WS Rekammedis

Pembuatan Medical Record
Insert Medical Record
{BASE URL}/{Service Name}/eclaim/rekammedis/insert
Fungsi : Insert Medical Record

Method : POST
Content-Type: text/plain
Request
{
"request": {
"noSep": "1111R0010921V014299",
"jnsPelayanan": "2",
"bulan": "1",
"tahun": "2019",
"dataMR": "H26BDFZDZmDXtKKLdFXZ+N5V2UKc9XDEzawZtVP0ZXDEkCuNATLUjJtC5p/PDA/IVD4
f4EhsKoSXwNJasH3ZeX9HU150JOpcyYs5/y93dZjXICg4Tk238UxqlmM0F8NPUMBxZsw8F+6BgybWE6B/+NDqJAGfGdxoj
z+Frtf9HQ+Bx+9Q0d3vYjsFrOEGnyK0Ys1r+2sh0cyCIdpJV3LsYFs1I9ZTPxuXDp/STfnezff4w3+ChZfZGEmksjJvmGW
tDv7cEeITdvmP/LWndZPlFVBPBR1gi6IZ2MQa98qy1H0eRNVqfIpL1H11e3nEW3Oa7Yz9MJ5dVS4kY2nyI+12TpJZ+impp
YFtdYme+r8Ez1a5en/MqlnLKNXuW4ZQC6APitX0QelfeHizPFtNzX3DzC6AwWKiImh1+0kRtmscgw3fYWkuSpdcBQ+Ip6P
p5pbD7mr0n+5tYCqWl5WIRFHSyqzsGu5X8LKl/KGBWLqEuREd1Li7CY6Axm1vulQOJ0Fsc5G3stEtPqsLRXbVHg33I1L5f
B9KLwn8lHdmYxoBCQjj4z4x69oUaBJooRxRg8qMYfSnutPeZWoX0/kwZMdadarl1UlD09IfWgxEMxBPxUHEICK2p8PJp6G
Ol/cMxZZKDDCi2pxrfpUvBV3ZBBsu4vZY6KyY44uPPc69fMBf8WJutifz5LyfpZBDBuhz3sATYeGuGvXQUfwFdC/i1VRVH
xPgqqmVxQUQzLaDwsakvCwenEw0zTcV3FKK10gFyTew95T8sPniAHvl8gMaOOhhzCN5kD84juDWkS0fBBahwZyfw8iS4zI
ej5+M1mstQjq7/cF46g9PEQQOMAuF6pZbZg9leCavOiUECUhnnsIhxrVklSnj3mgkYkR/g9Jdtm4XNtKviIkrYIaM2vLy7
CWXt9OCSrsyCQ+TEDjmP4onAXCnEOd8640aB3XLgrNxkaGPet4kDbUVApjvjcM23aft3yyzvJ1ieubHK9aSzdz/u8sC18Z
FtwbQaWii0JMfavhNKEXg4CeldWzOkLHuEEqZ+YPNwAcFTUZK7nJAAyI8DQ9LNtKRtjEe95GO9wIXGYqcdTuK8vnKtDwdo
XwNG1U6CPktx0XBVCi3RE2fzfYEQhsxxWVK0dhgxAzxIhziJKgP5hN6O4h+RVVvRXrVXNsIxEPLMyEUGZXthjjo+7G92Hf
dAtoBVm/NjtqsOq7GJdi5YjG3ivrf0k2cyvYjttjGpoXx/cX3FwoPbx3jbdmFJUtui86bQGB7E2HD3b6Kc6o3zue4QaW+u
Gk1YuFjJEtiMbogkrceGOLrW60Wt3kryX2/iVz2JXRPIFoOTgBPMR5fRKsGwBQ5aBlj712X2ai3mIs1q9Hu9iOFTBB21+H
7rMCQ4HkOZGRuxlOgVh9bfLEI6aTMQsNetS75q4YSKcyvfPYmJ9rrHUzUrb6JqNxcB8NgOs3+6ecHDPqZLE+bzK4paYmJS
1dmaAxlsHT889hte26ETxX32Cd1jewp7yBx2/80rYYiXaPRC/yyo56tcFsbNcQeBj83ntWt+0hcsF4DwKg9z+syH7ogZQE
DQ9CMhATtAPpBPPctDu5BcbodJXEL3Rt1wNtBaY8jHrrm9ZNVier2R4u23xiVN1mlvbll4Q1rYLegiwZwd44TYkUJjcWvz
zF/+lcbY10TIJlIJgbUvrljzLhqgazb3Qk4lGYP8VtsrPiguoicbHw5MAFYbNqkDWsvptKA2+vDxs1wptp5hhtr0HHKu1s
tKd0+DoqcQN3AKsf4cHeadQUMZ1QkJ6Nk6kFqciL/1B3ojnVmBm04lL55UTUihREWQg9VcC9mX6sNaRcZ12Zyvb9Bv9D/C
URoWb3s/M0V3P1ItZN3vN11kAndNgalUTUUVQg1w8UDM7vYynzbibPtxDzVxCYfaJHj/mtpP2yP5gWNOUqyjnqCFV87s2w
S9XcuLPKIJ9JMms5q3Iy5uluc/e/MmLVdb3snLoS1ujdpGPPXaThOeLkud84NziXcLayV6kAal5ClRYGy50xSqXFA+7Hcv
YnNQhe6EZ8ia7U4+904Luzi9HK4JycU4QNmX2VLvzV62Fk6S05tEL9DErPmuKRlP5ussJLpXZChJ9YzXlGu/4do+5T8x0r
n3Nhqjf0YsVA3XRn6HhZktWgKl3wVFpwY0VdDTBh1K3zomPzU7PpXwy10xgWr8/iIX9Km6jGiQuJhpg1ovIiL69f8lOoC4
7WHYn/p4SofEPghlVc8lpXQtViIJP0N7ioCWEXg2+4D9dPRGBf44ixecfy+dC48w419PEcXuI7kC1q/if7+ol4+ErTunfL
iGQJfiCVbpHY5673hrfvyvLNKGvRJi2q7JJu3mVXQjGz3nA4bZ88VCHSMwkkRO/oThsv02dFj5G5atCohyi706pcigMFRd
