| Package | IdHIE.0v |
| Type | CodeSystem |
| Id | code-system-lab-id-core |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=IdHIE.0v@0.0.1&canonical=http://fhir.hie.moh.gov.id/CodeSystem/lab-id-core |
| URL | http://fhir.hie.moh.gov.id/CodeSystem/lab-id-core |
| Version | 1.0.0 |
| Status | active |
| Date | 2023-06-12T02:58:04.5929883+00:00 |
| Name | CodeSystemLabIdCore |
| Title | CodeSystemLab (ID Core) |
| Description | Indonesia PIK Lab Code System |
| Content | complete |
| ValueSet | |
| lab-id-core | ValueSetLab (ID Core) |
No resources found
Note: links and images are rebased to the (stated) source
Indonesia PIK Lab Code System
FHIR{
"resourceType": "CodeSystem",
"id": "code-system-lab-id-core",
"meta": {
"versionId": "4",
"lastUpdated": "2022-11-22T09:15:01.895+00:00",
"source": "#KYjMFtjaYi7IQx6S"
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"url": "http://fhir.hie.moh.gov.id/CodeSystem/lab-id-core",
"version": "1.0.0",
"name": "CodeSystemLabIdCore",
"title": "CodeSystemLab (ID Core)",
"status": "active",
"date": "2023-06-12T02:58:04.5929883+00:00",
"description": "Indonesia PIK Lab Code System",
"compositional": false,
"content": "complete",
"count": 594,
"property": [
{
"code": "subGroup",
"type": "code"
},
{
"code": "containerType",
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},
{
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"type": "boolean"
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{
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},
{
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{
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{
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{
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{
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],
"concept": [
{
"code": "00001",
"display": "17-OH Progesterone",
"definition": "17-OH Progesterone",
"property": [
{
"code": "codeLoinc",
"valueCode": "10964-5"
},
{
"code": "subGroupDisplay",
"valueString": "Chemical Pathology"
},
{
"code": "subGroup",
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{
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{
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{
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{
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]
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{
"code": "00002",
"display": "24hrs urine calcium",
"definition": "24hrs urine calcium",
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{
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"valueCode": "25362-5"
},
{
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"valueString": "Chemical Pathology"
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{
"code": "subGroup",
"valueCode": "01"
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{
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{
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{
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},
{
"code": "00003",
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"definition": "24hrs urine chloride",
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{
"code": "codeLoinc",
"valueCode": "21194-6"
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{
"code": "subGroupDisplay",
"valueString": "Chemical Pathology"
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{
"code": "subGroup",
"valueCode": "01"
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{
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{
"code": "specimenType",
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{
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{
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{
"code": "00004",
"display": "24hrs urine creatinine",
"definition": "24hrs urine creatinine",
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{
"code": "codeLoinc",
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{
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{
"code": "subGroup",
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{
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{
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{
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{
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{
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"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00005",
"display": "24hrs urine magnesium",
"definition": "24hrs urine magnesium",
"property": [
{
"code": "codeLoinc",
"valueCode": "25954-9"
},
{
"code": "subGroupDisplay",
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{
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{
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{
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{
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{
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]
},
{
"code": "00006",
"display": "24hrs urine phosphate",
"definition": "24hrs urine phosphate",
"property": [
{
"code": "codeLoinc",
"valueCode": "25973-9"
},
{
"code": "subGroupDisplay",
"valueString": "Chemical Pathology"
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{
"code": "subGroup",
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{
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]
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{
"code": "00007",
"display": "24hrs urine potassium",
"definition": "24hrs urine potassium",
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{
"code": "codeLoinc",
"valueCode": "51720-1"
},
{
"code": "subGroupDisplay",
"valueString": "Chemical Pathology"
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{
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"valueCode": "01"
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{
"code": "specimenTypeDisplay",
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{
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"definition": "24hrs urine protein",
"property": [
{
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"valueCode": "21482-5"
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{
"code": "subGroupDisplay",
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{
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},
{
"code": "00009",
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"definition": "24hrs urine sodium",
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{
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{
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{
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{
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]
},
{
"code": "00010",
"display": "24hrs urine urea",
"definition": "24hrs urine urea",
"property": [
{
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},
{
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{
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{
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}
]
},
{
"code": "00011",
"display": "24hrs urine uric acid",
"definition": "24hrs urine uric acid",
"property": [
{
"code": "codeLoinc",
"valueCode": "25997-8"
},
{
"code": "subGroupDisplay",
"valueString": "Chemical Pathology"
},
{
"code": "subGroup",
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{
"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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{
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{
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{
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{
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},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00012",
"display": "5-Hydroxy-Indol-Acetic Acid (5-HIAA)",
"definition": "5-Hydroxy-Indol-Acetic Acid (5-HIAA)",
"property": [
{
"code": "codeLoinc",
"valueCode": "31203-3"
},
{
"code": "subGroupDisplay",
"valueString": "Chemical Pathology"
},
{
"code": "subGroup",
"valueCode": "01"
},
{
"code": "specimenTypeDisplay",
"valueString": "24hrs Urine"
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{
"code": "specimenType",
"valueCode": "003"
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
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{
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{
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{
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"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00013",
"display": "Acetaminophen",
"definition": "Acetaminophen",
"property": [
{
"code": "codeLoinc",
"valueCode": "70198-7"
},
{
"code": "subGroupDisplay",
"valueString": "Chemical Pathology"
},
{
"code": "subGroup",
"valueCode": "01"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
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{
"code": "specimenType",
"valueCode": "001"
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{
"code": "containerTypeDisplay",
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{
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{
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}
]
},
{
"code": "00014",
"display": "Acetaminophen",
"definition": "Acetaminophen",
"property": [
{
"code": "codeLoinc",
"valueCode": "3299-5"
},
{
"code": "subGroupDisplay",
"valueString": "Chemical Pathology"
},
{
"code": "subGroup",
"valueCode": "01"
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{
"code": "specimenTypeDisplay",
"valueString": "Urine"
},
{
"code": "specimenType",
"valueCode": "002"
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
"valueCode": "002"
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{
"code": "combineSample",
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{
"code": "formRequired",
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{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00015",
"display": "Acid & Alpha-Glucosidase (POMPE) blood spot",
"definition": "Acid & Alpha-Glucosidase (POMPE) blood spot",
"property": [
{
"code": "codeLoinc",
"valueCode": "55827-0"
},
{
"code": "subGroupDisplay",
"valueString": "Chemical Pathology"
},
{
"code": "subGroup",
"valueCode": "01"
},
{
"code": "specimenTypeDisplay",
"valueString": "Dried blood spot"
},
{
"code": "specimenType",
"valueCode": "004"
},
{
"code": "containerTypeDisplay",
"valueString": "Whatmann 903 Filter Paper"
},
{
"code": "containerType",
"valueCode": "004"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
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{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
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]
},
{
"code": "00016",
"display": "Adenosine Deaminase",
"definition": "Adenosine Deaminase",
"property": [
{
"code": "codeLoinc",
"valueCode": "35704-6"
},
{
"code": "subGroupDisplay",
"valueString": "Chemical Pathology"
},
{
"code": "subGroup",
"valueCode": "01"
},
{
"code": "specimenTypeDisplay",
"valueString": "Pleural Fluid"
},
{
"code": "specimenType",
"valueCode": "005"
},
{
"code": "containerTypeDisplay",
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{
"code": "containerType",
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{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00017",
"display": "Adrenocorticotropic Hormone (ACTH)",
"definition": "Adrenocorticotropic Hormone (ACTH)",
"property": [
{
"code": "codeLoinc",
"valueCode": "66732-9"
},
{
"code": "subGroupDisplay",
"valueString": "Chemical Pathology"
},
{
"code": "subGroup",
"valueCode": "01"
},
{
"code": "specimenTypeDisplay",
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},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Pre-chilled EDTA"
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{
"code": "containerType",
"valueCode": "006"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
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},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00018",
"display": "Alagille Syndrome (JAG1, JAG1Del/Dup Analysis, NOTCH2 Sequencing)",
"definition": "Alagille Syndrome (JAG1, JAG1Del/Dup Analysis, NOTCH2 Sequencing)",
"property": [
{
"code": "codeLoinc",
"valueCode": "82253-6"
},
{
"code": "subGroupDisplay",
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},
{
"code": "subGroup",
"valueCode": "01"
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{
"code": "specimenTypeDisplay",
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},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "EDTA tube"
},
{
"code": "containerType",
"valueCode": "005"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00019",
"display": "Alanine Amino Transferases (ALT/SGPT)",
"definition": "Alanine Amino Transferases (ALT/SGPT)",
"property": [
{
"code": "codeLoinc",
"valueCode": "1742-6"
},
{
"code": "subGroupDisplay",
"valueString": "Chemical Pathology"
},
{
"code": "subGroup",
"valueCode": "01"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00020",
"display": "Albumin",
"definition": "Albumin",
"property": [
{
"code": "codeLoinc",
"valueCode": "54347-0"
},
{
"code": "subGroupDisplay",
"valueString": "Chemical Pathology"
},
{
"code": "subGroup",
"valueCode": "01"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00021",
"display": "Albumin",
"definition": "Albumin",
"property": [
{
"code": "codeLoinc",
"valueCode": "1746-7"
},
{
"code": "subGroupDisplay",
"valueString": "Chemical Pathology"
},
{
"code": "subGroup",
"valueCode": "01"
},
{
"code": "specimenTypeDisplay",
"valueString": "Cerebrospinal fluid"
},
{
"code": "specimenType",
"valueCode": "006"
},
{
"code": "containerTypeDisplay",
"valueString": "Falcon tube"
},
{
"code": "containerType",
"valueCode": "007"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00022",
"display": "Albumin creatinine ratio/ index",
"definition": "Albumin creatinine ratio/ index",
"property": [
{
"code": "codeLoinc",
"valueCode": "9318-7"
},
{
"code": "subGroupDisplay",
"valueString": "Chemical Pathology"
},
{
"code": "subGroup",
"valueCode": "01"
},
{
"code": "specimenTypeDisplay",
