---
# System prepended metadata

title: Module Report Radiologi
tags: [fhir-module-id]

---

---
title: Module Report Radiologi
tags: fhir-module-id
disqus: victoriatjia
---

Module Report Radiologi
===
###### tags: `fhir-module-id` `satu-sehat`

## Table of Contents
[TOC]

## Pendahuluan
Informasi data pasien

## Specs Data Format
### 1. [FHIR Encounter](https://www.hl7.org/fhir/encounter.html)

#### 1.1. Deskripsi
Kunjungan pasien dapat didefinisikan sebagai interaksi pasien terhadap suatu layanan fasyankes.
Misal dalam satu rangkaian rawat jalan, seluruh rangkaian dapat didefinisikan sebagai satu “Encounter”

#### 1.2. Spesifikasi data format -> [link](https://github.com/victoriatjia/Guideline/blob/master/SatuSehat/Specs%20Format%20FHIR/custom/Encounter.xlsx)

#### 1.3. Scenario
<table>
    <tr>
        <td><b>Scenario 1</b></td>
        <td>Kunjungan Pasien</td>
    </tr>
</table>

**Example SC1**: Kunjungan Pasien Rawat Jalan
https://hapi.fhir.org/baseR4/Encounter/edba8523-9745-4d6b-9771-61d1c9c7c933
```gherkin=
{
  "resourceType": "Encounter",
  "id": "edba8523-9745-4d6b-9771-61d1c9c7c933",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2022-11-14T01:23:28.123+00:00",
    "source": "#ujBBhsfic45Hwsua"
  },
  "identifier": [ {
    "use": "official",
    "system": "http://sys-ids.kemkes.go.id/encounter/10000004",
    "value": "O0000000001"
  } ],
  "status": "finished",
  "class": {
    "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
    "code": "AMB",
    "display": "ambulatory"
  },
  "subject": {
    "reference": "Patient/7058523",
    "display": "Hannah Mid Vlixie"
  },
  "participant": [ {
    "type": [ {
      "coding": [ {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
        "code": "ATND"
      } ]
    } ],
    "individual": {
      "reference": "Practitioner/8xx5",
      "display": "Marcia, drg, Sp.PM"
    }
  } ],
  "period": {
    "start": "2022-06-17T16:00:00+07:00",
    "end": "2022-06-17T16:30:00+07:00"
  },
  "location": [ {
    "location": {
      "reference": "Location/7062759",
      "display": "Neurology Clinic (2nd fl)"
    }
  } ],
  "serviceProvider": {
    "reference": "Organization/tch"
  }
}
```

---

### 2. [FHIR ServiceRequest](https://www.hl7.org/fhir/servicerequest.html)

#### 2.1. Deskripsi
Sebelum melakukan pemeriksaan penunjang seperti laboratorium, diperlukan langkah permintaan
pemeriksaan penunjang menggunakan resource ServiceRequest.

#### 2.2. Spesifikasi data format -> [link](https://github.com/victoriatjia/Guideline/blob/master/SatuSehat/Specs%20Format%20FHIR/custom/ServiceRequest.xlsx)

#### 2.3. Scenario
<table>
    <tr>
        <td><b>Scenario 1</b></td>
        <td>Permintaan pemeriksaan radiology</td>
    </tr>
</table>

