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CLINICAL PATHWAYS

RSUD KOTA BEKASI


JAWA BARAT
........................................................................
Nama Pasien:
Umur:
Berat Badan: Tinggi Badan
.............................................................................................
..kg
kg .......... Cm
Diagnosis Awal: .
Kode ICD 10 :
Tgl/Jam
Tgl/Jam keluar: Lama Rwt
Kelas:
R. Rawat
masuk:
.
.

... hari
..
Admisi

Aktivitas Pelayanan

Diagnosis:
Penyakit Utama
Penyakit Penyerta


Komplikasi

Rawat Inap
Hari Rawat 3
Hari Rawat 4

IGD

IRJ

Hari Rawat 1

Hari Rawat 2

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

Asessmen Klinis:
Pemeriksaan dokter
Konsultasi


Pemeriksaan Penunjang:




Rencana rawat :

Tindakan :




+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

Obat Obatan::





Pembiusan Umum Gas:



Pembuisan Umum Injeksi:



Pembiusan Regional/Lokal:


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

Mobilisasi::

Hasil (Outcome):

+/-

+/-

+/-

+/-

+/-

+/-

..

+/-

+/-

+/-

+/-

+/-

+/-

..

+/-

+/-

+/-

+/-

+/-

+/-

..

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

..

..

Pendidikan/Promosi
Pemulangan:
Kesehatan/Rencana



Varians:

Jumlah Biay
Perawat (PPJP)

DPJP Admisi:

Diagnosis Akhir:

Kode ICD 10

Utama

DPJP

Utama

DPJP Operasi:

Utama

DPJP Anestesi

Utama

Verifikator:

Utama

Jenis Tindakan:

.........
Nomor Rekam Medis:
.
Rencana rawat : hari
Biaya (Rp)
Tarif/hr (Rp):
.

Hari Rawat

+/+/-

+/+/-

+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/-

+/+/+/-

+/+/-

+/+/-

+/+/-

+/-

+/-

+/+/+/
Jumlah Biaya ..............
Kode ICD 9 CM

CLINICAL PATHWAYS
RSUD KOTA BEKASI
JAWA BARAT
........................................................................

Nama Pasien:
Umur:
Berat
Tinggi Badan
Nomor Rekam
Badan:
.............................................................................................
kg
kg .......... Cm

Diagnosis Awal: .
Kode ICD 10 :
Rencana rawat : h

Tgl/Jam
Tgl/Jam
Lama Rwt
Kelas:
Tarif/hr (Rp):
R. Rawat
masuk:
keluar:

.
.
... hari
..
.
Aktivitas Pelayanan
Admisi
Rawat Inap
IGD
IRJ
Hari RW 1 Hari RW 2 Hari RW 3 Hari RW 4 Hari RW
5
Diagnosis:
Penyakit Utama
Penyakit Penyerta


Komplikasi


Asessmen Klinis:
Pemeriksaan dokter
Konsultasi


Pemeriksaan Penunjang:





Tindakan :





Obat Obatan::


+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-



Pembiusan Umum Gas:



Pembuisan Umum Injeksi:



Pembiusan Regional/Lokal:


Nutrisi::
..kkal/hari
Protein .gram/hari
Mobilisasi::

Hasil (Outcome):

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

..
..
..
Pendidikan/Promosi
Pemulangan:
Kesehatan/Rencana


+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/..

+/+/+/..

Varians:

+/+/+/+/+/+/+/+/+/+/+/+/+/+/+/
Jumlah Biaya

Perawat (PPJP)

DPJP Admisi:

Diagnosis Akhir:

Kode ICD 10

Utama

DPJP

Utama

DPJP Operasi:

Utama

DPJP Anestesi

Utama

Verifikator:

Utama

Jenis Tindakan:

..........

Nomor Rekam Medis:


.
Rencana rawat : hari
Tarif/hr (Rp):
Biaya (Rp)
.

Hari RW
6

+/+/+/+/-

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

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

+/+/+/

Jumlah Biaya ..............


dakan:
Kode ICD 9 CM

CLINICAL PATHWAYS
RSUD KOTA BEKASI
JAWA BARAT
........................................................................
Nama Pasien:

Umur:

.............................................................................................