"valueString": "Urine"
},
{
"code": "specimenType",
"valueCode": "002"
},
{
"code": "containerTypeDisplay",
"valueString": "Urine container"
},
{
"code": "containerType",
"valueCode": "002"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00023",
"display": "Alcohol (Ethanol)",
"definition": "Alcohol (Ethanol)",
"property": [
{
"code": "codeLoinc",
"valueCode": "74205-6"
},
{
"code": "subGroupDisplay",
"valueString": "Chemical Pathology"
},
{
"code": "subGroup",
"valueCode": "01"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
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},
{
"code": "00024",
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"code": "codeLoinc",
"valueCode": "74205-6"
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"code": "subGroupDisplay",
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{
"code": "subGroup",
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{
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{
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},
{
"code": "00025",
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"code": "codeLoinc",
"valueCode": "74205-6"
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{
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},
{
"code": "00026",
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"code": "codeLoinc",
"valueCode": "74205-6"
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"code": "subGroupDisplay",
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{
"code": "subGroup",
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{
"code": "specimenTypeDisplay",
"valueString": "Ocular Fluid"
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{
"code": "specimenType",
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"code": "containerTypeDisplay",
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{
"code": "containerType",
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]
},
{
"code": "00027",
"display": "Aldosterone",
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"code": "codeLoinc",
"valueCode": "14586-2"
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{
"code": "subGroupDisplay",
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"code": "subGroup",
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},
{
"code": "00028",
"display": "Alkaline phosphatase (ALP)",
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"code": "codeLoinc",
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"code": "subGroupDisplay",
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},
{
"code": "00029",
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"valueCode": "32769-2"
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"code": "subGroupDisplay",
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{
"code": "00030",
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{
"code": "00031",
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},
{
"code": "00032",
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"code": "subGroupDisplay",
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},
{
"code": "00033",
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"code": "subGroupDisplay",
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{
"code": "00034",
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"code": "subGroup",
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"code": "specimenTypeDisplay",
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"code": "00035",
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"code": "specimenTypeDisplay",
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"code": "00037",
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"code": "00038",
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"code": "00040",
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},
{
"code": "00041",
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},
{
"code": "00042",
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},
{
"code": "00046",
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]
},
{
"code": "00047",
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{
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{
"code": "00073",
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"code": "00074",
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"code": "00075",
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},
{
"code": "00077",
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{
"code": "00078",
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"code": "00079",
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"code": "00082",
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"code": "00084",
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{
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},
{
"code": "00123",
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"code": "subGroupDisplay",
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},
{
"code": "00124",
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},
{
"code": "00125",
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{
"code": "00126",
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{
"code": "00127",
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"code": "00129",
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"code": "00174",
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"code": "00177",
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"code": "00184",
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"code": "00197",
"display": "Oxalate",
"definition": "Oxalate",
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},
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{
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{
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{
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},
{
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"display": "Protein Electrophoresis",
"definition": "Protein Electrophoresis",
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{
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"code": "00222",
"display": "PTEN-Associated Disease (PTEN)",
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"code": "00224",
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"code": "00225",
"display": "Purine & Pyramidine",
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{
"code": "00226",
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{
"code": "00227",
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{
"code": "00228",
"display": "Renal Profile (RP)",
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"code": "00229",
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"code": "00236",
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},
{
"code": "combineSample",
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},
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"code": "formRequired",
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]
},
{
"code": "00271",
"display": "Zinc",
"definition": "Zinc",
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"code": "codeLoinc",
"valueCode": "34387-1"
},
{
"code": "subGroupDisplay",
"valueString": "Chemical Pathology"
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{
"code": "subGroup",
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"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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{
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]
},
{
"code": "00272",
"display": "Body / Nipple Discharge for Cytology",
"definition": "Body / Nipple Discharge for Cytology",
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"code": "codeLoinc",
"valueCode": "47522-8"
},
{
"code": "subGroupDisplay",
"valueString": "Anatomical Pathology"
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{
"code": "subGroup",
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},
{
"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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"code": "formRequired",
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]
},
{
"code": "00273",
"display": "Body Fluid for Cytology",
"definition": "Body Fluid for Cytology",
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"code": "codeLoinc",
"valueCode": "47523-6"
},
{
"code": "subGroupDisplay",
"valueString": "Anatomical Pathology"
},
{
"code": "subGroup",
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{
"code": "specimenTypeDisplay",
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{
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{
"code": "containerTypeDisplay",
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"code": "containerType",
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]
},
{
"code": "00274",
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"code": "codeLoinc",
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},
{
"code": "subGroupDisplay",
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{
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]
},
{
"code": "00275",
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"definition": "Bronchial Brushing for Cytology",
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"code": "codeLoinc",
"valueCode": "50971-1"
},
{
"code": "subGroupDisplay",
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},
{
"code": "subGroup",
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},
{
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},
{
"code": "specimenType",
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},
{
"code": "containerTypeDisplay",
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]
},
{
"code": "00276",
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},
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]
},
{
"code": "00277",
"display": "EGFR Mutation Study",
"definition": "EGFR Mutation Study",
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"code": "codeLoinc",
"valueCode": "21665-5"
},
{
"code": "subGroupDisplay",
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{
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]
},
{
"code": "00278",
"display": "HER2 In-Situ Hybridization",
"definition": "HER2 In-Situ Hybridization",
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"code": "codeLoinc",
"valueCode": "31150-6"
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{
"code": "subGroupDisplay",
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{
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},
{
"code": "00279",
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]
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{
"code": "00280",
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]
},
{
"code": "00281",
"display": "Pap Smear Liquid based",
"definition": "Pap Smear Liquid based",
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{
"code": "00282",
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},
{
"code": "00283",
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"code": "00284",
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},
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{
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{
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{
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{
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},
{
"code": "containerTypeDisplay",
"valueString": "EDTA tube"
},
{
"code": "containerType",
"valueCode": "005"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00296",
"display": "Bone Marrow Aspiration",
"definition": "Bone Marrow Aspiration",
"property": [
{
"code": "codeLoinc",
"valueCode": "48807-2"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Bone Marrow Aspirate"
},
{
"code": "specimenType",
"valueCode": "033"
},
{
"code": "containerTypeDisplay",
"valueString": "Direct Smear"
},
{
"code": "containerType",
"valueCode": "033"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00297",
"display": "Bone Marrow or Blood (Neoplasia) Chromosome Study & Leukimia FISH Analysis",
"definition": "Bone Marrow or Blood (Neoplasia) Chromosome Study & Leukimia FISH Analysis",
"property": [
{
"code": "codeLoinc",
"valueCode": "48807-2"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Bone Marrow Aspirate / Blood"
},
{
"code": "specimenType",
"valueCode": "032"
},
{
"code": "containerTypeDisplay",
"valueString": "Sodium Heparin tube"
},
{
"code": "containerType",
"valueCode": "034"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00298",
"display": "CD4 / CD8",
"definition": "CD4 / CD8",
"property": [
{
"code": "codeLoinc",
"valueCode": "17146-2"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "EDTA tube"
},
{
"code": "containerType",
"valueCode": "005"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00299",
"display": "D-Dimer",
"definition": "D-Dimer",
"property": [
{
"code": "codeLoinc",
"valueCode": "15129-0"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "3.2% trisodium citrate"
},
{
"code": "containerType",
"valueCode": "031"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00300",
"display": "Elution Test",
"definition": "Elution Test",
"property": [
{
"code": "codeLoinc",
"valueCode": "34477-0"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "EDTA tube"
},
{
"code": "containerType",
"valueCode": "005"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00301",
"display": "ESR",
"definition": "ESR",
"property": [
{
"code": "codeLoinc",
"valueCode": "30341-2"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "EDTA tube"
},
{
"code": "containerType",
"valueCode": "005"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00302",
"display": "Factor Assays (FII, FV, FVII, FVIII, FIX, FX, FXI, FXII, FXIII)",
"definition": "Factor Assays (FII, FV, FVII, FVIII, FIX, FX, FXI, FXII, FXIII)",
"property": [
{
"code": "codeLoinc",
