openapi: 3.1.0 info: title: HealthGuard KlaimGuard API version: 1.0.0-draft summary: AI BPJS claim verification across the clinical pathway (IGD → Ranap, Poli → Rajal). description: 'KlaimGuard checks clinical documents against BPJS claim rules **before** the claim is submitted, stage by stage along the clinical pathway. **One endpoint, one envelope.** Every stage is `POST /checks` with a `stage` value, and every response has the same shape. Blocks that don''t apply to a stage are `null`, never missing, so one parser handles all of them. | Pathway | Stage | `stage` value | Status | |---|---|---|---| | IGD → Rawat Inap | Asesmen Awal IGD | `igd_asesmen_awal` | Logic ready (R&D, RS) | | IGD → Rawat Inap | CPPT / Early Warning (during stay) | `ranap_cppt` | Logic ready (R&D, RS) | | IGD → Rawat Inap | Resume Pulang | `ranap_resume` | Logic ready (R&D, RS) | | Poli → Rawat Jalan | SOAP Poli | `rajal_soap` | Logic ready (R&D, clinic) | | Hilir | Casemix episode overview before INA-CBG submission | — | Planned (spec only) | **Three ways to send data:** 1. **`fhir` (default):** an HL7 **FHIR R4** Bundle made of the **SATUSEHAT** resources your SIMRS already produces: `Encounter`, `Observation` (vital-signs, LOINC), `Condition` (ICD-10, ranked through `Encounter.diagnosis`), `Procedure` (ICD-9-CM), `MedicationRequest`, `AllergyIntolerance`, `DiagnosticReport`. Clinical narrative that has no coded SATUSEHAT resource (primary survey, physical exam, CPPT SOAP, discharge instructions) goes in `QuestionnaireResponse`. If your SIMRS is SATUSEHAT-integrated, reuse that mapping. No new mapping project is needed. 2. **`simple`:** your SIMRS form sections as they are (`sections[]`, your own field labels). Use this for SIMRS that are not SATUSEHAT-integrated yet. 3. **`custom`:** a facility-specific adapter that HealthGuard configures on your API key (on request, including on-premise). All three are converted to the same internal model, so the same clinical content gives the same result. **Status vocabulary (3 values, everywhere):** `lengkap` (complete) · `belum_lengkap` (something is missing) · `perbaiki` (present but inconsistent with the evidence). `summary.status` is the worst of these across the document. `summary.claim_ready` is `true` only when that status is `lengkap`. **Privacy.** Never send a patient''s name, NIK or phone number. `patient_ref` is your MRN or an opaque id; a value shaped like a 16-digit NIK is rejected. Data is stored in Indonesia. **Free when skipped.** Non-BPJS payers and pathways that aren''t supported yet return `skipped: true` with a `skip_reason`. No AI call is made and nothing is billed. ' contact: name: HealthGuard url: https://healthguardinnovation.com servers: - url: https://api.healthguardinnovation.com/klaimguard/v1 description: Production (planned) security: - ApiKey: [] tags: - name: Checks - name: Stage aliases - name: Discovery paths: /checks: post: operationId: createCheck summary: Verify one clinical document stage description: 'Single entry point. `stage` selects the verifier. **Default: send a FHIR R4 `bundle` built from your SATUSEHAT resources (profile=fhir).** Alternatively send `encounter` + `sections` (profile=simple). A facility-specific custom format (profile=custom) is available on request. Non-BPJS payers are skipped free of charge.' parameters: - $ref: '#/components/parameters/IdempotencyKey' requestBody: required: true content: application/json: schema: $ref: '#/components/schemas/CheckRequest' examples: fhir_default__igd_asesmen_awal: value: stage: igd_asesmen_awal bundle: resourceType: Bundle type: collection entry: - fullUrl: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 resource: resourceType: Patient - fullUrl: urn:uuid:b2d9060e-fc60-4ed6-a530-4e5264a38deb resource: resourceType: Encounter status: finished class: system: http://terminology.hl7.org/CodeSystem/v3-ActCode code: EMER display: emergency identifier: - system: https://docs.healthguardinnovation.com/fhir/sid/visit-id value: DEMO-IGD-BACKWARD-COMPAT-TANP subject: reference: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 hospitalization: admitSource: coding: - system: http://terminology.hl7.org/CodeSystem/admit-source code: emd text: IGD diagnosis: - condition: reference: urn:uuid:20ab8387-d774-4653-a643-e6a266be5292 rank: 1 use: coding: - system: http://terminology.hl7.org/CodeSystem/diagnosis-role code: AD - fullUrl: urn:uuid:1216fc96-1ca1-44c6-acd6-534aa55a4ade resource: resourceType: AllergyIntolerance clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code: active verificationStatus: coding: - system: http://terminology.hl7.org/CodeSystem/allergyintolerance-verification code: confirmed code: text: Tidak coding: - system: http://snomed.info/sct code: '716186003' display: No known allergy patient: reference: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 - fullUrl: urn:uuid:b16ab41f-4f27-41c4-9f27-e49be2bf3b48 resource: 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: 9267-6 display: Glasgow coma score eye opening text: GCS - E valueQuantity: value: 4 unit: '{score}' system: http://unitsofmeasure.org code: '{score}' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 encounter: reference: urn:uuid:b2d9060e-fc60-4ed6-a530-4e5264a38deb - fullUrl: urn:uuid:4ca62186-c497-49be-bfb4-ab46bd7477c4 resource: 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: 9270-0 display: Glasgow coma score verbal text: GCS - V valueQuantity: value: 5 unit: '{score}' system: http://unitsofmeasure.org code: '{score}' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 encounter: reference: urn:uuid:b2d9060e-fc60-4ed6-a530-4e5264a38deb - fullUrl: urn:uuid:c3d06ac3-d161-4797-8c32-a277cc729be3 resource: 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: 9268-4 display: Glasgow coma score motor text: GCS - M valueQuantity: value: 6 unit: '{score}' system: http://unitsofmeasure.org code: '{score}' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 encounter: reference: urn:uuid:b2d9060e-fc60-4ed6-a530-4e5264a38deb - fullUrl: urn:uuid:5889823b-0fd3-4ca9-8a5e-a4b9b1e10801 resource: 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: 85354-9 display: Blood pressure panel with all children optional text: Tekanan Darah (mmHg) component: - code: coding: - system: http://loinc.org code: 8480-6 display: Systolic blood pressure valueQuantity: value: 140 unit: mm[Hg] system: http://unitsofmeasure.org code: mm[Hg] - code: coding: - system: http://loinc.org code: 8462-4 display: Diastolic blood pressure valueQuantity: value: 80 unit: mm[Hg] system: http://unitsofmeasure.org code: mm[Hg] subject: reference: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 encounter: reference: urn:uuid:b2d9060e-fc60-4ed6-a530-4e5264a38deb - fullUrl: urn:uuid:0fafb4f2-caf8-4978-8551-e352e323571c resource: 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 text: Suhu (°C) valueQuantity: value: 37 unit: Cel system: http://unitsofmeasure.org code: Cel extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 encounter: reference: urn:uuid:b2d9060e-fc60-4ed6-a530-4e5264a38deb - fullUrl: urn:uuid:1e0a4c9d-ddc6-46d0-a2dc-21627feede9c resource: 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 text: Nadi (x/menit) valueQuantity: value: 100 unit: /min system: http://unitsofmeasure.org code: /min extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 encounter: reference: urn:uuid:b2d9060e-fc60-4ed6-a530-4e5264a38deb - fullUrl: urn:uuid:ecabb7d1-fc25-4cbc-97c0-c3845d69007f resource: 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 text: Pernafasan (x/menit) valueQuantity: value: 20 unit: /min system: http://unitsofmeasure.org code: /min extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 encounter: reference: urn:uuid:b2d9060e-fc60-4ed6-a530-4e5264a38deb - fullUrl: urn:uuid:196f8aaa-f675-4bb7-9618-a49625ed3b6b resource: 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: 59408-5 display: Oxygen saturation in Arterial blood by Pulse oximetry text: SpO2 (%) valueQuantity: value: 98 unit: '%' system: http://unitsofmeasure.org code: '%' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 encounter: reference: urn:uuid:b2d9060e-fc60-4ed6-a530-4e5264a38deb - fullUrl: urn:uuid:20ab8387-d774-4653-a643-e6a266be5292 resource: resourceType: Condition clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/condition-clinical code: 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: R10.1 display: Pain localized to upper abdomen text: R10.1 - Pain localized to upper abdomen extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-field valueString: Diagnosa Utama (ICD-10) subject: reference: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 encounter: reference: urn:uuid:b2d9060e-fc60-4ed6-a530-4e5264a38deb fhir_default__ranap_cppt: value: stage: ranap_cppt bundle: resourceType: Bundle type: collection entry: - fullUrl: urn:uuid:aea6d553-6a70-464d-be15-23327d4aea71 resource: resourceType: Patient - fullUrl: urn:uuid:b0b0a3e5-f2b3-4ba1-9e57-05254ec7cab3 resource: resourceType: Encounter status: in-progress class: system: http://terminology.hl7.org/CodeSystem/v3-ActCode code: IMP display: inpatient encounter identifier: - system: https://docs.healthguardinnovation.com/fhir/sid/visit-id value: DEMO-EWS-ASAL-MASUK-POLI-EXPE subject: reference: urn:uuid:aea6d553-6a70-464d-be15-23327d4aea71 hospitalization: admitSource: coding: - system: http://terminology.hl7.org/CodeSystem/admit-source code: outp text: POLI diagnosis: - condition: reference: urn:uuid:0dfe0c73-b08e-4a3d-885d-497a59084b38 rank: 1 use: coding: - system: http://terminology.hl7.org/CodeSystem/diagnosis-role code: billing - fullUrl: urn:uuid:0dfe0c73-b08e-4a3d-885d-497a59084b38 resource: resourceType: Condition clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/condition-clinical code: 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: N39.0 display: Infeksi saluran kemih, tidak spesifik extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/claim-diagnosis-current valueBoolean: true subject: reference: urn:uuid:aea6d553-6a70-464d-be15-23327d4aea71 encounter: reference: urn:uuid:b0b0a3e5-f2b3-4ba1-9e57-05254ec7cab3 fhir_default__ranap_resume: value: stage: ranap_resume bundle: resourceType: Bundle type: collection entry: - fullUrl: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb resource: resourceType: Patient - fullUrl: urn:uuid:5cc84ed9-d34c-4ceb-995a-12f5f8b1ed55 resource: resourceType: Encounter status: finished class: system: http://terminology.hl7.org/CodeSystem/v3-ActCode code: IMP display: inpatient encounter identifier: - system: https://docs.healthguardinnovation.com/fhir/sid/visit-id value: DEMO-RANAP-BERKAS-MINIMAL-4-B subject: reference: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb hospitalization: admitSource: coding: - system: http://terminology.hl7.org/CodeSystem/admit-source code: emd text: IGD diagnosis: - condition: reference: urn:uuid:ce45bc5e-08f6-4b74-afbf-747eb4437e5d rank: 1 use: coding: - system: http://terminology.hl7.org/CodeSystem/diagnosis-role code: DD - condition: reference: urn:uuid:f9e02003-cd1c-4d76-9a7a-61e3912a40b5 rank: 2 use: coding: - system: http://terminology.hl7.org/CodeSystem/diagnosis-role code: DD - condition: reference: urn:uuid:21481a02-670b-458f-bddf-9395696cdda0 rank: 3 use: coding: - system: http://terminology.hl7.org/CodeSystem/diagnosis-role code: DD - fullUrl: urn:uuid:a863ae04-2633-469d-95ce-27020f0fc288 resource: 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 text: tv_sistolik valueQuantity: value: 95 unit: mm[Hg] system: http://unitsofmeasure.org code: mm[Hg] extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb encounter: reference: urn:uuid:5cc84ed9-d34c-4ceb-995a-12f5f8b1ed55 - fullUrl: urn:uuid:e036261a-26d7-4b44-b9c5-88fd7642ee54 resource: 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 text: tv_diastolik valueQuantity: value: 60 unit: mm[Hg] system: http://unitsofmeasure.org code: mm[Hg] extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb encounter: reference: urn:uuid:5cc84ed9-d34c-4ceb-995a-12f5f8b1ed55 - fullUrl: urn:uuid:bfac457f-a0f5-4157-871e-30e22bb17778 resource: 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 text: tv_nadi valueQuantity: value: 104 unit: /min system: http://unitsofmeasure.org code: /min extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb encounter: reference: urn:uuid:5cc84ed9-d34c-4ceb-995a-12f5f8b1ed55 - fullUrl: urn:uuid:6e2d46a5-494a-4753-b58a-14f9abf43ed7 resource: 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 text: tv_pernafasan valueQuantity: value: 20 unit: /min system: http://unitsofmeasure.org code: /min extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb encounter: reference: urn:uuid:5cc84ed9-d34c-4ceb-995a-12f5f8b1ed55 - fullUrl: urn:uuid:fa86d153-ab70-466f-9879-7e666a89f6be resource: 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: 59408-5 display: Oxygen saturation in Arterial blood by Pulse oximetry text: tv_spo2 valueQuantity: value: 98 unit: '%' system: http://unitsofmeasure.org code: '%' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb encounter: reference: urn:uuid:5cc84ed9-d34c-4ceb-995a-12f5f8b1ed55 - fullUrl: urn:uuid:bc7bfa7d-aa74-4baf-8a5b-b751bcf22f8b resource: 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: 72514-3 display: Pain severity - 0-10 verbal numeric rating [Score] - Reported text: tv_skala_nyeri valueQuantity: value: 4 unit: '{score}' system: http://unitsofmeasure.org code: '{score}' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb encounter: reference: urn:uuid:5cc84ed9-d34c-4ceb-995a-12f5f8b1ed55 - fullUrl: urn:uuid:ce45bc5e-08f6-4b74-afbf-747eb4437e5d resource: resourceType: Condition clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/condition-clinical code: 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: A09.9 display: Gastroenteritis and colitis of unspecified origin extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-field valueString: diagnosa_utama subject: reference: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb encounter: reference: urn:uuid:5cc84ed9-d34c-4ceb-995a-12f5f8b1ed55 - fullUrl: urn:uuid:f9e02003-cd1c-4d76-9a7a-61e3912a40b5 resource: resourceType: Condition clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/condition-clinical code: 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: E86 display: Volume depletion extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-field valueString: diagnosa_sekunder subject: reference: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb encounter: reference: urn:uuid:5cc84ed9-d34c-4ceb-995a-12f5f8b1ed55 - fullUrl: urn:uuid:21481a02-670b-458f-bddf-9395696cdda0 resource: resourceType: Condition clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/condition-clinical code: 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: E87.6 display: Hypokalaemia extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-field valueString: diagnosa_sekunder subject: reference: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb encounter: reference: urn:uuid:5cc84ed9-d34c-4ceb-995a-12f5f8b1ed55 - fullUrl: urn:uuid:ad0260f4-3e4f-4038-b6b6-c78803a4a803 resource: resourceType: AllergyIntolerance clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code: active verificationStatus: coding: - system: http://terminology.hl7.org/CodeSystem/allergyintolerance-verification code: confirmed code: text: Tidak ada coding: - system: http://snomed.info/sct code: '716186003' display: No known allergy patient: reference: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb fhir_default__rajal_soap: value: stage: rajal_soap bundle: resourceType: