesimpulan dari observasi yang dilakukan. Referensi ke value set "Indeks Massa Tubuh"

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

Indeks Massa Tubuh
No. Keterangan Observation.interpretation.coding.code Observation.interpretation.coding.display Observation.interpretation.coding.system
1 Kurus 248342006 Underweight http://snomed.info/sct
2 Normal BMI-Normal Normal weight http://terminology.kemkes.go.id/CodeSystem/ObservationInterpretation
3 Gemuk 238131007 Overweight http://snomed.info/sct
4 Obesitas 414915002 Obese http://snomed.info/sct
5 Underweight BMI-SevereUnder Severely Underweight http://terminology.kemkes.go.id/CodeSystem/ObservationInterpretation

Tinggi Fundus

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11881-0",
                "display": "Uterus Fundal height Tape measure"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE105",
                "display": "Symphysis-fundal height (SFH)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T01:19:00+00:00",
    "issued": "2023-08-31T01:19:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 7,
        "unit": "cm",
        "system": "http://unitsofmeasure.org",
        "code": "cm"
    }
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "11881-0",
                "display": "Uterus Fundal height Tape measure"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE105",
                "display": "Symphysis-fundal height (SFH)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "cm",
        "system": "http://unitsofmeasure.org",
        "code": "cm"
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi

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

[none]

Tekanan Darah Sistolik

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "vital-signs",
                    "display": "Vital Signs"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "8480-6",
                "display": "Systolic blood pressure"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE17",
                "display": "Systolic blood pressure"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T01:22:00+00:00",
    "issued": "2023-08-31T01:22:10+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 128,
        "unit": "mm[Hg]",
        "system": "http://unitsofmeasure.org",
        "code": "mm[Hg]"
    }
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "vital-signs",
                    "display": "Vital Signs"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "8480-6",
                "display": "Systolic blood pressure"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE17",
                "display": "Systolic blood pressure"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "mm[Hg]",
        "system": "http://unitsofmeasure.org",
        "code": "mm[Hg]"
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi

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

[none]

Tekanan Darah Diastolik

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "vital-signs",
                    "display": "Vital Signs"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "8462-4",
                "display": "Diastolic blood pressure"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE19",
                "display": "Diastolic blood pressure"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T01:22:00+00:00",
    "issued": "2023-08-31T01:22:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 70,
        "unit": "mm[Hg]",
        "system": "http://unitsofmeasure.org",
        "code": "mm[Hg]"
    }
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "vital-signs",
                    "display": "Vital Signs"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "8462-4",
                "display": "Diastolic blood pressure"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE19",
                "display": "Diastolic blood pressure"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "mm[Hg]",
        "system": "http://unitsofmeasure.org",
        "code": "mm[Hg]"
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi

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

[none]

Nadi

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "vital-signs",
                    "display": "Vital Signs"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "8867-4",
                "display": "Heart rate"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE36",
                "display": "Pulse rate"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T01:23:00+00:00",
    "issued": "2023-08-31T01:23:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 80,
        "unit": "beats/minute",
        "system": "http://unitsofmeasure.org",
        "code": "/min"
    }
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "vital-signs",
                    "display": "Vital Signs"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "8867-4",
                "display": "Heart rate"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE36",
                "display": "Pulse rate"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "beats/minute",
        "system": "http://unitsofmeasure.org",
        "code": "/min"
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi

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

[none]

Suhu

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "vital-signs",
                    "display": "Vital Signs"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "8310-5",
                "display": "Body temperature"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE34",
                "display": "Body temperature"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T01:25:00+00:00",
    "issued": "2023-08-31T01:25:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 36.7,
        "unit": "C",
        "system": "http://unitsofmeasure.org",
        "code": "Cel"
    }
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "vital-signs",
                    "display": "Vital Signs"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "8310-5",
                "display": "Body temperature"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE34",
                "display": "Body temperature"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "C",
        "system": "http://unitsofmeasure.org",
        "code": "Cel"
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi

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

[none]

Pernapasan

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "vital-signs",
                    "display": "Vital Signs"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "9279-1",
                "display": "Respiratory rate"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE2",
                "display": "Pernapasan"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T01:27:00+00:00",
    "issued": "2023-08-31T01:27:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 16,
        "unit": "breaths/minute",
        "system": "http://unitsofmeasure.org",
        "code": "/min"
    }
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "vital-signs",
                    "display": "Vital Signs"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "9279-1",
                "display": "Respiratory rate"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE2",
                "display": "Pernapasan"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "breaths/minute",
        "system": "http://unitsofmeasure.org",
        "code": "/min"
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi

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

[none]

Golongan Darah

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "laboratory",
                    "display": "Laboratory"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "883-9",
                "display": "ABO group [Type] in Blood"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B9.DE24",
                "display": "Blood type"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T01:35:00+00:00",
    "issued": "2023-08-31T01:35:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "LA19710-5",
                "display": "Group A"
            }
        ]
    }
}
{
    "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": "laboratory",
                    "display": "Laboratory"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "883-9",
                "display": "ABO group [Type] in Blood"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B9.DE24",
                "display": "Blood type"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueCodeableConcept": {
        "coding": [
            {
                "system": "{{OBSERVATION_VALUE}}",
                "code": "{{OBSERVATION_VALUE}}",
                "display": "{{OBSERVATION_VALUE}}"
            }
        ]
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi. Referensi ke value set "Golongan Darah"

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

Golongan Darah

No. Observation.valueCodeableConcept[0].coding[0].code[0] Observation.valueCodeableConcept[0].coding[0].display[0] Observation.valueCodeableConcept[0].coding[0].system[0]
1 LA19710-5 Group A http://loinc.org
2 LA19709-7 Group B http://loinc.org
3 LA19708-9 Group O http://loinc.org
4 LA28449-9 Group AB http://loinc.org

Rhesus

{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111112"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "laboratory",
                    "display": "Laboratory"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "10331-7",
                "display": "Rh [Type] in Blood"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B9.DE29",
                "display": "Rh factor"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T01:40:00+00:00",
    "issued": "2023-08-31T01:40:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "LA6576-8",
                "display": "Positive"
            }
        ]
    }
}
{
    "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": "laboratory",
                    "display": "Laboratory"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "10331-7",
                "display": "Rh [Type] in Blood"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B9.DE29",
                "display": "Rh factor"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueCodeableConcept": {
        "coding": [
            {
                "system": "{{OBSERVATION_VALUE}}",
                "code": "{{OBSERVATION_VALUE}}",
                "display": "{{OBSERVATION_VALUE}}"
            }
        ]
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi. Referensi ke value set "Rhesus"

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

Rhesus
No. Observation.valueCodeableConcept[0].coding[0].code[0] Observation.valueCodeableConcept[0].coding[0].display[0] Observation.valueCodeableConcept[0].coding[0].system[0]
1 LA6576-8 Positive http://loinc.org
2 LA6577-6 Negative http://loinc.org

Makanan Tambahan Ibu Hamil 

{
    "resourceType": "QuestionnaireResponse",
    "questionnaire": "https://fhir.kemkes.go.id/Questionnaire/Q0002",
    "status": "completed",
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "authored": "2023-08-31T01:55:00+00:00",
    "author": {
        "reference": "Practitioner/N10000001"
    },
    "source": {
        "reference": "Patient/100000030006"
    },
    "item":  [
        {
            "linkId": "1",
            "text": "Mendapatkan MT",
            "item":  [
                {
                    "linkId": "1.1",
                    "text": "Jika LILA <23,5, Apakah mendapatkan MT",
                    "answer":  [
                        {
                            "valueBoolean": false
                        }
                    ]
                },
                {
                    "linkId": "1.2",
                    "text": "Jenis MT",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                                "code": "FO000001",
                                "display": "MT Lokal"
                            }
                        }
                    ]
                }
            ]
        }
    ]
}
{
    "resourceType": "QuestionnaireResponse",
    "questionnaire": "https://fhir.kemkes.go.id/Questionnaire/Q0001",
    "status": "completed",
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "authored": "{{QUESTRESPONSE_AUTHORED}}",
    "author": {
        "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
    },
    "source": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "item":  [
        {
            "linkId": "1",
            "text": "Mendapatkan MT",
            "item":  [
                {
                    "linkId": "1.1",
                    "text": "Jika LILA <23,5, Apakah mendapatkan MT",
                    "answer":  [
                        {
                            "valueBoolean": {{QUESTRESPONSE_ITEM1}}
                        }
                    ]
                },
                {
                    "linkId": "1.2",
                    "text": "Jenis MT",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                                "code": "{{QUESTRESPONSE_ITEM2}}",
                                "display": "{{QUESTRESPONSE_ITEM2}}"
                            }
                        }
                    ]
                }
            ]
        }
    ]
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama pasien
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
QUESTRESPONSE_AUTHORED Berisi data waktu di mana jawaban kuesioner didapatkan dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz.
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
QUESTRESPONSE_ITEM1 Berisi data jawaban dari kuesioner dengan tipe data Boolean (true atau false)
QUESTRESPONSE_ITEM2 Berisi data jawaban dari kuesioner dengan tipe data CodeableConcept. Referensi ke value set "Jenis MT"

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

Jenis MT
No. QuestionnaireResponse.item.item.answer.valueCoding.code[0] QuestionnaireResponse.item.item.answer.valueCoding.display QuestionnaireResponse.item.item.answer.valueCoding.system
1 FO000001 MT Lokal http://terminology.kemkes.go.id/CodeSystem/clinical-term
2 FO000002 MT Pabrikan http://terminology.kemkes.go.id/CodeSystem/clinical-term

B. Pemeriksaan Fisik

Konjungtiva 

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "10197-2",
                "display": "Physical findings of Eye Narrative"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE26",
                "display": "Pemeriksaan Fisik Konjungtiva"
            }
        ]
    },
    "bodySite": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "29445007",
                "display": "Conjunctival structure"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T02:00:00+00:00",
    "issued": "2023-08-31T02:00:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueString": "Dalam Batas Normal (dbn)",
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                    "code": "N",
                    "display": "Normal"
                }
            ]
        }
    ]
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "10197-2",
                "display": "Physical findings of Eye Narrative"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE26",
                "display": "Pemeriksaan Fisik Konjungtiva"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueString": "{{OBSERVATION_VALUE}}",
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "{{OBSERVATION_INTERPRETATION}}",
                    "code": "{{OBSERVATION_INTERPRETATION}}",
                    "display": "{{OBSERVATION_INTERPRETATION}}"
                }
            ]
        }
    ]
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi
OBSERVATION_INTERPRETATION (*) Berisi data hasil kesimpulan dari observasi yang dilakukan. Referensi ke value set "Konjungtiva"

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

Konjungtiva
No. Keterangan Observation.interpretation.coding.code Observation.interpretation.coding.display Observation.interpretation.coding.system
1 Normal N Normal http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
2 Tidak Normal A Abnormal http://terminology.kemkes.go.id/CodeSystem/ObservationInterpretation

Sklera

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "10197-2",
                "display": "Physical findings of Eye Narrative"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE27",
                "display": "Pemeriksaan Fisik Sklera"
            }
        ]
    },
    "bodySite": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "18619003",
                "display": "Scleral structure"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T02:01:00+00:00",
    "issued": "2023-08-31T02:01:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueString": "Dalam Batas Normal (dbn)",
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                    "code": "N",
                    "display": "Normal"
                }
            ]
        }
    ]
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "10197-2",
                "display": "Physical findings of Eye Narrative"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE27",
                "display": "Pemeriksaan Fisik Sklera"
            }
        ]
    },
   "bodySite": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "18619003",
                "display": "Scleral structure"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueString": "{{OBSERVATION_VALUE}}",
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "{{OBSERVATION_INTERPRETATION}}",
                    "code": "{{OBSERVATION_INTERPRETATION}}",
                    "display": "{{OBSERVATION_INTERPRETATION}}"
                }
            ]
        }
    ]
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi
OBSERVATION_INTERPRETATION (*) Berisi data hasil kesimpulan dari observasi yang dilakukan. Referensi ke value set "Sklera"

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

Sklera

No. Keterangan Observation.interpretation.coding.code Observation.interpretation.coding.display Observation.interpretation.coding.system
1 Normal N Normal http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
2 Tidak Normal A Abnormal http://terminology.kemkes.go.id/CodeSystem/ObservationInterpretation

Leher

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11411-6",
                "display": "Physical findings of Neck Narrative"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE28",
                "display": "Pemeriksaan Fisik Leher"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T02:03:00+00:00",
    "issued": "2023-08-31T02:03:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueString": "Dalam Batas Normal (dbn)",
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                    "code": "N",
                    "display": "Normal"
                }
            ]
        }
    ]
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "11411-6",
                "display": "Physical findings of Neck Narrative"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE28",
                "display": "Pemeriksaan Fisik Leher"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueString": "{{OBSERVATION_VALUE}}",
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "{{OBSERVATION_INTERPRETATION}}",
                    "code": "{{OBSERVATION_INTERPRETATION}}",
                    "display": "{{OBSERVATION_INTERPRETATION}}"
                }
            ]
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi
OBSERVATION_INTERPRETATION (*) Berisi data hasil kesimpulan dari observasi yang dilakukan. Referensi ke value set "Interpretasi Leher"

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

Interpretasi Leher
No. Keterangan Observation.interpretation.coding.code Observation.interpretation.coding.display Observation.interpretation.coding.system
1 Normal N Normal http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
2 Tidak Normal A Abnormal http://terminology.kemkes.go.id/CodeSystem/ObservationInterpretation

Gigi dan Mulut 

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "423066003",
                "display": "Finding of mouth region"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE29",
                "display": "Pemeriksaan Fisik Area Mulut"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T02:05:00+00:00",
    "issued": "2023-08-31T02:05:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueString": "Dalam Batas Normal (dbn)",
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                    "code": "N",
                    "display": "Normal"
                }
            ]
        }
    ]
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "423066003",
                "display": "Finding of mouth region"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE29",
                "display": "Pemeriksaan Fisik Area Mulut"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueString": "{{OBSERVATION_VALUE}}",
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "{{OBSERVATION_INTERPRETATION}}",
                    "code": "{{OBSERVATION_INTERPRETATION}}",
                    "display": "{{OBSERVATION_INTERPRETATION}}"
                }
            ]
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi
OBSERVATION_INTERPRETATION (*) Berisi data hasil kesimpulan dari observasi yang dilakukan. Referensi ke value set "Interpretasi Leher"

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

Interpretasi Gigi dan Mulut
No. Keterangan Observation.interpretation.coding.code Observation.interpretation.coding.display Observation.interpretation.coding.system
1 Normal N Normal http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
2 Tidak Normal A Abnormal http://terminology.kemkes.go.id/CodeSystem/ObservationInterpretation

Pemeriksaan THT 

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "297268004",
                "display": "Ear, nose and throat finding"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE30",
                "display": "Pemeriksaan Fisik Telinga Hidung dan Tenggorokan (THT)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T02:07:00+00:00",
    "issued": "2023-08-31T02:07:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueString": "Dalam Batas Normal (dbn)",
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                    "code": "N",
                    "display": "Normal"
                }
            ]
        }
    ]
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "297268004",
                "display": "Ear, nose and throat finding"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE30",
                "display": "Pemeriksaan Fisik Telinga Hidung dan Tenggorokan (THT)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueString": "{{OBSERVATION_VALUE}}",
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "{{OBSERVATION_INTERPRETATION}}",
                    "code": "{{OBSERVATION_INTERPRETATION}}",
                    "display": "{{OBSERVATION_INTERPRETATION}}"
                }
            ]
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi
OBSERVATION_INTERPRETATION (*) Berisi data hasil kesimpulan dari observasi yang dilakukan. Referensi ke value set "Interpretasi Pemeriksaan THT"

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

Interpretasi Pemeriksaan THT
No. Keterangan Observation.interpretation.coding.code Observation.interpretation.coding.display Observation.interpretation.coding.system
1 Normal N Normal http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
2 Tidak Normal A Abnormal http://terminology.kemkes.go.id/CodeSystem/ObservationInterpretation

Pemeriksaan Dada (Jantung) 

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "10200-4",
                "display": "Physical findings of Heart Narrative"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE31",
                "display": "Pemeriksaan Fisik Dada (Auskultasi Jantung)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T02:09:00+00:00",
    "issued": "2023-08-31T02:09:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueString": "Dalam Batas Normal (dbn)",
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                    "code": "N",
                    "display": "Normal"
                }
            ]
        }
    ]
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "10200-4",
                "display": "Physical findings of Heart Narrative"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE31",
                "display": "Pemeriksaan Fisik Dada (Auskultasi Jantung)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueString": "{{OBSERVATION_VALUE}}",
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "{{OBSERVATION_INTERPRETATION}}",
                    "code": "{{OBSERVATION_INTERPRETATION}}",
                    "display": "{{OBSERVATION_INTERPRETATION}}"
                }
            ]
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi
OBSERVATION_INTERPRETATION (*) Berisi data hasil kesimpulan dari observasi yang dilakukan. Referensi ke value set "Interpretasi Pemeriksaan Dada (Jantung)"

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

Interpretasi Pemeriksaan Dada (Jantung)
No. Keterangan Observation.interpretation.coding.code Observation.interpretation.coding.display Observation.interpretation.coding.system
1 Normal N Normal http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
2 Tidak Normal A Abnormal http://terminology.kemkes.go.id/CodeSystem/ObservationInterpretation

Pemeriksaan Dada (Paru) 

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "301230006",
                "display": "Lung finding"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE32",
                "display": "Pemeriksaan Fisik Dada (Auskultasi Paru)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T02:11:00+00:00",
    "issued": "2023-08-31T02:11:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueString": "Dalam Batas Normal (dbn)",
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                    "code": "N",
                    "display": "Normal"
                }
            ]
        }
    ]
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "301230006",
                "display": "Lung finding"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE32",
                "display": "Pemeriksaan Fisik Dada (Auskultasi Paru)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueString": "{{OBSERVATION_VALUE}}",
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "{{OBSERVATION_INTERPRETATION}}",
                    "code": "{{OBSERVATION_INTERPRETATION}}",
                    "display": "{{OBSERVATION_INTERPRETATION}}"
                }
            ]
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi
OBSERVATION_INTERPRETATION (*) Berisi data hasil kesimpulan dari observasi yang dilakukan. Referensi ke value set "Interpretasi Pemeriksaan Dada (Paru)"

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

Interpretasi Pemeriksaan Dada (Paru)
No. Keterangan Observation.interpretation.coding.code Observation.interpretation.coding.display Observation.interpretation.coding.system
1 Normal N Normal http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
2 Tidak Normal A Abnormal http://terminology.kemkes.go.id/CodeSystem/ObservationInterpretation

Perut 

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "10191-5",
                "display": "Physical findings of Abdomen Narrative"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE33",
                "display": "Pemeriksaan Fisik Perut"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T02:14:00+00:00",
    "issued": "2023-08-31T02:14:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueString": "Dalam Batas Normal (dbn)",
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                    "code": "N",
                    "display": "Normal"
                }
            ]
        }
    ]
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "10191-5",
                "display": "Physical findings of Abdomen Narrative"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE33",
                "display": "Pemeriksaan Fisik Perut"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueString": "{{OBSERVATION_VALUE}}",
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "{{OBSERVATION_INTERPRETATION}}",
                    "code": "{{OBSERVATION_INTERPRETATION}}",
                    "display": "{{OBSERVATION_INTERPRETATION}}"
                }
            ]
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi
OBSERVATION_INTERPRETATION (*) Berisi data hasil kesimpulan dari observasi yang dilakukan. Referensi ke value set "Interpretasi Perut"

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

Interpretasi Perut
No. Keterangan Observation.interpretation.coding.code Observation.interpretation.coding.display Observation.interpretation.coding.system
1 Normal N Normal http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
2 Tidak Normal A Abnormal http://terminology.kemkes.go.id/CodeSystem/ObservationInterpretation

Tungkai 

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "116312005",
                "display": "Finding of limb structure"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE34",
                "display": "Pemeriksaan Fisik Tungkai"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T02:16:00+00:00",
    "issued": "2023-08-31T02:16:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueString": "Dalam Batas Normal (dbn)",
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                    "code": "N",
                    "display": "Normal"
                }
            ]
        }
    ]
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "116312005",
                "display": "Finding of limb structure"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE34",
                "display": "Pemeriksaan Fisik Tungkai"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueString": "{{OBSERVATION_VALUE}}",
    "interpretation":  [
        {
            "coding":  [
                {
                    "system": "{{OBSERVATION_INTERPRETATION}}",
                    "code": "{{OBSERVATION_INTERPRETATION}}",
                    "display": "{{OBSERVATION_INTERPRETATION}}"
                }
            ]
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi
OBSERVATION_INTERPRETATION (*) Berisi data hasil kesimpulan dari observasi yang dilakukan. Referensi ke value set "Interpretasi Tungkai"

