INSTALASI REKAM MEDIS

RSUP Dr. HASAN SADIKIN

BANDUNG

MORBIDITAS PASIEN RAWAT INAP

PERIODE :

Kode ICD :

SMF
No No Ipd

s/d

K35

s/d

13-JUL-15

%
%
%
%

K35.9
KELOMPOK UMUR :

%
No RM

01-JAN-15

Nama Pasien

Umur Sex

Ruang

J. Kelamin :
Kelas

Tgl Masuk Tgl Keluar LOS

ICD

Nm Diagnosa

Disposisi C_Bay Jamin

1 15021133 0001430800 UJANG IMAN. F

24

KEMUNIN
G IV(A)

III A

12-FEB-15

16-FEB-15

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

2 15024267 0001458302 ZASKIA KYLA. F

KEMUNIN
G II(A)

III A

12-JUN-15

17-JUN-15

K35.9

Acute appendicitis,
unspecified

3 15023505 0001451206 IMA MAHMUDA, NY

4 15023456 0001372306 REIVAN CAHYA

Perbaikan KONTR BPJS PBI

AKTOR

25

KANA

III A

14-MAY-15 18-MAY-15

K35.0

Acute appendicitis with Perbaikan UMUM

generalized peritonitis

KEMUNIN
G II(A)

III A

12-MAY-15 21-MAY-15

K35.1

Acute appendicitis with Perbaikan KONTR

peritoneal abscess
AKTOR

KEMUNIN
G II(A)

III A

16-APR-15 20-APR-15

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

RAMADAN
5 15022813 0001444807 FAKHRI RAMDHANI 10

F., AN.

BPJS
UMUM

6 15021650 0001435307 VINSENT HADI

35

KEMUNIN
G IV(B)

III A

03-MAR-15 09-MAR-15

K35.0

Acute appendicitis with Perbaikan TIDAK

generalized peritonitis
MAMP
U

7 15020648 0001162708 ROSITA, NY

42

KEMUNIN
G III(A)

III A

25-JAN-15

28-JAN-15

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

8 15021654 0001435308 DENI PIRMANSYAH 20

KEMUNIN
G IV(B)

III A

03-MAR-15 06-MAR-15

K35.9

Acute appendicitis,
unspecified

9 15023087 0001447509 YOLA APRILIANI,

16

KEMUNIN
G III(A)

III A

28-APR-15 04-MAY-15

K35.0

18

KANA

III A

01-MAY-15 07-MAY-15

K35.0

Acute appendicitis with Perbaikan TIDAK

generalized peritonitis
MAMP
U

43

KEMUNIN
GV

II

21-JAN-15

K35.9

Acute appendicitis,
unspecified

YANTI SUKANDAR
NN
11 15020562 0000181509 TUTI MARLIA.NY.

AKTOR

Acute appendicitis with Perbaikan TIDAK

generalized peritonitis
MAMP
U

NN
10 15023174 0001448209 ARTI CHANDRA

Perbaikan KONTR BPJS PBI

24-JAN-15

Perbaikan KONTR
AKTOR

BPJS
ASKES

12 15022126 0001439210 JOKO SARIYONO

39

KEMUNIN
G IV(A)

III A

21-MAR-15 30-MAR-15

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

13 15020730 0001427010 TATANG

42

KEMUNIN
G IV(B)

III A

27-JAN-15

02-FEB-15

K35.0

Acute appendicitis with Perbaikan UMUM

generalized peritonitis

14 15023387 0001450112 KARTIKA

23

KEMUNIN
G III(A)

III A

10-MAY-15 14-MAY-15

K35.9

Acute appendicitis,
unspecified

SULASTRI. NN
15 14028672 0001419712 CECEP RAHMAT,

Sembuh KONTR BPJS PBI

AKTOR

34

KANA

III A

26-DEC-14 01-JAN-15

K35.0

Acute appendicitis with Perbaikan TIDAK

generalized peritonitis
MAMP
U

16 15024608 0001461512 SYARIF HIDAYAT

49

KEMUNIN
G IV(B)

III A

26-JUN-15

30-JUN-15

K35.0

Acute appendicitis with Perbaikan TIDAK

generalized peritonitis
MAMP
U

17 15022410 0000110314 SURYANI , NY.

53

KEMUNIN
G III(A)

III A

31-MAR-15 04-APR-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

18 15021591 0001434715 HARSONO

35

KEMUNIN
G IV(B)

III A

01-MAR-15 10-MAR-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

19 15030560 0001427315 M. RAIHAN

13

KENANGA
2

II

28-JAN-15

K35.9

Acute appendicitis,
unspecified

TN

01-FEB-15

BPJS
ASKES

Perbaikan KONTR
AKTOR

20 15021301 0001432116 ELIS , NY.

