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 Ibu dan Anak : 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 Ibu dan Anak
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:
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:
- Pendaftaran Pasien
- Pendaftaran Kunjungan Pasien
- Pengiriman Data Status Obstetri
- Pengiriman Data Kunjungan Kehamilan
- Pengiriman Data Pelayanan Kehamilan (Hasil Pemeriksaan Ibu dan Janin)
- Pengiriman Data Tindakan
- Pengiriman Data Tema Konseling/Temu Wicara/Edukasi
- Pengiriman Data Pemeriksaan Penunjang (Laboratorium dan Radiologi)
- Pengiriman Data Peresepan Obat
- Pengiriman Data Pengeluaran Obat
- Pengiriman Data Diagnosis
- Pengiriman Data Kondisi Saat Meninggalkan Faskes
- Pengiriman Data Rencana Tindak lanjut / Cara Keluar
- 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:
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:
- *) Profile Resource yang direkomendasikan tersedia pada proses pencatatan
- Required: Entry resource harus dilibatkan setiap kali mengirimkan bundle
- Optional: Entry resource dapat tidak dilibatkan setiap kali mengirimkan bundle
C. Langkah-Langkah Pengiriman Data ke SATUSEHAT
Step 1. Pendaftaran Pasien
CATATAN:
Proses pencarian{patient-ihs-number}
dari pasien dapat dilakukan melalui FHIR API dengan metode GET. Untuk metode pencarian data pasien di SATUSEHAT secara detail dapat dilihat dalam resourcePatient
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 resourceEncounter
(data pendaftaran kunjungan pasien), dapat dilihat dalam resourceEncounter
.
{ "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"
No | Kode | Display | System |
---|---|---|---|
1 | K1A | Kunjungan K1 akses | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
2 | K1M | Kunjungan K1 murni | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
3 | K2 | Kunjungan K2 | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
4 | K3 | Kunjungan K3 | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
5 | K4 | Kunjungan K4 | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
6 | K5 | Kunjungan K5 | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
7 | K6 | Kunjungan K6 | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
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 resourceEncounter
(data pendaftaran kunjungan pasien), dapat dilihat dalam resourceEncounter
.
{ "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"
No | Kode | Display | System |
---|---|---|---|
1 | K1A | Kunjungan K1 akses | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
2 | K1M | Kunjungan K1 murni | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
3 | K2 | Kunjungan K2 | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
4 | K3 | Kunjungan K3 | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
5 | K4 | Kunjungan K4 | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
6 | K5 | Kunjungan K5 | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
7 | K6 | Kunjungan K6 | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
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 resourceEpisodeOfCare
(episode kehamilan), dapat dilihat dalam resourceEpisodeOfCare
.
{ "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"
Step 3. Pengiriman Data Status Obstetri
- Gravida
- Paritas
- Abortus
- Tanggal HPHT
- Hari Perkiraan Lahir (HPL)
- Berat Badan Sebelum Hamil
- Tinggi badan
- IMT Sebelum Hamil
- Target Kenaikan BB
- 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"
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"
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"
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"
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"
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"
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"
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"
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"
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"
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)
{ "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"
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:
- Pencatatan Riwayat Imunisasi: dimana informasi jenis vaksin yang digunakan tidak diketahui secara detail, sehingga hanya perlu melampirkan 1 kode CVX Group.
- 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"
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"
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"
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"
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"
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"
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"
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"
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"
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"
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"
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"
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"
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"
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"
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"
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"
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"
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"
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"
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"
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"
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"
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"
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"
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"
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"
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"
D. Pemantauan & Pendampingan
CATATAN:
Penjelasan tipe mandatoris, deskripsi dan format pengisian dari setiap elemen data/path di dalam resourceQuestionnaireResponse
, dapat dilihat dalam resourceQuestionnaireResponse
.
{ "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"
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"
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"
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"
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"
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"
Step 6. Data Tindakan/Prosedur Medis
USG Kehamilan/ Apakah Dilakukan USG
CATATAN:
Penjelasan tipe mandatoris, deskripsi dan format pengisian dari setiap elemen data/path di dalam resourceProcedure
(data tindakan/prosedur medis), dapat dilihat dalam resourceProcedure
.