Diagnosis Awal: .
R. Rawat

Aktivitas Pelayanan

.
IRJ

Hari

kg

Kode ICD 10 :
Tgl/Jam
keluar: Lama Rwt

Admisi
IGD

Diagnosis:
Penyakit Utama
Penyakit Penyerta


Komplikasi

Tgl/Jam
masuk:

Berat Badan: Tinggi Badan

RW Hari
1

... hari

Nomor Rekam Med

........ Cm

Rencana rawat : hari


Tarif/hr (Rp):

Kelas:
..

Rawat Inap
RW Hari
RW Hari
3
RW 4

.
Hari
RW 5

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

Pemeriksaan Penunjang:




+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

Tindakan :




+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

Obat Obatan::




+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

Pembiusan Umum Gas:


+/-

+/-

+/-

+/-

+/-

+/-

+/-

Asessmen Klinis:
Pemeriksaan dokter

Hari
RW 6

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

Pembuisan Umum Injeksi:




+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

Pembiusan Regional/Lokal:

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

..

+/-

+/-

+/-

+/-

+/-

+/-

+/-

..

+/-

+/-

+/-

+/-

+/-

+/-

+/-

..

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/+/+/..

+/+/+/..

+/+/+/

+/+/+/

+/+/+/

+/+/+/

+/+/+/

Nutrisi::
..kkal/hari
Protein .gram/hari
Mobilisasi::

Hasil (Outcome):

Pendidikan/Promosi
Pemulangan:
Kesehatan/Rencana



Varians:

Jumlah Biaya
Perawat (PPJP)

DPJP Admisi:

Diagnosis Akhir:

Kode ICD 10

Utama

DPJP

Utama

DPJP Operasi:

Utama

DPJP Anestesi

Utama

Verifikator:

Utama

Jenis Tindakan:

...
Nomor Rekam Medis:
.

encana rawat : hari


/hr (Rp):
Biaya (Rp)

Hari

RW
7

+/+/+/+/-

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

an:

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

+/-

+/-

+/+/+/
Jumlah Biaya ..............
Kode ICD 9 CM

CLINICAL PATHWAYS
RSUD KOTA BEKASI
JAWA BARAT
........................................................................
Nama Pasien:

Umur:

Berat Badan:

Tinggi Badan

Nomor Rekam Med

.............................................................................................

kg

........ Cm

Diagnosis Awal: .
R. Rawat
.
Aktivitas Pelayanan

Kode ICD 10 :

Tgl/Jam masuk:
Tgl/Jam
keluar:
..............

Lama Rwt

Kelas:

. Hari

..

Rawat Inap

Admisi

Ruang : ....................................................................
1
3
3
4
5

IGD

IRJ

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

Pemeriksaan Penunjang:




+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

Tindakan :




+/+/+/+/+/-

+/+/+/+/+/-

Obat Obatan::




+/+/+/+/+/-

+/+/+/+/+/-

Diagnosis:
Penyakit Utama
Penyakit Penyerta


Komplikasi

Rencana rawat : hari


Tarif/hr (Rp):

10

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

Asessmen Klinis:
Pemeriksaan dokter

Pembiusan Umum Gas:

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

Pembuisan Umum Injeksi:




+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

Pembiusan Regional/Lokal:

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

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

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/+/ ..
+/+/ ..
+/+/ ..
Pendidikan/Rencana Pemulangan/ Promosi Kesehatan :

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

Mobilisasi::
Tirah Baring
Duduk..
Berdiri
Jalan
Hasil (Outcome):

Varians:

+/+/+/..

+/+/+/..

Jumlah Biaya
Perawat (PPJP)

DPJP Admisi:

Diagnosis Akhir:

Kode ICD 10

Utama

DPJP

Utama

DPJP Operasi:

Utama

DPJP Anestesi

Utama

Verifikator:

Utama

Jenis Tindakan:

or Rekam Medis:

Biaya (Rp)

..............
Kode ICD 9 CM

CLINICAL PATHWAYS
RSUD KOTA BEKASI
JAWA BARAT
........................................................................
Nama Pasien:

Umur:

Berat Badan:

Tinggi Badan

......................................................................

kg

........ Cm

Diagnosis Awal: .
R. Rawat

Kode ICD 10 :

Tgl/Jam
masuk:

.
Aktivitas Pelayanan

Diagnosis:
Penyakit Utama
Penyakit Penyerta


Komplikasi

Tgl/Jam keluar:

Lama Rwt

. Hari

..............