**Example SC1**: Kunjungan Pasien Rawat Jalan
https://hapi.fhir.org/baseR4/ServiceRequest/9a0ec019-be03-4054-826b-d7ebef1c25f9
```gherkin=
{
  "resourceType": "ServiceRequest",
  "id": "9a0ec019-be03-4054-826b-d7ebef1c25f9",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2022-11-14T01:25:16.389+00:00",
    "source": "#M1c1KVZT8Y5NRyJ3"
  },
  "identifier": [ {
    "system": "http://tzuchihospital.co.id/fhir/identifier/OEORI_RowId",
    "value": "1||4"
  } ],
  "status": "completed",
  "category": [ {
    "coding": [ {
      "system": "http://tzuchihospital.co.id/cs/order-category",
      "code": "RAD",
      "display": "TCH Radiology"
    } ]
  } ],
  "code": {
    "coding": [ {
      "system": "http://tzuchihospital.co.id/cs/",
      "code": "190701002083",
      "display": "DX - Thorax AP / PA"
    } ]
  },
  "subject": {
    "reference": "Patient/7058523"
  },
  "encounter": {
    "reference": "Encounter/edba8523-9745-4d6b-9771-61d1c9c7c933"
  },
  "occurrenceDateTime": "2021-04-21T08:00:00",
  "requester": {
    "reference": "Practitioner/8xx5"
  },
  "performer": [ {
    "reference": "Practitioner/8xx5"
  } ]
}
```

---

### 3. [draft] [FHIR ImagingStudy](https://www.hl7.org/fhir/imagingstudy.html)

#### 3.1. Deskripsi
Detail lengkap imaging terkait laporan hasil radiologi menggunakan DICOM

#### 3.2. Spesifikasi data format -> [upload soon]<!--(https://github.com/victoriatjia/Guideline/blob/master/SatuSehat/Specs%20Format%20FHIR/custom/ImagingStudy.xlsx)-->

#### 3.3. Scenario
<table>
    <tr>
        <td><b>Scenario 1</b></td>
        <td>Radiology Image</td>
    </tr>
</table>