"valueCode": "18720-3"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "3.2% trisodium citrate"
},
{
"code": "containerType",
"valueCode": "031"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00303",
"display": "Factor Inhibitor Assay",
"definition": "Factor Inhibitor Assay",
"property": [
{
"code": "codeLoinc",
"valueCode": "13591-3"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "3.2% trisodium citrate"
},
{
"code": "containerType",
"valueCode": "031"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00304",
"display": "Factor IX",
"definition": "Factor IX",
"property": [
{
"code": "codeLoinc",
"valueCode": "3187-2"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "3.2% trisodium citrate"
},
{
"code": "containerType",
"valueCode": "031"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00305",
"display": "Factor VIII",
"definition": "Factor VIII",
"property": [
{
"code": "codeLoinc",
"valueCode": "3209-4"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "3.2% trisodium citrate"
},
{
"code": "containerType",
"valueCode": "031"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00306",
"display": "Factor XII",
"definition": "Factor XII",
"property": [
{
"code": "codeLoinc",
"valueCode": "27815-0"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "3.2% trisodium citrate"
},
{
"code": "containerType",
"valueCode": "031"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00307",
"display": "Fibrinogen",
"definition": "Fibrinogen",
"property": [
{
"code": "codeLoinc",
"valueCode": "16859-1"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "3.2% trisodium citrate"
},
{
"code": "containerType",
"valueCode": "031"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00308",
"display": "FLT3-ITD Qualitative (AML: diagnosis and follow-up)",
"definition": "FLT3-ITD Qualitative (AML: diagnosis and follow-up)",
"property": [
{
"code": "codeLoinc",
"valueCode": "54447-8"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Bone Marrow Aspirate / Blood"
},
{
"code": "specimenType",
"valueCode": "032"
},
{
"code": "containerTypeDisplay",
"valueString": "EDTA tube"
},
{
"code": "containerType",
"valueCode": "005"
},
{
"code": "combineSample",
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},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00309",
"display": "Full Blood Count (FBC) / Immature platelet fraction (IPF) / Reticulocyte count",
"definition": "Full Blood Count (FBC) / Immature platelet fraction (IPF) / Reticulocyte count",
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{
"code": "codeLoinc",
"valueCode": "14196-0"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
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},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "EDTA tube"
},
{
"code": "containerType",
"valueCode": "005"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00310",
"display": "Full Blood Count (FBC) / Immature platelet fraction (IPF) / Reticulocyte count",
"definition": "Full Blood Count (FBC) / Immature platelet fraction (IPF) / Reticulocyte count",
"property": [
{
"code": "codeLoinc",
"valueCode": "14196-0"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Microtainer K2EDTA tube"
},
{
"code": "containerType",
"valueCode": "035"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00311",
"display": "Full Blood Count (FBC) / Immature platelet fraction (IPF) / Reticulocyte count",
"definition": "Full Blood Count (FBC) / Immature platelet fraction (IPF) / Reticulocyte count",
"property": [
{
"code": "codeLoinc",
"valueCode": "14196-0"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "EDTA tube MAP (pediatric infectious sample)"
},
{
"code": "containerType",
"valueCode": "036"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00312",
"display": "Full Blood Picture (FBP)",
"definition": "Full Blood Picture (FBP)",
"property": [
{
"code": "codeLoinc",
"valueCode": "58408-6"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "EDTA tube"
},
{
"code": "containerType",
"valueCode": "005"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00313",
"display": "Full Blood Picture (FBP)",
"definition": "Full Blood Picture (FBP)",
"property": [
{
"code": "codeLoinc",
"valueCode": "58408-6"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Microtainer K2EDTA tube"
},
{
"code": "containerType",
"valueCode": "035"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00314",
"display": "G6PD Assay (Quantitative)",
"definition": "G6PD Assay (Quantitative)",
"property": [
{
"code": "codeLoinc",
"valueCode": "18228-7"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "EDTA tube"
},
{
"code": "containerType",
"valueCode": "005"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00315",
"display": "G6PD Assay (Quantitative)",
"definition": "G6PD Assay (Quantitative)",
"property": [
{
"code": "codeLoinc",
"valueCode": "18228-7"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Microtainer K2EDTA tube"
},
{
"code": "containerType",
"valueCode": "035"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00316",
"display": "G6PD Screening",
"definition": "G6PD Screening",
"property": [
{
"code": "codeLoinc",
"valueCode": "18228-7"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Filter paper"
},
{
"code": "containerType",
"valueCode": "037"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00317",
"display": "G6PD Screening",
"definition": "G6PD Screening",
"property": [
{
"code": "codeLoinc",
"valueCode": "18228-7"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "EDTA tube"
},
{
"code": "containerType",
"valueCode": "005"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00318",
"display": "Hb Analysis (ABO& RhD)",
"definition": "Hb Analysis (ABO& RhD)",
"property": [
{
"code": "codeLoinc",
"valueCode": "46268-9"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "EDTA tube"
},
{
"code": "containerType",
"valueCode": "005"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00319",
"display": "Hb Analysis (ABO& RhD) (Pediatric)",
"definition": "Hb Analysis (ABO& RhD) (Pediatric)",
"property": [
{
"code": "codeLoinc",
"valueCode": "46268-9"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Microtainer K2EDTA tube"
},
{
"code": "containerType",
"valueCode": "035"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00320",
"display": "Hemophilia A Diagnosis",
"definition": "Hemophilia A Diagnosis:\n(A) Severe Hemophilia:\ni - Intron 22 inversion\nii - Intron 1 inversion\niii - Saner Sequencing of Factor VIII Gene",
"property": [
{
"code": "codeLoinc",
"valueCode": "81761-9"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
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{
"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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},
{
"code": "containerType",
"valueCode": "031"
},
{
"code": "combineSample",
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},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
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}
]
},
{
"code": "00321",
"display": "Hemophilia B Diagnosis",
"definition": "Hemophilia B Diagnosis:\ni - Full Sequencing (all 8 exons for FIX gene)\nii - Familial Mutation (only 1 exon for FIX gene)",
"property": [
{
"code": "codeLoinc",
"valueCode": "38896-7"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
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},
{
"code": "specimenTypeDisplay",
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},
{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
"valueCode": "005"
},
{
"code": "combineSample",
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},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
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}
]
},
{
"code": "00322",
"display": "Hypereosinophilia FISH Analysis (FIP1L1-PDGFRA, PDFGRB and FGFR1)",
"definition": "Hypereosinophilia FISH Analysis (FIP1L1-PDGFRA, PDFGRB and FGFR1)",
"property": [
{
"code": "codeLoinc",
"valueCode": "55297-6"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Bone Marrow Aspirate / Blood"
},
{
"code": "specimenType",
"valueCode": "032"
},
{
"code": "containerTypeDisplay",
"valueString": "Sodium Heparin tube"
},
{
"code": "containerType",
"valueCode": "034"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00323",
"display": "JAK2 and / Calreticulin",
"definition": "JAK2 and / Calreticulin",
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{
"code": "codeLoinc",
"valueCode": "80187-8"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Bone Marrow Aspirate / Blood"
},
{
"code": "specimenType",
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},
{
"code": "containerTypeDisplay",
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{
"code": "containerType",
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},
{
"code": "combineSample",
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},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00324",
"display": "Kleihaeur test",
"definition": "Kleihaeur test",
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{
"code": "codeLoinc",
"valueCode": "14276-0"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
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},
{
"code": "containerTypeDisplay",
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{
"code": "containerType",
"valueCode": "005"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
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{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00325",
"display": "Mixing Study",
"definition": "Mixing Study",
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{
"code": "codeLoinc",
"valueCode": "50008-2"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "3.2% trisodium citrate"
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{
"code": "containerType",
"valueCode": "031"
},
{
"code": "combineSample",
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},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00326",
"display": "NPM1 Qualitative (AML: Diagnosis and follow-up)",
"definition": "NPM1 Qualitative (AML: Diagnosis and follow-up)",
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{
"code": "codeLoinc",
"valueCode": "54448-6"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
"valueString": "Bone Marrow Aspirate / Blood"
},
{
"code": "specimenType",
"valueCode": "032"
},
{
"code": "containerTypeDisplay",
"valueString": "EDTA tube"
},
{
"code": "containerType",
"valueCode": "005"
},
{
"code": "combineSample",
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},
{
"code": "formRequired",
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"code": "formType",
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}
]
},
{
"code": "00327",
"display": "Osmotic Fragility Test (OFT)",
"definition": "Osmotic Fragility Test (OFT)",
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{
"code": "codeLoinc",
"valueCode": "12241-6"
},
{
"code": "subGroupDisplay",
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},
{
"code": "subGroup",
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},
{
"code": "specimenTypeDisplay",
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},
{
"code": "specimenType",
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},
{
"code": "containerTypeDisplay",
"valueString": "Lithium Heparin tube"
},
{
"code": "containerType",
"valueCode": "032"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
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}
]
},
{
"code": "00328",
"display": "Osmotic Fragility Test (OFT)",
"definition": "Osmotic Fragility Test (OFT)",
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{
"code": "codeLoinc",
"valueCode": "12241-6"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
"valueCode": "03"
},
{
"code": "specimenTypeDisplay",
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},
{
"code": "specimenType",
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},
{
"code": "containerTypeDisplay",
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{
"code": "containerType",
"valueCode": "005"
},
{
"code": "combineSample",
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},
{
"code": "formRequired",
"valueBoolean": false
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{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00329",
"display": "PML-RARA Quantitative (bcr1, bcr2 and bcr3)",
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{
"code": "codeLoinc",
"valueCode": "75011-7"
},
{
"code": "subGroupDisplay",
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},
{
"code": "subGroup",
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{
"code": "specimenTypeDisplay",
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{
"code": "specimenType",
"valueCode": "033"
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
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},
{
"code": "combineSample",
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{
"code": "formRequired",
"valueBoolean": false
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{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00330",
"display": "PT / APTT / INR",
"definition": "PT / APTT / INR",
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"code": "codeLoinc",
"valueCode": "11067-6"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
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},
{
"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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"code": "containerType",
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},
{
"code": "combineSample",
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},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
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}
]
},
{
"code": "00331",
"display": "RUNX1-RUNX1T1 Quantitative",
"definition": "RUNX1-RUNX1T1 Quantitative",
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{
"code": "codeLoinc",
"valueCode": "75013-3"
},
{
"code": "subGroupDisplay",