38

KEMUNIN
G III(A)

III A

17-FEB-15

23-FEB-15

K35.0

Acute appendicitis with Perbaikan TIDAK

generalized peritonitis
MAMP
U

21 15022214 0001439916 GIANI SAHARA

17

KEMUNIN
G III(A)

III A

24-MAR-15 27-MAR-15

K35.9

Acute appendicitis,
unspecified

Perbaikan KONTR BPJS PBI

KEMUNIN
G IV(A)

III A

K35.9

Acute appendicitis,
unspecified

Perbaikan KONTR BPJS PBI

KEMUNIN
G III(A)

III A

K35.9

Acute appendicitis,
unspecified

Perbaikan KONTR BPJS PBI

22 15021948 0001437617 ROHENDI

20

23 14028801 0001046318 SRI WAHYUNI , NN. 23

24 15022935 0001446118 FAHMILYA SARI

L
P

31-DEC-14 05-JAN-15

AKTOR

AKTOR

18

KEMUNIN
G III(A)

III A

21-APR-15 27-APR-15

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

20

KEMUNIN
G IV(B)

III A

05-APR-15 08-APR-15

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

MELATI
25 15022485 0001442219 M. RIZAL ADLI

14-MAR-15 17-MAR-15

AKTOR

Hal 1/ 6

INSTALASI REKAM MEDIS

RSUP Dr. HASAN SADIKIN
BANDUNG

MORBIDITAS PASIEN RAWAT INAP

PERIODE :

Kode ICD :

SMF
No No Ipd

s/d

K35

s/d

13-JUL-15

%
%
%
%

K35.9
KELOMPOK UMUR :

%
No RM

01-JAN-15

Nama Pasien

Umur Sex

Ruang

26 15021449 0001433419 KARINA, NN

21

KEMUNIN
GV

27 15020044 0001421219 NOVRIZAL C.

29

28 15023556 0001451520 WIWIN, NN

23

29 15023636 0001452120 SITI AISAH, NY

J. Kelamin :
Kelas

Tgl Masuk Tgl Keluar LOS

ICD

Nm Diagnosa

Disposisi C_Bay Jamin

23-FEB-15 02-MAR-15

K35.0

Acute appendicitis with Perbaikan UMUM

generalized peritonitis

PV.PARA RKUTM-A
HYANGA
N4

03-JAN-15

05-JAN-15

K35.9

Acute appendicitis,
unspecified

KEMUNIN
G III(A)

III A

15-MAY-15 20-MAY-15

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

56

KANA

III A

19-MAY-15 25-MAY-15

K35.0

Acute appendicitis with Perbaikan TIDAK

generalized peritonitis
MAMP
U

30 15022936 0001446121 WENTY WIDIARTI

37

KEMUNIN
GV

II

22-APR-15 27-APR-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

BPJS
UMUM

31 15021656 0001435321 GHINA APRILIANA

KEMUNIN
G II(A)

III A

03-MAR-15 06-MAR-15

K35.9

Acute appendicitis,
unspecified

BPJS
ASKES

MAULUDI

32 15020696 0001425922 SAIFUL BAHRI

II

Perbaikan UMUM

Sembuh KONTR
AKTOR

18

PV.PARA RKUTM-B
HYANGA
N3

27-JAN-15

31-JAN-15

K35.0

Acute appendicitis with Perbaikan UMUM

generalized peritonitis

33 15023101 0001221223 DWI SRI ANGGORO 27

KEMUNIN
GV

II

28-APR-15 04-MAY-15

K35.0

Acute appendicitis with Perbaikan UMUM

generalized peritonitis

KEMUNIN
G II(A)

III A

19-MAY-15 22-MAY-15

K35.9

Acute appendicitis,
unspecified

Perbaikan UMUM

28

KEMUNIN
G III(A)

III A

21-FEB-15

K35.9

Acute appendicitis,
unspecified

Perbaikan TIDAK

25-DEC-14 01-JAN-15

K35.0

Acute appendicitis with Perbaikan TIDAK

generalized peritonitis
MAMP
U

16-FEB-15

K35.9

Acute appendicitis,
unspecified

Perbaikan KONTR

K35.9

Acute appendicitis,
unspecified

Perbaikan KONTR BPJS PBI

K35.9

Acute appendicitis,
unspecified

Perbaikan KONTR BPJS PBI

K35.9

Acute appendicitis,
unspecified

Perbaikan KONTR

KASIH
34 15023639 0001452423 ALI AL MUZANI
35 15021387 0001432924 ANI SURYANI NY

36 14028662 0001419624 ANISA MAHARINA,

37

KANA

III A

18

KEMUNIN
GV

II

KEMUNIN
G IV(B)

