Lampiran Terminologi Pembiayaan Kesehatan Klaim BPJS Kesehatan
Coverage.class.value dan Coverage.class.name untuk Jenis Kepesertaan BPJS-K
Coverage.class.system | Coverage.class.value | Coverage.class.name |
|---|---|---|
pbi-apbn | PBI-APBN | |
pbi-apbd | PBI-APBN | |
ppu-pejabat-negara | Pejabat Negara | |
ppu-dprd | Pimpinan dan Anggota Dewan Perwakilan Rakyat Daerah | |
ppu-pns | PNS | |
ppu-prajurit | Prajurit | |
ppu-polri | Anggota Polri | |
ppu-kades-dan-perangkat | PKepala Desa dan Perangkat Desa | |
pppu-pegawai-swasta | Pegawai Swasta | |
ppu-pekerja-lainnya | Pekerja lainnya yang menerima Gaji atau Upah | |
pbpu-pekerja-mandiri | Pekerja di luar hubungan kerja atau Pekerja mandiri | |
pbpu-pekerja-lainnya | Pekerja lainnya yang bukan penerima Gaji atau Upah | |
bp-investor | Investor | |
bp-pemberi-kerja | Pemberi Kerja | |
bp-penerima-pensiun | Penerima Pensiun | |
bp-veteran | Veteran | |
bp-perintis-kemerdekaan | Perintis Kemerdekaan | |
bp-janda-duda-yatim-piatu | Janda, Duda, atau Anak Yatim dan/atau Piatu dari Veteran atau Perintis Kemerdekaan | |
bp-lainnya | Bukan pekerja lainnya yang mampu membayar iuran |
Encounter.hospitalization.dischargeDisposition.coding untuk Cara Pulang
Resource | |||
Nama Variabel: Cara Pulang | |||
|
|
| Keterangan |
home | Home | 1. Pulang atas persetujuan dokter; | |
other-hcf | Other healthcare facility | 2. Dirujuk; | |
aadvice | Left against advice | 3. Pulang atas permintaan sendiri; | |
exp | Expired | 4. Meninggal | |
oth | Other | 5. Lain-lain (free text) | |
ChargeItem.performer.function.coding untuk Petugas yang Melakukan Tindakan / Layanan
|
|
|
88189002 | Anesthesiologist | |
309360001 | Rehabilitation physician | |
81464008 | Clinical pathologist | |
80933006 | Nuclear medicine physician | |
1255374004 | Clinical nutritionist | |
309338004 | Intensive care specialist | |
310191001 | Clinical psychologist | |
37504001 | Orthodontist | |
1259964002 | Oral medicine specialist | |
37154003 | Periodontist | |
68950000 | Prosthodontist | |
TK000023 | Prevensi dan Rehabilitasi Kardiovaskular | |
66862007 | Radiologist | |
17561000 | Cardiologist | |
1290289004 | Fellow physician | |
82296001 | Pediatrician | |
28411006 | Neonatologist | |
159016003 | Medical radiographer | |
11911009 | Nephrologist | |
62247001 | General practitioner | |
106289002 | Dentist | |
TK000024 | Emergensi dan Rawat Intensif Anak (ERIA) | |
82296001 | Pediatrician | |
39677007 | Internal medicine specialist | |
309367003 | Obstetrician and gynecologist | |
422234006 | Ophthalmologist | |
309372007 | Ear, nose and throat surgeon | |
56397003 | Neurologist | |
18803008 | Dermatologist | |
TK000025 | Orthopedi dan Traumatologi | |
24590004 | Urologist | |
45544007 | Neurosurgeon | |
8724009 | Plastic surgeon | |
309383003 | Pediatric surgeon | |
309369000 | Cardiothoracic surgeon | |
309362009 | Forensic psychiatrist | |
49993003 | Oral surgeon | |
50149000 | Endodontist | |
304292004 | Surgeon |
Claim.supportingInfo.code.coding untuk Kenaikan Kelas
Claim.supportingInfo.code.coding.system | Claim.supportingInfo.code.coding.code | Claim.supportingInfo.code.coding.display |
|---|---|---|
http://terminology.kemkes.go.id/CodeSystemlocationServiceClass-Inpatient | 1 | Kelas 1 |
http://terminology.kemkes.go.id/CodeSystemlocationServiceClass-Inpatient | 2 | Kelas 2 |
http://terminology.kemkes.go.id/CodeSystemlocationServiceClass-Inpatient | 3 | Kelas 3 |
http://terminology.kemkes.go.id/CodeSystemlocationServiceClass-Inpatient | vip | Kelas VIP |
http://terminology.kemkes.go.id/CodeSystemlocationServiceClass-Inpatient | vvip | Kelas VVIP |
Claim.extension.package.tariffClass.valueCodeableCoept.coding untuk Kode Tarif
Claim.extension.package.tariffClass.valueCodeableConcept.coding.system | Claim.extension.package.tariffClass.valueCodeableConcept.coding.code | Claim.extension.package.tariffClass.valueCodeableConcept.coding.display |
|---|---|---|
AP | Tarif Kelas A Pemerintah | |
AS | Tarif Kelas A Swasta | |
BP | Tarif Kelas B Pemerintah | |
BS | Tarif Kelas B Swasta | |
CP | Tarif Kelas C Pemerintah | |
CS | Tarif Kelas C Swasta | |
DP | Tarif Kelas D Pemerintah | |
DS | Tarif Kelas D Swasta | |
RSCM | Tarif RSUPN Cipto Mangunkusumo | |
RSJP | Tarif RSJPD Harapan Kita | |
RSD | Tarif RS kanker Dharmais | |
RSAB | Tarif RSAB Harapan Kita | |
RSPON | Tarif RS Pusat Otak Nasional |
Claim.extension.package.additionalPackage.valueCodeableConcept untuk Data Grouper Lainnya
Claim.extension.package.additionalPackage.valueCodeableConcept.coding.system | Claim.extension.package.additionalPackage.valueCodeableConcept.coding.code | Claim.extension.package.additionalPackage.valueCodeableConcept.coding.display | Keterangan |
|---|---|---|---|
Subacute Code | Subacute Description | Unblundling grouper response code between acute and chronic. | |
Chronic Code | Chronic Description | Unblundling grouper response code penyakit kronis | |
SSpecial Procedure Code | Special Procedure Description | Unblundling grouper response code | |
Special Prosthesis Code | Special Prosthesis Description | Unblundling grouper response code | |
Special Investigation Code | Special Investigation Description | Unblundling grouper response code | |
Special Drug Code | Special Drug Description | Unblundling grouper response code |
ClaimResponse.adjudication.reason.coding untuk Status Klaim
ClaimResponse.adjudication.reason.coding.system | ClaimResponse.adjudication.reason.coding.code | ClaimResponse.adjudication.reason.coding.displayy |
|---|---|---|
http://terminology.kemkes.go.id/CodeSystem/claimresponse-adjudication | CRA000001 | Layak |
http://terminology.kemkes.go.id/CodeSystem/claimresponse-adjudication | CRA000002 | Tidak Layak |
http://terminology.kemkes.go.id/CodeSystem/claimresponse-adjudication | CRA000003 | Pending |
http://terminology.kemkes.go.id/CodeSystem/claimresponse-adjudication | CRA000004 | Kadaluwarse |