**Example SC1**: Radiology Image
https://hapi.fhir.org/baseR4/ImagingStudy/misac.dicom.image01
<!--
```gherkin=
{
  "resourceType": "ImagingStudy",
  "identifier": [
    {
      "use": "official",
      "system": "urn:dicom:uid",
      "value": "urn:oid:1.2.1124.113532.134.0.1.3.20030423.143824.800378"
    }
  ],
  "status": "available",
  "modality": [
    {
      "coding": [
        {
          "system": "http://dicom.nema.org/resources/ontology/DCM",
          "code": "MG"
        }
      ]
    }
  ],
  "subject": {
    "reference": "Patient/1168613"
  },
  "encounter": {
    "reference": "Encounter/6947773"
  },
  "started": "2022-08-06T11:01:20+03:00",
  "basedOn": [
    {
      "type": "ServiceRequest",
      "identifier": {
        "type": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
              "code": "ACSN"
            }
          ]
        }
      }
    },
    {
      "reference": "ServiceRequest/6947777"
    }
  ],
  "referrer": {
    "reference": "Practitioner/example"
  },
  "interpreter": [
    {
      "reference": "Practitioner/radiologist"
    }
  ],
  "endpoint": [
    {
      "reference": "Endpoint/example-wadors"
    }
  ],
  "numberOfSeries": 4,
  "numberOfInstances": 4,
  "series": [
    {
      "uid": "1.2.1840.113681.2198909122.3931.3228559234.98.1",
      "number": 1,
      "modality": {
        "coding": [
          {
            "system": "http://dicom.nema.org/resources/ontology/DCM",
            "code": "MG"
          }
        ]
      },
      "description": "MG R CC",
      "numberOfInstances": 1,
      "performer": [
        {
          "function": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                "code": "PRF"
              }
            ]
          },
          "actor": {
            "reference": "Practitioner/radiographer"
          }
        }
      ],
      "instance": [
        {
          "uid": "1.2.1840.113681.2198909122.3931.3228559234.104.1",
          "sopClass": {
            "system": "urn:ietf:rfc:3986",
            "code": "urn:oid:1.2.840.10008.5.1.4.1.1.1.2"
          },
          "number": 1
        }
      ]
    },
    {
      "uid": "1.2.1840.113681.2198909122.3931.3228559234.99.1",
      "number": 2,
      "modality": {
        "coding": [
          {
            "system": "http://dicom.nema.org/resources/ontology/DCM",
            "code": "MG"
          }
        ]
      },
      "description": "MG L CC",
      "numberOfInstances": 1,
      "performer": [
        {
          "function": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                "code": "PRF"
              }
            ]
          },
          "actor": {
            "reference": "Practitioner/radiographer"
          }
        }
      ],
      "instance": [
        {
          "uid": "1.2.1840.113681.2198909122.3931.3228559234.102.1",
          "sopClass": {
            "system": "urn:ietf:rfc:3986",
            "code": "urn:oid:1.2.840.10008.5.1.4.1.1.1.2"
          },
          "number": 1
        }
      ]
    },
    {
      "uid": "1.2.1840.113681.2198909122.3931.3228559234.100.1",
      "number": 3,
      "modality": {
        "coding": [
          {
            "system": "http://dicom.nema.org/resources/ontology/DCM",
            "code": "MG"
          }
        ]
      },
      "description": "MG L MLO",
      "numberOfInstances": 1,
      "endpoint": [
        {
          "reference": "Endpoint/example-wadors"
        }
      ],
      "performer": [
        {
          "function": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                "code": "PRF"
              }
            ]
          },
          "actor": {
            "reference": "Practitioner/radiographer"
          }
        }
      ],
      "instance": [
        {
          "uid": "1.2.1840.113681.2198909122.3931.3228559234.106.1",
          "sopClass": {
            "system": "urn:ietf:rfc:3986",
            "code": "urn:oid:1.2.840.10008.5.1.4.1.1.1.2"
          },
          "number": 1
        }
      ]
    },
    {
      "uid": "1.2.1840.113681.2198909122.3931.3228559234.101.1",
      "number": 4,
      "modality": {
        "coding": [
          {
            "system": "http://dicom.nema.org/resources/ontology/DCM",
            "code": "MG"
          }
        ]
      },
      "description": "MG R MLO",
      "numberOfInstances": 1,
      "performer": [
        {
          "function": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                "code": "PRF"
              }
            ]
          },
          "actor": {
            "reference": "Practitioner/radiographer"
          }
        }
      ],
      "instance": [
        {
          "uid": "1.2.1840.113681.2198909122.3931.3228559234.108.1",
          "sopClass": {
            "system": "urn:ietf:rfc:3986",
            "code": "urn:oid:1.2.840.10008.5.1.4.1.1.1.2"
          },
          "number": 1
        }
      ]
    }
  ]
}
```
-->
---

### 4. [FHIR DiagnosticReport](https://www.hl7.org/fhir/diagnosticreport.html)

#### 4.1. Deskripsi
Laporan hasil pemeriksaan

#### 4.2. Spesifikasi data format -> [link](https://github.com/victoriatjia/Guideline/blob/master/SatuSehat/Specs%20Format%20FHIR/custom/DiagnosticReport.xlsx)

#### 4.3. Scenario
<table>
    <tr>
        <td><b>Scenario 1</b></td>
        <td>Radiology Report</td>
    </tr>
</table>