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

Interpretasi Tungkai
No. Keterangan Observation.interpretation.coding.code Observation.interpretation.coding.display Observation.interpretation.coding.system
1 Normal N Normal http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
2 Tidak Normal A Abnormal http://terminology.kemkes.go.id/CodeSystem/ObservationInterpretation

C. Pemeriksaan Janin

Denyut Jantung Janin 

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "55283-6",
                "display": "Fetal Heart rate"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE107",
                "display": "Fetal heart rate"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T02:22:00+00:00",
    "issued": "2023-08-31T02:22:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 142,
        "unit": "beats/minute",
        "system": "http://unitsofmeasure.org",
        "code": "/min"
    }
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "55283-6",
                "display": "Fetal Heart rate"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE107",
                "display": "Fetal heart rate"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "beats/minute",
        "system": "http://unitsofmeasure.org",
        "code": "/min"
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi

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

[none]

Kepala Terhadap PAP 

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "OC000002",
                "display": "Kepala Terhadap PAP"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE46",
                "display": "Kepala terhadap PAP"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T02:24:00+00:00",
    "issued": "2023-08-31T02:24:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "OV000002",
                "display": "Belum masuk panggul"
            }
        ]
    }
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "OC000002",
                "display": "Kepala Terhadap PAP"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE46",
                "display": "Kepala terhadap PAP"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueCodeableConcept": {
        "coding": [
            {
                "system": "{{OBSERVATION_VALUE}}",
                "code": "{{OBSERVATION_VALUE}}",
                "display": "{{OBSERVATION_VALUE}}"
            }
        ]
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE (*) Nilai observasi. Referensi ke value set "Kepala terhadap PAP"

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

Kepala terhadap PAP
No. Observation.valueCodeableConcept[0].coding[0].code[0] Observation.valueCodeableConcept[0].coding[0].display[0] Observation.valueCodeableConcept[0].coding[0].system[0]
1 OV000001 Masuk panggul http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
2 OV000002 Belum masuk panggul http://terminology.kemkes.go.id/CodeSystem/ObservationInterpretation

Taksiran Berat Janin 

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "89087-1",
                "display": "Fetal Body weight Estimated"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE1",
                "display": "Taksiran Berat Janin (TBJ)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T02:26:00+00:00",
    "issued": "2023-08-31T02:26:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 1200,
        "unit": "g",
        "system": "http://unitsofmeasure.org",
        "code": "g"
    }
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "89087-1",
                "display": "Fetal Body weight Estimated"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE1",
                "display": "Taksiran Berat Janin (TBJ)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "g",
        "system": "http://unitsofmeasure.org",
        "code": "g"
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi

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

[none]

Presentasi Janin

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "72155-5",
                "display": "Position in womb Fetus [RHEA]"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE111",
                "display": "Fetal presentation"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T02:28:00+00:00",
    "issued": "2023-08-31T02:28:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "1209182005",
                "display": "Cephalic fetal presentation"
            }
        ]
    }
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "72155-5",
                "display": "Position in womb Fetus [RHEA]"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE111",
                "display": "Fetal presentation"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueCodeableConcept": {
        "coding": [
            {
                "system": "{{OBSERVATION_VALUE}}",
                "code": "{{OBSERVATION_VALUE}}",
                "display": "{{OBSERVATION_VALUE}}"
            }
        ]
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE (*) Nilai observasi. Referensi ke value set "Jenis Presentasi Janin"

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

Jenis Presentasi Janin
No. Keterangan Observation.interpretation.coding.code Observation.interpretation.coding.display Observation.interpretation.coding.system
1 Presentasi Kepala 1209182005 Cephalic fetal presentation http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
2 Presentasi Bokong 6096002 Breech presentation http://snomed.info/sct
3 Letak Lintang 288203005 Transverse/oblique lie http://snomed.info/sct

Jumlah Janin 

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "OC000003",
                "display": "Jumlah Janin"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE109",
                "display": "Number of fetuses"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T02:30:00+00:00",
    "issued": "2023-08-31T02:30:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueInteger": 1
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "OC000003",
                "display": "Jumlah Janin"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B8.DE109",
                "display": "Number of fetuses"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueInteger": "{{OBSERVATION_VALUE}}"
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi

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

[none]

D. Pemantauan & Pendampingan

CATATAN: Penjelasan tipe mandatoris, deskripsi dan format pengisian dari setiap elemen data/path di dalam resource QuestionnaireResponse, dapat dilihat dalam resource QuestionnaireResponse.

{
    "resourceType": "QuestionnaireResponse",
    "questionnaire": "https://fhir.kemkes.go.id/Questionnaire/Q0002",
    "status": "completed",
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "authored": "2023-08-31T03:30:00+00:00",
    "author": {
        "reference": "Practitioner/N10000001"
    },
    "source": {
        "reference": "Patient/100000030006"
    },
    "item":  [
        {
            "linkId": "2",
            "text": "Pemantauan & Pendampingan",
            "item":  [
                {
                    "linkId": "2.1",
                    "text": "Terlalu muda usia melahirkan dibawah 21 tahun",
                    "answer":  [
                        {
                            "valueBoolean": false
                        }
                    ]
                },
                {
                    "linkId": "2.2",
                    "text": "Terlalu rapat jarak kelahiran (<2 tahun)",
                    "answer":  [
                        {
                            "valueBoolean": false
                        }
                    ]
                },
                {
                    "linkId": "2.3",
                    "text": "Terlalu tua (kehamilan diatas 35 tahun)",
                    "answer":  [
                        {
                            "valueBoolean": false
                        }
                    ]
                },
                {
                    "linkId": "2.4",
                    "text": "Terlalu sering melahirkan (anak>3)",
                    "answer":  [
                        {
                            "valueBoolean": false
                        }
                    ]
                }
            ]
        }
    ]
}
{
    "resourceType": "QuestionnaireResponse",
    "questionnaire": "https://fhir.kemkes.go.id/Questionnaire/Q0002",
    "status": "completed",
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "authored": "{{QUESTRESPONSE_AUTHORED}}",
    "author": {
        "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
    },
    "source": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "item":  [
        {
             "linkId": "2",
            "text": "Pemantauan & Pendampingan",
            "item":  [
                {
                    "linkId": "2.1",
                    "text": "Terlalu muda usia melahirkan dibawah 21 tahun",
                    "answer":  [
                        {
                            "valueBoolean": "{{QUESTRESPONSE_ITEM1}}"
                        }
                    ]
                },
{
                    "linkId": "2.2",
                    "text": "Terlalu rapat jarak kelahiran (<2 tahun)",
                    "answer":  [
                        {
                            "valueBoolean": "{{QUESTRESPONSE_ITEM1}}"
                        }
                    ]
                },
                {
                    "linkId": "2.3",
                    "text": "Terlalu tua (kehamilan diatas 35 tahun)",
                    "answer":  [
                        {
                            "valueBoolean": "{{QUESTRESPONSE_ITEM1}}"
                        }
                    ]
                },
                {
                    "linkId": "2.4",
                    "text": "Terlalu sering melahirkan (anak>3)",
                    "answer":  [
                        {
                            "valueBoolean": "{{QUESTRESPONSE_ITEM1}}"
                        }
                    ]
                }
            ]
        }
    ]
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama pasien
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
QUESTRESPONSE_AUTHORED Berisi data waktu di mana jawaban kuesioner didapatkan dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz.
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
QUESTRESPONSE_ITEM1 Berisi data jawaban dari kuesioner dengan tipe data Boolean (true atau false)

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

[none]

E. Riwayat Penyakit & Risiko

Komplikasi/Penyulit Kehamilan

{
    "resourceType": "Condition",
    "clinicalStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "active",
                "display": "Active"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code": "problem-list-item",
                    "display": "Problem List Item"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://hl7.org/fhir/sid/icd-10",
                "code": "O10.0",
                "display": "Pre-existing essential hypertension complicating pregnancy, childbirth and the puerperium"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "onsetDateTime": "2023-08-31T03:32:00+00:00",
    "recordedDate": "2023-08-31T03:33:00+00:00"
}
{
    "resourceType": "Condition",
    "clinicalStatus": {
        "coding": [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "active",
                "display": "Active"
            }
        ]
    },
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code": "problem-list-item",
                    "display": "Problem List Item"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://hl7.org/fhir/sid/icd-10",
                "code": "{{CONDITION_VALUE}}",
                "display": "{{CONDITION_VALUE}}"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "onsetDateTime": "{{CONDITION_ONSET_DATETIME}}",
    "recordedDate": "{{CONDITION_RECORDED_DATETIME}}"
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama Pasien
CONDITION_VALUE Berisi data diagnosis menggunakan ICD-10 tahun 2010
CONDITION_ONSET_DATETIME Tanggal perkiraan atau tanggal aktual atau tanggal-waktu kondisi mulai, menurut pendapat dokter.
CONDITION_RECORDED_DATETIME Tanggal kapan kondisi/keluhan ini tercatat dalam sistem (tanggal yang dibuat oleh sistem)

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

[none]

Riwayat Penyakit Menular (dan Tidak Menular)

{
    "resourceType": "Condition",
    "clinicalStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "active",
                "display": "Active"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "problem-list-item",
                    "display": "Problem List Item"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "161414005",
                "display": "History of tuberculosis (situation)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "onsetDateTime": "2023-08-31T03:34:00+00:00",
    "recordedDate": "2023-08-31T03:34:00+00:00"
}
{
    "resourceType": "Condition",
    "clinicalStatus": {
        "coding": [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "active",
                "display": "Active"
            }
        ]
    },
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code": "problem-list-item",
                    "display": "Problem List Item"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://hl7.org/fhir/sid/icd-10",
                "code": "{{CONDITION_VALUE}}",
                "display": "{{CONDITION_VALUE}}"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "onsetDateTime": "{{CONDITION_ONSET_DATETIME}}",
    "recordedDate": "{{CONDITION_RECORDED_DATETIME}}"
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama Pasien
CONDITION_VALUE Berisi data diagnosis menggunakan ICD-10 tahun 2010
CONDITION_ONSET_DATETIME Tanggal perkiraan atau tanggal aktual atau tanggal-waktu kondisi mulai, menurut pendapat dokter.
CONDITION_RECORDED_DATETIME Tanggal kapan kondisi/keluhan ini tercatat dalam sistem (tanggal yang dibuat oleh sistem)

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

[none]

Riwayat Penyakit Keluarga

{
    "resourceType": "Condition",
    "clinicalStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "active",
                "display": "Active"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "problem-list-item",
                    "display": "Problem List Item"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "160280002",
                "display": "FH: Tuberculosis"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "onsetDateTime": "2023-08-31T03:34:00+00:00",
    "recordedDate": "2023-08-31T03:34:00+00:00"
}
{
    "resourceType": "Condition",
    "clinicalStatus": {
        "coding": [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "active",
                "display": "Active"
            }
        ]
    },
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code": "problem-list-item",
                    "display": "Problem List Item"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "{{CONDITION_VALUE}}",
                "display": "{{CONDITION_VALUE}}"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "onsetDateTime": "{{CONDITION_ONSET_DATETIME}}",
    "recordedDate": "{{CONDITION_RECORDED_DATETIME}}"
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama Pasien
CONDITION_VALUE Berisi data jenis riwayat penyakit. Referensi ke value set "Lampiran Terminologi Condition.code untuk Riwayat Penyakit"
CONDITION_ONSET_DATETIME Tanggal perkiraan atau tanggal aktual atau tanggal-waktu kondisi mulai, menurut pendapat dokter.
CONDITION_RECORDED_DATETIME Tanggal kapan kondisi/keluhan ini tercatat dalam sistem (tanggal yang dibuat oleh sistem)

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

Lampiran Terminologi Condition.code untuk Riwayat Penyakit dapat diakses disini.


Merokok

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "social-history",
                    "display": "Social History"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "72166-2",
                "display": "Tobacco smoking status"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T03:36:00+00:00",
    "issued": "2023-08-31T03:36:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "43381005",
                "display": "Passive smoker"
            }
        ]
    }
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "social-history",
                    "display": "Social History"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "72166-2",
                "display": "Tobacco smoking status"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueCodeableConcept": {
        "coding": [
            {
                "system": "{{OBSERVATION_VALUE}}",
                "code": "{{OBSERVATION_VALUE}}",
                "display": "{{OBSERVATION_VALUE}}"
            }
        ]
    }
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE (*) Nilai observasi. Referensi ke value set "Merokok"

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

Merokok
No. Keterangan Observation.valueCodeableConcept[0].coding[0].code[0] Observation.valueCodeableConcept[0].coding[0].display[0] Observation.valueCodeableConcept[0].coding[0].system[0]
1 Ya 77176002 Smoker http://snomed.info/sct
2 Pasif 43381005 Passive smoker http://snomed.info/sct
3 Tidak 8392000 Non-smoker http://snomed.info/sct

Konsumsi Alkohol

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "social-history",
                    "display": "Social History"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11331-6",
                "display": "History of Alcohol use"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T03:38:00+00:00",
    "issued": "2023-08-31T03:38:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "105542008",
                "display": "Non - drinker"
            }
        ]
    }
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "social-history",
                    "display": "Social History"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "11331-6",
                "display": "History of Alcohol use"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueCodeableConcept": {
        "coding": [
            {
                "system": "{{OBSERVATION_VALUE}}",
                "code": "{{OBSERVATION_VALUE}}",
                "display": "{{OBSERVATION_VALUE}}"
            }
        ]
    }
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE (*) Nilai observasi. Referensi ke value set "Konsumsi Alkohol"

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

Konsumsi Alkohol
No. Keterangan Observation.valueCodeableConcept[0].coding[0].code[0] Observation.valueCodeableConcept[0].coding[0].display[0] Observation.valueCodeableConcept[0].coding[0].system[0]
1 Ya 219006 Current drinker http://snomed.info/sct
2 Tidak 105542008 Non - drinker http://snomed.info/sct

F. Lainnya

{
    "resourceType": "QuestionnaireResponse",
    "questionnaire": "https://fhir.kemkes.go.id/Questionnaire/Q0002",
    "status": "completed",
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "authored": "2023-08-31T03:40:00+00:00",
    "author": {
        "reference": "Practitioner/N10000001"
    },
    "source": {
        "reference": "Patient/100000030006"
    },
    "item":  [
        {
            "linkId": "3",
            "text": "Lainnya",
            "item":  [
                {
                    "linkId": "3.1",
                    "text": "Apakah disabilitas",
                    "answer":  [
                        {
                            "valueBoolean": false
                        }
                    ]
                },
                {
                    "linkId": "3.2",
                    "text": "Apakah mengikuti kelas ibu hamil?",
                    "answer":  [
                        {
                            "valueBoolean": false
                        }
                    ]
                }
            ]
        }
    ]
}
{
    "resourceType": "QuestionnaireResponse",
    "questionnaire": "https://fhir.kemkes.go.id/Questionnaire/Q0002",
    "status": "completed",
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "authored": "{{QUESTRESPONSE_AUTHORED}}",
    "author": {
        "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
    },
    "source": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "item":  [
        {
            "linkId": "3",
            "text": "Lainnya",
            "item":  [
                {
                    "linkId": "3.1",
                    "text": "Apakah disabilitas",
                    "answer":  [
                        {
                            "valueBoolean": "valueBoolean": "{{QUESTRESPONSE_ITEM1}}"
                        }
                    ]
                },
                {
                    "linkId": "3.2",
                    "text": "Apakah mengikuti kelas ibu hamil?",
                    "answer":  [
                        {
                            "valueBoolean": "valueBoolean": "{{QUESTRESPONSE_ITEM1}}"
                        }
                    ]
                }
            ]
        }
    ]
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama pasien
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
QUESTRESPONSE_AUTHORED Berisi data waktu di mana jawaban kuesioner didapatkan dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz.
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
QUESTRESPONSE_ITEM1 Berisi data jawaban dari kuesioner dengan tipe data Boolean (true atau false)

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

[none]

Step 6. Data Tindakan/Prosedur Medis

USG Kehamilan/ Apakah Dilakukan USG

Fokus utama opsi jawaban ya atau tidak pada variabel ini terletak pada kolom Procedure.status. Apabila USG dilakukan, maka Procedure.status= completed. Sebaliknya apabila tidak dilakukan maka Procedure.status= not-done

Pengiriman data terkait apakah dilakukan USG dapat dikirimkan menggunakan resource`Procedure`. Tindakan yang dilaporkan dapat berupa tindakan non-invasif (konsultasi, edukasi) maupun invasif (contoh operasi). Standar kode tindakan/prosedur medis yang dikirimkan ke SATUSEHAT menggunakan kode ICD-9 CM.

CATATAN: Penjelasan tipe mandatoris, deskripsi dan format pengisian dari setiap elemen data/path di dalam resource Procedure (data tindakan/prosedur medis), dapat dilihat dalam resource Procedure.

{
    "resourceType": "Procedure",
    "status": "completed",
    "category": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "103693007",
                "display": "Diagnostic procedure"
            }
        ],
        "text": "Diagnostic procedure"
    },
    "code": {
        "coding":  [
            {
                "system": "http://hl7.org/fhir/sid/icd-9-cm",
                "code": "88.78",
                "display": "Diagnostic ultrasound of gravid uterus"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "performedPeriod": {
        "start": "2023-08-31T02:35:00+00:00",
        "end": "2023-08-31T02:55:00+00:00"
    },
    "performer":  [
        {
            "actor": {
                "reference": "Practitioner/N10000001",
                "display": "Dokter Bronsig"
            }
        }
    ]
}
{
    "resourceType": "Procedure",
    "status": "completed",
    "category": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "103693007",
                "display": "Diagnostic procedure"
            }
        ],
        "text": "Diagnostic procedure"
    },
    "code": {
        "coding":  [
            {
                "system": "http://hl7.org/fhir/sid/icd-9-cm",
                "code": "88.78",
                "display": "Diagnostic ultrasound of gravid uterus"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "performedPeriod": {
        "start": "{{PROCEDURE_PERFORM_START}}",
        "end": "{{PROCEDURE_PERFORM_END}}"
    },
    "performer":  [
        {
            "actor": {
                "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}",
                "display": "Practitioner/{{PRACTITIONER_NAME}}"
            }
        }
    ]
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama pasien
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
PROCEDURE_PERFORM_START Diisi dengan waktu mulai, sama dengan waktu mulai prosedur pasien dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DD atau YYYY-MM-DDThh:mm:ss+zz:zz.
PROCEDURE_PERFORM_END Diisi dengan waktu selesai, sama dengan waktu selesai prosedur pasien dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz.
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
PRACTITIONER_NAME Nama dokter

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

[none]

Step 7. Data Tema Konseling/Temu Wicara/Edukasi

Konseling

{
    "resourceType": "Procedure",
    "status": "completed",
    "category": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "409073007",
                "display": "Education"
            }
        ]
    },
    "code": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "ED000005",
                "display": "Edukasi Gizi"
            }
        ]
    },
    "subject": {
        "reference": "Patient/P02280547535",
        "display": "patient 6"
    },
    "encounter": {
        "reference": "Encounter/66533eb2-723d-4e7c-b7aa-500cd67dd4c8"
    },
    "performedPeriod": {
        "start": "2022-06-14T13:31:00+01:00",
        "end": "2022-06-14T14:27:00+01:00"
    },
    "performer":  [
        {
            "actor": {
                "reference": "Practitioner/N10000001",
                "display": "Dokter Bronsig"
            }
        }
    ]
}
{
    "resourceType": "Procedure",
    "status": "completed",
    "category": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "409073007",
                "display": "Education"
            }
        ]
    },
    "code": {
        "coding":  [
            {
                "system": "{{PROCEDURE_TYPE}}",
                "code": "{{PROCEDURE_TYPE}}",
                "display": "{{PROCEDURE_TYPE}}"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "performedPeriod": {
        "start": "{{PROCEDURE_PERFORM_START}}",
        "end": "{{PROCEDURE_PERFORM_END}}"
    },
    "performer":  [
        {
            "actor": {
                "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}",
                "display": "Practitioner/{{PRACTITIONER_NAME}}"
            }
        }
    ]
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama pasien
PROCEDURE_TYPE (*) Berisi data berkaitan dengan kode tindakan kepada pasien dengan tipe data CodeableConcept. Referensi ke value set "Tema Konseling/Temu Wicara/Edukasi"
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
PROCEDURE_PERFORM_START Diisi dengan waktu mulai, sama dengan waktu mulai prosedur pasien dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DD atau YYYY-MM-DDThh:mm:ss+zz:zz.
PROCEDURE_PERFORM_END Diisi dengan waktu selesai, sama dengan waktu selesai prosedur pasien dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz.
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
PRACTITIONER_NAME Nama dokter