Bundle type: collection entry: - fullUrl: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d resource: resourceType: Patient identifier: - use: usual system: https://docs.healthguardinnovation.com/fhir/sid/patient-ref value: RM-000200 - fullUrl: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 resource: resourceType: Encounter status: finished class: system: http://terminology.hl7.org/CodeSystem/v3-ActCode code: AMB display: ambulatory identifier: - system: https://docs.healthguardinnovation.com/fhir/sid/visit-id value: VISIT-20260707-010 subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d period: start: '2026-07-07T09:00:00+07:00' hospitalization: admitSource: coding: - 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key: dataPasien label: Data Pasien data: Cara Datang: Sendiri Jenis Kebutuhan Pelayanan: kuratif Sarana Transportasi: Mobil Pengantar: Keluarga Hubungan Pengantar: '-' Jenis Prioritas / Triase: Kuning Jam Kedatangan Ada: '2026-07-12T00:55:43.000Z' Jam Diperiksa Dokter Ada: '2026-07-12T00:55:43.000Z' Jenis Kasus: ipd Diagnosa Rujukan: '-' - key: anamnesa label: Anamnesa data: Keluhan Utama: nyeri perut Riwayat Penyakit Sekarang: pasien datang dengan keluhan nyeri perut terutama di ulu hati disertai mual muntah. sesak (-) nyeri dada (-) BAK dan BAB tidak ada keluhan. flatus (+) Riwayat Penyakit Dahulu: '-' Riwayat Penggunaan Obat: '-' Riwayat Alergi: Tidak - key: primarySurvey label: Primary Survey (ABCDE) data: Airway: 'jalan nafas: paten, Kesimpulan: Aman' Breathing: 'Pernapasan: spontan, regular, Gerakan Dada: simetris, Tipe pernapasan: normal, Kesimpulan: Aman' Circulation: 'Nadi: reguler, kuat, Kulit/mukosa: normal, Akral: hangat, kering, CRT: kurangDari2Detik, Kesimpulan: Aman' Disability GCS: 'e: 4, v: 5, m: 6' Disability Pupil: 'Pupil: Isokor, Lateralisasi: Tidak Ada, Kesimpulan: Aman' Exposure: 'Eksposur: dalamBatasNormal, Kesimpulan: Aman' - key: ttv label: TTV & Keadaan Umum data: Keadaan Umum: Sedang GCS - E: '4' GCS - V: '5' GCS - M: '6' Tingkat Kesadaran: '1.Sadar Baik/Alert: 0' Tekanan Darah (mmHg): 140/80 Suhu (°C): '37' Nadi (x/menit): '100' Pernafasan (x/menit): '20' SpO2 (%): '98' Berat Badan (kg): '-' Tinggi Badan (cm): '-' GDA (mg/dl): '-' Skala Nyeri (0-10): 4-5 - key: pemeriksaanFisik label: Pemeriksaan Fisik data: Kepala: Normal Mata: Normal Telinga: Normal Hidung: Normal Leher: Normal Dada: Normal simetris, S1S2 reg, ves/ves, wh-/-, rh-/- Punggung: Normal Perut: Ada Kelainan supel, bu (+) dbn, NT (+) epigastric, LUQ, suprapubic Jantung: '-' Paru: '-' Perut / Abdomen: Ada Kelainan supel, bu (+) dbn, NT (+) epigastric, LUQ, suprapubic Ekstremitas Atas: 'Lengan Atas: Normal, Lengan Bawah: Normal' Ekstremitas Bawah: 'tungkai atas: Normal, tungkai bawah: Normal' Status Neurologis: Normal mmt 555/555 Status Lokalis: '-' - key: codingDiagnosa label: Coding ICD-10 & Diagnosa data: Diagnosa Klinis: abdominal pain Diagnosa Utama (ICD-10): R10.1 - Pain localized to upper abdomen Diagnosa Sekunder (ICD-10): '-' Prognosis: '-' Rencana Terapi: 'rencanaTindakan: inj santagesik 1 amp inj ranitidin 1 amp inj ondansentron 1 amp sucralfat 10 cc, rencanaTindakan: observasi -> keluhan membaik, rencanaTindakan: rawat jalan dengan obat pulang sucralfat 3x10 cc lansoprazole 30 mg 2x1 ac 30 menit sanmol 650 mg 3x1 spasminal 3x1 domperidone 10 mg 3x1 ac 30 menit k/p' Konsultasi DPJP: Tidak Planning / Disposisi: '-' simple__ranap_cppt__ews-asal-masuk-poli-expect-skipped: value: stage: ranap_cppt penjamin: BPJS encounter: visit_id: DEMO-EWS-ASAL-MASUK-POLI-EXPE class: IMP origin: POLI episode: admitted_igd_at: '2026-07-10T10:00:00+07:00' admitted_ward_at: '2026-07-10T13:00:00+07:00' los_days: 2 ward: Bangsal Penyakit Dalam care_class: '2' sections: - key: asesmenAwalIgd label: Asesmen Awal IGD data: dataPasien: Cara Datang: Sendiri Jenis Prioritas / Triase: P3 Jenis Kasus: ipd anamnesa: Keluhan Utama: Nyeri saat berkemih, demam 1 hari Riwayat Penyakit Dahulu: Tidak ada Riwayat Alergi: Tidak ada primarySurvey: Airway: Paten, Aman Breathing: Spontan, Aman Circulation: Aman Disability GCS: e4v5m6 Exposure: Aman ttv: Tekanan Darah (mmHg): 120/80 Suhu (°C): '38.0' Nadi (x/menit): '92' Pernafasan (x/menit): '20' SpO2 (%): '98' pemeriksaanFisik: Abdomen: Nyeri tekan suprapubik ringan Status Lokalis: '-' codingDiagnosa: Diagnosa Klinis: Infeksi saluran kemih Diagnosa Utama (ICD-10): N39.0 - Infeksi saluran kemih, tidak spesifik Rencana Terapi: Antibiotik oral, hidrasi Planning / Disposisi: MRS - Rawat Inap obat: - obat: - jenis: Non Racikan nama_obat: CIPROFLOXACIN 500MG TAB jumlah: 1 aturan_pakai: 2x1 - key: pengantarRanap label: Surat Pengantar Rawat Inap data: Indikasi Rawat Inap: ISK dengan demam, perlu observasi & antibiotik Diagnosa Masuk: ISK Ruang Dituju: Bangsal Penyakit Dalam - key: asesmenAwalRanap label: Asesmen Awal Rawat Inap data: Tekanan Darah (mmHg): 118/78 Suhu (°C): '37.8' Nadi (x/menit): '90' Riwayat Alergi: Tidak ada Diagnosa Kerja: ISK - key: cpptDokter label: CPPT Dokter data: - tanggal: '2026-07-10' profesi: Dokter (DPJP) S: Nyeri berkemih, demam O: TD 118/78, N 90, S 37.8, RR 20 A: ISK dalam terapi P: Lanjut ciprofloxacin, hidrasi - tanggal: '2026-07-11' profesi: Dokter (DPJP) S: Keluhan membaik, tidak demam O: TD 120/80, N 84, S 36.7, RR 18 A: ISK perbaikan klinis P: Lanjut antibiotik, rencana BLPL - key: cpptPerawat label: CPPT Perawat data: - tanggal: '2026-07-10' shift: pagi catatan: Pasien kooperatif, minum cukup - key: lab label: Laboratorium data: - kd_jenis_prw: LAB.700 nm_perawatan: URINALISA tgl_periksa: '2026-07-10' jam: '10:30:00' hasil: - pemeriksaan: Leukosit Urin nilai_rujukan: 0-5 nilai: 25-30 satuan: /LPB saran: '' kesan: '' - key: radiologi label: Radiologi data: [] - key: cpoObat label: CPO data: - tgl_order: '2026-07-10T11:00:00+07:00' nama_obat: Ciprofloxacin 500mg dosis: 2x500mg rute: PO indikasi: Infeksi saluran kemih status: berjalan claim_context: diagnosis_current: primary: code: N39.0 display: Infeksi saluran kemih, tidak spesifik secondary: [] simple__ranap_resume__ranap-asal-masuk-poli-expect-skipped: value: stage: ranap_resume penjamin: BPJS encounter: visit_id: DEMO-RANAP-ASAL-MASUK-POLI-EX class: IMP origin: POLI sections: - key: resumePulang label: Resume Medis Pasien Pulang data: Diagnosa Utama (ICD-10): J18.9 simple__rajal_soap__skenario-1-semua-lengkap-tanpa-peringatan: value: stage: rajal_soap penjamin: BPJS encounter: visit_id: VISIT-20260707-010 class: AMB origin: POLI patient_ref: RM-000200 patient_status: lama practitioner_ref: DR-02 period: start: '2026-07-07T09:00:00+07:00' sections: - key: soap data: subjektif: Kontrol rutin pseudofakia OD, tidak ada keluhan baru, visus stabil sejak operasi 3 bulan lalu. objektif: VOD 6/7.5 pinhole tetap, VOS 6/6. Segmen anterior OD pseudofakia tenang, OS dbn. asesmen: Pseudofakia OD stabil, kontrol rutin post-PHACO plan: Lanjutkan lubricant eye drop OD, kontrol rutin 6 bulan lagi instruksi: Gunakan air mata buatan OD 4x sehari, kontrol jika ada penurunan visus mendadak evaluasi: Visus dan tekanan intraokular stabil dibanding kunjungan sebelumnya - key: pemeriksaan data: tensi_sistolik: 118 tensi_diastolik: 76 suhu_celsius: 36.6 nadi_per_menit: 80 respirasi_per_menit: 18 tinggi_cm: 160 berat_kg: 58 spo2_persen: 99 gcs: '456' kesadaran: Compos Mentis alergi: Tidak ada alergi obat/makanan lingkar_perut_cm: 75 - key: icd data: icd_10: - code: Z96.1 label: Kontrol pseudofakia laterality: OD icd_9: - code: '95.01' label: Slitlamp / Visus laterality: ODS - key: riwayat data: kunjungan: - tanggal: '2026-04-07' icd_10: - code: H25.9 label: Katarak senilis laterality: OD icd_9: - code: '13.41' label: Katarak PHACO laterality: OD tindakan: [] soap: asesmen: Post PHACO OD plan: Kontrol 3 bulan application/fhir+json: schema: $ref: '#/components/schemas/CheckRequest' examples: igd_asesmen_awal__igd-backward-compat-tanpa-icd-9-cm-abdominal-pain: value: stage: igd_asesmen_awal bundle: resourceType: Bundle type: collection entry: - 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url: care_class valueString: '2' hospitalization: admitSource: coding: - system: http://terminology.hl7.org/CodeSystem/admit-source code: outp text: POLI diagnosis: - condition: reference: urn:uuid:0dfe0c73-b08e-4a3d-885d-497a59084b38 rank: 1 use: coding: - system: http://terminology.hl7.org/CodeSystem/diagnosis-role code: billing - fullUrl: urn:uuid:0dfe0c73-b08e-4a3d-885d-497a59084b38 resource: resourceType: Condition clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/condition-clinical code: 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: N39.0 display: Infeksi saluran kemih, tidak spesifik extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/claim-diagnosis-current valueBoolean: true subject: reference: urn:uuid:aea6d553-6a70-464d-be15-23327d4aea71 encounter: reference: urn:uuid:b0b0a3e5-f2b3-4ba1-9e57-05254ec7cab3 - 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linkId: data definition: urn:klaimguard:array item: - linkId: tanggal answer: - valueString: '2026-07-10' - linkId: shift answer: - valueString: pagi - linkId: catatan answer: - valueString: Pasien kooperatif, minum cukup extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/section-label valueString: CPPT Perawat - fullUrl: urn:uuid:dcf55610-caa0-4bb1-a007-74edf6385bec resource: resourceType: QuestionnaireResponse status: completed questionnaire: https://docs.healthguardinnovation.com/fhir/Questionnaire/lab subject: reference: urn:uuid:aea6d553-6a70-464d-be15-23327d4aea71 encounter: reference: urn:uuid:b0b0a3e5-f2b3-4ba1-9e57-05254ec7cab3 item: - linkId: data definition: urn:klaimguard:array item: - linkId: kd_jenis_prw answer: - valueString: LAB.700 - linkId: nm_perawatan answer: - valueString: URINALISA - linkId: tgl_periksa answer: - valueString: '2026-07-10' - linkId: jam answer: - valueString: '10:30:00' - linkId: hasil definition: urn:klaimguard:array item: - linkId: pemeriksaan answer: - valueString: Leukosit Urin - linkId: nilai_rujukan answer: - valueString: 0-5 - linkId: nilai answer: - valueString: 25-30 - linkId: satuan answer: - valueString: /LPB - linkId: saran definition: urn:klaimguard:empty-string - linkId: kesan definition: urn:klaimguard:empty-string extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/section-label valueString: Laboratorium - fullUrl: urn:uuid:84760aa2-fc8a-436a-9763-e5cf541b8c21 resource: resourceType: QuestionnaireResponse status: completed questionnaire: https://docs.healthguardinnovation.com/fhir/Questionnaire/radiologi subject: reference: urn:uuid:aea6d553-6a70-464d-be15-23327d4aea71 encounter: reference: urn:uuid:b0b0a3e5-f2b3-4ba1-9e57-05254ec7cab3 item: - linkId: data definition: urn:klaimguard:empty-array extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/section-label valueString: Radiologi - fullUrl: urn:uuid:a7b59320-f05a-45f3-99af-b2d8905e6117 resource: resourceType: QuestionnaireResponse status: completed questionnaire: https://docs.healthguardinnovation.com/fhir/Questionnaire/cpoObat subject: reference: urn:uuid:aea6d553-6a70-464d-be15-23327d4aea71 encounter: reference: urn:uuid:b0b0a3e5-f2b3-4ba1-9e57-05254ec7cab3 item: - linkId: data definition: urn:klaimguard:array item: - linkId: tgl_order answer: - valueString: '2026-07-10T11:00:00+07:00' - linkId: nama_obat answer: - valueString: Ciprofloxacin 500mg - linkId: dosis answer: - valueString: 2x500mg - linkId: rute answer: - valueString: PO - linkId: indikasi answer: - valueString: Infeksi saluran kemih - linkId: status answer: - valueString: berjalan extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/section-label valueString: CPO ranap_resume__ranap-asal-masuk-poli-expect-skipped: value: stage: ranap_resume bundle: resourceType: Bundle type: collection entry: - fullUrl: urn:uuid:2c9e624d-4c67-43ac-a728-4001d887336f resource: resourceType: Patient - fullUrl: urn:uuid:e574b78e-8cdf-4412-a1cd-d9dc0e9911ae resource: resourceType: Encounter status: finished class: system: http://terminology.hl7.org/CodeSystem/v3-ActCode code: IMP display: inpatient encounter identifier: - system: https://docs.healthguardinnovation.com/fhir/sid/visit-id value: DEMO-RANAP-ASAL-MASUK-POLI-EX subject: reference: urn:uuid:2c9e624d-4c67-43ac-a728-4001d887336f extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/klaimguard-stage valueCode: ranap_resume - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/payer valueString: BPJS hospitalization: admitSource: coding: - system: http://terminology.hl7.org/CodeSystem/admit-source code: outp text: POLI - fullUrl: urn:uuid:e22c4e22-42cc-4862-b2d1-4a8f804f0501 resource: resourceType: QuestionnaireResponse status: completed questionnaire: https://docs.healthguardinnovation.com/fhir/Questionnaire/resumePulang subject: reference: urn:uuid:2c9e624d-4c67-43ac-a728-4001d887336f encounter: reference: urn:uuid:e574b78e-8cdf-4412-a1cd-d9dc0e9911ae item: - linkId: data item: - linkId: Diagnosa Utama (ICD-10) answer: - valueString: J18.9 extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/section-label valueString: Resume Medis Pasien Pulang rajal_soap__skenario-1-semua-lengkap-tanpa-peringatan: value: stage: rajal_soap bundle: resourceType: Bundle type: collection entry: - fullUrl: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d resource: resourceType: Patient identifier: - use: usual system: https://docs.healthguardinnovation.com/fhir/sid/patient-ref value: RM-000200 - fullUrl: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 resource: resourceType: Encounter status: finished class: system: http://terminology.hl7.org/CodeSystem/v3-ActCode code: AMB display: ambulatory identifier: - system: https://docs.healthguardinnovation.com/fhir/sid/visit-id value: VISIT-20260707-010 subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/klaimguard-stage valueCode: rajal_soap - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/payer valueString: BPJS - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/patient-status valueCode: lama period: start: '2026-07-07T09:00:00+07:00' hospitalization: admitSource: coding: - system: http://terminology.hl7.org/CodeSystem/admit-source code: outp text: POLI participant: - individual: identifier: system: https://docs.healthguardinnovation.com/fhir/sid/practitioner-ref value: DR-02 diagnosis: - condition: reference: urn:uuid:3de61b70-9b48-4bb8-9660-6c322dd7fc24 rank: 1 use: coding: - system: http://terminology.hl7.org/CodeSystem/diagnosis-role code: billing - fullUrl: urn:uuid:e801e48c-579c-4e7c-b2f2-872233dcb3f3 resource: 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 text: tensi_sistolik valueQuantity: value: 118 unit: mm[Hg] system: http://unitsofmeasure.org code: mm[Hg] extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:5c70cbc7-19f8-4f4d-b9f3-65c10ae82092 resource: 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 text: tensi_diastolik valueQuantity: value: 76 unit: mm[Hg] system: http://unitsofmeasure.org code: mm[Hg] extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:2a16b0e7-ae82-4087-b398-e896f407558e resource: 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 text: suhu_celsius valueQuantity: value: 36.6 unit: Cel system: http://unitsofmeasure.org code: Cel extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:c3cd5a93-2a66-4dd8-9cb7-e54518eaaa63 resource: 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 text: nadi_per_menit valueQuantity: value: 80 unit: /min system: http://unitsofmeasure.org code: /min extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:682b8f1a-a3ff-4a47-9af8-af8d9012ecda resource: 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 text: respirasi_per_menit valueQuantity: value: 18 unit: /min system: http://unitsofmeasure.org code: /min extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:1baf5667-8ca8-43a5-b63d-f3943ea68636 resource: 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 text: tinggi_cm valueQuantity: value: 160 unit: cm system: http://unitsofmeasure.org code: cm extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:c3348fbc-19c6-416e-b547-087351f20550 resource: 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 text: berat_kg valueQuantity: value: 58 unit: kg system: http://unitsofmeasure.org code: kg extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:297224f5-5cec-4373-ab3f-ee9ca316c7f6 resource: 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: 59408-5 display: Oxygen saturation in Arterial blood by Pulse oximetry text: spo2_persen valueQuantity: value: 99 unit: '%' system: http://unitsofmeasure.org code: '%' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:558770c9-7727-4456-9b90-5a285dc27604 resource: 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: 9269-2 display: Glasgow coma score total text: gcs valueQuantity: value: 456 unit: '{score}' system: http://unitsofmeasure.org code: '{score}' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:58f47c61-e51f-4be5-a6e8-ac4fd5538bed resource: resourceType: AllergyIntolerance clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code: active verificationStatus: coding: - system: http://terminology.hl7.org/CodeSystem/allergyintolerance-verification code: confirmed code: text: Tidak ada alergi obat/makanan coding: - system: http://snomed.info/sct code: '716186003' display: No known allergy patient: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d - fullUrl: urn:uuid:e515b513-14bf-4c5a-92fd-2ef6fea8a175 resource: 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: 8280-0 display: Waist Circumference at umbilicus by Tape measure text: lingkar_perut_cm valueQuantity: value: 75 unit: cm system: http://unitsofmeasure.org code: cm extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:3de61b70-9b48-4bb8-9660-6c322dd7fc24 resource: resourceType: Condition clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/condition-clinical code: 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: Z96.1 display: Kontrol pseudofakia bodySite: - text: OD coding: - system: http://snomed.info/sct code: '18944008' display: Right eye structure subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:d855c03a-f26a-44fa-9c6e-595a912e151f resource: resourceType: Procedure status: completed code: coding: - system: http://hl7.org/fhir/sid/icd-9-cm code: '95.01' display: Slitlamp / Visus bodySite: - text: ODS coding: - system: http://snomed.info/sct code: '40638003' display: Both eyes subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:707726d9-63e0-4bb7-9486-11630658253f resource: resourceType: QuestionnaireResponse status: completed questionnaire: https://docs.healthguardinnovation.com/fhir/Questionnaire/soap subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 item: - linkId: data item: - linkId: subjektif answer: - valueString: Kontrol rutin pseudofakia OD, tidak ada keluhan baru, visus stabil sejak operasi 3 bulan lalu. - linkId: objektif answer: - valueString: VOD 6/7.5 pinhole tetap, VOS 6/6. Segmen anterior OD pseudofakia tenang, OS dbn. - linkId: asesmen answer: - valueString: Pseudofakia OD stabil, kontrol rutin post-PHACO - linkId: plan answer: - valueString: Lanjutkan lubricant eye drop OD, kontrol rutin 6 bulan lagi - linkId: instruksi answer: - valueString: Gunakan air mata buatan OD 4x sehari, kontrol jika ada penurunan visus mendadak - linkId: evaluasi answer: - valueString: Visus dan tekanan intraokular stabil dibanding kunjungan sebelumnya - fullUrl: urn:uuid:a7a30c9b-d026-4c20-9ec5-86292d74540e resource: resourceType: QuestionnaireResponse status: completed questionnaire: https://docs.healthguardinnovation.com/fhir/Questionnaire/pemeriksaan subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 item: - linkId: data item: - linkId: tensi_sistolik definition: urn:klaimguard:native answer: - valueReference: reference: urn:uuid:e801e48c-579c-4e7c-b2f2-872233dcb3f3 - linkId: tensi_diastolik definition: urn:klaimguard:native answer: - valueReference: reference: urn:uuid:5c70cbc7-19f8-4f4d-b9f3-65c10ae82092 - linkId: suhu_celsius definition: urn:klaimguard:native answer: - valueReference: reference: urn:uuid:2a16b0e7-ae82-4087-b398-e896f407558e - linkId: nadi_per_menit definition: urn:klaimguard:native answer: - valueReference: reference: urn:uuid:c3cd5a93-2a66-4dd8-9cb7-e54518eaaa63 - linkId: respirasi_per_menit definition: urn:klaimguard:native answer: - valueReference: reference: urn:uuid:682b8f1a-a3ff-4a47-9af8-af8d9012ecda - linkId: tinggi_cm definition: urn:klaimguard:native answer: - valueReference: reference: urn:uuid:1baf5667-8ca8-43a5-b63d-f3943ea68636 - linkId: berat_kg definition: urn:klaimguard:native answer: - valueReference: reference: urn:uuid:c3348fbc-19c6-416e-b547-087351f20550 - linkId: spo2_persen definition: urn:klaimguard:native answer: - valueReference: reference: urn:uuid:297224f5-5cec-4373-ab3f-ee9ca316c7f6 - linkId: gcs definition: urn:klaimguard:native answer: - valueReference: reference: urn:uuid:558770c9-7727-4456-9b90-5a285dc27604 - linkId: kesadaran answer: - valueString: Compos Mentis - linkId: alergi definition: urn:klaimguard:native answer: - valueReference: reference: urn:uuid:58f47c61-e51f-4be5-a6e8-ac4fd5538bed - linkId: lingkar_perut_cm definition: urn:klaimguard:native answer: - valueReference: reference: urn:uuid:e515b513-14bf-4c5a-92fd-2ef6fea8a175 - fullUrl: urn:uuid:f8457dba-5272-4274-b048-61a88caca8f7 resource: resourceType: QuestionnaireResponse status: completed questionnaire: https://docs.healthguardinnovation.com/fhir/Questionnaire/icd subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 item: - linkId: data item: - linkId: icd_10 definition: urn:klaimguard:native answer: - valueReference: reference: urn:uuid:3de61b70-9b48-4bb8-9660-6c322dd7fc24 - linkId: icd_9 definition: urn:klaimguard:native answer: - valueReference: reference: urn:uuid:d855c03a-f26a-44fa-9c6e-595a912e151f - fullUrl: urn:uuid:54b64a6f-2846-4487-b2c5-98542c766c42 resource: resourceType: QuestionnaireResponse status: completed questionnaire: https://docs.healthguardinnovation.com/fhir/Questionnaire/riwayat subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 item: - linkId: data item: - linkId: kunjungan definition: urn:klaimguard:array item: - linkId: tanggal answer: - valueString: '2026-04-07' - linkId: icd_10 definition: urn:klaimguard:array item: - linkId: code answer: - valueString: H25.9 - linkId: label answer: - valueString: Katarak senilis - linkId: laterality answer: - valueString: OD - linkId: icd_9 definition: urn:klaimguard:array item: - linkId: code answer: - valueString: '13.41' - linkId: label answer: - valueString: Katarak PHACO - linkId: laterality answer: - valueString: OD - linkId: tindakan definition: urn:klaimguard:empty-array - linkId: soap item: - linkId: asesmen answer: - valueString: Post PHACO OD - linkId: plan answer: - valueString: Kontrol 3 bulan responses: '200': description: Verification result (also returned for skipped checks). content: application/json: schema: $ref: '#/components/schemas/CheckResponse' examples: ranap_cppt__ews-asal-masuk-poli-expect-skipped: value: check_id: chk_e89f49da4c8d079e api_version: v1 stage: ranap_cppt pathway: igd_ranap encounter_ref: visit_id: DEMO-EWS-ASAL-MASUK-POLI-EXPE patient_ref: null skipped: true skip_reason: origin_not_supported skip_detail: Alur masuk "POLI" belum didukung — modul ini hanya untuk alur IGD → rawat inap. summary: status: null claim_ready: null counts: lengkap: 0 belum_lengkap: 0 perbaiki: 0 notices: [] findings: [] claim_impact: null diagnosis_suggestions: null medication_review: null document_sync: null coding_warnings: [] meta: latency_ms: null engine: rules+llm model: null profile: simple origin_normalized: POLI ranap_cppt__ews-belum-ada-entri-cppt-expect-skipped: value: check_id: chk_35e797c1d8f72b8c api_version: v1 stage: ranap_cppt pathway: igd_ranap encounter_ref: visit_id: DEMO-EWS-BELUM-ADA-ENTRI-CPPT patient_ref: null skipped: true skip_reason: no_cppt_entries skip_detail: Belum ada entri CPPT (dokter/perawat) untuk dianalisis — kirim ulang setelah ada catatan CPPT. summary: status: null claim_ready: null counts: lengkap: 0 belum_lengkap: 0 perbaiki: 0 notices: [] findings: [] claim_impact: null diagnosis_suggestions: null medication_review: null document_sync: null coding_warnings: [] meta: latency_ms: null engine: rules+llm model: null profile: simple origin_normalized: IGD '400': &id002 description: Invalid payload (schema violation). `details` lists JSON pointers. content: application/json: schema: &id001 $ref: '#/components/schemas/Error' '401': &id003 description: Missing / invalid / revoked API key. content: application/json: schema: *id001 '413': &id004 description: Payload larger than 5 MB. content: application/json: schema: *id001 '422': &id005 description: Valid JSON but clinically unusable (e.g. FHIR Bundle without Encounter). content: application/json: schema: *id001 '429': &id006 description: Per-tenant rate limit exceeded. See `Retry-After`. content: application/json: schema: *id001 '502': &id007 description: AI provider failure after retries. Safe to retry with the same `Idempotency-Key`. content: application/json: schema: *id001 tags: - Checks /checks/{check_id}: get: operationId: getCheck summary: Fetch a previous result (retained 90 days) parameters: - name: check_id in: path required: true schema: type: string responses: '200': description: OK content: application/json: schema: $ref: '#/components/schemas/CheckResponse' '404': description: Not found or belongs to another tenant. content: application/json: schema: *id001 tags: - Checks /pathways: get: operationId: listPathways summary: Clinical pathway map and which stages are live for your key responses: '200': description: OK content: application/json: schema: $ref: '#/components/schemas/Pathways' tags: - Discovery /capabilities: get: operationId: getCapabilities summary: Stages, profiles and limits enabled for this API key responses: '200': description: OK content: application/json: schema: $ref: '#/components/schemas/Capabilities' tags: - Discovery /igd/asesmen-awal: post: operationId: check_igd_asesmen_awal summary: IGD — Asesmen Awal (alias of POST /checks with stage=igd_asesmen_awal) description: Convenience alias. Identical to `POST /checks`; `stage` is filled in as `igd_asesmen_awal` and may be omitted. tags: - Stage aliases parameters: - $ref: '#/components/parameters/IdempotencyKey' requestBody: required: true content: application/json: schema: $ref: '#/components/schemas/CheckRequest' examples: fhir__igd-backward-compat-tanpa-icd-9-cm-abdominal-pain: value: stage: igd_asesmen_awal bundle: resourceType: Bundle type: collection entry: - fullUrl: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 resource: resourceType: Patient - fullUrl: urn:uuid:b2d9060e-fc60-4ed6-a530-4e5264a38deb resource: resourceType: Encounter status: finished class: system: http://terminology.hl7.org/CodeSystem/v3-ActCode code: EMER display: emergency identifier: - system: https://docs.healthguardinnovation.com/fhir/sid/visit-id value: DEMO-IGD-BACKWARD-COMPAT-TANP subject: reference: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 hospitalization: admitSource: coding: - system: http://terminology.hl7.org/CodeSystem/admit-source code: emd text: IGD diagnosis: - condition: reference: urn:uuid:20ab8387-d774-4653-a643-e6a266be5292 rank: 1 use: coding: - system: http://terminology.hl7.org/CodeSystem/diagnosis-role code: AD - fullUrl: urn:uuid:1216fc96-1ca1-44c6-acd6-534aa55a4ade resource: resourceType: AllergyIntolerance clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code: active verificationStatus: coding: - system: http://terminology.hl7.org/CodeSystem/allergyintolerance-verification code: confirmed code: text: Tidak coding: - system: http://snomed.info/sct code: '716186003' display: No known allergy patient: reference: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 - fullUrl: urn:uuid:b16ab41f-4f27-41c4-9f27-e49be2bf3b48 resource: 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: 9267-6 display: Glasgow coma score eye opening text: GCS - E valueQuantity: value: 4 unit: '{score}' system: http://unitsofmeasure.org code: '{score}' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 encounter: reference: urn:uuid:b2d9060e-fc60-4ed6-a530-4e5264a38deb - fullUrl: urn:uuid:4ca62186-c497-49be-bfb4-ab46bd7477c4 resource: 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: 9270-0 display: Glasgow coma score verbal text: GCS - V valueQuantity: value: 5 unit: '{score}' system: http://unitsofmeasure.org code: '{score}' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 encounter: reference: urn:uuid:b2d9060e-fc60-4ed6-a530-4e5264a38deb - fullUrl: urn:uuid:c3d06ac3-d161-4797-8c32-a277cc729be3 resource: 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: 9268-4 display: Glasgow coma score motor text: GCS - M valueQuantity: value: 6 unit: '{score}' system: http://unitsofmeasure.org code: '{score}' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 encounter: reference: urn:uuid:b2d9060e-fc60-4ed6-a530-4e5264a38deb - fullUrl: urn:uuid:5889823b-0fd3-4ca9-8a5e-a4b9b1e10801 resource: 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: 85354-9 display: Blood pressure panel with all children optional text: Tekanan Darah (mmHg) component: - code: coding: - system: http://loinc.org code: 8480-6 display: Systolic blood pressure valueQuantity: value: 140 unit: mm[Hg] system: http://unitsofmeasure.org code: mm[Hg] - code: coding: - system: http://loinc.org code: 8462-4 display: Diastolic blood pressure valueQuantity: value: 80 unit: mm[Hg] system: http://unitsofmeasure.org code: mm[Hg] subject: reference: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 encounter: reference: urn:uuid:b2d9060e-fc60-4ed6-a530-4e5264a38deb - fullUrl: urn:uuid:0fafb4f2-caf8-4978-8551-e352e323571c resource: 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 text: Suhu (°C) valueQuantity: value: 37 unit: Cel system: http://unitsofmeasure.org code: Cel extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 encounter: reference: urn:uuid:b2d9060e-fc60-4ed6-a530-4e5264a38deb - fullUrl: urn:uuid:1e0a4c9d-ddc6-46d0-a2dc-21627feede9c resource: 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 text: Nadi (x/menit) valueQuantity: value: 100 unit: /min system: http://unitsofmeasure.org code: /min extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 encounter: reference: urn:uuid:b2d9060e-fc60-4ed6-a530-4e5264a38deb - fullUrl: urn:uuid:ecabb7d1-fc25-4cbc-97c0-c3845d69007f resource: 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 text: Pernafasan (x/menit) valueQuantity: value: 20 unit: /min system: http://unitsofmeasure.org code: /min extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 encounter: reference: urn:uuid:b2d9060e-fc60-4ed6-a530-4e5264a38deb - fullUrl: urn:uuid:196f8aaa-f675-4bb7-9618-a49625ed3b6b resource: 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: 59408-5 display: Oxygen saturation in Arterial blood by Pulse oximetry text: SpO2 (%) valueQuantity: value: 98 unit: '%' system: http://unitsofmeasure.org code: '%' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 encounter: reference: urn:uuid:b2d9060e-fc60-4ed6-a530-4e5264a38deb - fullUrl: urn:uuid:20ab8387-d774-4653-a643-e6a266be5292 resource: resourceType: Condition clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/condition-clinical code: 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: R10.1 display: Pain localized to upper abdomen text: R10.1 - Pain localized to upper abdomen extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-field valueString: Diagnosa Utama (ICD-10) subject: reference: urn:uuid:6ce53940-1af0-49d0-9089-3bbc6024f192 encounter: reference: urn:uuid:b2d9060e-fc60-4ed6-a530-4e5264a38deb fhir__igd-data-kurang-valid-ckd-chf-septic-shock-ada-gap: value: stage: igd_asesmen_awal bundle: resourceType: Bundle type: collection entry: - fullUrl: urn:uuid:e33384a2-0ac3-4f08-a6cd-288358332375 resource: resourceType: Patient - fullUrl: urn:uuid:03ee8a4e-6c00-4949-9a21-1698dcb65f47 resource: resourceType: Encounter status: finished class: system: http://terminology.hl7.org/CodeSystem/v3-ActCode code: EMER display: emergency identifier: - system: https://docs.healthguardinnovation.com/fhir/sid/visit-id value: DEMO-IGD-DATA-KURANG-VALID-CK subject: reference: urn:uuid:e33384a2-0ac3-4f08-a6cd-288358332375 hospitalization: admitSource: coding: - system: http://terminology.hl7.org/CodeSystem/admit-source code: emd text: IGD diagnosis: - condition: reference: urn:uuid:0702d1f6-415c-4a06-a5f7-a55dc3f09289 rank: 1 use: coding: - system: http://terminology.hl7.org/CodeSystem/diagnosis-role code: AD - fullUrl: urn:uuid:9deb74af-f41f-49d9-8ce2-a4fd500f7242 resource: 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: 9267-6 display: Glasgow coma score eye opening text: GCS - E valueQuantity: value: 3 unit: '{score}' system: http://unitsofmeasure.org code: '{score}' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:e33384a2-0ac3-4f08-a6cd-288358332375 encounter: reference: urn:uuid:03ee8a4e-6c00-4949-9a21-1698dcb65f47 - fullUrl: urn:uuid:1c0aa093-3686-4fc9-b517-d3828a787299 resource: 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: 9270-0 display: Glasgow coma score verbal text: GCS - V valueQuantity: value: 5 unit: '{score}' system: http://unitsofmeasure.org code: '{score}' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:e33384a2-0ac3-4f08-a6cd-288358332375 encounter: reference: urn:uuid:03ee8a4e-6c00-4949-9a21-1698dcb65f47 - fullUrl: urn:uuid:2d5cfe03-db90-4f0d-a736-b83092d9975e resource: 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: 9268-4 display: Glasgow coma score motor text: GCS - M valueQuantity: value: 6 unit: '{score}' system: http://unitsofmeasure.org code: '{score}' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:e33384a2-0ac3-4f08-a6cd-288358332375 encounter: reference: urn:uuid:03ee8a4e-6c00-4949-9a21-1698dcb65f47 - fullUrl: urn:uuid:01a82563-8fca-4a74-aa26-af80e6cc6400 resource: 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: 85354-9 display: Blood pressure panel with all children optional text: Tekanan Darah (mmHg) component: - code: coding: - system: http://loinc.org code: 8480-6 display: Systolic blood pressure valueQuantity: value: 83 unit: mm[Hg] system: http://unitsofmeasure.org code: mm[Hg] - code: coding: - system: http://loinc.org code: 8462-4 display: Diastolic blood pressure valueQuantity: value: 44 unit: mm[Hg] system: http://unitsofmeasure.org code: mm[Hg] subject: reference: urn:uuid:e33384a2-0ac3-4f08-a6cd-288358332375 encounter: reference: urn:uuid:03ee8a4e-6c00-4949-9a21-1698dcb65f47 - fullUrl: urn:uuid:ba9d52c9-0d00-47bb-8c84-8ae7e213c42d resource: 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 text: Suhu (°C) valueQuantity: value: 38.4 unit: Cel system: http://unitsofmeasure.org code: Cel extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:e33384a2-0ac3-4f08-a6cd-288358332375 encounter: reference: urn:uuid:03ee8a4e-6c00-4949-9a21-1698dcb65f47 - fullUrl: urn:uuid:2d54894a-11fc-460b-9310-84c9cb36cc5b resource: 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 text: Nadi (x/menit) valueQuantity: value: 102 unit: /min system: http://unitsofmeasure.org code: /min extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:e33384a2-0ac3-4f08-a6cd-288358332375 encounter: reference: urn:uuid:03ee8a4e-6c00-4949-9a21-1698dcb65f47 - fullUrl: urn:uuid:fb32e781-225b-4722-bbf0-1555e48e9ee8 resource: 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 text: Pernafasan (x/menit) valueQuantity: value: 30 unit: /min system: http://unitsofmeasure.org code: /min extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:e33384a2-0ac3-4f08-a6cd-288358332375 encounter: reference: urn:uuid:03ee8a4e-6c00-4949-9a21-1698dcb65f47 - fullUrl: urn:uuid:08421486-c0ba-4860-bbd9-a03e09436fc0 resource: 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: 59408-5 display: Oxygen saturation in Arterial blood by Pulse oximetry text: SpO2 (%) valueQuantity: value: 90 unit: '%' system: http://unitsofmeasure.org code: '%' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:e33384a2-0ac3-4f08-a6cd-288358332375 encounter: reference: urn:uuid:03ee8a4e-6c00-4949-9a21-1698dcb65f47 - fullUrl: urn:uuid:9f763fba-d0fe-41d8-8277-41020b1ae4f8 resource: 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 text: Berat Badan (kg) valueQuantity: value: 78 unit: kg system: http://unitsofmeasure.org code: kg extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:e33384a2-0ac3-4f08-a6cd-288358332375 encounter: reference: urn:uuid:03ee8a4e-6c00-4949-9a21-1698dcb65f47 - fullUrl: urn:uuid:115c83ea-1933-4aed-9079-7fb40e9b5d9b resource: 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 text: Tinggi Badan (cm) valueQuantity: value: 173 unit: cm system: http://unitsofmeasure.org code: cm extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:e33384a2-0ac3-4f08-a6cd-288358332375 encounter: reference: urn:uuid:03ee8a4e-6c00-4949-9a21-1698dcb65f47 - fullUrl: urn:uuid:9c90fffd-62c7-46ad-ac17-3e24f6bce764 resource: 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: 2339-0 display: Glucose [Mass/volume] in Blood text: GDA (mg/dl) valueQuantity: value: 111 unit: mg/dL system: http://unitsofmeasure.org code: mg/dL extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:e33384a2-0ac3-4f08-a6cd-288358332375 encounter: reference: urn:uuid:03ee8a4e-6c00-4949-9a21-1698dcb65f47 - fullUrl: urn:uuid:0702d1f6-415c-4a06-a5f7-a55dc3f09289 resource: resourceType: Condition clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/condition-clinical code: 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: J81 display: Pulmonary oedema text: J81 - Pulmonary oedema extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-field valueString: Diagnosa Utama (ICD-10) subject: reference: urn:uuid:e33384a2-0ac3-4f08-a6cd-288358332375 encounter: reference: urn:uuid:03ee8a4e-6c00-4949-9a21-1698dcb65f47 simple__igd-backward-compat-tanpa-icd-9-cm-abdominal-pain: value: stage: igd_asesmen_awal penjamin: BPJS encounter: visit_id: DEMO-IGD-BACKWARD-COMPAT-TANP class: EMER origin: IGD sections: - key: dataPasien label: Data Pasien data: Cara Datang: Sendiri Jenis Kebutuhan Pelayanan: kuratif Sarana Transportasi: Mobil Pengantar: Keluarga Hubungan Pengantar: '-' Jenis Prioritas / Triase: Kuning Jam Kedatangan Ada: '2026-07-12T00:55:43.000Z' Jam Diperiksa Dokter Ada: '2026-07-12T00:55:43.000Z' Jenis Kasus: ipd Diagnosa Rujukan: '-' - key: anamnesa label: Anamnesa data: Keluhan Utama: nyeri perut Riwayat Penyakit Sekarang: pasien datang dengan keluhan nyeri perut terutama di ulu hati disertai mual muntah. sesak (-) nyeri dada (-) BAK dan BAB tidak ada keluhan. flatus (+) Riwayat Penyakit Dahulu: '-' Riwayat Penggunaan Obat: '-' Riwayat Alergi: Tidak - key: primarySurvey label: Primary Survey (ABCDE) data: Airway: 'jalan nafas: paten, Kesimpulan: Aman' Breathing: 'Pernapasan: spontan, regular, Gerakan Dada: simetris, Tipe pernapasan: normal, Kesimpulan: Aman' Circulation: 'Nadi: reguler, kuat, Kulit/mukosa: normal, Akral: hangat, kering, CRT: kurangDari2Detik, Kesimpulan: Aman' Disability GCS: 'e: 4, v: 5, m: 6' Disability Pupil: 'Pupil: Isokor, Lateralisasi: Tidak Ada, Kesimpulan: Aman' Exposure: 'Eksposur: dalamBatasNormal, Kesimpulan: Aman' - key: ttv label: TTV & Keadaan Umum data: Keadaan Umum: Sedang GCS - E: '4' GCS - V: '5' GCS - M: '6' Tingkat Kesadaran: '1.Sadar Baik/Alert: 0' Tekanan Darah (mmHg): 140/80 Suhu (°C): '37' Nadi (x/menit): '100' Pernafasan (x/menit): '20' SpO2 (%): '98' Berat Badan (kg): '-' Tinggi Badan (cm): '-' GDA (mg/dl): '-' Skala Nyeri (0-10): 4-5 - key: pemeriksaanFisik label: Pemeriksaan Fisik data: Kepala: Normal Mata: Normal Telinga: Normal Hidung: Normal Leher: Normal Dada: Normal simetris, S1S2 reg, ves/ves, wh-/-, rh-/- Punggung: Normal Perut: Ada Kelainan supel, bu (+) dbn, NT (+) epigastric, LUQ, suprapubic Jantung: '-' Paru: '-' Perut / Abdomen: Ada Kelainan supel, bu (+) dbn, NT (+) epigastric, LUQ, suprapubic Ekstremitas Atas: 'Lengan Atas: Normal, Lengan Bawah: Normal' Ekstremitas Bawah: 'tungkai atas: Normal, tungkai bawah: Normal' Status Neurologis: Normal mmt 555/555 Status Lokalis: '-' - key: codingDiagnosa label: Coding ICD-10 & Diagnosa data: Diagnosa Klinis: abdominal pain Diagnosa Utama (ICD-10): R10.1 - Pain localized to upper abdomen Diagnosa Sekunder (ICD-10): '-' Prognosis: '-' Rencana Terapi: 'rencanaTindakan: inj santagesik 1 amp inj ranitidin 1 amp inj ondansentron 1 amp sucralfat 10 cc, rencanaTindakan: observasi -> keluhan membaik, rencanaTindakan: rawat jalan dengan obat pulang sucralfat 3x10 cc lansoprazole 30 mg 2x1 ac 30 menit sanmol 650 mg 3x1 spasminal 3x1 domperidone 10 mg 3x1 ac 30 menit k/p' Konsultasi DPJP: Tidak Planning / Disposisi: '-' simple__igd-data-kurang-valid-ckd-chf-septic-shock-ada-gap: value: stage: igd_asesmen_awal penjamin: BPJS encounter: visit_id: DEMO-IGD-DATA-KURANG-VALID-CK class: EMER origin: IGD sections: - key: dataPasien label: Data Pasien data: Cara Datang: Sendiri Jenis Kebutuhan Pelayanan: kuratif Sarana Transportasi: Mobil Pengantar: Keluarga Hubungan Pengantar: Keluarga Jenis Prioritas / Triase: '-' Jam Kedatangan Ada: '2025-06-29T08:47:00+07:00' Jam Diperiksa Dokter Ada: '2025-06-29T08:47:00+07:00' Jenis Kasus: bedahUmum, ipd, saraf, jantung Diagnosa Rujukan: 'kd_penyakit: R73.0, nm_penyakit: Abnormal glucose tolerance test' - key: anamnesa label: Anamnesa data: Keluhan Utama: sesak, lemas Riwayat Penyakit Sekarang: pasien datang dengan keluhan sesak mulai tadi malam dan memberat pagi ini. Keluhan disertai rasa lemas dan sulit BAB. Kedua tungkai pasien bengkak Riwayat Penyakit Dahulu: '- CKD sudah pernah HD 3x di RSKK, terakhir HD hari jumat kemarin. Post HD kemudian sesak - HBs ag (+) - CHF' Riwayat Penggunaan Obat: 'namaObat: atorvastatin, dosis: 20 mg, waktuPenggunaan: 0-0-1, namaObat: furosemid, dosis: 10 mg, waktuPenggunaan: 1-0-0' - key: primarySurvey label: Primary Survey (ABCDE) data: Airway: 'jalan nafas: paten, Obstruksi partial: snoring, Trauma Jalan Napas: leher, Resiko aspirasi: pendarahan, Kesimpulan: Mengancam Jiwa' Breathing: 'Pernapasan: spontan, Gerakan Dada: simetris, Tipe pernapasan: kussmaul, Kesimpulan: Mengancam Jiwa' Circulation: 'Nadi: reguler, lemah, Kulit/mukosa: berkeringat, Akral: hangat kering, CRT: lebihDari2Detik, Kesimpulan: Mengancam Jiwa' Disability GCS: 'e: 3, v: 5, m: 6' Disability Pupil: 'Diameter: 3mm/3mm, Pupil: Isokor, Reflek Cahaya: +/+, Lateralisasi: Kiri, Kesimpulan: Mengancam Jiwa' Exposure: 'Eksposur: ekskorasi, dalamBatasNormal, Kesimpulan: Mengancam Jiwa' - key: ttv label: TTV & Keadaan Umum data: Keadaan Umum: Jelek GCS - E: '3' GCS - V: '5' GCS - M: '6' Tingkat Kesadaran: '2.Berespon dengan kata-kata/Voice: 1' Tekanan Darah (mmHg): 83/44 Suhu (°C): '38.4' Nadi (x/menit): '102' Pernafasan (x/menit): '30' SpO2 (%): '90' Berat Badan (kg): '78' Tinggi Badan (cm): '173' GDA (mg/dl): '111' Skala Nyeri (0-10): '-' - key: pemeriksaanFisik label: Pemeriksaan Fisik data: Kepala: Ada Kelainan lorem ipsum Mata: Ada Kelainan konjungtiva anemis +/+ Jantung: 'S1: tunggal, S2: tunggal, Jantung: gallop, murmur' Paru: 'vesikuler, ronki, Ket. Rhonki: --+/--+ halus' Ekstremitas Bawah: 'tungkai bawah: Ada Kelainan edema +/+' Status Neurologis: Ada Kelainan Status Lokalis: '-' - key: codingDiagnosa label: Coding ICD-10 & Diagnosa data: Diagnosa Klinis: obs. dyspneu ec susp ALO + CHF + anemia + CKD on HD + susp septic syok + Hbsag (+) + melena Diagnosa Utama (ICD-10): J81 - Pulmonary oedema Diagnosa Sekunder (ICD-10): B16.9 - Acute hepatitis B, D64.9 - Anaemia unspecified, K92.1 - Melaena, N18.5 - CKD stage 5, R65 - SIRS Prognosis: 67334001 - Prognosis dubia et malam / cenderung tidak baik Rencana Terapi: O2 NRM 10 lpm, IVFD fluid challenge 100cc, furosemid IV 1 amp ekstra, SP Norepinephrine 4cc/jam, sanmol infus 1g, ranitidin 2x1, pasang monitor, pasang kateter Konsultasi DPJP: Ya Planning / Disposisi: Rawat Inap - key: obat label: Obat data: - no_resep: RSPD0000130202506290002 obat: - jenis: Non Racikan nama_obat: RANITIDINE 25 MG/ML INJ jumlah: 1 aturan_pakai: imm keterangan_detail: '-' - jenis: Non Racikan nama_obat: FUROSEMIDE 10 ML/ML INJ jumlah: 1 aturan_pakai: imm keterangan_detail: '-' - jenis: Non Racikan nama_obat: CEFTRIAXONE 1 GRAM INJ jumlah: 1 aturan_pakai: imm keterangan_detail: '-' - jenis: Non Racikan nama_obat: NOREPINEPHRINE 4 MG / 4ML INJ jumlah: 1 aturan_pakai: imm keterangan_detail: '-' - jenis: Non Racikan nama_obat: PARACETAMOL INFUS jumlah: 1 aturan_pakai: imm keterangan_detail: '-' - jenis: Non Racikan nama_obat: MEYLON 8,4% 25 ML INJ (NATRIUM BICARBONAT) jumlah: 2 aturan_pakai: imm keterangan_detail: '-' - jenis: Non Racikan nama_obat: NS 500 ML OTSU jumlah: 2 aturan_pakai: imm keterangan_detail: '-' - no_resep: RSPD0000130202506290003 obat: - jenis: Non Racikan nama_obat: NS 500 ML OTSU jumlah: 1 aturan_pakai: imm keterangan_detail: '-' - key: lab label: Laboratorium data: - nm_perawatan: eGFR tgl_periksa: '2025-06-29' jam: 09:05:00 hasil: - pemeriksaan: eGFR nilai_rujukan: 'Gagal ginjal: < 15' nilai: 2,6 satuan: ml/min/1,73 m2 - nm_perawatan: DARAH LENGKAP tgl_periksa: '2025-06-29' jam: 09:05:00 hasil: - pemeriksaan: Hemoglobin nilai_rujukan: L= 13,2 - 17,3 nilai: 5,9 satuan: g/dl - pemeriksaan: Leukosit nilai_rujukan: 3.000 - 11.000 nilai: '20.660' satuan: sel/mm3 - pemeriksaan: Trombosit nilai_rujukan: 150.000 - 450.000 nilai: '31.000' satuan: sel/mm3 - nm_perawatan: CREATININ tgl_periksa: '2025-06-29' jam: 09:05:00 hasil: - pemeriksaan: CREATININ nilai_rujukan: L= 0,6 - 1,4 nilai: 17,51 satuan: mg/dl - nm_perawatan: ELEKTROLIT (NA,K,CL,CA) tgl_periksa: '2025-06-29' jam: 09:05:00 hasil: - pemeriksaan: NATRIUM (Na+) nilai_rujukan: 135,37 - 145,00 nilai: 128,3 satuan: mmol/L - pemeriksaan: KALIUM (K+) nilai_rujukan: 3,48 - 5,50 nilai: 5,03 satuan: mmol/L - pemeriksaan: CALSIUM ION (CA++) nilai_rujukan: 1,13 - 1,32 nilai: 1,02 satuan: mmol/L - nm_perawatan: SGOT tgl_periksa: '2025-06-29' jam: 09:05:00 hasil: - pemeriksaan: SGOT nilai_rujukan: 'L : kurang dari 39' nilai: '151' satuan: U/L - nm_perawatan: BUN tgl_periksa: '2025-06-29' jam: 09:05:00 hasil: - pemeriksaan: BUN nilai_rujukan: 5 - 15 nilai: '148' satuan: mg/dl - key: radiologi label: Radiologi data: - radiologi: THORAX 1 Posisi tgl_periksa: '2025-06-29' jam: 08:50:53 responses: '200': description: Verification result content: application/json: schema: $ref: '#/components/schemas/CheckResponse' '400': *id002 '401': *id003 '413': *id004 '422': *id005 '429': *id006 '502': *id007 /ranap/cppt: post: operationId: check_ranap_cppt summary: Ranap — CPPT / Early Warning (alias of POST /checks with stage=ranap_cppt) description: Convenience alias. Identical to `POST /checks`; `stage` is filled in as `ranap_cppt` and may be omitted. tags: - Stage aliases parameters: - $ref: '#/components/parameters/IdempotencyKey' requestBody: required: true content: application/json: schema: $ref: '#/components/schemas/CheckRequest' examples: fhir__ews-asal-masuk-poli-expect-skipped: value: stage: ranap_cppt bundle: resourceType: Bundle type: collection entry: - fullUrl: urn:uuid:aea6d553-6a70-464d-be15-23327d4aea71 resource: resourceType: Patient - fullUrl: urn:uuid:b0b0a3e5-f2b3-4ba1-9e57-05254ec7cab3 resource: resourceType: Encounter status: in-progress class: system: http://terminology.hl7.org/CodeSystem/v3-ActCode code: IMP display: inpatient encounter identifier: - system: https://docs.healthguardinnovation.com/fhir/sid/visit-id value: DEMO-EWS-ASAL-MASUK-POLI-EXPE subject: reference: urn:uuid:aea6d553-6a70-464d-be15-23327d4aea71 hospitalization: admitSource: coding: - system: http://terminology.hl7.org/CodeSystem/admit-source code: outp text: POLI diagnosis: - condition: reference: urn:uuid:0dfe0c73-b08e-4a3d-885d-497a59084b38 rank: 1 use: coding: - system: http://terminology.hl7.org/CodeSystem/diagnosis-role code: billing - fullUrl: urn:uuid:0dfe0c73-b08e-4a3d-885d-497a59084b38 resource: resourceType: Condition clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/condition-clinical code: 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: N39.0 display: Infeksi saluran kemih, tidak spesifik extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/claim-diagnosis-current valueBoolean: true subject: reference: urn:uuid:aea6d553-6a70-464d-be15-23327d4aea71 encounter: reference: urn:uuid:b0b0a3e5-f2b3-4ba1-9e57-05254ec7cab3 fhir__ews-belum-ada-entri-cppt-expect-skipped: value: stage: ranap_cppt bundle: resourceType: Bundle type: collection entry: - fullUrl: urn:uuid:1b65289b-3b1e-4961-adf7-c685e3418261 resource: resourceType: Patient - fullUrl: urn:uuid:5887903a-74a4-4b34-b983-a6e457a3b222 resource: resourceType: Encounter status: in-progress class: system: http://terminology.hl7.org/CodeSystem/v3-ActCode code: IMP display: inpatient encounter identifier: - system: https://docs.healthguardinnovation.com/fhir/sid/visit-id value: DEMO-EWS-BELUM-ADA-ENTRI-CPPT subject: reference: urn:uuid:1b65289b-3b1e-4961-adf7-c685e3418261 hospitalization: admitSource: coding: - system: http://terminology.hl7.org/CodeSystem/admit-source code: emd text: IGD diagnosis: - condition: reference: urn:uuid:f84ab28f-c6a7-4170-b1ce-649154b897b8 rank: 1 use: coding: - system: http://terminology.hl7.org/CodeSystem/diagnosis-role code: billing - fullUrl: urn:uuid:f84ab28f-c6a7-4170-b1ce-649154b897b8 resource: resourceType: Condition clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/condition-clinical code: 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: J18.9 display: Pneumonia, organisme tidak spesifik extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/claim-diagnosis-current valueBoolean: true subject: reference: urn:uuid:1b65289b-3b1e-4961-adf7-c685e3418261 encounter: reference: urn:uuid:5887903a-74a4-4b34-b983-a6e457a3b222 simple__ews-asal-masuk-poli-expect-skipped: value: stage: ranap_cppt penjamin: BPJS encounter: visit_id: DEMO-EWS-ASAL-MASUK-POLI-EXPE class: IMP origin: POLI episode: admitted_igd_at: '2026-07-10T10:00:00+07:00' admitted_ward_at: '2026-07-10T13:00:00+07:00' los_days: 2 ward: Bangsal Penyakit Dalam care_class: '2' sections: - key: asesmenAwalIgd label: Asesmen Awal IGD data: dataPasien: Cara Datang: Sendiri Jenis Prioritas / Triase: P3 Jenis Kasus: ipd anamnesa: Keluhan Utama: Nyeri saat berkemih, demam 1 hari Riwayat Penyakit Dahulu: Tidak ada Riwayat Alergi: Tidak ada primarySurvey: Airway: Paten, Aman Breathing: Spontan, Aman Circulation: Aman Disability GCS: e4v5m6 Exposure: Aman ttv: Tekanan Darah (mmHg): 120/80 Suhu (°C): '38.0' Nadi (x/menit): '92' Pernafasan (x/menit): '20' SpO2 (%): '98' pemeriksaanFisik: Abdomen: Nyeri tekan suprapubik ringan Status Lokalis: '-' codingDiagnosa: Diagnosa Klinis: Infeksi saluran kemih Diagnosa Utama (ICD-10): N39.0 - Infeksi saluran kemih, tidak spesifik Rencana Terapi: Antibiotik oral, hidrasi Planning / Disposisi: MRS - Rawat Inap obat: - obat: - jenis: Non Racikan nama_obat: CIPROFLOXACIN 500MG TAB jumlah: 1 aturan_pakai: 2x1 - key: pengantarRanap label: Surat Pengantar Rawat Inap data: Indikasi Rawat Inap: ISK dengan demam, perlu observasi & antibiotik Diagnosa Masuk: ISK Ruang Dituju: Bangsal Penyakit Dalam - key: asesmenAwalRanap label: Asesmen Awal Rawat Inap data: Tekanan Darah (mmHg): 118/78 Suhu (°C): '37.8' Nadi (x/menit): '90' Riwayat Alergi: Tidak ada Diagnosa Kerja: ISK - key: cpptDokter label: CPPT Dokter data: - tanggal: '2026-07-10' profesi: Dokter (DPJP) S: Nyeri berkemih, demam O: TD 118/78, N 90, S 37.8, RR 20 A: ISK dalam terapi P: Lanjut ciprofloxacin, hidrasi - tanggal: '2026-07-11' profesi: Dokter (DPJP) S: Keluhan membaik, tidak demam O: TD 120/80, N 84, S 36.7, RR 18 A: ISK perbaikan klinis P: Lanjut antibiotik, rencana BLPL - key: cpptPerawat label: CPPT Perawat data: - tanggal: '2026-07-10' shift: pagi catatan: Pasien kooperatif, minum cukup - key: lab label: Laboratorium data: - kd_jenis_prw: LAB.700 nm_perawatan: URINALISA tgl_periksa: '2026-07-10' jam: '10:30:00' hasil: - pemeriksaan: Leukosit Urin nilai_rujukan: 0-5 nilai: 25-30 satuan: /LPB saran: '' kesan: '' - key: radiologi label: Radiologi data: [] - key: cpoObat label: CPO data: - tgl_order: '2026-07-10T11:00:00+07:00' nama_obat: Ciprofloxacin 500mg dosis: 2x500mg rute: PO indikasi: Infeksi saluran kemih status: berjalan claim_context: diagnosis_current: primary: code: N39.0 display: Infeksi saluran kemih, tidak spesifik secondary: [] simple__ews-belum-ada-entri-cppt-expect-skipped: value: stage: ranap_cppt penjamin: BPJS encounter: visit_id: DEMO-EWS-BELUM-ADA-ENTRI-CPPT class: IMP origin: IGD sections: - key: asesmenAwalIgd label: Asesmen Awal IGD data: dataPasien: Jenis Kasus: ipd - key: cpptDokter label: CPPT Dokter data: [] - key: cpptPerawat label: CPPT Perawat data: [] claim_context: diagnosis_current: primary: code: J18.9 display: Pneumonia, organisme tidak spesifik secondary: [] responses: '200': description: Verification result content: application/json: schema: $ref: '#/components/schemas/CheckResponse' examples: ews-asal-masuk-poli-expect-skipped: value: check_id: chk_e89f49da4c8d079e api_version: v1 stage: ranap_cppt pathway: igd_ranap encounter_ref: visit_id: DEMO-EWS-ASAL-MASUK-POLI-EXPE patient_ref: null skipped: true skip_reason: origin_not_supported skip_detail: Alur masuk "POLI" belum didukung — modul ini hanya untuk alur IGD → rawat inap. summary: status: null claim_ready: null counts: lengkap: 0 belum_lengkap: 0 perbaiki: 0 notices: [] findings: [] claim_impact: null diagnosis_suggestions: null medication_review: null document_sync: null coding_warnings: [] meta: latency_ms: null engine: rules+llm model: null profile: simple origin_normalized: POLI ews-belum-ada-entri-cppt-expect-skipped: value: check_id: chk_35e797c1d8f72b8c api_version: v1 stage: ranap_cppt pathway: igd_ranap encounter_ref: visit_id: DEMO-EWS-BELUM-ADA-ENTRI-CPPT patient_ref: null skipped: true skip_reason: no_cppt_entries skip_detail: Belum ada entri CPPT (dokter/perawat) untuk dianalisis — kirim ulang setelah ada catatan CPPT. summary: status: null claim_ready: null counts: lengkap: 0 belum_lengkap: 0 perbaiki: 0 notices: [] findings: [] claim_impact: null diagnosis_suggestions: null medication_review: null document_sync: null coding_warnings: [] meta: latency_ms: null engine: rules+llm model: null profile: simple origin_normalized: IGD ews-data-bermasalah-cap-klebsiella-dm-tidak-terkontrol-hari-: value: check_id: chk_e788073e94e38836 api_version: v1 stage: ranap_cppt pathway: igd_ranap encounter_ref: visit_id: DEMO-EWS-DATA-BERMASALAH-CAP- patient_ref: null skipped: false skip_reason: null skip_detail: null summary: status: perbaiki claim_ready: false counts: lengkap: 6 belum_lengkap: 0 perbaiki: 3 notices: [] findings: [] claim_impact: status: perbaiki rekomendasi: Sesuaikan kode pneumonia ke J15.0 dan kode diabetes melitus ke E11.65 pada form klaim. contoh_isian: Diagnosa utama J15.0 Pneumonia lobaris akibat Klebsiella pneumoniae, diagnosa sekunder E11.65 Diabetes melitus tipe 2 dengan hiperglikemia. penjelasan: Sesuai kaidah koding ICD-10, jika agen penyebab infeksi telah teridentifikasi melalui kultur sputum (Klebsiella pneumoniae pada 2026-07-08), maka harus dikode spesifik ke J15.0, bukan J18.9. Diabetes melitus dengan hiperglikemia persisten yang membutuhkan insulin koreksi dikode ke E11.65. temuan: - kondisi: Pneumonia akibat Klebsiella pneumoniae icd10_disarankan: J15.0 dasar_bukti: - Hasil kultur sputum tanggal 2026-07-07 menunjukkan pertumbuhan Klebsiella pneumoniae positif, didukung terapi Ceftriaxone IV sejak 2026-07-06. dampak_severity: Meningkatkan akurasi kode spesifik etiologi bakteri gram negatif - kondisi: Diabetes Melitus tipe 2 dengan komplikasi hiperglikemia icd10_disarankan: E11.1 atau E11.65 dasar_bukti: - CPPT tanggal 2026-07-06 s.d. 2026-07-08 mencatat GDS tidak terkontrol (280 mg/dL dan 230 mg/dL) yang memerlukan terapi aktif Insulin Novorapid koreksi SC. dampak_severity: Meningkatkan severity level dari minor menjadi moderate/major diagnosis_suggestions: status: perbaiki rekomendasi: Ganti diagnosa utama menjadi J15.0 dan diagnosa sekunder DM menjadi E11.65 sebelum resume medis dibuat. contoh_isian: 'Diagnosa Utama: J15.0 Pneumonia Klebsiella. Diagnosa Sekunder: E11.65 DM Tipe 2 dengan Hiperglikemia, I10 Hipertensi Esensial.' penjelasan: Kaidah ICD-10 menginstruksikan penggunaan kode spesifik bila hasil pemeriksaan penunjang (kultur sputum bakteri gram negatif) telah tegak. Kondisi hiperglikemia yang mendapat terapi insulin koreksi aktif juga wajib dikode spesifik. kandidat: - icd10: J15.0 deskripsi: Pneumonia due to Klebsiella pneumoniae status: disarankan_ganti tingkat_keyakinan: tinggi dasar_bukti: - 'Hasil kultur sputum tanggal 2026-07-07: Klebsiella pneumoniae (+)' - 'CPPT DPJP tanggal 2026-07-08: hasil kultur sputum keluar Klebsiella pneumoniae' dampak_klaim: Mengganti kode pneumonia tidak spesifik J18.9 menjadi spesifik bakteri gram negatif J15.0 yang memiliki bobot klinis lebih tepat. - icd10: E11.65 deskripsi: Type 2 diabetes mellitus with hyperglycemia status: disarankan_ganti tingkat_keyakinan: tinggi dasar_bukti: - Hasil lab GDS tanggal 2026-07-06 sebesar 280 mg/dL - 'CPPT DPJP tanggal 2026-07-06 s.d. 2026-07-08: DM belum terkontrol, lanjut insulin koreksi' dampak_klaim: Mengubah komorbiditas dari tanpa komplikasi E11.9 menjadi dengan hiperglikemia E11.65 yang meningkatkan severity level klaim INA-CBG. medication_review: ringkasan: status: perbaiki jumlah_obat_diperiksa: 3 jumlah_bermasalah: 1 detail: - nama_obat: Insulin Novorapid status: perbaiki rekomendasi: Sesuaikan diagnosa sekunder DM pada klaim agar mencerminkan kondisi hiperglikemia. contoh_isian: 'Diagnosa sekunder: E11.65 Diabetes melitus tipe 2 dengan hiperglikemia.' penjelasan: Pemberian insulin koreksi Novorapid SC untuk mengatasi GDS 280 mg/dL tidak selaras dengan diagnosa klaim saat ini yaitu E11.9 (DM tanpa komplikasi). Harus disesuaikan ke E11.65. - nama_obat: Ceftriaxone inj 1g status: lengkap rekomendasi: '' contoh_isian: '' penjelasan: '' - nama_obat: Amlodipin 10mg status: lengkap rekomendasi: '' contoh_isian: '' penjelasan: '' document_sync: wajib: - key: asesmenAwalIgd label: null status: lengkap rekomendasi: '' contoh_isian: '' penjelasan: '' - key: pengantarRanap label: null status: lengkap rekomendasi: '' contoh_isian: '' penjelasan: '' - key: asesmenAwalRanap label: null status: lengkap rekomendasi: '' contoh_isian: '' penjelasan: '' - key: lab label: null status: lengkap rekomendasi: '' contoh_isian: '' penjelasan: '' - key: radiologi label: null status: lengkap rekomendasi: '' contoh_isian: '' penjelasan: '' - key: cpoObat label: null status: lengkap rekomendasi: '' contoh_isian: '' penjelasan: '' kondisional: - key: curb65 label: null status: belum_lengkap rekomendasi: Unggah berkas skor CURB-65 untuk melengkapi administrasi klinis pneumonia. contoh_isian: 'Skor CURB-65: 1 (usia di bawah 65 tahun, RR 26 kali per menit, kesadaran compos mentis, tidak ada uremia/hipotensi).' penjelasan: Sesuai PPK Pneumonia Komunitas, penilaian derajat keparahan menggunakan skor CURB-65 atau PSI wajib dilampirkan sebagai pendukung indikasi rawat inap pasien pneumonia. diperlukan: true coding_warnings: [] meta: latency_ms: null engine: rules+llm model: google/gemini-3.5-flash profile: simple origin_normalized: IGD '400': *id002 '401': *id003 '413': *id004 '422': *id005 '429': *id006 '502': *id007 /ranap/resume: post: operationId: check_ranap_resume summary: Ranap — Resume Pulang (alias of POST /checks with stage=ranap_resume) description: Convenience alias. Identical to `POST /checks`; `stage` is filled in as `ranap_resume` and may be omitted. tags: - Stage aliases parameters: - $ref: '#/components/parameters/IdempotencyKey' requestBody: required: true content: application/json: schema: $ref: '#/components/schemas/CheckRequest' examples: fhir__ranap-berkas-minimal-4-berkas-wajib-kasus-sederhana: value: stage: ranap_resume bundle: resourceType: Bundle type: collection entry: - fullUrl: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb resource: resourceType: Patient - fullUrl: urn:uuid:5cc84ed9-d34c-4ceb-995a-12f5f8b1ed55 resource: resourceType: Encounter status: finished class: system: http://terminology.hl7.org/CodeSystem/v3-ActCode code: IMP display: inpatient encounter identifier: - system: https://docs.healthguardinnovation.com/fhir/sid/visit-id value: DEMO-RANAP-BERKAS-MINIMAL-4-B subject: reference: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb hospitalization: admitSource: coding: - system: http://terminology.hl7.org/CodeSystem/admit-source code: emd text: IGD diagnosis: - condition: reference: urn:uuid:ce45bc5e-08f6-4b74-afbf-747eb4437e5d rank: 1 use: coding: - system: http://terminology.hl7.org/CodeSystem/diagnosis-role code: DD - condition: reference: urn:uuid:f9e02003-cd1c-4d76-9a7a-61e3912a40b5 rank: 2 use: coding: - system: http://terminology.hl7.org/CodeSystem/diagnosis-role code: DD - condition: reference: urn:uuid:21481a02-670b-458f-bddf-9395696cdda0 rank: 3 use: coding: - system: http://terminology.hl7.org/CodeSystem/diagnosis-role code: DD - fullUrl: urn:uuid:a863ae04-2633-469d-95ce-27020f0fc288 resource: 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 text: tv_sistolik valueQuantity: value: 95 unit: mm[Hg] system: http://unitsofmeasure.org code: mm[Hg] extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb encounter: reference: urn:uuid:5cc84ed9-d34c-4ceb-995a-12f5f8b1ed55 - fullUrl: urn:uuid:e036261a-26d7-4b44-b9c5-88fd7642ee54 resource: 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 text: tv_diastolik valueQuantity: value: 60 unit: mm[Hg] system: http://unitsofmeasure.org code: mm[Hg] extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb encounter: reference: urn:uuid:5cc84ed9-d34c-4ceb-995a-12f5f8b1ed55 - fullUrl: urn:uuid:bfac457f-a0f5-4157-871e-30e22bb17778 resource: 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 text: tv_nadi valueQuantity: value: 104 unit: /min system: http://unitsofmeasure.org code: /min extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb encounter: reference: urn:uuid:5cc84ed9-d34c-4ceb-995a-12f5f8b1ed55 - fullUrl: urn:uuid:6e2d46a5-494a-4753-b58a-14f9abf43ed7 resource: 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 text: tv_pernafasan valueQuantity: value: 20 unit: /min system: http://unitsofmeasure.org code: /min extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb encounter: reference: urn:uuid:5cc84ed9-d34c-4ceb-995a-12f5f8b1ed55 - fullUrl: urn:uuid:fa86d153-ab70-466f-9879-7e666a89f6be resource: 