uEQ3simvwoCn7LrDkSy8XAUBtGy8hJ7q4YMYWkt2J9l3VzLs+adG5LVFaxuxOclV2cVRvGtOwtPaZ/C59f6ypSxsH6T/3t
nBLJarQxZ7EVKA+wDg7jr8hhM93wXe+dNSsj+w854g1WjIiV7iZTNTPZROwfwph41eMJG6dcbcunPnXPwAc4uEEpcKEmTI
MGAksqkmlN71KYaRnNxLfhrFWJOQlk73UTVlf6G9noneM0nDCttvBEW1O2d0quBVZl9WLbLiIwmOPYfSMwZigWXx4gPsxV
LcNAFDSCj/nbIc/Pc7b3X4ngkNFOXXfXYaVucE3cJZ2Ie2hG/yvtdzfTIQ7MyfNpQG6A2GDiQl1I+B/FrRlejhwfAtmnKl
qHSQEvzD3Z6Prw8wIp2pl0BmIJ5c737w/Ixq4QkWbCX1i7LShODPjulYsjbAAIeIL4z3ODhH0MGc9aTdAjEDcnvSCIEYKt
oazjD1cFpvdwuC5yQbxo9xEkE2oPcBG1kSwJRwo0f2LJfnXL0CahzzHnVzEYh7ck/al6jzbo413dzkSuiPghHvtTs+juhi
4LP2fxlIH3fX4vjA7zRGi7V9dr+pSs4Y1LVCdd0Yegw7W6yf2LtKuFJVBReXsi0nL1WCoLo9yZNhNiTW9U+bkuo9FX6eGn
UZV3rfy1NGQxQPuGYRZ9tLFZnVgvZ9lpa1p9rtQTv5acID/jXrAQ1tye1Soa2HhW2n/9/YaHXFJj9maOcaxSCQPc4ooBFh
8dEmiqG7gcM1n71haR/utYn+tWMjyZBBWKcznLsDEfJotFhaAwQWXf0rXLKr3hbnSc7XLgsibseMEPleGc2+f2t2BWzHTq
nfXwEPu8nGCvIgWG/Y3jjUNVAIUXDNe1Ti++Eno6nZVOPzsv9nrEYqWyFu5NVHnyd8HwZh/HxIxNGeEqDJzIC2iEBrazMw
gAceNlm+6Bu/dxod+TqmmhlsAR97Q3KnZBmD78ampz0z8NbCJqDj3g7J+jJ6Y198wuZloulKThrz/BbqtjXjLWDhUYDZeW
EzoqjOc150o0yNxO0TQipasucID2gApoOhyKBC1OVQUq9F7J+SlFdkgBH08JQ3adHKEhPmz+MsFjXUXIg0+i1Q84Rdrzsz
PEO9hhM8wZqCV6GTm8FmMJ/wsXzjR2u6lTNrPRLmamSexWyKudGl1bUAhjOQbZt95wRjdyx+JtrB/jsAbn2EODPmT9c/Z+
hO/IqnWI2Cgk66OnlNxZH9KzzmlZEWpncEPzExvyEcX/on1eG/MP4HoI4rSxpbN2kcA69FzpwBO7MNwXQLB0QmjpGzLBBb
FvS25jT7U01+8PaotqbQzlHiIHV+Tp/0evI33tV+kuPAlweonDuPACzGcA22AgfFStEC9ym7J3c58x3nerbE9gzn+HGXvQ
cvgFefJIlwfCnG0e8wmqhkRpnTbjNZ6fS8q+Vznc4hjE+6thmhZ/9EKg+T6cjqsZShuOpY8amaMFeOeuFy2ukDOIh3p3M1
bVjjrdEMx5qXop1M9KulJatw/KhqR4o2t7HynY+fVfT571cFwMfUxDUtghpQEOAeifKf8/KhqBDcuM8XZWT8SPd/8oBSRo
lxAZGqvheMBiebcLnrOG9wyj3sbDXufBBTknpXI2E9x9VAqDydj5qbxvyybUG1cKxC+yCUUdL0lkFA9Ya2qFnlhb36CHHR
5RHuWEfk75MvuQ1i0DEvL1fYL6WcFmW0sw+GzN3yGC6PrlfIySm2q0x4Fz8EwnCpOe+5HtYcWHaDEFs9K2o1N6Amp5aQHl
aEUDwFkpS4iDNOryDJT/d9LiF8yY5Yl1GIT9NoPytsSe2Dh0dg1M2jefRAAoKjwCJEs1AgXmAtiR4/iTEa+Kw7cRTkxuOt
urKue+peksRt0VJtHpM/Tc3tQdPVBe3BqsEmZAsfYZa8BZ5Z6vURKzD1qzOEjX34SJyV8j4CmTMFMYH8GtBpTtYNgRZDNq
SIVAxZWJ0PMAs+HrEJG0AwdV8LXPbIYhB0dtEhHIoJkFN4KFsnsJZif9WcUNP34viqV+6u+8RnMDkOJ7BM/jiDfIFdFSRg
/O2jLq5TLc8Gxy2YO+a1hYoB+xDSzkhCXiEJ4rKnpFLQY5r1tSKLzAVcwoi6IMXH7a5WDRHYxgoQuNU+fNorBtxHziLFpx
1
zZcUGsm5JMhTO9PrNsl3svUgwMaGB/c/usj90XDrXOuZiTLblf+Xo4EB88mqcZ11IF8dONho6sZqM94luzvXgvstSOFkgG
SjhCRwpBhLmtlx5OqQ49h54SDXFblMt3yOPjZtSEGKhdTwj35v8vHDtVTlTgVKEVJlzahxGET/UdFtEKaK2SV256JJPkOw
QM2MGbadyGD2/HQh7jRe85HKHGSaUm7t7Y0H1rN9gieyqthwZ5U+odVz1XQsVu+KBJlkI2ZeHyDKbx3ahzDQqFAdERdeIY
040xFOrdLJy4ZkQgT05u4O915PklZaWgo8oY3Yx12zTscYpHgVe6H3hsi6D+ksAdJvT79aW7luKf7U0L5RJqo85q2Qr/oA
J0hYQt1Z9zdw/bTCbeqKz2XLQFko3zY9oLLcCtlzOmhz+ISff7dHlZYNqXgejISjPjh3Gyop/TEdxwM/4xa8snF61rTu6g
