Anda di halaman 1dari 387

REVIEW KELENGKAPAN REKAM MEDIS

BULAN: OKTOBER

HPK6.3

NO. REKAM
NO NO REGISTRASI DIAGNOSA DPJP RUANGAN
MEDIS Persetujuan Persetujuan
Umum Operasi

Y T TDD Y T
1 I-1609-000946 2016-692753 MENINGITIS , TB M Tuty Rahayu, drMAWAR 1 0 0 0 0
2 I-1609-001066 2012-442116 EFFUSI PLEURA , ACAriadi HumardhTERATAI 1 0 0 0 0
3 I-1609-001476 2016-716923 ANEMI APLASTIK Abdullah Hasan,MAWAR 1 0 0 1 0
4 I-1609-001677 2012-444022 KEJANG , LEUKOSITOS Ridwan, dr SpS TERATAI 1 0 0 0 0
5 I-1609-001733 2011-317933 HP , PROSTATITIS , Mohammad Joha CEMPAKA 1 0 0 1 0
6 I-1609-001749 2013-499066 ISPA , DYSPEPSIA Endang P, SpA MAWAR 1 0 0 0 0
7 I-1609-001796 2011-367182 GE , DM , GFH , AKI Ferliani, dr, Sp FLAMBOYAN 1 0 0 0 0
8 I-1609-001825 2016-717790 ABORTUS INKOMPLIArdian Suryo A DAHLIA 1 0 0 1 0
9 I-1609-001826 2011-346923 DIARE , ISPA Endang P, SpA MAWAR 1 0 0 0 0
10 I-1610-000026 2014-587617 ALO , NON STEMI , ASidhi Laksono PFLAMBOYAN 1 0 0 0 0
11 I-1610-000036 2016-718006 POST SC , PREMATUR , BBLR , HB PERINA 1 0 0 0 0
12 I-1610-000070 2016-716863 GASTRITIS Nugroho Budi SDAHLIA 1 0 0 0 0
13 I-1610-000081 2016-712533 POST SC , KPD , EX SArdian Suryo A DAHLIA 1 0 0 1 0
14 I-1610-000098 2016-715543 CPD , MYOMECTOMY Budhi Samodra,DAHLIA 0 1 0 1 0
15 I-1610-000203 2015-628321 DIARE ACUT Ellen R.S, dr Sp MAWAR 1 0 0 0 0
16 I-1610-000211 2016-717441 CHOLELITIASIS , A Jusi Susilawati, FLAMBOYAN 1 0 0 0 0
17 I-1610-000245 2004-745715 TB PARU , BATUK D Syafrizal, dr, Sp DAHLIA 1 0 0 0 0
18 I-1610-000279 2016-718371 PRE EXLAMSI , STERIBudhi Samodra,DELIMA 1 0 0 1 0
19 I-1610-000306 2015-675870 BP , PPOK Subagyo,dr,SpPMELATI 1 0 0 0 0
20 I-1610-000341 2016-711457 FEBRIS Arifianto, dr, S MAWAR 1 0 0 0 0
21 I-1610-000344 2016-718071 NCB SMK Tuty Rahayu, drDAHLIA 1 0 0 0 0
22 I-1610-000360 2016-716651 EX SC , STERIL , POSAhmad Helmy, DELIMA 1 0 0 1 0
23 I-1610-000398 2016-718157 POST PARTUS , PK1 Muhammad Syar DELIMA 1 0 0 0 0
24 I-1610-000420 2016-718163 POST SC CYTO , KPDArdian Suryo A ANGGREK 1 0 0 1 0
25 I-1610-000436 2016-718733 TUMOR PARU Syafrizal, dr, Sp DAHLIA 1 0 0 0 0
26 I-1610-000452 2016-718189 TB PARU, BATUK D Syafrizal, dr, Sp MELATI 0 1 0 0 0
27 I-1610-000569 2014-568946 DIARE , GDD , GIZI Arifianto, dr, S MAWAR 1 0 0 0 0
28 I-1610-000596 2015-631076 OA GENU , HHD , H Donny JandianaCEMPAKA 1 0 0 0 1
29 I-1610-000599 2012-380322 AIAH , CHOLELITIASINugroho Budi SFLAMBOYAN 1 0 0 0 0
30 I-1610-000607 2016-695944 KEJANG DEMAM , ISP Ellen R.S, dr Sp MAWAR 1 0 0 0 0
31 I-1610-000615 2016-719277 NCB SMK Tuty Rahayu, drDELIMA 1 0 0 0 0
32 I-1610-000623 2012-423198 ANEMIA, CKD, GASTAriadi HumardhHEMODIALISA 1 0 0 0 0
33 I-1610-000628 2016-715820 Nugroho Budi SENDOSCOPI 1 0 0 0 0
34 I-1610-000641 2016-719146 SYNDROM NEPROTIEndang P, SpA MAWAR 1 0 0 0 0
35 I-1610-000650 2016-718977 HEMETEMESIS , CKDAriadi HumardhANGGREK 1 0 0 0 0
36 I-1610-000656 2016-715083 EX SC , POST SC Iwan Satyagraha CEMPAKA 1 0 0 1 0
37 I-1610-000711 2013-471376 INCOMPETENSI CERMuhammad Syar CEMPAKA 1 0 0 1 0
38 I-1610-000727 2016-718375 KISTA ATHEROMA Abdullah Hasan,CEMPAKA 1 0 0 1 0
39 I-1610-000728 2013-490126 PREEXLAMSI , STERIArdian Suryo A CEMPAKA 1 0 0 1 0
40 I-1610-000772 2011-368613 NON STEMI , DM2 , FAHMI IDRUS SA TERATAI 1 0 0 0 0
41 I-1610-000774 2015-614637 HAMIL ATERM , EX SC Muhammad Syar CEMPAKA 1 0 0 1 0
42 I-1610-000777 2016-699810 CHF , CARDIOMIOPAT FAHMI IDRUS SA FLAMBOYAN 1 0 0 0 0
43 I-1610-000782 2016-718940 KEJANG DEMAM,IS Tuty Rahayu, drMAWAR 1 0 0 0 0
44 I-1610-000785 2013-496302 SH , ACITES , TB PA Nugroho Budi SFLAMBOYAN 1 0 0 0 0
45 I-1610-000786 2016-719178 PPT , POST SC DELIMA 1 0 0 1 0
46 I-1610-000788 2012-403743 ANEMI GRAVIS , CKDTEDDY ERVANO,FLAMBOYAN 1 0 0 0 0
47 I-1610-000790 2016-695697 ABORTUS INKOMPLIAhmad Helmy, CEMPAKA 1 0 0 1 0
48 I-1610-000792 2016-718939 DHF , DYSPEPSIA Ariadi HumardhDAHLIA 1 0 0 0 0
49 I-1610-000799 2014-557027 MENOMETRORHAGIBudhi Samodra,CEMPAKA 1 0 0 1 0
50 I-1610-000869 2016-719640 ENCEPALOPATY , MOTuty Rahayu, drMAWAR 1 0 0 0 0
51 I-1610-000897 2016-703125 ANEMI , CKD Ariadi HumardhHEMODIALISA 1 0 0 0 0
52 I-1610-000900 2015-644624 ANEMI, CKD Ariadi HumardhHEMODIALISA 1 0 0 0 0
53 I-1610-000907 2016-719854 NCB SMK Tuty Rahayu, drDAHLIA 1 0 0 0 0
54 I-1610-000922 2016-719675 CKR , TRAUMA CERVGotot SumantriCEMPAKA 1 0 0 0 0
55 I-1610-000935 2016-720206 POST SC CYTO , KPDBudhi Samodra,DAHLIA 1 0 0 1 0
56 I-1610-000955 2016-720219 DISLOKASI ELBOW Riza Aprizal, dr ANGGREK 1 0 0 1 0
57 I-1610-000969 2016-720215 DIARE ACUT Endang P, SpA MAWAR 1 0 0 0 0
58 I-1610-000994 2016-720238 PARTUS SPONTAN Ahmad Helmy, DELIMA 1 0 0 0 0
59 I-1610-000995 2016-720233 NCB SMK DELIMA 1 0 0 0 0
60 I-1610-001008 2016-719076 NCB SMK Endang P, SpA DAHLIA 1 0 0 0 0
61 I-1610-001017 2016-720211 ISK Endang P, SpA MAWAR 1 0 0 0 0
62 I-1610-001030 2016-711704 CPD , STERIL , POST SC CEMPAKA 1 0 0 1 0
63 I-1610-001031 2016-720185 HYPEREMESIS GRA Budhi Samodra,DELIMA 1 0 0 0 0
64 I-1610-001038 2016-720225 CEPALGIA , FEBRIS Nugroho Budi SFLAMBOYAN 1 0 0 0 0
65 I-1610-001041 2016-720241 DYSPEPSIA Arifianto, dr, S MAWAR 1 0 0 0 0
66 I-1610-001044 2016-692215 DYSTOSIA , POST SCBudhi Samodra,DAHLIA 1 0 0 1 0
67 I-1610-001071 2016-717907 LETAK LINTANG , OLIMuhammad Syar DAHLIA 1 0 0 1 0
68 I-1610-001110 2016-719598 TUMOR PUNGGUN Aunurrafieq,dr,CEMPAKA 1 0 0 1 0
69 I-1610-001133 2016-720405 STROKE INFAK , HEM Gotot SumantriFLAMBOYAN 1 0 0 1 0
70 I-1610-001174 2016-713559 TB PARU, SO, DYSP Subagyo,dr,SpPDAHLIA 1 0 0 0 0
71 I-1610-001185 2014-576277 FRAKTUR SUPRA DONDILAR TERATAI 0 1 0 1 0
72 I-1610-001202 2015-660029 GERD , MYOMA UTEJusi Susilawati, TERATAI 1 0 0 0 0
73 I-1610-001267 2011-310577 GASTROENTERITIS Ellen R.S, dr Sp MAWAR 1 0 0 0 0
74 I-1610-001277 2013-453276 Asites , Sh, Hepatiti Nugroho Budi SFLAMBOYAN 0 1 0 0 0
75 I-1610-001283 2016-719099 HYPERBILLIRUBINE Endang P, SpA PERINA 1 0 0 0 0
76 I-1610-001289 2014-552219 DEMAM DENGUE , Arifianto, dr, S MAWAR 1 0 0 0 0
77 I-1610-001315 2016-719959 POST SC, KPD, EX SCArdian Suryo A ANGGREK 0 1 0 1 0
78 I-1610-001351 2016-705665 POST PARTUS , SIS Ahmad Helmy, DELIMA 1 0 0 1 0
79 I-1610-001356 2014-586735 COMMON COLD , KArifianto, dr, S MAWAR 1 0 0 0 0
80 I-1610-001363 2016-712275 ISPA, CEREBRAL PALTuty Rahayu, drMAWAR 0 1 0 0 0
81 I-1610-001367 2016-705355 PHNEMONI Tuty Rahayu, drMAWAR 0 1 0 0 0
82 I-1610-001384 2016-719845 NCB SMK Tuty Rahayu, drDELIMA 1 0 0 0 0
83 I-1610-001389 2013-479828 POST PARTUS , PTMBudhi Samodra,KAMAR BERSALI 1 0 0 0 0
84 I-1610-001438 2016-721231 NCB SMK Tuty Rahayu, drDELIMA 1 0 0 0 0
85 I-1610-001445 2016-721237 DSS MAWAR 0 1 0 0 0
86 I-1610-001465 2016-719809 NCB SMK Ellen R.S, dr Sp KAMAR BERSALI 0 1 0 0 0
87 I-1610-001472 2016-721169 ABORTUS INCOMPLArdian Suryo A DELIMA 0 1 0 1 0
77 10 0 27 1
PERSETUJUAN (CONSENT) ASESM
HPK6.4 HPK.8 PAB5.1 PAB7.1 AP.1.3

Persetujuan
Persetujuan Persetujuan tindakan dan Persetujuan riset, Risiko,keuntunga Risiko,keuntunga
Persetujuan Kebutuhan Kebutuhan
Anestesi dan transfusi dan prosedur risiko penyelidikan dan n,dan anestesi n, komplikasi dan
Operasi medis pasien keperawatan
sedasi produk darah percobaan klinik alternatif alternatif operasi
tinggi

TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y


1 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0 1
0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
0 0 1 0 0 0 1 1 0 0 0 0 1 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 1 0 0 1
0 0 1 0 0 0 1 1 0 0 0 0 1 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
0 1 0 0 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
0 1 0 0 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1
1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0 1
0 1 0 0 0 0 1 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1
0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 0 0 1 1 0 0 0 1 0 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
0 1 0 0 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
0 1 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1
1 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1
0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
0 1 0 0 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1
0 1 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1
0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1
0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 1 0 0 0 1 0 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 1 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1
59 25 2 60 8 0 79 33 1 53 2 16 69 21 2 64 22 3 62 86 1 0 84
ASESMEN
AP.1.3 AP.1.4.1 AP1.5 AP1.5.1 AP.1.6 AP.1.7 AP.1.9

Asesmen
Asasmen medis Asasmen dan
Asesmen terdokumentasi Asesmen medis Asasmen gizi dan
Kebutuhan selama 24 jam, di keperawatan Asasmen nyeri asasmen ulang
dalam 24 jam terdokumntasi
keperawatan update umur > 30 selama 24 jam setelah masuk sebelum operasi status fungsional saat masuk pasien yg akan
hari meninggal
dirawat

T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T


0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0
0 0 0 0 1 0 0 1 1 0 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0
0 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0
1 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 0 1 0 0 1
1 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 1
1 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0
3 0 84 2 1 81 5 1 85 1 1 48 1 38 25 62 0 29 58 0 6 12
REVIEW KELENGKAPAN REKAM MEDIS

AP.1.9 AP.1.10 AP.1.11 AP.2 PP.2.1 PPK.2 PAB.3

Asasmen dan Asasmen awal Asasmen setiap Asesmen


Asasmen Ukuran
asasmen ulang untuk rencana hari oleh dokter keberhasilan kebutuhan Asasmen pra monitoring
kebutuhan dari
pasien yg akan pemulangan untuk pasien akut rncana asuhan pendidikan sedasi selama sedasi
khusus
meninggal pasien (SOAP) pasien dan keluar

TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


1 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1
1 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1
1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0
1 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1
0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0
1 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1
1 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1
1 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
1 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1
1 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1
1 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0
1 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1
1 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 1 0 0 1
1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0
1 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1
1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0
1 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1
1 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 1 0 0 0 1 0 0 1 0 1 0 0 0 0 1 0 0 1
1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1
1 0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1
1 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1
1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
1 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1
1 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1
1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0
1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0
0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1
1 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
1 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1
0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1
1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
1 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1
1 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1
0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1
1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
1 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 1 0 0 1
1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0
1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
1 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1
1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
1 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1
1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0
1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
1 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0
1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0
1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
1 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1
0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
1 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1
1 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1
1 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1
1 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0
1 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0
1 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1
0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1
1 0 0 1 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1
1 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1
1 0 0 1 0 1 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 1 0 0 0 0 1 0 0 1
1 0 0 1 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0
69 15 58 14 61 25 1 61 26 0 74 13 0 49 37 1 0 25 62 0 25 62
TELAAH REKAM MEDIS LANJUTAN
PAB.3 PAB.4 MPO.4 MPO.4.3 MPO.7 PPK.2.1

Daftar obat yang Jenis obat yang


Asasmen pra Efek obat yang Asasmen budaya Asasmen tingkat Asasmen kendala
Kriteria sadar diresepkan
anestesi dan pra diminum pasien dan pendidikan,
kembali dicatat di rekam tidak diharapkan emosional
induksi sebelum dirawat keluarga bahasa
medis

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y


0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 1 1 0 0 0 1 0 0 1 0 1 0 0 1
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1
0 0 1 0 0 1 0 0 1 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
1 0 0 0 0 1 0 0 1 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
1 0 0 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1
0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 0
4 25 58 23 3 61 5 68 14 74 6 7 2 83 2 1 86 0 9 78 0 10
PPK.2.1 MKI.19.3 APK.1.1.3 APK2.1 APK.3.2
Resume pu
Asasmen
Asasmen kendala Asasmen kendala kesedian pasien Pencatatan,tangg Pencatatan setiap Rencana asuhan
al, waktu dari keterlambatan Alasan dirawat,
emosional fisik dan konigtif menerima pasien Temuan Fisik
setiap entri data tindakan diagnosis
informasi penting
(utama,sekunder)

T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T


1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1
0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1
0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
77 0 10 75 0 11 76 0 26 61 0 7 80 0 86 1 0 87 0 0 73 14
APK.3.2.1 APK.4.4
Resume pulang Rekam medis pasien dirujuk memuat:

Obat yang Nama RS dan


Tindakan perubahan
Temuan Fisik diberikan,termas Instruksi tindak Nama orang yg Alasasn pasien Alasan lain pasien kondisi
diagnostik dan pasien
penting uk obat setelah lanjut (follow up) menyetujui dirujuk dirujuk
prosedur dan status pasien
pulang menerima

TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0
0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 65 17 5 73 13 1 59 25 3 0 1 86 0 1 86 2 0 85 73 14 0
REVIEW KELENGKAPAN REKAM MEDIS
BULAN: NOVEMBER

NO. REKAM
NO NO REGISTRASI DIAGNOSA
MEDIS

1 I-1609-001476 2016-716923 ANEMI APLASTIK


2 I-1610-000026 2014-587617 ALO , NON STEMI , AHF , CKD , AKI
3 I-1610-000036 2016-718006 POST SC , PREMATUR , BBLR , HB , HYPOGLIKEMI
4 I-1610-000070 2016-716863 GASTRITIS
5 I-1610-000081 2016-712533 POST SC , KPD , EX SC , PEB
6 I-1610-000098 2016-715543 CPD , MYOMECTOMY , POST SC
7 I-1610-000203 2015-628321 DIARE ACUT
8 I-1610-000211 2016-717441 CHOLELITIASIS , ANEMI , TROMBOSITOPENIA
9 I-1610-000245 2004-745715 TB PARU , BATUK DARAH
10 I-1610-000279 2016-718371 PRE EXLAMSI , STERIL , POST SC
11 I-1610-000306 2015-675870 BP , PPOK
12 I-1610-000341 2016-711457 FEBRIS
13 I-1610-000344 2016-718071 NCB SMK
14 I-1610-000360 2016-716651 EX SC , STERIL , POST SC
15 I-1610-000398 2016-718157 POST PARTUS , PK1
16 I-1610-000420 2016-718163 POST SC CYTO , KPD , EX SC
17 I-1610-000436 2016-718733 TUMOR PARU
18 I-1610-000452 2016-718189 TB PARU, BATUK DARAH
19 I-1610-000569 2014-568946 DIARE , GDD , GIZI BURUK , ISK
20 I-1610-000596 2015-631076 OA GENU , HHD , HT
21 I-1610-000599 2012-380322 AIAH , CHOLELITIASIS , IKTERIK
22 I-1610-000607 2016-695944 KEJANG DEMAM , ISPA , ENTERITIS
23 I-1610-000615 2016-719277 NCB SMK
24 I-1610-000623 2012-423198 ANEMIA, CKD, GASTRITIS
25 I-1610-000628 2016-715820
26 I-1610-000641 2016-719146 SYNDROM NEPROTIK , HYPOALBUMIN
27 I-1610-000650 2016-718977 HEMETEMESIS , CKD , HT
28 I-1610-000656 2016-715083 EX SC , POST SC
29 I-1610-000711 2013-471376 INCOMPETENSI CERVIX
30 I-1610-000727 2016-718375 KISTA ATHEROMA
31 I-1610-000728 2013-490126 PREEXLAMSI , STERIL , ANEMI , POST SC
32 I-1610-000772 2011-368613 NON STEMI , DM2 , AHF , BP
33 I-1610-000774 2015-614637 HAMIL ATERM , EX SC , PKII , POST SC
34 I-1610-000777 2016-699810 CHF , CARDIOMIOPATY , AKI , CVD ISHEMIC
35 I-1610-000782 2016-718940 KEJANG DEMAM,ISPA
36 I-1610-000785 2013-496302 SH , ACITES , TB PARU
37 I-1610-000786 2016-719178 PPT , POST SC
38 I-1610-000788 2012-403743 ANEMI GRAVIS , CKD , HT
39 I-1610-000790 2016-695697 ABORTUS INKOMPLIT
40 I-1610-000792 2016-718939 DHF , DYSPEPSIA
41 I-1610-000799 2014-557027 MENOMETRORHAGIA
42 I-1610-000869 2016-719640 ENCEPALOPATY , MORBILLI , KEJANG DEMAM
43 I-1610-000897 2016-703125 ANEMI , CKD
44 I-1610-000900 2015-644624 ANEMI, CKD
45 I-1610-000907 2016-719854 NCB SMK
46 I-1610-000922 2016-719675 CKR , TRAUMA CERVICAL
47 I-1610-000935 2016-720206 POST SC CYTO , KPD
48 I-1610-000955 2016-720219 DISLOKASI ELBOW
49 I-1610-000969 2016-720215 DIARE ACUT
50 I-1610-000994 2016-720238 PARTUS SPONTAN
51 I-1610-000995 2016-720233 NCB SMK
52 I-1610-001008 2016-719076 NCB SMK
53 I-1610-001017 2016-720211 ISK
54 I-1610-001030 2016-711704 CPD , STERIL , POST SC
55 I-1610-001031 2016-720185 HYPEREMESIS GRAVIDARUM
56 I-1610-001038 2016-720225 CEPALGIA , FEBRIS
57 I-1610-001041 2016-720241 DYSPEPSIA
58 I-1610-001044 2016-692215 DYSTOSIA , POST SC
59 I-1610-001071 2016-717907 LETAK LINTANG , OLIGOHYDRO , PJT , STERIL , POS
60 I-1610-001110 2016-719598 TUMOR PUNGGUNG
61 I-1610-001133 2016-720405 STROKE INFAK , HEMIPARESE KIRI
62 I-1610-001174 2016-713559 TB PARU, SO, DYSPEPSIA, VOMITUS
63 I-1610-001185 2014-576277 FRAKTUR SUPRA DONDILAR
64 I-1610-001202 2015-660029 GERD , MYOMA UTERI , GANGGUAN LIVER
65 I-1610-001267 2011-310577 GASTROENTERITIS
66 I-1610-001277 2013-453276 Asites , Sh, Hepatitis b
67 I-1610-001283 2016-719099 HYPERBILLIRUBINEA
68 I-1610-001289 2014-552219 DEMAM DENGUE , DBD
69 I-1610-001315 2016-719959 POST SC, KPD, EX SC
70 I-1610-001351 2016-705665 POST PARTUS , SISA PLACENTA
71 I-1610-001356 2014-586735 COMMON COLD , KEJANG DEMAM
72 I-1610-001363 2016-712275 ISPA, CEREBRAL PALSI
73 I-1610-001367 2016-705355 PNEUMONIA
74 I-1610-001384 2016-719845 NCB SMK
75 I-1610-001389 2013-479828 POST PARTUS , PTM
76 I-1610-001438 2016-721231 NCB SMK
77 I-1610-001445 2016-721237 DSS
78 I-1610-001465 2016-719809 NCB SMK
79 I-1610-001472 2016-721169 ABORTUS INCOMPLIT
80 I-1611-000125 2012-434877 HEMETEMESIS , ULCUS PEPTIC , ANEMI , CHF , H
81 I-1611-000227 2016-721901 ILLIUS OBSTRUKTIF , COLIC ABDOMEN , HERNIA SC
82 I-1611-000261 2016-722817 CVD INFAK , CHF , HEMIPARESE , DM2
83 I-1611-000274 2016-722828 CVD HAEMORARGI
84 I-1611-000281 2016-722838 HYPOKALEMI , ISK , PD KEHAMILAN 20 MGG
85 I-1611-000315 2015-620642 GASTRITIS , HIATAL HERNIA , INTAK SULIT
86 I-1611-000355 2016-701568 CHF , HT , HHD , DM , DYSPEPSIA
87 I-1611-000364 2016-720532 MYOMA UTERI
88 I-1611-000436 2016-722981 MENINGITIS TB , KEJANG DEMAM , HYDROCEPALUS
89 I-1611-000505 2016-722161 NCB SMK
90 I-1611-000509 2013-503690 UAP , CHF , HT , RBBB
91 I-1611-000557 2016-723095 DEMAM DENGUE , DBD
92 I-1611-000559 2016-720633 KISTA OVARIUM , GASTRO ENTERITIS
93 I-1611-000649 2016-723756 GAGAL INDUKSI , POST SC
94 I-1611-000686 2012-444471 PER , POST PARTUS
95 I-1611-000826 2016-724156 MYOMA UTERI , ANEMI
96 I-1611-001075 2010-244941 DBD
97 I-1611-001112 2016-724736 NKB SMK , HB
98 I-1611-001183 2012-438688 MYOMA UTERI , ANEMI GRAVIS , MENOMETRORH
99 I-1611-001187 2016-722618 KISTA COKLAT , ABDOMINAL PAIN PERLENGKETAN
100 I-1611-001210 2016-724827 NCB SMK
101 I-1611-001212 2014-544131 ACUT NON STEMI , CHF , CAD , DM2 , BP
102 I-1611-001236 2016-723719 METRORHAGIA
103 I-1611-001293 2016-723176 HB , SUSP SOWN SYNDROM
104 I-1611-001313 2016-722265 TUMOR MAMAE
105 I-1611-001328 2016-725405 GASTROENTERITIS
106 I-1611-001373 2016-725446 KET
107 I-1611-001414 2016-693762 DIARE , ANEMI , CONJUNKTIVITIS
108 I-1611-001432 2016-724446 ADENOMYOSIS , KISTA COKLAT
109 I-1611-001434 2016-725487 POST SC CYTO , KPD , PEB , POST TERM
110 I-1611-001522 2016-726198 BLIGHTED OVUM
111 I-1611-001523 2016-723848 ANEMI GRAVIS , HEMOROID INTERNAL
112 I-1611-001560 2016-712668 TUMOR MAMAE
113 I-1611-001562 2016-723697 LIPOMA
114 I-1611-001589 2016-713019 MASTITIS
115 I-1611-001597 2016-721012 TUMOR LEHER
PERSETUJUAN (CONSENT)
HPK6.3 HPK6.4

DPJP RUANGAN Persetujuan


Persetujuan Persetujuan
Persetujuan tindakan dan
Persetujuan Umum Anestesi dan transfusi dan
Operasi prosedur risiko
sedasi produk darah tinggi

Y T TDD Y T TDD Y T TDD Y T TDD Y


Abdullah Hasan, dr, SpB MAWAR 1 0 0 1 0 0 1 0 0 0 0 1 0
Sidhi Laksono Purwowiyoto,FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
PERINA 1 0 0 0 0 1 0 0 1 0 0 1 0
Nugroho Budi Santoso, dr. DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S DAHLIA 1 0 0 1 0 0 1 0 0 0 0 1 1
Budhi Samodra, Dr, Sp.OG DAHLIA 0 1 0 1 0 0 1 0 0 0 0 1 1
Ellen R.S, dr SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Jusi Susilawati, dr, Sp PD FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Syafrizal, dr, SpP DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG DELIMA 1 0 0 1 0 0 1 0 0 0 0 1 1
Subagyo,dr,SpP MELATI 1 0 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ahmad Helmy, dr SpOG DELIMA 1 0 0 1 0 0 1 0 0 1 0 0 1
Muhammad Syarif,dr,SpOGDELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S ANGGREK 1 0 0 1 0 0 1 0 0 0 0 1 1
Syafrizal, dr, SpP DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Syafrizal, dr, SpP MELATI 0 1 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Donny Jandiana, dr SpBO CEMPAKA 1 0 0 0 1 0 1 0 0 1 0 0 0
Nugroho Budi Santoso, dr. FLAMBOYAN 1 0 0 0 0 1 0 0 1 1 0 0 0
Ellen R.S, dr SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. HEMODIALISA 1 0 0 0 0 1 0 0 1 1 0 0 1
Nugroho Budi Santoso, dr. ENDOSCOPI 1 0 0 0 0 1 0 0 1 0 0 1 1
Endang P, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. ANGGREK 1 0 0 0 0 1 0 0 1 0 0 1 1
Iwan Satyagraha S, dr, SpO CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Muhammad Syarif,dr,SpOGCEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Abdullah Hasan, dr, SpB CEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 1
Ardian Suryo Anggoro,dr,S CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
FAHMI IDRUS SAHAB, dr, S TERATAI 1 0 0 0 0 1 0 0 1 0 0 1 0
Muhammad Syarif,dr,SpOGCEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 1
FAHMI IDRUS SAHAB, dr, S FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Nugroho Budi Santoso, dr. FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
DELIMA 1 0 0 1 0 0 1 0 0 0 0 1 1
TEDDY ERVANO, dr SpPD FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Ahmad Helmy, dr SpOG CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Ariadi Humardhani, dr Sp. DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 1
Budhi Samodra, Dr, Sp.OG CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Tuty Rahayu, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. HEMODIALISA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. HEMODIALISA 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Gotot Sumantri PW, Sp.S CEMPAKA 1 0 0 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG DAHLIA 1 0 0 1 0 0 1 0 0 0 0 1 1
Riza Aprizal, dr, SpOT ANGGREK 1 0 0 1 0 0 1 0 0 0 0 1 0
Endang P, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ahmad Helmy, dr SpOG DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Endang P, SpA DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Endang P, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Budhi Samodra, Dr, Sp.OG DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Nugroho Budi Santoso, dr. FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG DAHLIA 1 0 0 1 0 0 1 0 0 0 0 1 1
Muhammad Syarif,dr,SpOGDAHLIA 1 0 0 1 0 0 1 0 0 0 0 1 1
Aunurrafieq,dr,Sp.B CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Gotot Sumantri PW, Sp.S FLAMBOYAN 1 0 0 1 0 0 0 0 1 0 0 1 0
Subagyo,dr,SpP DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
TERATAI 0 1 0 1 0 0 1 0 0 0 0 1 1
Jusi Susilawati, dr, Sp PD TERATAI 1 0 0 0 0 1 0 0 1 0 0 1 0
Ellen R.S, dr SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Nugroho Budi Santoso, dr. FLAMBOYAN 0 1 0 0 0 1 0 0 1 0 0 1 1
Endang P, SpA PERINA 1 0 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S ANGGREK 0 1 0 1 0 0 1 0 0 0 0 1 1
Ahmad Helmy, dr SpOG DELIMA 1 0 0 1 0 0 1 0 0 1 0 0 1
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG KAMAR BERSALI 1 0 0 0 0 1 0 0 1 0 0 1 1
Tuty Rahayu, dr, SpA DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
MAWAR 0 1 0 0 0 1 0 0 1 1 0 0 1
Ellen R.S, dr SpA KAMAR BERSALI 0 1 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S DELIMA 0 1 0 1 0 0 1 0 0 0 0 1 1
Ariadi Humardhani, dr Sp. DAHLIA 0 1 0 0 0 1 0 0 1 0 0 1 0
SYAHARUDIN, DR, SpB CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Gotot Sumantri PW, Sp.S FLAMBOYAN 0 1 0 0 0 1 0 0 1 0 0 1 0
Gotot Sumantri PW, Sp.S FLAMBOYAN 0 1 0 0 0 1 0 0 1 0 0 1 0
TEDDY ERVANO, dr SpPD FLAMBOYAN 0 1 0 0 0 1 0 0 1 0 0 1 0
TEDDY ERVANO, dr SpPD FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Herawati Isnanijah, dr SpJPDAHLIA 0 1 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S ANGGREK 0 1 0 1 0 0 1 0 0 0 0 1 1
YDROCEPALUS MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Ellen R.S, dr SpA ANGGREK 0 1 0 0 0 1 0 0 1 0 0 1 0
Sulistyowati,dr SpJP FLAMBOYAN 0 1 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Muhammad Syarif,dr,SpOGTERATAI 0 1 0 0 1 0 1 0 0 0 0 1 1
Ahmad Helmy, dr SpOG DELIMA 0 1 0 0 1 0 0 1 0 0 0 1 1
DAHLIA 0 1 0 0 0 1 0 0 1 0 0 1 0
Ahmad Helmy, dr SpOG CEMPAKA 0 1 0 1 0 0 1 0 0 0 0 1 1
Arifianto, dr, SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Ellen R.S, dr SpA PERINA 0 1 0 0 0 1 0 0 1 0 0 1 0
Iwan Satyagraha S, dr, SpO DAHLIA 0 1 0 1 0 0 1 0 0 1 0 0 1
Ardian Suryo Anggoro,dr,S CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Ellen R.S, dr SpA DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Herawati Isnanijah, dr SpJPDAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ahmad Helmy, dr SpOG CEMPAKA 1 0 0 0 1 0 0 1 0 0 1 0 0
Muhammad Syarif,dr,SpOGPERINA 1 0 0 0 0 1 0 0 1 0 0 1 0
Abdullah Hasan, dr, SpB CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 0
Ellen R.S, dr SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Muhammad Syarif,dr,SpOGCEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 1
Arifianto, dr, SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Muhammad Syarif,dr,SpOGCEMPAKA 0 1 0 0 1 0 1 0 0 0 0 1 0
Muhammad Syarif,dr,SpOGDELIMA 1 0 0 0 1 0 1 0 0 0 0 1 1
Muhammad Syarif,dr,SpOGCEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
ANDOKO BUDIWISESA,dr,SCEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 1
Abdullah Hasan, dr, SpB CEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 0
Abdullah Hasan, dr, SpB CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
SYAHARUDIN, DR, SpB CEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 1
Abdullah Hasan, dr, SpB CEMPAKA 1 0 0 0 1 0 1 0 0 0 0 1 1
86 29 0 37 7 71 41 2 72 13 1 101 43
JUAN (CONSENT) ASESMEN
HPK.8 PAB5.1 PAB7.1 AP.1.3 AP.1.4.1

Persetujuan Asasmen medis


tindakan dan Persetujuan riset, Risiko,keuntunga Risiko,keuntunga Asesmen
Kebutuhan Kebutuhan selama 24 jam, di keperawatan
prosedur risiko penyelidikan dan n,dan anestesi n, komplikasi dan medis pasien keperawatan update umur > 30 selama 24 jam
percobaan klinik alternatif alternatif operasi
tinggi hari

T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0
0 0 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
3 69 5 18 92 37 1 77 33 7 75 110 4 1 108 7 0 110 5 0 106 9 0
REVIEW KELENGKAPAN REKAM MEDI

AP1.5 AP1.5.1 AP.1.6 AP.1.7 AP.1.9 AP.1.10 AP.1.11 AP.2


Asesmen Asasmen dan Asasmen awal Asasmen setiap
terdokumentasi Asesmen medis Asasmen gizi dan Asasmen
Asasmen nyeri asasmen ulang untuk rencana hari oleh dokter
dalam 24 jam terdokumntasi kebutuhan
setelah masuk sebelum operasi status fungsional saat masuk pasien yg akan pemulangan untuk pasien akut
khusus
meninggal pasien (SOAP)
dirawat

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y


1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 0
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 1 0 0 1 0 0 0
0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 0 1 0 1 0 1 0 0 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 1 0 0 0 1 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 0 1 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0
1 0 0 0 0 1 1 0 0 0 1 0 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 0 1 0 0 0 1 0 0 1 1 0 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 0
1 0 0 0 0 1 1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 1
0 1 0 0 0 1 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 1 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 1 0 0 0 1 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0
1 0 0 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 0 1 0 0 0 1 0 0 1 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 0
0 1 0 0 0 1 0 1 0 1 0 0 0 0 1 0 0 1 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
109 5 1 64 5 46 43 72 0 51 64 0 13 18 84 40 55 20 79 34 2 81
APAN REKAM MEDIS

AP.2 PP.2.1 PPK.2 PAB.3 PAB.4 MPO.4

Asasmen setiap Asesmen


Ukuran Asasmen pra Daftar obat yang
hari oleh dokter keberhasilan kebutuhan Asasmen pra monitoring Kriteria sadar
dari anestesi dan pra diminum
untuk pasien akut rncana asuhan pendidikan sedasi selama sedasi kembali induksi sebelum dirawat
(SOAP) pasien dan keluar

T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T


0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 1 0 0 1 0
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 1 0 0
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 1 0 0
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 1
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 0
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 0
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 1 0 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 1 0 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
34 0 100 15 0 78 36 1 2 44 69 2 44 69 11 38 66 37 7 71 6 84
TELAAH REKAM MEDIS LANJUTAN
MPO.4 MPO.4.3 MPO.7 PPK.2.1

Daftar obat yang Jenis obat yang Asasmen


Efek obat yang Asasmen budaya Asasmen tingkat Asasmen kendala Asasmen kendala kesedian
diresepkan pasien
diminum pasien dan pendidikan,
sebelum dirawat dicatat di rekam tidak diharapkan emosional fisik dan konigtif menerima
keluarga bahasa
medis informasi

TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
1 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 0 0 0 1 0
1 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 1 0 1 0 0
1 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
1 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
25 94 11 10 5 108 2 6 109 0 35 80 0 37 78 0 37 77 0 40 75 0
MKI.19.3 APK.1.1.3 APK2.1 APK.3.2.1
Resume pulang
Pencatatan,tangg Pencatatan setiap Rencana asuhan Obat yang
al, waktu dari keterlambatan Alasan dirawat, Tindakan
pasien Temuan Fisik diberikan,termas Instruksi tindak
setiap entri data tindakan diagnosis diagnostik dan
penting uk obat setelah lanjut (follow up)
(utama,sekunder) prosedur pulang

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y


1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
47 68 0 19 96 0 113 2 0 115 0 0 99 16 0 87 25 3 98 16 1 71
APK.4.4
Rekam medis pasien dirujuk memuat:
Nama RS dan perubahan
Instruksi tindak Nama orang yg Alasasn pasien Alasan lain pasien kondisi pasien
lanjut (follow up) menyetujui dirujuk dirujuk dan status pasien
menerima

T TDD Y T TDD Y T TDD Y T TDD Y T TDD


1 0 0 1 0 0 1 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 1 0 0 1 0 0 1 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
39 5 0 2 113 0 2 113 3 1 111 95 20 0
REVIEW KELENGKAPAN REKAM MEDIS
BULAN: DESEMBER