"valueString": "Hematology"
},
{
"code": "subGroup",
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},
{
"code": "specimenTypeDisplay",
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},
{
"code": "specimenType",
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},
{
"code": "containerTypeDisplay",
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{
"code": "containerType",
"valueCode": "005"
},
{
"code": "combineSample",
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},
{
"code": "formRequired",
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},
{
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}
]
},
{
"code": "00332",
"display": "Serum Erythropoietin (EPO)",
"definition": "Serum Erythropoietin (EPO)",
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{
"code": "codeLoinc",
"valueCode": "14714-0"
},
{
"code": "subGroupDisplay",
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},
{
"code": "subGroup",
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{
"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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},
{
"code": "containerTypeDisplay",
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{
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},
{
"code": "combineSample",
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},
{
"code": "formRequired",
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{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00333",
"display": "Sickling Test",
"definition": "Sickling Test",
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{
"code": "codeLoinc",
"valueCode": "39230-8"
},
{
"code": "subGroupDisplay",
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},
{
"code": "subGroup",
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{
"code": "specimenTypeDisplay",
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},
{
"code": "specimenType",
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"code": "containerTypeDisplay",
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{
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},
{
"code": "combineSample",
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{
"code": "formRequired",
"valueBoolean": false
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}
]
},
{
"code": "00334",
"display": "Urine Hemosiderin",
"definition": "Urine Hemosiderin",
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},
{
"code": "subGroupDisplay",
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{
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{
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{
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{
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{
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{
"code": "combineSample",
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{
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}
]
},
{
"code": "00335",
"display": "Von Willebrand Disease",
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{
"code": "formRequired",
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}
]
},
{
"code": "00336",
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},
{
"code": "subGroupDisplay",
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},
{
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},
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}
]
},
{
"code": "00337",
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"definition": "Air Sampling",
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"code": "codeLoinc",
"valueCode": "51411-7"
},
{
"code": "subGroupDisplay",
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{
"code": "subGroup",
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]
},
{
"code": "00338",
"display": "Aspergillus Antigen",
"definition": "Aspergillus Antigen",
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"valueCode": "43979-4"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
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{
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{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
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{
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}
]
},
{
"code": "00339",
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},
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{
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{
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{
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}
]
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},
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{
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{
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{
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{
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]
},
{
"code": "00341",
"display": "Bacterial Meningitis PCR",
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},
{
"code": "subGroupDisplay",
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{
"code": "subGroup",
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{
"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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{
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{
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{
"code": "combineSample",
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{
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]
},
{
"code": "00342",
"display": "Biopsy Culture & Sensitivity",
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},
{
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]
},
{
"code": "00343",
"display": "Blood Culture & Sensitivity ( Fungal)",
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},
{
"code": "subGroupDisplay",
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{
"code": "subGroup",
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{
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{
"code": "specimenType",
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{
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{
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{
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{
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]
},
{
"code": "00344",
"display": "Blood Culture & Sensitivity (Aerobic)",
"definition": "Blood Culture & Sensitivity (Aerobic)",
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},
{
"code": "subGroupDisplay",
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{
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{
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},
{
"code": "specimenType",
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{
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{
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{
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{
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{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00345",
"display": "Blood Culture & Sensitivity (Anaerobic)",
"definition": "Blood Culture & Sensitivity (Anaerobic)",
"property": [
{
"code": "codeLoinc",
"valueCode": "17934-1"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Anaerobic blood bottle"
},
{
"code": "containerType",
"valueCode": "043"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00346",
"display": "Blood Culture & Sensitivity (MTB)",
"definition": "Blood Culture & Sensitivity (MTB)",
"property": [
{
"code": "codeLoinc",
"valueCode": "533-0"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Myco F Lytic blood bottle"
},
{
"code": "containerType",
"valueCode": "041"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00347",
"display": "Blood Culture & Sensitivity (Pediatric)",
"definition": "Blood Culture & Sensitivity (Pediatric)",
"property": [
{
"code": "codeLoinc",
"valueCode": "6463-4"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Pediatric blood bottle"
},
{
"code": "containerType",
"valueCode": "044"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00348",
"display": "Blood Film Filariasis Parasites",
"definition": "Blood Film Filariasis Parasites",
"property": [
{
"code": "codeLoinc",
"valueCode": "10710-2"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Thick film"
},
{
"code": "containerType",
"valueCode": "045"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00349",
"display": "Blood Film Malaria Parasites (BFMP) Thick",
"definition": "Blood Film Malaria Parasites (BFMP) Thick",
"property": [
{
"code": "codeLoinc",
"valueCode": "10663-3"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Thick film"
},
{
"code": "containerType",
"valueCode": "045"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00350",
"display": "Blood Film Malaria Parasites (BFMP) Thin",
"definition": "Blood Film Malaria Parasites (BFMP) Thin",
"property": [
{
"code": "codeLoinc",
"valueCode": "10664-1"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Thin film"
},
{
"code": "containerType",
"valueCode": "046"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00351",
"display": "Body Fluid Culture & Sensitivity",
"definition": "Body Fluid Culture & Sensitivity",
"property": [
{
"code": "codeLoinc",
"valueCode": "636-1"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Pleural fluid, Peritoneal fluid, Broncho-alveolar lavage, Gastric lavage, Ascites fluid, Pericardial fluid, Dialysate, Synovial/joint fluid"
},
{
"code": "specimenType",
"valueCode": "039"
},
{
"code": "containerTypeDisplay",
"valueString": "Sterile container"
},
{
"code": "containerType",
"valueCode": "025"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00352",
"display": "Bone Culture & Sensitivity",
"definition": "Bone Culture & Sensitivity",
"property": [
{
"code": "codeLoinc",
"valueCode": "75358-2"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Bone"
},
{
"code": "specimenType",
"valueCode": "040"
},
{
"code": "containerTypeDisplay",
"valueString": "Sterile container"
},
{
"code": "containerType",
"valueCode": "025"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00353",
"display": "Bordetella Pertussis PCR",
"definition": "Bordetella Pertussis PCR",
"property": [
{
"code": "codeLoinc",
"valueCode": "48741-3"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Nasopharyngeal aspirate"
},
{
"code": "specimenType",
"valueCode": "041"
},
{
"code": "containerTypeDisplay",
"valueString": "Sterile container / Falcon tube"
},
{
"code": "containerType",
"valueCode": "040"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00354",
"display": "Brucella PCR",
"definition": "Brucella PCR",
"property": [
{
"code": "codeLoinc",
"valueCode": "551-2"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "EDTA tube"
},
{
"code": "containerType",
"valueCode": "005"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00355",
"display": "Cerebrospinal Fluid (CSF) Culture & Sensitivity",
"definition": "Cerebrospinal Fluid (CSF) Culture & Sensitivity",
"property": [
{
"code": "codeLoinc",
"valueCode": "606-4"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Cerebrospinal fluid"
},
{
"code": "specimenType",
"valueCode": "006"
},
{
"code": "containerTypeDisplay",
"valueString": "Sterile container"
},
{
"code": "containerType",
"valueCode": "025"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00356",
"display": "Clostridium Difficile Toxin",
"definition": "Clostridium Difficile Toxin",
"property": [
{
"code": "codeLoinc",
"valueCode": "34713-8"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Stool"
},
{
"code": "specimenType",
"valueCode": "014"
},
{
"code": "containerTypeDisplay",
"valueString": "Sterile container"
},
{
"code": "containerType",
"valueCode": "025"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00357",
"display": "Cryptosporidium/ Isopora/ Microsporidium",
"definition": "Cryptosporidium/ Isopora/ Microsporidium",
"property": [
{
"code": "codeLoinc",
"valueCode": "20781-1"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Stool"
},
{
"code": "specimenType",
"valueCode": "014"
},
{
"code": "containerTypeDisplay",
"valueString": "Sterile container"
},
{
"code": "containerType",
"valueCode": "025"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00358",
"display": "Ear Swab Culture & Sensitivity",
"definition": "Ear Swab Culture & Sensitivity",
"property": [
{
"code": "codeLoinc",
"valueCode": "608-0"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Pus"
},
{
"code": "specimenType",
"valueCode": "043"
},
{
"code": "containerTypeDisplay",
"valueString": "Charcoal/ Stuart transport medium"
},
{
"code": "containerType",
"valueCode": "047"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00359",
"display": "Eye Swab Culture & Sensitivity",
"definition": "Eye Swab Culture & Sensitivity",
"property": [
{
"code": "codeLoinc",
"valueCode": "74816-0"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Eye swab"
},
{
"code": "specimenType",
"valueCode": "045"
},
{
"code": "containerTypeDisplay",
"valueString": "Charcoal/ Stuart transport medium"
},
{
"code": "containerType",
"valueCode": "047"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00360",
"display": "Fungal Culture",
"definition": "Fungal Culture",
"property": [
{
"code": "codeLoinc",
"valueCode": "42805-2"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Tissue, Hair, Nail, Skin, Sputum, Fluid, Urine, Corneal scraping, Dialysate, Cerebrospinal fluid, bronchial lavage, tissue, bone marrow (trephine), sinus aspirate"
},
{
"code": "specimenType",
"valueCode": "046"
},
{
"code": "containerTypeDisplay",
"valueString": "Sterile container"
},
{
"code": "containerType",
"valueCode": "025"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00361",
"display": "Fungal Identification",
"definition": "Fungal Identification",
"property": [
{
"code": "codeLoinc",
"valueCode": "613-0"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Isolate from culture plate"
