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Dody Firmanda 2011 - Komite Medis 012- Format SPM/PPK

Dody Firmanda 2011 - Komite Medis 012- Format SPM/PPK

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Published by Dody Firmanda
Format SPM/PPK Komite Medis RSUP Fatmawati Jakarta. (Dody Firmanda)
Format SPM/PPK Komite Medis RSUP Fatmawati Jakarta. (Dody Firmanda)

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Published by: Dody Firmanda on Jan 13, 2011
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09/09/2013

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F/006/012/R/00
RSUP FATMAWATI
 
PANDUAN PRAKTIK KLINIK
 
Tentang
 
........................................
 
DISAHKAN OLEH
 
DIREKTUR UTAMA _________________________________ NIP ..........................................
 
NOMOR DOKUMEN : TANGGAL :
 
REVISI KE : NOMOR REVISI : TANGGAL :
 
A. Pengertian( Definisi )
 
……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
 
B. Anamnesis
 
…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
 
C. PemeriksaanFisik
 
…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
 
D. Kriteria Diagnosis
1.
…………………………………………………………………………………
 2.
…………………………………………………………………………………
 3.
…………………………………………………………………………………
 
E. Diagnosis
 
……………………………………………………………………………………………
 
F. DiagnosisBanding
1.
…………………………………………………………………………………
 2.
…………………………………………………………………………………
 3.
…………………………………………………………………………………
 
G. PemeriksaanPenunjang
1.
…………………………………………………………………………………
 2.
…………………………………………………………………………………
 3.
…………………………………………………………………………………
 4.
…………………………………………………………………………………
 5.
…………………………………………………………………………………
 
H. Terapi
 1.
…………………………………………………………………………………
 2.
…………………………………………………………………………………
 3.
…………………………………………………………………………………
 4.
…………………………………………………………………………………
 5.
…………………………………………………………………………………
 
 
F/006/012/R/00
I. Edukasi
 1.
…………………………………………………………………………………
 2.
…………………………………………………………………………………
 3.
…………………………………………………………………………………
 4.
…………………………………………………………………………………
 
J. Prognosis
 
Ad vitam : dubia ad bonam / malam
 
Ad sanationam : dubia ad bonam / malam
 
Ad fungsionam : dubia ad bonam/ malam
 
K. Tingkat Evidens
 
I/II/III/IV
 
L. TingkatRekomendasi
 
A/B/C
 
M. Penelaah Kritis
 1.
…………………………………………………………………………………
 2.
…………………………………………………………………………………
 3.
…………………………………………………………………………………
 4.
…………………………………………………………………………………
 5.
…………………………………………………………………………………
 
N. Indikator Medis
 
..........................................................................................................................................................................................................................................................................................................................................................................................
 
O. Kepustakaan
 1.
…………………………………………………………………………………
 2.
…………………………………………………………………………………
 3.
…………………………………………………………………………………
 4.
…………………………………………………………………………………
 5.
…………………………………………………………………………………
 
Jakarta, .....................................................Disetujui oleh :
 
Ketua Komite Medik
 
 _____________________________ 
 
Dibuat Oleh :
 
Ketua SMF .................................
 
 _______________________________ 
 

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