Lampiran Terminologi Pelayanan Instalasi Gawat Darurat (IGD)

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 1. 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

Alur Pengiriman DICOM pada Rumah Sakit dengan MWL

Alur Pengiriman DICOM
Gambar 1. Alur Pengiriman DICOM

Alur Pengiriman DICOM pada Puskesmas dengan MWL

Alur Pengiriman DICOM
Gambar 2. Alur Pengiriman DICOM