},
{
"code": "specimenType",
"valueCode": "047"
},
{
"code": "containerTypeDisplay",
"valueString": "NA Slant/ Culture plate"
},
{
"code": "containerType",
"valueCode": "039"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00362",
"display": "Fungal PCR",
"definition": "Fungal PCR",
"property": [
{
"code": "codeLoinc",
"valueCode": "601-5"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "EDTA tube"
},
{
"code": "containerType",
"valueCode": "005"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00363",
"display": "Genital Female Culture & Sensitivity",
"definition": "Genital Female Culture & Sensitivity",
"property": [
{
"code": "codeLoinc",
"valueCode": "10354-9"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "High vaginal swab, Vaginal swab, Endocervical swab"
},
{
"code": "specimenType",
"valueCode": "048"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain sterile swab"
},
{
"code": "containerType",
"valueCode": "049"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00364",
"display": "Genital Male Culture & Sensitivity",
"definition": "Genital Male Culture & Sensitivity",
"property": [
{
"code": "codeLoinc",
"valueCode": "10354-9"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Urethral swab"
},
{
"code": "specimenType",
"valueCode": "049"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain sterile swab"
},
{
"code": "containerType",
"valueCode": "049"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00365",
"display": "Genital Male Culture & Sensitivity",
"definition": "Genital Male Culture & Sensitivity",
"property": [
{
"code": "codeLoinc",
"valueCode": "10354-9"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Urethral swab"
},
{
"code": "specimenType",
"valueCode": "049"
},
{
"code": "containerTypeDisplay",
"valueString": "Charcoal/ Stuart transport medium"
},
{
"code": "containerType",
"valueCode": "047"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00366",
"display": "Legionella Antigen Detection",
"definition": "Legionella Antigen Detection",
"property": [
{
"code": "codeLoinc",
"valueCode": "41499-5"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Urine"
},
{
"code": "specimenType",
"valueCode": "002"
},
{
"code": "containerTypeDisplay",
"valueString": "Sterile container"
},
{
"code": "containerType",
"valueCode": "025"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00367",
"display": "Malaria PCR",
"definition": "Malaria PCR",
"property": [
{
"code": "codeLoinc",
"valueCode": "9671-9"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "EDTA tube"
},
{
"code": "containerType",
"valueCode": "005"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00368",
"display": "Mycobacterium (MTB) Culture & Sensitivity",
"definition": "Mycobacterium (MTB) Culture & Sensitivity",
"property": [
{
"code": "codeLoinc",
"valueCode": "535-5"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Sputum, Pus, Urine, Aspirate, Gastric lavage, Dialysate, ETT, Body fluid"
},
{
"code": "specimenType",
"valueCode": "035"
},
{
"code": "containerTypeDisplay",
"valueString": "Sterile container"
},
{
"code": "containerType",
"valueCode": "025"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00369",
"display": "Mycobacterium (MTB) Culture & Sensitivity",
"definition": "Mycobacterium (MTB) Culture & Sensitivity",
"property": [
{
"code": "codeLoinc",
"valueCode": "543-9"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Bone"
},
{
"code": "specimenType",
"valueCode": "040"
},
{
"code": "containerTypeDisplay",
"valueString": "Sterile container"
},
{
"code": "containerType",
"valueCode": "025"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00370",
"display": "Mycobacterium (MTB) Culture & Sensitivity",
"definition": "Mycobacterium (MTB) Culture & Sensitivity",
"property": [
{
"code": "codeLoinc",
"valueCode": "540-5"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Tissue, slough, skin"
},
{
"code": "specimenType",
"valueCode": "050"
},
{
"code": "containerTypeDisplay",
"valueString": "Sterile container"
},
{
"code": "containerType",
"valueCode": "025"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00371",
"display": "Mycobacterium (MTB) Culture & Sensitivity",
"definition": "Mycobacterium (MTB) Culture & Sensitivity",
"property": [
{
"code": "codeLoinc",
"valueCode": "536-3"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Bone marrow (trephine)"
},
{
"code": "specimenType",
"valueCode": "051"
},
{
"code": "containerTypeDisplay",
"valueString": "Sterile container"
},
{
"code": "containerType",
"valueCode": "025"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00372",
"display": "Mycobacterium (MTB) Culture & Sensitivity (BACTEC)",
"definition": "Mycobacterium (MTB) Culture & Sensitivity (BACTEC)",
"property": [
{
"code": "codeLoinc",
"valueCode": "533-0"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "blood, dialysate, bone marrow"
},
{
"code": "specimenType",
"valueCode": "052"
},
{
"code": "containerTypeDisplay",
"valueString": "Myco F Lytic BACTEC bottle"
},
{
"code": "containerType",
"valueCode": "050"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00373",
"display": "Respiratory Culture & Sensitivity",
"definition": "Respiratory Culture & Sensitivity",
"property": [
{
"code": "codeLoinc",
"valueCode": "624-7"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Sputum / Endotracheal secretion"
},
{
"code": "specimenType",
"valueCode": "055"
},
{
"code": "containerTypeDisplay",
"valueString": "Sterile container"
},
{
"code": "containerType",
"valueCode": "025"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00374",
"display": "Stool Culture & Sensitivity (Salmonella, Shigella, Vibrio cholerae)",
"definition": "Stool Culture & Sensitivity (Salmonella, Shigella, Vibrio cholerae)",
"property": [
{
"code": "codeLoinc",
"valueCode": "625-4"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Stool"
},
{
"code": "specimenType",
"valueCode": "014"
},
{
"code": "containerTypeDisplay",
"valueString": "Sterile container"
},
{
"code": "containerType",
"valueCode": "025"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00375",
"display": "Stool for Giardia",
"definition": "Stool for Giardia",
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{
"code": "codeLoinc",
"valueCode": "27265-8"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Stool"
},
{
"code": "specimenType",
"valueCode": "014"
},
{
"code": "containerTypeDisplay",
"valueString": "Sterile container"
},
{
"code": "containerType",
"valueCode": "025"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00376",
"display": "Stool for Ova & Cyst",
"definition": "Stool for Ova & Cyst",
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{
"code": "codeLoinc",
"valueCode": "32357-6"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Stool"
},
{
"code": "specimenType",
"valueCode": "014"
},
{
"code": "containerTypeDisplay",
"valueString": "Sterile container"
},
{
"code": "containerType",
"valueCode": "025"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00377",
"display": "Stool for Rotavirus/ Adenovirus Antigen",
"definition": "Stool for Rotavirus/ Adenovirus Antigen",
"property": [
{
"code": "codeLoinc",
"valueCode": "5880-0"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Stool"
},
{
"code": "specimenType",
"valueCode": "014"
},
{
"code": "containerTypeDisplay",
"valueString": "Sterile container"
},
{
"code": "containerType",
"valueCode": "025"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00378",
"display": "Streptococcus Pneumoniae Antigen Detection",
"definition": "Streptococcus Pneumoniae Antigen Detection",
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{
"code": "codeLoinc",
"valueCode": "24027-5"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Urine"
},
{
"code": "specimenType",
"valueCode": "002"
},
{
"code": "containerTypeDisplay",
"valueString": "Sterile container"
},
{
"code": "containerType",
"valueCode": "025"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00379",
"display": "Throat Swab Culture & Sensitivity",
"definition": "Throat Swab Culture & Sensitivity",
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{
"code": "codeLoinc",
"valueCode": "43214-6"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Throat swab"
},
{
"code": "specimenType",
"valueCode": "056"
},
{
"code": "containerTypeDisplay",
"valueString": "Charcoal/ Stuart transport medium"
},
{
"code": "containerType",
"valueCode": "047"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00380",
"display": "Tissue Culture & Sensitivity (Aerobic)",
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{
"code": "codeLoinc",
"valueCode": "627-0"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
"valueCode": "04"
},
{
"code": "specimenTypeDisplay",
"valueString": "Tissue (Aerobic)"
},
{
"code": "specimenType",
"valueCode": "060"
},
{
"code": "containerTypeDisplay",
"valueString": "Stuart transport medium"
},
{
"code": "containerType",
"valueCode": "052"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00381",
"display": "Tissue Culture & Sensitivity (Anaerobic)",
"definition": "Tissue Culture & Sensitivity (Anaerobic)",
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{
"code": "codeLoinc",
"valueCode": "628-8"
},
{
"code": "subGroupDisplay",
"valueString": "Bacteriology"
},
{
"code": "subGroup",
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},
{
"code": "specimenTypeDisplay",
"valueString": "Tissue (Anaerobic)"
},
{
"code": "specimenType",
"valueCode": "061"
},
{
"code": "containerTypeDisplay",
"valueString": "Thioglycolate transport medium"
},
{
"code": "containerType",
"valueCode": "053"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
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}
]
},
{
"code": "00382",
"display": "Tissue Culture & Sensitivity (Tissue)",
"definition": "Tissue Culture & Sensitivity (Tissue)",
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{
"code": "codeLoinc",
"valueCode": "43408-4"
},
{
"code": "subGroupDisplay",
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},
{
"code": "subGroup",
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},
{
"code": "specimenTypeDisplay",
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},
{
"code": "specimenType",
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},
{
"code": "containerTypeDisplay",
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},
{
"code": "containerType",
"valueCode": "025"
},
{
"code": "combineSample",
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},
{
"code": "formRequired",
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},
{
"code": "formType",
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}
]
},
{
"code": "00383",
"display": "Urine Culture & Sensitivity",
"definition": "Urine Culture & Sensitivity",
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{
"code": "codeLoinc",
"valueCode": "630-4"
},
{
"code": "subGroupDisplay",
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},
{
"code": "subGroup",
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},
{
"code": "specimenTypeDisplay",
"valueString": "Urine"
},
{
"code": "specimenType",
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},
{
"code": "containerTypeDisplay",
"valueString": "Sterile container / boric acid"
},
{
"code": "containerType",
"valueCode": "054"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00384",
"display": "Urine FEME",
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{
"code": "codeLoinc",
"valueCode": "72375-9"
},
{
"code": "subGroupDisplay",
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},
{
"code": "subGroup",
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{
"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
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},
{
"code": "combineSample",
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},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00385",
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{
"code": "codeLoinc",
"valueCode": "53645-8"
},
{
"code": "subGroupDisplay",
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{
"code": "subGroup",
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},
{
"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
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},
{
"code": "combineSample",
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},
{
"code": "formRequired",
"valueBoolean": false
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{
"code": "formType",
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}
]
},
{
"code": "00386",
"display": "Adenovirus PCR",
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{
"code": "codeLoinc",
"valueCode": "66721-2"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
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},
{
"code": "specimenTypeDisplay",
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},
{
"code": "specimenType",
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},
{
"code": "containerTypeDisplay",
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},
{
"code": "containerType",
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},
{
"code": "combineSample",
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},
{
"code": "formRequired",
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},
{
"code": "formType",
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}
]
},
{
"code": "00387",
"display": "Amoebiasis Serology",
"definition": "Amoebiasis Serology",
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{
"code": "codeLoinc",
"valueCode": "6594-6"
},
{
"code": "subGroupDisplay",
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},
{
"code": "subGroup",
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},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
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},
{
"code": "containerTypeDisplay",
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},
{
"code": "containerType",