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

Tema Konseling/Temu Wicara/Edukasi

No. Keterangan Procedure.code.coding.code Procedure.code.coding.display Procedure.code.coding.system
1 Asupan gizi seimbang 61310001 Nutrition education http://snomed.info/sct
2 Tanda bahaya kehamilan, bersalin dan nifas ED000008 Edukasi Tanda Bahaya Kehamilan, Bersalin dan Nifas http://terminology.kemkes.go.id/CodeSystem/clinical-term
3 IMD dan ASI eksklusif ED000009 Edukasi IMD dan ASI Eksklusif http://terminology.kemkes.go.id/CodeSystem/clinical-term
4 PHBS ED000010 Edukasi PHBS http://terminology.kemkes.go.id/CodeSystem/clinical-term
5 KB pasca salin ED000011 Edukasi KB pasca salin http://terminology.kemkes.go.id/CodeSystem/clinical-term
6 lainnya ED000012 Edukasi lainnya http://terminology.kemkes.go.id/CodeSystem/clinical-term

Tidak Diberikan Konseling

{
    "resourceType": "Procedure",
    "status": "not-done",
    "category": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "409073007",
                "display": "Education"
            }
        ]
    },
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "409073007",
                "display": "Education"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "performedPeriod": {
        "start": "2023-08-31T03:30:00+00:00",
        "end": "2023-08-31T03:40:00+00:00"
    },
    "performer":  [
        {
            "actor": {
                "reference": "Practitioner/N10000001",
                "display": "Dokter Bronsig"
            }
        }
    ]
}
{
    "resourceType": "Procedure",
    "status": "not-done",
    "category": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "409073007",
                "display": "Education"
            }
        ]
    },
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "409073007",
                "display": "Education"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "performedPeriod": {
        "start": "{{PROCEDURE_PERFORM_START}}",
        "end": "{{PROCEDURE_PERFORM_END}}"
    },
    "performer":  [
        {
            "actor": {
                "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}",
                "display": "Practitioner/{{PRACTITIONER_NAME}}"
            }
        }
    ]
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama pasien
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
PROCEDURE_PERFORM_START Diisi dengan waktu mulai, sama dengan waktu mulai prosedur pasien dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DD atau YYYY-MM-DDThh:mm:ss+zz:zz.
PROCEDURE_PERFORM_END Diisi dengan waktu selesai, sama dengan waktu selesai prosedur pasien dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz.
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
PRACTITIONER_NAME Nama dokter

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

[none]

Step 8. Pemeriksaan Penunjang

8.1. Laboratorium

Pengiriman data terkait pemeriksaan penunjang memiliki 2 skema, yaitu:
  1. Pemeriksaan Penunjang Tunggal
    2. Data yang perlu dikirimkan, yaitu:
    1. 1 data permintaan (ServiceRequest)
    2. 1 data spesimen (Specimen)
    3. 1 data hasil pemeriksaan (Observation)
    4. 1 data laporan pemeriksaan (DiagnosticReport). Data permintaan (ServiceRequest), data spesimen (Specimen), dan data hasil pemeriksaan (Observation) akan di referensi dalam data laporan pemeriksaan (DiagnosticReport).
    skema-lab-penunjang-tunggal Gambar 2. Skema Pemeriksaan Penunjang Tunggal
  2. Pemeriksaan Penunjang Panel/Paket
    3. Contoh kasus: Seorang dokter melakukan permintaan pemeriksaan panel elektrolit darah yang terdiri dari 3 parameter yaitu natrium, kalium, dan klorida darah. Maka, data yang perlu dikirimkan yaitu:
    1. 1 data permintaan (ServiceRequest) dengan kode LOINC untuk panel elektrolit darah
    2. 1 data spesimen (Specimen)
    3. 3 data hasil pemeriksaan (Observation) terdiri dari kode LOINC untuk natrium darah, kalium darah, klorida darah
    4. 1 data laporan pemeriksaan (DiagnosticReport) dengan kode LOINC untuk panel elektrolit darah. Data permintaan (ServiceRequest), data spesimen (Specimen), dan data hasil pemeriksaan (Observation) akan di referensi dalam data laporan pemeriksaan (DiagnosticReport).
skema-lab-penunjang-panel Gambar 3. Skema Pemeriksaan Penunjang Panel

Permintaan Pemeriksaan Laboratorium

Sebelum melakukan pemeriksaan penunjang seperti laboratorium, diperlukan langkah permintaan pemeriksaan penunjang. Pengiriman data terkait permintaan pemeriksaan penunjang dapat dilakukan menggunakan resource ServiceRequest. Data permintaan pemeriksaan penunjang laboratorium yang dapat dikirimkan antara lain nama pemeriksaan, pasien terkait, kunjungan terkait, tanggal permintaan akan dilakukan, tanggal permintaan dibuat, dan tenaga kesehatan yang melakukan permintaan.

Kode LOINC atau kode Pemeriksaan Penunjang Nasional digunakan pada elemen ServiceRequest.code untuk merepresentasikan nama pemeriksaan yang diminta. Referensi pemetaan pemeriksaan laboratorium dengan kode LOINC dapat dilihat melalui kode LOINC. Gunakan parameter pemeriksaan dengan kategori “Permintaan” atau “Permintaan & Hasil” pada file Terminologi Laboratorium ketika mengirimkan data melalui resource ServiceRequest.

Satu payload atau satu record dari resource ServiceRequest hanya dapat digunakan untuk 1 kode/permintaan parameter laboratorium. Sehingga, apabila dilakukan permintaan 2 parameter laboratorium, sebagai contoh panel elektrolit dan hemoglobin, maka perlu mengirimkan 2 payload di mana 1 payload berisi 1 kode panel elektrolit dan 1 payload berisi kode parameter hemoglobin.

{
    "resourceType": "ServiceRequest",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/servicerequest/10000004",
            "value": "00001"
        }
    ],
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "108252007",
                    "display": "Laboratory procedure"
                }
            ]
        }
    ],
    "status": "active",
    "intent": "original-order",
    "priority": "routine",
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11477-7",
                "display": "Microscopic observation [Identifier] in Sputum by Acid fast stain"
            },
            {
                "system": "http://loinc.org",
                "code": "68961-2",
                "display": "HIV 1 Ab [Presence] in Serum, Plasma or Blood by Rapid immunoassay"
            },
            {
                "system": "http://loinc.org",
                "code": "718-7",
                "display": "Hemoglobin [Mass/volume] in Blood"
            },
            {
                "system": "http://loinc.org",
                "code": "20508-8",
                "display": "Reagin Ab [Units/volume] in Serum or Plasma by RPR"
            },
            {
                "system": "http://loinc.org",
                "code": "14904-7",
                "display": "Reagin Ab [Presence] in Specimen by VDRL"
            },
            {
                "system": "http://loinc.org",
                "code": "75410-1",
                "display": "Hepatitis B virus surface Ag [Presence] in Serum, Plasma or Blood by Rapid immunoassay"
            },
            {
                "system": "http://loinc.org",
                "code": "74774-1",
                "display": "Glucose [Mass/volume] in Serum, Plasma or Blood"
            },
            {
                "system": "http://loinc.org",
                "code": "5804-0",
                "display": "Protein [mass/volume] in urine by test strip"
            }
        ],
        "text": "Pemeriksaan Sputum BTA dan 10T"
    },
    "subject": {
        "reference": "Patient/100000030006"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a",
        "display": "Permintaan BTA Sputum dan 10T Ny. Jane Smith di hari Kamis, 31 Agustus 2023 pukul 10:45 WIB"
    },
    "occurrenceDateTime": "2023-08-31T03:45:00+00:00",
    "requester": {
        "reference": "Practitioner/N10000001",
        "display": "Dokter Bronsig"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000005",
            "display": "Fatma"
        }
    ],
    "reasonCode":  [
        {
            "text": "Periksa jika ada kemungkinan Tuberculosis dan skrining 10T"
        }
    ]
}
{
    "resourceType": "ServiceRequest",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/servicerequest/{{ORGANIZATION_IHS_NUMBER}}",
            "value": "{{SERVICEREQUEST_LOCAL_CODE}}"
        }
    ],
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "108252007",
                    "display": "Laboratory procedure"
                }
            ]
        }
    ],
    "status": "active",
    "intent": "original-order",
    "priority": "routine",
    "code": {
        "coding":  [
            {
                "system": "{{SERVICEREQUEST_VALUE}}",
                "code": "{{SERVICEREQUEST_VALUE}}",
                "display": "{{SERVICEREQUEST_VALUE}}"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "occurrenceDateTime": "{{PROCEDURE_OCCUR}}",
    "requester": {
        "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER1}}",
                "display": "Practitioner/{{PRACTITIONER_NAME1}}"
    },
    "performer":  [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER2}}",
                "display": "Practitioner/{{PRACTITIONER_NAME2}}"
        }
    ],
    "reasonCode":  [
        {
            "text": "{{SERVICEREQUEST_REASON}}"
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER ID organisasi induk yang didapatkan dari master sarana indeks
SERVICEREQUEST_LOCAL_CODE Berisi data id lokal dari masing-masing institusi terkait tindak lanjut
SERVICEREQUEST_VALUE Berisi data format pengisian rencana tindak lanjut dengan tipe data CodeableConcept. Referensi ke value set "Permintaan Lab"
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
PRACTITIONER_IHS_NUMBER1 Berisi data siapa yang melakukan permintaan, merujuk ke {practitioner-ihs-number} pada SATUSEHAT
PRACTITIONER_NAME1 Nama dokter yang melakukan permintaan
PRACTITIONER_IHS_NUMBER2 Berisi satu atau lebih data siapa yang diharapkan melakukan permintaan, merujuk ke {practitioner-ihs-number} pada SATUSEHAT
PRACTITIONER_NAME2 Nama dokter yang diharapkan melakukan permintaan
SERVICEREQUEST_REASON Berisi data yang berkaitan dengan penjelasan atau justifikasi mengenai mengapa pelayanan ini diminta dalam bentuk teks (free-text)

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

Lampiran terminologi "Permintaan Lab" dapat diakses di portal SATUSEHAT

Data Spesimen

Pengiriman data spesimen yang digunakan pada pemeriksaan laboratorium dapat dikirimkan menggunakan resource Specimen. Data spesimen yang dapat dikirimkan antara lain jenis spesimen, waktu pengambilan spesimen, metode pengambilan spesimen, pasien terkait, kunjungan terkait, waktu spesimen diterima, tenaga kesehatan yang melakukan pengambilan sampel, permintaan terkait.

Satu payload atau satu record dari resource Specimen hanya dapat digunakan untuk 1 kode jenis spesimen. Sehingga, apabila diambil 2 jenis spesimen, sebagai contoh spesimen darah dan urin, maka perlu mengirimkan 2 payload di mana 1 payload berisi 1 kode spesimen darah dan 1 payload berisi kode spesimen urin.

CATATAN: Penjelasan tipe mandatoris, deskripsi dan format pengisian dari setiap elemen data/path di dalam resource Specimen (data permintaan spesimen), dapat dilihat dalam resource Specimen.

{
    "resourceType": "Specimen",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/specimen/10000004",
            "value": "00001",
            "assigner": {
                "reference": "Organization/10000004"
            }
        }
    ],
    "status": "available",
    "type": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "45710003",
                "display": "Sputum"
            }
        ]
    },
    "collection": {
        "method": {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "386089008",
                    "display": "Collection of coughed sputum"
                }
            ]
        },
        "collectedDateTime": "2022-06-14T08:15:00+07:00"
    },
    "subject": {
        "reference": "Patient/100000030009",
        "display": "Budi Santoso"
    },
    "request":  [
        {
            "reference": "ServiceRequest/a3dfba4b-4be8-4a27-b8a2-b97c6847f795"
        }
    ],
    "receivedTime": "2022-06-14T08:25:00+07:00"
}
{
    "resourceType": "Specimen",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/specimen/{{ORGANIZATION_IHS_NUMBER}}",
            "value": "{{SPECIMEN_LOCAL_CODE}}"
            "assigner": {
                "reference": "Organization/{{ORGANIZATION_IHS_NUMBER}}"
            }
        }
    ],
    "status": "available",
    "type": {
        "coding":  [
            {
                "system": "{{SPECIMEN_TYPE}}",
                "code": "{{SPECIMEN_TYPE}}",
                "display": "{{SPECIMEN_TYPE}}"
            }
        ]
    },
    "collection": {
        "method": {
            "coding":  [
                {
                "system": "{{SPECIMEN_METHOD}}",
                "code": "{{SPECIMEN_METHOD}}",
                "display": "{{SPECIMEN_METHOD}}"
            }
            ]
        },
        "collectedDateTime": "{{SPECIMEN_COLLECTION_DATE}}"
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
        "display": "{{PATIENT_NAME}}"
    },
    "request":  [
        {
            "reference": "ServiceRequest/{{ID_RESOURCE_SERVICEREQUEST}}"
        }
    ],
    "receivedTime": "{{SPECIMEN_RECEIVED_DATE}}"
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER ID organisasi induk yang didapatkan dari master sarana indeks
SPECIMEN_LOCAL_CODE Berisi data id lokal dari masing-masing institusi terkait spesimen
SPECIMEN_TYPE Berisi data jenis spesimen dengan tipe data CodeableConcept, yang nilainya mengacu pada kode SNOMED-CT yang tersedia dalam Global Patient Set. Referensi ke value set "Jenis Spesimen"
SPECIMEN_METHOD Berisi data kode yang menspesifikan teknik pengambilan spesimen. Referensi ke value set "Metode Pengambilan Spesimen"
SPECIMEN_COLLECTION_DATE Berisi data waktu diambilnya spesimen.
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama pasien
ID_RESOURCE_SERVICEREQUEST {id-resource-ServiceRequest} pada SATUSEHAT untuk data ServiceRequest
SPECIMEN_COLLECTION_DATE Berisi data kapan spesimen diterima oleh laboratorium dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz.

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

a. Lampiran terminologi "Permintaan Lab" dapat diakses di portal SATUSEHAT
b. Metode Pengambilan Spesimen
No. Specimen.collection.method.coding.code Specimen.collection.method.coding.display Specimen.collection.method.coding.system
1 129304002 Excision - action http://snomed.info/sct
2 129323009 Scraping - action http://snomed.info/sct
3 129316008 Aspiration - action http://snomed.info/sct
4 129314006 Biopsy - action http://snomed.info/sct
5 129300006 Puncture - action http://snomed.info/sct
6 82078001 Collection of blood specimen for laboratory http://snomed.info/sct
7 225113003 Timed urine collection http://snomed.info/sct
8 386089008 Collection of coughed sputum http://snomed.info/sct
9 713143008 Collection of arterial blood specimen http://snomed.info/sct
10 1048003 Capillary specimen collection http://snomed.info/sct
11 70777001 Urine specimen collection, catheterized http://snomed.info/sct
12 73416001 Urine specimen collection, clean catch http://snomed.info/sct
13 243776001 Blood sampling from extracorporeal blood circuit http://snomed.info/sct
14 278450005 Finger-prick sampling http://snomed.info/sct
15 285570007 Taking of swab http://snomed.info/sct

Data Hasil Pemeriksaan Penunjang Laboratorium

Hasil pemeriksaan penunjang dapat dikirimkan menggunakan resource Observation. Berikut adalah ketentuan pengisian data hasil pemeriksaan laboratorium melalui resource Observation:
  1. Kode LOINC atau kode Pemeriksaan Penunjang Nasional digunakan pada elemen Observation.code untuk merepresentasikan nama pemeriksaan yang dihasilkan. Referensi pemetaan pemeriksaan laboratorium dengan kode LOINC dapat dilihat melalui kode LOINC. Gunakan parameter pemeriksaan dengan kategori “Hasil” atau “Permintaan & Hasil” pada file Terminologi Laboratorium ketika mengirimkan data melalui resource Observation.
  2. Elemen Observation.category.coding diisi dengan kode laboratory.
  3. Pemilihan elemen `Observation.value[x]` disesuaikan dengan Tipe hasil pemeriksaan laboratorium.
    1. Observation.valueCodeableConcept untuk tipe hasil Nominal
    2. Observation.valueCodeableConcept untuk tipe hasil Ordinal
    3. Observation.valueQuantity untuk tipe hasil Kuantitatif/Quantitative
    4. Observation.valueString untuk tipe hasil Naratif/Narrative
  4. Elemen Observation.referenceRange direkomendasikan untuk selalu diisikan guna mempermudah interpretasi hasil laboratorium oleh tenaga kesehatan lainnya. Nilai normal yang dicantumkan disesuaikan dengan nilai normal yang ada dimasing-masing laboratorium berdasarkan alat maupun reagen yang tersedia.

Satu payload atau satu record dari resource Observation hanya dapat digunakan untuk 1 kode hasil parameter laboratorium. Sehingga, apabila terdapat 2 hasil laboratorium, sebagai contoh hasil pemeriksaan hemoglobin dan hematokrit, maka perlu mengirimkan 2 payload di mana 1 payload berisi 1 kode pemeriksaan hemoglobin dan 1 payload berisi kode pemeriksaan hematokrit.

Pemeriksaan BTA
{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/observation/10000004",
            "value": "O111111"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "laboratory",
                    "display": "Laboratory"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11477-7",
                "display": "Microscopic observation [Identifier] in Sputum by Acid fast stain"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T04:00:00+00:00",
    "issued": "2023-08-31T04:00:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "specimen": {
        "reference": "Specimen/ff14615d-4d3c-4c75-9b5e-3504ff4bab68"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/766c1116-f30c-4c39-a047-8a24c2415ea2"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "260347006",
                "display": "+"
            }
        ]
    }
}
{
    "resourceType": "Observation",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/servicerequest/{{ORGANIZATION_IHS_NUMBER}}",
            "value": "{{OBSERVATION_LOCAL_CODE}}"
    }
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "laboratory",
                    "display": "Laboratory"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "{{OBSERVATION_CODE}}",
                "code": "{{OBSERVATION_CODE}}",
                "display": "{{OBSERVATION_CODE}}"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        },
        {
            "reference": "{{PRACTITIONER_NAME}}"
        }
    ],
    "specimen": {
        "reference": "Specimen/{{ID_RESOURCE_SPECIMEN}}"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/{{ID_RESOURCE_SERVICEREQUEST}}"
        }
    ],
    "valueCodeableConcept": {
        "coding": [
            {
                "system": "{{OBSERVATION_VALUE}}",
                "code": "{{OBSERVATION_VALUE}}",
                "display": "{{OBSERVATION_VALUE}}"
            }
        ]
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
OBSERVATION_CODE (*) Jenis Pemeriksaan Lab. Referensi ke value set "Lampiran Terminologi Laboratorium"
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
PRACTITIONER_Name Nama dokter
ID_RESOURCE_SPECIMEN {id-resource-Specimen} pada SATUSEHAT
ID_RESOURCE_SERVICEREQUEST {id-resource-ServiceRequest} pada SATUSEHAT
OBSERVATION_VALUE (*) Nilai observasi. Referensi ke value set "Lampiran Terminologi Laboratorium"

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

Lampiran Terminologi Laboratorium dapat diakses di portal SATUSEHAT

Laporan Pemeriksaan Penunjang Laboratorium

Laporan hasil pemeriksaan akan dikirimkan melalui resource DiagnosticReport. Berikut adalah ketentuan pengisian laporan pemeriksaan penunjang laboratorium melalui resource DiagnosticReport:

  1. Data di resource DiagnosticReport akan mereferensi ke hasil pemeriksaan laboratorium terkait pada resource Observation melalui DiagnosticReport.result, spesimen terkait pada resource Specimen melalui DiagnosticReport.specimen, dan permintaan pemeriksaan penunjang terkait pada resource ServiceRequest melalui DiagnosticReport.basedOn.
  2. Kode LOINC atau kode Pemeriksaan Penunjang Nasional digunakan pada elemen DiagnosticReport.code untuk merepresentasikan nama pemeriksaan yang dilaporkan. Referensi pemetaan parameter laboratorium ke kode LOINC dapat dilihat melalui kode LOINC. Gunakan parameter pemeriksaan dengan kategori “Permintaan” atau “Permintaan & Hasil” pada file Terminologi Laboratorium melalui resource DiagnosticReport.
  3. Kode yang dicantumkan dalam DiagnosticReport.code akan sama dengan kode yang dicantumkan pada ServiceRequest.code terkait.

Satu payload atau satu record dari resource DiagnosticReport hanya dapat digunakan untuk 1 kode/laporan parameter laboratorium. Sehingga, apabila dilakukan permintaan 2 parameter laboratorium, sebagai contoh panel elektrolit dan hemoglobin, maka perlu mengirimkan 2 payload laporan melalui resource DiagnosticReport di mana 1 payload berisi 1 kode panel elektrolit dan 1 payload berisi kode parameter hemoglobin.