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: 59408-5 display: Oxygen saturation in Arterial blood by Pulse oximetry text: tv_spo2 valueQuantity: value: 98 unit: '%' system: http://unitsofmeasure.org code: '%' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb encounter: reference: urn:uuid:5cc84ed9-d34c-4ceb-995a-12f5f8b1ed55 - fullUrl: urn:uuid:bc7bfa7d-aa74-4baf-8a5b-b751bcf22f8b resource: 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: 72514-3 display: Pain severity - 0-10 verbal numeric rating [Score] - Reported text: tv_skala_nyeri valueQuantity: value: 4 unit: '{score}' system: http://unitsofmeasure.org code: '{score}' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb encounter: reference: urn:uuid:5cc84ed9-d34c-4ceb-995a-12f5f8b1ed55 - fullUrl: urn:uuid:ce45bc5e-08f6-4b74-afbf-747eb4437e5d resource: resourceType: Condition clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/condition-clinical code: 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: A09.9 display: Gastroenteritis and colitis of unspecified origin extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-field valueString: diagnosa_utama subject: reference: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb encounter: reference: urn:uuid:5cc84ed9-d34c-4ceb-995a-12f5f8b1ed55 - fullUrl: urn:uuid:f9e02003-cd1c-4d76-9a7a-61e3912a40b5 resource: resourceType: Condition clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/condition-clinical code: 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: E86 display: Volume depletion extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-field valueString: diagnosa_sekunder subject: reference: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb encounter: reference: urn:uuid:5cc84ed9-d34c-4ceb-995a-12f5f8b1ed55 - fullUrl: urn:uuid:21481a02-670b-458f-bddf-9395696cdda0 resource: resourceType: Condition clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/condition-clinical code: 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: E87.6 display: Hypokalaemia extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-field valueString: diagnosa_sekunder subject: reference: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb encounter: reference: urn:uuid:5cc84ed9-d34c-4ceb-995a-12f5f8b1ed55 - fullUrl: urn:uuid:ad0260f4-3e4f-4038-b6b6-c78803a4a803 resource: resourceType: AllergyIntolerance clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code: active verificationStatus: coding: - system: http://terminology.hl7.org/CodeSystem/allergyintolerance-verification code: confirmed code: text: Tidak ada coding: - system: http://snomed.info/sct code: '716186003' display: No known allergy patient: reference: urn:uuid:cdb19d73-eff5-4cd3-9032-bc7fd7c103bb fhir__ranap-berkas-super-lengkap-15-berkas-kasus-bedah-kompleks: value: stage: ranap_resume bundle: resourceType: Bundle type: collection entry: - fullUrl: urn:uuid:d7db18a4-5e45-4bd7-8ac6-7c14cfc6691d resource: resourceType: Patient - fullUrl: urn:uuid:584f73e7-2934-4c8f-9dbf-fc1963e2dbae resource: resourceType: Encounter status: finished class: system: http://terminology.hl7.org/CodeSystem/v3-ActCode code: IMP display: inpatient encounter identifier: - system: https://docs.healthguardinnovation.com/fhir/sid/visit-id value: DEMO-RANAP-BERKAS-SUPER-LENGK subject: reference: urn:uuid:d7db18a4-5e45-4bd7-8ac6-7c14cfc6691d hospitalization: admitSource: coding: - system: http://terminology.hl7.org/CodeSystem/admit-source code: emd text: IGD diagnosis: - condition: reference: urn:uuid:b62b339e-1ed9-4490-b5a0-32723ab264c3 rank: 1 use: coding: - system: http://terminology.hl7.org/CodeSystem/diagnosis-role code: DD - condition: reference: urn:uuid:2096922c-7a78-4886-a0d1-a0951fc04539 rank: 2 use: coding: - system: http://terminology.hl7.org/CodeSystem/diagnosis-role code: DD - condition: reference: urn:uuid:f22b6aa1-0665-499b-8665-f338de173afe rank: 3 use: coding: - system: http://terminology.hl7.org/CodeSystem/diagnosis-role code: DD - condition: reference: urn:uuid:ec719bd2-c98a-4517-83b7-7337a8e5fa04 rank: 4 use: coding: - system: http://terminology.hl7.org/CodeSystem/diagnosis-role code: DD - condition: reference: urn:uuid:4997eddd-e6c4-47fe-8c3e-94fd0725ca5a rank: 5 use: coding: - system: http://terminology.hl7.org/CodeSystem/diagnosis-role code: DD - fullUrl: urn:uuid:9997429e-bacc-4f5c-b136-d7dbde102190 resource: 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 text: tv_sistolik valueQuantity: value: 105 unit: mm[Hg] system: http://unitsofmeasure.org code: mm[Hg] extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:d7db18a4-5e45-4bd7-8ac6-7c14cfc6691d encounter: reference: urn:uuid:584f73e7-2934-4c8f-9dbf-fc1963e2dbae - fullUrl: urn:uuid:168181d5-4696-47f6-871b-599d14e0217a resource: 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 text: tv_diastolik valueQuantity: value: 65 unit: mm[Hg] system: http://unitsofmeasure.org code: mm[Hg] extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:d7db18a4-5e45-4bd7-8ac6-7c14cfc6691d encounter: reference: urn:uuid:584f73e7-2934-4c8f-9dbf-fc1963e2dbae - fullUrl: urn:uuid:ff0a44a5-998f-478c-b02b-95ea1a4ada6b resource: 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 text: tv_nadi valueQuantity: value: 112 unit: /min system: http://unitsofmeasure.org code: /min extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:d7db18a4-5e45-4bd7-8ac6-7c14cfc6691d encounter: reference: urn:uuid:584f73e7-2934-4c8f-9dbf-fc1963e2dbae - fullUrl: urn:uuid:727c2cef-b668-4f13-913f-7a3ebad73805 resource: 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 text: tv_pernafasan valueQuantity: value: 26 unit: /min system: http://unitsofmeasure.org code: /min extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:d7db18a4-5e45-4bd7-8ac6-7c14cfc6691d encounter: reference: urn:uuid:584f73e7-2934-4c8f-9dbf-fc1963e2dbae - fullUrl: urn:uuid:f2dc6cb1-0e86-467f-bb78-c3e5f06abb5b resource: 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: 59408-5 display: Oxygen saturation in Arterial blood by Pulse oximetry text: tv_spo2 valueQuantity: value: 91 unit: '%' system: http://unitsofmeasure.org code: '%' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:d7db18a4-5e45-4bd7-8ac6-7c14cfc6691d encounter: reference: urn:uuid:584f73e7-2934-4c8f-9dbf-fc1963e2dbae - fullUrl: urn:uuid:16a777a7-5bf4-4a2c-92d0-ef1e1016c89e resource: 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: 72514-3 display: Pain severity - 0-10 verbal numeric rating [Score] - Reported text: tv_skala_nyeri valueQuantity: value: 6 unit: '{score}' system: http://unitsofmeasure.org code: '{score}' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:d7db18a4-5e45-4bd7-8ac6-7c14cfc6691d encounter: reference: urn:uuid:584f73e7-2934-4c8f-9dbf-fc1963e2dbae - fullUrl: urn:uuid:b62b339e-1ed9-4490-b5a0-32723ab264c3 resource: resourceType: Condition clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/condition-clinical code: 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: E11.5 display: Type 2 diabetes mellitus with peripheral circulatory complications extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-field valueString: diagnosa_utama subject: reference: urn:uuid:d7db18a4-5e45-4bd7-8ac6-7c14cfc6691d encounter: reference: urn:uuid:584f73e7-2934-4c8f-9dbf-fc1963e2dbae - fullUrl: urn:uuid:2096922c-7a78-4886-a0d1-a0951fc04539 resource: resourceType: Condition clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/condition-clinical code: 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: L97 display: Ulcer of lower limb, not elsewhere classified extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-field valueString: diagnosa_sekunder subject: reference: urn:uuid:d7db18a4-5e45-4bd7-8ac6-7c14cfc6691d encounter: reference: urn:uuid:584f73e7-2934-4c8f-9dbf-fc1963e2dbae - fullUrl: urn:uuid:f22b6aa1-0665-499b-8665-f338de173afe resource: resourceType: Condition clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/condition-clinical code: 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: J18.9 display: Pneumonia, unspecified extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-field valueString: diagnosa_sekunder subject: reference: urn:uuid:d7db18a4-5e45-4bd7-8ac6-7c14cfc6691d encounter: reference: urn:uuid:584f73e7-2934-4c8f-9dbf-fc1963e2dbae - fullUrl: urn:uuid:ec719bd2-c98a-4517-83b7-7337a8e5fa04 resource: resourceType: Condition clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/condition-clinical code: 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: D64.9 display: Anaemia, unspecified extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-field valueString: diagnosa_sekunder subject: reference: urn:uuid:d7db18a4-5e45-4bd7-8ac6-7c14cfc6691d encounter: reference: urn:uuid:584f73e7-2934-4c8f-9dbf-fc1963e2dbae - fullUrl: urn:uuid:4997eddd-e6c4-47fe-8c3e-94fd0725ca5a resource: resourceType: Condition clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/condition-clinical code: 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: E88.0 display: Disorders of plasma-protein metabolism extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-field valueString: diagnosa_sekunder subject: reference: urn:uuid:d7db18a4-5e45-4bd7-8ac6-7c14cfc6691d encounter: reference: urn:uuid:584f73e7-2934-4c8f-9dbf-fc1963e2dbae - fullUrl: urn:uuid:a081746d-d174-4d1c-a62d-e4d25ef81bc9 resource: resourceType: Procedure status: completed code: coding: - system: http://hl7.org/fhir/sid/icd-9-cm code: '86.22' display: Excisional debridement of wound, infection, or burn subject: reference: urn:uuid:d7db18a4-5e45-4bd7-8ac6-7c14cfc6691d encounter: reference: urn:uuid:584f73e7-2934-4c8f-9dbf-fc1963e2dbae - fullUrl: urn:uuid:856400e6-334e-4bfb-9491-5b5e867949b9 resource: resourceType: Procedure status: completed code: coding: - system: http://hl7.org/fhir/sid/icd-9-cm code: '99.04' display: Transfusion of packed cells subject: reference: urn:uuid:d7db18a4-5e45-4bd7-8ac6-7c14cfc6691d encounter: reference: urn:uuid:584f73e7-2934-4c8f-9dbf-fc1963e2dbae - fullUrl: urn:uuid:23f84770-a190-433d-baaf-0bc551953109 resource: resourceType: AllergyIntolerance clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code: active verificationStatus: coding: - system: http://terminology.hl7.org/CodeSystem/allergyintolerance-verification code: confirmed code: text: Tidak ada coding: - system: http://snomed.info/sct code: '716186003' display: No known allergy patient: reference: urn:uuid:d7db18a4-5e45-4bd7-8ac6-7c14cfc6691d - fullUrl: urn:uuid:68904747-e32e-4c62-af5f-82b01c43fe90 resource: resourceType: DiagnosticReport status: final category: - coding: - system: http://terminology.hl7.org/CodeSystem/v2-0074 code: RAD display: Radiology code: text: THORAX 1 Posisi extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/date-text valueString: '2026-07-10' - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/time-text valueString: '21:10:00' conclusion: 'Klinis: sesak, demam. Cor tidak membesar. Pulmo: tampak infiltrat di basal paru kanan. Sinus phrenicocostalis kanan kiri tajam. Kesimpulan: Pneumonia basal dekstra' subject: reference: urn:uuid:d7db18a4-5e45-4bd7-8ac6-7c14cfc6691d encounter: reference: urn:uuid:584f73e7-2934-4c8f-9dbf-fc1963e2dbae - fullUrl: urn:uuid:3e5ad0d4-36f8-4b40-8850-c1430cbe3d50 resource: resourceType: DiagnosticReport status: final category: - coding: - system: http://terminology.hl7.org/CodeSystem/v2-0074 code: RAD display: Radiology code: text: PEDIS DEKSTRA AP/OBLIQUE extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/date-text valueString: '2026-07-10' - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/time-text valueString: '21:25:00' conclusion: 'Klinis: ulkus pedis. Tak tampak destruksi tulang maupun reaksi periosteal. Soft tissue swelling regio dorsum pedis. Kesimpulan: Tidak tampak tanda osteomielitis' subject: reference: urn:uuid:d7db18a4-5e45-4bd7-8ac6-7c14cfc6691d encounter: reference: urn:uuid:584f73e7-2934-4c8f-9dbf-fc1963e2dbae simple__ranap-asal-masuk-poli-expect-skipped: value: stage: ranap_resume penjamin: BPJS encounter: visit_id: DEMO-RANAP-ASAL-MASUK-POLI-EX class: IMP origin: POLI sections: - key: resumePulang label: Resume Medis Pasien Pulang data: Diagnosa Utama (ICD-10): J18.9 simple__ranap-berkas-minimal-4-berkas-wajib-kasus-sederhana: value: stage: ranap_resume penjamin: BPJS encounter: visit_id: DEMO-RANAP-BERKAS-MINIMAL-4-B class: IMP origin: IGD sections: - key: resumePulang label: Resume Medis Pasien Pulang data: tanggal_masuk: '2026-07-14 21:30:00' tanggal_keluar: '2026-07-16T10:00:00+07:00' id_ruangan: PDL-ANG-11 nama_ruangan: Ruang Anggrek / Kelas 3 indikasi_mrs: Muntah 8x dan BAB cair 10x/hari, tidak bisa intake oral, turgor menurun, TD 95/60, perlu rehidrasi intravena usia: 34 tahun jenis_kelamin: P berat_badan: 48 tinggi_badan: 156 kelas_rawat: '3' spesialisasi_dpjp: Sp.PD keluhan_utama: - Diare - Muntah - Lemas keterangan_keluhan_utama: BAB cair 10x dan muntah 8x sejak 1 hari, badan lemas riwayat_penyakit_sekarang: BAB cair tanpa lendir darah 10x sejak 1 hari SMRS, disertai muntah 8x setiap kali makan/minum, nyeri perut melilit, badan lemas. Riwayat makan di luar sehari sebelumnya. Demam ringan (+). pemeriksaan_fisik: KU lemah, mata cekung, mukosa bibir kering, turgor kulit menurun, abdomen supel, bising usus meningkat, akral hangat pemeriksaan_penunjang_khusus: 'Lab 14/07: Leukosit 13.200; Hb 12,8; Natrium 133; Kalium 3,2. Feses rutin: leukosit 3-5/LPB' riwayat_penyakit_snomed: [] prognosis: 65872000 - Prognosis dubia et bonam / cenderung baik tv_sistolik: 95 tv_diastolik: 60 tv_suhu: 37,8 tv_nadi: '104' tv_pernafasan: '20' tv_spo2: '98' tv_skala_nyeri: '4' tv_keadaan_umum: Lemah tv_kesadaran: Compos mentis diagnosa_utama: kd_penyakit: A09.9 nm_penyakit: Gastroenteritis and colitis of unspecified origin diagnosa_sekunder: - kd_penyakit: E86 nm_penyakit: Volume depletion - kd_penyakit: E87.6 nm_penyakit: Hypokalaemia keterangan_diagnosa: GEA dengan dehidrasi sedang + hipokalemia prosedur: [] keterangan_prosedur: '' riwayat_penyakit_dahulu: Tidak catatan_riwayat_dahulu: '' obat_selama_perawatan: - rencanaTindakan: 'Tx dr Sp.PD: IVFD RL 30 tpm lalu 20 tpm, Inj Ondansetron 3x4mg IV, Inj Omeprazole 2x40mg IV, Zinc 1x20mg PO, KSR 2x1 tab PO, oralit tiap BAB cair, diet lunak' obat_pulang: Zinc 1x20mg (10 hari), Oralit tiap BAB cair, Omeprazole 2x20mg (5 hari), KSR 2x1 (3 hari) konsultasi: '-' komplikasi: '-' cara_pulang: Izin Dokter sebab_meninggal: '' kondisi_saat_pulang: kp_sistolik: 115 kp_diastolik: 75 kp_suhu: 36,6 kp_nadi: '82' kp_pernafasan: '18' kp_spo2: '99' kp_skala_nyeri: '1' kp_keadaan_umum: Baik kp_kesadaran: Compos mentis peralatan_medis_digunakan: Tidak detail_peralatan_medis: '' instruksi_tindak_lanjut: Pemberian Obat: true Pengaturan Diet: true Mobilisasi: false Cara Batuk Efektif: false Lainnya: false jadwal_kontrol: - tanggal: '' jam: '' tempatKontrol: Puskesmas terdekat keterangan: Kontrol bila keluhan berulang (FKTP) perawatan_dirumah: Perawatan Luka: false Personal Higiene Pasien: false Lain-lain: false hasil_penunjang_dibawa: Lab: true Rongen: false USG: false PA: false CT SCAN: false ECG: false Lain-lain: false administrasi_dokumen: Surat Istirahat: true Surat Rujukan: false Surat Kematian: false Bukti Lunas: true Resume Pemulangan Pasien: true Lain-lain: false obat_alergi: Tidak ada transportasi_pulang: Mobil Ambulance: false Mobil Jenazah: false Non Ambulance: false Mobil Pribadi: true Lain-lain: false tanggal_selesai_pengkajian: '2026-07-16T09:20:00+07:00' - key: asesmenAwalIgd label: Asesmen Awal IGD data: dataPasien: Cara Datang: Sendiri Jenis Prioritas / Triase: P3 (Urgent) Jam Kedatangan Ada: '2026-07-14T21:30:00+07:00' Jam