III A

24-FEB-15

NY
37 15021246 0001431624 FITA MELANI

RUSMANITA
38 15022476 0001442126 EGI SAEFUL MILAN 14
39 15022092 0001438827 OTIH ROHAYANTI,

35

L
P

KANA

III A

20-FEB-15

03-APR-15 06-APR-15
19-MAR-15 23-MAR-15

NY
40 15022853 0000919027 R MUSA BAHIT

77

PV.PARA RKUTM-B
HYANGA
N2

18-APR-15 21-APR-15

MAMP
U

AKTOR

BPJS
UMUM

AKTOR

AKTOR

AKTOR

BPJS
ASKES

41 15020734 0001427028 PARMAN

42

KEMUNIN
G IV(A)

III A

27-JAN-15

03-FEB-15

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

42 15024169 0001457431 SARNITI

43

KEMUNIN
G III(A)

III A

09-JUN-15

13-JUN-15

K35.9

Acute appendicitis,
unspecified

43 15020053 0001421331 DADAN WILDAN ,

Perbaikan KONTR
AKTOR

BPJS
UMUM

KEMUNIN
G II(A)

III A

04-JAN-15

07-JAN-15

K35.0

Acute appendicitis with Sembuh KONTR BPJS PBI

generalized peritonitis
AKTOR

13

KEMUNIN
G II(A)

III A

10-JAN-15

29-JAN-15

19

K35.0

Acute appendicitis with Sembuh TIDAK

generalized peritonitis
MAMP
U

45 15023467 0001450832 DIO MEIWANDANI

21

KEMUNIN
G IV(B)

III A

12-MAY-15 17-MAY-15

K35.0

Acute appendicitis with Perbaikan KONTR

BPJS
generalized peritonitis
AKTOR JAMSOST

46 15023366 0001449833 SUKAWATI, NY

50

PV.PARA RKUTM-C
HYANGA
N2

08-MAY-15 19-MAY-15

11

K35.1

Acute appendicitis with Perbaikan KONTR

peritoneal abscess
AKTOR

BPJS
UMUM

47 15023366 0001449833 SUKAWATI, NY

50

PV.PARA RKUTM-C
HYANGA
N2

08-MAY-15 19-MAY-15

11

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

BPJS
UMUM

48 15021305 0001432234 UJANG RONI

25

KEMUNIN
G IV(A)

21-FEB-15

K35.0

Acute appendicitis with Sembuh UMUM

generalized peritonitis

PV.PARA RKUTM-A
HYANGA
N3

20-MAR-15 22-MAR-15

K35.9

Acute appendicitis,
unspecified

AN.
44 15020237 0001422932 SAHRANI

WULANDARI

EK

49 15022116 0001439134 M. LUTHFI

MAULANA, AN

III A

18-FEB-15

Perbaikan KONTR
AKTOR

BPJS
ASKES

Hal 2/ 6

INSTALASI REKAM MEDIS

RSUP Dr. HASAN SADIKIN
BANDUNG

MORBIDITAS PASIEN RAWAT INAP

PERIODE :

Kode ICD :

SMF
No No Ipd

s/d

K35

No RM

s/d

13-JUL-15

%
%
%
%

K35.9
KELOMPOK UMUR :

01-JAN-15

Nama Pasien

Umur Sex

Ruang

J. Kelamin :
Kelas

Tgl Masuk Tgl Keluar LOS

50 15023306 0001285434 VANISSA, AN

13

KEMUNIN
GV

II

51 15020100 0001421636 EHA JULAEHA, NY

52

KEMUNIN
G III(A)

III A

05-JAN-15

52 15020449 0001019736 IMIN SUTARYAT

63

KEMUNIN
G IV(B)

III A

16-JAN-15

53 15023726 0001453136 FADHIL RIZKI M

19

KEMUNIN
G IV(B)

54 15022616 0001184137 UMAR MANSYUR,

55

55 15023497 0001451137 ODANG

49

56 15022434 0001441739 KIKI ANDRI

12

ICD

Nm Diagnosa

Disposisi C_Bay Jamin

12

K35.0

Acute appendicitis with Sembuh KONTR

generalized peritonitis
AKTOR

12-JAN-15

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

21-JAN-15

K35.0

Acute appendicitis with Perbaikan TIDAK

generalized peritonitis
MAMP
U

III A

22-MAY-15 26-MAY-15

K35.0

Acute appendicitis with Perbaikan UMUM

generalized peritonitis

ANTURIU
M

09-APR-15 19-APR-15

10

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

KEMUNIN
G IV(B)