rN3G+llGA9RLQbrGU7iTt+QgNVFT5kBbh4qpfrbH3K+i/2phiESkSOsCsefrILovscm50O173ZMmKr+WZwmVhJBi874y7D
lR2a6oG+IzLHDBNahxkpMj1y/ZvJoaPIJic9Mn9KeW6Hkkc/9RfZbjEUP/hSB7aVTXncLOCLGfBG8RkRAYnYjA4n3ZFcbQ
OCsNc0dYVZJLDA61xGEjhoDH1+1FCqgY13jMiuKsHkxRVLu+xunQWARC9tLurPwlgdVrHZpj23ngMIglswy+YL+GipBdDT
mnx78DNY0wq1ue2BeUNLRrzVlubiyvN9iujtBDXZxhIA5LDf+r5zloQmOEl5Hn9BQbqXLEG293xF73QCJC1wN8b1hmbKfJ
a/WLN9oRKC0czBO4h7H6gB4nNgNZty35UhCk6FwIC1LCdXg8svucgNl/VSSoskxuZgYEjtJSIvKkXDiMDCTu0xwpAbajPX
ZrMw6DvSondGCIoUeFnZhDG+5jrT8Colsgox+S25fwd2Al1BFnVK6E+dilfEJgWrCW5xvaEn5LPR8AdPfO2F0VS3UIEcTV
y2rZ7c5nnPwCk95tkWofLv3+uoCKQZLWhocISSao++c27SvFqzS/lE9SPF5MW7xjLdhpKJiEr/b+90qbUw7G+bhvHf+qUG
w7LubVlh4xyQixz8uaD1BRGBbmY9suiAZdXF+EVTInAEMxznWqKIrTP/dOMVT3bRp9zsp+PGXV+EE/4JFL92Pe6Y8NCIFI
QWWWk8ILcxwLcm/q73GzVqtaOVXyZmLNIYsaqDA8LuBmB+hi4G0ZLXIeop1Bz8ul+qnTVvfNclRmptmleYLjLp4GjJKhME
s6Np0M795fGK9x/htt3JEe6rPBgAvug0Cr4FESs8VIlb1tCi0gnyeQDpea47F+oqywtxKkzRBdsQwBHCjevFYL8P4IV491
aBwAlsJf9Lq7SXkKsRA57mCEd0RAQrGOijrayWBeAgw2HylDQlChh/mkcnyUQ7s2naHOL7lv1s1qBHd5HVk4nRTo/+6F5M
4XYagJ4LRyTJQ8WS88xomQBPg2sWGoyDhgRpo4qoRRcmQhW71ARcvUa+l/LIhwVrYzcpcNlp2WolhlkRxawmEm0IKPk0eM
Uw/3FShefqrAkNuNsRm4IBXLv2FQt6gb1nKw6xL8tamfl5xN9hx2Fnw89/b18WZrC7rMww5FkCtaCKqk+nj6SJB/NkFaVH
2ZPFklmrqYfM26d/AXTgFy4Zh4Dow+Os3bIYUKvupSQVgmu6xd9BcQz3gAxvl5282KoFKwDMDd7prnTofsUwNuKgrqEQT1
jC1MmTvr83xum+MaXui5NlMBuOuwZ2pPUC5nQx1jRqbaoj4CdRxzAibU9aP4j477Ky0ojv2PHOOptITAqRtYcIhgWHyX2G
96DUpnBrOv0dSfvhobdsZoVHySFXmiY+gh4t6n+n4gHulsQtWRJBE8bf1MUr4PtQhi4XPZe5mrjvZM39XOJZ6CAjPmsGhl
45ArsRVksePsrTj0iaipt8ePJ6ZtYRA4t3zgIAuEywDxCcKTBUnsMyIZmZxjVrPF0g0x9fDDvoPvTJgMXfGUIyJLnp3oIJ
q6kKa+U2+JQNhs8mHwJQ8czfrLEAQax7GJB+2hE+3thrUcJbOsPXdvgQnArk+7gtwhWdbnmbJeQ6e5SirpGHXvDZmiN9sy
Gm41czpzzTtuIH2wUWD5kdOmWKgAiTJQUGUbGSv/lviESe5JqdAPBmzq1YajsB8+eDjNcxe1lnZat99dorxJCZR72pl+xL
EJypAxRQLVr6z5r/Ka9JZ0em1U+VBvRhm12yXUNaO3fYGo44PwKN5nuGBv1U2NrDHnrZJRnl4DPwfRO8IUWT5ycO2mfGQc
1eBZN+NPCZm8AuxyrW8aSrVwGvAyuE1fllJ4JnN1XLIj1O30RO9sLf4LKW3Gy3Ni/RtnXf9GK3hiBZjsirPJ5GpF5RzHLz
c8Bgrbi3uoFpYqABnk0XkhqxUOK9VoSVf9OrUvJRcL/rWbCJFL3Goyv1Xprhpu1isl7tQhdq7uTNA4T7Nx1c3ms0RqiYvr
dJcRAo2aCLyFUjir1XtJHK5pGk9puqeE1aELWvGOdOO1zVdGGt2VS93SwoA1r1Pp8Jt2VR5hsRMTeHEhy2P7n1s5l64Klg
rZ+JMBpuIgNmkvmQnJQfNRxFTVl8VFs4eRV2qbzvR67q39L6zticKwH7lRB4yoQ/HvtC54ROC5FEHYEGxQcUFUH2k4wuuY
UXxWe3HchpYrLq5ENfrdHKKRwl2Tdg9FUeYFun7VdUuXex1a0MXCBJEsXpNljZSjG/OBRSGqS0rExMp+usn0SU7QKKSSxS
DcgNHy4fea5UsVIQwHmP7XjcUH9pkhISZ6868Mt6MQTq11Ki7LmlKiKWGG9nWlnHI1ye12Vpy8am+GBjW6vSijmPrYWWEv
gsBzYyz9GW4Vr9xp4vj5Qgy0Dc5fINn0k36QwocpJ/AuS4gYAAiOGk4JUVBjKX5mk9msmsO8YklW1eVSMYcmS2PgXuyOni
FtuLPLyX53N8qeBkgwP+viXcUfshhYlFhknybNjZvNgtvjwGCsHleaHfJsr/s1xJ49ITjBU/ScVaOIfyOnp8ylqIf5Bakm
cvfPjhLfK0pKitBNIThZw=="
}
}
how to generate dataMR :