{
    "resourceType": "DiagnosticReport",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/diagnostic/10000004/lab",
            "use": "official",
            "value": "5234342"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                    "code": "MB",
                    "display": "Micriobiology"
                },
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                    "code": "HM",
                    "display": "Hematology"
                },
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                    "code": "SR",
                    "display": "Serology"
                },
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                    "code": "LAB",
                    "display": "Laboratory"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11477-7",
                "display": "Microscopic observation [Identifier] in Sputum by Acid fast stain"
            },
            {
                "system": "http://loinc.org",
                "code": "68961-2",
                "display": "HIV 1 Ab [Presence] in Serum, Plasma or Blood by Rapid immunoassay"
            },
            {
                "system": "http://loinc.org",
                "code": "718-7",
                "display": "Hemoglobin [Mass/volume] in Blood"
            },
            {
                "system": "http://loinc.org",
                "code": "20508-8",
                "display": "Reagin Ab [Units/volume] in Serum or Plasma by RPR"
            },
            {
                "system": "http://loinc.org",
                "code": "14904-7",
                "display": "Reagin Ab [Presence] in Specimen by VDRL"
            },
            {
                "system": "http://loinc.org",
                "code": "75410-1",
                "display": "Hepatitis B virus surface Ag [Presence] in Serum, Plasma or Blood by Rapid immunoassay"
            },
            {
                "system": "http://loinc.org",
                "code": "74774-1",
                "display": "Glucose [Mass/volume] in Serum, Plasma or Blood"
            },
            {
                "system": "http://loinc.org",
                "code": "5804-0",
                "display": "Protein [mass/volume] in urine by test strip"
            }
        ],
        "text": "Pemeriksaan Sputum BTA dan 10T"
    },
    "subject": {
        "reference": "Patient/100000030006"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T04:05:00+00:00",
    "issued": "2023-08-31T04:05:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "result":  [
        {
            "reference": "Observation/935ab5f7-7535-4a73-97ac-e37f8ae5c19d"
        },
        {
            "reference": "Observation/e6089ea9-0ca7-49eb-a837-4da4c8dd0418"
        },
        {
            "reference": "Observation/ac410bbf-733e-40f1-8691-c814526b8fb3"
        },
        {
            "reference": "Observation/72d5c154-084d-4aea-9467-4a9a4f2dfb5a"
        },
        {
            "reference": "Observation/6a558388-3350-4021-ade7-187578151878"
        },
        {
            "reference": "Observation/336a4254-f215-4bf8-8f59-b76e460a708c"
        },
        {
            "reference": "Observation/dcd70f3f-2739-46ae-8604-e189d8f95a33"
        },
        {
            "reference": "Observation/ab85fd5d-eb64-4236-aff7-44ef28e71421"
        }
    ],
    "specimen":  [
        {
            "reference": "Specimen/ff14615d-4d3c-4c75-9b5e-3504ff4bab68"
        },
        {
            "reference": "Specimen/0c4401ad-c926-4510-aa1f-cca7886bf804"
        },
        {
            "reference": "Specimen/c81e2dc5-831d-4074-9809-2b024c5e9d4e"
        }
    ],
    "basedOn":  [
        {
            "reference": "ServiceRequest/766c1116-f30c-4c39-a047-8a24c2415ea2"
        }
    ]
}
{
    "resourceType": "DiagnosticReport",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/diagnostic/{{ORGANIZATION_IHS_NUMBER}}/lab",
            "use": "official",
            "value": "{{DIAGNOSTIC_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                "system": "{{DIAGNOSTIC_CATEGORY}}",
                "code": "{{DIAGNOSTIC_CATEGORY}}",
                "display": "{{DIAGNOSTIC_CATEGORY}}"
                },
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                    "code": "LAB",
                    "display": "Laboratory"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "{{DIAGNOSTIC_TYPE}}",
                "code": "{{DIAGNOSTIC_TYPE}}",
                "display": "{{DIAGNOSTIC_TYPE}}"
                }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{DIAGNOSTIC_EFFECTIVE_DATETIME}}",
    "issued": "{{DIAGNOSTIC_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
        {
            "reference": "Organization/{{ORGANIZATION_IHS_NUMBER}}"
        }
    ],
    "result":  [
        {
            "reference": "Observation/{{ID_RESOURCE_OBSERVATION}}"
        }
    ],
    "specimen":  [
        {
            "reference": "Specimen/{{ID_RESOURCE_SPECIMEN}}"
        }
    ],
    "basedOn":  [
        {
            "reference": "ServiceRequest/{{ID_RESOURCE_SERVICEREQUEST}}"
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
DIAGNOSTIC_LOCAL_CODE ID Lokal untuk Report Lab
DIAGNOSTIC_CATEGORY (*) Kategori Pemeriksaan Lab. Referensi ke value set "Kategori DiagnosticReport"
DIAGNOSTIC_TYPE (*) Jenis Laporan Pemeriksaan Lab. Referensi ke value set "Lampiran Terminologi Laboratorium"
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
DIAGNOSTIC_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
DIAGNOSTIC_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
ID_RESOURCE_OBSERVATION {id-resource-Observation} pada SATUSEHAT untuk data hasil pemeriksaan lab
ID_RESOURCE_SPECIMEN {id-resource-Specimen} pada SATUSEHAT
ID_RESOURCE_SERVICEREQUEST {id-resource-ServiceRequest} pada SATUSEHAT

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

Lampiran Terminologi Laboratorium dapat diakses di portal SATUSEHAT

Kategori DiagnosticReport

No. DiagnosticReport.category.coding.system DiagnosticReport.category.coding.code DiagnosticReport.category.coding.display
1 AU Audiology http://terminology.hl7.org/CodeSystem/v2-0074
2 BG Blood Gases http://terminology.hl7.org/CodeSystem/v2-0074
3 BLB Blood Bank http://terminology.hl7.org/CodeSystem/v2-0074
4 CG Cytogenetics http://terminology.hl7.org/CodeSystem/v2-0074
5 CH Chemistry http://terminology.hl7.org/CodeSystem/v2-0074
6 CP Cytopathology http://terminology.hl7.org/CodeSystem/v2-0074
7 CT CAT Scan http://terminology.hl7.org/CodeSystem/v2-0074
8 CTH Cardiac Catheterization http://terminology.hl7.org/CodeSystem/v2-0074
9 CUS Cardiac Ultrasound http://terminology.hl7.org/CodeSystem/v2-0074
10 EC Electrocardiac (e.g., EKG, EEC, Holter) http://terminology.hl7.org/CodeSystem/v2-0074
11 EN Electroneuro (EEG, EMG,EP,PSG) http://terminology.hl7.org/CodeSystem/v2-0074
12 GE Genetics http://terminology.hl7.org/CodeSystem/v2-0074
13 HM Hematology http://terminology.hl7.org/CodeSystem/v2-0074
14 ICU Bedside ICU Monitoring http://terminology.hl7.org/CodeSystem/v2-0074
15 IMM Immunology http://terminology.hl7.org/CodeSystem/v2-0074
16 LAB Laboratory http://terminology.hl7.org/CodeSystem/v2-0074
17 MB Microbiology http://terminology.hl7.org/CodeSystem/v2-0074
18 MCB Mycobacteriology http://terminology.hl7.org/CodeSystem/v2-0074
19 MYC Mycology http://terminology.hl7.org/CodeSystem/v2-0074
20 NMR Nuclear Magnetic Resonance http://terminology.hl7.org/CodeSystem/v2-0074
21 NMS Nuclear Medicine Scan http://terminology.hl7.org/CodeSystem/v2-0074
22 NRS Nursing Service Measures http://terminology.hl7.org/CodeSystem/v2-0074
23 OSL Outside Lab http://terminology.hl7.org/CodeSystem/v2-0074
24 OT Occupational Therapy http://terminology.hl7.org/CodeSystem/v2-0074
25 OTH Other http://terminology.hl7.org/CodeSystem/v2-0074
26 OUS OB Ultrasound http://terminology.hl7.org/CodeSystem/v2-0074
27 PF Pulmonary Function http://terminology.hl7.org/CodeSystem/v2-0074
28 PHR Pharmacy http://terminology.hl7.org/CodeSystem/v2-0074
29 PHY Physician (Hx. Dx, admission note, etc.) http://terminology.hl7.org/CodeSystem/v2-0074
30 PT Physical Therapy http://terminology.hl7.org/CodeSystem/v2-0074
31 RAD Radiology http://terminology.hl7.org/CodeSystem/v2-0074
32 RC Respiratory Care (therapy) http://terminology.hl7.org/CodeSystem/v2-0074
33 RT Radiation Therapy http://terminology.hl7.org/CodeSystem/v2-0074
34 RUS Radiology Ultrasound http://terminology.hl7.org/CodeSystem/v2-0074
35 RX Radiograph http://terminology.hl7.org/CodeSystem/v2-0074
36 SP Surgical Pathology http://terminology.hl7.org/CodeSystem/v2-0074
37 SR Serology http://terminology.hl7.org/CodeSystem/v2-0074
38 TX Toxicology http://terminology.hl7.org/CodeSystem/v2-0074
39 VR Virology http://terminology.hl7.org/CodeSystem/v2-0074
40 VUS Vascular Ultrasound http://terminology.hl7.org/CodeSystem/v2-0074
41 XRC Cineradiograph http://terminology.hl7.org/CodeSystem/v2-0074

8.2. Radiologi

Permintaan Pemeriksaan Radiologi - USG

{
    "resourceType": "ServiceRequest",
    "identifier":  [
        {
            "system": "urn:dicom:uid",
            "value": "urn:oid:2.25.360.1.100025594.20231115"
        },
        {
            "system": "http://sys-ids.kemkes.go.id/servicerequest/10000004",
            "value": "00199"
        },
        {
            "use": "usual",
            "type": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "ACSN"
                    }
                ]
            },
            "system": "http://sys-ids.kemkes.go.id/acsn/10000004",
            "value": "00403"
        }
    ],
    "contained":  [
        {
            "resourceType": "Patient",
            "id": "100000030006",
            "identifier":  [
                {
                    "system": "http://sys-ids.kemkes.go.id/mrn/10000004",
                    "value": "{{mrnPrivate}}"
                }
            ],
            "active": true,
            "name":  [
                {
                    "use": "official",
                    "text": "Jane Smith"
                }
            ],
            "gender": "female",
            "birthDate": "1980-11-19"
        }
    ],
    "status": "active",
    "intent": "original-order",
    "priority": "routine",
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11525-3",
                "display": "US for pregnancy"
            }
        ],
        "text": "Pemeriksaan USG"
    },
    "orderDetail":  [
        {
            "coding":  [
                {
                    "system": "http://dicom.nema.org/resources/ontology/DCM",
                    "code": "US"
                }
            ],
            "text": "Modality Code: US"
        },
        {
            "coding":  [
                {
                    "system": "http://sys-ids.kemkes.go.id/ae-title",
                    "display": "CT0001"
                }
            ]
        }
    ],
    "subject": {
        "reference": "Patient/100000030009"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a",
        "display": "Permintaan pemeriksaan USG untuk kehamilan"
    },
    "occurrenceDateTime": "2023-08-31T02:05:00+00:00",
    "requester": {
        "reference": "Practitioner/10012572188",
        "display": "Dokter Bambang Anta"
    },
    "performer":  [
        {
            "reference": "Practitioner/10012572188",
            "display": "Dokter Radiologist"
        }
    ],
    "reasonCode":  [
        {
            "text": "Periksa rutin"
        }
    ]
}
{
    "resourceType": "ServiceRequest",
    "identifier":  [
        {
            "system": "urn:dicom:uid",
            "value": "urn:oid:{{DICOM_UID}}"
        },
        {
            "system": "http://sys-ids.kemkes.go.id/servicerequest/{{ORGANIZATION_IHS_NUMBER}}",
            "value": "{{SERVICEREQUEST_LOCAL_CODE}}"
        },
        {
            "use": "usual",
            "type": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "ACSN"
                    }
                ]
            },
            "system": "http://sys-ids.kemkes.go.id/acsn/{{ORGANIZATION_IHS_NUMBER}}",
            "value": "{{SERVICEREQUEST_ACCESSION_NUMBER}}"
        }
    ],
    "contained":  [
        {
            "resourceType": "Patient",
            "id": "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
            "identifier":  [
                {
                    "system": "http://sys-ids.kemkes.go.id/mrn/{{ORGANIZATION_IHS_NUMBER}}",
                    "value": ""reference": "Patient/{{PATIENT_MRN_LOCAL}}""
                }
            ],
            "active": true,
            "name":  [
                {
                    "use": "official",
                    "text": "{{PATIENT_NAME}}"
                }
            ],
            "gender": "{{PATIENT_GENDER}}",
            "birthDate": "{{PATIENT_DOB}}"
        }
    ],
    "status": "active",
    "intent": "original-order",
    "priority": "routine",
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11525-3",
                "display": "US for pregnancy"
            }
        ],
        "text": "Pemeriksaan USG"
    },"orderDetail":  [
        {
            "coding":  [
                {
                    "system": "http://dicom.nema.org/resources/ontology/DCM",
                    "code": "US"
                }
            ],
            "text": "Modality Code: US"
        },
        {
            "coding":  [
                {
                    "system": "http://sys-ids.kemkes.go.id/ae-title",
                    "display": "{{DICOM_AE_TITLE}}"
                }
            ]
        }
    ],
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "occurrenceDateTime": "{{SERVICEREQUEST_OCCUR}}",
    "requester": {
        "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER1}}",
                "display": "Practitioner/{{PRACTITIONER_NAME1}}"
    },
    "performer":  [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER2}}",
                "display": "Practitioner/{{PRACTITIONER_NAME2}}"
        }
    ],
    "reasonCode":  [
        {
            "text": "{{SERVICEREQUEST_REASON}}"
        }
    ]
}
Variabel Deskripsi
DICOM_UID Kode Study Unique Identifiers (UIDs) dari gambar DICOM
ORGANIZATION_IHS_NUMBER ID organisasi induk yang didapatkan dari master sarana indeks
SERVICEREQUEST_LOCAL_CODE Berisi data id lokal dari masing-masing institusi terkait tindak lanjut
SERVICEREQUEST_ACCESSION_NUMBER merupakan nomor untuk mengidentifikasi urutan permintaan/order dari study. Nomor ini selalu unik untuk setiap permintaan yang di fasyankes tersebut.
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_MRN_LOCAL Nomor rekam medis pasien di internal fasker
PATIENT_NAME Nama pasien
PATIENT_GENDER Jenis kelamin pasien
PATIENT_DOB Tanggal lahir pasien
DICOM_AE_TITLE Kode "Application Entity Title" pada modality/ alat radiologi yang secara unik mengidentifikasi sebuah layanan atau aplikasi pada sistem tertentu dalam jaringan. Judul Entitas Aplikasi tidak bergantung pada topologi jaringan sehingga perangkat dapat dipindahkan secara fisik saat Appli terkait
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
SERVICEREQUEST_OCCUR Berisi data informasi kapan kontrol harus terlaksana dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz.
PRACTITIONER_IHS_NUMBER1 Berisi data siapa yang melakukan permintaan, merujuk ke {practitioner-ihs-number} pada SATUSEHAT
PRACTITIONER_NAME1 Nama dokter yang melakukan permintaan
PRACTITIONER_IHS_NUMBER2 Berisi satu atau lebih data siapa yang diharapkan melakukan permintaan, merujuk ke {practitioner-ihs-number} pada SATUSEHAT
PRACTITIONER_NAME2 Nama dokter yang diharapkan melakukan permintaan
SERVICEREQUEST_REASON Berisi data yang berkaitan dengan penjelasan atau justifikasi mengenai mengapa pelayanan ini diminta dalam bentuk teks (free-text)

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

[none]

Hasil Gambar Radiologi

Pada tahap ini, akan terjadi proses GET data hasil gambar radiologi yang disimpan dalam resource ImagingStudy. Resource ImagingStudy akan terbentuk pada saat pengiriman gambar hasil radiologi dalam format DICOM yang dikirimkan oleh DICOM router. Setelah mendapatkan file DICOM dari PACS, DICOM router akan mengirimkan file tersebut ke National Imaging Data Repository (NIDR). NIDR akan mengembalikan WADO URL yang nantinya dapat digunakan untuk melihat hasil gambar radiologi yang telah tersimpan di NIDR. DICOM router kemudian akan melakukan POST informasi terkait DICOM melalui resource ImagingStudy ke SATUSEHAT. SATUSEHAT akan merespon dengan mengembalikan ImagingStudy.id ke DICOM Router. ImagingStudy.id ini yang perlu disimpan dan akan direferensikan ketika pada saat pengiriman data bacaan atau ekspertise dari hasil pemeriksaan radiologi.

CATATAN: Untuk penjelasan detail terkait pengiriman hasil gambar radiologi menggunakan DICOM Router ke SATUSEHAT dapat dilihat dalam SATUSEHAT Portal - Sistem DICOM.

Hasil Temuan Radiologi

Hasil-hasil temuan radiologis yang diidentifikasi dari pemeriksaan radiologis dapat dikirimkan dengan resource Observation, sedangkan hasil pemeriksaan lengkap dari ,pemeriksaan radiologis tersebut dapat dikirimkan dengan resource DiagnosticReport. Sebagai contoh, pemeriksaan radiologi memperlihatkan adanya konsolidasi paru dan tanda fibrosis pada paru seorang pasien yang dicurigai dengan tuberkulosis. Setelah itu, dokter ahli radiologi menuliskan ekspertise radiologis. Dalam kasus ini, hasil temuan konsolidasi dan tanda fibrosis dikirimkan dengan resource Observation, sedangkan ekspertise radiologis tersebut dapat dikirimkan dengan resource DiagnosticReport.

Gestational Sac (GS) Diameter
{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "imaging",
                    "display": "Imaging"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11850-5",
                "display": "Gestational sac Mean diameter US"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE36",
                "display": "Gestational sac (GS) USG"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T02:35:00+00:00",
    "issued": "2023-08-31T02:35:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 3.21,
        "unit": "cm",
        "system": "http://unitsofmeasure.org",
        "code": "cm"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/c8f0342c-66a5-405b-9f05-282abbb3eaae"
        }
    ]
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "imaging",
                    "display": "Imaging"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "11850-5",
                "display": "Gestational sac Mean diameter US"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE36",
                "display": "Gestational sac (GS) USG"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "cm",
        "system": "http://unitsofmeasure.org",
        "code": "cm"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/{{ID_RESOURCE_SERVICEREQUEST}}"
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama pasien
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi
ID_RESOURCE_SERVICEREQUEST {id-resource-ServiceRequest} pada SATUSEHAT

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

[none]

Crown Rump Length (CRL)
{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "imaging",
                    "display": "Imaging"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11957-8",
                "display": "Fetal Crown Rump length US"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE37",
                "display": "Fetal Crown Rump Length (CRL) USG"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T02:40:00+00:00",
    "issued": "2023-08-31T02:40:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 1.54,
        "unit": "cm",
        "system": "http://unitsofmeasure.org",
        "code": "cm"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/c8f0342c-66a5-405b-9f05-282abbb3eaae"
        }
    ]
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "imaging",
                    "display": "Imaging"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "11957-8",
                "display": "Fetal Crown Rump length US"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE37",
                "display": "Fetal Crown Rump Length (CRL) USG"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "cm",
        "system": "http://unitsofmeasure.org",
        "code": "cm"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/{{ID_RESOURCE_SERVICEREQUEST}}"
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama pasien
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi
ID_RESOURCE_SERVICEREQUEST {id-resource-ServiceRequest} pada SATUSEHAT

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

[none]

Denyut Jantung Janin (DJJ)
{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "imaging",
                    "display": "Imaging"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11948-7",
                "display": "Fetal Heart rate US"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE38",
                "display": "Denyut Jantung Janin (DJJ) USG"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T02:45:00+00:00",
    "issued": "2023-08-31T02:45:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 142,
        "unit": "beats/minute",
        "system": "http://unitsofmeasure.org",
        "code": "/min"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/c8f0342c-66a5-405b-9f05-282abbb3eaae"
        }
    ]
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "imaging",
                    "display": "Imaging"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "11948-7",
                "display": "Fetal Heart rate US"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE38",
                "display": "Denyut Jantung Janin (DJJ) USG"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "beats/minute",
        "system": "http://unitsofmeasure.org",
        "code": "/min"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/{{ID_RESOURCE_SERVICEREQUEST}}"
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama pasien
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi
ID_RESOURCE_SERVICEREQUEST {id-resource-ServiceRequest} pada SATUSEHAT

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

[none]

Usia Kehamilan - USG
{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "imaging",
                    "display": "Imaging"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11888-5",
                "display": "Gestational age US composite estimate"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B6.DE20",
                "display": "Ultrasound"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T02:50:00+00:00",
    "issued": "2023-08-31T02:50:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 28,
        "unit": "wk",
        "system": "http://unitsofmeasure.org",
        "code": "wk"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/c8f0342c-66a5-405b-9f05-282abbb3eaae"
        }
    ]
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "imaging",
                    "display": "Imaging"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "11888-5",
                "display": "Gestational age US composite estimate"
            },
            {
                "system": "http://fhir.org/guides/who/anc-cds/CodeSystem/anc-custom-codes",
                "code": "ANC.B6.DE20",
                "display": "Ultrasound"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "wk",
        "system": "http://unitsofmeasure.org",
        "code": "wk"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/{{ID_RESOURCE_SERVICEREQUEST}}"
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama pasien
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi
ID_RESOURCE_SERVICEREQUEST {id-resource-ServiceRequest} pada SATUSEHAT

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

[none]