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},
{
"code": "combineSample",
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{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
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}
]
},
{
"code": "00388",
"display": "Anti ds-DNA",
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{
"code": "codeLoinc",
"valueCode": "5130-0"
},
{
"code": "subGroupDisplay",
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},
{
"code": "subGroup",
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},
{
"code": "specimenTypeDisplay",
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},
{
"code": "specimenType",
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},
{
"code": "containerTypeDisplay",
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},
{
"code": "containerType",
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},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00389",
"display": "Anti-Acetylcholine Receptor (ACR)",
"definition": "Anti-Acetylcholine Receptor (ACR)",
"property": [
{
"code": "codeLoinc",
"valueCode": "20427-1"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
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},
{
"code": "specimenTypeDisplay",
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},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
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},
{
"code": "containerType",
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},
{
"code": "combineSample",
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},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
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}
]
},
{
"code": "00390",
"display": "Anti-Aquaporin 4 (AQ4) / Cytokines (IL6)",
"definition": "Anti-Aquaporin 4 (AQ4) / Cytokines (IL6)",
"property": [
{
"code": "codeLoinc",
"valueCode": "61117-8"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00391",
"display": "Anti-Aquaporin 4 (AQ4) / Cytokines (IL6)",
"definition": "Anti-Aquaporin 4 (AQ4) / Cytokines (IL6)",
"property": [
{
"code": "codeLoinc",
"valueCode": "46718-3"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Cerebrospinal fluid"
},
{
"code": "specimenType",
"valueCode": "006"
},
{
"code": "containerTypeDisplay",
"valueString": "Falcon tube"
},
{
"code": "containerType",
"valueCode": "007"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00392",
"display": "Anti-Cardiolipin Antibody (ACL)",
"definition": "Anti-Cardiolipin Antibody (ACL)",
"property": [
{
"code": "codeLoinc",
"valueCode": "45057-7"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00393",
"display": "Anti-Ganglioside Antibodies:\n(Gullain-Barre Syndrome)",
"definition": "Anti-Ganglioside Antibodies:\n(Gullain-Barre Syndrome)\ni - Anti-GM1\nii - Anti-GM2\niii - Anti-GM3\niv - Anti-GM4\nv - Anti-GD1a\nvi - Anti-GD1b\nvii - Anti-GD2\nviii - Anti-GD3\nix - Anti-GT 1a\nx - Anti-GT 1\nxi - Anti-GQ1b",
"property": [
{
"code": "codeLoinc",
"valueCode": "82455-7"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00394",
"display": "Anti-Ganglioside Antibodies:\n(Gullain-Barre Syndrome)",
"definition": "Anti-Ganglioside Antibodies:\n(Gullain-Barre Syndrome)\ni - Anti-GM1\nii - Anti-GM2\niii - Anti-GM3\niv - Anti-GM4\nv - Anti-GD1a\nvi - Anti-GD1b\nvii - Anti-GD2\nviii - Anti-GD3\nix - Anti-GT 1a\nx - Anti-GT 1\nxi - Anti-GQ1b",
"property": [
{
"code": "codeLoinc",
"valueCode": "58969-7"
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{
"code": "subGroupDisplay",
"valueString": "Serology"
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{
"code": "subGroup",
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{
"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
"valueCode": "007"
},
{
"code": "combineSample",
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},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
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}
]
},
{
"code": "00395",
"display": "Anti-Glomerular Basement Membrane (GBM)",
"definition": "Anti-Glomerular Basement Membrane (GBM)",
"property": [
{
"code": "codeLoinc",
"valueCode": "51980-1"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
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},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00396",
"display": "Anti-Intrinsic Factor",
"definition": "Anti-Intrinsic Factor",
"property": [
{
"code": "codeLoinc",
"valueCode": "11564-2"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00397",
"display": "Anti-MI-2 Antibody",
"definition": "Anti-MI-2 Antibody",
"property": [
{
"code": "codeLoinc",
"valueCode": "56637-2"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00398",
"display": "Anti-Neutrophil Cystoplasmic Antibodies (Anti-MPO/ Anti-PR3/ C-ANCA/ P-ANCA)",
"definition": "Anti-Neutrophil Cystoplasmic Antibodies (Anti-MPO/ Anti-PR3/ C-ANCA/ P-ANCA)",
"property": [
{
"code": "codeLoinc",
"valueCode": "5128-4"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00399",
"display": "Anti-Nuclear Antibody (ANA)",
"definition": "Anti-Nuclear Antibody (ANA)",
"property": [
{
"code": "codeLoinc",
"valueCode": "27200-5"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
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{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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},
{
"code": "containerTypeDisplay",
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{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
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{
"code": "formType",
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}
]
},
{
"code": "00400",
"display": "Anti-Streptolysin O Titre (ASOT)",
"definition": "Anti-Streptolysin O Titre (ASOT)",
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{
"code": "codeLoinc",
"valueCode": "22568-0"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
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},
{
"code": "containerTypeDisplay",
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{
"code": "containerType",
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},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
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}
]
},
{
"code": "00401",
"display": "Avian Influenza (H5/H7/H9)",
"definition": "Avian Influenza (H5/H7/H9)",
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{
"code": "codeLoinc",
"valueCode": "43874-7"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
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},
{
"code": "specimenType",
"valueCode": "063"
},
{
"code": "containerTypeDisplay",
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{
"code": "containerType",
"valueCode": "025"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00402",
"display": "Beta-2-Glycoprotein IgG/ IgM Antibodies",
"definition": "Beta-2-Glycoprotein IgG/ IgM Antibodies",
"property": [
{
"code": "codeLoinc",
"valueCode": "16135-6"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
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},
{
"code": "containerTypeDisplay",
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{
"code": "containerType",
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{
"code": "combineSample",
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{
"code": "formRequired",
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{
"code": "formType",
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}
]
},
{
"code": "00403",
"display": "BK Virus Genome Detection",
"definition": "BK Virus Genome Detection",
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{
"code": "codeLoinc",
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},
{
"code": "subGroupDisplay",
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},
{
"code": "subGroup",
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{
"code": "specimenTypeDisplay",
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},
{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
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},
{
"code": "combineSample",
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{
"code": "formRequired",
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},
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"code": "formType",
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]
},
{
"code": "00404",
"display": "BK Virus Genome Detection",
"definition": "BK Virus Genome Detection",
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{
"code": "codeLoinc",
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},
{
"code": "subGroupDisplay",
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{
"code": "subGroup",
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{
"code": "specimenTypeDisplay",
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{
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{
"code": "containerTypeDisplay",
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{
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]
},
{
"code": "00405",
"display": "Borrelia Burgdorferi Serology (LYME Disease)",
"definition": "Borrelia Burgdorferi Serology (LYME Disease)",
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{
"code": "codeLoinc",
"valueCode": "6322-2"
},
{
"code": "subGroupDisplay",
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},
{
"code": "subGroup",
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},
{
"code": "specimenTypeDisplay",
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},
{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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},
{
"code": "containerType",
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{
"code": "combineSample",
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{
"code": "formRequired",
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"code": "formType",
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]
},
{
"code": "00406",
"display": "Brucella Serology",
"definition": "Brucella Serology",
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{
"code": "codeLoinc",
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},
{
"code": "subGroupDisplay",
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{
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{
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]
},
{
"code": "00407",
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{
"code": "subGroupDisplay",
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]
},
{
"code": "00408",
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"code": "formRequired",
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]
},
{
"code": "00409",
"display": "Chlamydia Serology",
"definition": "Chlamydia Serology",
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{
"code": "codeLoinc",
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},
{
"code": "subGroupDisplay",
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]
},
{
"code": "00410",
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{
"code": "codeLoinc",
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{
"code": "subGroupDisplay",
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]
},
{
"code": "00411",
"display": "CMV Culture",
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"code": "codeLoinc",
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},
{
"code": "subGroupDisplay",
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{
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{
"code": "specimenTypeDisplay",
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]
},
{
"code": "00412",
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{
"code": "subGroupDisplay",
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{
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"code": "formRequired",
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}
]
},
{
"code": "00413",
"display": "CMV DNA Genome Detection",
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"code": "codeLoinc",
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},
{
"code": "subGroupDisplay",
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{
"code": "subGroup",
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{
"code": "specimenTypeDisplay",
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{
"code": "containerTypeDisplay",
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"code": "formRequired",
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]
},
{
"code": "00414",
"display": "CMV DNA Genome Detection",
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"code": "codeLoinc",
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},
{
"code": "subGroupDisplay",
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{
"code": "subGroup",
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{
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{
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]
},
{
"code": "00415",
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{
"code": "subGroupDisplay",
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{
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{
"code": "specimenTypeDisplay",
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{
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"code": "containerTypeDisplay",
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{
"code": "containerType",
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},
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"code": "combineSample",
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{
"code": "formRequired",
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{
"code": "formType",
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}
]
},
{
"code": "00416",
"display": "CMV IgG",
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"code": "codeLoinc",
"valueCode": "13225-8"
},
{
"code": "subGroupDisplay",