1. compress menggunakan metode gZip
2. encrypt menggunakan key dengan kombinasi consid + secretkey + koders
{
"request": {
"noSep": "{nomor SEP}",
"jnsPelayanan": "{jenis pelayanan = 1. r.inap 2. r.jalan}",
"bulan": "{bulan}",
"tahun": "{tahun}",
"dataMR": "{encrypt GZIP}"
}
}
Response
{
"metadata": {
"code": "200",
"message": "Sukses"
},
"response": null
}
Response
2
{
"metadata": {
"code": "201",
"message": "Data tidak ditemukan"
},
"response": null
}
Medical Record
Diagram Data
MR Bundle
Format : Json
Content-Type: application/json; charset=utf-8
{
"resourceType": "Bundle",
"id": "0901R001-1193709-34-19c94c1a-1b06-4716-a952-6127c45a09a8",
"meta": {
"lastUpdated": "2019-02-28 10:18:25"
},
"identifier": {
"system": "sep",
"value": "0901R0011218V047118"
},
"type": "document",
3
"entry": [{
"resource": {
"resourceType": "Composition",
"id": "0901R001-1193709-34-16f6a17f-f5c7-4f62-b418-f107dc8a89fb",
"status": "final",
"type": {
"coding": [{
"system": "http:\/\/loinc.org",
"code": "81218-0"
}
],
"text": "Discharge Summary"
},
"subject": {
"reference": "Patient\/0901R001-1193709-34-af125c4b-cd0f-4877-b76a-532a3656da97",
"display": "NURUL"
},
"encounter": {
"reference": "Encounter\/0901R001-1193709-34-8d887b38-feb9-4edf-b818-c49336448c90"
},
"date": "2018-12-31 17:08:43",
"author": [{
"reference": "Practitioner\/0901R001-1193709-34-6b72e7ad-4be4-419c-9a21-36119e177c
47",
"display": "Harakiri, dr., SpA(K)"
}
],
"title": "Discharge Summary",
"confidentiality": "N",
"section": [{
"title": "Reason for admission",
"code": {
"coding": [{
"code": "29299-5",
"display": "Reason for visit Narrative"
}
]
},
"text": {
"status": "additional",
"div": "
<\/div>"
}
}, {
"title": "Chief complaint",
"code": {
"coding": [{
"code": "10154-3",
"display": "Chief complaint Narrative"
}
]
},
"text": {
"div": "
<\/div>"
}
}, {
"title": "Admission diagnosis",
"code": {
"coding": [{
"code": "42347-5",
"display": "Admission diagnosis Narrative"
}
]
},
"text": {
"div": "
ANEMIA APLASTIK, HEMOROID INTERN, <\/div>"
},
"entry": [{
"reference": "urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81"
}
4
]
}, {
"title": "Discharge diagnosis",
"code": {
"coding": [{
"code": "78375-3",
"display": "Discharge diagnosis Narrative"
}
]
},
"text": {
"div": "
Aplastic anaemia, unspecified, ANEMIA APLASTIK, HEMOROID INTERN, Internal haemor
rhoids without complication, <\/div>"
},
"entry": [{
}
]
}, {
"title": "Plan of care",
"code": {
"coding": [{
"code": "18776-5",
"display": "Plan of care"
}
]
},
"text": {
"div": "
<\/div>"
},
"mode": "working",
"entry": [{
"reference": "MedicationRequest\/124a6916-5d84-4b8c-b250-10cefb8e6e86"
}
]
}, {
"title": "Known allergies",
"code": {
"coding": [{
"code": "48765-2",
"display": "Allergies and adverse reactions"
}
]
},
"text": {
"div": "
<\/div>"
},
"entry": [{
"reference": "AllergyIntolerance\/47600e0f-b6b5-4308-84b5-5dec157f7637"
}
]
}
]
}
}
]
}
Composition
Format : Json
5
Sumber : https://www.hl7.org/fhir/composition.html
{
"resource": {
"resourceType": "Composition",
"id": "0901R001-1196708-1-e4d2ab1d-cb72-484d-87cb-5616882657d9",
"status": "final",
"type": {
"coding": [{
"system": "http://loinc.org",
"code": "81218-0"
}
],
"text": "Discharge Summary"
},
"subject": {
"reference": "Patient/0901R001-1196708-1-af272919-8ed1-4aa2-8808-ece97328007c",
"display": "BASNI"
},
"encounter": {
"reference": "Encounter/0901R001-1196708-1-ef852407-45aa-43c7-b5e8-98d63b43c182"
},
"date": "2018-08-15 04:21:36",
"author": [{
"reference": "Practitioner/0901R001-1196708-1-756a608c-2c33-4199-a773-63df905ac315",
"display": "R. Aditya Wardhana, dr., SpBP-RE(K)"
}
],
"title": "Discharge Summary",
"confidentiality": "N",
"section": {
"0": {
"title": "Reason for admission",
"code": {
"coding": [{
"code": "29299-5",
"display": "Reason for visit Narrative"
}
]
},
"text": {
"div": "
"
}
},
"1": {
"title": "Chief complaint",
"code": {
"coding": [{
"code": "10154-3",
"display": "Chief complaint Narrative"
}
]
},
"text": {
"div": "
"
}
},
"2": {
"title": "Admission diagnosis",
"code": {
"coding": [{
"code": "42347-5",