HPK6.3

NO. REKAM RUANGA


NO NO REGISTRASI DIAGNOSA DPJP
MEDIS N Persetujuan
Umum

Y T TDD
1 I-1610-001707 2016-721379 RDS , NKB SMK , SEPSIS , HB , PJ Ellen R.S, dr NICU 0 1 0
2 I-1611-001075 2010-244941 DBD Arifianto, dr, MAWAR 0 1 0
3 I-1611-001373 2016-725446 KET Muhammad Sy CEMPAKA 1 0 0
4 I-1611-001432 2016-724446 ADENOMYOSIS , KISTA COKLAT Muhammad Sy CEMPAKA 0 1 0
5 I-1611-001434 2016-725487 POST SC CYTO , KPD , PEB , POS Muhammad Sy DELIMA 1 0 0
6 I-1611-001471 2016-716960 ENCEPALOPATY , HYPONATREMI ,Ridwan, dr SpTERATAI 0 1 0
7 I-1611-001522 2016-726198 BLIGHTED OVUM Muhammad Sy CEMPAKA 1 0 0
8 I-1611-001523 2016-723848 ANEMI GRAVIS , HEMOROID INT ANDOKO BUDI CEMPAKA 1 0 0
9 I-1611-001560 2016-712668 TUMOR MAMAE Abdullah HasaCEMPAKA 1 0 0
10 I-1611-001562 2016-723697 LIPOMA Abdullah HasaCEMPAKA 1 0 0
11 I-1611-001589 2016-713019 MASTITIS SYAHARUDIN,CEMPAKA 1 0 0
12 I-1611-001597 2016-721012 TUMOR LEHER Abdullah HasaCEMPAKA 1 0 0
13 I-1611-001664 2012-442687 CKD , HT , DM2 , RINITIS Ariadi Humard TERATAI 0 1 0
14 I-1611-001677 2016-710440 ACITES , HERNIA UMBILICALIS , Ariadi Humard FLAMBOYA 1 0 0
15 I-1611-001686 2011-283418 STEVEN JOHNSON SYNDROM , BEllen R.S, dr MAWAR 1 0 0
16 I-1611-001751 2016-726705 HAMIL 25 MGG ANEMI GRAVIS Iwan SatyagraCEMPAKA 0 1 0
17 I-1611-001752 2016-726191 KISTA BARTHOLIN CEMPAKA 0 1 0
18 I-1611-001803 2016-721308 HAMIL 39 MGG DENGAN ANEMIAriadi Humard DAHLIA 1 0 0
19 I-1611-001807 2014-544423 ANEMI , DEMAM TYPHOID Jusi SusilawatANGGREK 2 0 0
20 I-1612-000067 2016-726600 POST SC , KPD , PRETERM , STERIArdian Suryo DELIMA 1 0 0
21 I-1612-000122 2016-725526 DHF Ariadi Humard DAHLIA 0 1 0
22 I-1612-000141 2011-365440 PPOK Syafrizal, dr, MELATI 0 1 0
23 I-1612-000145 2015-673526 HYPOGLIKEMIA PD DM2 , HT Jusi SusilawatFLAMBOYA 1 0 0
24 I-1612-000149 2016-725541 DHF FLAMBOYA 0 1 0
25 I-1612-000164 2012-434384 VERTIGO , BRONCHITIS Ridwan, dr SpANGGREK 0 1 0
26 I-1612-000169 2016-725576 SEPSIS , NCB SMK , NEONATAL FI Ellen R.S, dr NICU 1 0 0
27 I-1612-000181 2016-725599 ACUT NON STEMI , CHF , CAD , Herawati IsnaFLAMBOYA 1 0 0
28 I-1612-000187 2015-673078 BP , HHD , SYNCOP , AF , SVT Herawati IsnaCVCU/ICC 1 0 0
29 I-1612-000195 2016-725205 TUMOR MAMAE Abdullah HasaANGGREK 1 0 0
30 I-1612-000216 2016-727235 NCB SMK Tuty Rahayu, TERATAI 0 1 0
31 I-1612-000231 2015-634463 HEPATITIS B , CLD Ariadi Humard DAHLIA 0 1 0
32 I-1612-000240 2016-726416 CONTUSIO CEREBRI , HEMATOMADonny JandiaTERATAI 1 0 0
33 I-1612-000253 2016-717744 HYDRONEPROSIS , STENOSIS UR BAGUS BASKOR ANGGREK 1 0 0
34 I-1612-000256 2016-701731 BPH BAGUS BASKOR CEMPAKA 1 0 0
35 I-1612-000262 2016-726434 DHF , GASTRITIS BAGUS BASKOR FLAMBOYA 1 0 0
36 I-1612-000291 2016-724813 HYPERBILLIRUBINEA Endang P, Sp PERINA 0 1 0
37 I-1612-000294 2014-575218 ABCES AXILLA Abdullah HasaCEMPAKA 1 0 0
38 I-1612-000303 2016-716497 BATU URETER , ISK BAGUS BASKOR CEMPAKA 1 0 0
39 I-1612-000312 2013-456414 EX SC , STERTIL , POST SC Ahmad HelmyCEMPAKA 1 0 0
40 I-1612-000316 2014-540798 EX SC , HAMIL ATERM , ANEMI , Ahmad HelmyCEMPAKA 1 0 0
41 I-1612-000337 2012-445046 DM , CHF , CAD , PPOK Nugroho BudiFLAMBOYA 0 1 0
42 I-1612-000355 2016-726481 EX SC , HAP , POST SC Muhammad Sy DELIMA 1 0 0
43 I-1612-000358 2016-726466 DBD , ISPA Tuty Rahayu, MAWAR 0 0 1
44 I-1612-000389 2016-726458 DHF , ITP Nugroho BudiFLAMBOYA 1 0 0
45 I-1612-000402 2016-682796 POST PARTUS , EPILEPSI , Muhammad Sy DELIMA 0 0 1
46 I-1612-000446 2016-728410 NCB SMK Ellen R.S, dr TERATAI 0 1 0
47 I-1612-000455 2016-723559 TUMOR MAMAE SYAHARUDIN,DAHLIA 1 0 0
48 I-1612-000460 2014-577120 ISPA Ellen R.S, dr MAWAR 1 0 0
49 I-1612-000507 2016-727683 ACUT NON STEMI , HHD Herawati IsnaANGGREK 0 1 0
50 I-1612-000549 2016-703714 HAMIL ATERM , CTG NON REAKTIF Muhammad
, Sy
CEMPAKA 0 1 0
51 I-1612-000559 2016-728143 HAMIL ATERM , PTM , POST SC Muhammad Sy DELIMA 1 0 0
52 I-1612-000605 2016-726813 DYSTOSIA , HDK , STERIL , POST SBudhi SamodrCEMPAKA 0 1 0
53 I-1612-000616 2016-728116 DBD Ellen R.S, dr MAWAR 1 0 0
54 I-1612-000636 2012-426139 GE , ASHMA BRONCHIAL Ellen R.S, dr MAWAR 1 0 0
55 I-1612-000644 2016-727741 ISPA , KEJANG DEMAM Ellen R.S, dr MAWAR 0 1 0
56 I-1612-000647 2016-727747 NCB KMK , PNEUMONIA , NEONATAL FIT , HY NICU 1 0 0
57 I-1612-000655 2011-358331 THALASEMIA , DYSPEPSIA Arifianto, dr, MAWAR 1 0 0
58 I-1612-000684 2016-725261 TUMOR MAMAE Abdullah HasaCEMPAKA 1 0 0
59 I-1612-000722 2015-620747 BATU URETER , BATU GIJAL Ariadi Humard CEMPAKA 1 0 0
60 I-1612-000723 2012-444346 VERTIGO Ridwan, dr SpANGGREK 0 1 0
61 I-1612-000726 2013-452151 DYSTOSIA , CPD , GAGAL INDUKSIBudhi SamodrDELIMA 1 0 0
62 I-1612-000739 2016-728474 HYPERBILLIRUBINEA PERINA 0 1 0
63 I-1612-000747 2016-727771 DHF Jusi SusilawatDAHLIA 0 1 0
64 I-1612-000764 2016-728606 PARTUS SPONTAN , KPD DELIMA 0 1 0
65 I-1612-000787 2015-655124 ISK , DYSPEPSIA Arifianto, dr, MAWAR 1 0 0
66 I-1612-000798 2011-280669 DHF Endang P, Sp MAWAR 1 0 0
67 I-1612-000803 2016-722373 ACUT NON STEMI , CHF , DM , BPHerawati IsnaFLAMBOYA 1 0 0
68 I-1612-000829 2016-728460 NCB SMK Endang P, Sp DELIMA 0 1 0
69 I-1612-000845 2016-727788 ABCES DINDING DADA PERUT Aunurrafieq,dCEMPAKA 1 0 0
70 I-1612-000855 2016-728566 DIARE Arifianto, dr, MAWAR 1 0 0
71 I-1612-000864 2015-631448 EPILEPSI Arifianto, dr, MAWAR 1 0 0
72 I-1612-000894 2016-728459 NCB SMK Tuty Rahayu, KAMAR BE 0 1 0
73 I-1612-000900 2012-444967 DM2 , SYNCOPE Ariadi Humard ANGGREK 1 0 0
74 I-1612-000914 2015-659589 TUMOR TONCIL , DM2 Aswaldi A.,drANGGREK 1 0 0
75 I-1612-000966 2016-700716 TUMOR MAMAE SYAHARUDIN,CEMPAKA 1 0 0
76 I-1612-000967 2016-700719 TUMOR MAMAE SYAHARUDIN,CEMPAKA 1 0 0
77 I-1612-000968 2015-672303 TUMOR LEHER Abdullah HasaANGGREK 1 0 0
78 I-1612-000987 2013-520728 RENAL TUBULAR ASIDOSIS Arifianto, dr, MAWAR 1 0 0
79 I-1612-000993 2016-710260 TUMOR SUBMANDIBULA SYAHARUDIN,CEMPAKA 0 1 0
80 I-1612-001007 2016-729259 DHF TEDDY ERVANFLAMBOYA 1 0 0
81 I-1612-001015 2014-607231 BP , BATUK DARAH Syafrizal, dr, MELATI 1 0 0
82 I-1612-001075 2016-729273 SEPSIS , CAD , CHOLECYSTITIS , Ferliani, dr, FLAMBOYA 1 0 0
83 I-1612-001097 2016-728868 PNEUMONIA , NCB SMK , ANEMIEllen R.S, dr NICU 1 0 0
84 I-1612-001162 2016-729027 SEPSIS , GASTRITIS TEDDY ERVANDAHLIA 1 0 0
85 I-1612-001182 2016-727071 POST SC , KPD , EX SC Ardian Suryo DAHLIA 1 0 0
86 I-1612-001188 2016-729055 PNEUMOTHORAX , LUKA TUSUK DADA CEMPAKA 1 0 0
87 I-1612-001216 2016-729091 DHF Nugroho BudiFLAMBOYA 1 0 0
88 I-1612-001236 2016-724815 BP , DIARE Endang P, Sp MAWAR 1 0 0
89 I-1612-001244 2016-698633 PANSITOPENIA , ANEMI GRAVIS Jusi SusilawatFLAMBOYA 1 0 0
90 I-1612-001283 2016-729320 PARTUS PREMATUR Budhi SamodrKAMAR BE 1 0 0
91 I-1612-001310 2011-309271 POST SC , KPD , MALL POSISI , J Ardian Suryo DELIMA 1 0 0
92 I-1612-001345 2016-729372 ABORTUS INKOMPLIT Ahmad HelmyCEMPAKA 1 0 0
93 I-1612-001369 2016-729378 CKR Gotot Sumantr CEMPAKA 1 0 0
94 I-1612-001392 2012-436492 KEJANG DEMAM , DIARE Endang P, Sp MAWAR 0 1 0
95 I-1612-001449 2016-730151 ABORTUS INKOMPLIT Muhammad Sy CEMPAKA 1 0 0
96 I-1612-001469 2015-637909 METRORAGIA Ahmad HelmyTERATAI 1 0 0
97 I-1612-001489 2012-377466 TUMOR MAMAE ANDOKO BUDI CEMPAKA 1 0 0
98 I-1612-001491 2012-445083 DEMAM DENGUE Ellen R.S, dr TERATAI 1 0 0
99 I-1612-001492 2012-445084 DEMAM DENGUE Ellen R.S, dr TERATAI 1 0 0
100 I-1612-001493 2016-730514 NCB SMK Endang P, Sp CEMPAKA 1 0 0
101 I-1612-001564 2016-730224 PARTUS SPONTAN , PER Ardian Suryo DELIMA 1 0 0
72 28 2
PERSETUJUAN (CONSENT) ASE
HPK6.4 HPK.8 PAB5.1 PAB7.1 AP.1.3
Persetujuan
Persetujuan
Persetujuan Persetujuan riset, Risiko,keuntung Risiko,keuntung
Persetujuan tindakan dan anestesi an, komplikasi Kebutuhan
Anestesi dan transfusi dan prosedur risiko dan percobaan an,dan
penyelidikan
Operasi dan alternatif medis pasien
sedasi produk darah alternatif
tinggi operasi
klinik

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 1 0
0 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 0 0 0 1 0 1 0 0
0 1 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 1 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 1 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0
1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 1 0 0 0 0 1 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 2 0 0
1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0 0 1 0 1 0 0
1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 1 0 0 0 0 1 0 1 0 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 1 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
33 9 60 36 3 63 27 2 73 31 3 68 7 4 91 36 3 63 31 8 63 98 3 1
ASESMEN
AP.1.3 AP.1.4.1 AP1.5 AP1.5.1 AP.1.6 AP.1.7 AP.1.9
Asesmen
Asasmen medis Asasmen dan
Asesmen terdokumentasi Asesmen medis Asasmen gizi
Kebutuhan selama 24 jam, keperawatan Asasmen nyeri asasmen ulang
dalam 24 jam terdokumntasi dan status
keperawatan di update umur selama 24 jam setelah saat masuk pasien yg akan
masuk sebelum operasi fungsional
> 30 hari meninggal
dirawat

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0
0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0 1
1 0 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0
2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 0 1
1 0 0 0 1 0 0 1 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 0 0 1 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 0 1 0
1 0 0 0 0 1 0 0 1 1 0 0 0 0 1 1 0 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 1 0 0 0 1
1 0 0 0 0 1 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 1 0 0
1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 1
1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 1
1 0 0 0 1 0 1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 0 0 1
0 1 0 0 1 0 1 0 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 1 0 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
96 5 1 86 12 4 93 5 4 82 13 7 43 13 46 63 37 2 83 18 1 31 9 62
REVIEW KELENGKAPAN REKAM MEDIS

AP.1.10 AP.1.11 AP.2 PP.2.1 PPK.2 PAB.3


Asesmen
Asasmen awal Asasmen setiap Ukuran
Asasmen kebutuhan
untuk rencana hari oleh dokter keberhasilan Asasmen pra monitoring Kriteria sadar
kebutuhan pendidikan
pemulangan untuk pasien dari rncana sedasi selama sedasi kembali
khusus pasien dan
pasien akut (SOAP) asuhan keluar

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
2 0 0 2 0 0 2 0 0 1 1 0 1 1 0 0 0 2 0 0 2 0 0 2
0 0 1 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1
0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0
0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1
0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 1 0
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1
0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1
1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
0 0 1 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0
1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
80 17 5 80 21 1 75 27 0 86 16 0 78 23 1 0 53 49 0 53 49 8 39 55
TELAAH REKAM MEDIS LANJUTAN
PAB.4 MPO.4 MPO.4.3 MPO.7 PPK.2.1

Asasmen pra Daftar obat yang Jenis obat yang


Asasmen budaya Asasmen tingkat Asasmen Asasmen
diresepkan Efek obat yang
anestesi dan pra diminum pendidikan, kendala kendala fisik dan
dicatat di rekam tidak diharapkan pasien dan keluarga
induksi sebelum dirawat bahasa emosional konigtif
medis

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T


0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 1
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 0 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 2 1 1 0 2 0 0 0 2 0 0 2 0 2 0 0 2 0 0 2 0
1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0
0 0 1 0 0 1 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 1
0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 1 0 0 1 0 0 1 1
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 0
0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0 0 1
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1
0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
31 17 54 36 56 10 91 9 2 19 82 1 8 93 1 76 26 0 76 25 1 76 26
MKI.19.3 APK.1.1.3 APK2.1 APK.3.2.1
Resume pulang
Asasmen Pencatatan
Asasmen pasien Pencatatan,tang Rencana asuhan Alasan dirawat, Obat yang
kendala fisik dan kesedian setiap Tindakan
gal, waktu dari diagnosis Temuan Fisik
konigtif menerima setiap entri data keterlambatan pasien diagnostik dan diberikan,termas
informasi tindakan (utama,sekunde penting uk obat setelah
prosedur
r) pulang

TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T


0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0
0 1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0
0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 76 26 0 45 57 0 30 71 1 91 11 0 101 1 0 93 9 0 83 19 0 85 17
APK.4.4
ng Rekam medis pasien dirujuk memuat:

Obat yang Nama RS dan perubahan


diberikan,termas Instruksi tindak Nama orang yg Alasasn pasien Alasan lain pasien kondisi pasien
lanjut (follow
uk obat setelah menyetujui dirujuk dirujuk dan status
up)
pulang menerima pasien

TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 1 0 0 0 2 0 0 2 0 0 2 2 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 64 36 2 0 0 102 0 0 102 0 0 102 85 17 0
REVIEW KELENGKAPAN REKAM MEDIS
BULAN: OKTOBER

HPK6.3

NO. REKAM RUANGA


NO NO REGISTRASI DIAGNOSA DPJP
MEDIS N Persetujuan
Umum

Y T TDD
1 I-1610-001707 2016-721379 RDS , NKB SMK , SEPSIS , HB , PJ Ellen R.S, dr NICU 0 1 0
2 I-1611-001471 2016-716960 ENCEPALOPATY , HYPONATREMI ,Ridwan, dr SpTERATAI 0 1 0
3 I-1611-001803 2016-721308 HAMIL 39 MGG DENGAN ANEMIAriadi Humard DAHLIA 1 0 0
4 I-1611-001807 2014-544423 ANEMI , DEMAM TYPHOID Jusi SusilawatANGGREK 2 0 0
5 I-1612-000122 2016-725526 DHF Ariadi Humard DAHLIA 0 1 0
6 I-1612-000141 2011-365440 PPOK Syafrizal, dr, MELATI 0 1 0
7 I-1612-000145 2015-673526 HYPOGLIKEMIA PD DM2 , HT Jusi SusilawatFLAMBOYA 1 0 0
8 I-1612-000149 2016-725541 DHF FLAMBOYA 0 1 0
9 I-1612-000164 2012-434384 VERTIGO , BRONCHITIS Ridwan, dr SpANGGREK 0 1 0
10 I-1612-000169 2016-725576 SEPSIS , NCB SMK , NEONATAL FI Ellen R.S, dr NICU 1 0 0
11 I-1612-000181 2016-725599 ACUT NON STEMI , CHF , CAD , Herawati IsnaFLAMBOYA 1 0 0
12 I-1612-000187 2015-673078 BP , HHD , SYNCOP , AF , SVT Herawati IsnaCVCU/ICC 1 0 0
13 I-1612-000195 2016-725205 TUMOR MAMAE Abdullah HasaANGGREK 1 0 0
14 I-1612-000231 2015-634463 HEPATITIS B , CLD Ariadi Humard DAHLIA 0 1 0
15 I-1612-000253 2016-717744 HYDRONEPROSIS , STENOSIS UR BAGUS BASKOR ANGGREK 1 0 0
16 I-1612-000256 2016-701731 BPH BAGUS BASKOR CEMPAKA 1 0 0
17 I-1612-000262 2016-726434 DHF , GASTRITIS BAGUS BASKOR FLAMBOYA 1 0 0
18 I-1612-000280 2014-597270 TB PARU , DYSPEPSIA , CKD , GF Subagyo,dr,S MELATI 0 1 0
19 I-1612-000291 2016-724813 HYPERBILLIRUBINEA Endang P, Sp PERINA 0 1 0
20 I-1612-000312 2013-456414 EX SC , STERTIL , POST SC Ahmad HelmyCEMPAKA 1 0 0
21 I-1612-000316 2014-540798 EX SC , HAMIL ATERM , ANEMI , Ahmad HelmyCEMPAKA 1 0 0
22 I-1612-000337 2012-445046 DM , CHF , CAD , PPOK Nugroho BudiFLAMBOYA 0 1 0
23 I-1612-000355 2016-726481 EX SC , HAP , POST SC Muhammad Sy DELIMA 1 0 0
24 I-1612-000358 2016-726466 DBD , ISPA Tuty Rahayu, MAWAR 0 0 1
25 I-1612-000389 2016-726458 DHF , ITP Nugroho BudiFLAMBOYA 1 0 0
26 I-1612-000402 2016-682796 POST PARTUS , EPILEPSI , Muhammad Sy DELIMA 0 0 1
27 I-1612-000446 2016-728410 NCB SMK Ellen R.S, dr TERATAI 0 1 0
28 I-1612-000455 2016-723559 TUMOR MAMAE SYAHARUDIN,DAHLIA 1 0 0
29 I-1612-000460 2014-577120 ISPA Ellen R.S, dr MAWAR 1 0 0
30 I-1612-000507 2016-727683 ACUT NON STEMI , HHD Herawati IsnaANGGREK 0 1 0
31 I-1612-000549 2016-703714 HAMIL ATERM , CTG NON REAKTIF Muhammad
, Sy
CEMPAKA 0 1 0
32 I-1612-000559 2016-728143 HAMIL ATERM , PTM , POST SC Muhammad Sy DELIMA 1 0 0
33 I-1612-000605 2016-726813 DYSTOSIA , HDK , STERIL , POST SBudhi SamodrCEMPAKA 0 1 0
34 I-1612-000616 2016-728116 DBD Ellen R.S, dr MAWAR 1 0 0
35 I-1612-000636 2012-426139 GE , ASHMA BRONCHIAL Ellen R.S, dr MAWAR 1 0 0
36 I-1612-000644 2016-727741 ISPA , KEJANG DEMAM Ellen R.S, dr MAWAR 0 1 0
37 I-1612-000647 2016-727747 NCB KMK , PNEUMONIA , NEONATAL FIT , HY NICU 1 0 0
38 I-1612-000649 2013-503690 UAP , CHF , CAD Herawati IsnaFLAMBOYA 1 0 0
39 I-1612-000655 2011-358331 THALASEMIA , DYSPEPSIA Arifianto, dr, MAWAR 1 0 0
40 I-1612-000684 2016-725261 TUMOR MAMAE Abdullah HasaCEMPAKA 1 0 0
41 I-1612-000722 2015-620747 BATU URETER , BATU GIJAL Ariadi Humard CEMPAKA 1 0 0
42 I-1612-000723 2012-444346 VERTIGO Ridwan, dr SpANGGREK 0 1 0
43 I-1612-000726 2013-452151 DYSTOSIA , CPD , GAGAL INDUKSIBudhi SamodrDELIMA 1 0 0
44 I-1612-000739 2016-728474 HYPERBILLIRUBINEA PERINA 0 1 0
45 I-1612-000747 2016-727771 DHF Jusi SusilawatDAHLIA 0 1 0
46 I-1612-000764 2016-728606 PARTUS SPONTAN , KPD DELIMA 0 1 0
47 I-1612-000787 2015-655124 ISK , DYSPEPSIA Arifianto, dr, MAWAR 1 0 0
48 I-1612-000798 2011-280669 DHF Endang P, Sp MAWAR 1 0 0
49 I-1612-000803 2016-722373 ACUT NON STEMI , CHF , DM , BPHerawati IsnaFLAMBOYA 1 0 0
50 I-1612-000829 2016-728460 NCB SMK Endang P, Sp DELIMA 0 1 0
51 I-1612-000845 2016-727788 ABCES DINDING DADA PERUT Aunurrafieq,dCEMPAKA 1 0 0
52 I-1612-000855 2016-728566 DIARE Arifianto, dr, MAWAR 1 0 0
53 I-1612-000864 2015-631448 EPILEPSI Arifianto, dr, MAWAR 1 0 0
54 I-1612-000870 2016-720301 PPOK , BP , DYSPEPSI , CHF , AN Subagyo,dr,S MELATI 1 0 0
55 I-1612-000894 2016-728459 NCB SMK Tuty Rahayu, KAMAR BE 0 1 0
56 I-1612-000900 2012-444967 DM2 , SYNCOPE Ariadi Humard ANGGREK 1 0 0
57 I-1612-000914 2015-659589 TUMOR TONCIL , DM2 Aswaldi A.,drANGGREK 1 0 0
58 I-1612-000966 2016-700716 TUMOR MAMAE SYAHARUDIN,CEMPAKA 1 0 0
59 I-1612-000967 2016-700719 TUMOR MAMAE SYAHARUDIN,CEMPAKA 1 0 0
60 I-1612-000968 2015-672303 TUMOR LEHER Abdullah HasaANGGREK 1 0 0
61 I-1612-000987 2013-520728 RENAL TUBULAR ASIDOSIS Arifianto, dr, MAWAR 1 0 0
62 I-1612-000993 2016-710260 TUMOR SUBMANDIBULA SYAHARUDIN,CEMPAKA 0 1 0
63 I-1612-001007 2016-729259 DHF TEDDY ERVANFLAMBOYA 1 0 0
64 I-1612-001015 2014-607231 BP , BATUK DARAH Syafrizal, dr, MELATI 1 0 0
65 I-1612-001075 2016-729273 SEPSIS , CAD , CHOLECYSTITIS , Ferliani, dr, FLAMBOYA 1 0 0
66 I-1612-001097 2016-728868 PNEUMONIA , NCB SMK , ANEMIEllen R.S, dr NICU 1 0 0
67 I-1612-001162 2016-729027 SEPSIS , GASTRITIS TEDDY ERVANDAHLIA 1 0 0
68 I-1612-001182 2016-727071 POST SC , KPD , EX SC Ardian Suryo DAHLIA 1 0 0
69 I-1612-001188 2016-729055 PNEUMOTHORAX , LUKA TUSUK DADA CEMPAKA 1 0 0
70 I-1612-001216 2016-729091 DHF Nugroho BudiFLAMBOYA 1 0 0
71 I-1612-001236 2016-724815 BP , DIARE Endang P, Sp MAWAR 1 0 0
72 I-1612-001244 2016-698633 PANSITOPENIA , ANEMI GRAVIS Jusi SusilawatFLAMBOYA 1 0 0
73 I-1612-001247 2016-692990 METEORISMUS , DYSPEPSIA Nugroho BudiFLAMBOYA 1 0 0
74 I-1612-001283 2016-729320 PARTUS PREMATUR Budhi SamodrKAMAR BE 1 0 0
75 I-1612-001310 2011-309271 POST SC , KPD , MALL POSISI , J Ardian Suryo DELIMA 1 0 0
76 I-1612-001329 2016-729368 BATU URETER BAGUS BASKOR TERATAI 1 0 0
77 I-1612-001345 2016-729372 ABORTUS INKOMPLIT Ahmad HelmyCEMPAKA 1 0 0
78 I-1612-001369 2016-729378 CKR Gotot Sumantr CEMPAKA 1 0 0
79 I-1612-001392 2012-436492 KEJANG DEMAM , DIARE Endang P, Sp MAWAR 0 1 0
80 I-1612-001449 2016-730151 ABORTUS INKOMPLIT Muhammad Sy CEMPAKA 1 0 0
81 I-1612-001450 2016-729747 CKD , HT , DYSPEPSI Ariadi Humard TERATAI 1 0 0
82 I-1612-001451 2015-673353 PNEUMONIA , INTAK SULIT , CADNugroho BudiFLAMBOYA 1 0 0
83 I-1612-001469 2015-637909 METRORAGIA Ahmad HelmyTERATAI 1 0 0
84 I-1612-001489 2012-377466 TUMOR MAMAE ANDOKO BUDI CEMPAKA 1 0 0
85 I-1612-001491 2012-445083 DEMAM DENGUE Ellen R.S, dr TERATAI 1 0 0
86 I-1612-001492 2012-445084 DEMAM DENGUE Ellen R.S, dr TERATAI 1 0 0
87 I-1612-001493 2016-730514 NCB SMK Endang P, Sp CEMPAKA 1 0 0
88 I-1612-001564 2016-730224 PARTUS SPONTAN , PER Ardian Suryo DELIMA 1 0 0
89 I-1612-001659 2015-651995 BATU BULI , ISK BAGUS BASKOR CEMPAKA 1 0 0
90 I-1612-001704 2016-730905 NCB SMK Ellen R.S, dr CEMPAKA 1 0 0
91 I-1701-000017 2017-730333 LUKA BAKAR GRADE II ADITYA HERWCEMPAKA 1 0 0
92 I-1701-000044 2016-729697 DHF Ariadi Humard DAHLIA 1 0 0
93 I-1701-000046 2016-730381 GE , DYSPEPSIA Ariadi Humard FLAMBOYA 1 0 0
94 I-1701-000122 2016-730362 GASTROENTERITIS Ariadi Humard DAHLIA 1 0 0
95 I-1701-000128 2017-731222 ISPA Endang P, Sp MAWAR 1 0 0
96 I-1701-000132 2016-714783 SYNDROM NEPROTIK , HYPOSPADArifianto, dr, MAWAR 0 1 0
97 I-1701-000138 2012-377692 COLITIS , GASTRITIS , DERMATITI Endang P, Sp MAWAR 1 0 0
98 I-1701-000160 2016-729246 BPH Hengkinarso SCEMPAKA 1 0 0
99 I-1701-000189 2016-731214 BRONCHOPNEUMONIA Syafrizal, dr, MELATI 0 1 0
100 I-1701-000192 2013-453240 DEMAM DENGUE , DBD , EPILEPSArifianto, dr, MAWAR 1 0 0
101 I-1701-000201 2017-731235 DHF Ariadi Humard FLAMBOYA 1 0 0
102 I-1701-000263 2017-731692 NCB SMK Ellen R.S, dr CEMPAKA 0 1 0
103 I-1701-000275 2017-731289 DYSPEPSIA Ariadi Humard FLAMBOYA 1 0 0
104 I-1701-000332 2015-622135 DEMAM DENGUE , DBD Arifianto, dr, MAWAR 1 0 0
105 I-1701-000339 2012-445942 VIRAL INFECTION Ariadi Humard DAHLIA 1 0 0
106 I-1701-000490 2015-677889 TUMOR GASTER , ANEMI , ACITEAriadi Humard DAHLIA 0 1 0
107 I-1701-000591 2016-732101 ANEMI GRAVIS , HAEMOROID Ariadi Humard FLAMBOYA 1 0 0
108 I-1701-000610 2012-440011 VOMITUS , CA CASOFARINK , AKINugroho BudiTERATAI 1 0 0
109 I-1701-000652 2016-700050 ULCUS PEDIS , SEPSIS , DM2 Ariadi Humard FLAMBOYA 1 0 0
110 I-1701-000743 2016-731512 EX SC , CPD , POST SC Muhammad Sy TERATAI 0 1 0
111 I-1701-000765 2012-390423 STOMATITIS , TB PARU , DYSPEPSSubagyo,dr,S MELATI 1 0 0
112 I-1701-000771 2012-442512 DSS , GASTRITIS Nugroho BudiTERATAI 1 0 0
113 I-1701-000871 2016-733101 NCB SMK Arifianto, dr, DELIMA 0 1 0
114 I-1701-000900 2016-695588 HERNIA INGUINALIS TERATAI 0 1 0
115 I-1701-000945 2016-732082 PARTUS SPONTAN , ANEMI Ahmad HelmyDELIMA 1 0 0
116 I-1701-000964 2016-721634 CPD , EX SC , POST SC Budhi SamodrDELIMA 0 1 0
117 I-1701-000969 2016-729950 HYDRONEPROSIS , BATU URETERBAGUS BASKOR CEMPAKA 0 1 0
118 I-1701-001051 2012-445571 FEBRIS , GASTRITIS Nugroho BudiTERATAI 0 1 0
119 I-1701-001074 2012-443732 PARTUS SPONTAN , PK1 KAMAR BE 0 1 0
120 I-1701-001091 2012-440312 VERTIGO Gotot Sumantr TERATAI 0 1 0
121 I-1701-001097 2016-731900 FRAKTUR CLAVICULA Donny JandiaCEMPAKA 1 0 0
122 I-1701-001131 2013-527840 GE , PNEUMONIA , HYPOKALEMIAriadi Humard DAHLIA 0 1 0
123 I-1701-001137 2016-699861 ISPA , KEJANG DEMAM Ellen R.S, dr MAWAR 0 1 0
124 I-1701-001149 2016-732302 ULCUS MANUS , DM2 Ariadi Humard FLAMBOYA 0 1 0
125 I-1701-001168 2016-730117 HYDRONEPROSIS , KINKING URETBAGUS BASKOR CEMPAKA 1 0 0
126 I-1701-001191 2016-732318 CVD INFAK , HEMIPARESE Gotot Sumantr FLAMBOYA 1 0 0
127 I-1701-001193 2017-730349 ACUT NON STEMI , HHD , DM Gotot Sumantr DAHLIA 1 0 0
128 I-1701-001241 2016-732350 ISK , RUBELLA Arifianto, dr, MAWAR 1 0 0
129 I-1701-001290 2012-446273 VOMITUS , GASTRITIS , ENTERITIEllen R.S, dr TERATAI 0 1 0
130 I-1701-001299 2016-733345 Ellen R.S, dr MAWAR 1 0 0
131 I-1701-001325 2016-730459 BATU URETER Hengkinarso SDAHLIA 0 1 0
132 I-1701-001406 2016-733264 DBD , CERUMEN PROP Tuty Rahayu, MAWAR 0 1 0
133 I-1701-001446 2015-656853 COLIC ABDOMEN , GASTRITIS Ellen R.S, dr MAWAR 1 0 0
134 I-1701-001514 2016-734409 POST PARTUS PREMATUR Budhi SamodrTERATAI 0 1 0
135 I-1701-001528 2016-734445 CPD , PTM , POST SC Budhi SamodrDELIMA 0 1 0
91 43 2
PERSETUJUAN (CONSENT) ASE
HPK6.4 HPK.8 PAB5.1 PAB7.1 AP.1.3
Persetujuan
Persetujuan
Persetujuan Persetujuan riset, Risiko,keuntung Risiko,keuntung
Persetujuan tindakan dan anestesi an, komplikasi Kebutuhan
Anestesi dan transfusi dan prosedur risiko dan percobaan an,dan
penyelidikan
Operasi dan alternatif medis pasien
sedasi produk darah alternatif
tinggi operasi
klinik

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 2 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 1 0 0 0 0 1 0 1 0 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 1 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0
32 6 98 32 6 98 26 3 107 33 5 98 11 6 119 34 6 96 35 5 96 134 1 1
ASESMEN
AP.1.3 AP.1.4.1 AP1.5 AP1.5.1 AP.1.6 AP.1.7 AP.1.9
Asesmen
Asasmen medis Asasmen dan
Asesmen terdokumentasi Asesmen medis Asasmen gizi
Kebutuhan selama 24 jam, keperawatan Asasmen nyeri asasmen ulang
dalam 24 jam terdokumntasi dan status
keperawatan di update umur selama 24 jam setelah saat masuk pasien yg akan
masuk sebelum operasi fungsional
> 30 hari meninggal
dirawat

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0
2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 0 0
1 0 0 0 1 0 0 1 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 0 0 1 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 0 1 0
1 0 0 0 0 1 0 0 1 1 0 0 0 0 1 1 0 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 1
1 0 0 0 1 0 1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 0 0 1
0 1 0 0 1 0 1 0 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 1 0 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 0 0 1 0 1 0 0
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
133 2 1 127 6 3 132 1 3 105 18 13 49 14 73 98 36 2 107 24 5 41 18 77
REVIEW KELENGKAPAN REKAM MEDIS

AP.1.10 AP.1.11 AP.2 PP.2.1 PPK.2 PAB.3


Asesmen
Asasmen awal Asasmen setiap Ukuran
Asasmen kebutuhan
untuk rencana hari oleh dokter keberhasilan Asasmen pra monitoring Kriteria sadar
kebutuhan pendidikan
pemulangan untuk pasien dari rncana sedasi selama sedasi kembali
khusus pasien dan
pasien akut (SOAP) asuhan keluar

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
2 0 0 2 0 0 2 0 0 1 1 0 1 1 0 0 0 2 0 0 2 0 0 2
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1
0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 1 0
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0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
112 20 4 116 19 1 104 32 0 115 21 0 115 20 1 0 51 85 0 51 85 8 37 91
TELAAH REKAM MEDIS LANJUTAN
PAB.4 MPO.4 MPO.4.3 MPO.7 PPK.2.1

Asasmen pra Daftar obat yang Jenis obat yang


Asasmen budaya Asasmen tingkat Asasmen Asasmen
diresepkan Efek obat yang
anestesi dan pra diminum pendidikan, kendala kendala fisik dan
dicatat di rekam tidak diharapkan pasien dan keluarga
induksi sebelum dirawat bahasa emosional konigtif
medis

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T


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0 0 2 1 1 0 2 0 0 0 2 0 0 2 0 2 0 0 2 0 0 2 0
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0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
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0 0 1 0 0 1 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 0
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1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
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1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
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1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1
0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0
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0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
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0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
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0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 1 0 0 0 0 1 0 0 1 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0
0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
24 20 92 81 45 10 123 11 2 34 101 1 8 127 1 105 31 0 106 30 0 106 30
MKI.19.3 APK.1.1.3 APK2.1 APK.3.2.1
Resume pulang
Asasmen Pencatatan
Asasmen pasien Pencatatan,tang Rencana asuhan Alasan dirawat, Obat yang
kendala fisik dan kesedian setiap Tindakan
gal, waktu dari diagnosis Temuan Fisik
konigtif menerima setiap entri data keterlambatan pasien diagnostik dan diberikan,termas
informasi tindakan (utama,sekunde penting uk obat setelah
prosedur
r) pulang

TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T


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0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
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0 2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 0
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0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 103 33 0 61 75 0 38 97 1 124 11 1 131 5 0 123 13 0 102 34 0 113 23
APK.4.4
ng Rekam medis pasien dirujuk memuat:

Obat yang Nama RS dan perubahan


diberikan,termas Instruksi tindak Nama orang yg Alasasn pasien Alasan lain pasien kondisi pasien
lanjut (follow
uk obat setelah menyetujui dirujuk dirujuk dan status
up)
pulang menerima pasien

TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 1 0 0 0 2 0 0 2 0 0 2 2 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 99 35 2 0 0 136 0 0 136 0 0 136 120 16 0
REVIEW KELENGKAPAN REKAM MEDIS
BULAN: FEBRUARI

