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Dody Firmanda
27 28 Februari 2013
http://www.scribd.com/Komite%20Medik
CLINICAL PATHWAYS
RS MITRA KELUARGA KEMAYORAN
JAKARTA
..
Nama Pasien:
Diagnosis Awal: .
Aktivitas Pelayanan
.
Admisi
Umur:
Berat Badan:
Tinggi Badan:
Nomor Rekam Medis:
..kg
..cm
.
Kode ICD 10 :
Rencana rawat : hari
Tgl/Jam masuk:
Tgl/Jam keluar: Lama Rwt Kelas: Tarif/hr (Rp):
Biaya (Rp)
.
.
... hari ..
.
IGD
Hari Rawat 1
R. Rawat
IRJ
Hari Rawat 2
Hari Rawat 3
Hari Rawat 4
Hari Rawat 5
Diagnosis:
Penyakit Utama
Penyakit Penyerta
+/+/-
+/+/-
+/+/-
+/+/-
+/+/-
+/+/-
+/+/-
Komplikasi
+/+/-
+/+/-
+/+/-
+/+/-
+/+/-
+/+/-
+/+/-
Asessmen Klinis:
Pemeriksaan dokter
Konsultasi
Pemeriksaan Penunjang:
Tindakan::
..
+/+/-
+/+/-
+/+/-
+/+/-
+/+/-
+/+/-
+/+/-
..
..
+/+/+/+/+/+/-
+/+/+/+/+/+/-
+/+/+/+/+/+/-
+/+/+/+/+/+/-
+/+/+/+/+/+/-
+/+/+/+/+/+/-
+/+/+/+/+/+/-
..
+/+/+/+/+/+/-
+/+/+/+/+/+/-
+/+/+/+/+/+/-
+/+/+/+/+/+/-
+/+/+/+/+/+/-
+/+/+/+/+/+/-
+/+/+/+/+/+/-
..
19
Obat Obatan::
+/+/+/+/-
+/+/+/+/-
+/+/+/+/-
+/+/+/+/-
+/+/+/+/-
+/+/+/+/-
+/+/+/+/-
..
+/+/+/-
+/+/+/-
+/+/+/-
+/+/+/-
+/+/+/-
+/+/+/-
+/+/+/-
+/+/+/-
+/+/+/-
+/+/+/-
+/+/+/-
+/+/+/-
+/+/+/-
+/+/+/-
+/+/-
+/+/-
+/+/-
+/+/-
+/+/-
+/+/-
+/+/-
Nutrisi::
..kkal/hari
Protein .gram/hari
+/+/-
+/+/-
+/+/-
+/+/-
+/+/-
+/+/-
+/+/-
..
Mobilisasi::
+/-
+/-
+/-
+/-
+/-
+/-
+/-
..
+/+/+/-
+/+/+/-
+/+/+/-
+/+/+/-
+/+/+/-
+/+/+/-
+/+/+/-
+/+/+/..
+/+/+/..
+/+/+/
+/+/+/
+/+/+/
+/+/+/
+/+/+/
Hasil (Outcome):
..
..
..
Pendidikan/Promosi
Kesehatan/Rencana
Pemulangan:
.
Varians:
Perawat (PPJP)
DPJP Admisi:
..
DPJP:
DPJP Operasi:
.
DPJP Anestesi
.............................
Verifikator:
Diagnosis Akhir:
Jumlah Biaya
..
Jenis Tindakan:
Kode ICD 9 CM
Kode ICD 10
Utama
..
Penyerta
Komplikasi
..
....
...
..
..
...
.
.
..
20