Diperiksa Dokter Ada: '2026-07-14T21:40:00+07:00' Jenis Kasus: ipd anamnesa: Keluhan Utama: BAB cair 10x, muntah 8x, lemas Riwayat Penyakit Sekarang: BAB cair tanpa lendir darah 10x sejak 1 hari, muntah tiap intake, nyeri perut melilit, riwayat makan di luar Riwayat Penyakit Dahulu: Tidak ada Riwayat Alergi: Tidak ada alergi obat/makanan Riwayat Penggunaan Obat: Tidak ada primarySurvey: Airway: 'Paten, Kesimpulan: Aman' Breathing: 'Spontan RR 20x/menit, Kesimpulan: Aman' Circulation: 'Nadi 104x/menit, akral hangat, CRT <2 detik, turgor menurun, Kesimpulan: Aman' Disability GCS: 'e: 4, v: 5, m: 6' Exposure: 'Tidak ada jejas, Kesimpulan: Aman' ttv: Keadaan Umum: Lemah Tekanan Darah (mmHg): 95/60 Suhu (°C): '37.8' Nadi (x/menit): '104' Pernafasan (x/menit): '20' SpO2 (%): '98' GDA (mg/dl): '96' Skala Nyeri (0-10): '4' pemeriksaanFisik: Perut / Abdomen: Supel, bising usus meningkat, nyeri tekan epigastrium ringan Mata: Cekung Status Lokalis: '-' codingDiagnosa: Diagnosa Klinis: GEA dengan dehidrasi sedang Diagnosa Utama (ICD-10): A09.9 - Gastroenteritis and colitis of unspecified origin Diagnosa Sekunder (ICD-10): E86 - Volume depletion Rencana Terapi: IVFD RL loading 500cc lalu 30 tpm, Inj Ondansetron 4mg IV, Inj Omeprazole 40mg IV, cek DL & elektrolit Planning / Disposisi: MRS - Rawat Inap obat: - obat: - jenis: Non Racikan nama_obat: ONDANSETRON 4 MG INJ jumlah: 1 aturan_pakai: imm - jenis: Non Racikan nama_obat: OMEPRAZOLE 40 MG INJ jumlah: 1 aturan_pakai: imm - jenis: Non Racikan nama_obat: RL 500 ML jumlah: 2 aturan_pakai: imm - key: cpptDokter label: CPPT Dokter (visite DPJP) data: - tanggal: '2026-07-15' profesi: Dokter (Sp.PD) S: BAB cair berkurang jadi 4x, muntah 1x O: TD 105/68, N 92, RR 18, T 37.0, turgor membaik, K 3,2 A: GEA dengan dehidrasi perbaikan + hipokalemia P: Lanjut IVFD RL 20 tpm, ondansetron, koreksi KSR 2x1, zinc, diet lunak - tanggal: '2026-07-16' profesi: Dokter (Sp.PD) S: BAB 1x lembek, tidak muntah, mau makan O: TD 115/75, N 82, RR 18, T 36.6, turgor baik, K 3,9 A: GEA perbaikan, hipokalemia terkoreksi P: BLPL, obat pulang zinc & oralit, edukasi higiene makanan, kontrol FKTP bila berulang - key: lab label: Laboratorium data: - kd_jenis_prw: LAB.490 nm_perawatan: DARAH LENGKAP tgl_periksa: '2026-07-14' jam: '22:00:00' hasil: - pemeriksaan: Hemoglobin nilai_rujukan: 11.7 - 15.5 nilai: 12,8 satuan: g/dl - pemeriksaan: Leukosit nilai_rujukan: 3.000 - 11.000 nilai: '13.200' satuan: sel/mm3 - pemeriksaan: Trombosit nilai_rujukan: 150.000 - 450.000 nilai: '288.000' satuan: sel/mm3 saran: '' kesan: '' - kd_jenis_prw: LAB.840 nm_perawatan: ELEKTROLIT (NA,K,CL) tgl_periksa: '2026-07-14' jam: '22:00:00' hasil: - pemeriksaan: NATRIUM (Na+) nilai_rujukan: 135 - 145 nilai: '133' satuan: mmol/L - pemeriksaan: KALIUM (K+) nilai_rujukan: 3,5 - 5,5 nilai: 3,2 satuan: mmol/L saran: '' kesan: '' - kd_jenis_prw: LAB.601 nm_perawatan: FESES RUTIN tgl_periksa: '2026-07-15' jam: 07:00:00 hasil: - pemeriksaan: Leukosit feses nilai_rujukan: 0 - 2 /LPB nilai: 3-5 satuan: /LPB - pemeriksaan: Eritrosit feses nilai_rujukan: 0 - 1 /LPB nilai: 0-1 satuan: /LPB saran: '' kesan: '' - kd_jenis_prw: LAB.840 nm_perawatan: ELEKTROLIT (kontrol) tgl_periksa: '2026-07-16' jam: 06:30:00 hasil: - pemeriksaan: KALIUM (K+) nilai_rujukan: 3,5 - 5,5 nilai: 3,9 satuan: mmol/L saran: '' kesan: '' responses: '200': description: Verification result content: application/json: schema: $ref: '#/components/schemas/CheckResponse' '400': *id002 '401': *id003 '413': *id004 '422': *id005 '429': *id006 '502': *id007 /rajal/soap: post: operationId: check_rajal_soap summary: Rajal — SOAP Poli (alias of POST /checks with stage=rajal_soap) description: Convenience alias. Identical to `POST /checks`; `stage` is filled in as `rajal_soap` and may be omitted. tags: - Stage aliases parameters: - $ref: '#/components/parameters/IdempotencyKey' requestBody: required: true content: application/json: schema: $ref: '#/components/schemas/CheckRequest' examples: fhir__skenario-1-semua-lengkap-tanpa-peringatan: value: stage: rajal_soap bundle: resourceType: Bundle type: collection entry: - fullUrl: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d resource: resourceType: Patient identifier: - use: usual system: https://docs.healthguardinnovation.com/fhir/sid/patient-ref value: RM-000200 - fullUrl: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 resource: resourceType: Encounter status: finished class: system: http://terminology.hl7.org/CodeSystem/v3-ActCode code: AMB display: ambulatory identifier: - system: https://docs.healthguardinnovation.com/fhir/sid/visit-id value: VISIT-20260707-010 subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d period: start: '2026-07-07T09:00:00+07:00' hospitalization: admitSource: coding: - system: http://terminology.hl7.org/CodeSystem/admit-source code: outp text: POLI participant: - individual: identifier: system: https://docs.healthguardinnovation.com/fhir/sid/practitioner-ref value: DR-02 diagnosis: - condition: reference: urn:uuid:3de61b70-9b48-4bb8-9660-6c322dd7fc24 rank: 1 use: coding: - system: http://terminology.hl7.org/CodeSystem/diagnosis-role code: billing - fullUrl: urn:uuid:e801e48c-579c-4e7c-b2f2-872233dcb3f3 resource: 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 text: tensi_sistolik valueQuantity: value: 118 unit: mm[Hg] system: http://unitsofmeasure.org code: mm[Hg] extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:5c70cbc7-19f8-4f4d-b9f3-65c10ae82092 resource: 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 text: tensi_diastolik valueQuantity: value: 76 unit: mm[Hg] system: http://unitsofmeasure.org code: mm[Hg] extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:2a16b0e7-ae82-4087-b398-e896f407558e resource: 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 text: suhu_celsius valueQuantity: value: 36.6 unit: Cel system: http://unitsofmeasure.org code: Cel extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:c3cd5a93-2a66-4dd8-9cb7-e54518eaaa63 resource: 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 text: nadi_per_menit valueQuantity: value: 80 unit: /min system: http://unitsofmeasure.org code: /min extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:682b8f1a-a3ff-4a47-9af8-af8d9012ecda resource: 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 text: respirasi_per_menit valueQuantity: value: 18 unit: /min system: http://unitsofmeasure.org code: /min extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:1baf5667-8ca8-43a5-b63d-f3943ea68636 resource: 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 text: tinggi_cm valueQuantity: value: 160 unit: cm system: http://unitsofmeasure.org code: cm extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:c3348fbc-19c6-416e-b547-087351f20550 resource: 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 text: berat_kg valueQuantity: value: 58 unit: kg system: http://unitsofmeasure.org code: kg extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:297224f5-5cec-4373-ab3f-ee9ca316c7f6 resource: 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: 59408-5 display: Oxygen saturation in Arterial blood by Pulse oximetry text: spo2_persen valueQuantity: value: 99 unit: '%' system: http://unitsofmeasure.org code: '%' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:558770c9-7727-4456-9b90-5a285dc27604 resource: 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: 9269-2 display: Glasgow coma score total text: gcs valueQuantity: value: 456 unit: '{score}' system: http://unitsofmeasure.org code: '{score}' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:58f47c61-e51f-4be5-a6e8-ac4fd5538bed resource: resourceType: AllergyIntolerance clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code: active verificationStatus: coding: - system: http://terminology.hl7.org/CodeSystem/allergyintolerance-verification code: confirmed code: text: Tidak ada alergi obat/makanan coding: - system: http://snomed.info/sct code: '716186003' display: No known allergy patient: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d - fullUrl: urn:uuid:e515b513-14bf-4c5a-92fd-2ef6fea8a175 resource: 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: 8280-0 display: Waist Circumference at umbilicus by Tape measure text: lingkar_perut_cm valueQuantity: value: 75 unit: cm system: http://unitsofmeasure.org code: cm extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:3de61b70-9b48-4bb8-9660-6c322dd7fc24 resource: resourceType: Condition clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/condition-clinical code: 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: Z96.1 display: Kontrol pseudofakia bodySite: - text: OD coding: - system: http://snomed.info/sct code: '18944008' display: Right eye structure subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 - fullUrl: urn:uuid:d855c03a-f26a-44fa-9c6e-595a912e151f resource: resourceType: Procedure status: completed code: coding: - system: http://hl7.org/fhir/sid/icd-9-cm code: '95.01' display: Slitlamp / Visus bodySite: - text: ODS coding: - system: http://snomed.info/sct code: '40638003' display: Both eyes subject: reference: urn:uuid:89cbea32-448b-4487-a086-8eae17eddb5d encounter: reference: urn:uuid:1150521a-1514-4fe0-b2a0-73280d33d481 fhir__skenario-2-sebagian-kurang-lengkap: value: stage: rajal_soap bundle: resourceType: Bundle type: collection entry: - fullUrl: urn:uuid:d0241e27-e5c0-4c6b-98cb-0f3e7e4e92c3 resource: resourceType: Patient identifier: - use: usual system: https://docs.healthguardinnovation.com/fhir/sid/patient-ref value: RM-000201 - fullUrl: urn:uuid:74bfb67d-a762-4610-b4f6-d991db704cbc resource: resourceType: Encounter status: finished class: system: http://terminology.hl7.org/CodeSystem/v3-ActCode code: AMB display: ambulatory identifier: - system: https://docs.healthguardinnovation.com/fhir/sid/visit-id value: VISIT-20260707-011 subject: reference: urn:uuid:d0241e27-e5c0-4c6b-98cb-0f3e7e4e92c3 period: start: '2026-07-07T09:20:00+07:00' hospitalization: admitSource: coding: - system: http://terminology.hl7.org/CodeSystem/admit-source code: outp text: POLI participant: - individual: identifier: system: https://docs.healthguardinnovation.com/fhir/sid/practitioner-ref value: DR-02 diagnosis: - condition: reference: urn:uuid:90143f6c-d6ff-4c3b-9695-98f0f1b26830 rank: 1 use: coding: - system: http://terminology.hl7.org/CodeSystem/diagnosis-role code: billing - fullUrl: urn:uuid:b566daff-2f44-423a-bdc8-c4a4dc87f1ce resource: 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 text: tensi_sistolik valueQuantity: value: 122 unit: mm[Hg] system: http://unitsofmeasure.org code: mm[Hg] extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:d0241e27-e5c0-4c6b-98cb-0f3e7e4e92c3 encounter: reference: urn:uuid:74bfb67d-a762-4610-b4f6-d991db704cbc - fullUrl: urn:uuid:ea45d2bf-4ac2-4272-9f01-a06ca02d8c0a resource: 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 text: tensi_diastolik valueQuantity: value: 80 unit: mm[Hg] system: http://unitsofmeasure.org code: mm[Hg] extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:d0241e27-e5c0-4c6b-98cb-0f3e7e4e92c3 encounter: reference: urn:uuid:74bfb67d-a762-4610-b4f6-d991db704cbc - fullUrl: urn:uuid:9bdcf459-7ef1-4d9c-a43b-72f4a949d935 resource: 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 text: suhu_celsius valueQuantity: value: 36.5 unit: Cel system: http://unitsofmeasure.org code: Cel extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:d0241e27-e5c0-4c6b-98cb-0f3e7e4e92c3 encounter: reference: urn:uuid:74bfb67d-a762-4610-b4f6-d991db704cbc - fullUrl: urn:uuid:14789bda-20a4-456d-a481-2c1239fdeca2 resource: 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 text: nadi_per_menit valueQuantity: value: 78 unit: /min system: http://unitsofmeasure.org code: /min extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:d0241e27-e5c0-4c6b-98cb-0f3e7e4e92c3 encounter: reference: urn:uuid:74bfb67d-a762-4610-b4f6-d991db704cbc - fullUrl: urn:uuid:1a888d45-e046-4ce3-8f80-20c89d582685 resource: 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 text: respirasi_per_menit valueQuantity: value: 18 unit: /min system: http://unitsofmeasure.org code: /min extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:d0241e27-e5c0-4c6b-98cb-0f3e7e4e92c3 encounter: reference: urn:uuid:74bfb67d-a762-4610-b4f6-d991db704cbc - fullUrl: urn:uuid:65e0cfd1-2bec-4bec-abbc-351ef0da8143 resource: 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 text: tinggi_cm valueQuantity: value: 165 unit: cm system: http://unitsofmeasure.org code: cm extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:d0241e27-e5c0-4c6b-98cb-0f3e7e4e92c3 encounter: reference: urn:uuid:74bfb67d-a762-4610-b4f6-d991db704cbc - fullUrl: urn:uuid:cef6a2f7-ef9f-4132-b911-040cdf28a4b1 resource: 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 text: berat_kg valueQuantity: value: 62 unit: kg system: http://unitsofmeasure.org code: kg extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:d0241e27-e5c0-4c6b-98cb-0f3e7e4e92c3 encounter: reference: urn:uuid:74bfb67d-a762-4610-b4f6-d991db704cbc - fullUrl: urn:uuid:52444364-5398-4ad7-b233-ce735efd3556 resource: 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: 59408-5 display: Oxygen saturation in Arterial blood by Pulse oximetry text: spo2_persen valueQuantity: value: 98 unit: '%' system: http://unitsofmeasure.org code: '%' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:d0241e27-e5c0-4c6b-98cb-0f3e7e4e92c3 encounter: reference: urn:uuid:74bfb67d-a762-4610-b4f6-d991db704cbc - fullUrl: urn:uuid:d132e167-ba2c-43b0-9904-0aee85dadabf resource: 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: 9269-2 display: Glasgow coma score total text: gcs valueQuantity: value: 456 unit: '{score}' system: http://unitsofmeasure.org code: '{score}' extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: str subject: reference: urn:uuid:d0241e27-e5c0-4c6b-98cb-0f3e7e4e92c3 encounter: reference: urn:uuid:74bfb67d-a762-4610-b4f6-d991db704cbc - fullUrl: urn:uuid:b7785cca-acfd-4460-a839-8341f423c5c5 resource: 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: 8280-0 display: Waist Circumference at umbilicus by Tape measure text: lingkar_perut_cm valueQuantity: value: 78 unit: cm system: http://unitsofmeasure.org code: cm extension: - url: https://docs.healthguardinnovation.com/fhir/StructureDefinition/source-format valueCode: num subject: reference: urn:uuid:d0241e27-e5c0-4c6b-98cb-0f3e7e4e92c3 encounter: reference: urn:uuid:74bfb67d-a762-4610-b4f6-d991db704cbc - fullUrl: urn:uuid:90143f6c-d6ff-4c3b-9695-98f0f1b26830 resource: resourceType: Condition clinicalStatus: coding: - system: http://terminology.hl7.org/CodeSystem/condition-clinical code: 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: H25.9 display: Katarak senilis bodySite: - text: OD coding: - system: http://snomed.info/sct code: '18944008' display: Right eye structure subject: reference: urn:uuid:d0241e27-e5c0-4c6b-98cb-0f3e7e4e92c3 encounter: reference: urn:uuid:74bfb67d-a762-4610-b4f6-d991db704cbc - fullUrl: urn:uuid:d5b929ab-ed8c-45fb-b100-8baaae36d69e resource: resourceType: Procedure status: completed code: coding: - system: http://hl7.org/fhir/sid/icd-9-cm code: '95.16' display: OCT Mata bodySite: - text: OD coding: - system: http://snomed.info/sct code: '18944008' display: Right eye structure subject: reference: urn:uuid:d0241e27-e5c0-4c6b-98cb-0f3e7e4e92c3 encounter: reference: urn:uuid:74bfb67d-a762-4610-b4f6-d991db704cbc simple__skenario-1-semua-lengkap-tanpa-peringatan: value: stage: rajal_soap penjamin: BPJS encounter: visit_id: VISIT-20260707-010 class: AMB origin: POLI patient_ref: RM-000200 