HPK6.3

NO. REKAM RUANGA


NO NO REGISTRASI DIAGNOSA DPJP
MEDIS N Persetujuan
Umum

Y T TDD
1 I-1612-000649 2013-503690 UAP , CHF , CAD Herawati IsnaFLAMBOYA 1 0 0
2 I-1612-001329 2016-729368 BATU URETER BAGUS BASKOR TERATAI 1 0 0
3 I-1701-000189 2016-731214 BRONCHOPNEUMONIA Syafrizal, dr, MELATI 0 1 0
4 I-1701-000332 2015-622135 DEMAM DENGUE , DBD Arifianto, dr, MAWAR 1 0 0
5 I-1701-000490 2015-677889 TUMOR GASTER , ANEMI , ACITES Ariadi Humard DAHLIA 0 1 0
6 I-1701-000591 2016-732101 ANEMI GRAVIS , HAEMOROID Ariadi Humard FLAMBOYA 1 0 0
7 I-1701-000610 2012-440011 VOMITUS , CA CASOFARINK , AKI Nugroho BudiTERATAI 1 0 0
8 I-1701-000652 2016-700050 ULCUS PEDIS , SEPSIS , DM2 Ariadi Humard FLAMBOYA 1 0 0
9 I-1701-000743 2016-731512 EX SC , CPD , POST SC Muhammad Sy TERATAI 0 1 0
10 I-1701-000765 2012-390423 STOMATITIS , TB PARU , DYSPEPSIASubagyo,dr,S MELATI 1 0 0
11 I-1701-000771 2012-442512 DSS , GASTRITIS Nugroho BudiTERATAI 1 0 0
12 I-1701-000871 2016-733101 NCB SMK Arifianto, dr, DELIMA 0 1 0
13 I-1701-000900 2016-695588 HERNIA INGUINALIS TERATAI 0 1 0
14 I-1701-000945 2016-732082 PARTUS SPONTAN , ANEMI Ahmad HelmyDELIMA 1 0 0
15 I-1701-000964 2016-721634 CPD , EX SC , POST SC Budhi SamodrDELIMA 0 1 0
16 I-1701-000969 2016-729950 HYDRONEPROSIS , BATU URETER , BAGUS BASKOR CEMPAKA 0 1 0
17 I-1701-001051 2012-445571 FEBRIS , GASTRITIS Nugroho BudiTERATAI 0 1 0
18 I-1701-001074 2012-443732 PARTUS SPONTAN , PK1 KAMAR BE 0 1 0
19 I-1701-001091 2012-440312 VERTIGO Gotot Sumantr TERATAI 0 1 0
20 I-1701-001097 2016-731900 FRAKTUR CLAVICULA Donny JandiaCEMPAKA 1 0 0
21 I-1701-001131 2013-527840 GE , PNEUMONIA , HYPOKALEMI Ariadi Humard DAHLIA 0 1 0
22 I-1701-001137 2016-699861 ISPA , KEJANG DEMAM Ellen R.S, dr MAWAR 0 1 0
23 I-1701-001149 2016-732302 ULCUS MANUS , DM2 Ariadi Humard FLAMBOYA 0 1 0
24 I-1701-001168 2016-730117 HYDRONEPROSIS , KINKING URETERBAGUS BASKOR CEMPAKA 1 0 0
25 I-1701-001191 2016-732318 CVD INFAK , HEMIPARESE Gotot Sumantr FLAMBOYA 1 0 0
26 I-1701-001193 2017-730349 ACUT NON STEMI , HHD , DM Gotot Sumantr DAHLIA 1 0 0
27 I-1701-001241 2016-732350 ISK , RUBELLA Arifianto, dr, MAWAR 1 0 0
28 I-1701-001290 2012-446273 VOMITUS , GASTRITIS , ENTERITIS Ellen R.S, dr TERATAI 0 1 0
29 I-1701-001299 2016-733345 Ellen R.S, dr MAWAR 1 0 0
30 I-1701-001325 2016-730459 BATU URETER Hengkinarso SDAHLIA 0 1 0
31 I-1701-001403 2016-733262 DIARE , ISK Ellen R.S, dr MAWAR 1 0 0
32 I-1701-001406 2016-733264 DBD , CERUMEN PROP Tuty Rahayu, MAWAR 0 1 0
33 I-1701-001442 2016-721313 PNEUMONIA , PJB , PDA , DOWN Ellen R.S, dr MAWAR 0 1 0
34 I-1701-001446 2015-656853 COLIC ABDOMEN , GASTRITIS Ellen R.S, dr MAWAR 1 0 0
35 I-1701-001514 2016-734409 POST PARTUS PREMATUR Budhi SamodrTERATAI 0 1 0
36 I-1701-001525 2016-734449 POST SC CYTO , KPD , PRESS BOKO Budhi SamodrKAMAR BE 0 1 0
37 I-1701-001528 2016-734445 CPD , PTM , POST SC Budhi SamodrDELIMA 0 1 0
38 I-1701-001537 2016-734433 RETENSI PLACENTA , ANEMI Budhi SamodrDELIMA 0 1 0
39 I-1701-001617 2016-734937 ABORTUS INKOMPLIT Budhi SamodrDELIMA 0 1 0
40 I-1701-001624 2016-730617 POST SC CYTO , KPD , CPD Muhammad Sy DELIMA 0 1 0
41 I-1701-001687 2016-727496 TB PARU , SO , DYSPEPSIA , VERTIG Subagyo,dr,S DAHLIA 0 1 0
42 I-1701-001856 2016-692767 DIARE , PNEUMONIA ,DOWN SYNDR Ellen R.S, dr MAWAR 0 1 0
43 I-1702-000006 2015-644624 STENOSIS , VENA CENTRAL , CKD , OKY NOVIANDR DAHLIA 0 1 0
44 I-1702-000056 2016-704316 DEPEK KRANIUM , POST OP KRANI Ridwan Kamal, DAHLIA 1 0 0
45 I-1702-000074 2014-593691 HYPOKALEMI , ISK , DYSPEPSIA Ridwan, dr SpFLAMBOYA 0 1 0
46 I-1702-000079 2016-729072 DIARE , ISPA , LEKOSITOSIS , ANEM Endang P, Sp MAWAR 0 1 0
47 I-1702-000187 2015-634299 DM2 , KONSTIPASI , GFH , DYSPEPSAriadi Humard FLAMBOYA 1 0 0
48 I-1702-000214 2012-446226 MIGRAIN , DM2 Gotot Sumantr DAHLIA 0 1 0
49 I-1702-000217 2016-735585 POST SC CYTO , KPD , FEBRIS , HA Ardian Suryo DELIMA 0 1 0
50 I-1702-000231 2015-658615 MORBILLI Tuty Rahayu, MAWAR 1 0 0
51 I-1702-000239 2016-735516 SYOK CARDIOGENIC , DM2 , ELEKTRO Sidhi LaksonoFLAMBOYA 1 0 0
52 I-1702-000245 2016-735597 HEMIPARESE , CVD ISHEMIC Ellen R.S, dr MAWAR 1 0 0
53 I-1702-000257 2016-735600 ISPA , URTICARIA Ellen R.S, dr MAWAR 0 1 0
54 I-1702-000266 2016-728071 POST SC , KPD , GEMELLI , PRESS B Ardian Suryo DELIMA 0 1 0
55 I-1702-000279 2016-729352 DEPEK HIDUNG , POST CRANIOTO Ridwan Kamal, CEMPAKA 1 0 0
56 I-1702-000294 2016-735954 POST PARTUS , HAP , FEBRIS Budhi SamodrDELIMA 1 0 0
57 I-1702-000298 2016-735956 ILLIUS OBSTRUKTIF , CHOLELITIASI Ferliani, dr, FLAMBOYA 0 1 0
58 I-1702-000299 2015-618297 PEB , HELP SYNDROM , POST SC Budhi SamodrCEMPAKA 1 0 0
59 I-1702-000310 2016-735921 APP PERPORASI Arifianto, dr, MAWAR 1 0 0
60 I-1702-000320 2015-637093 DIH , GIZI BURUK , HIV , SCROFU Arifianto, dr, MAWAR 1 0 0
61 I-1702-000323 2015-621243 TYPHOID , ASHMA BRONCHIAL , DYAriadi Humard TERATAI 0 1 0
62 I-1702-000338 2013-472213 CPD , GAGAL INDUKSI , POST SC Budhi SamodrDELIMA 1 0 0
63 I-1702-000341 2016-718526 CA PROSTAT , SUSP STRICTUR BAGUS BASKOR CEMPAKA 0 1 0
64 I-1702-000343 2016-688748 HERNIA INGUINALIS ANDOKO BUDI TERATAI 1 0 0
65 I-1702-000364 2015-654519 ISPA , KEJANG DEMAM Endang P, Sp MAWAR 1 0 0
66 I-1702-000377 2015-647376 POST SC , KPD Ahmad HelmyDELIMA 1 0 0
67 I-1702-000382 2016-680912 CA CERVIX , INTAK SULIT Ariadi Humard ANGGREK 1 0 0
68 I-1702-000395 2013-513654 PNEUMONIA , GIZI BURUK , GDD Arifianto, dr, MAWAR 0 0 1
69 I-1702-000445 2016-736656 POST SC , KPD , CPD , SEPSIS Budhi SamodrDELIMA 0 1 0
70 I-1702-000464 2011-358707 EX SC , STERIL , POST SC Muhammad Sy DAHLIA 0 1 0
71 I-1702-000484 2016-717744 STENOSIS URETER , DJ STENT INST BAGUS BASKOR ANGGREK 1 0 0
72 I-1702-000488 2016-725345 LETAK LINTANG , STERIL , POST SC Muhammad Sy DELIMA 0 1 0
73 I-1702-000534 2015-614283 BRONCHOPNEUMONIA Endang P, Sp MAWAR 1 0 0
74 I-1702-000549 2016-733793 INFAKSI PERIODENTITIS Reza FajarsyaCEMPAKA 0 1 0
75 I-1702-000558 2016-735012 NCB SMK Endang P, Sp DELIMA 0 1 0
76 I-1702-000561 2016-680355 GE , GASTRITIS TEDDY ERVANFLAMBOYA 1 0 0
77 I-1702-000565 2013-496099 STENOSIS LUMBAL Kartika HendrCEMPAKA 1 0 0
78 I-1702-000595 2016-736404 DHF , CHF Nugroho BudiTERATAI 1 0 0
79 I-1702-000597 2012-432002 TB SEQUELAE , BATUK DARAH Syafrizal, dr, DAHLIA 1 0 0
80 I-1702-000608 2014-576967 POST PARTUS , ANEMI Muhammad Sy TERATAI 1 0 0
81 I-1702-000639 2011-326857 DHF , THD , TROMBOSIFENI , CLD Ariadi Humard FLAMBOYA 1 0 0
82 I-1702-000697 2011-334327 CKD , HT OKY NOVIANDR CEMPAKA 1 0 0
83 I-1702-000805 2016-737458 SEPSIS , GE Ferliani, dr, FLAMBOYA 1 0 0
84 I-1702-000811 2014-573666 POST SC , KPD , EX SC , ANEMI Ardian Suryo ANGGREK 1 0 0
85 I-1702-000812 2016-737461 POST SC ,KPD Ardian Suryo DELIMA 1 0 0
86 I-1702-000953 2013-495161 GROSS HEMATURIA TERATAI 0 1 0
87 I-1702-000967 2016-734984 HYPOTENSI , PNEUMONIA , STROC Ridwan, dr SpDAHLIA 1 0 0
88 I-1702-000980 2016-684574 DM , CE3PALGIA , GASTRITIS , VER Nugroho BudiTERATAI 1 0 0
89 I-1702-001046 2016-733798 EX SC , POST SC Muhammad Sy DELIMA 1 0 0
90 I-1702-001068 2014-560729 PNEUMONIA , KEJANG DEMAM , GArifianto, dr, MAWAR 0 1 0
91 I-1702-001092 2015-630801 TUMOR NASOFARINK , SINUS MAXILARIS , ORO DAHLIA 0 1 0
92 I-1702-001176 2016-707839 VULNUS LACERATUM NASSAL ADITYA HERWCEMPAKA 0 1 0
93 I-1702-001197 2015-656223 ANGINA FECTORIS , HHD , DM Herawati IsnaFLAMBOYA 1 0 0
TOTAL 48 44 1
PERSETUJUAN (CONSENT) ASE
HPK6.4 HPK.8 PAB5.1 PAB7.1 AP.1.3
Persetujuan
Persetujuan
Persetujuan Persetujuan riset, Risiko,keuntung Risiko,keuntung
Persetujuan tindakan dan anestesi an, komplikasi Kebutuhan
Anestesi dan transfusi dan prosedur risiko dan percobaan an,dan
penyelidikan
Operasi dan alternatif medis pasien
sedasi produk darah alternatif
tinggi operasi
klinik

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 1 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 0 1 0 0 0 1 1 0 0 0 0 1 0 1 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 1 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 0 1 1 0 0 0 0 1 0 1 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 0 1 1 0 0 0 0 1 0 1 0 0 1 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
20 9 64 16 13 64 5 6 82 22 10 61 9 8 76 13 17 63 14 16 63 86 7 0
ASESMEN
AP.1.3 AP.1.4.1 AP1.5 AP1.5.1 AP.1.6 AP.1.7 AP.1.9
Asesmen
Asasmen medis Asasmen dan
Asesmen terdokumentasi Asesmen medis Asasmen gizi
Kebutuhan selama 24 jam, keperawatan Asasmen nyeri asasmen ulang
dalam 24 jam terdokumntasi dan status
keperawatan di update umur selama 24 jam setelah saat masuk pasien yg akan
masuk sebelum operasi fungsional
> 30 hari meninggal
dirawat

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 0 0 1 0 1 0 0
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 1 0
1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 1 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 1 0
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
90 3 0 90 3 0 93 0 0 58 23 12 30 23 40 69 21 3 65 27 1 26 31 36
REVIEW KELENGKAPAN REKAM MEDIS

AP.1.10 AP.1.11 AP.2 PP.2.1 PPK.2 PAB.3


Asesmen
Asasmen awal Asasmen setiap Ukuran
Asasmen kebutuhan
untuk rencana hari oleh dokter keberhasilan Asasmen pra monitoring Kriteria sadar
kebutuhan pendidikan
pemulangan untuk pasien dari rncana sedasi selama sedasi kembali
khusus pasien dan
pasien akut (SOAP) asuhan keluar

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0
1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 1 0
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 1 0 0
78 15 0 85 8 0 79 14 0 78 15 0 71 21 1 0 38 55 0 38 55 5 39 49
TELAAH REKAM MEDIS LANJUTAN
PAB.4 MPO.4 MPO.4.3 MPO.7 PPK.2.1

Asasmen pra Daftar obat yang Jenis obat yang


Asasmen budaya Asasmen tingkat Asasmen Asasmen
diresepkan Efek obat yang
anestesi dan pra diminum pendidikan, kendala kendala fisik dan
dicatat di rekam tidak diharapkan pasien dan keluarga
induksi sebelum dirawat bahasa emosional konigtif
medis

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T


0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 1 0 0 0 0 1 0 0 1 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0
0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 0
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0
8 32 53 80 10 3 76 15 2 41 51 1 6 87 0 77 16 0 78 15 0 78 13
MKI.19.3 APK.1.1.3 APK2.1 APK.3.2.1
Resume pulang
Asasmen Pencatatan
Asasmen pasien Pencatatan,tang Rencana asuhan Alasan dirawat, Obat yang
kendala fisik dan kesedian setiap Tindakan
gal, waktu dari diagnosis Temuan Fisik
konigtif menerima setiap entri data keterlambatan pasien diagnostik dan diberikan,termas
informasi tindakan (utama,sekunde penting uk obat setelah
prosedur
r) pulang

TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T


0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1
0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0
0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0
0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1
0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 66 27 0 33 60 0 43 50 0 91 2 0 86 7 0 78 15 0 71 22 0 78 14
APK.4.4
ng Rekam medis pasien dirujuk memuat:

Obat yang Nama RS dan perubahan


diberikan,termas Instruksi tindak Nama orang yg Alasasn pasien Alasan lain pasien kondisi pasien
lanjut (follow
uk obat setelah menyetujui dirujuk dirujuk dan status
up)
pulang menerima pasien

TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 73 18 2 0 0 93 1 0 92 1 0 92 83 10 0
REVIEW KELENGKAPAN REKAM MEDIS
BULAN: MARET

HPK6.3
NO NO REGISTRASI NO.MEDIS
REKAM RUANGA
DIAGNOSA DPJP N Persetujuan
Umum

Y
1 I-1611-000718 2011-339848 DM2 , KAD , ISK Ariadi HumardhaniFLAMBOYA 0
2 I-1701-001687 2016-727496 TB PARU , SO , DYSPEPSIA , VERTIGO Subagyo,dr,SpP DAHLIA 0
3 I-1702-000074 2014-593691 HYPOKALEMI , ISK , DYSPEPSIA Ridwan, dr SpS FLAMBOYA 0
4 I-1702-000362 2017-735034 PENYAKIT MEMBRAN HIALING , NKB SMK , AN Ellen R.S, dr SpA NICU 1
5 I-1702-000415 2016-714158 PLEUROPNEUMONIA Syafrizal, dr, SpP TERATAI 1
6 I-1702-000595 2016-736404 DHF , CHF Nugroho Budi SantTERATAI 1
7 I-1702-000597 2012-432002 TB SEQUELAE , BATUK DARAH Syafrizal, dr, SpP DAHLIA 1
8 I-1702-000639 2011-326857 DHF , THD , TROMBOSIFENI , CLD Ariadi HumardhaniFLAMBOYA 1
9 I-1702-000805 2016-737458 SEPSIS , GE Ferliani, dr, SpPD FLAMBOYA 1
10 I-1702-000811 2014-573666 POST SC , KPD , EX SC , ANEMI Ardian Suryo AnggANGGREK 1
11 I-1702-000812 2016-737461 POST SC ,KPD Ardian Suryo AnggDELIMA 1
12 I-1702-000953 2013-495161 GROSS HEMATURIA TERATAI 0
13 I-1702-000967 2016-734984 HYPOTENSI , PNEUMONIA , STROCK Ridwan, dr SpS DAHLIA 1
14 I-1702-000980 2016-684574 DM , CE3PALGIA , GASTRITIS , VERTIGO, HYP Nugroho Budi SantTERATAI 1
15 I-1702-001032 2016-737227 RDS , KNB SMK , HB , SEPSIS , PROBLEM MINUM NICU 1
16 I-1702-001046 2016-733798 EX SC , POST SC Muhammad SyarifDELIMA 1
17 I-1702-001068 2014-560729 PNEUMONIA , KEJANG DEMAM , GDD Arifianto, dr, SpA MAWAR 0
18 I-1702-001176 2016-707839 VULNUS LACERATUM NASSAL ADITYA HERWANDA CEMPAKA 0
19 I-1702-001197 2015-656223 ANGINA FECTORIS , HHD , DM Herawati IsnanijahFLAMBOYA 1
20 I-1702-001321 2016-699457 CKR , EDEMA PULPEBRA M FR MAXILLA Ridwan, dr SpS CEMPAKA 1
21 I-1702-001464 2013-477153 KAD , PNEUMONIA , CHF Ariadi HumardhaniANGGREK 1
22 I-1702-001479 2016-738179 ICTERUS OBSTRUKTIF , SH Ariadi HumardhaniFLAMBOYA 1
23 I-1703-000071 2016-710506 CKD , HT , ANEMI Ariadi HumardhaniDAHLIA 1
24 I-1703-000111 2013-497961 CLOT INTRABULI , HP , CHF , DM Mohammad Johan, CEMPAKA 0
25 I-1703-000148 2016-739896 TB PARU BTA PASITIF , HYDROPNEUMOTHORSyafrizal, dr, SpP ANGGREK 1
26 I-1703-000171 2017-740123 DM2 , HYPONATREMI , HYPOKALEMI , ENCEPAriadi HumardhaniANGGREK 1
27 I-1703-000212 2016-686985 EFFUSI PLEURA Syafrizal, dr, SpP MELATI 1
28 I-1703-000239 2016-728527 PNEUMONIA , ANEMI GRAVIS , SUSP SEPSIS Tuty Rahayu, dr, S PICU 1
29 I-1703-000297 2016-739404 SEPSIS , HB Ellen R.S, dr SpA NICU 0
30 I-1703-000312 2016-735921 DIARE , DEMAM DENGUE Ellen R.S, dr SpA MAWAR 0
31 I-1703-000398 2016-690252 CKD , ANEMI Ariadi HumardhaniFLAMBOYA 1
32 I-1703-000475 2017-740622 ULCUS GANGREN , SEPSIS , DM2 Ariadi HumardhaniFLAMBOYA 1
33 I-1703-000534 2011-307821 ENCEPALITIS Gotot Sumantri PW TERATAI 1
34 I-1703-000569 2016-683639 CA MAMAE , ABCES MAMAE , SEPSIS , ANEMTeguh SupriyandonHCU 1
35 I-1703-000572 2015-650334 HAEMOROID , PROKTITIS Nugroho Budi SantFLAMBOYA 0
36 I-1703-000630 2017-740307 CKD , CHF , CAD , BPH , PPOK Teguh SupriyandonHCU 1
37 I-1703-000631 2016-704016 ICH,HT,BP,CKD Ridwan Kamal, dr,CEMPAKA 1
38 I-1703-000720 2012-448605 PNEUMONIA , ANEMI , CRONIC LEUKEMIA , Ariadi HumardhaniTERATAI 0
39 I-1703-000740 2017-741614 ALO,(HHD,CKD),UAP,DM,BP Herawati IsnanijahCVCU/ICC 1
40 I-1703-000793 2016-737179 BATU URETER , STENOSIS URETER , PYELONEPBAGUS BASKORO, D dAHLIA 1
41 I-1703-000812 2017-741680 Ellen R.S, dr SpA MAWAR 0
42 I-1703-000824 2016-727029 CTG NON REACTIV , KEPALA , DIATAS PAP , Muhammad SyarifDELIMA 1
43 I-1703-000835 2011-311057 TB PARU Ellen R.S, dr SpA MAWAR 1
44 I-1703-000877 2017-741707 RDS , HMD , NKB SMK Ellen R.S, dr SpA NICU 1
45 I-1703-000892 2016-733169 POST PARTUS , EX SC Muhammad SyarifDELIMA 1
46 I-1703-000893 2011-350850 POLYNEUROPATY , CKD Gotot Sumantri PW DAHLIA 1
47 I-1703-000894 2012-445643 ISPA Ellen R.S, dr SpA MAWAR 0
48 I-1703-000966 2010-211047 BRONCHOPHNEMONI TEDDY ERVANO, dDAHLIA 1
49 I-1703-000992 2015-627906 THALASEMIA Endang P, SpA MAWAR 0
50 I-1703-001013 2017-741382 Nugroho Budi SantENDOSCOP 1
51 I-1703-001070 2017-740740 Nugroho Budi SantENDOSCOP 0
52 I-1703-001137 2014-546750 HYDRONEPROSIS Mohammad Johan, DAHLIA 1
53 I-1703-001141 2016-705314 DIARE , ISPA Ellen R.S, dr SpA MAWAR 0
54 I-1703-001145 2017-742476 DEMAM DENGUE , ANEMI DEFIASI Arifianto, dr, SpA MAWAR 0
55 I-1703-001188 2015-640620 ACUT NSTEMI , CHF , CAD , DM , CKD Herawati IsnanijahDAHLIA 1
56 I-1703-001232 2017-742542 BP , PAROTITIS , DIARE Tuty Rahayu, dr, S MAWAR 1
57 I-1703-001264 2017-742545 DBD Tuty Rahayu, dr, S MAWAR 0
58 I-1703-001314 2016-739939 MYOMA UTERI Ahmad Helmy, dr DAHLIA 1
59 I-1703-001333 2017-742589 KEJANG DEMAM , ISPA Ellen R.S, dr SpA MAWAR 0
60 I-1703-001355 2017-742584 ABORTUS INKOMPLIT Muhammad SyarifDAHLIA 1
61 I-1703-001378 2015-678845 KEJANG DEMAM , ISPA MAWAR 1
62 I-1703-001385 2014-590498 EX SC,CPD,POST SC Muhammad SyarifDELIMA 0
63 I-1703-001392 2013-468173 EX SC,POST SC Muhammad SyarifDELIMA 1
64 I-1703-001396 2016-709928 BTU URETER,PYLONEPROSIS,STENOSIS URET BAGUS BASKORO, CdEMPAKA 1
65 I-1703-001443 2015-658648 FEBRI , TBC , ANEMI , GIZI BURUK , DIARE Endang P, SpA MAWAR 1
66 I-1703-001446 2015-655071 CVD INFAK Gotot Sumantri PW FLAMBOYA 1
67 I-1703-001451 2017-741807 POST SC,NCB SMK Endang P, SpA DELIMA 1
68 I-1703-001453 2016-730483 URETHROLITIASIIS Hengkinarso S, dr ANGGREK 0
69 I-1703-001481 2016-726688 HYDRONEPROSIS , BATU GINJAL Hengkinarso S, dr TERATAI 1
70 I-1703-001495 2015-618266 TYPHOID FEVER , DEMAM DENGUE , STOMATEndang P, SpA MAWAR 1
71 I-1703-001529 2011-312031 ISPA , ISK , ORCHITIS Arifianto, dr, SpA MAWAR 1
72 I-1703-001538 2017-743418 LEUKEMIA ACUT , PANCITOPENIA Tuty Rahayu, dr, S MAWAR 1
73 I-1703-001545 2014-547236 KAD , DM , ISK , GEA , HT Ferliani, dr, SpPD TERATAI 1
74 I-1703-001575 2012-378528 NEPROLITHIASIS Hengkinarso S, dr ANGGREK 1
75 I-1703-001578 2016-685085 BATU URETER Mohammad Johan, DAHLIA 1
76 I-1703-001587 2015-674001 BATU GINJAL Mohammad Johan, ANGGREK 1
77 I-1703-001599 2011-296028 TUMOR LABIALIS Reza Fajarsyah PutCEMPAKA 1
78 I-1703-001600 2017-742691 DHF , ISPA Tuty Rahayu, dr, S MAWAR 0
79 I-1703-001616 2017-743428 Endang P, SpA MAWAR 1
80 I-1703-001634 2017-743482 DIARE Tuty Rahayu, dr, S MAWAR 1
81 I-1703-001672 2016-702006 NON STEMI,SHOC CARDIOGENIC,VT,ELEKTROL
Sidhi Laksono Purw CVCU/ICC 1
82 I-1703-001682 2017-743523 CKR Gotot Sumantri PW CEMPAKA 1
83 I-1703-001689 2015-617121 BATU PIELEM , ANEMI Hengkinarso S, dr CEMPAKA 1
84 I-1703-001723 2015-626844 GOUT BAHU BILATERAL , GOUT TANGAN KA Donny Jandiana, dDAHLIA 1
85 I-1703-001741 2015-643576 PNEUMONIA , PJB Ellen R.S, dr SpA MAWAR 1
86 I-1703-001751 2012-444721 EX SC , PK1 LATEN , POST SC Muhammad SyarifDELIMA 1
87 I-1703-001767 2016-687557 KISTA OVARIUM Muhammad SyarifCEMPAKA 1
88 I-1703-001828 2015-623554 CVD INFAK , HEMIPARESE KIRI , HHD Gotot Sumantri PW DAHLIA 1
89 I-1703-001882 2015-648904 HP RETENSI Hengkinarso S, dr CEMPAKA 1
90 I-1703-001884 2016-735625 PYELONEPROSIS KIRI BAGUS BASKORO, CdEMPAKA 1
91 I-1703-001892 2016-739666 EX SC , POST SC Muhammad SyarifANGGREK 1
92 I-1704-000061 2013-524627 BATU KALIKS INPERIOR Mohammad Johan, TERATAI 1

70
PERSETUJUAN (CONSENT)
HPK6.3 HPK6.4 HPK.8 PAB5.1 PAB7.1 AP.1.3
Persetujuan
Persetujuan
Persetujuan Persetujuan riset, Risiko,keuntung Risiko,keuntung
Persetujuan Persetujuan tindakan dan penyelidikan an,dan anestesi an, komplikasi Kebutuhan
Anestesi dan transfusi dan
Umum Operasi prosedur risiko dan dan alternatif medis pasien
sedasi produk darah percobaan alternatif
tinggi operasi
klinik
T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y
1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
1 0 1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 1 0 1 0 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1
1 0 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 1
1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 0 1 0 1 0 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
1 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 1 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
1 0 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 1 0 0 0 1 0 0 0 1 1 0 0 0 0 1 0 1 0 0 1 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
0 0 1 0 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1

21 1 16 4 72 12 6 74 7 2 83 10 5 77 6 3 83 6 13 73 8 14 70 88
ASESMEN
AP.1.3 AP.1.4.1 AP1.5 AP1.5.1 AP.1.6 AP.1.7 AP.1.9
Asesmen
Asasmen medis Asasmen dan
Asesmen terdokumentasi Asesmen medis Asasmen gizi
Kebutuhan Kebutuhan selama 24 jam, keperawatan Asasmen nyeri asasmen ulang
dalam 24 jam terdokumntasi dan status
medis pasien keperawatan di update umur selama 24 jam setelah masuk sebelum saat masuk pasien yg akan
operasi fungsional
> 30 hari meninggal
dirawat
T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0
0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 1 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 1 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0
0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0
0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0

3 1 89 2 1 79 13 0 91 1 0 46 25 21 30 18 44 81 11 0 75 17 0 22
AP.1.9 AP.1.10 AP.1.11 AP.2 PP.2.1 PPK.2 PAB.3
Asesmen
Asasmen dan Asasmen awal Asasmen setiap Ukuran
Asasmen kebutuhan
asasmen ulang untuk rencana hari oleh dokter keberhasilan Asasmen pra monitoring Kriteria sadar
kebutuhan pendidikan
pasien yg akan pemulangan untuk pasien dari rncana sedasi selama sedasi kembali
khusus pasien dan
meninggal pasien akut (SOAP) asuhan keluar
T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y
1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
1 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 1
0 1 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 1
1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0
1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0
0 1 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1 1
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0
0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 1 0 1 0 0
1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0
1 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1
1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 1 0 0 1 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0
0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 1
1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 1 0
0 1 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0
0 1 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0
0 1 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0

40 30 76 16 0 87 5 0 81 11 0 72 20 0 44 40 8 0 17 75 0 18 74 10
TELAAH REKAM MEDIS LANJUTAN
B.3 PAB.4 MPO.4 MPO.4.3 MPO.7 PPK.2.1
Asasmen pra Daftar obat yang Jenis obat yang Asasmen Asasmen tingkat Asasmen Asasmen
Kriteria sadar diresepkan Efek obat yang budaya
anestesi dan pra diminum sebelum dicatat di rekam tidak pasien pendidikan, kendala kendala fisik dan
kembali diharapkan dan keluarga
induksi dirawat bahasa emosional konigtif
medis
T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y
0 1 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 1 0 0 1 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
0 0 0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1
0 1 0 0 1 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1
1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1
0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1 0 0 1
1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0
0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1

27 55 11 22 59 84 6 2 79 11 2 33 57 2 7 84 1 80 12 0 83 9 0 83
.2.1 MKI.19.3 APK.1.1.3 APK2.1 APK.3.2.1
Asasmen Pencatatan Resume pulang
Asasmen Pencatatan,tang
kesedian pasien setiap Rencana asuhan Alasan dirawat, Tindakan Obat yang
kendala fisik dan gal, waktu dari keterlambatan diagnosis Temuan Fisik diberikan,terma
menerima pasien diagnostik dan suk obat setelah
konigtif setiap entri data (utama,sekunde penting
informasi tindakan prosedur
r) pulang
T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y
0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0
0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0
0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0
0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0
1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1

11 0 63 29 0 33 59 0 35 57 0 92 0 0 88 4 0 75 17 0 70 20 2 73
3.2.1 APK.4.4
pulang Rekam medis pasien dirujuk memuat:
Obat yang Nama RS dan perubahan
diberikan,terma Instruksi tindak Nama orang yg Alasasn pasien Alasan lain kondisi pasien
suk obat setelah lanjutup)
(follow menyetujui dirujuk pasien dirujuk dan status
pulang menerima pasien
T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 1 0
0 1 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0