Hari Perkiraan Lahir - USG
{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "imaging",
                    "display": "Imaging"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11781-2",
                "display": "Delivery date US composite estimate"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE40",
                "display": "Hari Perkiraan Lahir (HPL) USG"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T02:55:00+00:00",
    "issued": "2023-08-31T02:55:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueDateTime": "2023-05-31T00:00:00+00:00",
    "basedOn":  [
        {
            "reference": "ServiceRequest/c8f0342c-66a5-405b-9f05-282abbb3eaae"
        }
    ]
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "imaging",
                    "display": "Imaging"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "11781-2",
                "display": "Delivery date US composite estimate"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE40",
                "display": "Hari Perkiraan Lahir (HPL) USG"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueDateTime": "{{OBSERVATION_VALUE}}",
    "basedOn":  [
        {
            "reference": "ServiceRequest/{{ID_RESOURCE_SERVICEREQUEST}}"
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama pasien
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi
ID_RESOURCE_SERVICEREQUEST {id-resource-ServiceRequest} pada SATUSEHAT

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

[none]

Letak Janin
{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "imaging",
                    "display": "Imaging"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "OC000004",
                "display": "Letak Janin (USG)"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE41",
                "display": "Letak Janin USG"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T03:00:00+00:00",
    "issued": "2023-08-31T03:00:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "OV000006",
                "display": "Intrauteri"
            }
        ]
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/c8f0342c-66a5-405b-9f05-282abbb3eaae"
        }
    ]
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "imaging",
                    "display": "Imaging"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "OC000004",
                "display": "Letak Janin (USG)"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE41",
                "display": "Letak Janin USG"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    
    "valueCodeableConcept": {
        "coding": [
            {
                "system": "{{OBSERVATION_VALUE}}",
                "code": "{{OBSERVATION_VALUE}}",
                "display": "{{OBSERVATION_VALUE}}"
            }
        ]
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/{{ID_RESOURCE_SERVICEREQUEST}}"
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama pasien
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE (*) Nilai observasi. Referensi ke value set "Letak janin"
ID_RESOURCE_SERVICEREQUEST {id-resource-ServiceRequest} pada SATUSEHAT

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

Letak janin
No. Observation.valueCodeableConcept[0].coding[0].code[0] Observation.valueCodeableConcept[0].coding[0].display[0] Observation.valueCodeableConcept[0].coding[0].system[0]
1 OV000006 Intrauteri http://terminology.kemkes.go.id/CodeSystem/clinical-term
2 OV000007 Ekstrauteri http://terminology.kemkes.go.id/CodeSystem/clinical-term

Biparietal Diameter (BPD)
{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "imaging",
                    "display": "Imaging"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11820-8",
                "display": "Fetal Head Diameter.biparietal US"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE59",
                "display": "Biparietal Diameter (BPD) USG"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T03:05:00+00:00",
    "issued": "2023-08-31T03:05:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 2.56,
        "unit": "cm",
        "system": "http://unitsofmeasure.org",
        "code": "cm"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/c8f0342c-66a5-405b-9f05-282abbb3eaae"
        }
    ]
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "imaging",
                    "display": "Imaging"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "11820-8",
                "display": "Fetal Head Diameter.biparietal US"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE59",
                "display": "Biparietal Diameter (BPD) USG"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "cm",
        "system": "http://unitsofmeasure.org",
        "code": "cm"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/{{ID_RESOURCE_SERVICEREQUEST}}"
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama pasien
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi
ID_RESOURCE_SERVICEREQUEST {id-resource-ServiceRequest} pada SATUSEHAT

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

[none]

Head Circumference (HC)
{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "imaging",
                    "display": "Imaging"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11984-2",
                "display": "Fetal Head Circumference US"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE42",
                "display": "Head Circumference (HC) USG"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T03:10:00+00:00",
    "issued": "2023-08-31T03:10:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 2.66,
        "unit": "cm",
        "system": "http://unitsofmeasure.org",
        "code": "cm"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/c8f0342c-66a5-405b-9f05-282abbb3eaae"
        }
    ]
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "imaging",
                    "display": "Imaging"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "11984-2",
                "display": "Fetal Head Circumference US"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE42",
                "display": "Head Circumference (HC) USG"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "cm",
        "system": "http://unitsofmeasure.org",
        "code": "cm"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/{{ID_RESOURCE_SERVICEREQUEST}}"
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama pasien
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi
ID_RESOURCE_SERVICEREQUEST {id-resource-ServiceRequest} pada SATUSEHAT

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

[none]

Abdominal Circumference (AC)
{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "imaging",
                    "display": "Imaging"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11979-2",
                "display": "Fetal Abdomen Circumference US"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE43",
                "display": "Abdominal Circumference (AC) USG"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T03:15:00+00:00",
    "issued": "2023-08-31T03:15:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 7.22,
        "unit": "cm",
        "system": "http://unitsofmeasure.org",
        "code": "cm"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/c8f0342c-66a5-405b-9f05-282abbb3eaae"
        }
    ]
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "imaging",
                    "display": "Imaging"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "11979-2",
                "display": "Fetal Abdomen Circumference US"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE43",
                "display": "Abdominal Circumference (AC) USG"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "cm",
        "system": "http://unitsofmeasure.org",
        "code": "cm"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/{{ID_RESOURCE_SERVICEREQUEST}}"
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama pasien
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi
ID_RESOURCE_SERVICEREQUEST {id-resource-ServiceRequest} pada SATUSEHAT

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

[none]

Femur Length (FL)
{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "imaging",
                    "display": "Imaging"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11963-6",
                "display": "Fetal Femur diaphysis [Length] US"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE44",
                "display": "Femur Length (FL) USG"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T03:20:00+00:00",
    "issued": "2023-08-31T03:20:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 1.84,
        "unit": "cm",
        "system": "http://unitsofmeasure.org",
        "code": "cm"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/c8f0342c-66a5-405b-9f05-282abbb3eaae"
        }
    ]
}
{
"resourceType": "Observation",
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "imaging",
"display": "Imaging"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "11963-6",
"display": "Fetal Femur diaphysis [Length] US"
},
{
"system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
"code": "ANC.SS.DE44",
"display": "Femur Length (FL) USG"
}
]
},
"subject": {
"reference": "Patient/
There is no placeholder called 'PATIENT_IHS_NUMBER'
",
"display": "
There is no placeholder called 'PATIENT_NAME'
"
},
"encounter": {
"reference": "Encounter/
There is no placeholder called 'ID_RESOURCE_ENCOUNTER'
"
},
"effectiveDateTime": "
There is no placeholder called 'OBSERVATION_EFFECTIVE_DATETIME'
",
"issued": "
There is no placeholder called 'OBSERVATION_ISSUED'
",
"performer": [
{
"reference": "Practitioner/
There is no placeholder called 'PRACTITIONER_IHS_NUMBER'
"
}
],
"valueQuantity": {
"value": "
There is no placeholder called 'OBSERVATION_VALUE'
",
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
},
"basedOn":  [
{
"reference": "ServiceRequest/
There is no placeholder called 'ID_RESOURCE_SERVICEREQUEST'
"
}
]
}

Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama pasien
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi
ID_RESOURCE_SERVICEREQUEST {id-resource-ServiceRequest} pada SATUSEHAT

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

[none]

Berat Janin (USG)
{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "imaging",
                    "display": "Imaging"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11727-5",
                "display": "Fetal Body weight estimated by US"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE45",
                "display": "Berat janin USG"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T03:25:00+00:00",
    "issued": "2023-08-31T03:25:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueQuantity": {
        "value": 1200,
        "unit": "g",
        "system": "http://unitsofmeasure.org",
        "code": "g"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/c8f0342c-66a5-405b-9f05-282abbb3eaae"
        }
    ]
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "imaging",
                    "display": "Imaging"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "11727-5",
                "display": "Fetal Body weight estimated by US"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE45",
                "display": "Berat janin USG"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueQuantity": {
        "value": "{{OBSERVATION_VALUE}}",
        "unit": "g",
        "system": "http://unitsofmeasure.org",
        "code": "g"
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/{{ID_RESOURCE_SERVICEREQUEST}}"
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
OBSERVATION_LOCAL_CODE ID Lokal untuk Observasi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama pasien
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi
ID_RESOURCE_SERVICEREQUEST {id-resource-ServiceRequest} pada SATUSEHAT

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

[none]

Laporan Hasil Pemeriksaan - USG

{
    "resourceType": "DiagnosticReport",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/diagnostic/10000004/rad",
            "use": "official",
            "value": "5234352B"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                    "code": "RAD",
                    "display": "Radiology"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11525-3",
                "display": "US for pregnancy"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030015"
    },
    "encounter": {
        "reference": "Encounter/5bc05f8a-fba4-4b1b-8a36-a31ba3b3cdce"
    },
    "effectiveDateTime": "2023-08-31T05:00:00+00:00",
    "issued": "2023-08-31T05:00:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        },
        {
            "reference": "Organization/10000004"
        }
    ],
    "imagingStudy":  [
        {
            "reference": "ImagingStudy/1d3294e1-2bc9-439d-8915-272913f23bb8"
        }
    ],
    "result":  [
        {
            "reference": "Observation/0354d683-a133-4a90-aed1-88292d252935"
        },
        {
            "reference": "Observation/5124dade-ce73-4225-9e65-e44928349cd3"
        },
        {
            "reference": "Observation/a6e41e68-9296-4550-a68c-80c9ba07fb3b"
        },
        {
            "reference": "Observation/a1e2680b-178b-4061-bf3a-da8a8f1d36c6"
        },
        {
            "reference": "Observation/1e8f4c72-c52f-4f52-b6c2-6565b01c8650"
        },
        {
            "reference": "Observation/919524da-9b33-4a3c-9e19-34f6077c9f45"
        },
        {
            "reference": "Observation/bfaf1527-a4c2-4f3e-a47e-8fae7abf0bcb"
        },
        {
            "reference": "Observation/be6f4daf-6991-464d-9853-08b00b91d9fe"
        },
        {
            "reference": "Observation/9d7b5df2-1daa-47eb-b47e-bb08c17b67dd"
        },
        {
            "reference": "Observation/dbed4296-66ea-4e88-83af-d7e0f315d405"
        },
        {
            "reference": "Observation/ea81fbcc-4f90-44c5-90ba-447e11f23c8d"
        }
    ],
    "basedOn":  [
        {
            "reference": "ServiceRequest/71402eba-9c42-4c9d-9d2e-aa1e7531f344"
        }
    ],
    "conclusion": "Ditemukan Janin hidup panjang 1.54 cm"
}
{
    "resourceType": "DiagnosticReport",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/diagnostic/{{ORGANIZATION_IHS_NUMBER}}/rad",
            "use": "official",
            "value": "{{DIAGNOSTIC_LOCAL_CODE}}"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code": "RAD",
                "display": "Radiology"
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11525-3",
                "display": "US for pregnancy"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{DIAGNOSTIC_EFFECTIVE_DATETIME}}",
    "issued": "{{DIAGNOSTIC_ISSUED}}",
    "performer":  [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
        {
            "reference": "Organization/{{ORGANIZATION_IHS_NUMBER}}"
        }
    ],
    "imagingStudy":  [
        {
            "reference": "ImagingStudy/1d3294e1-2bc9-439d-8915-272913f23bb8"
        }
    ],
    "result":  [
        {
            "reference": "Observation/{{ID_RESOURCE_OBSERVATION}}"
        }
    ],
    "basedOn":  [
        {
            "reference": "ServiceRequest/{{ID_RESOURCE_SERVICEREQUEST}}"
        }
    ],
    "conclusion": "{{REPORT_CONCLUSION}}"
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
DIAGNOSTIC_LOCAL_CODE ID Lokal untuk Report Lab
DIAGNOSTIC_CATEGORY (*) Kategori Pemeriksaan Lab. Referensi ke value set "Kategori DiagnosticReport"
DIAGNOSTIC_TYPE (*) Jenis Laporan Pemeriksaan Lab. Referensi ke value set "Lampiran Terminologi Laboratorium"
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
DIAGNOSTIC_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
DIAGNOSTIC_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
ID_RESOURCE_OBSERVATION {id-resource-Observation} pada SATUSEHAT untuk data hasil pemeriksaan lab
ID_RESOURCE_SPECIMEN {id-resource-Specimen} pada SATUSEHAT
ID_RESOURCE_SERVICEREQUEST {id-resource-ServiceRequest} pada SATUSEHAT
REPORT_CONCLUSION Hasil pemeriksaan laporan radiologi dalam format free-text

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

[none]


Step 9. Peresepan Obat

Data terkait Farmasi meliputi data alergi obat, pengiriman data peresepan obat, dan pengeluaran obat. Data terkait Farmasi dikirimkan menggunakan resource AllergyIntolerance, Medication, MedicationRequest, dan Medication Dispense.

CATATAN: Detail skema peresepan obat, dapat dilihat dalam Portal SATUSEHAT.

Daftar Nama Obat

{
    "resourceType": "Medication",
    "meta": {
        "profile":  [
            "https://fhir.kemkes.go.id/r4/StructureDefinition/Medication"
        ]
    },
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/medication/10000004",
            "use": "official",
            "value": "123456789"
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://sys-ids.kemkes.go.id/kfa",
                "code": "93006500",
                "display": "Ferrous Fumarate 60 mg / Folic Acid 0.4 mg Tablet Salut Selaput (KIMIA FARMA)"
            }
        ]
    },
    "status": "active",
    "manufacturer": {
        "reference": "Organization/900001"
    },
    "form": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/medication-form",
                "code": "BS077",
                "display": "Tablet Salut Selaput"
            }
        ]
    },
    "ingredient":  [
        {
            "itemCodeableConcept": {
                "coding":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/kfa",
                        "code": "91000205",
                        "display": "FERROUS FUMARATE"
                    }
                ]
            },
            "isActive": true,
            "strength": {
                "numerator": {
                    "value": 60,
                    "system": "http://unitsofmeasure.org",
                    "code": "mg"
                },
                "denominator": {
                    "value": 1,
                    "unit": "TAB",
                    "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
                    "code": "TAB"
                }
            }
        },
        {
            "itemCodeableConcept": {
                "coding":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/kfa",
                        "code": "91000289",
                        "display": "FOLIC ACID"
                    }
                ]
            },
            "isActive": true,
            "strength": {
                "numerator": {
                    "value": 0.4,
                    "system": "http://unitsofmeasure.org",
                    "code": "mg"
                },
                "denominator": {
                    "value": 1,
                    "unit": "TAB",
                    "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
                    "code": "TAB"
                }
            }
        }
    ],
    "batch": {
        "lotNumber": "1625042A",
        "expirationDate": "2025-07-28"
    },
    "extension":  [
        {
            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/MedicationType",
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "system": "http://terminology.kemkes.go.id/CodeSystem/medication-type",
                        "code": "NC",
                        "display": "Non-compound"
                    }
                ]
            }
        }
    ]
}
{
    "resourceType": "Medication",
    "meta": {
        "profile":  [
            "https://fhir.kemkes.go.id/r4/StructureDefinition/Medication"
        ]
    },
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/medication/{{ORGANIZATION_IHS_NUMBER1}}",
            "use": "official",
            "value": "{{MEDICATION_LOCAL_CODE}}"
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://sys-ids.kemkes.go.id/kfa",
                "code": "{{MEDICATION_VALUE}}",
                "display": "{{MEDICATION_VALUE}}"
            }
        ]
    },
    "status": "active",
    "manufacturer": {
        "reference": "Organization/{{ORGANIZATION_IHS_NUMBER2}}"
    },
    "form": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/medication-form",
                "code": "{{MEDICATION_FORM}}",
                "display": "{{MEDICATION_FORM}}"
            }
        ]
    },
    "ingredient":  [
        {
            "itemCodeableConcept": {
                "coding":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/kfa",
                        "code": "{{MEDICATION_INGREDIENT}}",
                        "display": "{{MEDICATION_INGREDIENT}}"
                    }
                ]
            },
            "isActive": true,
            "strength": {
                "numerator": {
                    "value": "{{MEDICATION_INGREDIENT_NUM}}",
                    "system": "http://unitsofmeasure.org",
                    "code": "{{MEDICATION_INGREDIENT_UOM}}"
                },
                "denominator": {
                    "value": {{MEDICATION_INGREDIENT_DENUM}},
                    "unit": "{{MEDICATION_INGREDIENT_UOM}}",
                    "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
                    "code": "{{MEDICATION_INGREDIENT_UOM}}"
                }
            }
        }
    ],
    "extension":  [
        {
            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/MedicationType",
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "system": "http://terminology.kemkes.go.id/CodeSystem/medication-type",
                        "code": "{{MEDICATION_TYPE}}",
                        "display": "{{MEDICATION_TYPE}}"
                    }
                ]
            }
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
MEDICATION_LOCAL_CODE Berisi data kode lokal obat di masing-masing institusi. Apabila data obat yang dikirimkan merupakan data obat racikan, Medication.identifier dapat dikosongkan.
MEDICATION_VALUE (*) Berisi data kode obat yang digunakan akan menggunakan kode obat yang tersedia pada KFA (kamus farmasi dan alat kesehatan) dengan tipe data CodeableConcept. Medication.code wajib diisi apabila mengirimkan data obat non-racikan. Untuk pengiriman data racikan, Medication.code dapat dikosongkan. Referensi ke value set "Lampiran Terminologi Peresepan dan Pengeluaran Obat "
MEDICATION_FORM (*) Berisi data yang menjelaskan bentuk dari sediaan obat yang merujuk pada Peraturan Kepala Badan Pengawas Obat dan Makanan Republik Indonesia Nomor 24 Tahun 2017, dengan tipe data CodeableConcept. Referensi ke value set "Lampiran Terminologi Peresepan dan Pengeluaran Obat "
MEDICATION_INGREDIENT Terdapat 2 cara pengisian Medication.ingredient yaitu: * Peresepan/pengeluaran obat non-racikan dan obat racikan dengan instruksi berikan dalam dosis demikian/ d.t.d * Peresepan/pengeluaran obat racikan non-d.t.d (bagi dalam bagian-bagian yang sama) dengan tipe data BackboneElement. Elemen ini WAJIB diisi apabila data yang dikirimkan adalah obat racikan.
MEDICATION_INGREDIENT_NUM; MEDICATION_INGREDIENT_DENUM Berisi data informasi jumlah komposisi zat dalam obat (untuk zat aktif, maka diisi dengan kekuatan zat aktif obat) atau jumlah tablet yang dibutuhkan per jumlah pulveres/kapsul yang akan diresepkan dengan tipe data Ratio, yang umumnya nilai satuan kekuatan zat aktif mengacu pada tiga data terminologi, yaitu: UCUM, orderableDrugForm, dan SNOMED CT.
MEDICATION_INGREDIENT_UOM Satuan pengukuran untuk numerator dan denumerator komposisi zat dalam obat. Referensi ke value set "UCUM"
MEDICATION_TYPE Berisi satu atau lebih data bertipe Extension yang digunakan menyimpan informasi apakah obat yang diresepkan atau dikeluarkan merupakan obat non-racikan, obat racikan dengan instruksi berikan dalam dosis demikian/ d.t.d, atau obat racikan non-d.t.d, yang nilai dan strukturnya mengacu pada extension tambahan dengan nama MedicationType.

