Regulatory Guide · SIRS Online
RL 1 throughRL 5
What each SIRS Online RL report contains — 25 sub-reports RL 3.1 to RL 5.3 in the SIRS version 6 portal, plus the old RL 1 and RL 2 format — and how to prepare them from data already recorded instead of recapitulating manually.
RL 1–5
Five groups of reports
The structure below follows the menus of the SIRS Online version 6 portal: hospitals fill in RL 3, RL 4, and RL 5. RL 1 and RL 2 are described in their old format because they are still often requested and searched for.
Hospital baseline data
Hospital identity and capacity.
Staffing
Staff counts per category.
Service activities
Service volumes and indicators, from inpatient care to payment method.
Inpatient morbidity & mortality
Diseases and deaths among inpatients.
Outpatient morbidity
Diseases among outpatients.
RL 1 · Old format
RL 1: Hospital baseline data
In the old format (based on Permenkes 1171/2011), RL 1 held the hospital's identity, indicators, and beds. In the SIRS version 6 portal RL 1 is no longer a menu of its own: service indicators moved to RL 3.1, while rooms and beds are reported through the Ministry of Health's RS Online application.
- RL 1.1 Hospital baseline data — hospital code, name, address, class, type, ownership, and accreditation status
- RL 1.2 Service indicators — BOR, ALOS, TOI, BTO, GDR, NDR (in version 6: RL 3.1)
- RL 1.3 Bed facilities — number of beds per care class (now through RS Online)
RL 2 · Old format
RL 2: Staffing
In the old format, RL 2 summarized hospital staff per category and sex. The SIRS version 6 portal has no RL 2 menu; the Ministry's RS Online application also holds staffing data. If your local Health Office still asks for the RL 2 format, its categories are as below.
- Medical general practitioners, specialists, dentists
- Nursing nurses
- Midwifery midwives
- Pharmacy pharmacists and pharmacy technicians
- Other health workers e.g. lab analysts, radiographers, physiotherapists, nutritionists
- Non-health administration, finance, general affairs, and support
RL 3 · 19 sub-reports
RL 3: Service activities
The largest group: everything the hospital did in one period. Almost every figure can be drawn from registration, medical records, diagnostics, pharmacy, and billing data — as long as it is recorded in a system, not in a ledger.
- RL 3.1 Service indicators (BOR, ALOS, TOI, BTO, GDR, NDR)
- RL 3.2 Inpatient care
- RL 3.3 Emergency care
- RL 3.4 Visitors
- RL 3.5 Outpatient visits
- RL 3.6 Obstetrics
- RL 3.7 Neonates, infants, and toddlers
- RL 3.8 Laboratory
- RL 3.9 Radiology
- RL 3.10 Referrals
- RL 3.11 Dental and oral
- RL 3.12 Surgery
- RL 3.13 Medical rehabilitation
- RL 3.14 Special services
- RL 3.15 Mental health
- RL 3.16 Family planning
- RL 3.17 Pharmacy — drug procurement
- RL 3.18 Pharmacy — prescriptions
- RL 3.19 Payment method
RL 4 · 3 sub-reports
RL 4: Inpatient morbidity & mortality
Inpatient diagnoses by ICD-10 code, broken down by age group (25 groups, from under 1 hour to over 85 years) and sex. Its quality depends on diagnosis coding in the medical record — RL 4 is only as clean as the codes doctors and coders enter.
- RL 4.1 Inpatient morbidity
- RL 4.2 Top 10 inpatient diseases
- RL 4.3 Top 10 causes of inpatient death
RL 5 · 3 sub-reports
RL 5: Outpatient morbidity
In the SIRS version 6 portal, RL 5 is outpatient morbidity — no longer the "monthly visits report" of the old format (visitors and visits are now RL 3.4 and RL 3.5). The breakdown matches RL 4: ICD-10 diagnoses by age group and sex, plus a split between new cases and visits.
- RL 5.1 Outpatient morbidity
- RL 5.2 Top 10 new outpatient cases
- RL 5.3 Top 10 outpatient visits by disease
- Make sure the period's data is complete in the system: ICD-10-coded diagnoses, visits, procedures, diagnostics, prescriptions, and payment methods.
- Build each sub-report file from that data, then check row counts and totals before uploading.
- Sign in to the SIRS Online portal (sirs6.kemkes.go.id), choose the RL.3, RL.4, or RL.5 menu, then the sub-report.
- Enter or upload the data. If the portal template changes, download the latest template from the same menu and adjust the column layout.
- Keep evidence: a screenshot of the saved data and the uploaded file, for the hospital's internal audit.
Adievia HMS builds the files for all 25 sub-reports RL 3.1–5.3 from operational data (Excel and PDF); an operator reviews them and uploads them to the portal. Clean data in the EMR — above all ICD-10 diagnosis coding — is what makes RL 4 and RL 5 trustworthy. The reporting now rests on Permenkes 6/2026 Articles 74–75.
FAQ
SIRS Online reporting questions.
SIRS (Sistem Informasi Rumah Sakit / Hospital Information Reporting System) Online is the reporting hospitals submit to the Ministry of Health. RL (Rekapitulasi Laporan / Recapitulation Reports) are its groups of forms, known as RL 1 through RL 5. In the SIRS version 6 portal (sirs6.kemkes.go.id) hospitals fill in RL 3, RL 4, and RL 5 — 25 sub-reports from RL 3.1 to RL 5.3.
RL 1 hospital baseline data (old format: identity, indicators, beds); RL 2 staffing (old format); RL 3 service activities in 19 sub-reports, from service indicators (RL 3.1) to payment method (RL 3.19); RL 4 inpatient morbidity and mortality (RL 4.1–4.3); RL 5 outpatient morbidity (RL 5.1–5.3).
The version 6 portal only has RL.3, RL.4, and RL.5 entry menus. Service indicators that used to be RL 1.2 are now RL 3.1, and rooms and beds are reported through the Ministry's RS Online application, which also holds staffing data. If your local Health Office still asks for the RL 1 or RL 2 format, follow its request — the old format is explained on this page.
Both report diseases by ICD-10 diagnosis, age group, and sex. RL 4 covers inpatients and includes deaths (RL 4.3); RL 5 covers outpatients and separates new cases (RL 5.2) from visits (RL 5.3). In the old format RL 5 was the monthly visitors and visits report — both are now in RL 3.4 and RL 3.5.
Yes, reporting continues. Permenkes 6/2026 revokes Permenkes 1171/2011 on the Hospital Information System — the old basis for SIRS — and replaces it with an obligation to record and report in a health information system integrated with the National Health Information System (Article 74). The technical guideline is set by the Minister (Article 75); until it is issued, the Ministry of Health still requests SIRS Online reports. RL formats may change with that guideline, so the reporting module needs to be easy to adjust.
Adievia HMS builds the files for all 25 sub-reports RL 3.1–5.3 from data already recorded (Excel and PDF), including the 25 age groups for RL 4.1 and RL 5.1. An operator reviews them and uploads them to the SIRS Online portal. We deliberately do not submit to the portal automatically: without an official channel for it, automation would mean imitating how the portal's pages work — fragile every time the portal changes, and hard to be accountable for.
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