d SEMESTER 1 2016
NO SMF Panduan Praktek Klinis (PPK) yang telah dibuat Clinical Phatway (CP) yang telah dibuat
6 Gizi Klinik 1. Mild protein- calorie malnutrition (icd 10-e44.1) 1. Moderate Protein Energy Malnutrition (ICD 10:E44.0)
2. Moderate protein- calorie malnutrition (icd 10-e44.0) Non Insulin Dependent Diabetes Mellitus with Renal
3. Severe protein calorie malnutrition with nutritional marasmus (icd 10-e41 Complications (ICD10:E112)
4. Severe protein calorie malnutrition with kwashiorkor (icd 10-e40)
5. Severe protein calorie malnutrition with marasmic kwashiorkor (icd 10-e42) 2. Moderate Protein Energy Malnutrition ICD 10:E44.0)
6. Marasmic kwashiorkor (icd 10:e42) Chronic Hepatic Failure / Sirosis Hepatis (ICD10:K721)
non insulin dependent diabetes mellitus with renal complications (icd10:e112)
7. Moderate protein energy malnutrition (icd 10:e44.0) 3. Moderate Protein Energy Malnutrition (ICD 10:E44.0)
non insulin dependent diabetes mellitus with renal complications (icd10:e112) Non Haemorrhagic Stroke (ICD10:163.5)
8. Moderate protein energy malnutrition (icd 10:e44.0)
other specified diabetes melitus with diabetic peripheral angiopati with gangrene
(icd10-e13.52) 4. Moderate Protein Energy Malnutrition ICD 10:E44.0)
9. Moderate protein energy malnutrition (icd 10:e44.0) Other Specified Diabetes Melitus with Diabetic Peripheral
non haemorrhagic stroke (icd10:163.5) Angiopati with Gangrene (ICD10:E13.52)
10. Moderate protein energy malnutrition (icd 10:e44.0)
haemorrhagic stroke (icd 10:163.5 5. Savere Malnutrition with Marasmic Kwashiorkor ICD 10:E42)
11. . Moderate protein energy malnutrition (icd 10:e44.0) Non Insulin Dependent Diabetes Mellitus with Renal
nephrotic syndrome (icd 10- n04-) Complications (ICD10:E112)
12. Moderate protein energy malnutrition (icd 10:e44.0)
malignant neoplasma, unspecifiert (icd 10- c80.9) 6. Savere Malnutrition with Marasmic Kwashiorkor ICD 10:E42
13. Moderate protein energy malnutrition (icd 10:e44.0) Tuberculosis (TB) Of Lung Confirmed by Sputum
hiv disease resulting in multiple infection (icd 10- b20.7) Microscopy with or Without Culture (ICD 10:A15.0)
14. Moderate protein energy malnutrition (icd 10:e44.0)
toxic liver disease with fibrosis and cirrhosis of liver (icd 10- k717)
15. Marasmic kwashiorkor (icd 10 : e42)
tuberculosis (tb) of lung, confirmed by sputum miscroscopy with or without culture
(icd10 : a15.0)
16. Disorders of plasma – protein, not else classified (term hipoalbuminemia) (icd 10 :
e88.0)
17. Moderate protein energy malnutrition (icd 10:e44.0)
burn (icd10-t20-)
18. Moderate protein energy malnutrition (icd 10:e44.0)
open wound of abdomen, lower back and pelvis (icd10:531)
19. moderate protein energy malnutrition (icd 10:e44.0)
congestive heart failure (icd10:150.0)
20. Anaemia defisiensi besi (icd 10. D.50.9)
21. Dyslipidemia (icd 10-e78.1)
22. Obesity Due To Excess Calorie (icd 10-66.0)
23. Dietary surveillance and counselling
(z 71.3)
24. Prosedur : nutrisi enteral (icd9cm-96.6)
25. Nutrisi parenteral total (icd9-cm 99.15)
26. Unspecified Severe Protein- Calorie Malnutrition (Icd10-E43)
7 Jantung dan 1. St elevasi miocard infark (stemi) 1. St elevasi miocard infark (stemi)
Pembuluh 2. Non st elevasi miocard infarct (nstemi) 2. Fibrilasi atrium bergejala
Darah 3. Asimptomatik risiko tinggi penyakit jantung koroner 3. Gagal jantung kongestif
4. Angina pektoris (i 20.8) 4. Non st elevasi miocard infarct (nstemi)
5. Gagal jantung kronik
6. Fibrilasi atrium bergejala
8 KUL-KEL 1. Dermatitis numularis 1. Dermatitis numularis
2. Dermatitis seboroik 2. Eritroderma
3. Morbili 3. Herpes Zoster
4. Necrolysis epidermal toxic 4. Morbil
5. Pityriasis rosea 5. Nekrolisis Epidermal Toksik (NET)
6. Psoriasis vulgaris 6. Pemfigus Vulgais
7. Ulkus dekubitus 7. Profiasis Vulgaris
8. Dermatitis kontak alergi 8. Skabies
9. Pitiriasis alba 9. Sindrom Steven Johnson
10. Pitiriasis versikolor 10. Ulkus Dekubitus
11. Skabies
12. Vaginosis bacterial
13. Dermatitis popok
14. Miliaria
15. Prurigo nodularis