Professional Documents
Culture Documents
Diagnosis / Tindakan
No
Nama/
No.Reg
L/P
Umur
Tgl MRS Tgl. OPR
(th)
Dx Pre-Op
Lendra Wati
12161015
39
47
Musliyah
12109236
3
Endang Dwi
sulistiyani
12311576
Khusnul
Khotimah
12186149
Herawati
10633232
Nanik
12318678
55
P
44
P
50
p
48
P
Tindakan
Operasi /
Tindakan +
ICOPIM
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Dx Final + ICD
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Jenis Terapi
Operator
OB/
Operas OBT
PPDS /
i/NonO /
Senior
p
OT/
OI
Neoplasma Non op Grup
Penyakit
Pembimbing
Sif
at Ketep
Op atan
er Dx
asi
Perawatan
M/ Tepat
Total
Waktu
B/
/
PeraTgg Op
T/ Miss/
watan
(Hari)
A Under
(Hari)
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
10
Khusnul
Huluq
12283278
Suminah
12067861
Masamah
10707776
Saini
12309557
17
L
60
P
49
P
49
p
11
Samsuni
12286557
44
12
Luih Muliati
12181785
13
14
Sumnah
12301624
Suminah
12067661
15 Sri mawanah
12268364
Laiqoh
Fardianah
10958245
17 Suryaningsih
12312983
55
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
55
14/04/14
46
Kemoterapi
(99.25)
Kemoterapi
(99.25)
P
43
P
16
KRS
Soft tissue tumour
23/04/14 regio femur D (C49.1)
45
14/04/14 23/04/14
56
22/04/14 23/04/14
Ca mamma D
T4bN0M0
(C.50.1)
Tumor ganas kulit
regio palpebra inf
D(BCC)
(C44.1)
Wide eksisi
(
MRM
(85.43)
Wide eksisi
(86.40)
Chemotherapy
Session ec Soft tissue
sarcoma regio pedis D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Soft tissue tumour
regio femur D (C49.1)
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
9 hari 11 hari
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Ca mamma D
T4bN0M0
(C.50.1)
Tumor ganas kulit
regio palpebra inf
D(BCC)
(C44.1)
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
9 hari 11 hari
1 hari
Neoplasma
Neoplasma
Op
Op
Neoplasma Non op
OB VDY/TA
V/OSA
OB FDS/TA
V/OSA
-
2 hari
18
Supini
12116937
19 Siti Zahrowati
12268732
20
21
22
Suminah
12067661
Vida
Nurkhayati
12271152
Ernie
12269890
44
49
P
60
P
38
P
24
25
Munawaroh
12147465
Retno W
12202641
26 Siti Muntafiah
12215743
27
28
Suminah
12087661
Titik Suwarti
12210638
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
21/03/14
KRS
Multiple FAM Bilateral
26/03/14
(D24.0)
24/03/14
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
35
23
Sukariani
12285624
45
52
24/03/14
P
44
24/03/14
P
42
24/03/14
P
47
24/03/14
P
P
62
24/03/14
Eksisi FAM
Bilateral
(85.21)
Kemoterapi
(99.25)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Multiple FAM Bilateral
(D24.0)
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
OB
KID
NOR
dr. IKA,
SpB(K)Onk
4 hari
5 hari
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma
Op
(Z51.1)
39
Arbati
10.31.32.41
48
26/03/14
KRS
29/03/14
48
27/03/14
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
P
30
31
Karmini
12274248
Mutiawati S
12163960
32 Siti muntayiah
12215743
33
34
35
36
37
38
Kartinah
12291692
Siti
Mahmudah
12262894
Kariah
12102053
Sholipah
11015959
Sulastri
10574410
Napiyah
12022566
P
56
27/03/14
P
27/03/14
P
50
27/03/14
48
39
25/04/14
P
44
25/04/14
P
25/04/14
P
41
25/04/14
61
44
25/04/14
Ca mamma S
T4bN0M0
(C50.1)
MRM
(85.43)
Ca mamma S
T4bN0M0
(C50.1)
Chemotherapy
Session ec Ca
Mammae S