"display": "Admission diagnosis Narrative"
}
]
},
"text": {
"div": "
6
LUKA BAKAR 52% TBSA,
"
},
"entry": [{
}
]
},
"4": {
"title": "Medications on Discharge",
"code": {
"coding": [{
"code": "75311-1",
"display": "Hospital discharge medications Narrative"
}
]
},
"text": {
"div": "
(CLINDAMYCIN)CLINDAMYCIN CAPSULE 300 MG 10 CAP,
"
},
"mode": "working",
"entry": [{
"reference": "MedicationRequest/0901R001-1196708-1-ef852407-45aa-43c7-b5e8-98d63b4
3c182"
}, {
"reference": "MedicationRequest/0901R001-1196708-1-ef852407-45aa-43c7-b5e8-98d63b4
3c182"
}
]
},
"5": {
"title": "Plan of care",
"code": {
"coding": [{
"code": "18776-5",
"display": "Plan of care"
}
]
},
"text": {
"div": "
"
},
"mode": "working",
"entry": [{
"reference": "MedicationRequest/124a6916-5d84-4b8c-b250-10cefb8e6e86"
}
]
},
"7": {
"title": "Known allergies",
"code": {
"coding": [{
"code": "48765-2",
"display": "Allergies and adverse reactions"
}
]
},
"text": {
"div": "
"
},
"entry": [{
"reference": "AllergyIntolerance/47600e0f-b6b5-4308-84b5-5dec157f7637"
}
]
}
}
}
7
}
Patient
Format : Json
Sumber : https://www.hl7.org/fhir/patient.html
{
"resource": {
"resourceType": "Patient",
"id": "0901R001-1196708-1-af272919-8ed1-4aa2-8808-ece97328007c",
"identifier": [{
"use": "usual",
"type": {
"coding": [{
"system": "http://hl7.org/fhir/v2/0203",
"code": "MR"
}
]
},
"value": "429-83-94",
"assigner": {
"display": "RSUPN DR CIPTO"
}
}, {
"use": "official",
"type": {
"coding": [{
"code": "MB"
}
]
},
"value": "9901887833827",
"assigner": {
"display": "BPJS KESEHATAN"
}
}, {
"use": "official",
"type": {
"coding": [{
"code": "NNIDN"
}
]
},
"value": "3175098905951002",
"assigner": {
"display": "KEMENDAGRI"
}
}
],
"active": true,
"name": [{
"use": "official",
"text": "BASONI"
}
],
"maritalStatus": {
"coding": [{
"system": "http://hl7.org/fhir/v3/MaritalStatus",
"code": "U"
}
]
},
"telecom": [{
"system": "phone",
8
"value": "",
"use": "work"
}, {
"system": "phone",
"value": "021773842888",
"use": "mobile"
}, {
"system": "phone",
"value": "TDK ADA",
"use": "home"
}
],
"gender": "male",
"birthDate": "1995-05-15",
"deceasedBoolean": false,
"address": [{
"line": [
"JL JAYA NO. 119 RT 10000 RW 003"
],
"city": "",
"district": "PULO GADING",
"state": "",
"postalCode": "1311260",
"text": "JL JAYA NO. 1000 RT 012 RW 003",
"use": "home",
"type": "both"
}
],
"managingOrganization": {
"reference": "Organization/0901R001-1196708-1-ebbc9d66-ba73-404c-9f8f-655e2726638e",
"display": "RSCM"
}
}
}
Encounter
Format : Json
Sumber : https://www.hl7.org/fhir/Encounter.html
{
"resource": {
"resourceType": "Encounter",
"id": "0901R001-1196708-1-ef852407-45aa-43c7-b5e8-98d63b43c182",
"identifier": [{
"system": "http://api.bpjs-kesehatan.go.id:8080/Vclaim-rest/SEP/",
"value": "0901R0022818V028012"
}
],
"subject": {
"reference": "Patient/0901R001-1196708-1-af272919-8ed1-4aa2-8808-ece97328007c",
"display": "BASONI",
"noSep": "0901R0012218V028012"
},
"class": {
"system": "http://hl7.org/fhir/v3/ActCode",
"code": "IMP",
"display": "inpatient encounter"
},
"incomingReferral": [{
"identifier": [{
"system": "nomor_rujukan_bpjs",
"value": "diehr belum disimpan"
}, {
"system": "nomor_rujukan_internal_rs",
"value": "belum di buat"
}
]
}
9
],
"reason": [{
"coding": [{
"code": "",
"display": null,
"system": "http://hl7.org/fhir/sid/icd-10"
}
],
"text": "LUKA BAKAR 52% TBSA"
}
],
"diagnosis": [
{
"condition": {
"reference": "Condition/0901R001-1196708-1-f5fd08a5-a274-4c9e-a2bd-b7dc57fda0e2",
"role": {
"coding": [{
"system": "http://hl7.org/fhir/diagnosis-role",
"code": "DD",
"display": "Discharge Diagnosis"
}
]
},
"rank": 1
}
}, {
"condition": {
"reference": "Condition/0901R001-1196708-1-a922a69a-a60e-448a-bbcc-b44e96b3dba7",
"role": {
"coding": [{
"code": "DD",
}
]
},
"rank": 2
}
}, {
"condition": {
"reference": "Condition/0901R001-1196708-1-dab83d12-b6dc-457c-8266-ecea7c099d7b",
"role": {
"coding": [{
"code": "DD",
}
]
},
"rank": 3
}
}, {
"condition": {
"reference": "Condition/0901R001-1196708-1-76615111-5141-4346-9c33-d601191b4700",
"role": {
"coding": [{
"code": "DD",
}
]
},
"rank": 4
}
}
],
"hospitalization": {