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{
"code": "subGroup",
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{
"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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{
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{
"code": "combineSample",
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{
"code": "formRequired",
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]
},
{
"code": "00417",
"display": "CMV IgM",
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"code": "codeLoinc",
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},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
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{
"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
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},
{
"code": "combineSample",
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{
"code": "formRequired",
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{
"code": "formType",
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]
},
{
"code": "00418",
"display": "Coeliac Antibodies",
"definition": "Coeliac Antibodies:\ni - Anti-Endomysium\nii - Anti-Gliadin\niii - Anti-Tissue Transglutaminase",
"property": [
{
"code": "codeLoinc",
"valueCode": "13092-2; 7893-1; 53023-8"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00419",
"display": "Cryptococcal Antigen",
"definition": "Cryptococcal Antigen",
"property": [
{
"code": "codeLoinc",
"valueCode": "31790-9"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00420",
"display": "Cryptococcal Antigen",
"definition": "Cryptococcal Antigen",
"property": [
{
"code": "codeLoinc",
"valueCode": "46964-3"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Cerebrospinal fluid"
},
{
"code": "specimenType",
"valueCode": "006"
},
{
"code": "containerTypeDisplay",
"valueString": "Sterile container"
},
{
"code": "containerType",
"valueCode": "025"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00421",
"display": "Cyclic Citrulinated Peptide Antibodies",
"definition": "Cyclic Citrulinated Peptide Antibodies",
"property": [
{
"code": "codeLoinc",
"valueCode": "53027-9"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00422",
"display": "Cysticercosis / Taeniasis",
"definition": "Cysticercosis / Taeniasis",
"property": [
{
"code": "codeLoinc",
"valueCode": "88912-1"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube / EDTA tube"
},
{
"code": "containerType",
"valueCode": "017"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00423",
"display": "Dengue IgG",
"definition": "Dengue IgG",
"property": [
{
"code": "codeLoinc",
"valueCode": "23958-2"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00424",
"display": "Dengue IgG & IgM",
"definition": "Dengue IgG & IgM",
"property": [
{
"code": "codeLoinc",
"valueCode": "51785-4"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00425",
"display": "Dengue IgM",
"definition": "Dengue IgM",
"property": [
{
"code": "codeLoinc",
"valueCode": "23968-1"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00426",
"display": "Dengue NS-1",
"definition": "Dengue NS-1",
"property": [
{
"code": "codeLoinc",
"valueCode": "75377-2"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00427",
"display": "Dengue PCR",
"definition": "Dengue PCR",
"property": [
{
"code": "codeLoinc",
"valueCode": "88203-5"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00428",
"display": "Dengue PCR",
"definition": "Dengue PCR",
"property": [
{
"code": "codeLoinc",
"valueCode": "77958-7"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Cerebrospinal fluid"
},
{
"code": "specimenType",
"valueCode": "006"
},
{
"code": "containerTypeDisplay",
"valueString": "Falcon tube"
},
{
"code": "containerType",
"valueCode": "007"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00429",
"display": "Dengue PCR",
"definition": "Dengue PCR",
"property": [
{
"code": "codeLoinc",
"valueCode": "6387-5"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Organ biopsies"
},
{
"code": "specimenType",
"valueCode": "065"
},
{
"code": "containerTypeDisplay",
"valueString": "Viral Transport Medium"
},
{
"code": "containerType",
"valueCode": "056"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00430",
"display": "Dengue Rapid Test",
"definition": "Dengue Rapid Test",
"property": [
{
"code": "codeLoinc",
"valueCode": "31798-2"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00431",
"display": "Dengue Serotyping",
"definition": "Dengue Serotyping",
"property": [
{
"code": "codeLoinc",
"valueCode": "81150-5"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00432",
"display": "Dengue Serotyping",
"definition": "Dengue Serotyping",
"property": [
{
"code": "codeLoinc",
"valueCode": "87440-4"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Organ biopsies"
},
{
"code": "specimenType",
"valueCode": "065"
},
{
"code": "containerTypeDisplay",
"valueString": "Viral Transport Medium"
},
{
"code": "containerType",
"valueCode": "056"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00433",
"display": "EBOLA Virus PCR",
"definition": "EBOLA Virus PCR",
"property": [
{
"code": "codeLoinc",
"valueCode": "86518-8"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00434",
"display": "EBV DNA Genome Detection",
"definition": "EBV DNA Genome Detection",
"property": [
{
"code": "codeLoinc",
"valueCode": "5002-1"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "EDTA tube"
},
{
"code": "containerType",
"valueCode": "005"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00435",
"display": "EBV DNA Genome Detection",
"definition": "EBV DNA Genome Detection",
"property": [
{
"code": "codeLoinc",
"valueCode": "23858-4"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Cerebrospinal fluid"
},
{
"code": "specimenType",
"valueCode": "006"
},
{
"code": "containerTypeDisplay",
"valueString": "Falcon tube"
},
{
"code": "containerType",
"valueCode": "007"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00436",
"display": "Echinococcosis Serology (Hydatid Disease)",
"definition": "Echinococcosis Serology (Hydatid Disease)",
"property": [
{
"code": "codeLoinc",
"valueCode": "6391-7"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00437",
"display": "Enterovirus Culture",
"definition": "Enterovirus Culture",
"property": [
{
"code": "codeLoinc",
"valueCode": "5842-0"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Stool"
},
{
"code": "specimenType",
"valueCode": "014"
},
{
"code": "containerTypeDisplay",
"valueString": "Sterile container"
},
{
"code": "containerType",
"valueCode": "025"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00438",
"display": "Enterovirus Culture",
"definition": "Enterovirus Culture",
"property": [
{
"code": "codeLoinc",
"valueCode": "5843-8"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Rectal swab, vesicle swab, throat swab, ulcer swab"
},
{
"code": "specimenType",
"valueCode": "066"
},
{
"code": "containerTypeDisplay",
"valueString": "Viral Transport Medium"
},
{
"code": "containerType",
"valueCode": "056"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00439",
"display": "Enterovirus Culture",
"definition": "Enterovirus Culture",
"property": [
{
"code": "codeLoinc",
"valueCode": "5839-6"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Cerebrospinal fluid, pleural fluid"
},
{
"code": "specimenType",
"valueCode": "067"
},
{
"code": "containerTypeDisplay",
"valueString": "Falcon tube"
},
{
"code": "containerType",
"valueCode": "007"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00440",
"display": "Enterovirus Culture",
"definition": "Enterovirus Culture",
"property": [
{
"code": "codeLoinc",
"valueCode": "76632-9"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00441",
"display": "Enterovirus Culture",
"definition": "Enterovirus Culture",
"property": [
{
"code": "codeLoinc",
"valueCode": "43364-9"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Organ biopsies"
},
{
"code": "specimenType",
"valueCode": "065"
},
{
"code": "containerTypeDisplay",
"valueString": "Viral Transport Medium"
},
{
"code": "containerType",
"valueCode": "056"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00442",
"display": "Epstein-Barr Virus (EBV) IgG/ IgM",
"definition": "Epstein-Barr Virus (EBV) IgG/ IgM",
"property": [
{
"code": "codeLoinc",
"valueCode": "24316-2"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "00443",
"display": "Extractable Nuclear Antibody (ENA)",
"definition": "Extractable Nuclear Antibody (ENA):\ni - Anti-Centromere\nii - Anti- Jo1\niii - Anti-Ribosomal P\niv - Anti-RNP\nv - Anti-Ro52\nvi - Anti-Ro60\nvii - Anti-Scl70\nviii - Anti SSB",
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"code": "subGroupDisplay",
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"code": "subGroup",
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
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"code": "combineSample",
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},
{
"code": "00444",
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"code": "codeLoinc",
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"code": "subGroupDisplay",
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{
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{
"code": "containerTypeDisplay",
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"code": "combineSample",
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"code": "formRequired",
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]
},
{
"code": "00446",
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{
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{
"code": "specimenType",
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]
},
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"code": "00447",
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]
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"code": "00450",
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]
},
{
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]
},
{
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]
},
{
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]
},
{
"code": "00454",
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]
},
{
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]
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]
},
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]
},
{
"code": "00462",
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]
},
{
"code": "00466",
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{
"code": "00467",
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{
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"valueCode": "007"
},
{
"code": "combineSample",
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},
{
"code": "formRequired",
"valueBoolean": false
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{
"code": "formType",
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]
},
{
"code": "00518",
"display": "Respiratory Virus Screening (RVS)",
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{
"code": "codeLoinc",
"valueCode": "5876-8"
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{
"code": "subGroupDisplay",
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{
"code": "subGroup",
"valueCode": "05"
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{
"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
"valueCode": "056"
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{
"code": "combineSample",
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{
"code": "formRequired",
"valueBoolean": false
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"code": "formType",
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]
},
{
"code": "00519",
"display": "Rheumatoid factor (RF)",
"definition": "Rheumatoid factor (RF)",
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{
"code": "codeLoinc",
"valueCode": "31046-6"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
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{
"code": "subGroup",
"valueCode": "05"
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{
"code": "specimenTypeDisplay",
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{
"code": "specimenType",
"valueCode": "037"
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{
"code": "containerTypeDisplay",
"valueString": "Falcon tube"
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{
"code": "containerType",
"valueCode": "007"
},
{
"code": "combineSample",
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{
"code": "formRequired",
"valueBoolean": false
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"code": "formType",
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]
},
{
"code": "00520",
"display": "Rheumatoid factor (RF)",
"definition": "Rheumatoid factor (RF)",
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{
"code": "codeLoinc",
"valueCode": "33910-1"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
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{
"code": "subGroup",
"valueCode": "05"
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{
"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
"valueCode": "001"
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{
"code": "combineSample",
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{
"code": "formRequired",
"valueBoolean": false
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"code": "formType",
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]
},
{
"code": "00521",
"display": "Rickettsia PCR",
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"code": "codeLoinc",
"valueCode": "53608-6"
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{
"code": "subGroupDisplay",
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{
"code": "subGroup",
"valueCode": "05"
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{
"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
"valueString": "EDTA tube"