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

Lampiran Terminologi Peresepan dan Pengeluaran Obat dapat diakses di SATUSEHAT Portal - Lampiran Terminologi ANC Prioritas

Lampiran UCUM dapat diakses di Spreadsheet Observation.valueQuantity (UCUM)


Permintaan Obat

{
    "resourceType": "MedicationRequest",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/prescription/10000004",
            "use": "official",
            "value": "123456788"
        },
        {
            "system": "http://sys-ids.kemkes.go.id/prescription-item/10000004",
            "use": "official",
            "value": "123456788-1"
        }
    ],
    "status": "completed",
    "intent": "order",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                    "code": "outpatient",
                    "display": "Outpatient"
                }
            ]
        }
    ],
    "priority": "routine",
    "medicationReference": {
        "reference": "Medication/aa771fa4-9e13-44fd-9881-e9558d67c9a8",
        "display": "Ferrous Fumarate 60 mg / Folic Acid 0,4 mg Tablet Salut Gula"
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "authoredOn": "2023-08-31T04:10:00+00:00",
    "requester": {
        "reference": "Practitioner/N10000001",
        "display": "Dokter Bronsig"
    },
    "courseOfTherapyType": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
                "code": "continuous",
                "display": "Continuing long term therapy"
            }
        ]
    },
    "dosageInstruction":  [
        {
            "sequence": 1,
            "text": "1 tablet per hari",
            "additionalInstruction":  [
                {
                    "text": "Diminum setiap hari"
                }
            ],
            "patientInstruction": "1 tablet perhari, diminum setiap hari tanpa jeda selama 3 bulan",
            "timing": {
                "repeat": {
                    "frequency": 1,
                    "period": 1,
                    "periodUnit": "d"
                }
            },
            "route": {
                "coding":  [
                    {
                        "system": "http://www.whocc.no/atc",
                        "code": "O",
                        "display": "Oral"
                    }
                ]
            },
            "doseAndRate":  [
                {
                    "type": {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                                "code": "ordered",
                                "display": "Ordered"
                            }
                        ]
                    },
                    "doseQuantity": {
                        "value": 1,
                        "unit": "TAB",
                        "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
                        "code": "TAB"
                    }
                }
            ]
        }
    ],
    "dispenseRequest": {
        "dispenseInterval": {
            "value": 1,
            "unit": "days",
            "system": "http://unitsofmeasure.org",
            "code": "d"
        },
        "validityPeriod": {
            "start": "2023-08-31T04:10:00+00:00",
            "end": "2023-09-01T04:10:00+00:00"
        },
        "numberOfRepeatsAllowed": 0,
        "quantity": {
            "value": 90,
            "unit": "TAB",
            "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
            "code": "TAB"
        },
        "expectedSupplyDuration": {
            "value": 90,
            "unit": "days",
            "system": "http://unitsofmeasure.org",
            "code": "d"
        },
        "performer": {
            "reference": "Organization/10000004"
        }
    }
}
{
    "resourceType": "MedicationRequest",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/prescription/{{ORGANIZATION_IHS_NUMBER}}",
            "use": "official",
            "value": "{{MEDICATIONREQUEST_LOCAL_CODE}}"
        },
        {
            "system": "http://sys-ids.kemkes.go.id/prescription-item/{{ORGANIZATION_IHS_NUMBER}}",
            "use": "official",
            "value": "{{MEDICATION_LOCAL_CODE}}"
        }
    ],
    "status": "completed",
    "intent": "order",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                    "code": "outpatient",
                    "display": "Outpatient"
                }
            ]
        }
    ],
    "priority": "routine",
    "medicationReference": {
        "reference": "Medication/{{ID_RESOURCE_MEDICATION}}"
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "authoredOn": "{{MEDICATIONREQUEST_AUTHORED_DATE}}",
    "requester": {
        "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}",
        "display": "{{PRACTITIONER_NAME}}"
    },
    "courseOfTherapyType": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
                "code": "{{MEDICATION_THERAPY_TYPE}}",
                "display": "{{MEDICATION_THERAPY_TYPE}}"
            }
        ]
    },
    "dosageInstruction":  [
        {
            "sequence": "{{DOSAGE_SEQUENCE_NO}}",
            "text": "{{DOSAGE_INSTRUCTION}}",
            "additionalInstruction":  [
                {
                    "text": "{{DOSAGE_ADDITIONAL_INSTRUCTION}}"
                }
            ],
            "patientInstruction": "{{DOSAGE_PATIENT_INSTRUCTION}}",
            "timing": {
                "repeat": {
                    "frequency": "{{DOSAGE_TIMING_REPEAT}}",
                    "period": "{{DOSAGE_TIMING_REPEAT}}",
                    "periodUnit": "{{DOSAGE_TIMING_REPEAT}}"
                }
            },
            "route": {
                "coding":  [
                    {
                        "system": "http://www.whocc.no/atc",
                        "code": "{{MEDICINE_CONSUME_ROUTE}}",
                        "display": "{{MEDICINE_CONSUME_ROUTE}}"
                    }
                ]
            },
            "doseAndRate":  [
                {
                    "type": {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                                "code": "ordered",
                                "display": "Ordered"
                            }
                        ]
                    },
                    "doseQuantity": {
                        "value": "{{DOSE_QTY}}",
                        "unit": "{{DOSE_QTY}}",
                        "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
                        "code": "{{DOSE_QTY}}"
                    }
                }
            ]
        }
    ],
    "dispenseRequest": {
        "dispenseInterval": {
            "value": "{{DISPENSE_INTERVAL_VALUE}}",
            "unit": "{{DISPENSE_INTERVAL_UNIT}}",
            "system": "http://unitsofmeasure.org",
            "code": ""{{DISPENSE_INTERVAL_UNIT}}""
        },
        "validityPeriod": {
            "start": "{{DISPENSE_INTERVAL_START}}",
            "end": "{{DISPENSE_INTERVAL_END}}"
        },
        "numberOfRepeatsAllowed": "{{PRESCRIPTION_NUMBER_OF_REPEAT}}",
        "quantity": {
            "value": "{{DISPENSE_QTY}}",
            "unit": "{{DISPENSE_UNIT}}",
            "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
            "code": "{{DISPENSE_UNIT}}"
        },
        "expectedSupplyDuration": {
            "value": "{{EXPECTED_SUPPLY_DURATION}}",
            "unit": "{{EXPECTED_SUPPLY_DURATION_UNIT}}",
            "system": "http://unitsofmeasure.org",
            "code": "{{EXPECTED_SUPPLY_DURATION_UNIT}}"
        },
        "performer": {
            "reference": "Organization/{{ORGANIZATION_IHS_NUMBER2}}"
        }
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
MEDICATIONREQUEST_LOCAL_CODE ID Lokal Peresepan Merupakan ID lokal di masing-masing institusi yang merepresentasikan satu resep yang dibuat oleh dokter (dapat terdiri dari lebih dari 1 obat dalam 1 resep).
MEDICATION_LOCAL_CODE ID Lokal Peresepan per-item obat Merupakan ID lokal di masing-masing institusi untuk setiap obat yang diresepkan dalam suatu resep.
ID_RESOURCE_MEDICATION Berisi data informasi obat yang diresepkan dengan tipe data Reference, yang direferensikan ke data yang tersimpan di resource Medication, yang nilainya merujuk ke {id-resource-MedicationReference} pada SATUSEHAT
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama pasien
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
MEDICATIONREQUEST_AUTHORED_DATE Berisi data waktu peresepan dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz.
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
PRACTITIONER_NAME Nama dokter
MEDICATION_THERAPY_TYPE Berisi satu atau lebih data yang mendeskripsikan keseluruhan pola pemberian obat pada pasien dengan tipe data CodeableConcept.
DOSAGE_SEQUENCE_NO Berisi data paket aturan pakai dengan nilai sequence dengan tipe data integer.
DOSAGE_INSTRUCTION Berisi satu atau lebih data aturan pakai obat dalam bentuk naratif dengan tipe data string.
DOSAGE_ADDITIONAL_INSTRUCTION Nama dokter
DOSAGE_PATIENT_INSTRUCTION Berisi data instruksi aturan pakai dengan orientasi pasien dengan tipe data string.
DOSAGE_TIMING_REPEAT (*) berisi aturan kapan suatu obat harus dikonsumsi. Cara Pengisian referensi ke value set "Lampiran Aturan Konsumsi Obat"
MEDICINE_CONSUME_ROUTE (*) Berisi data yang berkaitan dengan cara/rute yang digunakan untuk memasukkan obat ke dalam tubuh pasien dengan tipe data CodeableConcept, yang nilainya mengacu pada data terminologi WHO ATC/DDD. Referensi ke value set "Cara/ rute pemberian obat"
DOSE_QTY (*) Berisi data jumlah obat yang diberikan perdosis. Cara Pengisian referensi ke value set "Lampiran Aturan Konsumsi Obat"
DISPENSE_INTERVAL_VALUE Berisi data yang Berkaitan dengan periode waktu minimal yang harus dilakukan antara pengeluaran obat
DISPENSE_INTERVAL_UNIT (*) nilai satuan kekuatan zat aktifnya merujuk pada referensi ke value set ""
PRACTITIONER_NAME Nama dokter

| MEDICATION_VALUE |(*) Berisi data kode obat yang digunakan akan menggunakan kode obat yang tersedia pada KFA (kamus farmasi dan alat kesehatan) dengan tipe data CodeableConcept. Medication.code wajib diisi apabila mengirimkan data obat non-racikan. Untuk pengiriman data racikan, Medication.code dapat dikosongkan. Referensi ke value set "Lampiran Terminologi Peresepan dan Pengeluaran Obat "| | MEDICATION_FORM |(*) Berisi data yang menjelaskan bentuk dari sediaan obat yang merujuk pada Peraturan Kepala Badan Pengawas Obat dan Makanan Republik Indonesia Nomor 24 Tahun 2017, dengan tipe data CodeableConcept. Referensi ke value set "Lampiran Terminologi Peresepan dan Pengeluaran Obat " | | MEDICATION_INGREDIENT | Terdapat 2 cara pengisian Medication.ingredient yaitu: * Peresepan/pengeluaran obat non-racikan dan obat racikan dengan instruksi berikan dalam dosis demikian/ d.t.d * Peresepan/pengeluaran obat racikan non-d.t.d (bagi dalam bagian-bagian yang sama) dengan tipe data BackboneElement. Elemen ini WAJIB diisi apabila data yang dikirimkan adalah obat racikan. | | MEDICATION_INGREDIENT_NUM; MEDICATION_INGREDIENT_DENUM | Berisi data informasi jumlah komposisi zat dalam obat (untuk zat aktif, maka diisi dengan kekuatan zat aktif obat) atau jumlah tablet yang dibutuhkan per jumlah pulveres/kapsul yang akan diresepkan dengan tipe data Ratio, yang umumnya nilai satuan kekuatan zat aktif mengacu pada tiga data terminologi, yaitu: UCUM, orderableDrugForm, dan SNOMED CT. | | MEDICATION_INGREDIENT_UOM | Satuan pengukuran untuk numerator dan denumerator komposisi zat dalam obat| | MEDICATION_TYPE | Berisi satu atau lebih data bertipe Extension yang digunakan menyimpan informasi apakah obat yang diresepkan atau dikeluarkan merupakan obat non-racikan, obat racikan dengan instruksi berikan dalam dosis demikian/ d.t.d, atau obat racikan non-d.t.d, yang nilai dan strukturnya mengacu pada extension tambahan dengan nama MedicationType. |

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

Lampiran Aturan Konsumsi Obat dapat diakses pada SATUSEHAT Portal - Tabel 16. Tatacara pengisian MedicationDispense.dosageInstruction[i].timing.repeat

Cara/ rute pemberian obat

No. MedicationRequest.dosageInstruction.route.coding.system  MedicationRequest.dosageInstruction.route.coding.code MedicationRequest.dosageInstruction.route.coding.display Keterangan 
1 http://www.whocc.no/atc implant Implant Implant
2 http://www.whocc.no/atc Inhal Inhalation Inhalasi (dihirup)
3 http://www.whocc.no/atc Instill Instillation Instillation
4 http://www.whocc.no/atc N Nasal Nasal
5 http://www.whocc.no/atc O Oral Oral
6 http://www.whocc.no/atc P Parenteral Parenteral
7 http://www.whocc.no/atc R Rectal Rektum
8 http://www.whocc.no/atc SL Sublingual/Buccal/Oromucosal Sublingual (dibawah lidah) / bukal (diantara gusi & pipi)
9 http://www.whocc.no/atc TD Transdermal Transdermal
10 http://www.whocc.no/atc V Vaginal Vagina
11 http://www.whocc.no/atc Inhal.powder Inhalation Powder Bubuk inhalasi
12 http://www.whocc.no/atc Inhal.aerosol Inhalation Aerosol Aerosol inhalasi
13 http://www.whocc.no/atc Inhal.solution Inhalation Solution Larutan inhalasi
14 http://www.whocc.no/atc urethral Urethral Uretra
15 http://www.whocc.no/atc TD patch Transdermal Patch Transdermal patch
16 http://www.whocc.no/atc intravesical Intravesical Intravesical
17 http://www.whocc.no/atc Instill.solution Instillation Solution Instillation solution
18 http://www.whocc.no/atc lamella Lamella Ophtalmic
19 http://www.whocc.no/atc oral aerosol Oral Aerosol Aerosol oral
20 http://www.whocc.no/atc s.c. implant S.C. Implant S.C. implant
21 http://www.whocc.no/atc ocular Ocular Ocular (mata)
22 http://www.whocc.no/atc otic Otic Otic (telinga)
23 http://www.whocc.no/atc cutaneous Cutaneous Kutanea (kulit)
24 http://www.whocc.no/atc inj.subcutaneous Injection Subcutaneous Subkutan Injeksi (di bawah kulit)
25 http://www.whocc.no/atc inj.intramuscular Injection Intramuscular Intramuskular Injeksi (di dalam otot)
26 http://www.whocc.no/atc inj.intravenous Injection Intravenous Intravena Injeksi (ke pembuluh darah)
27 http://www.whocc.no/atc inj.intrathecal Injection Intrathecal Intratekal Injeksi (sekitar sumsum tulang belakang)
28 http://www.whocc.no/atc Chewing Gum Chewing Gum Dikunyah
29 http://www.whocc.no/atc ointment ointment Topikal
30 http://www.whocc.no/atc stomatologic stomatologic stomatologic

Step 10. Pengeluaran Obat

CATATAN: Detail skema pengeluaran obat, dapat dilihat dalam Portal SATUSEHAT.

Daftar Nama Obat

{
    "resourceType": "Medication",
    "meta": {
        "profile":  [
            "https://fhir.kemkes.go.id/r4/StructureDefinition/Medication"
        ]
    },
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/medication/10000004",
            "use": "official",
            "value": "123456789"
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://sys-ids.kemkes.go.id/kfa",
                "code": "93006500",
                "display": "Ferrous Fumarate 60 mg / Folic Acid 0.4 mg Tablet Salut Selaput (KIMIA FARMA)"
            }
        ]
    },
    "status": "active",
    "manufacturer": {
        "reference": "Organization/900001"
    },
    "form": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/medication-form",
                "code": "BS077",
                "display": "Tablet Salut Selaput"
            }
        ]
    },
    "ingredient":  [
        {
            "itemCodeableConcept": {
                "coding":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/kfa",
                        "code": "91000205",
                        "display": "FERROUS FUMARATE"
                    }
                ]
            },
            "isActive": true,
            "strength": {
                "numerator": {
                    "value": 60,
                    "system": "http://unitsofmeasure.org",
                    "code": "mg"
                },
                "denominator": {
                    "value": 1,
                    "unit": "TAB",
                    "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
                    "code": "TAB"
                }
            }
        },
        {
            "itemCodeableConcept": {
                "coding":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/kfa",
                        "code": "91000289",
                        "display": "FOLIC ACID"
                    }
                ]
            },
            "isActive": true,
            "strength": {
                "numerator": {
                    "value": 0.4,
                    "system": "http://unitsofmeasure.org",
                    "code": "mg"
                },
                "denominator": {
                    "value": 1,
                    "unit": "TAB",
                    "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
                    "code": "TAB"
                }
            }
        }
    ],
    "batch": {
        "lotNumber": "1625042A",
        "expirationDate": "2025-07-28"
    },
    "extension":  [
        {
            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/MedicationType",
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "system": "http://terminology.kemkes.go.id/CodeSystem/medication-type",
                        "code": "NC",
                        "display": "Non-compound"
                    }
                ]
            }
        }
    ]
}
{
    "resourceType": "Medication",
    "meta": {
        "profile":  [
            "https://fhir.kemkes.go.id/r4/StructureDefinition/Medication"
        ]
    },
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/medication/{{ORGANIZATION_IHS_NUMBER1}}",
            "use": "official",
            "value": "{{MEDICATION_LOCAL_CODE}}"
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://sys-ids.kemkes.go.id/kfa",
                "code": "{{MEDICATION_VALUE}}",
                "display": "{{MEDICATION_VALUE}}"
            }
        ]
    },
    "status": "active",
    "manufacturer": {
        "reference": "Organization/{{ORGANIZATION_IHS_NUMBER2}}"
    },
    "form": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/medication-form",
                "code": "{{MEDICATION_FORM}}",
                "display": "{{MEDICATION_FORM}}"
            }
        ]
    },
    "ingredient":  [
        {
            "itemCodeableConcept": {
                "coding":  [
                    {
                        "system": "http://sys-ids.kemkes.go.id/kfa",
                        "code": "{{MEDICATION_INGREDIENT}}",
                        "display": "{{MEDICATION_INGREDIENT}}"
                    }
                ]
            },
            "isActive": true,
            "strength": {
                "numerator": {
                    "value": "{{MEDICATION_INGREDIENT_NUM}}",
                    "system": "http://unitsofmeasure.org",
                    "code": "{{MEDICATION_INGREDIENT_UOM}}"
                },
                "denominator": {
                    "value": {{MEDICATION_INGREDIENT_DENUM}},
                    "unit": "{{MEDICATION_INGREDIENT_UOM}}",
                    "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
                    "code": "{{MEDICATION_INGREDIENT_UOM}}"
                }
            }
        }
    ],
    "extension":  [
        {
            "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/MedicationType",
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "system": "http://terminology.kemkes.go.id/CodeSystem/medication-type",
                        "code": "{{MEDICATION_TYPE}}",
                        "display": "{{MEDICATION_TYPE}}"
                    }
                ]
            }
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
MEDICATION_LOCAL_CODE Berisi data kode lokal obat di masing-masing institusi. Apabila data obat yang dikirimkan merupakan data obat racikan, Medication.identifier dapat dikosongkan.
MEDICATION_VALUE (*) Berisi data kode obat yang digunakan akan menggunakan kode obat yang tersedia pada KFA (kamus farmasi dan alat kesehatan) dengan tipe data CodeableConcept. Medication.code wajib diisi apabila mengirimkan data obat non-racikan. Untuk pengiriman data racikan, Medication.code dapat dikosongkan. Referensi ke value set "Lampiran Terminologi Peresepan dan Pengeluaran Obat "
MEDICATION_FORM (*) Berisi data yang menjelaskan bentuk dari sediaan obat yang merujuk pada Peraturan Kepala Badan Pengawas Obat dan Makanan Republik Indonesia Nomor 24 Tahun 2017, dengan tipe data CodeableConcept. Referensi ke value set "Lampiran Terminologi Peresepan dan Pengeluaran Obat "
MEDICATION_INGREDIENT Terdapat 2 cara pengisian Medication.ingredient yaitu: * Peresepan/pengeluaran obat non-racikan dan obat racikan dengan instruksi berikan dalam dosis demikian/ d.t.d * Peresepan/pengeluaran obat racikan non-d.t.d (bagi dalam bagian-bagian yang sama) dengan tipe data BackboneElement. Elemen ini WAJIB diisi apabila data yang dikirimkan adalah obat racikan.
MEDICATION_INGREDIENT_NUM; MEDICATION_INGREDIENT_DENUM Berisi data informasi jumlah komposisi zat dalam obat (untuk zat aktif, maka diisi dengan kekuatan zat aktif obat) atau jumlah tablet yang dibutuhkan per jumlah pulveres/kapsul yang akan diresepkan dengan tipe data Ratio, yang umumnya nilai satuan kekuatan zat aktif mengacu pada tiga data terminologi, yaitu: UCUM, orderableDrugForm, dan SNOMED CT.
MEDICATION_INGREDIENT_UOM Satuan pengukuran untuk numerator dan denumerator komposisi zat dalam obat. Referensi ke value set "UCUM"
MEDICATION_TYPE Berisi satu atau lebih data bertipe Extension yang digunakan menyimpan informasi apakah obat yang diresepkan atau dikeluarkan merupakan obat non-racikan, obat racikan dengan instruksi berikan dalam dosis demikian/ d.t.d, atau obat racikan non-d.t.d, yang nilai dan strukturnya mengacu pada extension tambahan dengan nama MedicationType.