"dischargeDisposition": [{
"coding": [{
"code": "home",
"display": "Home",
"system": "http://hl7.org/fhir/discharge-disposition"
}
]
}
]
},
10
"period": {
"end": "2018-09-13 18:11:00",
"start": "2018-08-15 04:21:36"
},
"status": "finished",
"text": {
"div": "
Admitted to Instalasi Gawat Darurat,Cipto Mangunkusumo Hospital between 15 Agustus 2018
04:21 and 13 September 2018 18:11
",
"status": "generated"
}
}
}
MedicationRequest
Format : Json
Sumber : https://www.hl7.org/fhir/MedicationRequest.html
{
"resource": [{
"resourceType": "MedicationRequest",
"text": {
"div": "
TETAGAM P SOLUTION, INJECTION 250 IU/1 ML
"
},
"identifier": {
"system": "id_resep_pulang",
"value": "0901R001-1196708-1-e2e4c9b3-fc32-42d5-a693-32a370891560"
},
"subject": {
"reference": "Patient/0901R001-1196708-1-af272919-8ed1-4aa2-8808-ece97328007c"
},
"intent": "final",
"medicationCodeableConcept": {
"coding": [{
"code": "DRx0006657",
"system": "http://rscm.co.id/drug"
}
],
"text": "TETAGAM P SOLUTION, INJECTION 250 IU/1 ML"
},
"dosageInstruction": [{
"doseQuantity": {
"code": "AMP",
"system": "http://unitsofmeasure.org",
"unit": "AMP",
"value": "1"
},
"route": {
"coding": [{
"code": "002",
"display": "INTRAVENOUS",
"system": "http://snomed.info/sct"
}
]
},
"timing": {
"repeat": {
"frequency": "1",
"period": 1,
"periodUnit": "na"
}
},
"additionalInstruction": [{
"text": "1 kali"
11
}
]
}
],
"reasonCode": [{
"coding": [{
"code": "",
"display": "",
"system": ""
}
],
"text": ""
}
],
"requester": {
"agent": {
"display": "Dimas, dr",
"reference": "Practitioner/0901R001-1196708-1-5712547b-d49e-4a43-b20a-3f704f07ebc6"
},
"onBehalfOf": {
"reference": "Organization/0901R001-1196708-1-d28a2a96-68af-4f94-a050-9d9c094b9066"
}
},
"meta": {
"lastUpdated": "2018-08-15 04:33:25"
}
}, {
"resourceType": "MedicationRequest",
"text": {
"div": "
ZINC TAB DISPERSIBLE 20 MG
"
},
"identifier": {
"system": "id_resep_pulang",
"value": "0901R001-1196708-1-afb5967c-576c-4042-b412-770b21336557"
},
"subject": {
},
"intent": "final",
"medicationCodeableConcept": {
"coding": [{
"code": "DRx0017609",
"system": "http://rscm.co.id/drug"
}
],
"text": "ZINC TAB DISPERSIBLE 20 MG"
},
"dosageInstruction": [{
"doseQuantity": {
"code": "TAB",
"system": "http://unitsofmeasure.org",
"unit": "TAB",
"value": "2"
},
"route": {
"coding": [{
"code": "001",
"display": "ORAL",
"system": "http://snomed.info/sct"
}
]
},
"timing": {
"repeat": {
"frequency": "1",
"period": 1,
"periodUnit": "d"
}
},
"additionalInstruction": [{
"text": "1 kali per hari"
}
]
}
12
],
"reasonCode": [{
"coding": [{
"code": "",
"display": "",
"system": ""
}
],
"text": ""
}
],
"requester": {
"agent": {
"display": "Lully Kurniawan, drg",
"reference": "Practitioner/0901R001-1196708-1-8e4a4653-2565-4eab-9daa-2d9933a9d9ed"
},
"onBehalfOf": {
"reference": "Organization/0901R001-1196708-1-0a803fcc-22bd-40c3-b017-f797c288e96f"
}
},
"meta": {
"lastUpdated": "2018-08-18 07:13:42"
}
},
]
}
Practitioner
Format : Json
Sumber : https://www.hl7.org/fhir/Practitioner.html
{
"resource": {
"resourceType": "Practitioner",
"id": "0901R001-1196708-1-38b3196f-1adb-4336-af32-987290268ea7",
"identifier": [{
"use": "official",
"system": "urn:oid:nomor_sip",
"value": "1.2.01.3173.1834/14022/04.16.1"
}, {
"use": "official",
"type": {
"coding": [{
"code": "NNIDN"
}
]
},
"value": "3172055103530001",
"assigner": {
"display": "KEMDAGRI"
}
}
],
"name": [{
"use": "official",
"text": "Suzanna Immanuel, Prof., Dr., dr., SpPK(K)"
}
],
"telecom": [{
"system": "phone",
"value": "0816-970-112",
"use": "work"
}, {
"system": "email",
"value": "suzanna.immanuel@gmail.com",
"use": "work"
}, {
13
"system": "fax",
"value": "",
"use": "work"
}, {
"system": "home",
"value": "",
"use": "home"
}
],
"address": [{
"use": "home",
"line": [
"Jl. Pasir Putih Vii/7 Rt.09/10 Ancol Kec.pademangan Jakut"
],
"city": null,
"country": null
}
],
"gender": "female",
"birthDate": "1953-03-11 00:00:00"
}
}
Organization
Format : Json
Sumber : https://www.hl7.org/fhir/Organization.html
{
"resource": {
"resourceType": "Organization",
"id": "0901R001-1196708-1-672ca120-e0b4-449a-be3a-10a63c3c5519",