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{
"code": "containerType",
"valueCode": "005"
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{
"code": "combineSample",
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{
"code": "formRequired",
"valueBoolean": false
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"code": "formType",
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]
},
{
"code": "00522",
"display": "Rickettsia PCR",
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"code": "codeLoinc",
"valueCode": "48869-2"
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{
"code": "subGroupDisplay",
"valueString": "Serology"
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{
"code": "subGroup",
"valueCode": "05"
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{
"code": "specimenTypeDisplay",
"valueString": "Eschar tissue biopsy"
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{
"code": "specimenType",
"valueCode": "078"
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
"valueCode": "025"
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"code": "combineSample",
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{
"code": "formRequired",
"valueBoolean": false
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{
"code": "formType",
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]
},
{
"code": "00523",
"display": "Rubella IgG",
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"code": "codeLoinc",
"valueCode": "8014-3"
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{
"code": "subGroupDisplay",
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{
"code": "subGroup",
"valueCode": "05"
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{
"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
"valueCode": "057"
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{
"code": "combineSample",
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{
"code": "formRequired",
"valueBoolean": false
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"code": "formType",
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]
},
{
"code": "00524",
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"code": "codeLoinc",
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{
"code": "subGroupDisplay",
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{
"code": "subGroup",
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"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
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{
"code": "combineSample",
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{
"code": "formRequired",
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]
},
{
"code": "00525",
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"code": "codeLoinc",
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{
"code": "subGroupDisplay",
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{
"code": "subGroup",
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{
"code": "specimenTypeDisplay",
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{
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{
"code": "containerType",
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"code": "combineSample",
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{
"code": "formRequired",
"valueBoolean": false
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},
{
"code": "00526",
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"code": "subGroupDisplay",
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{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
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{
"code": "combineSample",
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{
"code": "formRequired",
"valueBoolean": false
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"code": "formType",
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},
{
"code": "00527",
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"code": "codeLoinc",
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{
"code": "subGroupDisplay",
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{
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{
"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
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"code": "combineSample",
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{
"code": "formRequired",
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]
},
{
"code": "00528",
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"code": "codeLoinc",
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{
"code": "subGroupDisplay",
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{
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{
"code": "specimenType",
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"code": "containerTypeDisplay",
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"code": "combineSample",
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{
"code": "formRequired",
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{
"code": "00529",
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{
"code": "subGroupDisplay",
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"code": "specimenTypeDisplay",
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{
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"code": "combineSample",
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{
"code": "formRequired",
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},
{
"code": "00530",
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"code": "codeLoinc",
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{
"code": "subGroupDisplay",
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},
{
"code": "00531",
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"code": "codeLoinc",
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"code": "subGroupDisplay",
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"code": "subGroup",
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{
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
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"code": "combineSample",
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},
{
"code": "00532",
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"code": "codeLoinc",
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{
"code": "subGroupDisplay",
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"code": "00533",
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"code": "codeLoinc",
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"code": "subGroupDisplay",
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"code": "00534",
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"code": "subGroupDisplay",
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},
{
"code": "00535",
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"code": "codeLoinc",
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"code": "subGroupDisplay",
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"code": "00537",
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"code": "codeLoinc",
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"code": "subGroupDisplay",
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"code": "specimenTypeDisplay",
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{
"code": "formRequired",
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"code": "00538",
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"code": "codeLoinc",
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{
"code": "subGroupDisplay",
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{
"code": "subGroup",
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"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
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"code": "combineSample",
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{
"code": "formRequired",
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},
{
"code": "00539",
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},
{
"code": "subGroupDisplay",
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{
"code": "subGroup",
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{
"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
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{
"code": "combineSample",
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{
"code": "formRequired",
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{
"code": "formType",
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},
{
"code": "00540",
"display": "Viral Study/ Viral Culture",
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"code": "codeLoinc",
"valueCode": "5884-2"
},
{
"code": "subGroupDisplay",
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{
"code": "subGroup",
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{
"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
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},
{
"code": "combineSample",
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{
"code": "formRequired",
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},
{
"code": "formType",
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]
},
{
"code": "00541",
"display": "Zika Virus PCR",
"definition": "Zika Virus PCR",
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{
"code": "codeLoinc",
"valueCode": "91078-6"
},
{
"code": "subGroupDisplay",
"valueString": "Serology"
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{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
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},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
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{
"code": "containerType",
"valueCode": "001"
},
{
"code": "combineSample",
"valueBoolean": true
},
{
"code": "formRequired",
"valueBoolean": false
},
{
"code": "formType",
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]
},
{
"code": "00542",
"display": "Zika Virus PCR",
"definition": "Zika Virus PCR",
"property": [
{
"code": "codeLoinc",
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},
{
"code": "subGroupDisplay",
"valueString": "Serology"
},
{
"code": "subGroup",
"valueCode": "05"
},
{
"code": "specimenTypeDisplay",
"valueString": "Cord blood"
},
{
"code": "specimenType",
"valueCode": "015"
},
{
"code": "containerTypeDisplay",
"valueString": "Plain tube"
},
{
"code": "containerType",
"valueCode": "001"
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{
"code": "combineSample",
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{
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{
"code": "specimenTypeDisplay",
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{
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
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{
"code": "combineSample",
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{
"code": "formRequired",
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},
{
"code": "TDMS31",
"display": "Sirolimus PRE",
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"code": "codeLoinc",
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{
"code": "subGroupDisplay",
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{
"code": "subGroup",
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{
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{
"code": "TDMS32",
"display": "Methotrexate Random",
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"code": "codeLoinc",
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"code": "subGroupDisplay",
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{
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{
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{
"code": "TDMS33",
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{
"code": "subGroup",
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"code": "combineSample",
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{
"code": "TDMS34",
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{
"code": "subGroupDisplay",
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{
"code": "subGroup",
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{
"code": "specimenTypeDisplay",
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{
"code": "specimenType",
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{
"code": "containerTypeDisplay",
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{
"code": "containerType",
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{
"code": "combineSample",
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{
"code": "formRequired",
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"code": "formType",
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},
{
"code": "TDMS4",
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"code": "subGroupDisplay",
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{
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"code": "TDMS46",
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{
"code": "TDMS47",
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"valueBoolean": false
},
{
"code": "formRequired",
"valueBoolean": true
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
},
{
"code": "TDMS50",
"display": "Mycophenolate Post",
"definition": "Mycophenolate Post",
"property": [
{
"code": "codeLoinc",
"valueCode": "18721-1"
},
{
"code": "subGroupDisplay",
"valueString": "Pharmacy"
},
{
"code": "subGroup",
"valueCode": "06"
},
{
"code": "specimenTypeDisplay",
"valueString": "Blood"
},
{
"code": "specimenType",
"valueCode": "001"
},
{
"code": "containerTypeDisplay",
"valueString": "EDTA tube"
},
{
"code": "containerType",
"valueCode": "005"
},
{
"code": "combineSample",
"valueBoolean": false
},
{
"code": "formRequired",
"valueBoolean": true
},
{
"code": "formType",
"valueString": "http://fhir.hie.moh.gov.id/Questionnaire/per-pat-301"
}
]
}
]
}