15 4 69 16 7 0 0 92 0 0 92 0 0 92 83 9 0
REVIEW KELENGKAPAN REKAM MEDIS
BULAN: APRIL

HPK6.3
NO NO REGISTRASI NO. REKAM RUANGA
DIAGNOSA DPJP
MEDIS N Persetujuan
Umum

Y
1 I-1702-001321 2016-699457 CKR , EDEMA PULPEBRA M FR MAXILRidwan, dr SpS CEMPAKA 1
2 I-1702-001464 2013-477153 KAD , PNEUMONIA , CHF Ariadi Humardhani, drANGGREK 1
3 I-1702-001479 2016-738179 ICTERUS OBSTRUKTIF , SH Ariadi Humardhani, drFLAMBOYA 1
4 I-1703-000071 2016-710506 CKD , HT , ANEMI Ariadi Humardhani, drDAHLIA 1
5 I-1703-000104 2016-723883 POST SC , KPD , STERIL Ahmad Helmy, dr SpOCEMPAKA 1
6 I-1703-000111 2013-497961 CLOT INTRABULI , HP , CHF , DM Mohammad Johan, dr,CEMPAKA 0
7 I-1703-000148 2016-739896 TB PARU BTA PASITIF , HYDROPNE Syafrizal, dr, SpP ANGGREK 1
8 I-1703-000171 2017-740123 DM2 , HYPONATREMI , HYPOKALEMIAriadi Humardhani, drANGGREK 1
9 I-1703-000212 2016-686985 EFFUSI PLEURA Syafrizal, dr, SpP MELATI 1
10 I-1703-000239 2016-728527 PNEUMONIA , ANEMI GRAVIS , SUSP Tuty Rahayu, dr, SpA PICU 1
11 I-1703-000297 2016-739404 SEPSIS , HB Ellen R.S, dr SpA NICU 0
12 I-1703-000312 2016-735921 DIARE , DEMAM DENGUE Ellen R.S, dr SpA MAWAR 0
13 I-1703-000398 2016-690252 CKD , ANEMI Ariadi Humardhani, drFLAMBOYA 1
14 I-1703-000475 2017-740622 ULCUS GANGREN , SEPSIS , DM2 Ariadi Humardhani, drFLAMBOYA 1
15 I-1703-000534 2011-307821 ENCEPALITIS Gotot Sumantri PW, SpTERATAI 1
16 I-1703-000569 2016-683639 CA MAMAE , ABCES MAMAE , SEPSISTeguh Supriyandono, dHCU 1
17 I-1703-000572 2015-650334 HAEMOROID , PROKTITIS Nugroho Budi Santoso,FLAMBOYA 0
18 I-1703-000630 2017-740307 CKD , CHF , CAD , BPH , PPOK Teguh Supriyandono, dHCU 1
19 I-1703-000631 2016-704016 ICH,HT,BP,CKD Ridwan Kamal, dr, SpBCEMPAKA 1
20 I-1703-000720 2012-448605 PNEUMONIA , ANEMI , CRONIC LEUKAriadi Humardhani, drTERATAI 0
21 I-1703-000740 2017-741614 ALO,(HHD,CKD),UAP,DM,BP Herawati Isnanijah, drCVCU/ICC 1
22 I-1703-000793 2016-737179 BATU URETER , STENOSIS URETER , PBAGUS BASKORO, dr, DAHLIA 1
23 I-1703-000812 2017-741680 Ellen R.S, dr SpA MAWAR 0
24 I-1703-000824 2016-727029 CTG NON REACTIV , KEPALA , DIATA Muhammad Syarif,dr, DELIMA 1
25 I-1703-000835 2011-311057 TB PARU Ellen R.S, dr SpA MAWAR 1
26 I-1703-000877 2017-741707 RDS , HMD , NKB SMK Ellen R.S, dr SpA NICU 1
27 I-1703-000892 2016-733169 POST PARTUS , EX SC Muhammad Syarif,dr, DELIMA 1
28 I-1703-000893 2011-350850 POLYNEUROPATY , CKD Gotot Sumantri PW, SpDAHLIA 1
29 I-1703-000894 2012-445643 ISPA Ellen R.S, dr SpA MAWAR 0
30 I-1703-000966 2010-211047 BRONCHOPHNEMONI TEDDY ERVANO, dr SpDAHLIA 1
31 I-1703-000992 2015-627906 THALASEMIA Endang P, SpA MAWAR 0
32 I-1703-001013 2017-741382 Nugroho Budi Santoso,ENDOSCOP 1
33 I-1703-001070 2017-740740 Nugroho Budi Santoso,ENDOSCOP 0
34 I-1703-001137 2014-546750 HYDRONEPROSIS Mohammad Johan, dr,DAHLIA 1
35 I-1703-001141 2016-705314 DIARE , ISPA Ellen R.S, dr SpA MAWAR 0
36 I-1703-001145 2017-742476 DEMAM DENGUE , ANEMI DEFIASI Arifianto, dr, SpA MAWAR 0
37 I-1703-001188 2015-640620 ACUT NSTEMI , CHF , CAD , DM , CKDHerawati Isnanijah, drDAHLIA 1
38 I-1703-001232 2017-742542 BP , PAROTITIS , DIARE Tuty Rahayu, dr, SpA MAWAR 1
39 I-1703-001264 2017-742545 DBD Tuty Rahayu, dr, SpA MAWAR 0
40 I-1703-001314 2016-739939 MYOMA UTERI Ahmad Helmy, dr SpODAHLIA 1
41 I-1703-001333 2017-742589 KEJANG DEMAM , ISPA Ellen R.S, dr SpA MAWAR 0
42 I-1703-001355 2017-742584 ABORTUS INKOMPLIT Muhammad Syarif,dr, DAHLIA 1
43 I-1703-001378 2015-678845 KEJANG DEMAM , ISPA MAWAR 1
44 I-1703-001385 2014-590498 EX SC,CPD,POST SC Muhammad Syarif,dr, DELIMA 0
45 I-1703-001392 2013-468173 EX SC,POST SC Muhammad Syarif,dr, DELIMA 1
46 I-1703-001396 2016-709928 BTU URETER,PYLONEPROSIS,STENOSIBAGUS BASKORO, dr, CEMPAKA 1
47 I-1703-001443 2015-658648 FEBRI , TBC , ANEMI , GIZI BURUK , DEndang P, SpA MAWAR 1
48 I-1703-001446 2015-655071 CVD INFAK Gotot Sumantri PW, SpFLAMBOYA 1
49 I-1703-001451 2017-741807 POST SC,NCB SMK Endang P, SpA DELIMA 1
50 I-1703-001453 2016-730483 URETHROLITIASIIS Hengkinarso S, dr SpUANGGREK 0
51 I-1703-001481 2016-726688 HYDRONEPROSIS , BATU GINJAL Hengkinarso S, dr SpUTERATAI 1
52 I-1703-001495 2015-618266 TYPHOID FEVER , DEMAM DENGUE , Endang P, SpA MAWAR 1
53 I-1703-001529 2011-312031 ISPA , ISK , ORCHITIS Arifianto, dr, SpA MAWAR 1
54 I-1703-001538 2017-743418 LEUKEMIA ACUT , PANCITOPENIA Tuty Rahayu, dr, SpA MAWAR 1
55 I-1703-001545 2014-547236 KAD , DM , ISK , GEA , HT Ferliani, dr, SpPD TERATAI 1
56 I-1703-001575 2012-378528 NEPROLITHIASIS Hengkinarso S, dr SpUANGGREK 1
57 I-1703-001578 2016-685085 BATU URETER Mohammad Johan, dr,DAHLIA 1
58 I-1703-001587 2015-674001 BATU GINJAL Mohammad Johan, dr,ANGGREK 1
59 I-1703-001599 2011-296028 TUMOR LABIALIS Reza Fajarsyah Putra, CEMPAKA 1
60 I-1703-001600 2017-742691 DHF , ISPA Tuty Rahayu, dr, SpA MAWAR 0
61 I-1703-001616 2017-743428 Endang P, SpA MAWAR 1
62 I-1703-001634 2017-743482 DIARE Tuty Rahayu, dr, SpA MAWAR 1
63 I-1703-001636 2013-509503 PNEUMONIA , HYDROCEPALUS , TETRArifianto, dr, SpA MAWAR 1
64 I-1703-001672 2016-702006 NON STEMI,SHOC CARDIOGENIC,VT,ESidhi Laksono PurwowiCVCU/ICC 1
65 I-1703-001682 2017-743523 CKR Gotot Sumantri PW, SpCEMPAKA 1
66 I-1703-001689 2015-617121 BATU PIELEM , ANEMI Hengkinarso S, dr SpUCEMPAKA 1
67 I-1703-001723 2015-626844 GOUT BAHU BILATERAL , GOUT TAN Donny Jandiana, dr S DAHLIA 1
68 I-1703-001741 2015-643576 PNEUMONIA , PJB Ellen R.S, dr SpA MAWAR 1
69 I-1703-001751 2012-444721 EX SC , PK1 LATEN , POST SC Muhammad Syarif,dr, DELIMA 1
70 I-1703-001767 2016-687557 KISTA OVARIUM Muhammad Syarif,dr, CEMPAKA 1
71 I-1703-001828 2015-623554 CVD INFAK , HEMIPARESE KIRI , HHD Gotot Sumantri PW, SpDAHLIA 1
72 I-1703-001882 2015-648904 HP RETENSI Hengkinarso S, dr SpUCEMPAKA 1
73 I-1703-001884 2016-735625 PYELONEPROSIS KIRI BAGUS BASKORO, dr, CEMPAKA 1
74 I-1703-001892 2016-739666 EX SC , POST SC Muhammad Syarif,dr, ANGGREK 1
75 I-1704-000050 2015-615125 HEAMOROID , ANEMI Ariadi Humardhani, drFLAMBOYA 0
76 I-1704-000061 2013-524627 BATU KALIKS INPERIOR Mohammad Johan, dr,TERATAI 1
77 I-1704-000101 2017-744665 DHF TEDDY ERVANO, dr SpFLAMBOYA 1
78 I-1704-000214 2016-694644 BPH , CYSTITIS , STRIKTURE URETER BAGUS BASKORO, dr, TERATAI 1
79 I-1704-000305 2016-685435 BP , MORBILLI , KEJANG DEMAM Endang P, SpA MAWAR 0
80 I-1704-000352 2016-712608 EX SC , POST SC Muhammad Syarif,dr, DELIMA 1
81 I-1704-000357 2017-743989 EX SC , POST SC Muhammad Syarif,dr, DELIMA 1
82 I-1704-000393 2017-744834 HAMIL 28 MGG DENGAN KONTRAKSIAhmad Helmy, dr SpODELIMA 1
83 I-1704-000400 2016-736490 CHF , HT Herawati Isnanijah, drDAHLIA 1
84 I-1704-000414 2014-588804 POST SC , KPD Ahmad Helmy, dr SpODELIMA 0
85 I-1704-000415 2014-550383 DHF , DIARE , ISPA Endang P, SpA MAWAR 1
86 I-1704-000430 2017-741537 PERDARAHAN POST OPERASI , GYNE SYAHARUDIN, DR, SpBCEMPAKA 1
87 I-1704-000433 2017-744822 EPILEPSI Arifianto, dr, SpA MAWAR 1
88 I-1704-000441 2015-648437 ISPA , INFLUENSA , HYPERPREXIA Arifianto, dr, SpA MAWAR 0
89 I-1704-000453 2012-414976 EX SC , ANEMI , POST SC Ahmad Helmy, dr SpODELIMA 0
90 I-1704-000481 2017-744817 POST PARTUS , PKII Ahmad Helmy, dr SpODELIMA 1
91 I-1704-000500 2017-742880 LYMPADENOPATY COLLI SYAHARUDIN, DR, SpBCEMPAKA 1
92 I-1704-000516 2016-718464 INFAKSI , MOLUKLASI , PERIODENTITIReza Fajarsyah Putra, CEMPAKA 1
93 I-1704-000517 2016-738939 ANKYLOGLOSIA Reza Fajarsyah Putra, CEMPAKA 1
94 I-1704-000522 2015-618149 STRUMA / TUMOR LEHER SYAHARUDIN, DR, SpBCEMPAKA 0
95 I-1704-000548 2017-745049 DIARE , INTAK SULIT Tuty Rahayu, dr, SpA MAWAR 1
JUMLAH 73
PERSETUJUAN (CONSENT)
HPK6.3 HPK6.4 HPK.8 PAB5.1 PAB7.1
Persetujuan
Persetujuan Persetujuan Persetujuan riset, Risiko,keuntungan Risiko,keuntungan
Persetujuan Persetujuan tindakan dan
Anestesi dan transfusi dan penyelidikan dan ,dan anestesi , komplikasi dan
Umum Operasi prosedur risiko
sedasi produk darah percobaan klinik alternatif alternatif operasi
tinggi

T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y


0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 1 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 1 0 1 0 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0 1
1 0 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0
1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 0 1 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 0 1 0 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0
0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 0 1 0 0 0 1 1 0 0 0 0 1 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 0 1 0 0 0 1 1 0 0 0 1 0 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 1 0 0 0 1 0 0 0 1 1 0 0 0 0 1 1 0 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1
1 0 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1
1 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 1 0 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
21 1 21 3 71 13 10 72 10 2 83 14 6 75 8 4 83 9 14 72 12
ASESMEN
PAB7.1 AP.1.3 AP.1.4.1 AP1.5 AP1.5.1 AP.1.6
Asesmen
Asasmen medis
Risiko,keuntungan Kebutuhan medis Asesmen terdokumentasi Asesmen medis Asasmen gizi dan
Kebutuhan selama 24 jam, di
, komplikasi dan keperawatan dalam 24 jam terdokumntasi status fungsional
pasien keperawatan update umur > 30
alternatif operasi selama 24 jam setelah masuk sebelum operasi
hari dirawat
T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1
0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1
0 1 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1
0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 1 0 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 1
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1
1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1
1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 0 1 1
0 1 1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 1
0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1
1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1
1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 1
0 1 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 1 1
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1
0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1
1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
14 69 91 2 2 92 2 1 77 17 1 93 1 1 48 26 21 36 20 39 82
AP.1.6 AP.1.7 AP.1.9 AP.1.10 AP.1.11 AP.2 PP.2.1 PPK.2
Asasmen dan Asasmen awal Asasmen setiap Asesmen
Ukuran
Asasmen gizi dan Asasmen nyeri asasmen ulang Asasmen untuk rencana hari oleh dokter keberhasilan kebutuhan
dari pendidikan pasien
status fungsional saat masuk pasien yg akan kebutuhan khusus pemulangan untuk pasien akut
rncana asuhan
meninggal pasien (SOAP) dan keluar

T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y


0 0 1 0 0 0 0 1 0 1 0 1 0 0 1 0 0 0 1 0 0
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 0 0 1 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1
1 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 0 0 1 0 1 0 1 0 0 1 0 0 0 1 0 1
1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 1 0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1
0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 0 1 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1
1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 0 1 0 0 0 0 1 0 1 0 0 1 0 1 0 0 0 1 0 1
0 0 1 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0 0
1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 0 1 0 1 0 1 0 0 1 0 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 1 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 1 0 0 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
12 1 78 17 0 21 41 33 80 14 1 88 6 1 84 11 0 76 19 0 46
TELAAH REKAM MED
PPK.2 PAB.3 PAB.4 MPO.4 MPO.4.3 MPO.7
Asesmen Asasmen pra Daftar obat yang Jenis obat yang
kebutuhan Asasmen pra monitoring Kriteria sadar Efek obat yang
anestesi dan pra diminum sebelum diresepkan dicatat tidak
pendidikan pasien sedasi selama sedasi kembali diharapkan
induksi dirawat di rekam medis
dan keluar

T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y


1 0 0 0 1 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 0 1 0 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
1 0 0 0 1 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 0
0 0 0 0 1 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 1 0 0 0
0 0 0 0 1 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1
0 0 0 0 1 0 0 1 1 0 0 0 0 1 1 0 0 0 1 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 0 0 1 0 1 0 0 0 1 0 0 1 1 0 0 0 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 1 0 0 0
0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0
0 0 0 0 1 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 1 0 0 0
0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 0 0 1 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 0
0 0 0 0 1 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 0 0 1 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 0
0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0
0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 1 0 0 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1
0 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 0 0 1 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0
0 0 0 0 1 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
1 0 0 0 1 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1
0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
0 1 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 0
1 0 0 0 1 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 1 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1
0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 0 1 1 0 0 0 1 0 0 1 0 1 0 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 0 1 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 0 0 1 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
1 0 0 0 1 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 0
0 0 0 0 1 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
1 0 0 0 1 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0
1 0 0 0 1 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 0
0 0 0 0 1 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 0 1 0 0
0 1 0 1 0 0 1 0 1 0 0 0 0 1 1 0 0 1 0 0 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1
0 0 0 0 1 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0
0 0 0 0 1 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 0 1 0 1
0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0
1 0 0 0 1 0 0 1 1 0 0 0 1 0 0 1 0 1 0 0 0
1 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 0
0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0
1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 0 1 0 0
39 10 0 19 76 0 20 75 16 27 52 12 26 57 84 9 2 83 10 2 32
TELAAH REKAM MEDIS LANJUTAN
MPO.7 PPK.2.1 MKI.19.3 APK.1.1.3
Asasmen budaya Asasmen tingkat Asasmen kendala Asasmen kesedian Pencatatan,tangga Pencatatan setiap
Efek obat yang Asasmen kendala
pasien dan pendidikan, pasien menerima l, waktu dari keterlambatan
tidak diharapkan emosional fisik dan konigtif
keluarga bahasa informasi setiap entri data tindakan

T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y


0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
1 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 0 0 1 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
1 0 0 1 0 1 0 0 1 0 0 1 1 0 0 1 0 1 0 0 0
1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
61 2 7 87 1 80 15 0 84 11 0 84 12 0 68 27 0 33 62 0 34
APK.1.1.3 APK2.1 APK.3.2.1
Resume pulang Reka
Pencatatan setiap Rencana asuhan
keterlambatan Obat yang Nama RS dan
pasien Alasan dirawat, Tindakan
tindakan Temuan Fisik diberikan,termasu Instruksi tindak Nama orang yg
diagnosis diagnostik dan
penting k obat setelah lanjut (follow up) menyetujui
(utama,sekunder) prosedur pulang menerima
T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 0 1 0 1 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0
1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0
0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
60 1 95 0 0 92 3 0 78 17 0 73 20 2 76 14 5 67 18 10 0
APK.4.4
Rekam medis pasien dirujuk memuat:
Nama RS dan
Alasan lain pasien perubahan kondisi
Nama orang yg Alasasn pasien pasien dan status
menyetujui dirujuk dirujuk pasien
menerima
T TDD Y T TDD Y T TDD Y T TDD
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 1 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0
0 95 0 0 95 0 0 95 88 7 0
REVIEW KELENGKAPAN REKAM MEDIS
BULAN: MEI

NO. REKAM
NO NO REGISTRASI DIAGNOSA
MEDIS

1 I-1608-000610 2016-709573 NKB SMK , RD , SEPSIS , ANEMI , HB


2 I-1608-001062 2016-692836 STENOSIS URETER
3 I-1608-001259 2011-342154 CVD ISHEMIC
4 I-1608-001629 2016-711609 NCB SMK , PNEUMONIA , SEPSIS , ANEMI , NEONATAL FIT, ASPIXIA
5 I-1608-001684 2015-678098 ENCEPALOPATY , GE , CP SPASTIC , PNEUMONIA
6 I-1608-001850 2016-712635 DIARE
7 I-1608-001899 2016-713110 NKB KMK , RD , HB , ANEMI
8 I-1608-001919 2016-712789 ISK , ISPA
9 I-1608-001932 2016-704093 ILLIUS OBSTRUKTIF , HEPATITIS
10 I-1608-001944 2014-557238
11 I-1608-002054 2016-708797 MENOMETRORHAGIA , HYPERKALEMI
12 I-1609-000100 2016-713176 NCB SMK
13 I-1609-000181 2016-713478 CVDISHEMIC , DM , HT
14 I-1609-000185 2016-713463 CVD INFAK
15 I-1609-000290 2016-712842 NKB KMK , HB , HMD
16 I-1609-000295 2015-658275 GAGAL NAFAS , GAGAL JANTUNG , HAEMOPTISIS , S
17 I-1609-000320 2014-592151 GAGAL NAFAS , EDEMA CEREBRI , HYDROCEPALUS
18 I-1609-000337 2016-713163 NKB SMK , HB , BBLR
19 I-1609-000372 2011-305836
20 I-1609-000384 2016-700495 MYOPIA , POST SC
21 I-1609-000392 2014-605461 DBD
22 I-1609-000396 2016-714123 DBD , COMMON COLD
23 I-1609-000422 2016-714153
24 I-1609-000423 2016-712326
25 I-1609-000430 2016-713690 SEPSIS , ULCUS DECUBITUS , GFH , AKI , DM2``
26 I-1609-000454 2015-641433 LIMPOMA AXILA
27 I-1609-000495 2016-712898 NCB SMK
28 I-1609-000546 2013-524257 CVD INFAK , DM , HHD
29 I-1609-000596 2016-714780 ANEMI , VARICES ESOFAGUS , HEPATITIS B , SH
30 I-1609-000598 2016-713752 NCB SMK , PNEUMONIA , HB , SEPSIS
31 I-1609-000754 2016-713873 KISTA OVARIUM
32 I-1609-000757 2016-713266 POST SC , KPD , CPD , STERIL
33 I-1609-000764 2016-710703 CPD , KISTECTOMY , PLR , POST SC
34 I-1609-000819 2012-403015 GAGAL NAFAS , CHF , CAD , UAP
35 I-1609-000838 2016-715261 PARTUS SPONTAN , PER , PK1
36 I-1609-000846 2016-715269 NCB SMK
37 I-1609-000847 2014-550142 ANEMI , CKD , HHD
38 I-1609-000881 2016-712801 NCB SMK , RD , PJB , HB
39 I-1609-000920 2016-713033 ABCES SUBMANDIBULA
40 I-1609-000946 2016-692753 MENINGITIS , TB MILLIER , HYPONATREMI , GAN
41 I-1609-000952 2014-604616 ANEMI GRAVIS , CKD , TKR / OA GENU
42 I-1609-000971 2011-339758 SSS , HT , CKD , HYPOKALEMI , ANEMI
43 I-1609-001011 2016-715471 POST SC , KPD , CPD
44 I-1609-001058 2016-715490 ABORTUS INCIPIEN
45 I-1609-001066 2012-442116 EFFUSI PLEURA , ACITES
46 I-1609-001077 2016-712928 GANGLION
47 I-1609-001102 2014-596832 FRAKTUR METACARFAL
48 I-1609-001204 2011-346923 RTA , PNEUMONIA , GIZI KURANG , GDD
49 I-1609-001240 2016-713076 HAMIL ATERM , EX SC , POST SC
50 I-1609-001269 2016-715706 NCB SMK
51 I-1609-001281 2015-623176 BATU GINJAL , STENOSIS URETER , STENOSIS URE
52 I-1609-001291 2014-541497 LIPOMA
53 I-1609-001292 2016-696911 BATU URETER
54 I-1609-001294 2016-716128 NCB SMK
55 I-1609-001313 2016-715708 NCB SMK
56 I-1609-001322 2016-715372 GAGAL NAFAS , HIV , TB PARU
57 I-1609-001341 2014-568919 EX SC , POST SC
58 I-1609-001344 2013-457720 TUMOR NASAL
59 I-1609-001345 2015-626936 BPH
60 I-1609-001358 2014-541799 ANEMI , CHF , HT , CKD
61 I-1609-001407 2016-715920 HEMETEMESIS , ANEMI , SEPSIS, MELENA
62 I-1609-001470 2013-455382 EX SC , POST SC
63 I-1609-001473 2012-426715 PPOK , DM2
64 I-1609-001519 2014-602031 RUFTUR TUBA , ANEMI , HEPATITIS B
65 I-1609-001557 2012-374794 EX SC , POST SC
66 I-1609-001596 2014-604008 FRAKTUR CLAVICULA , DM , HT
67 I-1609-001610 2012-444406 BRONCHITISA , VERTIGO , CAD
68 I-1609-001646 2015-658480 TUMOR RETRO AURICULAR
69 I-1609-001677 2012-444022 KEJANG , LEUKOSITOSIS , AKI , HYPOKALEMI , ISK
70 I-1609-001733 2011-317933 HP , PROSTATITIS , HT , CAD
71 I-1609-001749 2013-499066 ISPA , DYSPEPSIA
72 I-1609-001796 2011-367182 GE , DM , GFH , AKI
73 I-1609-001825 2016-717790 ABORTUS INKOMPLIT
74 I-1609-001826 2011-346923 DIARE , ISPA
75 I-1611-000826 2016-724156 MYOMA UTERI , ANEMI
76 I-1611-001075 2010-244941 DBD
77 I-1611-001112 2016-724736 NKB SMK , HB
78 I-1611-001183 2012-438688 MYOMA UTERI , ANEMI GRAVIS , MENOMETRORH
79 I-1611-001187 2016-722618 KISTA COKLAT , ABDOMINAL PAIN PERLENGKETAN
80 I-1611-001210 2016-724827 NCB SMK
81 I-1611-001212 2014-544131 ACUT NON STEMI , CHF , CAD , DM2 , BP
82 I-1611-001236 2016-723719 METRORHAGIA
83 I-1611-001293 2016-723176 HB , SUSP SOWN SYNDROM
84 I-1611-001313 2016-722265 TUMOR MAMAE
85 I-1611-001328 2016-725405 GASTROENTERITIS
86 I-1611-001373 2016-725446 KET
87 I-1611-001414 2016-693762 DIARE , ANEMI , CONJUNKTIVITIS
88 I-1611-001432 2016-724446 ADENOMYOSIS , KISTA COKLAT
89 I-1611-001434 2016-725487 POST SC CYTO , KPD , PEB , POST TERM
90 I-1611-001522 2016-726198 BLIGHTED OVUM
91 I-1611-001523 2016-723848 ANEMI GRAVIS , HEMOROID INTERNAL
92 I-1611-001560 2016-712668 TUMOR MAMAE
93 I-1611-001562 2016-723697 LIPOMA
94 I-1611-001589 2016-713019 MASTITIS
95 I-1611-001597 2016-721012 TUMOR LEHER
96 I-1609-001796 2011-367182 GE , DM , GFH , AKI
97 I-1609-001825 2016-717790 ABORTUS INKOMPLIT
98 I-1609-001826 2011-346923 DIARE , ISPA
99 I-1610-000026 2014-587617 ALO , NON STEMI , AHF , CKD , AKI
100 I-1610-000036 2016-718006 POST SC , PREMATUR , BBLR , HB , HYPOGLIKEMI
101 I-1610-000070 2016-716863 GASTRITIS
PERSETUJUAN (CONSENT)
HPK6.3 HPK6.4

DPJP RUANGAN Persetujuan


Persetujuan Persetujuan
Persetujuan tindakan dan
Persetujuan Umum Anestesi dan transfusi dan
Operasi prosedur risiko
sedasi produk darah tinggi

Y T TDD Y T TDD Y T TDD Y T TDD Y


Ellen R.S, dr SpA NICU 1 0 0 1 0 0 1 0 0 0 0 1 1
TERATAI 1 0 0 1 0 0 1 0 0 0 1 0 0
Ridwan, dr SpS DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 1
EMI , NEONATAL FIT, ASPIXIA NICU 1 0 0 0 0 1 0 0 1 0 0 1 1
Tuty Rahayu, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ellen R.S, dr SpA NICU 1 0 0 0 0 1 0 0 1 0 0 1 1
Tuty Rahayu, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
FLAMBOYAN 1 0 0 0 1 0 0 1 0 1 0 0 1
TERATAI 0 1 0 0 1 0 0 1 0 0 1 0 1
DELIMA 1 0 0 0 0 0 0 0 0 0 0 0 0
Donny Hamid, dr SpS DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Gotot Sumantri PW, Sp.S DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ellen R.S, dr SpA NICU 1 0 0 0 0 1 0 0 1 0 0 1 1
Eva Sri Diana, dr, Sp P MELATI 1 0 0 0 0 1 0 0 1 0 0 1 1
Tuty Rahayu, dr, SpA PICU 1 0 0 0 0 1 0 0 1 0 0 1 1
Ellen R.S, dr SpA NICU 0 0 1 0 0 1 0 0 1 0 0 1 1
CEMPAKA 1 0 0 1 0 0 1 0 0 0 1 0 1
DAHLIA 1 0 0 1 0 0 1 0 0 0 1 0 1
MAWAR 0 1 0 0 1 0 0 1 0 0 1 0 0
MAWAR 0 1 0 0 1 0 0 1 0 0 1 0 1
DELIMA 1 0 0 1 0 0 1 0 0 0 1 0 1
CEMPAKA 1 0 0 1 0 0 1 0 0 0 1 0 1
Ferliani, dr, SpPD FLAMBOYAN 1 0 0 0 0 1 0 0 1 1 0 0 1
DAHLIA 1 0 0 1 0 0 1 0 0 0 1 0 1
DAHLIA 1 0 0 0 1 0 0 1 0 0 1 0 0
Gotot Sumantri PW, Sp.S TERATAI 0 0 1 0 0 1 0 0 1 0 0 1 0
Nugroho Budi Santoso, dr. FLAMBOYAN 1 0 0 0 0 1 0 0 1 1 0 0 0
Ellen R.S, dr SpA NICU 1 0 0 0 0 1 0 0 1 0 0 1 1
Ahmad Helmy, dr SpOG CEMPAKA 0 1 0 1 0 0 1 0 0 0 0 1 1
Budhi Samodra, Dr, Sp.OG DELIMA 1 0 0 1 0 0 1 0 0 0 0 1 1
Budhi Samodra, Dr, Sp.OG DELIMA 1 0 0 1 0 0 1 0 0 0 0 1 1
Sulistyowati,dr SpJP CVCU/ICCU 1 0 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S CEMPAKA 1 0 0 0 0 1 0 0 1 0 0 1 0
Endang P, SpA KAMAR BERSALI 1 0 0 0 0 1 0 0 1 0 0 1 0
Nugroho Budi Santoso, dr. DAHLIA 1 0 0 0 0 1 0 0 1 1 0 0 1
Ellen R.S, dr SpA NICU 0 0 1 0 0 1 0 0 1 0 0 1 0
SYAHARUDIN, DR, SpB DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 1
Ariadi Humardhani, dr Sp. FLAMBOYAN 1 0 0 0 0 1 0 0 1 1 0 0 0
Herawati Isnanijah, dr SpJPTERATAI 1 0 0 0 0 1 0 0 1 0 0 1 1
Budhi Samodra, Dr, Sp.OG DAHLIA 1 0 0 1 0 0 0 1 0 0 0 1 0
Iwan Satyagraha S, dr, SpO CEMPAKA 1 0 0 0 1 0 0 1 0 0 0 1 0
Ariadi Humardhani, dr Sp. TERATAI 1 0 0 0 0 1 0 0 1 0 0 1 1
Abdullah Hasan, dr, SpB ANGGREK 1 0 0 1 0 0 1 0 0 0 0 1 1
Subagyo,dr,SpP TERATAI 1 0 0 1 0 0 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Iwan Satyagraha S, dr, SpO DELIMA 1 0 0 1 0 0 1 0 0 0 0 1 1
Arifianto, dr, SpA CEMPAKA 1 0 0 0 0 1 0 0 1 0 0 1 0
Mohammad Johan, dr, SpUTERATAI 1 0 0 1 0 0 1 0 0 0 0 1 1
Abdullah Hasan, dr, SpB DAHLIA 1 0 0 1 0 0 1 0 0 0 0 1 1
Mohammad Johan, dr, SpUDAHLIA 1 0 0 1 0 0 1 0 0 0 0 1 1
Arifianto, dr, SpA CEMPAKA 1 0 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Syafrizal, dr, SpP MELATI 1 0 0 0 0 1 0 0 1 0 0 1 0
DAHLIA 1 0 0 1 0 0 0 1 0 0 1 0 0
ADITYA HERWANDAR SASTR DAHLIA 0 1 0 1 0 0 1 0 0 0 0 1 1
DAHLIA 1 0 0 1 0 0 1 0 0 0 0 1 1
Ariadi Humardhani, dr Sp. DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Ahmad Helmy, dr SpOG DELIMA 1 0 0 1 0 0 1 0 0 0 0 1 1
Syafrizal, dr, SpP MELATI 1 0 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S CEMPAKA 1 0 0 1 0 0 1 0 0 0 1 0 1
Muhammad Syarif,dr,SpOGDELIMA 1 0 0 1 0 0 1 0 0 0 0 1 1
Donny Jandiana, dr SpBO CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Ariadi Humardhani, dr Sp. TERATAI 1 0 0 0 0 1 0 0 1 0 0 1 0
Abdullah Hasan, dr, SpB CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Ridwan, dr SpS TERATAI 1 0 0 0 0 1 0 0 1 0 0 1 0
Mohammad Johan, dr, SpUCEMPAKA 1 0 0 1 0 0 0 1 0 0 0 1 1
Endang P, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ferliani, dr, SpPD FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S DAHLIA 1 0 0 1 0 0 0 1 0 0 0 1 1
Endang P, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ahmad Helmy, dr SpOG CEMPAKA 0 1 0 1 0 0 1 0 0 0 0 1 1
Arifianto, dr, SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Ellen R.S, dr SpA PERINA 0 1 0 0 0 1 0 0 1 0 0 1 0
Iwan Satyagraha S, dr, SpO DAHLIA 0 1 0 1 0 0 1 0 0 1 0 0 1
Ardian Suryo Anggoro,dr,S CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Ellen R.S, dr SpA DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Herawati Isnanijah, dr SpJPDAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ahmad Helmy, dr SpOG CEMPAKA 1 0 0 0 1 0 0 1 0 0 1 0 0
Muhammad Syarif,dr,SpOGPERINA 1 0 0 0 0 1 0 0 1 0 0 1 0
Abdullah Hasan, dr, SpB CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 0
Ellen R.S, dr SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Muhammad Syarif,dr,SpOGCEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 1
Arifianto, dr, SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Muhammad Syarif,dr,SpOGCEMPAKA 0 1 0 0 1 0 1 0 0 0 0 1 0
Muhammad Syarif,dr,SpOGDELIMA 1 0 0 0 1 0 1 0 0 0 0 1 1
Muhammad Syarif,dr,SpOGCEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
ANDOKO BUDIWISESA,dr,SCEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 1
Abdullah Hasan, dr, SpB CEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 0
Abdullah Hasan, dr, SpB CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
SYAHARUDIN, DR, SpB CEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 1
Abdullah Hasan, dr, SpB CEMPAKA 1 0 0 0 1 0 1 0 0 0 0 1 1
Ferliani, dr, SpPD FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S DAHLIA 1 0 0 1 0 0 0 1 0 0 0 1 1
Endang P, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Sidhi Laksono Purwowiyoto,FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
PERINA 1 0 0 0 0 1 0 0 1 0 0 1 0
Nugroho Budi Santoso, dr. DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
87 11 3 38 10 52 35 12 53 10 13 77 50
JUAN (CONSENT) ASESMEN
HPK.8 PAB5.1 PAB7.1 AP.1.3 AP.1.4.1

Persetujuan Asasmen medis


tindakan dan Persetujuan riset, Risiko,keuntunga Risiko,keuntunga Asesmen
Kebutuhan Kebutuhan selama 24 jam, di keperawatan
prosedur risiko penyelidikan dan n,dan anestesi n, komplikasi dan medis pasien keperawatan update umur > 30 selama 24 jam
percobaan klinik alternatif alternatif operasi
tinggi hari

T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 0 0 1
0 0 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1
0 0 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0
0 0 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
0 1 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
6 44 4 8 88 25 12 63 26 10 64 92 4 4 93 4 3 95 3 2 94 3 3
REVIEW KELENGKAPAN REKAM MEDI

AP1.5 AP1.5.1 AP.1.6 AP.1.7 AP.1.9 AP.1.10 AP.1.11 AP.2


Asesmen Asasmen dan Asasmen awal Asasmen setiap
terdokumentasi Asesmen medis Asasmen gizi dan Asasmen
Asasmen nyeri asasmen ulang untuk rencana hari oleh dokter
dalam 24 jam terdokumntasi kebutuhan
setelah masuk sebelum operasi status fungsional saat masuk pasien yg akan pemulangan untuk pasien akut
khusus
meninggal pasien (SOAP)
dirawat

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y


1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 1
1 0 0 0 0 1 1 0 0 0 1 0 0 0 1 0 0 1 0 1 0 1
1 0 0 0 0 1 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 1
0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1
0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 0 1 0 1 0 1 0 0 0 1 0 0 1 0 0 0 1 1
1 0 0 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 0 1 0 0 1 0 0 1 1 0 0 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 1 0 1
0 0 1 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 0 1 0 1
0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 1
0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 1 0 0 0 1 0 0 0 1 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 0 1 0 1
0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 1 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1
0 1 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 0 0 1 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 0
1 0 0 0 0 1 0 1 0 0 1 0 1 0 0 0 1 0 0 0 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 1
1 0 0 0 0 1 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 0 0 1 0
1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 0 1 0 0
1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 1 0 0 0 1 0 0 0 1 1
0 1 0 0 0 1 0 1 0 0 1 0 1 0 0 0 1 0 0 0 1 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 0
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
83 7 6 43 9 44 38 49 9 44 50 2 17 7 72 26 61 9 68 18 9 80
APAN REKAM MEDIS

AP.2 PP.2.1 PPK.2 PAB.3 PAB.4 MPO.4

Asasmen setiap Asesmen


Ukuran Asasmen pra Daftar obat yang
hari oleh dokter keberhasilan kebutuhan Asasmen pra monitoring Kriteria sadar
dari anestesi dan pra diminum
untuk pasien akut rncana asuhan pendidikan sedasi selama sedasi kembali induksi sebelum dirawat
(SOAP) pasien dan keluar

T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T


0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1
0 0 0 1 0 0 0 1 0 1 0 1 0 0 0 0 1 1 0 0 0 0
0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 1 0 1 0 0 0 1
0 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 1 0 0 0 0 1 0 1
1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1
0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0
1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 1 0 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 1 0 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
15 0 80 10 6 29 54 13 4 37 55 7 35 54 12 31 54 34 9 54 9 80
TELAAH REKAM MEDIS LANJUTAN
MPO.4 MPO.4.3 MPO.7 PPK.2.1

Daftar obat yang Jenis obat yang Asasmen


Efek obat yang Asasmen budaya Asasmen tingkat Asasmen kendala Asasmen kendala kesedian
diresepkan pasien
diminum pasien dan pendidikan,
sebelum dirawat dicatat di rekam tidak diharapkan emosional fisik dan konigtif menerima
keluarga bahasa
medis informasi

TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
1 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
0 1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1
0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1
0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 0 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
8 88 8 1 7 83 7 8 79 10 33 54 10 33 53 11 33 54 9 26 58 13
MKI.19.3 APK.1.1.3 APK2.1 APK.3.2.1
Resume pulang
Pencatatan,tangg Pencatatan setiap Rencana asuhan Obat yang
al, waktu dari keterlambatan Alasan dirawat, Tindakan
pasien Temuan Fisik diberikan,termas Instruksi tindak
setiap entri data tindakan diagnosis diagnostik dan
penting uk obat setelah lanjut (follow up)
(utama,sekunder) prosedur pulang

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y


0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0 0 1 1 0 0 1
0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1
0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1
0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0
0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 1 0 2 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1
0 1 0 0 1 0 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 0 1
0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0
0 1 0 0 1 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 0 1 0 0 1 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
19 64 14 9 73 15 94 1 2 92 4 0 71 22 3 66 19 11 76 14 6 55
APK.4.4
Rekam medis pasien dirujuk memuat:
Nama RS dan perubahan
Instruksi tindak Nama orang yg Alasasn pasien Alasan lain pasien kondisi pasien
lanjut (follow up) menyetujui dirujuk dirujuk dan status pasien
menerima

T TDD Y T TDD Y T TDD Y T TDD Y T TDD


1 0 0 0 1 0 0 1 0 0 1 0 1 0 22-Sep-16
0 0 0 1 0 0 1 0 0 1 0 0 1 0 26-Sep-16
0 0 0 0 0 0 0 0 0 0 0 0 0 0 03-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 22-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 18-Sep-16
0 0 0 0 1 0 0 1 0 0 1 0 1 0 18-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 22-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 20-Sep-16
0 0 1 0 0 0 1 0 0 1 0 1 0 0 05-Sep-16
0 0 0 1 0 0 1 0 0 1 0 0 1 0 15-Sep-16
0 0 1 0 0 0 0 1 0 0 1 1 0 0 26-Sep-16
0 0 0 0 0 0 0 0 0 0 0 0 0 0 12-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 05-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 05-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 23-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 21-Sep-16
0 1 0 0 1 0 0 1 0 0 1 1 0 0 26-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 24-Sep-16
0 0 0 1 0 0 1 0 0 1 0 0 1 0 15-Aug-16
0 0 1 0 0 0 1 0 0 1 0 1 0 0 05-Sep-16
0 0 0 1 0 0 1 0 0 1 0 0 1 0 21-Sep-16
0 0 0 1 0 0 1 0 0 1 0 0 1 0 21-Sep-16
0 0 0 1 0 0 1 0 0 1 0 0 1 0 12-Sep-16
0 0 0 1 0 0 1 0 0 1 0 0 1 0 18-Aug-16
0 1 0 0 1 0 0 1 0 0 1 1 0 0 15-Sep-16
0 0 0 1 0 0 1 0 0 1 0 0 1 0 06-Sep-16
0 0 0 1 0 0 1 0 0 1 0 1 0 0 06-Sep-16
0 0 0 0 0 0 0 0 0 0 0 0 0 0 27-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 15-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 24-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 24-Aug-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 12-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 13-Sep-16
0 1 0 0 1 0 0 1 0 0 1 0 1 0 03-Sep-16
0 0 0 0 1 0 0 1 0 0 1 0 1 0 25-Aug-16
1 0 0 0 1 0 0 1 0 0 1 0 0 1 18-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 06-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 25-Sep-16
0 0 0 0 1 0 0 1 0 0 1 0 1 0 06-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 21-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 16-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 28-Sep-16
0 0 0 0 0 0 0 0 0 0 0 0 0 0 07-Sep-16
0 0 0 0 1 0 0 1 0 0 1 0 0 1 27-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 28-Sep-16
0 0 0 0 0 0 0 0 0 0 0 0 0 0 09-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 29-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 21-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 14-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 28-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 29-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 07-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 07-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 28-Aug-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 14-Sep-16
0 1 0 1 0 0 1 0 0 1 0 1 0 0 22-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 07-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 08-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 08-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 09-Sep-16
0 1 0 0 1 0 0 1 0 0 1 0 1 0 16-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 14-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 22-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 29-Aug-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 14-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 29-Aug-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 30-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 30-Aug-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 30-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 02-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 21-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 18-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 09-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 21-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
35 6 3 10 83 0 12 84 1 12 83 63 31 2
REVIEW KELENGKAPAN REKAM MEDIS
BULAN: JUNI