III A

13-MAY-15 19-MAY-15

K35.0

Acute appendicitis with Perbaikan TIDAK

generalized peritonitis
MAMP
U

KEMUNIN
G II(A)

III A

02-APR-15 07-APR-15

K35.9

Acute appendicitis,
unspecified

TN

06-MAY-15 18-MAY-15

BPJS
ASKES

Perbaikan KONTR BPJS PBI

AKTOR

57 15020505 0001425139 FIRLI TIANIS.R

KEMUNIN
G II(A)

III A

19-JAN-15

23-JAN-15

K35.0

Acute appendicitis with Sembuh KONTR

generalized peritonitis
AKTOR

58 15023701 0001452841 ASEP FIRMAN

25

KEMUNIN
G IV(B)

III A

21-MAY-15 24-MAY-15

K35.9

Acute appendicitis,
unspecified

FIRDAUS

BPJS
UMUM

BPJS
ASKES

Sembuh KONTR BPJS PBI

AKTOR

59 14028774 0001420541 JAJA TN

37

KEMUNIN
G IV(B)

III A

30-DEC-14 05-JAN-15

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

60 15022471 0001442042 KOMARIAH NY

54

KEMUNIN
GV

II

03-APR-15 06-APR-15

K35.9

Acute appendicitis,
unspecified

10

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

61 15021913 0001437142 MEGA SUCI

Perbaikan KONTR
AKTOR

BPJS
UMUM

15

KEMUNIN
G III(A)

III A

12-MAR-15 22-MAR-15

62 15020297 0001423443 LILIS YULIDAH, NY

49

KEMUNIN
G III(A)

III A

12-JAN-15

19-JAN-15

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

63 15020421 0001424344 SYIFA FITRIA. A

18

KEMUNIN
G III(A)

III A

15-JAN-15

24-JAN-15

K35.0

Acute appendicitis with Sembuh KONTR

generalized peritonitis
AKTOR

64 15022842 0001445345 SANTI YULIANTI,

15

KEMUNIN
G III(A)

III A

17-APR-15 20-APR-15

K35.9

Acute appendicitis,
unspecified

08-APR-15 17-APR-15

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

LESTARI

NN.

BPJS
UMUM

Perbaikan KONTR BPJS PBI

AKTOR

65 15022623 0001441045 RIKA SANTIKA, NN

17

KEMUNIN
G III(A)

III A

66 15021323 0001259546 NANANG

30

KEMUNIN
GV

II

18-FEB-15

24-FEB-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

BPJS
ASKES

20

KEMUNIN
G IV(B)

III A

03-JAN-15

08-JAN-15

K35.9

Acute appendicitis,
unspecified

AKTOR

BPJS
UMUM
BPJS
UMUM

WINARNO
67 15020055 0001421346 JONATHAN ZILIWU

Sembuh KONTR

68 15020733 0001427046 LIA BADRIAH, NY

33

KANA

III A

27-JAN-15

02-FEB-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

69 15020501 0000281548 KURNIA, NY

34

KEMUNIN
G III(A)

III A

19-JAN-15

24-JAN-15

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

70 15022004 0001438050 MASTUR HIDAYAT

52

KEMUNIN
G IV(A)

III A

16-MAR-15 20-MAR-15

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

71 15023916 0001455052 ACEP SUTISNA. TN 34

KEMUNIN
G IV(A)

III A

30-MAY-15 07-JUN-15

K35.0

Acute appendicitis with Sembuh KONTR

BPJS
generalized peritonitis
AKTOR JAMSOST

EK
72 15020233 0001422852 CHRISTY AFRIYANI 19

KEMUNIN
G III(A)

III A

09-JAN-15

14-JAN-15

K35.0

Acute appendicitis with Perbaikan TIDAK

generalized peritonitis
MAMP
U

48

KANA

III A

11-MAR-15 17-MAR-15

K35.0

Acute appendicitis with Perbaikan UMUM

generalized peritonitis

74 15020827 0001427853 M. TASRIPIN

37

KEMUNIN
G IV(B)

III A

31-JAN-15

08-FEB-15

K35.0

Acute appendicitis with Perbaikan TIDAK

generalized peritonitis
MAMP
U

75 15020736 0001427054 UUN

64

KEMUNIN
G III(A)

III A

27-JAN-15

01-FEB-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

NN
73 15021869 0001436552 TITI KOMALA

MAEMUNAH , NY.