(Z51.1)
Chemotherapy
Session ec Ca
Mammae S
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae S
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Neoplasma
Op
OB dr. IKA,
SpB(K)
Onk/
FDS/ER
J
Neoplasma Non op -
1 hari
3 hari
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
39
40
Meda
Moedjiwati
10885494
Suciati
12298642
41 Dwi Rahayu
12109133
42
43
44
45
46
47
48
Mukzizah
12306678
Kartinah
12291692
Fatimah
60119052
Siti Sumarni
12253376
Sri Astuti
12302507
Churrotin
12327155
Umi
60127153
52
25/04/14
P
44
26/04/14
p
41
26/04/14
P
40
26/04/14
P
44
26/04/14
P
54
26/04/14
P
45
26/04/14
P
31
26/04/14
P
43
26/04/14
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
Kemoterapi
(99.25)
KRS
30/04/14
46
P
26/04/14
KRS
Ca mamma S T3N1M0
(C50.1)
MRM
(85.43)
Ca Mamma S T2NoMo
Breast conserving
(C50.1)
surgery
29/04/14
(85.23)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Chemotherapy
Session ec Ca
Mammae D
(Z51.1)
Ca mamma S
T3N1M0
(C50.1)
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma Non op
1 hari
2 hari
Neoplasma
Op
1 hari
4 hari
Ca Mamma S
T2NoMo
(C50.1)
Neoplasma
Op
1 hari
3 hari
OB Dr.DSK,
SpB (K)
Onk/FD
S/ERJ
OB Dr.EHT,
SpB (K)
Onk/FD
S/NOR
49
Suwani
10951853
61
27/04/14
Kemoterapi
(99.25)
Chemotherapy
Session ec Ca
Mammae S
(Z51.1)
Neoplasma Non op
1 hari
Antibiotik
Outcome
ILO
Komplikasi
Morbiditas
Keterangan
Morbiditas
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Alasan
Pulang
Paksa
-
Causa Mortalitas
Nama Antibiotik
Dosis (Satuan)
Jenis AB
Prof./Ter
2 hari
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
cefuroxime
cefuroxime
cefuroxime
cefuroxime
-
1,5 gr
1,5 gr
1,5 gr
1,5 gr
-
Profilaksis
Profilaksis
Profilaksis
Profilaksis
-
Rasional
Rasional
Rasional
Rasional
-
45
46
47
48
49
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
Sembuh + follow up
cefuroxime
cefuroxime
-
1,5 gr
1,5 gr
-
Profilaksis
Profilaksis
-
Keterangan:
A= ahli; M=mandiri; B=Bimbingan; P=Preventable; R=Rasional; Prof=Profilaksis; Ter=Terapeutik; Ras=Rasional
Operasi/Non-Op/Re-op=1. Operasi, 2. Non-Operasi, 3. Re-Operasi
Grup penyakit = 1. Neoplasma, 2. Trauma, 3. Kongenital, 4. Infeksi, 5. Endokrin, 6. Degeneratif. 7. Lain-lain
Grup OB/OBT/OT/OI = 1. OB=Operasi Bersih; 2. OBT=Operasi Bersih Terkontaminasi; 3. OT=Operasi Terkontaminasi; 4. OI=Operasi Infeksi
Sifat Operasi= 1. Mandiri, 2. Bimbingan, 3. Ahli, 4. Trainee
Ketepatan Diagnosis = 1. Tepat, 2. Miss, 3. Under
Outcome = 1. Sembuh, 2. Sembuh+follow up, 3. Belum Sembuh, 4. Pulang Paksa, 5. Meninggal NP, 6. Meninggal P
Morbiditas = 1. Administrasi, 2. Diagnosis, 3. Pengelolaan, 4. Operasi, 5. Tidak ada
Jenis antibiotik = 1. Profilaksis, 2. Therapeutic, 3. Tanpa antibiotik, 4. Analgesik
Rasional/Tidak Rasional = 1. Rasional, 2. Tidak Rasional
Laki-laki
Perempuan
:
:
6
6
43
1
48
5.
Outcome
Sembuh
Sembuh + Follow Up
Belum Sembuh
Pulang Paksa
Meninggal
Preventable
Non
:
:
:
:
49
-
:
:
Rasional
Rasional
-
Prevebtable
3.
4.
Ketepatan Diagnosis
Tepat
Miss
Under
:
:
:
49
-
Operator
Senior
PPDS Mandiri
Bimbingan
Trainee
:
:
:
:
3
2
1
0
Mengetahui
6.
Morbiditas
7.
ILO
8.
Komplikasi dini
Pelapor,
Kasubag/Senior,
dr.Vidy/dr.Nurudin/dr.Firdaus