NO. REKAM
NO NO REGISTRASI DIAGNOSA
MEDIS

1 I-1610-000098 2016-715543 CPD , MYOMECTOMY , POST SC


2 I-1610-000203 2015-628321 DIARE ACUT
3 I-1610-000211 2016-717441 CHOLELITIASIS , ANEMI , TROMBOSITOPENIA
4 I-1610-000245 2004-745715 TB PARU , BATUK DARAH
5 I-1610-000279 2016-718371 PRE EXLAMSI , STERIL , POST SC
6 I-1610-000306 2015-675870 BP , PPOK
7 I-1610-000341 2016-711457 FEBRIS
8 I-1610-000344 2016-718071 NCB SMK
9 I-1610-000360 2016-716651 EX SC , STERIL , POST SC
10 I-1610-000398 2016-718157 POST PARTUS , PK1
11 I-1610-000420 2016-718163 POST SC CYTO , KPD , EX SC
12 I-1610-000436 2016-718733 TUMOR PARU
13 I-1610-000452 2016-718189 TB PARU, BATUK DARAH
14 I-1610-000569 2014-568946 DIARE , GDD , GIZI BURUK , ISK
15 I-1610-000596 2015-631076 OA GENU , HHD , HT
16 I-1610-000599 2012-380322 AIAH , CHOLELITIASIS , IKTERIK
17 I-1610-000607 2016-695944 KEJANG DEMAM , ISPA , ENTERITIS
18 I-1610-000615 2016-719277 NCB SMK
19 I-1610-000623 2012-423198 ANEMIA, CKD, GASTRITIS
20 I-1610-000628 2016-715820
21 I-1610-000641 2016-719146 SYNDROM NEPROTIK , HYPOALBUMIN
22 I-1610-000650 2016-718977 HEMETEMESIS , CKD , HT
23 I-1610-000656 2016-715083 EX SC , POST SC
24 I-1610-000711 2013-471376 INCOMPETENSI CERVIX
25 I-1610-000727 2016-718375 KISTA ATHEROMA
26 I-1610-000728 2013-490126 PREEXLAMSI , STERIL , ANEMI , POST SC
27 I-1610-000772 2011-368613 NON STEMI , DM2 , AHF , BP
28 I-1610-000774 2015-614637 HAMIL ATERM , EX SC , PKII , POST SC
29 I-1610-000777 2016-699810 CHF , CARDIOMIOPATY , AKI , CVD ISHEMIC
30 I-1610-000782 2016-718940 KEJANG DEMAM,ISPA
31 I-1610-000785 2013-496302 SH , ACITES , TB PARU
32 I-1610-000786 2016-719178 PPT , POST SC
33 I-1610-000788 2012-403743 ANEMI GRAVIS , CKD , HT
34 I-1610-000790 2016-695697 ABORTUS INKOMPLIT
35 I-1610-000792 2016-718939 DHF , DYSPEPSIA
36 I-1610-000799 2014-557027 MENOMETRORHAGIA
37 I-1610-000869 2016-719640 ENCEPALOPATY , MORBILLI , KEJANG DEMAM
38 I-1610-000897 2016-703125 ANEMI , CKD
39 I-1610-000900 2015-644624 ANEMI, CKD
40 I-1610-000907 2016-719854 NCB SMK
41 I-1610-000922 2016-719675 CKR , TRAUMA CERVICAL
42 I-1610-000935 2016-720206 POST SC CYTO , KPD
43 I-1610-000955 2016-720219 DISLOKASI ELBOW
44 I-1610-000969 2016-720215 DIARE ACUT
45 I-1610-000994 2016-720238 PARTUS SPONTAN
46 I-1610-000995 2016-720233 NCB SMK
47 I-1610-001008 2016-719076 NCB SMK
48 I-1610-001017 2016-720211 ISK
49 I-1610-001030 2016-711704 CPD , STERIL , POST SC
50 I-1610-001031 2016-720185 HYPEREMESIS GRAVIDARUM
51 I-1610-001038 2016-720225 CEPALGIA , FEBRIS
52 I-1610-001041 2016-720241 DYSPEPSIA
53 I-1610-001044 2016-692215 DYSTOSIA , POST SC
54 I-1610-001071 2016-717907 LETAK LINTANG , OLIGOHYDRO , PJT , STERIL , POS
55 I-1610-001110 2016-719598 TUMOR PUNGGUNG
56 I-1610-001133 2016-720405 STROKE INFAK , HEMIPARESE KIRI
57 I-1610-001174 2016-713559 TB PARU, SO, DYSPEPSIA, VOMITUS
58 I-1610-001185 2014-576277 FRAKTUR SUPRA DONDILAR
59 I-1610-001202 2015-660029 GERD , MYOMA UTERI , GANGGUAN LIVER
60 I-1610-001267 2011-310577 GASTROENTERITIS
61 I-1610-001277 2013-453276 Asites , Sh, Hepatitis b
62 I-1610-001283 2016-719099 HYPERBILLIRUBINEA
63 I-1610-001289 2014-552219 DEMAM DENGUE , DBD
64 I-1610-001315 2016-719959 POST SC, KPD, EX SC
65 I-1610-001351 2016-705665 POST PARTUS , SISA PLACENTA
66 I-1609-001476 2016-716923 ANEMI APLASTIK
67 I-1610-000026 2014-587617 ALO , NON STEMI , AHF , CKD , AKI
68 I-1610-000036 2016-718006 POST SC , PREMATUR , BBLR , HB , HYPOGLIKEMI
69 I-1610-000070 2016-716863 GASTRITIS
70 I-1610-000081 2016-712533 POST SC , KPD , EX SC , PEB
71 I-1610-000098 2016-715543 CPD , MYOMECTOMY , POST SC
72 I-1610-000203 2015-628321 DIARE ACUT
73 I-1610-000211 2016-717441 CHOLELITIASIS , ANEMI , TROMBOSITOPENIA
74 I-1610-000245 2004-745715 TB PARU , BATUK DARAH
75 I-1610-000279 2016-718371 PRE EXLAMSI , STERIL , POST SC
76 I-1610-000306 2015-675870 BP , PPOK
77 I-1610-000341 2016-711457 FEBRIS
78 I-1610-000344 2016-718071 NCB SMK
79 I-1610-000360 2016-716651 EX SC , STERIL , POST SC
80 I-1610-000398 2016-718157 POST PARTUS , PK1
81 I-1610-000420 2016-718163 POST SC CYTO , KPD , EX SC
82 I-1610-000436 2016-718733 TUMOR PARU
83 I-1610-000452 2016-718189 TB PARU, BATUK DARAH
84 I-1610-000569 2014-568946 DIARE , GDD , GIZI BURUK , ISK
85 I-1610-000596 2015-631076 OA GENU , HHD , HT
86 I-1610-000599 2012-380322 AIAH , CHOLELITIASIS , IKTERIK
87 I-1610-000607 2016-695944 KEJANG DEMAM , ISPA , ENTERITIS
88 I-1610-000615 2016-719277 NCB SMK
89 I-1610-000623 2012-423198 ANEMIA, CKD, GASTRITIS
90 I-1610-001356 2014-586735 COMMON COLD , KEJANG DEMAM
91 I-1610-001363 2016-712275 ISPA, CEREBRAL PALSI
92 I-1610-001367 2016-705355 PHNEMONI
93 I-1610-001384 2016-719845 NCB SMK
94 I-1610-001389 2013-479828 POST PARTUS , PTM
95 I-1610-001438 2016-721231 NCB SMK
96 I-1610-001445 2016-721237 DSS
97 I-1610-001465 2016-719809 NCB SMK
98 I-1610-001472 2016-721169 ABORTUS INCOMPLIT
PERSETUJUAN (CONSENT)
HPK6.3 HPK6.4

DPJP RUANGAN Persetujuan


Persetujuan Persetujuan
Persetujuan tindakan dan
Persetujuan Umum Anestesi dan transfusi dan
Operasi prosedur risiko
sedasi produk darah tinggi

Y T TDD Y T TDD Y T TDD Y T TDD Y


Budhi Samodra, Dr, Sp.OG DAHLIA 0 1 0 1 0 0 1 0 0 0 0 1 1
Ellen R.S, dr SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Jusi Susilawati, dr, Sp PD FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Syafrizal, dr, SpP DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG DELIMA 1 0 0 1 0 0 1 0 0 0 0 1 1
Subagyo,dr,SpP MELATI 1 0 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ahmad Helmy, dr SpOG DELIMA 1 0 0 1 0 0 1 0 0 1 0 0 1
Muhammad Syarif,dr,SpOGDELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S ANGGREK 1 0 0 1 0 0 1 0 0 0 0 1 1
Syafrizal, dr, SpP DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Syafrizal, dr, SpP MELATI 0 1 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Donny Jandiana, dr SpBO CEMPAKA 1 0 0 0 1 0 1 0 0 1 0 0 0
Nugroho Budi Santoso, dr. FLAMBOYAN 1 0 0 0 0 1 0 0 1 1 0 0 0
Ellen R.S, dr SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. HEMODIALISA 1 0 0 0 0 1 0 0 1 1 0 0 1
Nugroho Budi Santoso, dr. ENDOSCOPI 1 0 0 0 0 1 0 0 1 0 0 1 1
Endang P, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. ANGGREK 1 0 0 0 0 1 0 0 1 0 0 1 1
Iwan Satyagraha S, dr, SpO CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Muhammad Syarif,dr,SpOGCEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Abdullah Hasan, dr, SpB CEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 1
Ardian Suryo Anggoro,dr,S CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
FAHMI IDRUS SAHAB, dr, S TERATAI 1 0 0 0 0 1 0 0 1 0 0 1 0
Muhammad Syarif,dr,SpOGCEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 1
FAHMI IDRUS SAHAB, dr, S FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Nugroho Budi Santoso, dr. FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
DELIMA 1 0 0 1 0 0 1 0 0 0 0 1 1
TEDDY ERVANO, dr SpPD FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Ahmad Helmy, dr SpOG CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Ariadi Humardhani, dr Sp. DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 1
Budhi Samodra, Dr, Sp.OG CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Tuty Rahayu, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. HEMODIALISA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. HEMODIALISA 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Gotot Sumantri PW, Sp.S CEMPAKA 1 0 0 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG DAHLIA 1 0 0 1 0 0 1 0 0 0 0 1 1
Riza Aprizal, dr, SpOT ANGGREK 1 0 0 1 0 0 1 0 0 0 0 1 0
Endang P, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ahmad Helmy, dr SpOG DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Endang P, SpA DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Endang P, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Budhi Samodra, Dr, Sp.OG DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Nugroho Budi Santoso, dr. FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG DAHLIA 1 0 0 1 0 0 1 0 0 0 0 1 1
Muhammad Syarif,dr,SpOGDAHLIA 1 0 0 1 0 0 1 0 0 0 0 1 1
Aunurrafieq,dr,Sp.B CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Gotot Sumantri PW, Sp.S FLAMBOYAN 1 0 0 1 0 0 0 0 1 0 0 1 0
Subagyo,dr,SpP DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
TERATAI 0 1 0 1 0 0 1 0 0 0 0 1 1
Jusi Susilawati, dr, Sp PD TERATAI 1 0 0 0 0 1 0 0 1 0 0 1 0
Ellen R.S, dr SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Nugroho Budi Santoso, dr. FLAMBOYAN 0 1 0 0 0 1 0 0 1 0 0 1 1
Endang P, SpA PERINA 1 0 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S ANGGREK 0 1 0 1 0 0 1 0 0 0 0 1 1
Ahmad Helmy, dr SpOG DELIMA 1 0 0 1 0 0 1 0 0 1 0 0 1
Abdullah Hasan, dr, SpB MAWAR 1 0 0 1 0 0 1 0 0 0 0 1 0
Sidhi Laksono Purwowiyoto,FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
PERINA 1 0 0 0 0 1 0 0 1 0 0 1 0
Nugroho Budi Santoso, dr. DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S DAHLIA 1 0 0 1 0 0 1 0 0 0 0 1 1
Budhi Samodra, Dr, Sp.OG DAHLIA 0 1 0 1 0 0 1 0 0 0 0 1 1
Ellen R.S, dr SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Jusi Susilawati, dr, Sp PD FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Syafrizal, dr, SpP DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG DELIMA 1 0 0 1 0 0 1 0 0 0 0 1 1
Subagyo,dr,SpP MELATI 1 0 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ahmad Helmy, dr SpOG DELIMA 1 0 0 1 0 0 1 0 0 1 0 0 1
Muhammad Syarif,dr,SpOGDELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S ANGGREK 1 0 0 1 0 0 1 0 0 0 0 1 1
Syafrizal, dr, SpP DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Syafrizal, dr, SpP MELATI 0 1 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Donny Jandiana, dr SpBO CEMPAKA 1 0 0 0 1 0 1 0 0 1 0 0 0
Nugroho Budi Santoso, dr. FLAMBOYAN 1 0 0 0 0 1 0 0 1 1 0 0 0
Ellen R.S, dr SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. HEMODIALISA 1 0 0 0 0 1 0 0 1 1 0 0 1
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG KAMAR BERSALI 1 0 0 0 0 1 0 0 1 0 0 1 1
Tuty Rahayu, dr, SpA DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
MAWAR 0 1 0 0 0 1 0 0 1 1 0 0 1
Ellen R.S, dr SpA KAMAR BERSALI 0 1 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S DELIMA 0 1 0 1 0 0 1 0 0 0 0 1 1
86 12 0 29 2 67 30 0 68 12 0 86 34
JUAN (CONSENT) ASESMEN
HPK.8 PAB5.1 PAB7.1 AP.1.3 AP.1.4.1

Persetujuan Asasmen medis


tindakan dan Persetujuan riset, Risiko,keuntunga Risiko,keuntunga Asesmen
Kebutuhan Kebutuhan selama 24 jam, di keperawatan
prosedur risiko penyelidikan dan n,dan anestesi n, komplikasi dan medis pasien keperawatan update umur > 30 selama 24 jam
percobaan klinik alternatif alternatif operasi
tinggi hari

T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0
2 62 2 19 77 26 0 72 24 4 70 97 1 0 95 3 0 94 4 0 92 6 0
REVIEW KELENGKAPAN REKAM MEDI

AP1.5 AP1.5.1 AP.1.6 AP.1.7 AP.1.9 AP.1.10 AP.1.11 AP.2


Asesmen Asasmen dan Asasmen awal Asasmen setiap
terdokumentasi Asesmen medis Asasmen gizi dan Asasmen
Asasmen nyeri asasmen ulang untuk rencana hari oleh dokter
dalam 24 jam terdokumntasi kebutuhan
setelah masuk sebelum operasi status fungsional saat masuk pasien yg akan pemulangan untuk pasien akut
khusus
meninggal pasien (SOAP)
dirawat

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y


1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 0
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 1 0 0 1 0 0 0
0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 0 1 0 1 0 1 0 0 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 1 0 0 0 1 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 0 1 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0
1 0 0 0 0 1 1 0 0 0 1 0 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 0 1 0 0 0 1 0 0 1 1 0 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 0
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 1 0 0 1 0 0 0
0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 0
95 2 1 55 2 41 26 72 0 32 66 0 7 11 80 17 65 16 69 27 2 68
APAN REKAM MEDIS

AP.2 PP.2.1 PPK.2 PAB.3 PAB.4 MPO.4

Asasmen setiap Asesmen


Ukuran Asasmen pra Daftar obat yang
hari oleh dokter keberhasilan kebutuhan Asasmen pra monitoring Kriteria sadar
dari anestesi dan pra diminum
untuk pasien akut rncana asuhan pendidikan sedasi selama sedasi kembali induksi sebelum dirawat
(SOAP) pasien dan keluar

T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T


0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 1 0 0 1 0
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 1 0 0
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 1 0 0
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 1
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
30 0 84 14 0 57 40 1 0 29 69 0 29 69 4 28 66 27 2 69 6 78
TELAAH REKAM MEDIS LANJUTAN
MPO.4 MPO.4.3 MPO.7 PPK.2.1

Daftar obat yang Jenis obat yang Asasmen


Efek obat yang Asasmen budaya Asasmen tingkat Asasmen kendala Asasmen kendala kesedian
diresepkan pasien
diminum pasien dan pendidikan,
sebelum dirawat dicatat di rekam tidak diharapkan emosional fisik dan konigtif menerima
keluarga bahasa
medis informasi

TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
1 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 0 0 0 1 0
14 84 7 7 2 94 2 2 96 0 9 89 0 10 88 0 10 85 0 15 83 0
MKI.19.3 APK.1.1.3 APK2.1 APK.3.2.1
Resume pulang
Pencatatan,tangg Pencatatan setiap Rencana asuhan Obat yang
al, waktu dari keterlambatan Alasan dirawat, Tindakan
pasien Temuan Fisik diberikan,termas Instruksi tindak
setiap entri data tindakan diagnosis diagnostik dan
penting uk obat setelah lanjut (follow up)
(utama,sekunder) prosedur pulang

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y


1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 0
31 67 0 7 91 0 97 1 0 98 0 0 84 14 0 77 17 4 83 14 1 69
APK.4.4
Rekam medis pasien dirujuk memuat:
Nama RS dan perubahan
Instruksi tindak Nama orang yg Alasasn pasien Alasan lain pasien kondisi pasien
lanjut (follow up) menyetujui dirujuk dirujuk dan status pasien
menerima

T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 0 0 0 1 0 0 1 0 0 1 1 0 0 22-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 26-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 03-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 22-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 18-Sep-16
0 1 0 0 1 0 0 1 0 0 1 1 0 0 18-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 22-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 20-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 05-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 15-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 26-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 12-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 05-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 05-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 23-Sep-16
0 0 0 0 1 0 0 1 0 0 1 0 1 0 21-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 26-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 24-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 15-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 05-Sep-16
0 0 0 0 1 0 0 1 1 0 0 1 0 0 21-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 21-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 12-Sep-16
0 1 0 0 1 0 0 1 0 0 1 1 0 0 18-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 15-Sep-16
0 1 0 0 1 0 0 1 0 0 1 1 0 0 06-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 06-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 27-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 15-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 24-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 24-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 12-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 13-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 03-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 25-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 18-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 06-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 25-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 06-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 21-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 16-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 28-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 07-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 27-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 28-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 09-Aug-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 29-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 21-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 14-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 28-Aug-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 29-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 07-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 07-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 28-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 14-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 22-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 07-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 08-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 08-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 09-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 16-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 14-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 22-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 29-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 14-Sep-16
1 0 0 1 0 0 1 0 1 0 0 1 0 0 29-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 30-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 30-Aug-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 30-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 02-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 21-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 18-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 09-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 21-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
25 4 0 1 97 0 1 97 2 0 96 83 15 0
REVIEW KELENGKAPAN REKAM MEDIS
BULAN: JULI

NO. REKAM
NO NO REGISTRASI DIAGNOSA
MEDIS

1 I-1610-000098 2016-715543 CPD , MYOMECTOMY , POST SC


2 I-1610-000203 2015-628321 DIARE ACUT
3 I-1610-000211 2016-717441 CHOLELITIASIS , ANEMI , TROMBOSITOPENIA
4 I-1610-000245 2004-745715 TB PARU , BATUK DARAH
5 I-1610-000279 2016-718371 PRE EXLAMSI , STERIL , POST SC
6 I-1610-000306 2015-675870 BP , PPOK
7 I-1610-000341 2016-711457 FEBRIS
8 I-1610-000344 2016-718071 NCB SMK
9 I-1610-000360 2016-716651 EX SC , STERIL , POST SC
10 I-1610-000398 2016-718157 POST PARTUS , PK1
11 I-1610-000420 2016-718163 POST SC CYTO , KPD , EX SC
12 I-1610-000436 2016-718733 TUMOR PARU
13 I-1610-000452 2016-718189 TB PARU, BATUK DARAH
14 I-1610-000569 2014-568946 DIARE , GDD , GIZI BURUK , ISK
15 I-1610-000596 2015-631076 OA GENU , HHD , HT
16 I-1610-000599 2012-380322 AIAH , CHOLELITIASIS , IKTERIK
17 I-1610-000607 2016-695944 KEJANG DEMAM , ISPA , ENTERITIS
18 I-1610-000615 2016-719277 NCB SMK
19 I-1610-000623 2012-423198 ANEMIA, CKD, GASTRITIS
20 I-1610-000628 2016-715820
21 I-1610-000641 2016-719146 SYNDROM NEPROTIK , HYPOALBUMIN
22 I-1610-000650 2016-718977 HEMETEMESIS , CKD , HT
23 I-1610-000656 2016-715083 EX SC , POST SC
24 I-1610-000711 2013-471376 INCOMPETENSI CERVIX
25 I-1610-000727 2016-718375 KISTA ATHEROMA
26 I-1610-000728 2013-490126 PREEXLAMSI , STERIL , ANEMI , POST SC
27 I-1610-000772 2011-368613 NON STEMI , DM2 , AHF , BP
28 I-1610-000774 2015-614637 HAMIL ATERM , EX SC , PKII , POST SC
29 I-1610-000777 2016-699810 CHF , CARDIOMIOPATY , AKI , CVD ISHEMIC
30 I-1610-000782 2016-718940 KEJANG DEMAM,ISPA
31 I-1610-000785 2013-496302 SH , ACITES , TB PARU
32 I-1610-000786 2016-719178 PPT , POST SC
33 I-1610-000788 2012-403743 ANEMI GRAVIS , CKD , HT
34 I-1610-000790 2016-695697 ABORTUS INKOMPLIT
35 I-1610-000792 2016-718939 DHF , DYSPEPSIA
36 I-1610-000799 2014-557027 MENOMETRORHAGIA
37 I-1610-000869 2016-719640 ENCEPALOPATY , MORBILLI , KEJANG DEMAM
38 I-1610-000897 2016-703125 ANEMI , CKD
39 I-1610-000900 2015-644624 ANEMI, CKD
40 I-1610-000907 2016-719854 NCB SMK
41 I-1610-000922 2016-719675 CKR , TRAUMA CERVICAL
42 I-1610-000935 2016-720206 POST SC CYTO , KPD
43 I-1610-000955 2016-720219 DISLOKASI ELBOW
44 I-1610-000969 2016-720215 DIARE ACUT
45 I-1610-000994 2016-720238 PARTUS SPONTAN
46 I-1610-000995 2016-720233 NCB SMK
47 I-1610-001008 2016-719076 NCB SMK
48 I-1610-001017 2016-720211 ISK
49 I-1610-001030 2016-711704 CPD , STERIL , POST SC
50 I-1610-001031 2016-720185 HYPEREMESIS GRAVIDARUM
51 I-1610-001038 2016-720225 CEPALGIA , FEBRIS
52 I-1610-001041 2016-720241 DYSPEPSIA
53 I-1610-001044 2016-692215 DYSTOSIA , POST SC
54 I-1610-001071 2016-717907 LETAK LINTANG , OLIGOHYDRO , PJT , STERIL , POS
55 I-1610-001110 2016-719598 TUMOR PUNGGUNG
56 I-1610-001133 2016-720405 STROKE INFAK , HEMIPARESE KIRI
57 I-1610-001174 2016-713559 TB PARU, SO, DYSPEPSIA, VOMITUS
58 I-1610-001185 2014-576277 FRAKTUR SUPRA DONDILAR
59 I-1610-001202 2015-660029 GERD , MYOMA UTERI , GANGGUAN LIVER
60 I-1610-001267 2011-310577 GASTROENTERITIS
61 I-1610-001277 2013-453276 Asites , Sh, Hepatitis b
62 I-1610-001283 2016-719099 HYPERBILLIRUBINEA
63 I-1610-001289 2014-552219 DEMAM DENGUE , DBD
64 I-1610-001315 2016-719959 POST SC, KPD, EX SC
65 I-1610-001351 2016-705665 POST PARTUS , SISA PLACENTA
66 I-1609-001476 2016-716923 ANEMI APLASTIK
67 I-1610-000026 2014-587617 ALO , NON STEMI , AHF , CKD , AKI
68 I-1610-000036 2016-718006 POST SC , PREMATUR , BBLR , HB , HYPOGLIKEMI
69 I-1610-000070 2016-716863 GASTRITIS
70 I-1610-000081 2016-712533 POST SC , KPD , EX SC , PEB
71 I-1610-000098 2016-715543 CPD , MYOMECTOMY , POST SC
72 I-1610-000203 2015-628321 DIARE ACUT
73 I-1610-000211 2016-717441 CHOLELITIASIS , ANEMI , TROMBOSITOPENIA
74 I-1610-000245 2004-745715 TB PARU , BATUK DARAH
75 I-1610-000279 2016-718371 PRE EXLAMSI , STERIL , POST SC
76 I-1610-000306 2015-675870 BP , PPOK
77 I-1610-000341 2016-711457 FEBRIS
78 I-1610-000344 2016-718071 NCB SMK
79 I-1610-000360 2016-716651 EX SC , STERIL , POST SC
80 I-1610-000398 2016-718157 POST PARTUS , PK1
81 I-1610-000420 2016-718163 POST SC CYTO , KPD , EX SC
82 I-1610-000436 2016-718733 TUMOR PARU
83 I-1610-000452 2016-718189 TB PARU, BATUK DARAH
84 I-1610-000569 2014-568946 DIARE , GDD , GIZI BURUK , ISK
85 I-1610-000596 2015-631076 OA GENU , HHD , HT
86 I-1610-000599 2012-380322 AIAH , CHOLELITIASIS , IKTERIK
87 I-1610-000607 2016-695944 KEJANG DEMAM , ISPA , ENTERITIS
88 I-1610-000615 2016-719277 NCB SMK
89 I-1610-000623 2012-423198 ANEMIA, CKD, GASTRITIS
90 I-1610-001356 2014-586735 COMMON COLD , KEJANG DEMAM
91 I-1610-001363 2016-712275 ISPA, CEREBRAL PALSI
92 I-1610-001367 2016-705355 PHNEMONI
93 I-1610-001384 2016-719845 NCB SMK
94 I-1610-001389 2013-479828 POST PARTUS , PTM
95 I-1610-001438 2016-721231 NCB SMK
96 I-1610-001445 2016-721237 DSS
97 I-1610-001465 2016-719809 NCB SMK
98 I-1610-001472 2016-721169 ABORTUS INCOMPLIT
PERSETUJUAN (CONSENT)
HPK6.3 HPK6.4

DPJP RUANGAN Persetujuan


Persetujuan Persetujuan
Persetujuan tindakan dan
Persetujuan Umum Anestesi dan transfusi dan
Operasi prosedur risiko
sedasi produk darah tinggi

Y T TDD Y T TDD Y T TDD Y T TDD Y


Budhi Samodra, Dr, Sp.OG DAHLIA 0 1 0 1 0 0 1 0 0 0 0 1 1
Ellen R.S, dr SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Jusi Susilawati, dr, Sp PD FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Syafrizal, dr, SpP DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG DELIMA 1 0 0 1 0 0 1 0 0 0 0 1 1
Subagyo,dr,SpP MELATI 1 0 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ahmad Helmy, dr SpOG DELIMA 1 0 0 1 0 0 1 0 0 1 0 0 1
Muhammad Syarif,dr,SpOGDELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S ANGGREK 1 0 0 1 0 0 1 0 0 0 0 1 1
Syafrizal, dr, SpP DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Syafrizal, dr, SpP MELATI 0 1 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Donny Jandiana, dr SpBO CEMPAKA 1 0 0 0 1 0 1 0 0 1 0 0 0
Nugroho Budi Santoso, dr. FLAMBOYAN 1 0 0 0 0 1 0 0 1 1 0 0 0
Ellen R.S, dr SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. HEMODIALISA 1 0 0 0 0 1 0 0 1 1 0 0 1
Nugroho Budi Santoso, dr. ENDOSCOPI 1 0 0 0 0 1 0 0 1 0 0 1 1
Endang P, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. ANGGREK 1 0 0 0 0 1 0 0 1 0 0 1 1
Iwan Satyagraha S, dr, SpO CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Muhammad Syarif,dr,SpOGCEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Abdullah Hasan, dr, SpB CEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 1
Ardian Suryo Anggoro,dr,S CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
FAHMI IDRUS SAHAB, dr, S TERATAI 1 0 0 0 0 1 0 0 1 0 0 1 0
Muhammad Syarif,dr,SpOGCEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 1
FAHMI IDRUS SAHAB, dr, S FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Nugroho Budi Santoso, dr. FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
DELIMA 1 0 0 1 0 0 1 0 0 0 0 1 1
TEDDY ERVANO, dr SpPD FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Ahmad Helmy, dr SpOG CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Ariadi Humardhani, dr Sp. DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 1
Budhi Samodra, Dr, Sp.OG CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Tuty Rahayu, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. HEMODIALISA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. HEMODIALISA 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Gotot Sumantri PW, Sp.S CEMPAKA 1 0 0 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG DAHLIA 1 0 0 1 0 0 1 0 0 0 0 1 1
Riza Aprizal, dr, SpOT ANGGREK 1 0 0 1 0 0 1 0 0 0 0 1 0
Endang P, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ahmad Helmy, dr SpOG DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Endang P, SpA DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Endang P, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Budhi Samodra, Dr, Sp.OG DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Nugroho Budi Santoso, dr. FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG DAHLIA 1 0 0 1 0 0 1 0 0 0 0 1 1
Muhammad Syarif,dr,SpOGDAHLIA 1 0 0 1 0 0 1 0 0 0 0 1 1
Aunurrafieq,dr,Sp.B CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Gotot Sumantri PW, Sp.S FLAMBOYAN 1 0 0 1 0 0 0 0 1 0 0 1 0
Subagyo,dr,SpP DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
TERATAI 0 1 0 1 0 0 1 0 0 0 0 1 1
Jusi Susilawati, dr, Sp PD TERATAI 1 0 0 0 0 1 0 0 1 0 0 1 0
Ellen R.S, dr SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Nugroho Budi Santoso, dr. FLAMBOYAN 0 1 0 0 0 1 0 0 1 0 0 1 1
Endang P, SpA PERINA 1 0 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S ANGGREK 0 1 0 1 0 0 1 0 0 0 0 1 1
Ahmad Helmy, dr SpOG DELIMA 1 0 0 1 0 0 1 0 0 1 0 0 1
Abdullah Hasan, dr, SpB MAWAR 1 0 0 1 0 0 1 0 0 0 0 1 0
Sidhi Laksono Purwowiyoto,FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
PERINA 1 0 0 0 0 1 0 0 1 0 0 1 0
Nugroho Budi Santoso, dr. DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S DAHLIA 1 0 0 1 0 0 1 0 0 0 0 1 1
Budhi Samodra, Dr, Sp.OG DAHLIA 0 1 0 1 0 0 1 0 0 0 0 1 1
Ellen R.S, dr SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Jusi Susilawati, dr, Sp PD FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Syafrizal, dr, SpP DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG DELIMA 1 0 0 1 0 0 1 0 0 0 0 1 1
Subagyo,dr,SpP MELATI 1 0 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ahmad Helmy, dr SpOG DELIMA 1 0 0 1 0 0 1 0 0 1 0 0 1
Muhammad Syarif,dr,SpOGDELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S ANGGREK 1 0 0 1 0 0 1 0 0 0 0 1 1
Syafrizal, dr, SpP DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Syafrizal, dr, SpP MELATI 0 1 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Donny Jandiana, dr SpBO CEMPAKA 1 0 0 0 1 0 1 0 0 1 0 0 0
Nugroho Budi Santoso, dr. FLAMBOYAN 1 0 0 0 0 1 0 0 1 1 0 0 0
Ellen R.S, dr SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. HEMODIALISA 1 0 0 0 0 1 0 0 1 1 0 0 1
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG KAMAR BERSALI 1 0 0 0 0 1 0 0 1 0 0 1 1
Tuty Rahayu, dr, SpA DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
MAWAR 0 1 0 0 0 1 0 0 1 1 0 0 1
Ellen R.S, dr SpA KAMAR BERSALI 0 1 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S DELIMA 0 1 0 1 0 0 1 0 0 0 0 1 1
86 12 0 29 2 67 30 0 68 12 0 86 34
JUAN (CONSENT) ASESMEN
HPK.8 PAB5.1 PAB7.1 AP.1.3 AP.1.4.1

Persetujuan Asasmen medis


tindakan dan Persetujuan riset, Risiko,keuntunga Risiko,keuntunga Asesmen
Kebutuhan Kebutuhan selama 24 jam, di keperawatan
prosedur risiko penyelidikan dan n,dan anestesi n, komplikasi dan medis pasien keperawatan update umur > 30 selama 24 jam
percobaan klinik alternatif alternatif operasi
tinggi hari

T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0
2 62 2 19 77 26 0 72 24 4 70 97 1 0 95 3 0 94 4 0 92 6 0
REVIEW KELENGKAPAN REKAM MEDI

AP1.5 AP1.5.1 AP.1.6 AP.1.7 AP.1.9 AP.1.10 AP.1.11 AP.2


Asesmen Asasmen dan Asasmen awal Asasmen setiap
terdokumentasi Asesmen medis Asasmen gizi dan Asasmen
Asasmen nyeri asasmen ulang untuk rencana hari oleh dokter
dalam 24 jam terdokumntasi kebutuhan
setelah masuk sebelum operasi status fungsional saat masuk pasien yg akan pemulangan untuk pasien akut
khusus
meninggal pasien (SOAP)
dirawat

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y


1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 0
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 1 0 0 1 0 0 0
0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 0 1 0 1 0 1 0 0 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 1 0 0 0 1 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 0 1 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0
1 0 0 0 0 1 1 0 0 0 1 0 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 0 1 0 0 0 1 0 0 1 1 0 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 0
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 1 0 0 1 0 0 0
0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 0
95 2 1 55 2 41 26 72 0 32 66 0 7 11 80 17 65 16 69 27 2 68
APAN REKAM MEDIS

AP.2 PP.2.1 PPK.2 PAB.3 PAB.4 MPO.4

Asasmen setiap Asesmen


Ukuran Asasmen pra Daftar obat yang
hari oleh dokter keberhasilan kebutuhan Asasmen pra monitoring Kriteria sadar
dari anestesi dan pra diminum
untuk pasien akut rncana asuhan pendidikan sedasi selama sedasi kembali induksi sebelum dirawat
(SOAP) pasien dan keluar

T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T


0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 1 0 0 1 0
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 1 0 0
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 1 0 0
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 1
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
30 0 84 14 0 57 40 1 0 29 69 0 29 69 4 28 66 27 2 69 6 78
TELAAH REKAM MEDIS LANJUTAN
MPO.4 MPO.4.3 MPO.7 PPK.2.1

Daftar obat yang Jenis obat yang Asasmen


Efek obat yang Asasmen budaya Asasmen tingkat Asasmen kendala Asasmen kendala kesedian
diresepkan pasien
diminum pasien dan pendidikan,
sebelum dirawat dicatat di rekam tidak diharapkan emosional fisik dan konigtif menerima
keluarga bahasa
medis informasi

TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
1 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 0 0 0 1 0
14 84 7 7 2 94 2 2 96 0 9 89 0 10 88 0 10 85 0 15 83 0
MKI.19.3 APK.1.1.3 APK2.1 APK.3.2.1
Resume pulang
Pencatatan,tangg Pencatatan setiap Rencana asuhan Obat yang
al, waktu dari keterlambatan Alasan dirawat, Tindakan
pasien Temuan Fisik diberikan,termas Instruksi tindak
setiap entri data tindakan diagnosis diagnostik dan
penting uk obat setelah lanjut (follow up)
(utama,sekunder) prosedur pulang

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y


1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 0
31 67 0 7 91 0 97 1 0 98 0 0 84 14 0 77 17 4 83 14 1 69
APK.4.4
Rekam medis pasien dirujuk memuat:
Nama RS dan perubahan
Instruksi tindak Nama orang yg Alasasn pasien Alasan lain pasien kondisi pasien
lanjut (follow up) menyetujui dirujuk dirujuk dan status pasien
menerima

T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 0 0 0 1 0 0 1 0 0 1 1 0 0 22-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 26-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 03-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 22-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 18-Sep-16
0 1 0 0 1 0 0 1 0 0 1 1 0 0 18-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 22-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 20-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 05-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 15-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 26-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 12-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 05-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 05-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 23-Sep-16
0 0 0 0 1 0 0 1 0 0 1 0 1 0 21-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 26-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 24-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 15-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 05-Sep-16
0 0 0 0 1 0 0 1 1 0 0 1 0 0 21-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 21-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 12-Sep-16
0 1 0 0 1 0 0 1 0 0 1 1 0 0 18-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 15-Sep-16
0 1 0 0 1 0 0 1 0 0 1 1 0 0 06-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 06-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 27-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 15-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 24-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 24-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 12-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 13-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 03-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 25-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 18-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 06-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 25-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 06-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 21-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 16-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 28-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 07-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 27-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 28-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 09-Aug-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 29-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 21-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 14-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 28-Aug-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 29-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 07-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 07-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 28-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 14-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 22-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 07-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 08-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 08-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 09-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 16-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 14-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 22-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 29-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 14-Sep-16
1 0 0 1 0 0 1 0 1 0 0 1 0 0 29-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 30-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 30-Aug-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 30-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 02-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 21-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 18-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 09-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 21-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
25 4 0 1 97 0 1 97 2 0 96 83 15 0
REVIEW KELENGKAPAN REKAM MEDIS
BULAN: AGUSTUS

