Lampiran Terminologi Pelayanan Kefarmasian

Struktur Kamus KFA

Struktur Kamus KFA
Gambar 1. Struktur Kamus KFA
Tabel 1. Deskripsi Bahan Zat Aktif
DeskripsiBahan Zat Aktif

Tag (singkatan)

BZA

Format kode (numbering/ digit)

91xxxxxx

Tata cara penamaan

Nama Molekul Kimia

Contoh penulisan penamaan

Paracetamol

Atribut

  • Satuan ukur (UCUM)

  • Referensi Kode dari Sumber Lain
    mis. PubChem, CAS, ATC

Tabel 2. Deskripsi Bahan Zat Aktif
DeskripsiProduk Obat Virtual

Tag (singkatan)

POV

Format kode (numbering/ digit)

92xxxxxx

Tata cara penamaan

Zat Aktif + Kekuatan + Satuan + Bentuk Sediaan

Contoh penulisan penamaan

Paracetamol 500 mg Tablet

Atribut

  • Zat Aktif

  • Kekuatan

  • Satuan Kekuatan (UCUM)

  • Satuan Produk (unit terkecil)

  • Golongan Obat

  • Bentuk Sediaan

  • Kelas Terapi (5 Level ATC - WHO)

Tabel 3. Deskripsi Bahan Zat Aktif
DeskripsiProduk Obat Aktual

Tag (singkatan)

POA

Format kode (numbering/ digit)

93xxxxxx

Tata cara penamaan

Zat Aktif + Kekuatan + Satuan + Bentuk Sediaan + (Merek Dagang)

Contoh penulisan penamaan

Paracetamol 500 mg Tablet (Panadol)

Atribut

  • Semua atribut di POV

  • Nama Dagang

  • Eksipien

  • Formula Nasional

  • Program Kesehatan

  • Tayang LKPP

  • Produksi buatan (impor / lokal)

  • TKDN

  • Skor TKDN

  • Skor BMP

  • Referensi Kode dari Sumber lain
    mis. BPOM, LKPP

Matriks Skenario Peresepan dan Pengeluaran Obat

Keterangan : +
* NC : Non-compound (non racikan)
* SD : Give of such doses (dtd)
* EP : Divide into equal part (tablet dipecah).
Tabel 4. Matriks Skenario Peresepan dan Pengeluaran Obat
Use CaseMedication.code MedicationRequestMedication.ingredient MedicationRequestMedicationRequestMedication.code MedicationDispenseMedication.ingredient MedicationDispenseMedicationDispense (Instruction)Valid/Invalid

Obat Pakem Tunggal (NC)

R/ Paracetamol 500 mg

93xxx

-

-

93xxx

-

Valid

92xxx

-

-

93xxx

-

Valid (Dengan ketentuan kode 93 untuk Medication.code MedicationDispense sebaiknya merupakan turunan dari kode 92 di Medication.code MedicationRequest)

91xxx

-

-

93xxx

-

Invalid

Racikan Non-dtd (EP)

  • R/ Paracetamol 500 mg 10 tab

  • Vitamin B6 10mg 10 tab

  • Dibuat 30 kapsul

-

Paracetamol:

  • Medication.ingredient.itemCodeableConcept → 93xxx

  • Medication.ingredient.strength.num : 10/tab

  • Medication.ingredient.strength.denominator : 30/kap

MedicationRequest.dispenseRequest.quantity → 30

-

  • Medication.ingredient.itemCodeableConcept → 93xxx

  • Medication.ingredient.strength.numerator : 10/tab

  • Medication.ingredient.strength.denominator : 30/kap

MedicationDispense.quantity → 30

Valid

-

Vitamin B6:\

  • Medication.ingredient.itemCodeableConcept→ 92xxx

  • Medication.ingredient.strength.numerator: 10/tab

  • Medication.ingredient.strength.denominator: 30/kap

MedicationRequest.dispenseRequest.quantity → 30

-

  • Medication.ingredient.itemCodeableConcept→ 93xxx

  • Medication.ingredient.strength.numerator: 10/tab

  • Medication.ingredient.strength.denominator: 30/kap

MedicationDispense.quantity → 30

Valid

Racikan dtd (SD/ tidak ada sisa)

  • R/ Paracetamol 125 mg/ kapsul > perlu 5 tab (20 kapsul x 125 / 500mg)

  • Vitamin B6 20 mg/ kapsul > perlu 40 tab (20 kapsul x 20 / 10mg)

  • Dibuat 20 kapsul

-

Paracetamol:

  • Medication.ingredient.itemCodeableConcept→ 91xxx

  • Medication.ingredient.strength.numerator: 125/mg

  • Medication.ingredient.strength.denominator: 1/kap

MedicationRequest.dispenseRequest.quantity → 20

-

  • Medication.ingredient.itemCodeableConcept→ 93xxx

  • Medication.ingredient.strength.numerator: 5/tab

  • Medication.ingredient.strength.denominator: 20/kap

MedicationDispense.quantity → 20

Valid

-

Vitamin B6:

  • Medication.ingredient.itemCodeableConcept→ 91xxx

  • Medication.ingredient.strength.numerator: 20/mg

  • Medication.ingredient.strength.denominator: 1/kap

MedicationRequest.dispenseRequest.quantity → 20

-

  • Medication.ingredient.itemCodeableConcept→ 93xxx

  • Medication.ingredient.strength.numerator: 40/tab

  • Medication.ingredient.strength.denominator: 20/kap

MedicationDispense.quantity → 20

Valid

Racikan dtd (SD/ ada sisa)

Narkotika

  • R/ Morphine Hydrochloride 3 mg > perlu 7.5 tab (25 kapsul x 3 / 10mg)

  • Diazepam 1 mg Tablet > perlu 12,5 tab (25 kapsul x 1 / 2mg)

  • Dibuat 25 kapsul

-

Morphine Hydrochloride

  • Medication.ingredient.itemCodeableConcept→ 91xxx

  • Medication.ingredient.strength.numerator: 3/mg

  • Medication.ingredient.strength.denominator: 1/tab

MedicationRequest.dispenseRequest.quantity → 25

-

  • Medication.ingredient.itemCodeableConcept→ 93xxx

  • Medication.ingredient.strength.numerator: 7,5/tab

  • Medication.ingredient.strength.denominator: 25/kapsul

MedicationDispense.quantity → 25

Valid (Penulisan di Medication.ingredient.strength.numerator Medication Dispense sesuai yaitu 7.5tab, tidak dilakukan pembulatan)

-

Diazepam

  • Medication.ingredient.itemCodeableConcept→ 91xxx

  • Medication.ingredient.strength.numerator: 3/mg

  • Medication.ingredient.strength.denominator: 1/tab

MedicationRequest.dispenseRequest.quantity → 25

-

  • Medication.ingredient.itemCodeableConcept→ 93xxx

  • Medication.ingredient.strength.numerator: 12,5/tab

  • Medication.ingredient.strength.denominator: 25/kapsul

MedicationDispense.quantity → 25

Valid (Penulisan di Medication.ingredient.strength.numerator Medication Dispense sesuai yaitu 12.5tab, tidak dilakukan pembulatan)

Non-Narkotika

  • R/ Paracetamol 125 mg/ kapsul > perlu 7.5 tab (30 kapsul x 125 /500mg)

  • Vitamin B6 12,5 mg/ kapsul > perlu 37,5 tab (30 kapsul x 12,5 / 10mg)

  • Dibuat 30 kapsul

-

Paracetamol:

  • Medication.ingredient.itemCodeableConcept→ 91xxx

  • Medication.ingredient.strength.numerator: 125/mg

  • Medication.ingredient.strength.denominator: 1/tab

MedicationRequest.dispenseRequest.quantity → 30

-

  • Medication.ingredient.itemCodeableConcept→ 93xxx

  • Medication.ingredient.strength.numerator: 8/tab

  • Medication.ingredient.strength.denominator: 30/kapsul

MedicationDispense.quantity → 30

Valid (Penulisan di Medication.ingredient.strength.numerator Medication Dispense adalah pembulatan ke atas yaitu dari 7.5 tab menjadi 8tab, tetapi yang digunakan tetap 7,5tab)

-

Vitamin B6:

  • Medication.ingredient.itemCodeableConcept→ 91xxx

  • Medication.ingredient.strength.numerator: 12.5/mg

  • Medication.ingredient.strength.denominator: 1/tab

MedicationRequest.dispenseRequest.quantity → 30

-

  • Medication.ingredient.itemCodeableConcept→ 93xxx

  • Medication.ingredient.strength.numerator: 37.5/tab

  • Medication.ingredient.strength.denominator: 30/kap

MedicationDispense.quantity → 30

Valid (Penulisan di Medication.ingredient.strength.numerator Medication Dispense adalah pembulatan ke atas yaitu dari 37.5 tab menjadi 38tab, tetapi yang digunakan tetap 37,5tab)

Obat Minum (NC tidak sisa)

  • R/ Paracetamol 120 mg/5 mL Sirup

  • Paracetamol 5 ml diminum 4-6 jam sekali bila demam selama 24 hari

93xxx

Paracetamol Sirup

  • Medication.ingredient.itemCodeableConcept → 91xxx

  • Medication.ingredient.strength.numerator : 120 mg

  • Medication.ingredient.strength.denominator : 5mL

-

93xxx

Paracetamol Sirup

Medication.ingredient.itemCodeableConcept → 91xxx * Medication.ingredient.strength.numerator : 120 mg * Medication.ingredient.strength.denominator : 5mL