"identifier": [{
"use": "official",
"system": "urn:oid:bpjs",
"value": "0901R001"
}, {
"use": "official",
"system": "urn:oid:kemkes",
"value": "3173014"
}
],
"type": [{
"coding": [{
"system": "http://hl7.org/fhir/organization-type",
"code": "prov",
"display": "Healthcare Provider"
}
]
}
],
"name": "IGD - Radiologi",
"alias": [
"RSCM"
],
"telecom": [{
"system": "phone",
"value": "1500-135",
"use": "work"
}
],
"address": [{
"use": "work",
"text": "Jl. Pangeran Diponegoro No. 71, Kenari, Senen, RW. 5, Kenari, RW.5, Kenari, S
enen, Jakarta Pusat, Daerah Khusus Ibukota Jakarta, 10430, Indonesia",
"line": [
"Jl. Pangeran Diponegoro No. 71, Kenari, Senen, RW. 5, Kenari, RW.5, Kenari, Senen"
14
],
"city": "Jakarta Pusat",
"state": "Daerah Khusus Ibukota Jakarta",
"country": "IDN"
}
],
"contact": [{
"purpose": {
"coding": [{
"system": "http://hl7.org/fhir/contactentity-type",
"code": "PATINF"
}
]
},
"telecom": [{
"system": "phone",
"value": "1500-135"
}
]
}
]
}
}
Condition
Format : Json
Sumber : https://www.hl7.org/fhir/Condition.html
{
"resource": {
"resourceType": "Condition",
"id": "0901R001-1196708-1-f5fd08a5-a274-4c9e-a2bd-b7dc57fda0e2",
"clinicalStatus": "active",
"verificationStatus": "confirmed",
"category": [{
"coding": [{
"system": "http://hl7.org/fhir/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
}
]
}
],
"code": {
"coding": [{
"system": "http://hl7.org/fhir/sid/icd-10",
"code": "T31.4",
"display": "Burns involving 40-49% of body surface"
}
],
"text": "Burns involving 40-49% of body surface"
},
"subject": {
},
"onsetDateTime": "2018-08-16 07:47:07"
}
}
DiagnosticReport
15
Format : Json
Sumber : https://www.hl7.org/fhir/DiagnosticReport.html
{
"resource": [{
"resourceType": "DiagnosticReport",
"id": "0901R001-1229344-2-acd3b089-2989-4bce-a4e8-fff504997d97",
"subject": {
"reference": "Patient\/0901R001-1229344-2-6ef979ae-49f9-40e2-a359-d01880075a01",
"display": "WINO",
"noSep": "0901R0017718V045116"
},
"category": {
"coding": {
"system": "http:\/\/hl7.org\/fhir\/v2\/0074",
"code": "RAD",
"display": "Radiology"
}
},
"status": "final",
"performer": [{
"reference": "Organization\/0901R001-1229344-2-58238900-03d7-474e-b507-4c9b72d64a09"
,
"display": "Radiologi Dan Kedokteran Nuklir"
}
],
"result": [{
"resourceType": "Observation",
"id": "DX00150004994364",
"status": "final",
"text": {
"status": "generated",
"div": "Teknik: Radiografi toraks dalam proyeksi PA.((((((((Deskripsi:((((Jantung
tidak membesar, cardiothoracic ratio <\/OBX.5.1.1>lt; 50%.<\/OBX.5.1.2><\/OBX.5.1>((((Aorta da
n mediastinum superior tidak melebar.((((Trakea relatif di tengah. Kedua hilus tidak menebal.(
(((Corakan vaskular kedua paru masih baik. Tidak tampak infiltrat\/nodul. ((((Lengkung diafrag
ma dan sinus kostofrenikus normal.((((Tulang-tulang yang tervisualisasi optimal kesan intak.((
((((((((((<\/div>"
},
"issued": "2018-12-29 13:03:37",
"effectiveDateTime": "2018-12-29 12:34:11",
"code": {
"coding": {
"system": "http:\/\/snomed.info\/sct",
"code": "PROCx000025499",
"display": "THORAX"
},
"text": "THORAX"
},
"performer": {
"reference": "Practitioner\/0901R001-1229344-2-19ebfac8-4bc3-45f2-90ac-0acbf5c6d71
7",
"display": "dr. Benny Zulkarnaien, SpRad (K)."
},
"image": [{
"comment": "",
"link": {
"reference": "",
"display": ""
}
}
],
"conclusion": "Tak tampak kelainan radiologis pada jantung dan paru.(((("
}
]
}
]
}
Procedure
16
Format : Json
Sumber : https://www.hl7.org/fhir/Procedure.html
{
"resource": [{
"resourceType": "Procedure",
"id": "0901R001-1193709-34-55c8999d-788b-43d8-bbd6-070ef25971ad",
"text": {
"div": "Generated Narrative with Details"
},
"status": "completed",
"code": {
"coding": [{
"code": "PROCx000032816",
"display": "Triage"
}
]
},
"subject": {
"display": "NURUL"
},
"context": {
"reference": "Encounter\/0901R001-1193709-34-8d887b38-feb9-4edf-b818-c49336448c90",
"display": "NURUL encounter on 31 Desember 2018 17:08"
},
"performedPeriod": {
"start": "2018-12-31 17:08:00",
"end": "2018-12-31 17:08:00"
},
"performer": [{
"role": {
"coding": [{
"code": "310512001",
"display": "Medical oncologist"