NO. REKAM
NO NO REGISTRASI DIAGNOSA
MEDIS

1 I-1610-000628 2016-715820
2 I-1610-000641 2016-719146 SYNDROM NEPROTIK , HYPOALBUMIN
3 I-1610-000650 2016-718977 HEMETEMESIS , CKD , HT
4 I-1610-000656 2016-715083 EX SC , POST SC
5 I-1610-000711 2013-471376 INCOMPETENSI CERVIX
6 I-1610-000727 2016-718375 KISTA ATHEROMA
7 I-1610-000728 2013-490126 PREEXLAMSI , STERIL , ANEMI , POST SC
8 I-1610-000772 2011-368613 NON STEMI , DM2 , AHF , BP
9 I-1610-000774 2015-614637 HAMIL ATERM , EX SC , PKII , POST SC
10 I-1610-000777 2016-699810 CHF , CARDIOMIOPATY , AKI , CVD ISHEMIC
11 I-1610-000782 2016-718940 KEJANG DEMAM,ISPA
12 I-1610-000785 2013-496302 SH , ACITES , TB PARU
13 I-1610-000786 2016-719178 PPT , POST SC
14 I-1610-000788 2012-403743 ANEMI GRAVIS , CKD , HT
15 I-1610-000790 2016-695697 ABORTUS INKOMPLIT
16 I-1610-000792 2016-718939 DHF , DYSPEPSIA
17 I-1610-000799 2014-557027 MENOMETRORHAGIA
18 I-1610-000869 2016-719640 ENCEPALOPATY , MORBILLI , KEJANG DEMAM
19 I-1610-000897 2016-703125 ANEMI , CKD
20 I-1610-000900 2015-644624 ANEMI, CKD
21 I-1610-000907 2016-719854 NCB SMK
22 I-1610-000922 2016-719675 CKR , TRAUMA CERVICAL
23 I-1610-000935 2016-720206 POST SC CYTO , KPD
24 I-1610-000955 2016-720219 DISLOKASI ELBOW
25 I-1610-000969 2016-720215 DIARE ACUT
26 I-1610-000994 2016-720238 PARTUS SPONTAN
27 I-1610-000995 2016-720233 NCB SMK
28 I-1610-001008 2016-719076 NCB SMK
29 I-1610-001017 2016-720211 ISK
30 I-1610-001030 2016-711704 CPD , STERIL , POST SC
31 I-1610-001031 2016-720185 HYPEREMESIS GRAVIDARUM
32 I-1610-001038 2016-720225 CEPALGIA , FEBRIS
33 I-1610-001041 2016-720241 DYSPEPSIA
34 I-1610-001044 2016-692215 DYSTOSIA , POST SC
35 I-1610-001071 2016-717907 LETAK LINTANG , OLIGOHYDRO , PJT , STERIL , POS
36 I-1610-001110 2016-719598 TUMOR PUNGGUNG
37 I-1610-001133 2016-720405 STROKE INFAK , HEMIPARESE KIRI
38 I-1610-001174 2016-713559 TB PARU, SO, DYSPEPSIA, VOMITUS
39 I-1610-001185 2014-576277 FRAKTUR SUPRA DONDILAR
40 I-1610-001202 2015-660029 GERD , MYOMA UTERI , GANGGUAN LIVER
41 I-1610-001267 2011-310577 GASTROENTERITIS
42 I-1610-001277 2013-453276 Asites , Sh, Hepatitis b
43 I-1610-001283 2016-719099 HYPERBILLIRUBINEA
44 I-1610-001289 2014-552219 DEMAM DENGUE , DBD
45 I-1610-001315 2016-719959 POST SC, KPD, EX SC
46 I-1610-001351 2016-705665 POST PARTUS , SISA PLACENTA
47 I-1610-001356 2014-586735 COMMON COLD , KEJANG DEMAM
48 I-1610-001363 2016-712275 ISPA, CEREBRAL PALSI
49 I-1610-001367 2016-705355 PNEUMONIA
50 I-1610-001384 2016-719845 NCB SMK
51 I-1610-001389 2013-479828 POST PARTUS , PTM
52 I-1610-001438 2016-721231 NCB SMK
53 I-1610-001445 2016-721237 DSS
54 I-1610-001465 2016-719809 NCB SMK
55 I-1610-001472 2016-721169 ABORTUS INCOMPLIT
56 I-1611-000125 2012-434877 HEMETEMESIS , ULCUS PEPTIC , ANEMI , CHF , H
57 I-1611-000227 2016-721901 ILLIUS OBSTRUKTIF , COLIC ABDOMEN , HERNIA SC
58 I-1611-000261 2016-722817 CVD INFAK , CHF , HEMIPARESE , DM2
59 I-1611-000274 2016-722828 CVD HAEMORARGI
60 I-1611-000281 2016-722838 HYPOKALEMI , ISK , PD KEHAMILAN 20 MGG
61 I-1611-000315 2015-620642 GASTRITIS , HIATAL HERNIA , INTAK SULIT
62 I-1611-000355 2016-701568 CHF , HT , HHD , DM , DYSPEPSIA
63 I-1611-000364 2016-720532 MYOMA UTERI
64 I-1611-000436 2016-722981 MENINGITIS TB , KEJANG DEMAM , HYDROCEPALUS
65 I-1611-000505 2016-722161 NCB SMK
66 I-1611-000509 2013-503690 UAP , CHF , HT , RBBB
67 I-1611-000557 2016-723095 DEMAM DENGUE , DBD
68 I-1611-000559 2016-720633 KISTA OVARIUM , GASTRO ENTERITIS
69 I-1611-000649 2016-723756 GAGAL INDUKSI , POST SC
70 I-1611-000686 2012-444471 PER , POST PARTUS
71 I-1611-000826 2016-724156 MYOMA UTERI , ANEMI
72 I-1611-001075 2010-244941 DBD
73 I-1611-001112 2016-724736 NKB SMK , HB
74 I-1611-001183 2012-438688 MYOMA UTERI , ANEMI GRAVIS , MENOMETRORH
75 I-1611-001187 2016-722618 KISTA COKLAT , ABDOMINAL PAIN PERLENGKETAN
76 I-1611-001210 2016-724827 NCB SMK
77 I-1611-001212 2014-544131 ACUT NON STEMI , CHF , CAD , DM2 , BP
78 I-1611-001236 2016-723719 METRORHAGIA
79 I-1611-001293 2016-723176 HB , SUSP SOWN SYNDROM
80 I-1611-001313 2016-722265 TUMOR MAMAE
81 I-1611-001328 2016-725405 GASTROENTERITIS
82 I-1611-001373 2016-725446 KET
83 I-1611-001414 2016-693762 DIARE , ANEMI , CONJUNKTIVITIS
84 I-1611-001432 2016-724446 ADENOMYOSIS , KISTA COKLAT
85 I-1611-001434 2016-725487 POST SC CYTO , KPD , PEB , POST TERM
86 I-1611-001522 2016-726198 BLIGHTED OVUM
87 I-1611-001523 2016-723848 ANEMI GRAVIS , HEMOROID INTERNAL
88 I-1611-001560 2016-712668 TUMOR MAMAE
89 I-1611-001562 2016-723697 LIPOMA
90 I-1611-001589 2016-713019 MASTITIS
91 I-1611-001597 2016-721012 TUMOR LEHER
PERSETUJUAN (CONSENT)
HPK6.3 HPK6.4

DPJP RUANGAN Persetujuan


Persetujuan Persetujuan
Persetujuan tindakan dan
Persetujuan Umum Anestesi dan transfusi dan
Operasi prosedur risiko
sedasi produk darah tinggi

Y T TDD Y T TDD Y T TDD Y T TDD Y


Nugroho Budi Santoso, dr. ENDOSCOPI 1 0 0 0 0 1 0 0 1 0 0 1 1
Endang P, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. ANGGREK 1 0 0 0 0 1 0 0 1 0 0 1 1
Iwan Satyagraha S, dr, SpO CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Muhammad Syarif,dr,SpOGCEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Abdullah Hasan, dr, SpB CEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 1
Ardian Suryo Anggoro,dr,S CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
FAHMI IDRUS SAHAB, dr, S TERATAI 1 0 0 0 0 1 0 0 1 0 0 1 0
Muhammad Syarif,dr,SpOGCEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 1
FAHMI IDRUS SAHAB, dr, S FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Nugroho Budi Santoso, dr. FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
DELIMA 1 0 0 1 0 0 1 0 0 0 0 1 1
TEDDY ERVANO, dr SpPD FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Ahmad Helmy, dr SpOG CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Ariadi Humardhani, dr Sp. DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 1
Budhi Samodra, Dr, Sp.OG CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Tuty Rahayu, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. HEMODIALISA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. HEMODIALISA 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Gotot Sumantri PW, Sp.S CEMPAKA 1 0 0 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG DAHLIA 1 0 0 1 0 0 1 0 0 0 0 1 1
Riza Aprizal, dr, SpOT ANGGREK 1 0 0 1 0 0 1 0 0 0 0 1 0
Endang P, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ahmad Helmy, dr SpOG DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Endang P, SpA DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Endang P, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Budhi Samodra, Dr, Sp.OG DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Nugroho Budi Santoso, dr. FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG DAHLIA 1 0 0 1 0 0 1 0 0 0 0 1 1
Muhammad Syarif,dr,SpOGDAHLIA 1 0 0 1 0 0 1 0 0 0 0 1 1
Aunurrafieq,dr,Sp.B CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Gotot Sumantri PW, Sp.S FLAMBOYAN 1 0 0 1 0 0 0 0 1 0 0 1 0
Subagyo,dr,SpP DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
TERATAI 0 1 0 1 0 0 1 0 0 0 0 1 1
Jusi Susilawati, dr, Sp PD TERATAI 1 0 0 0 0 1 0 0 1 0 0 1 0
Ellen R.S, dr SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Nugroho Budi Santoso, dr. FLAMBOYAN 0 1 0 0 0 1 0 0 1 0 0 1 1
Endang P, SpA PERINA 1 0 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S ANGGREK 0 1 0 1 0 0 1 0 0 0 0 1 1
Ahmad Helmy, dr SpOG DELIMA 1 0 0 1 0 0 1 0 0 1 0 0 1
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG KAMAR BERSALI 1 0 0 0 0 1 0 0 1 0 0 1 1
Tuty Rahayu, dr, SpA DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
MAWAR 0 1 0 0 0 1 0 0 1 1 0 0 1
Ellen R.S, dr SpA KAMAR BERSALI 0 1 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S DELIMA 0 1 0 1 0 0 1 0 0 0 0 1 1
Ariadi Humardhani, dr Sp. DAHLIA 0 1 0 0 0 1 0 0 1 0 0 1 0
SYAHARUDIN, DR, SpB CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Gotot Sumantri PW, Sp.S FLAMBOYAN 0 1 0 0 0 1 0 0 1 0 0 1 0
Gotot Sumantri PW, Sp.S FLAMBOYAN 0 1 0 0 0 1 0 0 1 0 0 1 0
TEDDY ERVANO, dr SpPD FLAMBOYAN 0 1 0 0 0 1 0 0 1 0 0 1 0
TEDDY ERVANO, dr SpPD FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Herawati Isnanijah, dr SpJPDAHLIA 0 1 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S ANGGREK 0 1 0 1 0 0 1 0 0 0 0 1 1
YDROCEPALUS MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Ellen R.S, dr SpA ANGGREK 0 1 0 0 0 1 0 0 1 0 0 1 0
Sulistyowati,dr SpJP FLAMBOYAN 0 1 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Muhammad Syarif,dr,SpOGTERATAI 0 1 0 0 1 0 1 0 0 0 0 1 1
Ahmad Helmy, dr SpOG DELIMA 0 1 0 0 1 0 0 1 0 0 0 1 1
DAHLIA 0 1 0 0 0 1 0 0 1 0 0 1 0
Ahmad Helmy, dr SpOG CEMPAKA 0 1 0 1 0 0 1 0 0 0 0 1 1
Arifianto, dr, SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Ellen R.S, dr SpA PERINA 0 1 0 0 0 1 0 0 1 0 0 1 0
Iwan Satyagraha S, dr, SpO DAHLIA 0 1 0 1 0 0 1 0 0 1 0 0 1
Ardian Suryo Anggoro,dr,S CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Ellen R.S, dr SpA DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Herawati Isnanijah, dr SpJPDAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ahmad Helmy, dr SpOG CEMPAKA 1 0 0 0 1 0 0 1 0 0 1 0 0
Muhammad Syarif,dr,SpOGPERINA 1 0 0 0 0 1 0 0 1 0 0 1 0
Abdullah Hasan, dr, SpB CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 0
Ellen R.S, dr SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Muhammad Syarif,dr,SpOGCEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 1
Arifianto, dr, SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Muhammad Syarif,dr,SpOGCEMPAKA 0 1 0 0 1 0 1 0 0 0 0 1 0
Muhammad Syarif,dr,SpOGDELIMA 1 0 0 0 1 0 1 0 0 0 0 1 1
Muhammad Syarif,dr,SpOGCEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
ANDOKO BUDIWISESA,dr,SCEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 1
Abdullah Hasan, dr, SpB CEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 0
Abdullah Hasan, dr, SpB CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
SYAHARUDIN, DR, SpB CEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 1
Abdullah Hasan, dr, SpB CEMPAKA 1 0 0 0 1 0 1 0 0 0 0 1 1
64 27 0 31 6 54 34 2 55 9 1 81 37
JUAN (CONSENT) ASESMEN
HPK.8 PAB5.1 PAB7.1 AP.1.3 AP.1.4.1

Persetujuan Asasmen medis


tindakan dan Persetujuan riset, Risiko,keuntunga Risiko,keuntunga Asesmen
Kebutuhan Kebutuhan selama 24 jam, di keperawatan
prosedur risiko penyelidikan dan n,dan anestesi n, komplikasi dan medis pasien keperawatan update umur > 30 selama 24 jam
percobaan klinik alternatif alternatif operasi
tinggi hari

T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0
0 0 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
2 52 5 13 73 31 1 59 28 6 57 86 4 1 84 7 0 88 3 0 83 8 0
REVIEW KELENGKAPAN REKAM MEDI

AP1.5 AP1.5.1 AP.1.6 AP.1.7 AP.1.9 AP.1.10 AP.1.11 AP.2


Asesmen Asasmen dan Asasmen awal Asasmen setiap
terdokumentasi Asesmen medis Asasmen gizi dan Asasmen
Asasmen nyeri asasmen ulang untuk rencana hari oleh dokter
dalam 24 jam terdokumntasi kebutuhan
setelah masuk sebelum operasi status fungsional saat masuk pasien yg akan pemulangan untuk pasien akut
khusus
meninggal pasien (SOAP)
dirawat

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y


1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 0 1 0 1 0 1 0 0 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 1 0 0 0 1 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 0 1 0 1 0 1 0 0 0 0 1 0 1 0 1 0 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0
1 0 0 0 0 1 1 0 0 0 1 0 0 0 1 0 0 1 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 0 1 0 0 0 1 0 0 1 1 0 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 1 0 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0 0 0
1 0 0 0 0 1 1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 1
0 1 0 0 0 1 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 1 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 1 0 0 0 1 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0
1 0 0 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 0 1 0 0 0 1 0 0 1 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 0
0 1 0 0 0 1 0 1 0 1 0 0 0 0 1 0 0 1 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 0 1 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
86 4 1 52 4 35 37 54 0 43 48 0 12 18 61 38 35 18 60 30 1 63
APAN REKAM MEDIS

AP.2 PP.2.1 PPK.2 PAB.3 PAB.4 MPO.4

Asasmen setiap Asesmen


Ukuran Asasmen pra Daftar obat yang
hari oleh dokter keberhasilan kebutuhan Asasmen pra monitoring Kriteria sadar
dari anestesi dan pra diminum
untuk pasien akut rncana asuhan pendidikan sedasi selama sedasi kembali induksi sebelum dirawat
(SOAP) pasien dan keluar

T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T


0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 1 0 0 1 0
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 1 0 0
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 1 0 0
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 1
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 0
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 0
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 1 0 0 1
0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 1 0 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
28 0 81 10 0 67 23 1 2 36 53 2 36 53 11 31 49 30 7 54 4 63
TELAAH REKAM MEDIS LANJUTAN
MPO.4 MPO.4.3 MPO.7 PPK.2.1

Daftar obat yang Jenis obat yang Asasmen


Efek obat yang Asasmen budaya Asasmen tingkat Asasmen kendala Asasmen kendala kesedian
diresepkan pasien
diminum pasien dan pendidikan,
sebelum dirawat dicatat di rekam tidak diharapkan emosional fisik dan konigtif menerima
keluarga bahasa
medis informasi

TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
1 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 0 0 0 1 0
1 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 1 0 1 0 0
1 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
1 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0
1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
1 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
1 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
24 72 9 10 5 84 2 5 86 0 33 58 0 35 56 0 35 56 0 36 55 0
MKI.19.3 APK.1.1.3 APK2.1 APK.3.2.1
Resume pulang
Pencatatan,tangg Pencatatan setiap Rencana asuhan Obat yang
al, waktu dari keterlambatan Alasan dirawat, Tindakan
pasien Temuan Fisik diberikan,termas Instruksi tindak
setiap entri data tindakan diagnosis diagnostik dan
penting uk obat setelah lanjut (follow up)
(utama,sekunder) prosedur pulang

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y


0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0 1 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
37 54 0 19 72 0 89 2 0 91 0 0 78 13 0 66 23 2 78 12 1 55
APK.4.4
Rekam medis pasien dirujuk memuat:
Nama RS dan perubahan
Instruksi tindak Nama orang yg Alasasn pasien Alasan lain pasien kondisi pasien
lanjut (follow up) menyetujui dirujuk dirujuk dan status pasien
menerima

T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 0 0 0 1 0 0 1 0 0 1 1 0 0 22-Sep-16
0 0 0 0 1 0 0 1 1 0 0 1 0 0 26-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 03-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 22-Sep-16
0 1 0 0 1 0 0 1 0 0 1 1 0 0 18-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 18-Sep-16
0 1 0 0 1 0 0 1 0 0 1 1 0 0 22-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 20-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 05-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 15-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 26-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 12-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 05-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 05-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 23-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 21-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 26-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 24-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 15-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 05-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 21-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 21-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 12-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 18-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 15-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 06-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 06-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 27-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 15-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 24-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 24-Aug-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 12-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 13-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 03-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 25-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 18-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 06-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 25-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 06-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 21-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 16-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 28-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 07-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 27-Aug-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 28-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 09-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 29-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 21-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 14-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 28-Aug-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 29-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 07-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 07-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 28-Aug-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 14-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 22-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 07-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 08-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 08-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 09-Sep-16
0 0 0 1 0 0 1 0 0 1 0 1 0 0 16-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 14-Sep-16
0 1 0 0 1 0 0 1 0 0 1 0 1 0 22-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 29-Aug-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 14-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 29-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 30-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 30-Aug-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 30-Sep-16
1 0 0 0 1 0 0 1 0 0 1 0 1 0 02-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 21-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 18-Sep-16
0 0 0 0 1 0 0 1 0 0 1 1 0 0 09-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0 21-Sep-16
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
32 4 0 1 90 0 1 90 2 1 88 76 15 0
REVIEW KELENGKAPAN REKAM MEDIS
BULAN: SEPTEMBER

NO. REKAM
NO NO REGISTRASI DIAGNOSA
MEDIS

1 I-1610-001707 2016-721379 RDS , NKB SMK , SEPSIS , HB , PJB , ANEMI


2 I-1611-001075 2010-244941 DBD
3 I-1611-001373 2016-725446 KET
4 I-1611-001432 2016-724446 ADENOMYOSIS , KISTA COKLAT
5 I-1611-001434 2016-725487 POST SC CYTO , KPD , PEB , POST TERM
6 I-1611-001471 2016-716960 ENCEPALOPATY , HYPONATREMI , TB PARU , ANEM
7 I-1611-001522 2016-726198 BLIGHTED OVUM
8 I-1611-001523 2016-723848 ANEMI GRAVIS , HEMOROID INTERNAL
9 I-1611-001560 2016-712668 TUMOR MAMAE
10 I-1611-001562 2016-723697 LIPOMA
11 I-1611-001589 2016-713019 MASTITIS
12 I-1611-001597 2016-721012 TUMOR LEHER
13 I-1611-001664 2012-442687 CKD , HT , DM2 , RINITIS
14 I-1611-001677 2016-710440 ACITES , HERNIA UMBILICALIS , COMA
15 I-1611-001686 2011-283418 STEVEN JOHNSON SYNDROM , BRONCHITIS
16 I-1611-001751 2016-726705 HAMIL 25 MGG ANEMI GRAVIS
17 I-1611-001752 2016-726191 KISTA BARTHOLIN
18 I-1611-001803 2016-721308 HAMIL 39 MGG DENGAN ANEMI
19 I-1611-001807 2014-544423 ANEMI , DEMAM TYPHOID
20 I-1612-000067 2016-726600 POST SC , KPD , PRETERM , STERIL
21 I-1612-000122 2016-725526 DHF
22 I-1612-000141 2011-365440 PPOK
23 I-1612-000145 2015-673526 HYPOGLIKEMIA PD DM2 , HT
24 I-1612-000149 2016-725541 DHF
25 I-1612-000164 2012-434384 VERTIGO , BRONCHITIS
26 I-1612-000169 2016-725576 SEPSIS , NCB SMK , NEONATAL FIT , HB , ENCEPA
27 I-1701-000871 2016-733101 NCB SMK
28 I-1701-000900 2016-695588 HERNIA INGUINALIS
29 I-1701-000945 2016-732082 PARTUS SPONTAN , ANEMI
30 I-1701-000964 2016-721634 CPD , EX SC , POST SC
31 I-1701-000969 2016-729950 HYDRONEPROSIS , BATU URETER , PPOK
32 I-1701-001051 2012-445571 FEBRIS , GASTRITIS
33 I-1701-001074 2012-443732 PARTUS SPONTAN , PK1
34 I-1701-001091 2012-440312 VERTIGO
35 I-1701-001097 2016-731900 FRAKTUR CLAVICULA
36 I-1701-001131 2013-527840 GE , PNEUMONIA , HYPOKALEMI
37 I-1701-001137 2016-699861 ISPA , KEJANG DEMAM
38 I-1701-001149 2016-732302 ULCUS MANUS , DM2
39 I-1701-001168 2016-730117 HYDRONEPROSIS , KINKING URETER , STENOSIS U
40 I-1701-001191 2016-732318 CVD INFAK , HEMIPARESE
41 I-1701-001193 2017-730349 ACUT NON STEMI , HHD , DM
42 I-1701-001241 2016-732350 ISK , RUBELLA
43 I-1701-001290 2012-446273 VOMITUS , GASTRITIS , ENTERITIS
44 I-1701-001299 2016-733345
45 I-1701-001325 2016-730459 BATU URETER
46 I-1701-001403 2016-733262 DIARE , ISK
47 I-1701-001406 2016-733264 DBD , CERUMEN PROP
48 I-1701-001442 2016-721313 PNEUMONIA , PJB , PDA , DOWN SYNDROM
49 I-1701-001446 2015-656853 COLIC ABDOMEN , GASTRITIS
50 I-1701-001514 2016-734409 POST PARTUS PREMATUR
51 I-1701-001525 2016-734449 POST SC CYTO , KPD , PRESS BOKONG
52 I-1701-001528 2016-734445 CPD , PTM , POST SC
53 I-1701-001537 2016-734433 RETENSI PLACENTA , ANEMI
54 I-1701-001617 2016-734937 ABORTUS INKOMPLIT
55 I-1701-001624 2016-730617 POST SC CYTO , KPD , CPD
56 I-1701-001687 2016-727496 TB PARU , SO , DYSPEPSIA , VERTIGO
57 I-1701-001856 2016-692767 DIARE , PNEUMONIA ,DOWN SYNDROM , EPILEPS
58 I-1702-000006 2015-644624 STENOSIS , VENA CENTRAL , CKD , HT , DM
59 I-1702-000056 2016-704316 DEPEK KRANIUM , POST OP KRANIOTOMY , CVD
60 I-1702-000074 2014-593691 HYPOKALEMI , ISK , DYSPEPSIA
61 I-1702-000079 2016-729072 DIARE , ISPA , LEKOSITOSIS , ANEMI DEFIASI , PR
62 I-1702-000187 2015-634299 DM2 , KONSTIPASI , GFH , DYSPEPSIA
63 I-1702-000214 2012-446226 MIGRAIN , DM2
64 I-1702-000217 2016-735585 POST SC CYTO , KPD , FEBRIS , HAMIL ATERM
65 I-1702-000231 2015-658615 MORBILLI
66 I-1702-000239 2016-735516 SYOK CARDIOGENIC , DM2 , ELEKTROLIT INBALAN ,
67 I-1702-000245 2016-735597 HEMIPARESE , CVD ISHEMIC
68 I-1702-000257 2016-735600 ISPA , URTICARIA
69 I-1702-000266 2016-728071 POST SC , KPD , GEMELLI , PRESS BOKONG , STERIL
70 I-1702-000279 2016-729352 DEPEK HIDUNG , POST CRANIOTOMY
71 I-1702-000294 2016-735954 POST PARTUS , HAP , FEBRIS
72 I-1702-000298 2016-735956 ILLIUS OBSTRUKTIF , CHOLELITIASIS
73 I-1702-000299 2015-618297 PEB , HELP SYNDROM , POST SC
74 I-1702-000310 2016-735921 APP PERPORASI
75 I-1702-000320 2015-637093 DIH , GIZI BURUK , HIV , SCROFULODERMA
76 I-1702-000323 2015-621243 TYPHOID , ASHMA BRONCHIAL , DYSPEPSIA
77 I-1702-000338 2013-472213 CPD , GAGAL INDUKSI , POST SC
78 I-1702-000341 2016-718526 CA PROSTAT , SUSP STRICTUR
79 I-1702-000343 2016-688748 HERNIA INGUINALIS
80 I-1702-000364 2015-654519 ISPA , KEJANG DEMAM
81 I-1702-000377 2015-647376 POST SC , KPD
82 I-1702-000382 2016-680912 CA CERVIX , INTAK SULIT
83 I-1702-000395 2013-513654 PNEUMONIA , GIZI BURUK , GDD
84 I-1702-000445 2016-736656 POST SC , KPD , CPD , SEPSIS
85 I-1702-000464 2011-358707 EX SC , STERIL , POST SC
86 I-1702-000484 2016-717744 STENOSIS URETER , DJ STENT INSTU
87 I-1702-000488 2016-725345 LETAK LINTANG , STERIL , POST SC
88 I-1702-000534 2015-614283 BRONCHOPNEUMONIA
89 I-1702-000549 2016-733793 INFAKSI PERIODENTITIS
90 I-1702-000558 2016-735012 NCB SMK
91 I-1702-000561 2016-680355 GE , GASTRITIS
92 I-1702-000595 2016-736404 DHF , CHF
93 I-1702-000597 2012-432002 TB SEQUELAE , BATUK DARAH
94 I-1702-000608 2014-576967 POST PARTUS , ANEMI
95 I-1702-000639 2011-326857 DHF , THD , TROMBOSIFENI , CLD
96 I-1702-000697 2011-334327 CKD , HT
97 I-1702-000805 2016-737458 SEPSIS , GE
98 I-1702-000812 2016-737461 POST SC ,KPD
99 I-1702-000953 2013-495161 GROSS HEMATURIA
100 I-1702-000967 2016-734984 HYPOTENSI , PNEUMONIA , STROCK
101 I-1702-000980 2016-684574 DM , CE3PALGIA , GASTRITIS , VERTIGO, HYPERGL
102 I-1702-001046 2016-733798 EX SC , POST SC
103 I-1702-001068 2014-560729 PNEUMONIA , KEJANG DEMAM , GDD
104 I-1702-001092 2015-630801 TUMOR NASOFARINK , SINUS MAXILARIS , ORO ANTRAL FISULA
105 I-1702-001176 2016-707839 VULNUS LACERATUM NASSAL
106 I-1702-001197 2015-656223 ANGINA FECTORIS , HHD , DM
PERSETUJUAN (CONSENT)
HPK6.3 HPK6.4

DPJP RUANGAN Persetujuan


Persetujuan Persetujuan
Persetujuan tindakan dan
Persetujuan Umum Anestesi dan transfusi dan
Operasi prosedur risiko
sedasi produk darah tinggi

Y T TDD Y T TDD Y T TDD Y T TDD Y


Ellen R.S, dr SpA NICU 0 1 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Muhammad Syarif,dr,SpOGCEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 1
Muhammad Syarif,dr,SpOGCEMPAKA 0 1 0 0 1 0 1 0 0 0 0 1 0
Muhammad Syarif,dr,SpOGDELIMA 1 0 0 0 1 0 1 0 0 0 0 1 1
Ridwan, dr SpS TERATAI 0 1 0 0 0 1 0 0 1 0 0 1 0
Muhammad Syarif,dr,SpOGCEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
ANDOKO BUDIWISESA,dr,SCEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 1
Abdullah Hasan, dr, SpB CEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 0
Abdullah Hasan, dr, SpB CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
SYAHARUDIN, DR, SpB CEMPAKA 1 0 0 1 0 0 1 0 0 1 0 0 1
Abdullah Hasan, dr, SpB CEMPAKA 1 0 0 0 1 0 1 0 0 0 0 1 1
Ariadi Humardhani, dr Sp. TERATAI 0 1 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. FLAMBOYAN 1 0 0 0 1 0 0 1 0 0 0 1 0
Ellen R.S, dr SpA MAWAR 1 0 0 1 0 0 0 0 1 0 0 1 0
Iwan Satyagraha S, dr, SpO CEMPAKA 0 1 0 0 1 0 0 1 0 0 1 0 1
CEMPAKA 0 1 0 1 0 0 1 0 0 1 0 0 1
Ariadi Humardhani, dr Sp. DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Jusi Susilawati, dr, Sp PD ANGGREK 2 0 0 0 0 2 0 0 2 0 0 2 0
Ardian Suryo Anggoro,dr,S DELIMA 1 0 0 1 0 0 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. DAHLIA 0 1 0 0 0 1 0 0 1 0 0 1 0
Syafrizal, dr, SpP MELATI 0 1 0 0 0 1 0 0 1 0 0 1 0
Jusi Susilawati, dr, Sp PD FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
FLAMBOYAN 0 1 0 0 0 1 0 0 1 0 0 1 0
Ridwan, dr SpS ANGGREK 0 1 0 0 0 1 0 0 1 0 0 1 0
Ellen R.S, dr SpA NICU 1 0 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA DELIMA 0 1 0 0 0 1 0 0 1 0 0 1 0
TERATAI 0 1 0 1 0 0 1 0 0 0 0 1 1
Ahmad Helmy, dr SpOG DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG DELIMA 0 1 0 1 0 0 1 0 0 1 0 0 1
BAGUS BASKORO, dr, SpU CEMPAKA 0 1 0 1 0 0 1 0 0 1 0 0 1
Nugroho Budi Santoso, dr. TERATAI 0 1 0 0 0 1 0 0 1 0 0 1 0
KAMAR BERSALI 0 1 0 0 0 1 0 0 1 0 0 1 0
Gotot Sumantri PW, Sp.S TERATAI 0 1 0 0 0 1 0 0 1 0 0 1 0
Donny Jandiana, dr SpBO CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Ariadi Humardhani, dr Sp. DAHLIA 0 1 0 0 0 1 0 0 1 0 0 1 0
Ellen R.S, dr SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. FLAMBOYAN 0 1 0 0 0 1 0 0 1 0 0 1 0
BAGUS BASKORO, dr, SpU CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Gotot Sumantri PW, Sp.S FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Gotot Sumantri PW, Sp.S DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ellen R.S, dr SpA TERATAI 0 1 0 0 0 1 0 0 1 0 0 1 0
Ellen R.S, dr SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Hengkinarso S, dr SpU DAHLIA 0 1 0 1 0 0 1 0 0 1 0 0 1
Ellen R.S, dr SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Tuty Rahayu, dr, SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Ellen R.S, dr SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Ellen R.S, dr SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG TERATAI 0 1 0 0 1 0 0 1 0 0 0 1 0
Budhi Samodra, Dr, Sp.OG KAMAR BERSALI 0 1 0 1 0 0 1 0 0 1 0 0 1
Budhi Samodra, Dr, Sp.OG DELIMA 0 1 0 0 1 0 0 1 0 0 1 0 0
Budhi Samodra, Dr, Sp.OG DELIMA 0 1 0 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG DELIMA 0 1 0 0 1 0 0 1 0 0 1 0 0
Muhammad Syarif,dr,SpOGDELIMA 0 1 0 0 1 0 0 1 0 0 1 0 0
Subagyo,dr,SpP DAHLIA 0 1 0 0 0 1 0 0 1 0 0 1 0
Ellen R.S, dr SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
OKY NOVIANDRY NASIR, dr,DAHLIA 0 1 0 0 0 1 0 0 1 0 0 1 1
Ridwan Kamal, dr, SpBS DAHLIA 1 0 0 0 1 0 0 1 0 0 1 0 0
Ridwan, dr SpS FLAMBOYAN 0 1 0 0 0 1 0 0 1 0 0 1 0
Endang P, SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Gotot Sumantri PW, Sp.S DAHLIA 0 1 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S DELIMA 0 1 0 1 0 0 1 0 0 0 0 1 1
Tuty Rahayu, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Sidhi Laksono Purwowiyoto,FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Ellen R.S, dr SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ellen R.S, dr SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S DELIMA 0 1 0 1 0 0 1 0 0 0 0 1 1
Ridwan Kamal, dr, SpBS CEMPAKA 1 0 0 1 0 0 1 0 0 0 0 1 1
Budhi Samodra, Dr, Sp.OG DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ferliani, dr, SpPD FLAMBOYAN 0 1 0 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG CEMPAKA 1 0 0 1 0 0 0 1 0 0 0 1 1
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. TERATAI 0 1 0 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG DELIMA 1 0 0 1 0 0 1 0 0 1 0 0 1
BAGUS BASKORO, dr, SpU CEMPAKA 0 1 0 1 0 0 1 0 0 0 0 1 1
ANDOKO BUDIWISESA,dr,STERATAI 1 0 0 0 0 1 0 0 1 0 0 1 0
Endang P, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Ahmad Helmy, dr SpOG DELIMA 1 0 0 1 0 0 0 1 0 0 0 1 1
Ariadi Humardhani, dr Sp. ANGGREK 1 0 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 0 0 1 0 0 1 0 0 1 0 0 1 0
Budhi Samodra, Dr, Sp.OG DELIMA 0 1 0 1 0 0 0 1 0 0 0 1 1
Muhammad Syarif,dr,SpOGDAHLIA 0 1 0 0 1 0 0 1 0 0 1 0 0
BAGUS BASKORO, dr, SpU ANGGREK 1 0 0 0 0 1 0 0 1 0 0 1 0
Muhammad Syarif,dr,SpOGDELIMA 0 1 0 0 1 0 0 1 0 0 1 0 0
Endang P, SpA MAWAR 1 0 0 0 0 1 0 0 1 0 0 1 0
Reza Fajarsyah Putra, drg, CEMPAKA 0 1 0 1 0 0 1 0 0 0 0 1 1
Endang P, SpA DELIMA 0 1 0 0 0 1 0 0 1 0 0 1 0
TEDDY ERVANO, dr SpPD FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Nugroho Budi Santoso, dr. TERATAI 1 0 0 0 0 1 0 0 1 0 0 1 0
Syafrizal, dr, SpP DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Muhammad Syarif,dr,SpOGTERATAI 1 0 0 0 0 1 0 0 1 0 0 1 0
Ariadi Humardhani, dr Sp. FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
OKY NOVIANDRY NASIR, dr,CEMPAKA 1 0 0 0 0 1 0 0 1 0 0 1 0
Ferliani, dr, SpPD FLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
Ardian Suryo Anggoro,dr,S DELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
TERATAI 0 1 0 0 0 1 0 0 1 0 0 1 0
Ridwan, dr SpS DAHLIA 1 0 0 0 0 1 0 0 1 0 0 1 0
Nugroho Budi Santoso, dr. TERATAI 1 0 0 0 0 1 0 0 1 0 0 1 0
Muhammad Syarif,dr,SpOGDELIMA 1 0 0 0 0 1 0 0 1 0 0 1 0
Arifianto, dr, SpA MAWAR 0 1 0 0 0 1 0 0 1 0 0 1 0
RIS , ORO ANTRAL FISULA DAHLIA 0 1 0 1 0 0 0 1 0 0 0 1 1
ADITYA HERWANDAR SASTR CEMPAKA 0 1 0 1 0 0 1 0 0 0 0 1 1
Herawati Isnanijah, dr SpJPFLAMBOYAN 1 0 0 0 0 1 0 0 1 0 0 1 0
54 52 1 27 12 68 24 13 70 10 7 90 28
JUAN (CONSENT) ASESMEN
HPK.8 PAB5.1 PAB7.1 AP.1.3 AP.1.4.1

Persetujuan Asasmen medis


tindakan dan Persetujuan riset, Risiko,keuntunga Risiko,keuntunga Asesmen
Kebutuhan Kebutuhan selama 24 jam, di keperawatan
prosedur risiko penyelidikan dan n,dan anestesi n, komplikasi dan medis pasien keperawatan update umur > 30 selama 24 jam
percobaan klinik alternatif alternatif operasi
tinggi hari

T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0
1 0 0 0 1 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0
0 0 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 2 0 0 2 0 0 2 0 0 2 2 0 0 2 0 0 2 0 0 2 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0
0 0 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0
9 70 9 6 92 21 16 70 19 18 70 99 8 0 101 6 0 98 8 1 101 5 1
REVIEW KELENGKAPAN REKAM MEDI

AP1.5 AP1.5.1 AP.1.6 AP.1.7 AP.1.9 AP.1.10 AP.1.11 AP.2


Asesmen Asasmen dan Asasmen awal Asasmen setiap
terdokumentasi Asesmen medis Asasmen gizi dan Asasmen
Asasmen nyeri asasmen ulang untuk rencana hari oleh dokter
dalam 24 jam terdokumntasi kebutuhan
setelah masuk sebelum operasi status fungsional saat masuk pasien yg akan pemulangan untuk pasien akut
khusus
meninggal pasien (SOAP)
dirawat

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y


1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 0 1 0 1 0 1 0 0 0 0 1 1 0 0 0 1 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 1 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1
2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 2
1 0 0 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 1 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1
0 0 1 0 0 1 0 1 0 0 1 0 0 0 1 1 0 0 1 0 0 0
0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0 0 1 0 0 1
1 0 0 0 1 0 0 1 0 0 1 0 0 0 1 1 0 0 0 1 0 1
0 1 0 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 0 1 0 0 1 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 0 1 1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 0 1 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 1 0 0 1 0 0 0
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 0
0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1
1 0 0 0 0 1 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 0 1 0 0 1 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 0 1 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0
1 0 0 0 0 1 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 1 0 0 1 0 0 1 0 0 0 1 1 0 0 1 0 0 0
0 1 0 1 0 0 0 1 0 0 1 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 0 1 1 0 0 0 1 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1
0 0 1 0 0 1 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
0 0 1 0 0 1 1 0 0 1 0 0 0 0 1 1 0 0 1 0 0 1
1 0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1
0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 1
70 25 12 39 25 43 76 27 4 78 28 1 32 28 47 88 17 2 93 14 0 89
APAN REKAM MEDIS

AP.2 PP.2.1 PPK.2 PAB.3 PAB.4 MPO.4

Asasmen setiap Asesmen


Ukuran Asasmen pra Daftar obat yang
hari oleh dokter keberhasilan kebutuhan Asasmen pra monitoring Kriteria sadar
dari anestesi dan pra diminum
untuk pasien akut rncana asuhan pendidikan sedasi selama sedasi kembali induksi sebelum dirawat
(SOAP) pasien dan keluar

T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T


0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 1 0 1 0
0 0 1 1 0 1 1 0 0 0 2 0 0 2 0 0 2 0 0 2 1 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 1 1 0
1 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 1 0 0 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
1 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 0 1 0 1 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 1 0 0 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 1 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 0 1 1 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
1 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 1 0 0 1 0 1 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 0 0 1 1 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 1
0 0 1 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 1 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0
0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 1 0 1 0 0 0 0 1 0 0 1 1 0 0 0 1 0 1 0
18 0 88 19 0 79 27 1 0 50 57 0 50 57 6 47 54 17 35 55 74 31
TELAAH REKAM MEDIS LANJUTAN
MPO.4 MPO.4.3 MPO.7 PPK.2.1

Daftar obat yang Jenis obat yang Asasmen


Efek obat yang Asasmen budaya Asasmen tingkat Asasmen kendala Asasmen kendala kesedian
diresepkan pasien
diminum pasien dan pendidikan,
sebelum dirawat dicatat di rekam tidak diharapkan emosional fisik dan konigtif menerima
keluarga bahasa
medis informasi

TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 1 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 0 1 1 0 0 0 0 1 0 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 2 0 0 0 2 0 0 2 0 2 0 0 2 0 0 2 0 0 2 0 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
1 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 0 1 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 0 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0
0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
0 0 1 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0
0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0
2 93 13 1 40 66 1 7 99 1 86 21 0 88 18 1 88 17 0 76 31 0
MKI.19.3 APK.1.1.3 APK2.1 APK.3.2.1
Resume pulang
Pencatatan,tangg Pencatatan setiap Rencana asuhan Obat yang
al, waktu dari keterlambatan Alasan dirawat, Tindakan
pasien Temuan Fisik diberikan,termas Instruksi tindak
setiap entri data tindakan diagnosis diagnostik dan
penting uk obat setelah lanjut (follow up)
(utama,sekunder) prosedur pulang

Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y T TDD Y


1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0
1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 1 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 1 0 0
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0
1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0
0 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 1 0 0 0
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0 1 0 0
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
0 1 0 0 1 0 0 1 0 1 0 0 0 1 0 1 0 0 1 0 0 1
0 1 0 1 0 0 1 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1
0 1 0 0 1 0 1 0 0 1 0 0 1 0 0 1 0 0 1 0 0 1
40 67 0 44 62 1 104 3 0 101 6 0 92 15 0 87 20 0 91 15 1 78
APK.4.4
Rekam medis pasien dirujuk memuat:
Nama RS dan perubahan
Instruksi tindak Nama orang yg Alasasn pasien Alasan lain pasien kondisi pasien
lanjut (follow up) menyetujui dirujuk dirujuk dan status pasien
menerima

T TDD Y T TDD Y T TDD Y T TDD Y T TDD


0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 2 0 0 2 0 0 2 2 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 1 0 0 1 1 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
1 0 0 0 1 0 0 1 0 0 1 0 1 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
0 0 0 0 1 0 0 1 0 0 1 1 0 0
27 2 0 0 107 1 0 106 1 0 106 94 13 0
REVIEW KELENGKAPAN REKAM MEDIS
BULAN: SEPTEMBER

HPK6.3
NO NO.
REGISTRA REKAM DIAGNOS RUANGA
NO DPJP
A N
SI MEDIS Persetujuan Umum Persetujuan Operasi

Y T TDD Y
TOTAL 66 5 3 27
KETIDAKLENGKAPAN 8% 22%

REVIEW KELENGKAPAN REKAM MEDIS


BULAN: OKTOBER

HPK6.3
NO NO.
REGISTRA REKAM DIAGNOS RUANGA
NO DPJP
A N
SI MEDIS Persetujuan Umum Persetujuan Operasi

Y T TDD Y
TOTAL 77 10 0 27
KETIDAKLENGKAPAN 13% 4%

REVIEW KELENGKAPAN REKAM MEDIS


BULAN: NOVEMBER

HPK6.3
NO NO.
REGISTRA REKAM DIAGNOS RUANGA
NO DPJP
A N
SI MEDIS Persetujuan Umum Persetujuan Operasi
NO NO.
REGISTRA REKAM DIAGNOS RUANGA
NO DPJP
A N
SI MEDIS

Y T TDD Y
TOTAL 39 76 0 27
KETIDAKLENGKAPAN 49% 63%

REVIEW KELENGKAPAN REKAM MEDIS


BULAN: DESEMBER

HPK6.3
NO NO.
REGISTRA REKAM DIAGNOS RUANGA
NO DPJP
A N
SI MEDIS Persetujuan Umum Persetujuan Operasi

Y T TDD Y
TOTAL 72 28 2 33
KETIDAKLENGKAPAN 39% 27%

REVIEW KELENGKAPAN REKAM MEDIS


BULAN: JANUARI

HPK6.3
NO NO.
REGISTRA REKAM DIAGNOS RUANGA
NO DPJP
A N
SI MEDIS
Persetujuan Umum Persetujuan Operasi

Y T TDD Y
TOTAL 91 43 2 32
KETIDAKLENGKAPAN 47% 19%

REVIEW KELENGKAPAN REKAM MEDIS


BULAN:FEBRUARI

NO NO.
REGISTRA REKAM DIAGNOS RUANGA
NO DPJP
A N
SI MEDIS
HPK6.3
NO NO.
REGISTRA REKAM DIAGNOS RUANGA
NO DPJP
A N
SI MEDIS
Persetujuan Umum Persetujuan Operasi

Y T TDD Y
TOTAL 48 44 1 20
KETIDAKLENGKAPAN 48% 31%

REVIEW KELENGKAPAN REKAM MEDIS


BULAN:MARET

NO NO. HPK6.3
REGISTRA REKAM DIAGNOS RUANGA
NO DPJP
A N Persetujuan Umum Persetujuan Operasi
SI MEDIS
Y T TDD Y
TOTAL 60 31 1 16
KETIDAKLENGKAPAN 34% 20%

REVIEW KELENGKAPAN REKAM MEDIS


BULAN: APRIL

NO NO. HPK6.3
REGISTRA REKAM DIAGNOS RUANGA
NO DPJP
A N Persetujuan Umum Persetujuan Operasi
SI MEDIS
Y T TDD Y
TOTAL 68 26 1 21
KETIDAKLENGKAPAN 28% 13%
REVIEW KELENGKAPAN REKAM MEDIS
BULAN: MEI

NO NO. HPK6.3
REGISTRA REKAM DIAGNOS RUANGA
NO DPJP
A N Persetujuan Umum Persetujuan Operasi
SI MEDIS
Y T TDD Y
TOTAL 67 31 3 38
KETIDAKLENGKAPAN 32% 21%

REVIEW KELENGKAPAN REKAM MEDIS


BULAN: JUNI

NO NO. HPK6.3
REGISTRA REKAM DIAGNOS RUANGA
NO DPJP
A N Persetujuan Umum Persetujuan Operasi
SI MEDIS
Y T TDD Y
TOTAL 66 32 0 29
KETIDAKLENGKAPAN 33% 6%

REVIEW KELENGKAPAN REKAM MEDIS


BULAN: JULI

NO NO. HPK6.3
REGISTRA REKAM DIAGNOS RUANGA
NO DPJP
A N Persetujuan Umum Persetujuan Operasi
SI MEDIS
Y T TDD Y
TOTAL 62 34 0 24
KETIDAKLENGKAPAN 35% 11%

REVIEW KELENGKAPAN REKAM MEDIS


BULAN: AGUSTUS
NO NO. HPK6.3
REGISTRA REKAM DIAGNOS RUANGA
NO DPJP
A N Persetujuan Umum Persetujuan Operasi
SI MEDIS
Y T TDD Y
TOTAL 64 27 0 31
KETIDAKLENGKAPAN 30% 16%

REVIEW KELENGKAPAN REKAM MEDIS


BULAN: SEPTEMBER

NO NO. HPK6.3
REGISTRA REKAM DIAGNOS RUANGA
NO DPJP
A N Persetujuan Umum Persetujuan Operasi
SI MEDIS
Y T TDD Y
TOTAL 54 52 1 27
KETIDAKLENGKAPAN 49% 31%
PERSETUJUAN (CONSENT)
HPK6.4

Persetujuan transfusi dan produk Persetujuan tindakan dan prosedur


Persetujuan Operasi Persetujuan Anestesi dan sedasi darah risiko tinggi

T TDD Y T TDD Y T TDD Y T


6 40 22 10 41 12 5 56 39 4
22% 45% 42% 10%

PERSETUJUAN (CONSENT)
HPK6.4

Persetujuan transfusi dan produk Persetujuan tindakan dan prosedur


Persetujuan Operasi Persetujuan Anestesi dan sedasi darah risiko tinggi

T TDD Y T TDD Y T TDD Y T


1 59 25 2 60 8 0 79 33 1
4% 8% 15% 3%

PERSETUJUAN (CONSENT)
HPK6.4

Persetujuan transfusi dan produk Persetujuan tindakan dan prosedur


Persetujuan Operasi Persetujuan Anestesi dan sedasi darah risiko tinggi
T TDD Y T TDD Y T TDD Y T
17 71 31 12 72 13 1 101 27 17
63% 39% 15% 63%

PERSETUJUAN (CONSENT)
HPK6.4

Persetujuan transfusi dan produk Persetujuan tindakan dan prosedur


Persetujuan Operasi Persetujuan Anestesi dan sedasi darah risiko tinggi

T TDD Y T TDD Y T TDD Y T


9 60 36 3 63 27 2 73 31 3
27% 8% 7% 10%

PERSETUJUAN (CONSENT)

HPK6.4

Persetujuan transfusi dan produk Persetujuan tindakan dan prosedur


Persetujuan Operasi Persetujuan Anestesi dan sedasi darah risiko tinggi

T TDD Y T TDD Y T TDD Y T


6 98 32 6 98 26 3 107 33 5
19% 19% 12% 15%

PERSETUJUAN (CONSENT)
HPK6.4

Persetujuan transfusi dan produk Persetujuan tindakan dan prosedur


Persetujuan Operasi Persetujuan Anestesi dan sedasi darah risiko tinggi

T TDD Y T TDD Y T TDD Y T


9 64 19 10 64 9 2 82 22 10
31% 34% 18% 31%

PERSETUJUAN (CONSENT)
HPK6.4
Persetujuan transfusi dan produk Persetujuan tindakan dan prosedur
Persetujuan Operasi Persetujuan Anestesi dan sedasi darah risiko tinggi

T TDD Y T TDD Y T TDD Y T


4 72 12 6 74 7 2 83 10 5
20% 33% 22% 33%

PERSETUJUAN (CONSENT)
HPK6.4
Persetujuan transfusi dan produk Persetujuan tindakan dan prosedur
Persetujuan Operasi Persetujuan Anestesi dan sedasi darah risiko tinggi

T TDD Y T TDD Y T TDD Y T


3 71 13 10 72 10 2 83 14 6
13% 43% 17% 30%
PERSETUJUAN (CONSENT)
HPK6.4
Persetujuan transfusi dan produk Persetujuan tindakan dan prosedur
Persetujuan Operasi Persetujuan Anestesi dan sedasi
darah risiko tinggi

T TDD Y T TDD Y T TDD Y T


10 52 35 12 53 16 7 77 40 16
21% 26% 30% 29%

PERSETUJUAN (CONSENT)
HPK6.4
Persetujuan transfusi dan produk Persetujuan tindakan dan prosedur
Persetujuan Operasi Persetujuan Anestesi dan sedasi darah risiko tinggi

T TDD Y T TDD Y T TDD Y T


2 67 10 20 68 12 0 86 34 2
6% 67% 0% 6%

PERSETUJUAN (CONSENT)
HPK6.4
Persetujuan transfusi dan produk Persetujuan tindakan dan prosedur
Persetujuan Operasi Persetujuan Anestesi dan sedasi darah risiko tinggi

T TDD Y T TDD Y T TDD Y T


3 67 15 15 68 12 0 86 32 4
11% 50% 0% 11%
PERSETUJUAN (CONSENT)
HPK6.4
Persetujuan transfusi dan produk Persetujuan tindakan dan prosedur
Persetujuan Operasi Persetujuan Anestesi dan sedasi darah risiko tinggi

T TDD Y T TDD Y T TDD Y T


6 54 34 2 55 9 1 81 37 2
16% 6% 10% 5%

PERSETUJUAN (CONSENT)
HPK6.4
Persetujuan transfusi dan produk Persetujuan tindakan dan prosedur
Persetujuan Operasi Persetujuan Anestesi dan sedasi darah risiko tinggi

T TDD Y T TDD Y T TDD Y T


12 68 24 13 70 10 7 90 28 9
31% 35% 41% 24%
SENT)
HPK.8 PAB5.1 PAB7.1

an tindakan dan prosedur Persetujuan riset, penyelidikan dan Risiko,keuntungan,dan anestesi Risiko,keuntungan, komplikasi dan
risiko tinggi percobaan klinik alternatif (PAB 5.1) alternatif operasi (PAB 7.1)

TDD Y T TDD Y T TDD Y T TDD


30 2 7 64 13 10 50 16 6 51
10% 100% 77% 38%

SENT)
HPK.8 PAB5.1 PAB7.1

an tindakan dan prosedur Persetujuan riset, penyelidikan dan Risiko,keuntungan,dan anestesi Risiko,keuntungan, komplikasi dan
risiko tinggi percobaan klinik alternatif (PAB 5.1) alternatif operasi (PAB 7.1)

TDD Y T TDD Y T TDD Y T TDD


53 2 16 69 21 2 64 22 3 62
3% 100% 10% 14%

SENT)
HPK.8 PAB5.1 PAB7.1
dan al ternatif operasi (PAB 7.1)

an tindakan dan prosedur Persetujuan riset, penyelidikan dan Risiko,keuntungan,dan anestesi Risiko,keuntungan, komplikasi dan
risiko tinggi percobaan klinik alternatif (PAB 5.1) alternatif operasi (PAB 7.1)

TDD
kasi5.1)
PAB7.1

T
PAB
dan al ternatif operasi (PAB 7.1)
TDD Y T TDD Y T TDD Y T TDD
71 5 18 92 31 12 72 27 17 71
TDD
63% 100% 39% 63%

ikasi5.1)
PAB7.1
T

kompl(PAB
anestesi alternatif
Y
Row 62

Risi ko,keuntungan,
TDD Row 63

PAB5.1
T

Risi ko,keuntungan,dan
Y

0 20 40 60 80 100120

SENT)
HPK.8 PAB5.1 PAB7.1

an tindakan dan prosedur Persetujuan riset, penyelidikan dan Risiko,keuntungan,dan anestesi Risiko,keuntungan, komplikasi dan
risiko tinggi percobaan klinik alternatif (PAB 5.1) alternatif operasi (PAB 7.1)

TDD Y T TDD Y T TDD Y T TDD


68 7 4 91 36 3 63 31 8 63
10% 100% 8% 26%

SENT)

HPK.8 PAB5.1 PAB7.1

an tindakan dan prosedur Persetujuan riset, penyelidikan dan Risiko,keuntungan,dan anestesi Risiko,keuntungan, komplikasi dan
risiko tinggi percobaan klinik alternatif (PAB 5.1) alternatif operasi (PAB 7.1)

TDD Y T TDD Y T TDD Y T TDD


98 11 6 119 34 6 96 35 5 96
15% 100% 18% 14%

SENT)
HPK.8 PAB5.1 PAB7.1

an tindakan dan prosedur Persetujuan riset, penyelidikan dan Risiko,keuntungan,dan anestesi Risiko,keuntungan, komplikasi dan
risiko tinggi percobaan klinik alternatif (PAB 5.1) alternatif operasi (PAB 7.1)

TDD Y T TDD Y T TDD Y T TDD


61 9 8 76 13 16 63 14 15 63
31% 100% 55% 52%

SENT)
HPK.8 PAB5.1 PAB7.1
an tindakan dan prosedur Persetujuan riset, penyelidikan dan Risiko,keuntungan,dan anestesi Risiko,keuntungan, komplikasi dan
risiko tinggi percobaan klinik alternatif (PAB 5.1) alternatif operasi (PAB 7.1)

TDD Y T TDD Y T TDD Y T TDD


77 6 3 83 6 13 73 8 14 70
33% 100% 68% 64%

SENT)
HPK.8 PAB5.1 PAB7.1
an tindakan dan prosedur Persetujuan riset, penyelidikan dan Risiko,keuntungan,dan anestesi Risiko,keuntungan, komplikasi dan
risiko tinggi percobaan klinik alternatif (PAB 5.1) alternatif operasi (PAB 7.1)

TDD Y T TDD Y T TDD Y T TDD


75 8 4 83 9 14 72 12 14 69
30% 100% 61% 54%
SENT)
HPK.8 PAB5.1 PAB7.1
an tindakan dan prosedur Persetujuan riset, penyelidikan dan Risiko,keuntungan,dan anestesi Risiko,keuntungan, komplikasi dan
risiko tinggi percobaan klinik alternatif (PAB 5.1) alternatif operasi (PAB 7.1)

TDD Y T TDD Y T TDD Y T TDD


44 4 8 88 25 12 63 21 15 64
29% 100% 32% 42%

SENT)
HPK.8 PAB5.1 PAB7.1
an tindakan dan prosedur Persetujuan riset, penyelidikan dan Risiko,keuntungan,dan anestesi Risiko,keuntungan, komplikasi dan
risiko tinggi percobaan klinik alternatif (PAB 5.1) alternatif operasi (PAB 7.1)

TDD Y T TDD Y T TDD Y T TDD


62 2 19 77 15 11 72 16 12 70
6% 90% 42% 43%

SENT)
HPK.8 PAB5.1 PAB7.1
an tindakan dan prosedur Persetujuan riset, penyelidikan dan Risiko,keuntungan,dan anestesi Risiko,keuntungan, komplikasi dan
risiko tinggi percobaan klinik alternatif (PAB 5.1) alternatif operasi (PAB 7.1)

TDD Y T TDD Y T TDD Y T TDD


62 2 19 77 26 0 72 24 4 70
11% 90% 0% 14%
SENT)
HPK.8 PAB5.1 PAB7.1
an tindakan dan prosedur Persetujuan riset, penyelidikan dan Risiko,keuntungan,dan anestesi Risiko,keuntungan, komplikasi dan
risiko tinggi percobaan klinik alternatif (PAB 5.1) alternatif operasi (PAB 7.1)

TDD Y T TDD Y T TDD Y T TDD


52 5 13 73 31 1 59 28 6 57
5% 72% 3% 18%

SENT)
HPK.8 PAB5.1 PAB7.1
an tindakan dan prosedur Persetujuan riset, penyelidikan dan Risiko,keuntungan,dan anestesi Risiko,keuntungan, komplikasi dan
risiko tinggi percobaan klinik alternatif (PAB 5.1) alternatif operasi (PAB 7.1)

TDD Y T TDD Y T TDD Y T TDD


70 9 6 92 21 16 70 19 18 70
24% 40% 43% 49%
ASESMEN
AP.1.3 AP.1.4.1

Kebutuhan medis pasien Kebutuhan keperawatan Asasmen medis selama 24 jam Asesmen keperawatan selama 24 jam

Y T TDD Y T TDD Y T TDD Y


69 1 3 70 0 3 71 0 2 70
1% 0% 0% 0%

ASESMEN
AP.1.3 AP.1.4.1

Kebutuhan medis pasien Kebutuhan keperawatan Asasmen medis selama 24 jam Asesmen keperawatan selama 24 jam

Y T TDD Y T TDD Y T TDD Y


86 1 0 84 3 0 84 2 1 81
1% 4% 2% 6%

ASESMEN
AP.1.3 AP.1.4.1

Kebutuhan medis pasien Kebutuhan keperawatan Asasmen medis selama 24 jam Asesmen keperawatan selama 24 jam
Y T TDD Y T TDD Y T TDD Y
106 8 1 106 9 0 105 10 0 106
8% 8% 10% 8%

ASESMEN
AP.1.3 AP.1.4.1

Kebutuhan medis pasien Kebutuhan keperawatan Asasmen medis selama 24 jam Asesmen keperawatan selama 24 jam

Y T TDD Y T TDD Y T TDD Y


98 3 1 96 5 1 86 12 4 93
3% 5% 14% 5%
n a lternatif opera s i (PAB 7.1)

ASESMEN
5.1)

TDD
s i da
(PAB
kompl i ka

T
AP.1.3 AP.1.4.1
n a nestes i an,l ternatif

Y
Row 74
i ko,keuntunga

Kebutuhan medis pasien Kebutuhan keperawatan


TDD Row 75 Asasmen medis selama 24 jam Asesmen keperawatan selama 24 jam

T
n,da

Y T TDD YY T TDD Y T TDD Y


Ris i ko,keuntungaRis

134 1 1 133 2 1 127 6 3 132


0 10 20 30 40 50 60 70
1% 2% 5% 1%

ASESMEN
AP.1.3 AP.1.4.1

Kebutuhan medis pasien Kebutuhan keperawatan Asasmen medis selama 24 jam Asesmen keperawatan selama 24 jam

Y T TDD Y T TDD Y T TDD Y


90 3 0 90 3 0 90 3 0 91
3% 3% 3% 2%

ASESMEN
AP.1.3 AP.1.4.1
Kebutuhan medis pasien Kebutuhan keperawatan Asasmen medis selama 24 jam Asesmen keperawatan selama 24 jam

Y T TDD Y T TDD Y T TDD Y


88 3 1 89 2 1 86 6 0 91
3% 2% 7% 1%

ASESMEN
AP.1.3 AP.1.4.1
Kebutuhan medis pasien Kebutuhan keperawatan Asasmen medis selama 24 jam Asesmen keperawatan selama 24 jam

Y T TDD Y T TDD Y T TDD Y


91 2 2 92 2 1 77 17 1 93
2% 2% 18% 1%
ASESMEN
AP.1.3 AP.1.4.1
Kebutuhan medis pasien Kebutuhan keperawatan Asasmen medis selama 24 jam Asesmen keperawatan selama 24 jam

Y T TDD Y T TDD Y T TDD Y


92 4 4 93 4 3 95 3 2 94
4% 4% 3% 3%

ASESMEN
AP.1.3 AP.1.4.1
Kebutuhan medis pasien Kebutuhan keperawatan Asasmen medis selama 24 jam Asesmen keperawatan selama 24 jam

Y T TDD Y T TDD Y T TDD Y


97 1 0 95 3 0 94 4 0 92
1% 3% 4% 6%

ASESMEN
AP.1.3 AP.1.4.1
Kebutuhan medis pasien Kebutuhan keperawatan Asasmen medis selama 24 jam Asesmen keperawatan selama 24 jam

Y T TDD Y T TDD Y T TDD Y


97 1 0 95 3 0 94 4 0 92
1% 3% 4% 6%
ASESMEN
AP.1.3 AP.1.4.1
Kebutuhan medis pasien Kebutuhan keperawatan Asasmen medis selama 24 jam Asesmen keperawatan selama 24 jam

Y T TDD Y T TDD Y T TDD Y


86 4 1 84 7 0 88 3 0 83
4% 8% 3% 9%

ASESMEN
AP.1.3 AP.1.4.1
Kebutuhan medis pasien Kebutuhan keperawatan Asasmen medis selama 24 jam Asesmen keperawatan selama 24 jam

Y T TDD Y T TDD Y T TDD Y


99 8 0 101 6 0 98 8 1 101
7% 6% 8% 5%
1.4.1 AP1.5 AP1.5.1 AP.1.6

Asesmen terdokumentasi dalam 24 Asesmen medis terdokumntasi


Asesmen keperawatan selama 24 jam Asasmen gizi dan status fungsional
jam setelah masuk dirawat sebelum operasi

T TDD Y T TDD Y T TDD Y T


0 3 58 5 6 28 5 36 21 39
0% 9% 18% 46%

1.4.1 AP1.5 AP1.5.1 AP.1.6

Asesmen terdokumentasi dalam 24 Asesmen medis terdokumntasi


Asesmen keperawatan selama 24 jam Asasmen gizi dan status fungsional
jam setelah masuk dirawat sebelum operasi

T TDD Y T TDD Y T TDD Y T


5 1 85 1 1 48 1 38 25 62
6% 1% 2% 46%

1.4.1 AP1.5 AP1.5.1 AP.1.6

Asesmen terdokumentasi dalam 24 Asesmen medis terdokumntasi


Asesmen keperawatan selama 24 jam Asasmen gizi dan status fungsional
jam setelah masuk dirawat sebelum operasi
T TDD Y T TDD Y T TDD Y T
9 0 109 5 1 64 5 46 43 72
8% 5% 8% 40%

1.4.1 AP1.5 AP1.5.1 AP.1.6

Asesmen terdokumentasi dalam 24 Asesmen medis terdokumntasi


Asesmen keperawatan selama 24 jam Asasmen gizi dan status fungsional
jam setelah masuk dirawat sebelum operasi

T TDD Y T TDD Y T TDD Y T


5 4 82 13 7 43 13 46 63 37
5% 16% 30% 40%

1.4.1 AP1.5 AP1.5.1 AP.1.6

Asesmen terdokumentasi dalam 24 Asesmen medis terdokumntasi


Asesmen keperawatan selama 24 jam Asasmen gizi dan status fungsional
jam setelah masuk dirawat sebelum operasi

T TDD Y T TDD Y T TDD Y T


1 3 105 18 13 49 14 73 98 36
1% 17% 29% 37%
1.4.1 AP1.5 AP1.5.1 AP.1.6

Asesmen terdokumentasi dalam 24 Asesmen medis terdokumntasi


Asesmen keperawatan selama 24 jam Asasmen gizi dan status fungsional
jam setelah masuk dirawat sebelum operasi

T TDD Y T TDD Y T TDD Y T


2 0 63 18 12 12 17 40 12 7
2% 22% 59% 37%

1.4.1 AP1.5 AP1.5.1 AP.1.6


Asesmen terdokumentasi dalam 24 Asesmen medis terdokumntasi
Asesmen keperawatan selama 24 jam Asasmen gizi dan status fungsional
jam setelah masuk dirawat sebelum operasi

T TDD Y T TDD Y T TDD Y T


1 0 46 25 21 20 28 44 61 31
1% 35% 58% 34%

1.4.1 AP1.5 AP1.5.1 AP.1.6


Asesmen terdokumentasi dalam 24 Asesmen medis terdokumntasi
Asesmen keperawatan selama 24 jam Asasmen gizi dan status fungsional
jam setelah masuk dirawat sebelum operasi

T TDD Y T TDD Y T TDD Y T


1 1 48 26 21 36 20 39 82 12
1% 35% 36% 13%
1.4.1 AP1.5 AP1.5.1 AP.1.6
Asesmen terdokumentasi dalam 24 Asesmen medis terdokumntasi
Asesmen keperawatan selama 24 jam Asasmen gizi dan status fungsional
jam setelah masuk dirawat sebelum operasi

T TDD Y T TDD Y T TDD Y T


3 3 83 7 6 43 9 44 58 29
3% 8% 17% 33%

1.4.1 AP1.5 AP1.5.1 AP.1.6


Asesmen terdokumentasi dalam 24 Asesmen medis terdokumntasi
Asesmen keperawatan selama 24 jam Asasmen gizi dan status fungsional
jam setelah masuk dirawat sebelum operasi

T TDD Y T TDD Y T TDD Y T


6 0 95 2 1 55 2 41 26 72
6% 2% 4% 73%

1.4.1 AP1.5 AP1.5.1 AP.1.6


Asesmen terdokumentasi dalam 24 Asesmen medis terdokumntasi
Asesmen keperawatan selama 24 jam Asasmen gizi dan status fungsional
jam setelah masuk dirawat sebelum operasi

T TDD Y T TDD Y T TDD Y T


6 0 95 2 1 55 2 41 26 72
6% 2% 4% 73%
1.4.1 AP1.5 AP1.5.1 AP.1.6
Asesmen terdokumentasi dalam 24 Asesmen medis terdokumntasi
Asesmen keperawatan selama 24 jam Asasmen gizi dan status fungsional
jam setelah masuk dirawat sebelum operasi

T TDD Y T TDD Y T TDD Y T


8 0 86 4 1 52 4 35 37 54
9% 4% 7% 59%

1.4.1 AP1.5 AP1.5.1 AP.1.6


Asesmen terdokumentasi dalam 24 Asesmen medis terdokumntasi
Asesmen keperawatan selama 24 jam Asasmen gizi dan status fungsional
jam setelah masuk dirawat sebelum operasi

T TDD Y T TDD Y T TDD Y T


5 1 70 25 12 39 25 43 76 27
5% 26% 39% 26%
AP.1.6 AP.1.7 AP.1.9 AP.1.10

Asasmen dan asasmen ulang pasien


gizi dan status fungsional Asasmen nyeri saat masuk Asasmen kebutuhan khusus
yg akan meninggal

TDD Y T TDD Y T TDD Y T TDD


9 24 43 2 11 4 54 7 53 9
46% 44% 36% 87%

AP.1.6 AP.1.7 AP.1.9 AP.1.10

Asasmen dan asasmen ulang pasien


gizi dan status fungsional Asasmen nyeri saat masuk Asasmen kebutuhan khusus
yg akan meninggal

TDD Y T TDD Y T TDD Y T TDD


0 29 58 0 6 12 69 15 58 14
46% 44% 50% 74%

AP.1.6 AP.1.7 AP.1.9 AP.1.10

Asasmen dan asasmen ulang pasien


gizi dan status fungsional Asasmen nyeri saat masuk Asasmen kebutuhan khusus
yg akan meninggal
TDD Y T TDD Y T TDD Y T TDD
0 51 64 0 13 18 84 40 55 20
40% 20% 28% 27%

pendi dikan pa si en dan kel uar

kebutuhan pendidikan pasien dan keluar


TDD
TDD
rncana ansuhan

T
AP.1.6 AP.1.7 AP.1.9 AP.1.10 T
da rikebutuha

Y
Asasmen dan asasmen ulang pasien
Row 62 Y
gizi dan status fungsional Asasmen nyeri saat masuk Asasmen kebutuhan khusus

rncana asuhan
TDD yg akan meninggal Row 63
il anmen
Ukuran keberhasAses

Ukuran keberhasilan dari Asesmen


T
TDD Y T TDD Y T TDD Y T TDD TDD

2 83 18 1 Y 31 9 62 80 17 5
40% 22% 29% 21% T

AP.1.6 AP.1.7 AP.1.9 AP.1.10

Asasmen dan asasmen ulang pasien


gizi dan status fungsional Asasmen nyeri saat masuk Asasmen kebutuhan khusus
yg akan meninggal

TDD Y T TDD Y T TDD Y T TDD


2 107 24 5 41 18 77 112 20 4
37% 22% 44% 18%
AP.1.6 AP.1.7 AP.1.9 AP.1.10

Asasmen dan asasmen ulang pasien


gizi dan status fungsional Asasmen nyeri saat masuk Asasmen kebutuhan khusus
yg akan meninggal

TDD Y T TDD Y T TDD Y T TDD


3 65 27 1 36 20 36 15 78 0
37% 29% 36% 84%

AP.1.6 AP.1.7 AP.1.9 AP.1.10


Asasmen dan asasmen ulang pasien
gizi dan status fungsional Asasmen nyeri saat masuk Asasmen kebutuhan khusus
yg akan meninggal

TDD Y T TDD Y T TDD Y T TDD


0 65 27 0 22 40 30 36 46 0
34% 29% 65% 56%

AP.1.6 AP.1.7 AP.1.9 AP.1.10


Asasmen dan asasmen ulang pasien
gizi dan status fungsional Asasmen nyeri saat masuk Asasmen kebutuhan khusus
yg akan meninggal

TDD Y T TDD Y T TDD Y T TDD


1 78 17 0 21 41 33 80 14 1
13% 18% 66% 15%
AP.1.6 AP.1.7 AP.1.9 AP.1.10
Asasmen dan asasmen ulang pasien
gizi dan status fungsional Asasmen nyeri saat masuk Asasmen kebutuhan khusus
yg akan meninggal

TDD Y T TDD Y T TDD Y T TDD


9 64 30 2 14 10 72 26 61 9
33% 32% 42% 70%

AP.1.6 AP.1.7 AP.1.9 AP.1.10


Asasmen dan asasmen ulang pasien
gizi dan status fungsional Asasmen nyeri saat masuk Asasmen kebutuhan khusus
yg akan meninggal

TDD Y T TDD Y T TDD Y T TDD


0 32 66 0 7 11 80 17 65 16
73% 67% 61% 79%

AP.1.6 AP.1.7 AP.1.9 AP.1.10


Asasmen dan asasmen ulang pasien
gizi dan status fungsional Asasmen nyeri saat masuk Asasmen kebutuhan khusus
yg akan meninggal

TDD Y T TDD Y T TDD Y T TDD


0 32 66 0 7 11 80 17 65 16
73% 67% 61% 79%
AP.1.6 AP.1.7 AP.1.9 AP.1.10
Asasmen dan asasmen ulang pasien
gizi dan status fungsional Asasmen nyeri saat masuk Asasmen kebutuhan khusus
yg akan meninggal

TDD Y T TDD Y T TDD Y T TDD


0 43 48 0 12 18 61 38 35 18
59% 53% 60% 48%

AP.1.6 AP.1.7 AP.1.9 AP.1.10


Asasmen dan asasmen ulang pasien
gizi dan status fungsional Asasmen nyeri saat masuk Asasmen kebutuhan khusus
yg akan meninggal

TDD Y T TDD Y T TDD Y T TDD


4 78 28 1 32 28 47 88 17 2
26% 26% 47% 16%
REVIEW KELENGKA

AP.1.11 AP.2 PP.2.1 PPK.2

Asasmen awal untuk rencana Asasmen setiap hari oleh dokter Ukuran keberhasilan dari rncana Asesmen kebutuhan pendidikan
pemulangan pasien untuk pasien akut (SOAP) asuhan pasien dan keluar

Y T TDD Y T TDD Y T TDD Y


45 14 9 56 12 0 56 7 6 11
31% 21% 13% 76%

AP.1.11 AP.2 PP.2.1 PPK.2

Asasmen awal untuk rencana Asasmen setiap hari oleh dokter Ukuran keberhasilan dari rncana Asesmen kebutuhan pendidikan
pemulangan pasien untuk pasien akut (SOAP) asuhan pasien dan keluar

Y T TDD Y T TDD Y T TDD Y


61 25 1 61 26 0 74 13 0 49
41% 43% 18% 76%

AP.1.11 AP.2 PP.2.1 PPK.2

Asasmen awal untuk rencana Asasmen setiap hari oleh dokter Ukuran keberhasilan dari rncana Asesmen kebutuhan pendidikan
pemulangan pasien untuk pasien akut (SOAP) asuhan pasien dan keluar
Y T TDD Y T TDD Y T TDD Y
79 34 2 81 34 0 100 15 0 78
43% 42% 15% 46%
kebutuhan pendidikan pasien dan keluar

TDD

PPK.2
AP.1.11T AP.2 PP.2.1 PPK.2

PP.2.1
Asasmen awal untuk
Y rencana Asasmen setiap hari oleh dokter Ukuran keberhasilan dari rncana Asesmen kebutuhan pendidikan
rncana asuhan

pemulangan pasien untuk pasien akut (SOAP) asuhan pasien dan keluar
Row 50
Ukuran keberhasilan dari Asesmen

Row 51
Y T TDD TDD Y T TDD Y T TDD Y
80 21 1 75 27 0 86 16 0 78

AP.2
26% T 36% 19% 29%

h )annp a s i en d a n kel u a r
0 20 40 60 80 100
iuka
dai ds AP
nta(SO

AP.1.11 AP.2 PP.2.1 TDD


PPK.2
as rihienar nacapkuen

Asasmen awal untuk rencana Asasmen setiap hari oleh dokter Ukuran keberhasilan dari rncana
Y Asesmen kebutuhan pendidikan
aknpudatu

pemulangan pasien untuk pasien akut (SOAP) asuhan TDD pasien dan keluar
i l keb
sntu

T
er hmauen

Row 74
Row 75
o kter

Y
Y T TDD Y T TDD Y T TDD Y
l ehn keb
dAs es

TDD
116 19 1 104 32 0 115 21 0 115
As a s m en s eti a p h aUr ikuora

T
16% 31% 18% 17%
Y

0 102030405060708090
AP.1.11 AP.2 PP.2.1 PPK.2

Asasmen awal untuk rencana Asasmen setiap hari oleh dokter Ukuran keberhasilan dari rncana Asesmen kebutuhan pendidikan
pemulangan pasien untuk pasien akut (SOAP) asuhan pasien dan keluar

Y T TDD Y T TDD Y T TDD Y


85 8 0 79 14 0 78 15 0 71
9% 15% 16% 23%

n n pa s i en da n kel ua r
di ka
a s uha
TDD

nnapendi
rnca(SOAP)
T
AP.1.11 AP.2 PP.2.1 PPK.2

l a ns kebutuha
Y

en ria kut
Asasmen awal untuk rencana Asasmen setiap hari oleh dokter Ukuran keberhasilan dari rncana Asesmen kebutuhan pendidikan
pemulangan pasien untuk pasien akut (SOAP) asuhan pasien dan keluar TDD

i da
Y T TDD Y T TDD Y T TDD Y

As essmen
ipa
T

untuk
87 5 0 81 11 0 72 20 0 44

n keberha
Y
5% 12% 22% 48%

eh dokter
TDD

As a s men s etia p ha ri olUkura


T

0 2

AP.1.11 AP.2 PP.2.1 PPK.2


Asasmen awal untuk rencana Asasmen setiap hari oleh dokter Ukuran keberhasilan dari rncana Asesmen kebutuhan pendidikan
pemulangan pasien untuk pasien akut (SOAP) asuhan pasien dan keluar

Y T TDD Y T TDD Y T TDD Y


88 6 1 84 11 0 76 19 0 46
6% 12% 20% 46%
AP.1.11 AP.2 PP.2.1 PPK.2
Asasmen awal untuk rencana Asasmen setiap hari oleh dokter Ukuran keberhasilan dari rncana Asesmen kebutuhan pendidikan
pemulangan pasien untuk pasien akut (SOAP) asuhan pasien dan keluar

Y T TDD Y T TDD Y T TDD Y


68 18 9 80 15 0 70 20 6 29
21% 16% 22% 65%

AP.1.11 AP.2 PP.2.1 PPK.2


Asasmen awal untuk rencana Asasmen setiap hari oleh dokter Ukuran keberhasilan dari rncana Asesmen kebutuhan pendidikan
pemulangan pasien untuk pasien akut (SOAP) asuhan pasien dan keluar

Y T TDD Y T TDD Y T TDD Y


69 27 2 68 30 0 84 14 0 57
28% 31% 14% 41%

AP.1.11 AP.2 PP.2.1 PPK.2


Asasmen awal untuk rencana Asasmen setiap hari oleh dokter Ukuran keberhasilan dari rncana Asesmen kebutuhan pendidikan
pemulangan pasien untuk pasien akut (SOAP) asuhan pasien dan keluar

Y T TDD Y T TDD Y T TDD Y


69 27 2 68 30 0 84 14 0 57
28% 31% 14% 41%
AP.1.11 AP.2 PP.2.1 PPK.2
Asasmen awal untuk rencana Asasmen setiap hari oleh dokter Ukuran keberhasilan dari rncana Asesmen kebutuhan pendidikan
pemulangan pasien untuk pasien akut (SOAP) asuhan pasien dan keluar

Y T TDD Y T TDD Y T TDD Y


60 30 1 63 28 0 81 10 0 67
33% 31% 11% 26%

AP.1.11 AP.2 PP.2.1 PPK.2


Asasmen awal untuk rencana Asasmen setiap hari oleh dokter Ukuran keberhasilan dari rncana Asesmen kebutuhan pendidikan
pemulangan pasien untuk pasien akut (SOAP) asuhan pasien dan keluar