-

Valid

92xxx

Paracetamol Sirup

  • Medication.ingredient.itemCodeableConcept → 91xxx

  • Medication.ingredient.strength.numerator : 120 mg

  • Medication.ingredient.strength.denominator : 5mL

-

93xxx

Paracetamol Sirup

  • Medication.ingredient.itemCodeableConcept → 91xxx

  • Medication.ingredient.strength.numerator : 120 mg

  • Medication.ingredient.strength.denominator : 5mL

-

Valid

Obat Minum (NC sisa)

  • R/ Paracetamol 120 mg/5 mL Sirup

  • Paracetamol 5 ml diminum 4-6 jam sekali bila demam selama 30 hari

  • 1 botol 60 ml maka diperlukan 5mlx30 / 60ml = 2.5

93xxx

Paracetamol Sirup

  • Medication.ingredient.itemCodeableConcept → 91xxx

  • Medication.ingredient.strength.numerator : 120 mg

  • Medication.ingredient.strength.denominator : 5mL

-

93xxx

Paracetamol Sirup

  • Medication.ingredient.itemCodeableConcept → 91xxx

  • Medication.ingredient.strength.numerator : 120 mg

  • Medication.ingredient.strength.denominator : 5mL

-

Valid (Perlu catatan dari dokter obatnya harus dihabiskan atau tidak)

92xxx

Paracetamol Sirup

  • Medication.ingredient.itemCodeableConcept → 91xxx

  • Medication.ingredient.strength.numerator : 120 mg

  • Medication.ingredient.strength.denominator : 5mL

-

93xxx

Paracetamol Sirup

  • Medication.ingredient.itemCodeableConcept → 91xxx

  • Medication.ingredient.strength.numerator : 120 mg

  • Medication.ingredient.strength.denominator : 5mL

-

Valid

Obat Suntik (NC tidak sisa)

  • R/ Insulin Human Analog (Rapid Acting) 100 IU/mL Injeksi (NOVORAPID, 3 mL)

  • Suntik 3 kali sehari 10 Unit sebelum makan selama 30 hari - perlu 3 cartridge (100IU/ml x 3 mL / (3x10IU) = 10 hari 1 cartridge

  • 30 hari maka perlu 30/10 = 3 cartridge

93xxx

Insulin Human Analog:

  • Medication.ingredient.itemCodeableConcept→ 91xxx

  • Medication.ingredient.strength.numerator: 100[U]

  • Medication.ingredient.strength.denominator: 1/mL

-

93xxx

Insulin Human Analog :

  • Medication.ingredient.itemCodeableConcept→ 91xxx

  • Medication.ingredient.strength.numerator: 3/cartridge

  • Medication.ingredient.strength.denominator: 9/mL

-

Valid

92xxx

Insulin Human Analog:

  • Medication.ingredient.itemCodeableConcept→ 91xxx

  • Medication.ingredient.strength.numerator: 100[U]

  • Medication.ingredient.strength.denominator: 1/mL

-

93xxx

Insulin Human Analog :

  • Medication.ingredient.itemCodeableConcept→ 91xxx

  • Medication.ingredient.strength.numerator: 3/cartridge

  • Medication.ingredient.strength.denominator: 9/mL

-

Valid

Obat Suntik (NC sisa)

  • R/ Insulin Human Analog (Rapid Acting) 100 IU/mL Injeksi (NOVORAPID, 3 mL)

  • Suntik 3 kali sehari 8 Unit sebelum makan selama 30 hari - perlu 3 cartridge (100IU/ml x 3 mL / (3x8IU) = 12,5 hari 1 cartridge

  • 30 hari maka perlu 30/12.5= 2.4 cartridge

93xxx

Insulin Human Analog:

  • Medication.ingredient.itemCodeableConcept→ 91xxx

  • Medication.ingredient.strength.numerator: 100[U]

  • Medication.ingredient.strength.denominator: 1/mL

-

93xxx

Insulin Human Analog :

  • Medication.ingredient.itemCodeableConcept→ 91/xxx

  • Medication.ingredient.strength.numerator: 2.4 cartridge

  • Medication.ingredient.strength.denominator: 7.2/mL

-

Valid (Perlu catatan dari dokter obatnya harus dihabiskan atau tidak)

92xxx

Insulin Human Analog:

  • Medication.ingredient.itemCodeableConcept→ 91xxx

  • Medication.ingredient.strength.numerator: 100[U]

  • Medication.ingredient.strength.denominator: 1/mL

-

93xxx

Insulin Human Analog :

  • Medication.ingredient.itemCodeableConcept→ 91/xxx

  • Medication.ingredient.strength.numerator: 2.4 cartridge

  • Medication.ingredient.strength.denominator: 7.2/mL

-

Valid