Rencana rawat : hari


Kelas:
Tarif/hr (Rp):
..

Rawat Inap

Admisi
IGD

Nomor Rekam M

IRJ

Ruang : ....................................................................
HR 1
HR 2
HR 3
HR 4
HR 5
HR 6

HR 7

HR 8

HR 9

HR 10

HR 11

HS

HS

HS

HS

HS

HS

HS

HS

HS

HS

HS

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

Pemeriksaan Penunjang:




+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

Tindakan :




+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

Obat Obatan::




+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

Pembiusan Umum Gas:



+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

Asessmen Klinis:
Pemeriksaan dokter

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

Pembuisan Umum Injeksi:




+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

Pembiusan Regional/Lokal:

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

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

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

Tirah Baring

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

Duduk..

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

Berdiri

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

Jalan
Hasil (Outcome):

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/+/ ..
+/+/ ..
+/+/ ..
Pendidikan/Rencana Pemulangan/ Promosi Kesehatan :

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

Mobilisasi::

Varians:

+/+/+/..

+/+/+/..

Jumlah Bi
Perawat (PPJP)

DPJP Admisi:

Diagnosis Akhir:

Kode ICD 10

Utama

DPJP

Utama

DPJP Operasi:

Utama

DPJP Anestesi

Utama

Verifikator:

Utama

Jenis Tindakan:

or Rekam Medis:

arif/hr (Rp):
Biaya (Rp)

HR 12
HS

+/+/+/+/-

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

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

+/+/+/..
Jumlah Biaya ..............
Kode ICD 9 CM

CLINICAL PATHWAYS
RSUD KOTA BEKASI
JAWA BARAT
........................................................................
Nama Pasien:

Umur:

......................................................................
Diagnosis Awal: .
R. Rawat
.
Aktivitas Pelayanan

Admisi
IGD

Berat Badan:

Tinggi Badan

.
kg
........ Cm
Kode ICD 10 :

Tgl/Jam
masuk:
Tgl/Jam keluar:

..............

Rawat Inap

Nomor Rekam Medis:

Lama Rwt
. Hari

Rencana rawat : hari


Kelas:
Tarif/hr (Rp):
..
.

Ruang : ....................................................................
IRJ

HR 1

HR 2

HR 3

HR 4

HR 5

HR 6

HR 7

HR 8

HR 9

HR 10

HR 11

HR 12

HS

HS

HS

HS

HS

HS

HS

HS

HS

HS

HS

HS

Diagnosis:
Penyakit Utama
Penyakit Penyerta
+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

Pemeriksaan Penunjang:




+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

Tindakan :




+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

Obat Obatan::




+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

Pembiusan Umum Gas:



+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

Komplikasi

Asessmen Klinis:
Pemeriksaan dokter

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

Pembuisan Umum Injeksi:




+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

Pembiusan Regional/Lokal:

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

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

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

Tirah Baring

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

Duduk..

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

Berdiri

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

Jalan
Hasil (Outcome):

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/+/+/ ..
+/+/+/ ..
+/+/+/ ..
Pendidikan/Rencana Pemulangan/ Promosi Kesehatan :

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/-

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

+/+/+/..

Mobilisasi::

Varians:

+/+/+/..

+/+/+/..

+/+/+/..

Jumlah
Perawat (PPJP)

Diagnosis Akhir:

DPJP Admisi:

Utama

DPJP

Utama

DPJP Operasi:

Utama

DPJP Anestesi

Utama

Verifikator:

Utama

Kode ICD 10

Jenis Tindakan:

Rekam Medis:

.
Biaya (Rp)

Tarif/hr (Rp):
.

HR 13 HR 14
HS

HS

+/-

+/-

+/-

+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/+/+/+/-

+/+/-

+/+/-

+/-

+/-

+/+/+/-

+/+/+/-

+/+/-

+/+/-

+/+/-

+/+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/-

+/+/+/-

+/+/+/-

+/+/+/..

+/+/+/..

Jumlah Biaya ..............


Kode ICD 9 CM

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