**Example SC1**: Radiology Report
https://hapi.fhir.org/baseR4/DiagnosticReport/73c7e525-8782-4efb-ac39-7ec3b13e5b68

```gherkin=
{
  "resourceType": "DiagnosticReport",
  "id": "73c7e525-8782-4efb-ac39-7ec3b13e5b68",
  "meta": {
    "versionId": "2",
    "lastUpdated": "2022-11-14T01:37:38.816+00:00",
    "source": "#acGo6p8K7ZZPmCnt"
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\"> DX - Thorax AP / PA </div><table class=\"hapiPropertyTable\"><tbody><tr><td>Status</td><td>FINAL</td></tr><tr><td>Issued</td><td> 27 September 2021 </td></tr><tr><td>Conclusion</td><td>&lt;html&gt;&lt;head&gt;&lt;/head&gt;&lt;body&gt;Telah dilakukan radiografi toraks proyeksi PA, dengan hasil:&lt;br /&gt;&amp;#160;&lt;br /&gt;Jantung tidak membesar&lt;br /&gt;Aorta dan mediastinum superior tidak melebar.&lt;br /&gt;Trakea di tengah. Kedua hilus tidak menebal.&lt;br /&gt;Corakan bronkovaskular kedua paru baik.&lt;br /&gt;Tidak tampak infiltrat di kedua paru&lt;br /&gt;Sinus kostofrenikus dan diafragma baik.&lt;br /&gt;Tulang-tulang dan jaringan lunak dinding dada baik.&lt;br /&gt;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&amp;#160;&lt;br /&gt;Kesimpulan :&lt;ul&gt;&lt;li&gt;Tak tampak kardiomegali.&lt;/li&gt;&lt;li&gt;Tidak tampak infiltrat di kedua paru.&lt;/li&gt;&lt;/ul&gt;&lt;/body&gt;&lt;/html&gt;</td></tr></tbody></table></div>"
  },
  "identifier": [ {
    "use": "official",
    "system": "RPTRAD_RowId",
    "value": "120121"
  }, {
    "use": "official",
    "system": "http://sys-ids.kemkes.go.id/accession-no/10000004",
    "value": "120121/142"
  } ],
  "basedOn": [ {
    "reference": "ServiceRequest/9a0ec019-be03-4054-826b-d7ebef1c25f9"
  } ],
  "status": "final",
  "category": [ {
    "coding": [ {
      "system": "https://terminology.hl7.org/2.0.0/CodeSystem-v2-0074.html",
      "code": "RAD",
      "display": "RAD"
    } ]
  } ],
  "code": {
    "coding": [ {
      "system": "http://tzuchihospital.co.id/cs/order-item",
      "code": "190701002083",
      "display": "DX - Thorax AP / PA"
    } ],
    "text": "DX - Thorax AP / PA"
  },
  "subject": {
    "reference": "Patient/7058523"
  },
  "encounter": {
    "reference": "Encounter/edba8523-9745-4d6b-9771-61d1c9c7c933"
  },
  "effectiveDateTime": "2021-09-27",
  "issued": "2021-09-27",
  "performer": [ {
    "reference": "Practitioner/8xx5",
    "display": "Maria Angelina Yashinta G Dr. Sp.Rad"
  } ],
  "resultsInterpreter": [ {
    "reference": "Practitioner/8xx5",
    "display": "Maria Angelina Yashinta G Dr. Sp.Rad"
  } ],
  "conclusion": "<html><head></head><body>Telah dilakukan radiografi toraks proyeksi PA, dengan hasil:<br />&#160;<br />Jantung tidak membesar<br />Aorta dan mediastinum superior tidak melebar.<br />Trakea di tengah. Kedua hilus tidak menebal.<br />Corakan bronkovaskular kedua paru baik.<br />Tidak tampak infiltrat di kedua paru<br />Sinus kostofrenikus dan diafragma baik.<br />Tulang-tulang dan jaringan lunak dinding dada baik.<br />&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;<br />Kesimpulan :<ul><li>Tak tampak kardiomegali.</li><li>Tidak tampak infiltrat di kedua paru.</li></ul></body></html>"
}
```

---

### 5. [FHIR Bundle](https://www.hl7.org/fhir/bundle.html)

#### 5.1. Deskripsi
Bundle laporan hasil pemeriksaan

#### 5.2. Spesifikasi data format -> [upload soon]<!--(https://github.com/victoriatjia/Guideline/blob/master/SatuSehat/Specs%20Format%20FHIR/custom/Bundle.xlsx)-->

#### 5.3. Scenario
<table>
    <tr>
        <td><b>Scenario 1</b></td>
        <td>Bundle Radiology Report</td>
    </tr>
</table>

**Example SC1**: Radiology Report


```gherkin=
```