patient_status: lama practitioner_ref: DR-02 period: start: '2026-07-07T09:00:00+07:00' sections: - key: soap data: subjektif: Kontrol rutin pseudofakia OD, tidak ada keluhan baru, visus stabil sejak operasi 3 bulan lalu. objektif: VOD 6/7.5 pinhole tetap, VOS 6/6. Segmen anterior OD pseudofakia tenang, OS dbn. asesmen: Pseudofakia OD stabil, kontrol rutin post-PHACO plan: Lanjutkan lubricant eye drop OD, kontrol rutin 6 bulan lagi instruksi: Gunakan air mata buatan OD 4x sehari, kontrol jika ada penurunan visus mendadak evaluasi: Visus dan tekanan intraokular stabil dibanding kunjungan sebelumnya - key: pemeriksaan data: tensi_sistolik: 118 tensi_diastolik: 76 suhu_celsius: 36.6 nadi_per_menit: 80 respirasi_per_menit: 18 tinggi_cm: 160 berat_kg: 58 spo2_persen: 99 gcs: '456' kesadaran: Compos Mentis alergi: Tidak ada alergi obat/makanan lingkar_perut_cm: 75 - key: icd data: icd_10: - code: Z96.1 label: Kontrol pseudofakia laterality: OD icd_9: - code: '95.01' label: Slitlamp / Visus laterality: ODS - key: riwayat data: kunjungan: - tanggal: '2026-04-07' icd_10: - code: H25.9 label: Katarak senilis laterality: OD icd_9: - code: '13.41' label: Katarak PHACO laterality: OD tindakan: [] soap: asesmen: Post PHACO OD plan: Kontrol 3 bulan simple__skenario-2-sebagian-kurang-lengkap: value: stage: rajal_soap penjamin: BPJS encounter: visit_id: VISIT-20260707-011 class: AMB origin: POLI patient_ref: RM-000201 patient_status: lama practitioner_ref: DR-02 period: start: '2026-07-07T09:20:00+07:00' sections: - key: soap data: subjektif: Kontrol OCT rutin katarak OD objektif: VOD 6/12, VOS 6/6. OCT makula OD dalam batas normal. asesmen: Katarak imatur OD, monitoring OCT rutin plan: OCT ulang 1 bulan lagi, evaluasi progresi katarak instruksi: '' evaluasi: '' - key: pemeriksaan data: tensi_sistolik: 122 tensi_diastolik: 80 suhu_celsius: 36.5 nadi_per_menit: 78 respirasi_per_menit: 18 tinggi_cm: 165 berat_kg: 62 spo2_persen: 98 gcs: '456' kesadaran: Compos Mentis alergi: null lingkar_perut_cm: 78 - key: icd data: icd_10: - code: H25.9 label: Katarak senilis laterality: OD icd_9: - code: '95.16' label: OCT Mata laterality: OD - key: riwayat data: kunjungan: - tanggal: '2026-05-28' icd_10: - code: H25.9 label: Katarak senilis laterality: OD icd_9: - code: '95.16' label: OCT Mata laterality: OD tindakan: [] soap: asesmen: Katarak imatur OD plan: OCT ulang 1 bulan responses: '200': description: Verification result content: application/json: schema: $ref: '#/components/schemas/CheckResponse' '400': *id002 '401': *id003 '413': *id004 '422': *id005 '429': *id006 '502': *id007 components: securitySchemes: ApiKey: type: apiKey in: header name: X-API-Key description: One key per facility (faskes). Keys are shown once at creation and stored hashed. parameters: IdempotencyKey: name: Idempotency-Key in: header required: false description: 'Retry-safe: same key within 24 h returns the original result without re-billing.' schema: type: string maxLength: 128 schemas: CheckRequest: title: KlaimGuard v1 — Check Request description: 'One request verifies one clinical document stage in one encounter. Three ways to send data: (1) DEFAULT profile=fhir — `stage` + a FHIR R4 `bundle` built from the SATUSEHAT resources your SIMRS already produces (Encounter, Observation vital-signs, Condition ICD-10, Procedure ICD-9-CM, MedicationRequest, AllergyIntolerance, DiagnosticReport, QuestionnaireResponse); (2) profile=simple — `stage` + `encounter` + `sections[]` with your own form labels; (3) custom — HealthGuard configures a facility-specific adapter on your API key (request customization / on-premise).' type: object required: - stage additionalProperties: false properties: stage: $ref: '#/components/schemas/Req_stage' pathway: description: Optional. Derived from stage + encounter.origin when absent. enum: - igd_ranap - poli_rajal - poli_ranap penjamin: description: Payer. Anything other than BPJS is skipped without an AI call. Default BPJS. With profile=fhir, send it here (SATUSEHAT Encounter has no payer element). type: string default: BPJS examples: - BPJS - UMUM - ASURANSI encounter: $ref: '#/components/schemas/Req_encounter' description: profile=simple only. With profile=fhir this comes from Bundle.Encounter. claim_context: $ref: '#/components/schemas/Req_claim_context' sections: description: profile=simple. SIMRS form sections as-is. `data` keeps the facility's own field labels; KlaimGuard reads labels, it does not require renaming them. type: array minItems: 1 items: $ref: '#/components/schemas/Req_section' bundle: description: 'DEFAULT. HL7 FHIR R4 (4.0.1) Bundle (type collection|document) using SATUSEHAT resources and code systems. Required: one Encounter. Everything else is optional; KlaimGuard reads what is present. Patient name / NIK / KK / passport are never read — identify the patient by SATUSEHAT IHS number or facility MRN. Resource mapping: https://docs.healthguardinnovation.com/klaimguard/#fhir' type: object required: - resourceType - type - entry properties: resourceType: const: Bundle type: enum: - collection - document entry: type: array minItems: 1 options: type: object additionalProperties: false properties: language: enum: - id default: id dry_run: type: boolean default: false description: Validate + normalize only; no AI call, no billing. oneOf: - required: - bundle not: anyOf: - required: - sections - required: - encounter description: 'profile=fhir: encounter, payer and claim context are read from the Bundle (Encounter, extensions, tagged Conditions).' title: profile=fhir (DEFAULT) — HL7 FHIR R4 Bundle, SATUSEHAT resources - required: - sections - encounter not: required: - bundle title: profile=simple — SIMRS form sections as-is allOf: - if: properties: stage: const: ranap_cppt required: - sections then: required: - claim_context properties: claim_context: required: - diagnosis_current CheckResponse: title: KlaimGuard v1 — Check Response description: Same envelope for every stage. Stage-specific blocks are null when not applicable, never absent. type: object additionalProperties: false required: - check_id - api_version - stage - pathway - encounter_ref - skipped - skip_reason - skip_detail - summary - notices - findings - claim_impact - diagnosis_suggestions - medication_review - document_sync - coding_warnings - meta properties: check_id: type: string pattern: ^chk_[A-Za-z0-9]{8,}$ api_version: const: v1 stage: enum: - igd_asesmen_awal - ranap_cppt - ranap_resume - rajal_soap pathway: enum: - igd_ranap - poli_rajal - poli_ranap encounter_ref: type: object required: - visit_id properties: visit_id: type: string patient_ref: type: - string - 'null' skipped: type: boolean skip_reason: type: - string - 'null' enum: - null - non_bpjs - origin_not_supported - no_cppt_entries - missing_required_documents description: Set only when skipped=true. Skipped checks are free and make no AI call. missing_required_documents = a diagnosis-triggered form (CURB-65, NIHSS, EKG, spirometri, CPPT) is absent; see skip_detail + meta.needs_bridging. skip_detail: type: - string - 'null' description: Human-readable reason (Indonesian), e.g. which document to complete first. summary: type: object additionalProperties: false required: - status - claim_ready - counts properties: status: $ref: '#/components/schemas/Res_status_or_null' description: Worst status across findings + claim_impact. null when skipped. claim_ready: type: - boolean - 'null' description: true only when status=lengkap. null when skipped. counts: type: object additionalProperties: false required: - lengkap - belum_lengkap - perbaiki properties: lengkap: type: integer minimum: 0 belum_lengkap: type: integer minimum: 0 perbaiki: type: integer minimum: 0 notices: description: Non-blocking advisories returned alongside findings, e.g. documents to bridge for more accurate coding advice. Empty array when none. type: array items: type: object additionalProperties: false required: - code - message properties: code: enum: - missing_required_documents - needs_bridging - low_confidence message: type: string findings: description: One verdict per checked section/sector. Empty when skipped. type: array items: $ref: '#/components/schemas/Res_finding' claim_impact: description: potensiKlaim — under-coding / upcoding risk / optimal. Ranap stages. oneOf: - type: 'null' - $ref: '#/components/schemas/Res_claim_impact' diagnosis_suggestions: description: saranDiagnosa — forward-looking diagnosis direction. ranap_cppt only. oneOf: - type: 'null' - $ref: '#/components/schemas/Res_diagnosis_suggestions' medication_review: description: kesesuaianObat — drug ↔ diagnosis ↔ Fornas audit. ranap_cppt only. oneOf: - type: 'null' - $ref: '#/components/schemas/Res_medication_review' document_sync: description: sinkronisasiBerkas — required + conditional document checklist. ranap_cppt only. oneOf: - type: 'null' - $ref: '#/components/schemas/Res_document_sync' coding_warnings: description: Deterministic claim-rule warnings (rujukan validity, repeat procedures, ICD pairing). rajal_soap today. type: array items: $ref: '#/components/schemas/Res_coding_warning' meta: type: object additionalProperties: true required: - latency_ms properties: latency_ms: type: - integer - 'null' minimum: 0 engine: type: string description: e.g. rules+llm, rules+jev+llm model: type: - string - 'null' profile: enum: - fhir - simple - custom description: Input profile used for this check. needs_bridging: type: boolean description: Request lacked sections the facility SIMRS should bridge. native_resources: type: object additionalProperties: type: integer description: 'profile=fhir: how many SATUSEHAT resources of each kind were read (vitals, conditions, procedures, medications, allergies, lab, radiology).' Req_stage: description: Clinical pathway stage being verified. enum: - igd_asesmen_awal - ranap_cppt - ranap_resume - rajal_soap Req_encounter: type: object additionalProperties: false required: - visit_id properties: visit_id: type: string minLength: 1 description: Facility visit/registration number (no_rawat). patient_ref: type: string minLength: 1 not: pattern: ^[0-9]{16}$ description: Facility MRN or opaque id. NEVER NIK/name/phone — a 16-digit value (NIK shape) is rejected. class: enum: - EMER - IMP - AMB description: FHIR Encounter.class (v3-ActCode). Derived from stage when absent. origin: type: string description: Admission source as written in the SIMRS (e.g. 'Unit IGD', 'IGD', 'POLI SPESIALIS SYARAF', 'PRE OP', 'BAYI BARU LAHIR'). KlaimGuard normalizes it to IGD | POLI | ELEKTIF | NEONATAL | LAINNYA and echoes the normalized value in meta.origin_normalized. Ranap stages currently verify IGD only; others are skipped with origin_not_supported. patient_status: enum: - baru - lama practitioner_ref: type: string period: type: object additionalProperties: false properties: start: type: string end: type: string fktp_referral: type: object additionalProperties: true properties: issued_date: type: string episode: description: Inpatient context (LOS, ward, class). type: object additionalProperties: true properties: ward: type: string care_class: type: string los_days: type: number minimum: 0 admitted_igd_at: type: string admitted_ward_at: type: string Req_coded: type: object required: - code properties: code: type: string minLength: 1 display: type: string Req_claim_context: type: object additionalProperties: false properties: diagnosis_current: description: Diagnosis currently planned for the INA-CBG claim (baseline for claim_impact / diagnosis_suggestions). type: object required: - primary additionalProperties: false properties: primary: $ref: '#/components/schemas/Req_coded' secondary: type: array items: $ref: '#/components/schemas/Req_coded' Req_section: type: object required: - key - data additionalProperties: false properties: key: $ref: '#/components/schemas/Req_section_key' label: type: string description: Display label shown back in findings. data: type: - object - array Req_section_key: description: Canonical section keys. Unknown keys are rejected so typos surface instead of being silently ignored. enum: - dataPasien - anamnesa - primarySurvey - ttv - pemeriksaanFisik - codingDiagnosa - obat - lab - radiologi - metaRanap - resumePulang - asesmenAwalIgd - pengantarRanap - asesmenAwalRanap - cpptDokter - cpptPerawat - cpoObat - laporanOperasi - persetujuanTindakan - monitoringAnestesi - laporanTindakan - nihss - curb65 - spirometri - skoringLain - soap - pemeriksaan - icd - riwayat Res_status: enum: - lengkap - belum_lengkap - perbaiki Res_status_or_null: enum: - lengkap - belum_lengkap - perbaiki - null Res_advice: type: object required: - status - rekomendasi - contoh_isian - penjelasan properties: status: $ref: '#/components/schemas/Res_status' rekomendasi: type: string description: What to fix and why (≤25 words). Empty when lengkap. contoh_isian: type: string description: Copy-ready example entry (≤30 words). Empty when lengkap. penjelasan: type: string description: Basis/rule citation (≤40 words). May be empty on sections that don't provide one. Res_finding: allOf: - $ref: '#/components/schemas/Res_advice' - type: object required: - key properties: key: type: string description: Section key or resume sector key (resumeDataUtama …). label: type: - string - 'null' Res_claim_impact: allOf: - $ref: '#/components/schemas/Res_advice' - type: object properties: temuan: type: array items: type: object properties: kondisi: type: string icd10_disarankan: type: - string - 'null' dasar_bukti: type: array items: type: string description: Evidence citations, one per item (date + source + value). dampak_severity: type: string Res_diagnosis_suggestions: allOf: - $ref: '#/components/schemas/Res_advice' - type: object properties: kandidat: type: array items: type: object properties: icd10: type: string deskripsi: type: string status: type: string tingkat_keyakinan: type: string dasar_bukti: type: array items: type: string description: Evidence citations, one per item (date + source + value). dampak_klaim: type: string Res_medication_review: type: object required: - ringkasan - detail properties: ringkasan: type: object required: - status properties: status: $ref: '#/components/schemas/Res_status' jumlah_obat_diperiksa: type: integer minimum: 0 jumlah_bermasalah: type: integer minimum: 0 detail: type: array items: allOf: - $ref: '#/components/schemas/Res_advice' - type: object required: - nama_obat properties: nama_obat: type: string Res_document_sync: type: object required: - wajib - kondisional properties: wajib: type: array items: $ref: '#/components/schemas/Res_finding' kondisional: type: array items: allOf: - $ref: '#/components/schemas/Res_finding' - type: object properties: diperlukan: type: boolean Res_coding_warning: type: object required: - key - status - rekomendasi - contoh_isian properties: key: type: string status: enum: - sesuai - perlu_ditinjau - tidak_sesuai rekomendasi: type: string contoh_isian: type: string Error: type: object required: - error - message properties: error: type: string examples: - invalid_payload - unauthorized - rate_limited - upstream_error message: type: string details: type: array items: type: string request_id: type: string Pathways: type: object properties: pathways: type: array items: type: object properties: id: type: string stages: type: array items: type: object properties: stage: type: string status: enum: - live - planned enabled_for_key: type: boolean Capabilities: type: object properties: tenant: type: string stages: type: array items: type: string profiles: type: array items: enum: - simple - fhir rate_limit_per_minute: type: integer max_payload_bytes: type: integer