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

Lampiran Aturan Konsumsi Obat dapat diakses pada SATUSEHAT Portal - Tabel 16. Tatacara pengisian MedicationDispense.dosageInstruction[i].timing.repeat

Cara/ rute pemberian obat

No. MedicationRequest.dosageInstruction.route.coding.system  MedicationRequest.dosageInstruction.route.coding.code MedicationRequest.dosageInstruction.route.coding.display Keterangan 
1 http://www.whocc.no/atc implant Implant Implant
2 http://www.whocc.no/atc Inhal Inhalation Inhalasi (dihirup)
3 http://www.whocc.no/atc Instill Instillation Instillation
4 http://www.whocc.no/atc N Nasal Nasal
5 http://www.whocc.no/atc O Oral Oral
6 http://www.whocc.no/atc P Parenteral Parenteral
7 http://www.whocc.no/atc R Rectal Rektum
8 http://www.whocc.no/atc SL Sublingual/Buccal/Oromucosal Sublingual (dibawah lidah) / bukal (diantara gusi & pipi)
9 http://www.whocc.no/atc TD Transdermal Transdermal
10 http://www.whocc.no/atc V Vaginal Vagina
11 http://www.whocc.no/atc Inhal.powder Inhalation Powder Bubuk inhalasi
12 http://www.whocc.no/atc Inhal.aerosol Inhalation Aerosol Aerosol inhalasi
13 http://www.whocc.no/atc Inhal.solution Inhalation Solution Larutan inhalasi
14 http://www.whocc.no/atc urethral Urethral Uretra
15 http://www.whocc.no/atc TD patch Transdermal Patch Transdermal patch
16 http://www.whocc.no/atc intravesical Intravesical Intravesical
17 http://www.whocc.no/atc Instill.solution Instillation Solution Instillation solution
18 http://www.whocc.no/atc lamella Lamella Ophtalmic
19 http://www.whocc.no/atc oral aerosol Oral Aerosol Aerosol oral
20 http://www.whocc.no/atc s.c. implant S.C. Implant S.C. implant
21 http://www.whocc.no/atc ocular Ocular Ocular (mata)
22 http://www.whocc.no/atc otic Otic Otic (telinga)
23 http://www.whocc.no/atc cutaneous Cutaneous Kutanea (kulit)
24 http://www.whocc.no/atc inj.subcutaneous Injection Subcutaneous Subkutan Injeksi (di bawah kulit)
25 http://www.whocc.no/atc inj.intramuscular Injection Intramuscular Intramuskular Injeksi (di dalam otot)
26 http://www.whocc.no/atc inj.intravenous Injection Intravenous Intravena Injeksi (ke pembuluh darah)
27 http://www.whocc.no/atc inj.intrathecal Injection Intrathecal Intratekal Injeksi (sekitar sumsum tulang belakang)
28 http://www.whocc.no/atc Chewing Gum Chewing Gum Dikunyah
29 http://www.whocc.no/atc ointment ointment Topikal
30 http://www.whocc.no/atc stomatologic stomatologic stomatologic

Pengeluaran Obat

{
    "resourceType": "MedicationDispense",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/prescription/10000004",
            "use": "official",
            "value": "123456788"
        },
        {
            "system": "http://sys-ids.kemkes.go.id/prescription-item/10000004",
            "use": "official",
            "value": "123456788-1"
        }
    ],
    "status": "completed",
    "category": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category",
                "code": "outpatient",
                "display": "Outpatient"
            }
        ]
    },
    "medicationReference": {
        "reference": "Medication/66ddd838-8378-4ce4-8825-0ad77a81c8f4",
        "display": "Ferrous Fumarate 60 mg / Folic Acid 0,4 mg Tablet Salut Gula"
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "context": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "performer":  [
        {
            "actor": {
                "reference": "Practitioner/N10000003",
                "display": "John Miller"
            }
        }
    ],
    "location": {
        "reference": "Location/52e135eb-1956-4871-ba13-e833e662484d",
        "display": "Apotek Puskesmas Sangat Waras"
    },
    "authorizingPrescription":  [
        {
            "reference": "MedicationRequest/90857a2a-d8a8-4e74-b39b-e9a604030e17"
        }
    ],
    "quantity": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
        "code": "TAB",
        "value": 90
    },
    "daysSupply": {
        "value": 90,
        "unit": "Day",
        "system": "http://unitsofmeasure.org",
        "code": "d"
    },
    "whenPrepared": "2023-08-31T04:30:00+00:00",
    "whenHandedOver": "2023-08-31T04:40:00+00:00",
    "dosageInstruction":  [
        {
            "sequence": 1,
            "text": "1 tablet per hari",
            "additionalInstruction":  [
                {
                    "text": "Diminum setiap hari"
                }
            ],
            "patientInstruction": "1 tablet perhari, diminum setiap hari tanpa jeda selama 3 bulan",
            "timing": {
                "repeat": {
                    "frequency": 1,
                    "period": 1,
                    "periodUnit": "d"
                }
            },
            "route": {
                "coding":  [
                    {
                        "system": "http://www.whocc.no/atc",
                        "code": "O",
                        "display": "Oral"
                    }
                ]
            },
            "doseAndRate":  [
                {
                    "type": {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                                "code": "ordered",
                                "display": "Ordered"
                            }
                        ]
                    },
                    "doseQuantity": {
                        "value": 1,
                        "unit": "TAB",
                        "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
                        "code": "TAB"
                    }
                }
            ]
        }
    ]
}
{
    "resourceType": "MedicationDispense",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/prescription/{{ORGANIZATION_IHS_NUMBER}}",
            "use": "official",
            "value": "{{MEDICATIONDISPENSE_LOCAL_CODE}}"
        },
        {
            "system": "http://sys-ids.kemkes.go.id/prescription-item/{{ORGANIZATION_IHS_NUMBER}}",
            "use": "official",
            "value": "{{MEDICATION_LOCAL_CODE}}"
        }
    ],
    "status": "completed",
    "category": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category",
                "code": "outpatient",
                "display": "Outpatient"
            }
        ]
    },
    "medicationReference": {
        "reference": "Medication/{{ID_RESOURCE_MEDICATION}}"
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "context": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "performer":  [
        {
            "actor": {
                "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}",
                "display": "{{PRACTITIONER_NAME}}"
            }
        }
    ],
    "location": {
        "reference": "Location/{{ID_RESOURCE_LOCATION}}",
        "display": "{{LOCATION_DISPLAY}}"
    },
    "authorizingPrescription":  [
        {
            "reference": "MedicationRequest/{{ID_RESOURCE_MEDICATIONREQUEST}}"
        }
    ],
    "quantity": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
        "code": "{{DISPENSE_QTY_UNIT}}",
        "value": "{{DISPENSE_QTY}}"
    },
    "daysSupply": {
        "value": {{DISPENSE_SUPPLY}},
        "unit": "Day",
        "system": "http://unitsofmeasure.org",
        "code": "d"
    },
    "whenPrepared": "{{MEDICATION_PREPARED_DATE}}",
    "whenHandedOver": "{{MEDICATION_DISPENSE_DATE}}",
    "dosageInstruction":  [
        {
            "sequence": "{{DOSAGE_SEQUENCE_NO}}",
            "text": "{{DOSAGE_INSTRUCTION}}",
            "timing": {
                "repeat": {
                    "frequency": "{{DOSAGE_TIMING_REPEAT}}",
                    "period": "{{DOSAGE_TIMING_REPEAT}}",
                    "periodUnit": "{{DOSAGE_TIMING_REPEAT}}"
                }
            },
            "doseAndRate":  [
                {
                    "type": {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                                "code": "ordered",
                                "display": "Ordered"
                            }
                        ]
                    },
                    "doseQuantity": {
                        "value": "{{DOSE_QTY}}",
                        "unit": "{{DOSE_QTY}}",
                        "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
                        "code": "{{DOSE_QTY}}"
                    }
                }
            ]
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
MEDICATIONDISPENSE_LOCAL_CODE ID Lokal dispense secara umum Merupakan ID lokal di masing-masing institusi yang merepresentasikan suatu dispense terhadap satu resep yang dibuat oleh dokter (dapat terdiri dari lebih dari 1 obat dalam 1 resep).
MEDICATION_LOCAL_CODE ID Lokal Peresepan per-item obat Merupakan ID lokal di masing-masing institusi untuk setiap obat yang diresepkan dalam suatu resep.
ID_RESOURCE_MEDICATION Berisi data informasi obat yang diresepkan dengan tipe data Reference, yang direferensikan ke data yang tersimpan di resource Medication, yang nilainya merujuk ke {id-resource-MedicationReference} pada SATUSEHAT
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama pasien
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
MEDICATIONREQUEST_AUTHORED_DATE Berisi data waktu peresepan dengan tipe data dateTime, dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz.
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
PRACTITIONER_NAME Nama dokter
ID_RESOURCE_LOCATION {id-resource-location} pada SATUSEHAT
LOCATION_DISPLAY Deskripsi lokasi
ID_RESOURCE_MEDICATIONREQUEST {id-resource-MedicationRequest} pada SATUSEHAT
DISPENSE_QTY_UNIT Nilai satuan kekuatan zat aktif
DISPENSE_QTY Berisi data jumlah obat yang dikeluarkan dalam bentuk numerical dengan tipe data SimpleQuantity.
DISPENSE_SUPPLY Berisi data jumlah pengobatan yang dinyatakan dalam satuan hari dengan tipe data SimpleQuantity.
MEDICATION_PREPARED_DATE Berisi data yang berkaitan dengan kapan obat dikemas dan dicek dengan tipe data dateTime dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz.
MEDICATION_DISPENSE_DATE Berisi data yang berisikan data waktu pemberian obat kepada pasien atau penanggungjawab pasien dengan tipe data dateTime dengan format yang diperbolehkan YYYY-MM-DDThh:mm:ss+zz:zz.
DOSAGE_SEQUENCE_NO Berisi data paket aturan pakai dengan nilai sequence dengan tipe data integer.
DOSAGE_INSTRUCTION Berisi satu atau lebih data aturan pakai obat dalam bentuk naratif dengan tipe data string.
DOSAGE_TIMING_REPEAT (*) berisi aturan kapan suatu obat harus dikonsumsi. Cara Pengisian referensi ke value set "Lampiran Aturan Konsumsi Obat"
DOSE_QTY (*) Berisi data jumlah obat yang diberikan perdosis. Cara Pengisian referensi ke value set "Lampiran Aturan Konsumsi Obat"

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


Step 11. Data Diagnosis

Data diagnosis pasien dapat dikirimkan menggunakan resource Condition. Informasi diagnosis yang dimiliki pasien dilaporkan menggunakan kode ICD-10. Satu payload Condition hanya dapat digunakan untuk melaporkan 1 kode ICD-10. Sehingga apabila pasien memiliki 2 diagnosis, maka dikirimkan 2 payload Condition dengan 2 kode ICD-10 yang berbeda. 
{
    "resourceType": "Condition",
    "clinicalStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "active",
                "display": "Active"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code": "encounter-diagnosis",
                    "display": "Encounter Diagnosis"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://hl7.org/fhir/sid/icd-10",
                "code": "E44.1",
                "display": "Mild protein-calorie malnutrition"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a",
        "display": "Kunjungan Jane Smith di hari Kamis, 31 Agustus 2023"
    },
    "onsetDateTime": "2023-08-31T04:10:00+00:00",
    "recordedDate": "2023-08-31T04:10:00+00:00"
}
{
    "resourceType": "Condition",
    "clinicalStatus": {
        "coding": [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "active",
                "display": "Active"
            }
        ]
    },
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code": "encounter-diagnosis",
                    "display": "Encounter Diagnosis"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://hl7.org/fhir/sid/icd-10",
                "code": "{{CONDITION_VALUE}}",
                "display": "{{CONDITION_VALUE}}"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "onsetDateTime": "{{CONDITION_ONSET_DATETIME}}",
    "recordedDate": "{{CONDITION_RECORDED_DATETIME}}"
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama Pasien
CONDITION_VALUE Berisi data diagnosis menggunakan ICD-10 tahun 2010
CONDITION_ONSET_DATETIME Tanggal perkiraan atau tanggal aktual atau tanggal-waktu kondisi mulai, menurut pendapat dokter.
CONDITION_RECORDED_DATETIME Tanggal kapan kondisi/keluhan ini tercatat dalam sistem (tanggal yang dibuat oleh sistem)

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

[none]

Step 12. Kondisi Saat Meninggalkan Faskes

Kondisi Saat Keluar Faskes

{
    "resourceType": "Condition",
    "clinicalStatus": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "active",
                "display": "Active"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code": "problem-list-item",
                    "display": "Problem List Item"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "MN000001",
                "display": "Stabil"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a",
        "display": "Kunjungan Jane Smith di hari Kamis, 31 Agustus 2023"
    }
}
{
    "resourceType": "Condition",
    "clinicalStatus": {
        "coding": [
            {
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "code": "active",
                "display": "Active"
            }
        ]
    },
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code": "problem-list-item",
                    "display": "Problem List Item"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "{{CONDITION_VALUE}}",
                "code": "{{CONDITION_VALUE}}",
                "display": "{{CONDITION_VALUE}}"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    }
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama Pasien
CONDITION_VALUE Berisi data kondisi saat meninggalkan rumah sakit. Referensi ke value set "Kondisi saat meninggalkan rumah sakit"
CONDITION_ONSET_DATETIME Tanggal perkiraan atau tanggal aktual atau tanggal-waktu kondisi mulai, menurut pendapat dokter.
CONDITION_RECORDED_DATETIME Tanggal kapan kondisi/keluhan ini tercatat dalam sistem (tanggal yang dibuat oleh sistem)

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

Kondisi saat meninggalkan rumah sakit
No. Condition.code.coding.system Condition.code.coding.code Condition.code.coding.display Keterangan 
1 http://snomed.info/sct 359746009 Patient's condition stable Stabil
2 http://snomed.info/sctc 162668006 Patient's condition unstable Tidak stabil
3 http://snomed.info/sctc 268910001 Patient's condition improved Perbaikan

Waktu Kematian

{
    "resourceType": "Observation",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "81956-5",
                "display": "Date and time of death [TimeStamp]"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE56",
                "display": "Waktu Kematian"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a"
    },
    "effectiveDateTime": "2023-08-31T05:00:00+00:00",
    "issued": "2023-08-31T05:00:00+00:00",
    "performer":  [
        {
            "reference": "Practitioner/N10000001"
        }
    ],
    "valueDateTime": "2023-08-31T05:00:00+00:00"
}
{
    "resourceType": "Observation",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "exam",
                    "display": "Exam"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "81956-5",
                "display": "Date and time of death [TimeStamp]"
            },
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/anc-custom-codes",
                "code": "ANC.SS.DE56",
                "display": "Waktu Kematian"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "effectiveDateTime": "{{OBSERVATION_EFFECTIVE_DATETIME}}",
    "issued": "{{OBSERVATION_ISSUED}}",
    "performer": [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}"
        }
    ],
    "valueDateTime": "{{OBSERVATION_VALUE}}"
}
Variabel Deskripsi
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
ID_RESOURCE_ENCOUNTER {id-resource-Encounter} pada SATUSEHAT untuk data kunjungan
OBSERVATION_EFFECTIVE_DATETIME Tanggal dan waktu nilai observasi yang diamati dinyatakan benar
OBSERVATION_ISSUED Tanggal dan waktu versi observasi ini tersedia, biasanya setelah hasilnya ditinjau/direview dan diverifikasi
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
OBSERVATION_VALUE Nilai observasi

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

[none]

Step 13. Rencana Tindak lanjut / Cara Keluar

Kunjungan selesai Saat kunjungan pasien selesai, dilakukan pembaharuan data kunjungan dengan menambahkan informasi diagnosis, periode kunjungan selesai, kondisi saat meninggalkan fasilitas pelayanan kesehatan, dan rencana tindak lanjut/cara keluar dari fasilitas pelayanan kesehatan, kunjungan ANC serta UUID dari EpisodeOfCare untuk kehamilan yang terkait. Pengiriman data dilakukan melalui metode PUT. Isi Encounter.id dengan UUID balikan dari SATUSEHAT setelah melakukan POST data kunjungan pertama kali.

Pasien dipulangkan dan kontrol kembali

Update Data Kunjungan

{
    "resourceType": "Encounter",
    "id": "dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/1000004",
            "value": "P20240001"
        },
        {
            "system": "http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC",
            "value": "K1A"
        }
    ],
    "status": "finished",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "participant":  [
        {
            "type":  [
                {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "individual": {
                "reference": "Practitioner/N10000001",
                "display": "Dokter Bronsig"
            }
        }
    ],
    "period": {
        "start": "2023-08-31T00:00:00+00:00",
        "end": "2023-08-31T04:10:00+00:00"
    },
    "location":  [
        {
            "location": {
                "reference": "Location/c87e0ca7-badc-4c60-9080-277aaaf27a88",
                "display": "Ruang Poli ANC, Departemen KIA, Lantai 2, Gedung Utama"
            }
        }
    ],
    "diagnosis":  [
        {
            "condition": {
                "reference": "Condition/2bffcd6e-15b0-45d1-87f4-30425a1eac8f",
                "display": "Tuberculosis of lung, confirmed by sputum microscopy with or without culture"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "DD",
                        "display": "Discharge diagnosis"
                    }
                ]
            },
            "rank": 1
        },
        {
            "condition": {
                "reference": "Condition/eb2364ab-55ca-41b4-b6c8-41bc9e1b0a10",
                "display": "Mild protein-calorie malnutrition"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "DD",
                        "display": "Discharge diagnosis"
                    }
                ]
            },
            "rank": 2
        }
    ],
    "statusHistory":  [
        {
            "status": "arrived",
            "period": {
                "start": "2023-08-31T00:00:00+00:00",
                "end": "2023-08-31T01:00:00+00:00"
            }
        },
        {
            "status": "in-progress",
            "period": {
                "start": "2023-08-31T01:00:00+00:00",
                "end": "2023-08-31T04:05:00+00:00"
            }
        },
        {
            "status": "finished",
            "period": {
                "start": "2023-08-31T04:05:00+00:00",
                "end": "2023-08-31T04:10:00+00:00"
            }
        }
    ],
    "hospitalization": {
        "dischargeDisposition": {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                    "code": "home",
                    "display": "Home"
                }
            ],
            "text": "Anjuran dokter untuk pulang dan kontrol kembali 1 bulan setelah minum obat"
        }
    },
    "serviceProvider": {
        "reference": "Organization/10000004"
    },
    "episodeOfCare":  [
        {
            "reference": "EpisodeOfCare/9bc3900d-fbbf-4465-b2eb-a40a9cacd120"
        }
    ]
}
{
    "resourceType": "Encounter",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/{{ORGANIZATION_IHS_NUMBER}}",
            "value": "{{ENCOUNTER_LOCAL_CODE}}"
        },
        {
            "system": "http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC",
            "value": "{{STATUS_KUNJUNGAN_ANC}}"
        }
    ],
    "status": "finished",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "participant": [
        {
            "type": [
                {
                    "coding": [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "individual": {
                "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}",
                "display": "{{PRACTITIONER_NAME}}"
            }
        }
    ],
    "period": {
        "start": "{{ENCOUNTER_PERIOD1_START}}"
        "end": "{{ENCOUNTER_PERIOD1_END}}"
    },
    "location": [
        {
            "location": {
                "reference": "Location/{{ID_RESOURCE_LOCATION}}",
                "display": "{{LOCATION_NAME}}"
            }
        }
    ],
    "diagnosis":  [
        {
            "condition": {
                "reference": "Condition/{{ID_RESOURCE_CONDITION}}",
                "display": "{{DIAGNOSIS_DISPLAY}}"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "DD",
                        "display": "Discharge diagnosis"
                    }
                ]
            },
            "rank": {{DIAGNOSIS_RANK}}
        }
    ],
    "statusHistory":  [
        {
            "status": "arrived",
            "period": {
                "start": "{{ENCOUNTER_PERIOD1_START}}",
                "end": "{{ENCOUNTER_PERIOD1_END}}"
            }
        },
        {
            "status": "in-progress",
            "period": {
                "start": "{{ENCOUNTER_PERIOD1_START}}",
                "end": "{{ENCOUNTER_PERIOD1_END}}"
            }
        },
        {
            "status": "finished",
            "period": {
                "start": "{{ENCOUNTER_PERIOD1_START}}",
                "end": "{{ENCOUNTER_PERIOD1_END}}"
            }
        }
    ],
    "hospitalization": {
        "dischargeDisposition": {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                    "code": "home",
                    "display": "Home"
                }
            ],
            "text": "{{HOSPITALIZATION_DESCRIPTION}}"
        }
    },
    "serviceProvider": {
        "reference": "Organization/{{ORGANIZATION_IHS_NUMBER}}"
    },
    "episodeOfCare":  [
        {
            "reference": "EpisodeOfCare/{{ID_RESOURCE_EPISODEOFCARE}}"
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
ENCOUNTER_LOCAL_CODE ID Lokal untuk Kunjungan/Encounter
STATUS_KUNJUNGAN_ANC (*) Status kunjungan ANC yang menyatakan apakah kunjungan tersebut masuk kedalam kunjungan K1 akses, kunjungan K1 murni, kunjungan K2 dan lain sebagainya. Referensi ke value set "Status Kunjungan ANC"
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama Pasien
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
DOCTOR_NAME Nama Dokter/Nakes
ENCOUNTER_PERIOD1_START Waktu mulai/check-in kunjungan
ENCOUNTER_PERIOD1_END Waktu selesai/check-out kunjungan
ID_RESOURCE_LOCATION ID Location tempat kunjungan dilakukan
LOCATION_NAME Nama lokasi tempat dilakukan kunjungan
ID_RESOURCE_CONDITION Berisi satu atau lebih data diagnosis dari pasien. Diagnosa bisa berupa diagnosa awal dan/atau pulang dengan tipe data Reference, yang direferensikan ke data yang tersimpan di resource Condition. Di mana isi dari parameter adalah ID Condition yang didapatkan dari server.
DIAGNOSIS_DISPLAY Deskripsi diagnosis
DIAGNOSIS_RANK Jika ada lebih dari 1 kondisi, maka gunakan elemen rank untuk mengurutkan mana diagnosa yang lebih utama. Semakin kecil angkanya, maka semakin utama, dengan tipe data positiveInt.
HOSPITALIZATION_DESCRIPTION Berisi data kategori atau tipe lokasi setelah pasien dipulangkan dengan tipe data free-text
ID_RESOURCE_EPISODEOFCARE {ihs-resource-EpisodeOfCare} pada SATUSEHAT

