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CLINICAL PATHWAYS

RSUD SAIFUL ANWAR MALANG


JAWA TIMUR
..
Nama Pasien:

Diagnosis Awal: Fail chest

R. Rawat

Aktivitas Pelayanan

.
Admisi
IGD

Diagnosis:
Penyakit Utama
Penyakit Penyerta

Komplikasi

Asessmen Klinis:
Pemeriksaan dokter
Konsultasi

Pemeriksaan Penunjang:

ntgen dada

IRJ

Umur:
Berat Badan:

..kg
Kode ICD 10 : S.22.5
Tgl/Jam masuk:
.
Hari Rawat 1

Tinggi Badan:
Nomor Rekam Medis:
..cm
.
Rencana rawat : 5 hari

Tgl/Jam keluar:
Lama Rwt
.
... hari
Rawat Inap

Hari Rawat 2

Hari Rawat 3

Kelas:
..

Tarif/hr (Rp):
.

Hari Rawat 4

Hari Rawat 5

Biaya (Rp)

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

..

Ro

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

..
..

+/+/+/+/+/+/-

+/+/+/+/+/+/-

+/+/+/+/+/+/-

+/+/+/+/+/+/-

+/+/+/+/+/+/-

+/+/+/+/+/+/-

+/+/+/+/+/+/-

..

Tindakan::

Int
ernal fixasi (SHAPP
plate)

Obat Obatan::

+/+/+/+/+/+/-

+/+/+/+/+/+/-

+/+/+/+/+/+/-

+/+/+/+/+/+/-

+/+/+/+/+/+/-

+/+/+/+/+/+/-

+/+/+/+/+/+/-

..

+/+/+/+/-

+/+/+/+/-

+/+/+/+/-

+/+/+/+/-

+/+/+/+/-

+/+/+/+/-

+/+/+/+/-

..

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

..

Mobilisasi::

+/-

+/-

+/-

+/-

+/-

+/-

+/-

..

Hasil (Outcome):
..
..

+/+/-

+/+/-

+/+/-

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+/+/-

1.

2.
3.

Ciprofloxacin
3X500 mg
Metronidazole
3X500 mg
Paracetamol
3X500 mg

Pembiusan Umum Gas:

.
Pembuisan Umum Injeksi:

.
Pembiusan Regional/Lokal:

Nutrisi::
1500 .kkal/hari
Protein 100 .gram/hari

..
Pendidikan/Promosi
Kesehatan/Rencana
Pemulangan:

.
Varians:
Perawat (PPJP)

DPJP Admisi:
..
DPJP:

DPJP Operasi:
.
DPJP
Anestesi ...............
..............
Verifikator:

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

..

..

Diagnosis Akhir:

Kode ICD 10

Utama

..

Penyerta

Komplikasi

..

....

...

Jenis Tindakan:

Jumlah Biaya
..
Kode ICD 9 CM

..
..

...
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