}
]
},
"actor": {
"reference": "Practitioner\/0901R001-1193709-34-cbda45a0-305b-42c1-8a7c-ef6268ec8c
0f",
"display": "Septi Sari Yanti"
}
}
],
"reasonCode": [{
"text": "DiagnosticReport\/f201"
}
],
"bodySite": [{
"coding": [{
"code": "272676008",
"display": "Sphenoid bone"
}
]
}
],
"focalDevice": [{
"action": {
"coding": [{
"system": "http:\/\/hl7.org\/fhir\/device-action",
"code": "implanted"
}
]
},
"manipulated": {
"reference": "Device\/example-pacemaker"
}
}
17
],
"note": [{
"text": ""
}
]
}, {
"resourceType": "Procedure",
"id": "0901R001-1193709-34-519258f6-22d2-4ed0-962f-b1e666d2c9ac",
"text": {
"div": "Generated Narrative with Details"
},
"status": "completed",
"code": {
"coding": [{
"code": "PROCx000013190",
"display": "Administrasi IGD"
}
]
},
"subject": {
"display": "NURUL"
},
"context": {
"reference": "Encounter\/0901R001-1193709-34-8d887b38-feb9-4edf-b818-c49336448c90",
"display": "NURUL encounter on 31 Desember 2018 17:08"
},
"performedPeriod": {
"start": "2018-12-31 17:08:00",
"end": "2018-12-31 17:08:00"
},
"performer": [{
"role": {
"coding": [{
"code": "310512001",
"display": "Medical oncologist"
}
]
},
"actor": {
"reference": "Practitioner\/0901R001-1193709-34-cbda45a0-305b-42c1-8a7c-ef6268ec8c
0f",
"display": "Septi Sari Yanti"
}
}
],
"reasonCode": [{
"text": "DiagnosticReport\/f201"
}
],
"bodySite": [{
"coding": [{
"code": "272676008",
"display": "Sphenoid bone"
}
]
}
],
"focalDevice": [{
"action": {
"coding": [{
"system": "http:\/\/hl7.org\/fhir\/device-action",
"code": "implanted"
}
]
},
"manipulated": {
"reference": "Device\/example-pacemaker"
}
}
],
"note": [{
"text": ""
18
}
]
}
]
}
Device
Format : Json
Sumber : https://www.hl7.org/fhir/Device.html
{
"resource": [{
"resourceType": "Device",
"id": "0901R001-1180006-12-ddd99da0-3916-446e-8429-207c22738496",
"text": {
"div": "
Generated Narrative with Details
id: 0901R001-1180006-12-ddd99da0-3916-446e-8429-207c22738496
identifier: MDVx024590
type: SKINTACT EASYTAB (Details : {http://acme.com/devices code = MDVx024590, given as SKINTAC
T EASYTAB})
lotNumber:
manufacturer:
model:
patient: Patient/0901R001-1180006-12-f37a5d7f-3d36-4897-952c-49dac09efc71
contact: "
},
"identifier": [{
"system": "http://acme.com/devices/pacemakers/octane/serial",
"value": "MDVx024590"
}
],
"type": {
"coding": [{
"system": "http://acme.com/devices",
"code": "MDVx024590",
"display": "SKINTACT EASYTAB"
}
]
},
"lotNumber": "",
"manufacturer": "",
"manufactureDate": "",
"expirationDate": "",
"model": "",
"patient": {
"reference": "Patient/0901R001-1180006-12-f37a5d7f-3d36-4897-952c-49dac09efc71"
},
"contact": [{
"system": "phone",
"value": "ext 4352",
"use": "work"
}
]
}, {
"resourceType": "Device",
"id": "0901R001-1180006-12-a620a1d0-3926-4533-90b0-bc002f1d3b47",
"text": {
"div": "
Generated Narrative with Details
id: 0901R001-1180006-12-a620a1d0-3926-4533-90b0-bc002f1d3b47
identifier: MDVx001160
type: PEN NEEDLE 31 GA BD (Details : {http://acme.com/devices code = MDVx001160, given as PEN
NEEDLE 31 GA BD})
19
lotNumber: ALKES
manufacturer: ANUGRAH ARGON MEDICA, PT
model:
patient: Patient/0901R001-1180006-12-f37a5d7f-3d36-4897-952c-49dac09efc71
contact: 021 3861271"
},
"identifier": [{
"system": "http://acme.com/devices/pacemakers/octane/serial",
"value": "MDVx001160"
}
],
"type": {
"coding": [{
"system": "http://acme.com/devices",
"code": "MDVx001160",
"display": "PEN NEEDLE 31 GA BD"
}
]
},
"lotNumber": "ALKES",
"manufacturer": "ANUGRAH ARGON MEDICA, PT",
"manufactureDate": "",
"expirationDate": "",
"model": "",
"patient": {
"reference": "Patient/0901R001-1180006-12-f37a5d7f-3d36-4897-952c-49dac09efc71"
},
"contact": [{
"system": "phone",
"value": "021 3861271",
"use": "work"
}
]
}
]
}
20

WS Rekammedis

Uploaded by

Document Information

Original Description:

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

WS Rekammedis

Uploaded by

Copyright:

Available Formats

Pembuatan Medical Record

Insert Medical Record

{BASE URL}/{Service Name}/eclaim/rekammedis/insert

Fungsi : Insert Medical Record

how to generate dataMR :

You might also like