{ "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"
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"
Step 8. Pemeriksaan Penunjang
8.1. Laboratorium
- Pemeriksaan Penunjang Tunggal Data yang perlu dikirimkan, yaitu:
- 1 data permintaan (ServiceRequest)
- 1 data spesimen (Specimen)
- 1 data hasil pemeriksaan (Observation)
- 1 data laporan pemeriksaan (DiagnosticReport). Data permintaan (ServiceRequest), data spesimen (Specimen), dan data hasil pemeriksaan (Observation) akan di referensi dalam data laporan pemeriksaan (DiagnosticReport).
- Pemeriksaan Penunjang Panel/Paket 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 data permintaan (ServiceRequest) dengan kode LOINC untuk panel elektrolit darah
- 1 data spesimen (Specimen)
- 3 data hasil pemeriksaan (Observation) terdiri dari kode LOINC untuk natrium darah, kalium darah, klorida darah
- 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).
Permintaan Pemeriksaan Laboratorium
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"
Data Spesimen
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 resourceSpecimen
(data permintaan spesimen), dapat dilihat dalam resourceSpecimen
.
{ "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"
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
- 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.
- Elemen Observation.category.coding diisi dengan kode laboratory.
- Pemilihan elemen `Observation.value[x]` disesuaikan dengan Tipe hasil pemeriksaan laboratorium.
- Observation.valueCodeableConcept untuk tipe hasil Nominal
- Observation.valueCodeableConcept untuk tipe hasil Ordinal
- Observation.valueQuantity untuk tipe hasil Kuantitatif/Quantitative
- Observation.valueString untuk tipe hasil Naratif/Narrative
- 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.
{ "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"
Laporan Pemeriksaan Penunjang Laboratorium
Laporan hasil pemeriksaan akan dikirimkan melalui resource DiagnosticReport. Berikut adalah ketentuan pengisian laporan pemeriksaan penunjang laboratorium melalui resource DiagnosticReport
:
- 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.
- 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.
- 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"
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"
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.
{ "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"
{ "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"
{ "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"
{ "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"
{ "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"
{ "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"
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 |
{ "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"
{ "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"
{ "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"
{ "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"
{ "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"
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"
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"
Lampiran Aturan Konsumsi Obat dapat diakses pada SATUSEHAT Portal - Tabel 16. Tatacara pengisian MedicationDispense.dosageInstruction[i].timing.repeat
Step 11. Data Diagnosis
{ "resourceType": "Condition", "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active", "display": "Active" } ] }, "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-category", "code": "encounter-diagnosis", "display": "Encounter Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://hl7.org/fhir/sid/icd-10", "code": "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"
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"
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"
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"
No | Kode | Display | System |
---|---|---|---|
1 | K1A | Kunjungan K1 akses | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
2 | K1M | Kunjungan K1 murni | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
3 | K2 | Kunjungan K2 | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
4 | K3 | Kunjungan K3 | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
5 | K4 | Kunjungan K4 | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
6 | K5 | Kunjungan K5 | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
7 | K6 | Kunjungan K6 | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
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"
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"
No | Kode | Display | System |
---|---|---|---|
1 | K1A | Kunjungan K1 akses | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
2 | K1M | Kunjungan K1 murni | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
3 | K2 | Kunjungan K2 | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
4 | K3 | Kunjungan K3 | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
5 | K4 | Kunjungan K4 | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
6 | K5 | Kunjungan K5 | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
7 | K6 | Kunjungan K6 | http://terminology.kemkes.go.id/CodeSystem/episodeofcare/ANC |
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"
Step 14. Menutup Episode Kehamilan
Berakhirnya kehamilan ini dapat disebabkan oleh beberapa hal berikut:
- Waktu terjadinya persalinan
- Waktu terjadinya keguguran atau proses kuret.
- 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"
D. Referensi
Postman ANC | Playbook ANC | Playbook ANC Prioritas SatuSehat |