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


Instruksi untuk Kontrol Kembali

{
    "resourceType": "ServiceRequest",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/servicerequest/10000004",
            "value": "00001"
        }
    ],
    "status": "active",
    "intent": "original-order",
    "priority": "routine",
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "3457005",
                "display": "Patient referral (procedure)"
            }
        ],
        "text": "Kontrol rutin ANC bulan ke-3"
    },
    "subject": {
        "reference": "Patient/100000030006"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a",
        "display": "Kunjungan Jane Smith di hari Kamis, 31 Agustus 2023"
    },
    "occurrenceDateTime": "2023-08-31T04:25:00+00:00",
    "authoredOn": "2023-08-31T04:25:00+00:00",
    "requester": {
        "reference": "Practitioner/N10000001",
        "display": "Dokter Bronsig"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000005",
            "display": "Fatma"
        }
    ],
    "reasonCode":  [
        {
            "coding":  [
                {
                    "system": "http://hl7.org/fhir/sid/icd-10",
                    "code": "E44.1",
                    "display": "Mild protein-calorie malnutrition"
                }
            ],
            "text": "Kontrol rutin bulanan"
        }
    ],
    "locationCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code": "OF",
                    "display": "Outpatient Facility"
                }
            ]
        }
    ],
    "locationReference":  [
        {
            "reference": "Location/c87e0ca7-badc-4c60-9080-277aaaf27a88",
            "display": "Ruang Poli ANC, Departemen KIA, Lantai 2, Gedung Utama"
        }
    ],
    "patientInstruction": "Kontrol setelah 1 bulan minum obat anti tuberkulosis. Dalam keadaan darurat dapat menghubungi hotlineFasyankesdi nomor 14045"
}
{
    "resourceType": "ServiceRequest",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/servicerequest/{{ORGANIZATION_IHS_NUMBER}}",
            "value": "{{SERVICEREQUEST_LOCAL_CODE}}"
        }
    ],
    "status": "active",
    "intent": "original-order",
    "priority": "routine",
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "3457005",
                "display": "Patient referral (procedure)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "occurrenceDateTime": "{{SERVICEREQUEST_OCCUR}}",
    "requester": {
        "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER1}}",
                "display": "Practitioner/{{PRACTITIONER_NAME1}}"
    },
    "performer":  [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER2}}",
                "display": "Practitioner/{{PRACTITIONER_NAME2}}"
        }
    ],
    "reasonCode":  [
        {
            "coding":  [
                {
                    "system": "{{SERVICEREQUEST_REASON_CODE}}",
                    "code": "{{SERVICEREQUEST_REASON_CODE}}",
                    "display": "{{SERVICEREQUEST_REASON_CODE}}"
                }
            ],
            "text": "{{SERVICEREQUEST_REASON}}"
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
ENCOUNTER_LOCAL_CODE ID Lokal untuk Kunjungan/Encounter
STATUS_KUNJUNGAN_ANC (*) Status kunjungan ANC yang menyatakan apakah kunjungan tersebut masuk kedalam kunjungan K1 akses, kunjungan K1 murni, kunjungan K2 dan lain sebagainya. Referensi ke value set "Status Kunjungan ANC"
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama Pasien
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
DOCTOR_NAME Nama Dokter/Nakes
ENCOUNTER_PERIOD1_START Waktu mulai/check-in kunjungan
ENCOUNTER_PERIOD1_END Waktu selesai/check-out kunjungan
ID_RESOURCE_LOCATION ID Location tempat kunjungan dilakukan
LOCATION_NAME Nama lokasi tempat dilakukan kunjungan
ID_RESOURCE_CONDITION Berisi satu atau lebih data diagnosis dari pasien. Diagnosa bisa berupa diagnosa awal dan/atau pulang dengan tipe data Reference, yang direferensikan ke data yang tersimpan di resource Condition. Di mana isi dari parameter adalah ID Condition yang didapatkan dari server.
DIAGNOSIS_DISPLAY Deskripsi diagnosis
DIAGNOSIS_RANK Jika ada lebih dari 1 kondisi, maka gunakan elemen rank untuk mengurutkan mana diagnosa yang lebih utama. Semakin kecil angkanya, maka semakin utama, dengan tipe data positiveInt.
HOSPITALIZATION_DESCRIPTION Berisi data kategori atau tipe lokasi setelah pasien dipulangkan dengan tipe data free-text
ID_RESOURCE_EPISODEOFCARE {ihs-resource-EpisodeOfCare} pada SATUSEHAT
SERVICEREQUEST_LOCATION Berisi data mengenai informasi lokasi di mana permintaan seharusnya terjadi, dalam bentuk kode
DISCHARGE_INSTRUCTION Berisi data instruksi untuk pasien. Data terkait “Dalam Keadaan Darurat dapat Menghubungi” dapat diisikan dalam elemen ini dengan tipe data string.

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

[none]

Apabila pasien dirujuk

Update Data Kunjungan

{
    "resourceType": "Encounter",
    "id": "dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/1000004",
            "value": "P20240001"
        },
        {
            "system": "http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC",
            "value": "K1A"
        }
    ],
    "status": "finished",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "participant":  [
        {
            "type":  [
                {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "individual": {
                "reference": "Practitioner/N10000001",
                "display": "Dokter Bronsig"
            }
        }
    ],
    "period": {
        "start": "2023-08-31T00:00:00+00:00",
        "end": "2023-08-31T02:00:00+00:00"
    },
    "location":  [
        {
            "location": {
                "reference": "Location/c87e0ca7-badc-4c60-9080-277aaaf27a88",
                "display": "Ruang Poli ANC, Departemen KIA, Lantai 2, Gedung Utama"
            }
        }
    ],
    "diagnosis":  [
        {
            "condition": {
                "reference": "Condition/1856147b-8f47-40a4-b35f-3239b5ba9910",
                "display": "Tuberculosis of lung, confirmed by sputum microscopy with or without culture"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "DD",
                        "display": "Discharge diagnosis"
                    }
                ]
            },
            "rank": 1
        },
        {
            "condition": {
                "reference": "Condition/da07866d-4975-4774-830c-210f0df2ffde",
                "display": "Mild protein-calorie malnutrition"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "DD",
                        "display": "Discharge diagnosis"
                    }
                ]
            },
            "rank": 2
        }
    ],
    "statusHistory":  [
        {
            "status": "arrived",
            "period": {
                "start": "2023-08-31T00:00:00+00:00",
                "end": "2023-08-31T01:00:00+00:00"
            }
        },
        {
            "status": "in-progress",
            "period": {
                "start": "2023-08-31T01:00:00+00:00",
                "end": "2023-08-31T04:05:00+00:00"
            }
        },
        {
            "status": "finished",
            "period": {
                "start": "2023-08-31T04:05:00+00:00",
                "end": "2023-08-31T04:10:00+00:00"
            }
        }
    ],
    "hospitalization": {
        "dischargeDisposition": {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                    "code": "oth",
                    "display": "other-hcf"
                }
            ],
            "text": "Rujukan ke RSUP Fatmawati"
        }
    },
    "serviceProvider": {
        "reference": "Organization/10000004"
    },
    "episodeOfCare":  [
        {
            "reference": "EpisodeOfCare/9bc3900d-fbbf-4465-b2eb-a40a9cacd120"
        }
    ]
}
{
    "resourceType": "Encounter",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/encounter/{{ORGANIZATION_IHS_NUMBER}}",
            "value": "{{ENCOUNTER_LOCAL_CODE}}"
        },
        {
            "system": "http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC",
            "value": "{{STATUS_KUNJUNGAN_ANC}}"
        }
    ],
    "status": "finished",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "AMB",
        "display": "ambulatory"
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "participant": [
        {
            "type": [
                {
                    "coding": [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ATND",
                            "display": "attender"
                        }
                    ]
                }
            ],
            "individual": {
                "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER}}",
                "display": "{{PRACTITIONER_NAME}}"
            }
        }
    ],
    "period": {
        "start": "{{ENCOUNTER_PERIOD1_START}}"
        "end": "{{ENCOUNTER_PERIOD1_END}}"
    },
    "location": [
        {
            "location": {
                "reference": "Location/{{ID_RESOURCE_LOCATION}}",
                "display": "{{LOCATION_NAME}}"
            }
        }
    ],
    "diagnosis":  [
        {
            "condition": {
                "reference": "Condition/{{ID_RESOURCE_CONDITION}}",
                "display": "{{DIAGNOSIS_DISPLAY}}"
            },
            "use": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code": "DD",
                        "display": "Discharge diagnosis"
                    }
                ]
            },
            "rank": {{DIAGNOSIS_RANK}}
        }
    ],
    "statusHistory":  [
        {
            "status": "arrived",
            "period": {
                "start": "{{ENCOUNTER_PERIOD1_START}}",
                "end": "{{ENCOUNTER_PERIOD1_END}}"
            }
        },
        {
            "status": "in-progress",
            "period": {
                "start": "{{ENCOUNTER_PERIOD1_START}}",
                "end": "{{ENCOUNTER_PERIOD1_END}}"
            }
        },
        {
            "status": "finished",
            "period": {
                "start": "{{ENCOUNTER_PERIOD1_START}}",
                "end": "{{ENCOUNTER_PERIOD1_END}}"
            }
        }
    ],
    "hospitalization": {
        "dischargeDisposition": {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                    "code": "home",
                    "display": "Home"
                }
            ],
            "text": "{{HOSPITALIZATION_DESCRIPTION}}"
        }
    },
    "serviceProvider": {
        "reference": "Organization/{{ORGANIZATION_IHS_NUMBER}}"
    },
    "episodeOfCare":  [
        {
            "reference": "EpisodeOfCare/{{ID_RESOURCE_EPISODEOFCARE}}"
        }
    ]
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
ENCOUNTER_LOCAL_CODE ID Lokal untuk Kunjungan/Encounter
STATUS_KUNJUNGAN_ANC (*) Status kunjungan ANC yang menyatakan apakah kunjungan tersebut masuk kedalam kunjungan K1 akses, kunjungan K1 murni, kunjungan K2 dan lain sebagainya. Referensi ke value set "Status Kunjungan ANC"
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama Pasien
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
DOCTOR_NAME Nama Dokter/Nakes
ENCOUNTER_PERIOD1_START Waktu mulai/check-in kunjungan
ENCOUNTER_PERIOD1_END Waktu selesai/check-out kunjungan
ID_RESOURCE_LOCATION ID Location tempat kunjungan dilakukan
LOCATION_NAME Nama lokasi tempat dilakukan kunjungan
ID_RESOURCE_CONDITION Berisi satu atau lebih data diagnosis dari pasien. Diagnosa bisa berupa diagnosa awal dan/atau pulang dengan tipe data Reference, yang direferensikan ke data yang tersimpan di resource Condition. Di mana isi dari parameter adalah ID Condition yang didapatkan dari server.
DIAGNOSIS_DISPLAY Deskripsi diagnosis
DIAGNOSIS_RANK Jika ada lebih dari 1 kondisi, maka gunakan elemen rank untuk mengurutkan mana diagnosa yang lebih utama. Semakin kecil angkanya, maka semakin utama, dengan tipe data positiveInt.
HOSPITALIZATION_DESCRIPTION Berisi data kategori atau tipe lokasi setelah pasien dipulangkan dengan tipe data free-text
ID_RESOURCE_EPISODEOFCARE {ihs-resource-EpisodeOfCare} pada SATUSEHAT

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


Instruksi pasien dirujuk

{
    "resourceType": "ServiceRequest",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/servicerequest/10000004",
            "value": "00001"
        }
    ],
    "status": "active",
    "intent": "original-order",
    "priority": "routine",
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "3457005",
                "display": "Patient referral (procedure)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/100000030006"
    },
    "encounter": {
        "reference": "Encounter/dd5b8c34-6bb2-43af-b36a-8fcc60a70d4a",
        "display": "Kunjungan Jane Smith di hari Kamis, 31 Agustus 2023"
    },
    "occurrenceDateTime": "2023-08-31T04:25:00+00:00",
    "requester": {
        "reference": "Practitioner/N10000001",
        "display": "Dokter Bronsig"
    },
    "performer":  [
        {
            "reference": "Practitioner/N10000005",
            "display": "Fatma"
        }
    ],
    "reasonCode":  [
        {
            "coding":  [
                {
                    "system": "http://hl7.org/fhir/sid/icd-10",
                    "code": "E44.1",
                    "display": "Mild protein-calorie malnutrition"
                }
            ],
            "text": "Periksa jika ada kemungkinan Malnutrisi"
        }
    ],
    "locationCode":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code": "AMB",
                    "display": "Ambulance"
                }
            ]
        }
    ],
    "patientInstruction": "Rujukan ke RSUP Fatmawati. Dalam keadaan darurat dapat menghubungi hotline Fasyankes di nomor 14045"
}
{
    "resourceType": "ServiceRequest",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/servicerequest/{{ORGANIZATION_IHS_NUMBER}}",
            "value": "{{SERVICEREQUEST_LOCAL_CODE}}"
        }
    ],
    "status": "active",
    "intent": "original-order",
    "priority": "routine",
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "3457005",
                "display": "Patient referral (procedure)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}"
    },
    "encounter": {
        "reference": "Encounter/{{ID_RESOURCE_ENCOUNTER}}"
    },
    "occurrenceDateTime": "{{SERVICEREQUEST_OCCUR}}",
    "requester": {
        "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER1}}",
                "display": "Practitioner/{{PRACTITIONER_NAME1}}"
    },
    "performer":  [
        {
            "reference": "Practitioner/{{PRACTITIONER_IHS_NUMBER2}}",
                "display": "Practitioner/{{PRACTITIONER_NAME2}}"
        }
    ],
    "reasonCode":  [
        {
            "coding":  [
                {
                    "system": "{{SERVICEREQUEST_REASON_CODE}}",
                    "code": "{{SERVICEREQUEST_REASON_CODE}}",
                    "display": "{{SERVICEREQUEST_REASON_CODE}}"
                }
            ],
            "text": "{{SERVICEREQUEST_REASON}}"
        }
    ],
    "locationCode":  [
        {
            "coding":  [
                {
                    "system": "{{SERVICEREQUEST_LOCATION}}",
                    "code": "{{SERVICEREQUEST_LOCATION}}",
                    "display": "{{SERVICEREQUEST_LOCATION}}"
                }
            ]
        }
    ],
    "patientInstruction": "{{DISCHARGE_INSTRUCTION}}"
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER {organization-ihs-number} pada SATUSEHAT
ENCOUNTER_LOCAL_CODE ID Lokal untuk Kunjungan/Encounter
STATUS_KUNJUNGAN_ANC (*) Status kunjungan ANC yang menyatakan apakah kunjungan tersebut masuk kedalam kunjungan K1 akses, kunjungan K1 murni, kunjungan K2 dan lain sebagainya. Referensi ke value set "Status Kunjungan ANC"
PATIENT_IHS_NUMBER {patient-ihs-number} pada SATUSEHAT
PATIENT_NAME Nama Pasien
PRACTITIONER_IHS_NUMBER {practitioner-ihs-number} pada SATUSEHAT
DOCTOR_NAME Nama Dokter/Nakes
ENCOUNTER_PERIOD1_START Waktu mulai/check-in kunjungan
ENCOUNTER_PERIOD1_END Waktu selesai/check-out kunjungan
ID_RESOURCE_LOCATION ID Location tempat kunjungan dilakukan
LOCATION_NAME Nama lokasi tempat dilakukan kunjungan
ID_RESOURCE_CONDITION Berisi satu atau lebih data diagnosis dari pasien. Diagnosa bisa berupa diagnosa awal dan/atau pulang dengan tipe data Reference, yang direferensikan ke data yang tersimpan di resource Condition. Di mana isi dari parameter adalah ID Condition yang didapatkan dari server.
DIAGNOSIS_DISPLAY Deskripsi diagnosis
DIAGNOSIS_RANK Jika ada lebih dari 1 kondisi, maka gunakan elemen rank untuk mengurutkan mana diagnosa yang lebih utama. Semakin kecil angkanya, maka semakin utama, dengan tipe data positiveInt.
HOSPITALIZATION_DESCRIPTION Berisi data kategori atau tipe lokasi setelah pasien dipulangkan dengan tipe data free-text
ID_RESOURCE_EPISODEOFCARE {ihs-resource-EpisodeOfCare} pada SATUSEHAT
SERVICEREQUEST_LOCATION Berisi data mengenai informasi lokasi di mana permintaan seharusnya terjadi, dalam bentuk kode
DISCHARGE_INSTRUCTION Berisi data instruksi untuk pasien. Data terkait “Dalam Keadaan Darurat dapat Menghubungi” dapat diisikan dalam elemen ini dengan tipe data string.

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

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Step 14. Menutup Episode Kehamilan

Episode kehamilan yang didaftarkan saat pertama kali melakukan kunjungan ANC perlu ditutup untuk menandai berakhirnya periode kehamilan untuk seorang ibu. Informasi terkait penutupan episode kehamilan ini berkaitan dengan mengupdate nilai pada EpisodeOfCare.status dan menambahkan 1 objek EpisodeOfCare.statusHistory[i].status dengan isian “finished” serta mengisikan waktu penutupan episode kehamilan pada EpisodeOfCare.period.end dan EpisodeOfCare.statusHistory[i].periode.end dengan isian “finished” melalui metode PUT.

Berakhirnya kehamilan ini dapat disebabkan oleh beberapa hal berikut:

  1. Waktu terjadinya persalinan
  2. Waktu terjadinya keguguran atau proses kuret.
  3. Kehilangan kontak dan follow-up - tidak tersedianya informasi terkait berakhirnya kehamilan karena sistem tidak lagi mampu melacak pencatatan maupun follow-up terhadap episode kehamilan seorang ibu, maka waktu yang digunakan dapat memanfaatkan batas maksimum masa kehamilan dapat terjadi yaitu 44 minggu (308 hari) setelah tanggal HPHT.
{
    "resourceType": "EpisodeOfCare",
    "id": "9bc3900d-fbbf-4465-b2eb-a40a9cacd120",
    "identifier":  [
        {
            "system": "http://sys-ids.kemkes.go.id/episode-of-care/10000004",
            "value": "EOC998800"
        }
    ],
    "status": "finished",
    "statusHistory":  [
        {
            "status": "active",
            "period": {
                "start": "2023-08-31T00:00:00+00:00",
                "end": "2023-08-31T04:25:00+00:00"
            }
        },
        {
            "status": "finished",
            "period": {
                "start": "2023-08-31T04:25:00+00:00",
                "end": "2023-08-31T04:25:00+00:00"
            }
        }
    ],
    "type":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.kemkes.go.id/CodeSystem/episodeofcare-type",
                    "code": "ANC",
                    "display": "Antenatal Care"
                }
            ]
        }
    ],
    "patient": {
        "reference": "Patient/100000030006",
        "display": "Jane Smith"
    },
    "managingOrganization": {
        "reference": "Organization/10000004"
    },
    "period": {
        "start": "2023-08-31T00:00:00+00:00",
        "end": "2023-08-31T04:25:00+00:00"
    }
}
{
    "resourceType": "EpisodeOfCare",
    "identifier": [
        {
            "system": "http://sys-ids.kemkes.go.id/episode-of-care/{{ORGANIZATION_IHS_NUMBER}}",
            "value": "{{EPISODEOFCARE_LOCAL_CODE}}"
        }
    ],
    "status": "finished",
    "statusHistory": [
        {
            "status": "active",
            "period": {
                "start": "{{EPISODEOFCARE_PERIOD1_START}}",
                "end": "{{EPISODEOFCARE_PERIOD1_END}}"
            }
        },
{
            "status": "finished",
            "period": {
                "start": "{{EPISODEOFCARE_PERIOD1_START}}",
                "end": "{{EPISODEOFCARE_PERIOD1_END}}"
            }
        }
    ],
    "type": [
        {
            "coding": [
                {
                    "system": "http://terminology.kemkes.go.id/CodeSystem/episodeofcare-type",
                    "code": "ANC",
                    "display": "Antenatal Care"
                }
            ]
        }
    ],
    "patient": {
        "reference": "Patient/{{PATIENT_IHS_NUMBER}}",
        "display": "{{PATIENT_NAME}}"
    },
    "managingOrganization": {
        "reference": "Organization/{{ORGANIZATION_IHS_NUMBER}}"
    },
    "period": {
        "start": "{{EPISODEOFCARE_PERIOD1_START}}",
        "end": "{{EPISODEOFCARE_PERIOD1_END}}"
    }
}
Variabel Deskripsi
ORGANIZATION_IHS_NUMBER ID organisasi induk yang didapatkan dari master sarana indeks
EPISODEOFCARE_LOCAL_CODE Berisi kode atau nomor internal sub organisasi
EPISODEOFCARE_PERIOD1_START Waktu dimulainya suatu kategori status EpisodeOfCare
EPISODEOFCARE_PERIOD1_END Diisi dengan waktu berakhirnya suatu kategori status EpisodeOfCare
PATIENT_IHS_NUMBER ID Patient yang didapatkan dari master pasien indeks
PATIENT_NAME Nama Pasien

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

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D. Referensi

Postman ANC Playbook ANC Playbook ANC Prioritas SatuSehat