Y T TDD Y T TDD Y T TDD Y


93 14 0 89 18 0 88 19 0 79
13% 17% 18% 25%
REVIEW KELENGKAPAN REKAM MEDIS

PPK.2 PAB.3

Asesmen kebutuhan pendidikan Asasmen pra sedasi monitoring selama sedasi Kriteria sadar kembali
pasien dan keluar

T TDD Y T TDD Y T TDD Y T


45 13 4 21 44 7 19 43 7 19
76% 100% 100% 100%

PPK.2 PAB.3

Asesmen kebutuhan pendidikan Asasmen pra sedasi monitoring selama sedasi Kriteria sadar kembali
pasien dan keluar

T TDD Y T TDD Y T TDD Y T


37 1 0 25 62 0 25 62 4 25
76% 100% 100% 100%

PPK.2 PAB.3

Asesmen kebutuhan pendidikan Asasmen pra sedasi monitoring selama sedasi Kriteria sadar kembali
pasien dan keluar
T TDD Y T TDD Y T TDD Y T
36 1 0 44 69 0 44 69 11 38
46% 100% 100% 71%

pendidikan pasien dan keluar


TDD

rncana asuhan
PPK.2

PPK.2 kebutuhan
(SOAP) Y PAB.3
TDD
dari
pasien akut
PP.2.1

Asesmen kebutuhan pendidikan


Asesmen

Asasmen pra sedasi T monitoring selama


Rowsedasi Kriteria sadar kembali
keberhasilan

pasien dan keluar 62


Row 63
Y
dokter untuk

TDD
T TDD Y T TDD Y T TDD Y T
Asasmen setiap hari olehUkuran

23 1 0 53 49 0 53 49 8 39
AP.2

29% 100% Y 100% 79%

PPK.2 PAB.3

Asesmen kebutuhan pendidikan Asasmen pra sedasi monitoring selama sedasi Kriteria sadar kembali
pasien dan keluar

Row 74
Row 75
T TDD Y T TDD Y T TDD Y T
20 1 0 51 85 0 51 85 8 37
17% 100% 100% 78%
30405060708090
PPK.2 PAB.3

Asesmen kebutuhan pendidikan


Asasmen pra sedasi monitoring selama sedasi Kriteria sadar kembali
pasien dan keluar

T TDD Y T TDD Y T TDD Y T


21 1 0 38 55 0 38 55 5 39
23% 100% 100% 89%
n n pa s i en da n kel ua r
di ka
a s uha

TDD
nnapendi
rnca(SOAP)

T
PPK.2 PAB.3
l a ns kebutuha

Y
en ria kut

Asesmen kebutuhan pendidikan Asasmen pra sedasi monitoring selama sedasi Kriteria sadar kembali
pasien dan keluar TDD
i da

T TDD Y T Row 100 TDD Y T TDD Y T


As essmen
ipa

T
untuk

40 8 0 17
Row 101
75 0 18 74 10 27
n keberha

Y
48% 100% 100% 73%
eh dokter

TDD
As a s men s etia p ha ri olUkura

0 20 40 60 80 100

PPK.2 PAB.3
Asesmen kebutuhan pendidikan Asasmen pra sedasi monitoring selama sedasi Kriteria sadar kembali
pasien dan keluar

T TDD Y T TDD Y T TDD Y T


39 10 0 19 76 0 20 75 16 27
46% 100% 100% 63%
PPK.2 PAB.3
Asesmen kebutuhan pendidikan Asasmen pra sedasi monitoring selama sedasi Kriteria sadar kembali
pasien dan keluar

T TDD Y T TDD Y T TDD Y T


54 13 4 37 55 7 35 54 12 31
65% 100% 100% 72%

PPK.2 PAB.3
Asesmen kebutuhan pendidikan Asasmen pra sedasi monitoring selama sedasi Kriteria sadar kembali
pasien dan keluar

T TDD Y T TDD Y T TDD Y T


40 1 0 29 69 0 29 69 4 28
41% 100% 100% 88%

PPK.2 PAB.3
Asesmen kebutuhan pendidikan Asasmen pra sedasi monitoring selama sedasi Kriteria sadar kembali
pasien dan keluar

T TDD Y T TDD Y T TDD Y T


40 1 0 29 69 0 29 69 4 28
41% 100% 100% 88%
PPK.2 PAB.3
Asesmen kebutuhan pendidikan Asasmen pra sedasi monitoring selama sedasi Kriteria sadar kembali
pasien dan keluar

T TDD Y T TDD Y T TDD Y T


23 1 2 36 53 2 36 53 11 31
26% 95% 95% 74%

PPK.2 PAB.3
Asesmen kebutuhan pendidikan Asasmen pra sedasi monitoring selama sedasi Kriteria sadar kembali
pasien dan keluar

T TDD Y T TDD Y T TDD Y T


27 1 0 50 57 0 50 57 6 47
25% 100% 100% 89%
TELAA
PAB.4 MPO.4 MPO.4.3

Daftar obat yang diminum sebelum Jenis obat yang diresepkan dicatat di
eria sadar kembali Asasmen pra anestesi dan pra induksi dirawat rekam medis

TDD Y T TDD Y T TDD Y T TDD


44 22 5 43 7 57 6 68 2 0
100% 23% 88% 3%

TELAA
PAB.4 MPO.4 MPO.4.3

Daftar obat yang diminum sebelum Jenis obat yang diresepkan dicatat di
eria sadar kembali Asasmen pra anestesi dan pra induksi dirawat rekam medis

TDD Y T TDD Y T TDD Y T TDD


58 23 3 61 5 68 14 74 6 7
100% 13% 8%

TELAA
PAB.4 MPO.4 MPO.4.3

Daftar obat yang diminum sebelum Jenis obat yang diresepkan dicatat di
eria sadar kembali Asasmen pra anestesi dan pra induksi dirawat rekam medis
TDD Y T TDD Y T TDD Y T TDD
66 37 7 71 6 84 25 94 11 10
71% 19% 92% 12%

TELAA
PAB.4 MPO.4 MPO.4.3

Daftar obat yang diminum sebelum Jenis obat yang diresepkan dicatat di
eria sadar kembali Asasmen pra anestesi dan pra induksi dirawat rekam medis

TDD Y T TDD Y T TDD Y T TDD


55 31 17 54 36 56 10 91 9 2
79% 55% 46% 10%

TELAA

PAB.4 MPO.4 MPO.4.3

Daftar obat yang diminum sebelum Jenis obat yang diresepkan dicatat di
eria sadar kembali Asasmen pra anestesi dan pra induksi dirawat rekam medis

TDD Y T TDD Y T TDD Y T TDD


91 24 20 92 81 45 10 123 11 2
78% 83% 56% 9%

TELAA
PAB.4 MPO.4 MPO.4.3

Daftar obat yang diminum sebelum Jenis obat yang diresepkan dicatat di
eria sadar kembali Asasmen pra anestesi dan pra induksi dirawat rekam medis

TDD Y T TDD Y T TDD Y T TDD


49 8 32 53 50 40 3 85 6 2
89% 80% 44% 7%

TELAA
PAB.4 MPO.4 MPO.4.3
Daftar obat yang diminum sebelum Jenis obat yang diresepkan dicatat di
eria sadar kembali Asasmen pra anestesi dan pra induksi dirawat rekam medis

TDD Y T TDD Y T TDD Y T TDD


55 11 22 59 54 36 2 79 11 2
73% 67% 40% 12%

TELAA
PAB.4 MPO.4 MPO.4.3
Daftar obat yang diminum sebelum Jenis obat yang diresepkan dicatat di
eria sadar kembali Asasmen pra anestesi dan pra induksi dirawat rekam medis

TDD Y T TDD Y T TDD Y T TDD


52 12 26 57 84 9 2 83 10 2
63% 68% 10% 11%
TELAA
PAB.4 MPO.4 MPO.4.3
Daftar obat yang diminum sebelum Jenis obat yang diresepkan dicatat di
eria sadar kembali Asasmen pra anestesi dan pra induksi
dirawat rekam medis

TDD Y T TDD Y T TDD Y T TDD


54 24 19 54 29 60 8 88 8 1
72% 44% 67% 8%

TELAA
PAB.4 MPO.4 MPO.4.3
Daftar obat yang diminum sebelum Jenis obat yang diresepkan dicatat di
eria sadar kembali Asasmen pra anestesi dan pra induksi dirawat rekam medis

TDD Y T TDD Y T TDD Y T TDD


66 27 2 69 6 78 14 84 7 7
88% 7% 93% 8%

TELAA
PAB.4 MPO.4 MPO.4.3
Daftar obat yang diminum sebelum Jenis obat yang diresepkan dicatat di
eria sadar kembali Asasmen pra anestesi dan pra induksi dirawat rekam medis

TDD Y T TDD Y T TDD Y T TDD


66 27 2 69 6 78 14 84 7 7
88% 7% 93% 8%
TELAA
PAB.4 MPO.4 MPO.4.3
Daftar obat yang diminum sebelum Jenis obat yang diresepkan dicatat di
eria sadar kembali Asasmen pra anestesi dan pra induksi dirawat rekam medis

TDD Y T TDD Y T TDD Y T TDD


49 30 7 54 4 63 24 72 9 10
74% 19% 94% 11%

TELAA
PAB.4 MPO.4 MPO.4.3
Daftar obat yang diminum sebelum Jenis obat yang diresepkan dicatat di
eria sadar kembali Asasmen pra anestesi dan pra induksi dirawat rekam medis

TDD Y T TDD Y T TDD Y T TDD


54 17 35 55 74 31 2 93 13 1
89% 67% 30% 12%
TELAAH REKAM MEDIS LANJUTAN
MPO.7 PPK.2.1

Efek obat yang tidak diharapkan Asasmen budaya pasien dan keluarga Asasmen tingkat pendidikan, bahasa Asasmen kendala emosional

Y T TDD Y T TDD Y T TDD Y


4 59 7 6 54 10 11 49 10 10
93% 89% 78% 80%

TELAAH REKAM MEDIS LANJUTAN


MPO.7 PPK.2.1

Efek obat yang tidak diharapkan Asasmen budaya pasien dan keluarga Asasmen tingkat pendidikan, bahasa Asasmen kendala emosional

Y T TDD Y T TDD Y T TDD Y


2 83 2 4 83 0 9 78 0 10
93% 95% 88% 87%

TELAAH REKAM MEDIS LANJUTAN


MPO.7 PPK.2.1

Efek obat yang tidak diharapkan Asasmen budaya pasien dan keluarga Asasmen tingkat pendidikan, bahasa Asasmen kendala emosional
Y T TDD Y T TDD Y T TDD Y
5 108 2 0 115 0 35 80 0 37
95% 100% 56% 53%

TELAAH REKAM MEDIS LANJUTAN


MPO.7 PPK.2.1

Efek obat yang tidak diharapkan Asasmen budaya pasien dan keluarga Asasmen tingkat pendidikan, bahasa Asasmen kendala emosional

Y T TDD Y T TDD Y T TDD Y


19 82 1 8 93 1 76 26 0 76
77% 91% 34% 33%

TELAAH REKAM MEDIS LANJUTAN

MPO.7 PPK.2.1

Efek obat yang tidak diharapkan Asasmen budaya pasien dan keluarga Asasmen tingkat pendidikan, bahasa Asasmen kendala emosional

Y T TDD Y T TDD Y T TDD Y


34 101 1 8 127 1 105 31 0 106
76% 100% 30% 28%

TELAAH REKAM MEDIS LANJUTAN


MPO.7 PPK.2.1

Efek obat yang tidak diharapkan Asasmen budaya pasien dan keluarga Asasmen tingkat pendidikan, bahasa Asasmen kendala emosional

Y T TDD Y T TDD Y T TDD Y


31 61 1 0 87 0 77 16 0 78
66% 100% 17% 16%

TELAAH REKAM MEDIS LANJUTAN


MPO.7 PPK.2.1
Efek obat yang tidak diharapkan Asasmen budaya pasien dan keluarga Asasmen tingkat pendidikan, bahasa Asasmen kendala emosional

Y T TDD Y T TDD Y T TDD Y


33 57 2 7 84 1 80 12 0 83
63% 100% 13% 10%

TELAAH REKAM MEDIS LANJUTAN


MPO.7 PPK.2.1
Efek obat yang tidak diharapkan Asasmen budaya pasien dan keluarga Asasmen tingkat pendidikan, bahasa Asasmen kendala emosional

Y T TDD Y T TDD Y T TDD Y


32 61 2 7 87 1 80 15 0 84
66% 100% 16% 12%
TELAAH REKAM MEDIS LANJUTAN
MPO.7 PPK.2.1
Efek obat yang tidak diharapkan Asasmen budaya pasien dan keluarga Asasmen tingkat pendidikan, bahasa Asasmen kendala emosional

Y T TDD Y T TDD Y T TDD Y


27 63 7 8 79 10 53 34 10 53
70% 100% 39% 38%

TELAAH REKAM MEDIS LANJUTAN


MPO.7 PPK.2.1
Efek obat yang tidak diharapkan Asasmen budaya pasien dan keluarga Asasmen tingkat pendidikan, bahasa Asasmen kendala emosional

Y T TDD Y T TDD Y T TDD Y


2 94 2 2 96 0 9 89 0 10
98% 98% 91% 90%

TELAAH REKAM MEDIS LANJUTAN


MPO.7 PPK.2.1
Efek obat yang tidak diharapkan Asasmen budaya pasien dan keluarga Asasmen tingkat pendidikan, bahasa Asasmen kendala emosional

Y T TDD Y T TDD Y T TDD Y


2 94 2 2 96 0 9 89 0 10
98% 98% 91% 90%
TELAAH REKAM MEDIS LANJUTAN
MPO.7 PPK.2.1
Efek obat yang tidak diharapkan Asasmen budaya pasien dan keluarga Asasmen tingkat pendidikan, bahasa Asasmen kendala emosional

Y T TDD Y T TDD Y T TDD Y


5 84 2 5 86 0 33 58 0 35
94% 95% 64% 62%

TELAAH REKAM MEDIS LANJUTAN


MPO.7 PPK.2.1
Efek obat yang tidak diharapkan Asasmen budaya pasien dan keluarga Asasmen tingkat pendidikan, bahasa Asasmen kendala emosional

Y T TDD Y T TDD Y T TDD Y


40 66 1 7 99 1 86 21 0 88
62% 93% 20% 17%
PPK.2.1 MKI.19.3

Asasmen kesedian pasien menerima Pencatatan,tanggal, waktu dari setiap


Asasmen kendala emosional Asasmen kendala fisik dan konigtif informasi entri data

T TDD Y T TDD Y T TDD Y T


49 11 10 50 9 5 52 13 1 55
80% 80% 90% 98%

PPK.2.1 MKI.19.3

Asasmen kesedian pasien menerima Pencatatan,tanggal, waktu dari setiap


Asasmen kendala emosional Asasmen kendala fisik dan konigtif informasi entri data

T TDD Y T TDD Y T TDD Y T


77 0 10 75 0 11 76 0 26 61
87% 87% 86% 57%

PPK.2.1 MKI.19.3

Asasmen kesedian pasien menerima Pencatatan,tanggal, waktu dari setiap


Asasmen kendala emosional Asasmen kendala fisik dan konigtif informasi entri data
T TDD Y T TDD Y T TDD Y T
78 0 37 77 0 40 75 0 47 68
53% 52% 47% 31%

PPK.2.1 MKI.19.3

Asasmen kesedian pasien menerima Pencatatan,tanggal, waktu dari setiap


Asasmen kendala emosional Asasmen kendala fisik dan konigtif informasi entri data

T TDD Y T TDD Y T TDD Y T


25 1 76 26 0 76 26 0 45 57
33% 34% 34% 32%

PPK.2.1 MKI.19.3

Asasmen kesedian pasien menerima Pencatatan,tanggal, waktu dari setiap


Asasmen kendala emosional Asasmen kendala fisik dan konigtif informasi entri data

T TDD Y T TDD Y T TDD Y T


30 0 106 30 0 103 33 0 41 95
28% 28% 32% 57%
PPK.2.1 MKI.19.3

Asasmen kesedian pasien menerima Pencatatan,tanggal, waktu dari setiap


Asasmen kendala emosional Asasmen kendala fisik dan konigtif informasi entri data

T TDD Y T TDD Y T TDD Y T


15 0 78 13 0 66 27 0 33 60
16% 14% 29% 65%

PPK.2.1 MKI.19.3
Asasmen kesedian pasien menerima Pencatatan,tanggal, waktu dari setiap
Asasmen kendala emosional Asasmen kendala fisik dan konigtif informasi entri data

T TDD Y T TDD Y T TDD Y T


9 0 83 11 0 63 29 0 33 59
10% 12% 32% 64%

PPK.2.1 MKI.19.3
Asasmen kesedian pasien menerima Pencatatan,tanggal, waktu dari setiap
Asasmen kendala emosional Asasmen kendala fisik dan konigtif informasi entri data

T TDD Y T TDD Y T TDD Y T


11 0 84 12 0 68 27 0 33 62
12% 13% 28% 65%
PPK.2.1 MKI.19.3
Asasmen kesedian pasien menerima Pencatatan,tanggal, waktu dari setiap
Asasmen kendala emosional Asasmen kendala fisik dan konigtif
informasi entri data

T TDD Y T TDD Y T TDD Y T


33 11 54 33 9 36 48 13 19 64
38% 38% 57% 77%

PPK.2.1 MKI.19.3
Asasmen kesedian pasien menerima Pencatatan,tanggal, waktu dari setiap
Asasmen kendala emosional Asasmen kendala fisik dan konigtif informasi entri data

T TDD Y T TDD Y T TDD Y T


88 0 10 85 0 15 83 0 31 67
90% 89% 85% 68%

PPK.2.1 MKI.19.3
Asasmen kesedian pasien menerima Pencatatan,tanggal, waktu dari setiap
Asasmen kendala emosional Asasmen kendala fisik dan konigtif informasi entri data

T TDD Y T TDD Y T TDD Y T


88 0 10 85 0 15 83 0 31 67
90% 89% 85% 68%
PPK.2.1 MKI.19.3
Asasmen kesedian pasien menerima Pencatatan,tanggal, waktu dari setiap
Asasmen kendala emosional Asasmen kendala fisik dan konigtif informasi entri data

T TDD Y T TDD Y T TDD Y T


56 0 35 56 0 36 55 0 37 54
62% 62% 60% 59%

PPK.2.1 MKI.19.3
Asasmen kesedian pasien menerima Pencatatan,tanggal, waktu dari setiap
Asasmen kendala emosional Asasmen kendala fisik dan konigtif informasi entri data

T TDD Y T TDD Y T TDD Y T


18 1 88 17 0 76 31 0 40 67
17% 16% 29% 63%
MKI.19.3 APK.1.1.3 APK2.1

,tanggal, waktu dari setiap Pencatatan setiap keterlambatan Rencana asuhan pasien Alasan dirawat, diagnosis
entri data tindakan
(utama,sekunder)

TDD Y T TDD Y T TDD Y T TDD


14 0 55 15 68 0 2 65 4 0
98% 100% 0% 6%

MKI.19.3 APK.1.1.3 APK2.1

,tanggal, waktu dari setiap Pencatatan setiap keterlambatan Rencana asuhan pasien Alasan dirawat, diagnosis
entri data tindakan
(utama,sekunder)

TDD Y T TDD Y T TDD Y T TDD


0 7 80 0 86 1 0 87 0 0
57% 91% 1% 0%

MKI.19.3 APK.1.1.3 APK2.1

,tanggal, waktu dari setiap Pencatatan setiap keterlambatan Rencana asuhan pasien Alasan dirawat, diagnosis
entri data tindakan
(utama,sekunder)
TDD Y T TDD Y T TDD Y T TDD
0 19 96 0 113 2 0 115 0 0
31% 80% 2% 0%

MKI.19.3 APK.1.1.3 APK2.1

,tanggal, waktu dari setiap Pencatatan setiap keterlambatan Rencana asuhan pasien Alasan dirawat, diagnosis
entri data tindakan
(utama,sekunder)

TDD Y T TDD Y T TDD Y T TDD


0 30 71 1 91 11 0 101 1 0
32% 78% 12% 1%

MKI.19.3 APK.1.1.3 APK2.1

,tanggal, waktu dari setiap Pencatatan setiap keterlambatan Rencana asuhan pasien Alasan dirawat, diagnosis
entri data tindakan
(utama,sekunder)

TDD Y T TDD Y T TDD Y T TDD


0 38 97 1 124 11 1 131 5 0
57% 61% 9% 4%
39%
MKI.19.3 APK.1.1.3 APK2.1

,tanggal, waktu dari setiap Pencatatan setiap keterlambatan


Rencana asuhan pasien Alasan dirawat, diagnosis
entri data tindakan
(utama,sekunder)

TDD Y T TDD Y T TDD Y T TDD


0 43 50 0 91 2 0 86 7 0
65% 54% 2% 8%

MKI.19.3 APK.1.1.3 APK2.1


,tanggal, waktu dari setiap Pencatatan setiap keterlambatan Rencana asuhan pasien Alasan dirawat, diagnosis
entri data tindakan
(utama,sekunder)
TDD Y T TDD Y T TDD Y T TDD
0 35 57 0 92 0 0 88 4 0
64% 62% 0% 4%

MKI.19.3 APK.1.1.3 APK2.1


,tanggal, waktu dari setiap Pencatatan setiap keterlambatan Rencana asuhan pasien Alasan dirawat, diagnosis
entri data tindakan
(utama,sekunder)
TDD Y T TDD Y T TDD Y T TDD
0 34 60 1 95 0 0 92 3 0
65% 64% 0% 3%
MKI.19.3 APK.1.1.3 APK2.1
,tanggal, waktu dari setiap Pencatatan setiap keterlambatan Rencana asuhan pasien Alasan dirawat, diagnosis
entri data tindakan
(utama,sekunder)
TDD Y T TDD Y T TDD Y T TDD
14 19 63 15 94 1 2 92 4 0
77% 77% 1% 4%

MKI.19.3 APK.1.1.3 APK2.1


,tanggal, waktu dari setiap Pencatatan setiap keterlambatan Rencana asuhan pasien Alasan dirawat, diagnosis
entri data tindakan
(utama,sekunder)
TDD Y T TDD Y T TDD Y T TDD
0 7 91 0 97 1 0 98 0 0
68% 93% 1% 0%

MKI.19.3 APK.1.1.3 APK2.1


,tanggal, waktu dari setiap Pencatatan setiap keterlambatan Rencana asuhan pasien Alasan dirawat, diagnosis
entri data tindakan
(utama,sekunder)
TDD Y T TDD Y T TDD Y T TDD
0 7 91 0 97 1 0 98 0 0
68% 93% 1% 0%
MKI.19.3 APK.1.1.3 APK2.1
,tanggal, waktu dari setiap Pencatatan setiap keterlambatan Rencana asuhan pasien Alasan dirawat, diagnosis
entri data tindakan
(utama,sekunder)
TDD Y T TDD Y T TDD Y T TDD
0 19 72 0 89 2 0 91 0 0
59% 79% 2% 0%

MKI.19.3 APK.1.1.3 APK2.1


,tanggal, waktu dari setiap Pencatatan setiap keterlambatan Rencana asuhan pasien Alasan dirawat, diagnosis
entri data tindakan
(utama,sekunder)
TDD Y T TDD Y T TDD Y T TDD
0 44 62 1 104 3 0 101 6 0
63% 58% 3% 6%
APK.3.2.1
Resume pulang

Obat yang diberikan,termasuk obat


Temuan Fisik penting Tindakan diagnostik dan prosedur Instruksi tindak lanjut (follow up)
setelah pulang

Y T TDD Y T TDD Y T TDD Y


45 21 3 41 18 10 52 11 6 44
47% 44% 21% 45%

APK.3.2.1
Resume pulang

Obat yang diberikan,termasuk obat


Temuan Fisik penting Tindakan diagnostik dan prosedur Instruksi tindak lanjut (follow up)
setelah pulang

Y T TDD Y T TDD Y T TDD Y


73 14 0 65 17 5 73 13 1 59
19% 26% 18% 42%

APK.3.2.1
Resume pulang

Obat yang diberikan,termasuk obat


Temuan Fisik penting Tindakan diagnostik dan prosedur Instruksi tindak lanjut (follow up)
setelah pulang
Y T TDD Y T TDD Y T TDD Y
90 25 0 87 25 3 98 16 1 71
28% 29% 16% 55%

APK.3.2.1
Resume pulang

Obat yang diberikan,termasuk obat


Temuan Fisik penting Tindakan diagnostik dan prosedur Instruksi tindak lanjut (follow up)
setelah pulang

Y T TDD Y T TDD Y T TDD Y


93 9 0 83 19 0 85 17 0 64
10% 23% 20% 56%

APK.3.2.1
Resume pulang

Obat yang diberikan,termasuk obat


Temuan Fisik penting Tindakan diagnostik dan prosedur Instruksi tindak lanjut (follow up)
setelah pulang

Y T TDD Y T TDD Y T TDD Y


123 13 0 102 34 0 113 23 0 99
11% 33% 20% 35%
APK.3.2.1
Resume pulang

Obat yang diberikan,termasuk obat


Temuan Fisik penting Tindakan diagnostik dan prosedur Instruksi tindak lanjut (follow up)
setelah pulang

Y T TDD Y T TDD Y T TDD Y


78 15 0 71 22 0 78 14 1 73
16% 24% 15% 20%

APK.3.2.1
Resume pulang
Obat yang diberikan,termasuk obat
Temuan Fisik penting Tindakan diagnostik dan prosedur Instruksi tindak lanjut (follow up)
setelah pulang
Y T TDD Y T TDD Y T TDD Y
75 17 0 70 20 2 73 15 4 69
18% 22% 17% 19%

APK.3.2.1
Resume pulang
Temuan Fisik penting Tindakan diagnostik dan prosedur Obat yang diberikan,termasuk obat Instruksi tindak lanjut (follow up)
setelah pulang
Y T TDD Y T TDD Y T TDD Y
78 17 0 73 20 2 76 14 5 67
18% 22% 16% 21%
APK.3.2.1
Resume pulang
Temuan Fisik penting Tindakan diagnostik dan prosedur Obat yang diberikan,termasuk obat Instruksi tindak lanjut (follow up)
setelah pulang
Y T TDD Y T TDD Y T TDD Y
71 22 3 66 19 11 76 14 6 55
24% 22% 16% 39%

APK.3.2.1
Resume pulang
Obat yang diberikan,termasuk obat
Temuan Fisik penting Tindakan diagnostik dan prosedur Instruksi tindak lanjut (follow up)
setelah pulang
Y T TDD Y T TDD Y T TDD Y
84 14 0 77 17 4 83 14 1 69
14% 18% 14% 27%

APK.3.2.1
Resume pulang
Obat yang diberikan,termasuk obat
Temuan Fisik penting Tindakan diagnostik dan prosedur Instruksi tindak lanjut (follow up)
setelah pulang
Y T TDD Y T TDD Y T TDD Y
84 14 0 77 17 4 83 14 1 69
14% 18% 14% 27%
APK.3.2.1
Resume pulang
Obat yang diberikan,termasuk obat
Temuan Fisik penting Tindakan diagnostik dan prosedur Instruksi tindak lanjut (follow up)
setelah pulang
Y T TDD Y T TDD Y T TDD Y
78 13 0 66 23 2 78 12 1 55
14% 26% 13% 37%

APK.3.2.1
Resume pulang
Obat yang diberikan,termasuk obat
Temuan Fisik penting Tindakan diagnostik dan prosedur Instruksi tindak lanjut (follow up)
setelah pulang
Y T TDD Y T TDD Y T TDD Y
92 15 0 87 20 0 91 15 1 78
14% 19% 14% 26%
APK.4.4
Rekam medis pasien dirujuk memuat:

Nama RS dan Nama orang yg


Instruksi tindak lanjut (follow up) Alasasn pasien dirujuk Alasan lain pasien dirujuk
menyetujui menerima

T TDD Y T TDD Y T TDD Y T


20 5 3 10 56 0 12 57 0 12
45% 70% 0% 0%

APK.4.4
Rekam medis pasien dirujuk memuat:

Nama RS dan Nama orang yg


Instruksi tindak lanjut (follow up) Alasasn pasien dirujuk Alasan lain pasien dirujuk
menyetujui menerima

T TDD Y T TDD Y T TDD Y T


25 3 0 1 86 0 1 86 2 0
42% 70% 0% 0%

APK.4.4
Rekam medis pasien dirujuk memuat:

Nama RS dan Nama orang yg


Instruksi tindak lanjut (follow up) Alasasn pasien dirujuk Alasan lain pasien dirujuk
menyetujui menerima
T TDD Y T TDD Y T TDD Y T
39 5 0 2 113 0 2 113 3 1
55% 2% 0% 0%

APK.4.4
Rekam medis pasien dirujuk memuat:

Nama RS dan Nama orang yg


Instruksi tindak lanjut (follow up) Alasasn pasien dirujuk Alasan lain pasien dirujuk
menyetujui menerima

T TDD Y T TDD Y T TDD Y T


36 2 0 0 102 0 0 102 0 0
56% 2% 0% 0%

APK.4.4
Rekam medis pasien dirujuk memuat:

Nama RS dan Nama orang yg


Instruksi tindak lanjut (follow up) Alasasn pasien dirujuk Alasan lain pasien dirujuk
menyetujui menerima

T TDD Y T TDD Y T TDD Y T


35 2 0 0 136 0 0 136 0 0
35% 1% 0% 0%
APK.4.4
Rekam medis pasien dirujuk memuat:

Nama RS dan Nama orang yg


Instruksi tindak lanjut (follow up) Alasasn pasien dirujuk Alasan lain pasien dirujuk
menyetujui menerima

T TDD Y T TDD Y T TDD Y T


18 2 0 0 93 1 0 92 1 0
20% 2% 0% 0%

APK.4.4
Rekam medis pasien dirujuk memuat:
Nama RS dan Nama orang yg
Instruksi tindak lanjut (follow up) Alasasn pasien dirujuk Alasan lain pasien dirujuk
menyetujui menerima
T TDD Y T TDD Y T TDD Y T
16 7 0 0 92 0 0 92 0 0
19% 2% 0% 0%

APK.4.4
Rekam medis pasien dirujuk memuat:
Instruksi tindak lanjut (follow up) Nama RS dan Nama orang yg Alasasn pasien dirujuk Alasan lain pasien dirujuk
menyetujui menerima
T TDD Y T TDD Y T TDD Y T
18 10 0 0 95 0 0 95 0 0
21% 2% 0% 0%
APK.4.4
Rekam medis pasien dirujuk memuat:
Instruksi tindak lanjut (follow up) Nama RS dan Nama orang yg Alasasn pasien dirujuk Alasan lain pasien dirujuk
menyetujui menerima
T TDD Y T TDD Y T TDD Y T
35 6 3 10 83 0 12 84 1 12
39% 77% 100% 92%

APK.4.4
Rekam medis pasien dirujuk memuat:
Nama RS dan Nama orang yg
Instruksi tindak lanjut (follow up) Alasasn pasien dirujuk Alasan lain pasien dirujuk
menyetujui menerima
T TDD Y T TDD Y T TDD Y T
25 4 0 1 97 0 1 97 2 0
27% 100% 100% 0%

APK.4.4
Rekam medis pasien dirujuk memuat:
Nama RS dan Nama orang yg
Instruksi tindak lanjut (follow up) Alasasn pasien dirujuk Alasan lain pasien dirujuk
menyetujui menerima
T TDD Y T TDD Y T TDD Y T
25 4 0 1 97 0 1 97 2 0
27% 100% 100% 0%
APK.4.4
Rekam medis pasien dirujuk memuat:
Nama RS dan Nama orang yg
Instruksi tindak lanjut (follow up) Alasasn pasien dirujuk Alasan lain pasien dirujuk
menyetujui menerima
T TDD Y T TDD Y T TDD Y T
32 4 0 1 90 0 1 90 2 1
37% 100% 100% 33%

APK.4.4
Rekam medis pasien dirujuk memuat:
Nama RS dan Nama orang yg
Instruksi tindak lanjut (follow up) Alasasn pasien dirujuk Alasan lain pasien dirujuk
menyetujui menerima
T TDD Y T TDD Y T TDD Y T
27 2 0 0 107 1 0 106 1 0
26% #DIV/0! 0% 0%
emuat:

perubahan kondisi pasien dan status


n lain pasien dirujuk pasien

TDD Y T TDD
57 42 25 2
0% 60%

emuat:

perubahan kondisi pasien dan status


n lain pasien dirujuk pasien

TDD Y T TDD
85 73 14 0
0% 19%

emuat:

perubahan kondisi pasien dan status


n lain pasien dirujuk pasien
TDD Y T TDD
111 95 20 0
0% 21%

emuat:

perubahan kondisi pasien dan status


n lain pasien dirujuk pasien

TDD Y T TDD
102 85 17 0
0% 20%

emuat:

perubahan kondisi pasien dan status


n lain pasien dirujuk pasien

TDD Y T TDD
136 120 16 0
0% 13%
emuat:

perubahan kondisi pasien dan status


n lain pasien dirujuk pasien

TDD Y T TDD
92 83 10 0
0% 11%

emuat:
perubahan kondisi pasien dan status
n lain pasien dirujuk pasien
TDD Y T TDD
92 83 9 0
0% 10%

emuat:
n lain pasien dirujuk perubahan kondisi pasien dan status
pasien
TDD Y T TDD
95 88 7 0
0% 7%
emuat:
n lain pasien dirujuk perubahan kondisi pasien dan status
pasien
TDD Y T TDD
83 63 31 2
92% 33%

emuat:
perubahan kondisi pasien dan status
n lain pasien dirujuk pasien
TDD Y T TDD
96 83 15 0
0% 15%

emuat:
perubahan kondisi pasien dan status
n lain pasien dirujuk pasien
TDD Y T TDD
96 83 15 0
0% 15%
emuat:
perubahan kondisi pasien dan status
n lain pasien dirujuk pasien
TDD Y T TDD
88 76 15 0
33% 16%

emuat:
perubahan kondisi pasien dan status
n lain pasien dirujuk pasien
TDD Y T TDD
106 94 13 0
0% 12%
REVIEW KELENGKAPAN REKAM MEDIS

Bulan DPJP RUANGAN Persetujuan Umum Persetujuan Operasi Persetujuan Anestesi dan s

September KETIDAKLENGKAPAN 8% 22% 45%


October KETIDAKLENGKAPAN 13% 4% 8%
November 49% 63% 39%
Desember 39% 27% 8%
DIS

Persetujuan tindakan dan prosedur Persetujuan riset, penyelidikan dan Risiko,keuntungan,dan anestesi
Persetujuan Anestesi dan sedasi Persetujuan transfusi dan produk darah risiko tinggi percobaan klinik alternatif (PAB 5.1)

45% 42% 10% 100% 77%


8% 15% 3% 100% 10%
39% 15% 63% 100% 39%
8% 7% 10% 100% 8%
untungan,dan anestesi Risiko,keuntungan, komplikasi dan Kebutuhan medis pasien Kebutuhan keperawatan Asasmen medis selama 24 jam
ternatif (PAB 5.1) alternatif operasi (PAB 7.1)

77% 38% 1% 0% 0%
10% 14% 1% 4% 2%
39% 63% 8% 8% 10%
8% 26% 3% 5% 14%
Asesmen terdokumentasi dalam 24 jam Asesmen medis terdokumntasi sebelum
Asesmen keperawatan selama 24 jam Asasmen gizi dan status fungsional Asasmen nyeri saat masuk
setelah masuk dirawat operasi

0% 9% 18% 46% 44%


6% 1% 2% 46% 44%
8% 5% 8% 40% 20%
5% 16% 30% 40% 22%
Asasmen dan asasmen ulang pasien yg Asasmen awal untuk rencana Asasmen setiap hari oleh dokter untuk
Asasmen nyeri saat masuk Asasmen kebutuhan khusus
akan meninggal pemulangan pasien pasien akut (SOAP)

44% 36% 87% 31% 21%


44% 50% 74% 41% 43%
20% 28% 27% 43% 42%
22% 29% 21% 26% 36%
Asesmen kebutuhan
tiap hari oleh dokter untuk Ukuran keberhasilan dari rncana asuhan pendidikan pasien dan Asasmen pra sedasi monitoring selama sedasi Kriteria sadar kembali
sien akut (SOAP) keluarga

21% 13% 76% 100% 100% 100%


43% 18% 76% 100% 100% 100%
42% 15% 46% 100% 100% 71%
19% 29% 100% 100% 79%
Daftar obat yang diminum sebelum Jenis obat yang diresepkan dicatat di
Kriteria sadar kembali Asasmen pra anestesi dan pra induksi Efek obat yang tidak diharapkan
dirawat rekam medis

100% 23% 88% 3% 93%


100% 13% 93% 8% 93%
71% 19% 92% 12% 95%
55% 46% 10% 77%
Asasmen budaya pasien Asasmen tingkat Asasmen kendala emosional Asasmen konigtif
kendala fisik dan Asasmen kesedian pasien Pencatatan,tanggal, waktu dari setiap
t yang tidak diharapkan dan keluarga pendidikan, bahasa menerima informasi entri data

93% 100% 78% 80% 80% 90% 98%


93% 100% 88% 87% 87% 86% 57%
95% 100% 56% 53% 52% 47% 31%
100% 34% 33% 34% 34% --
Resume pulang

,tanggal, waktu dari setiap Pencatatan setiap keterlambatan Rencana asuhan pasien Alasan dirawat, diagnosis
entri data tindakan Temuan Fisik penting Tindakan diagnostik dan prosedu
(utama,sekunder)

98% 100% 0% 6% 47% 44%


57% 91% 1% 0% 19% 26%
31% 80% 2% 0% 28% 29%
-- 58% 12% 1% 10% 23%
Resume pulang Rekam medis pasien dirujuk memuat:

Obat yang diberikan,termasuk obat Nama RS dan Nama orang yg


Tindakan diagnostik dan prosedur Instruksi tindak lanjut (follow up) Alasasn pasien dirujuk
setelah pulang menyetujui menerima

44% 21% 45% 70% 0%


26% 18% 42% 70% 0%
29% 16% 55% 2% 0%
20% 56% 2% 0%
m medis pasien dirujuk memuat:

perubahan kondisi pasien dan status


Alasan lain pasien dirujuk pasien

0% 60%
0% 19%
0% 21%
0% 20%

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