BPJS
UMUM

Hal 3/ 6

INSTALASI REKAM MEDIS

RSUP Dr. HASAN SADIKIN
BANDUNG

MORBIDITAS PASIEN RAWAT INAP

PERIODE :

Kode ICD :

SMF
No No Ipd

s/d

K35

No RM

s/d

13-JUL-15

%
%
%
%

K35.9
KELOMPOK UMUR :

01-JAN-15

Nama Pasien

76 15023148 0001444654 TUTI SETIAWATI,

Umur Sex
49

NY

Ruang

J. Kelamin :
Kelas

Tgl Masuk Tgl Keluar LOS

PV.PARA RKUTM-B
HYANGA
N3

30-APR-15 04-MAY-15

ICD

K35.9

Nm Diagnosa
Acute appendicitis,
unspecified

Disposisi C_Bay Jamin

Perbaikan KONTR
AKTOR

77 15020938 0001428854 AYI KURNIA , NY.

57

KEMUNIN
G III(A)

III A

03-FEB-15

06-FEB-15

K35.0

Acute appendicitis with Meninggal TIDAK

generalized peritonitis
< 48 Jam MAMP
U

78 15021683 0001435556 TIARA YUNITA

10

KEMUNIN
G II(A)

III A

04-MAR-15 07-MAR-15

K35.9

Acute appendicitis,
unspecified

Perbaikan TIDAK

KEMUNIN
G III(A)

III A

K35.9

Acute appendicitis,
unspecified

Perbaikan TIDAK

BLIRIAN , AN.
79 15023500 0001451158 FANI SUHAENI, NN

17

13-MAY-15 17-MAY-15

BPJS
UMUM

MAMP
U
MAMP
U

80 15023928 0001455159 SUHAENI, NY

42

KEMUNIN
G III(A)

III A

31-MAY-15 04-JUN-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

BPJS
UMUM

81 15020965 0001429459 PRIATNA

50

KANA

III A

05-FEB-15

11-FEB-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

BPJS
ASKES

82 15020050 0001247759 TINI SUHARTINI

32

KEMUNIN
G III(A)

III A

03-JAN-15

12-JAN-15

K35.9

Acute appendicitis,
unspecified

Perbaikan KONTR BPJS PBI

KEMUNIN
GV

II

06-JAN-15

08-JAN-15

K35.9

Acute appendicitis,
unspecified

Perbaikan KONTR

KEMUNIN
G III(A)

III A

K35.9

Acute appendicitis,
unspecified

Perbaikan KONTR

83 15020135 0001104860 YUNI ZUHRIYATIN,

27

NY
84 15022827 0001445160 TATI KURNIA, NY

38

17-APR-15 22-APR-15

AKTOR

AKTOR

BPJS
ASKES

AKTOR

BPJS
UMUM
BPJS
UMUM

85 15020870 0001428361 ADE WARSANA

33

KANA

III A

02-FEB-15

07-FEB-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

86 15020837 0001427961 INDRI NURAENI

12

KEMUNIN
G II(A)

III A

31-JAN-15

06-FEB-15

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

87 15023703 0001453061 SIPA RUSPITA , AN. 13

KEMUNIN
G II(A)

III A

21-MAY-15 26-MAY-15

K35.0

Acute appendicitis with Perbaikan TIDAK

generalized peritonitis
MAMP
U

88 15020640 0001426261 ENGKOS KOSASIH

57

KEMUNIN
GV

II

24-JAN-15

31-JAN-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

89 15024188 0001360561 ASEP

36

KEMUNIN
G IV(B)

III A

10-JUN-15

23-JUN-15

13

K35.9

Acute appendicitis,
unspecified

19-APR-15 23-APR-15

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

20-FEB-15

K35.9

Acute appendicitis,
unspecified

ROBIANSYAH TN
90 15022860 0001445462 DIDI JUHANA

61

KEMUNIN
G IV(A)

III A

91 15031024 0001432864 GIELDA A.

10

KENANGA
2

II

YAHDJAR, AN

28-FEB-15

BPJS
UMUM

Perbaikan TIDAK
MAMP
U

Perbaikan KONTR
AKTOR

BPJS
UMUM
BPJS
UMUM

92 15023131 0001447864 DEDEN KUSNADI

47

KEMUNIN
G IV(B)

III A

29-APR-15 05-MAY-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

93 15020936 0001428865 IIS KARTISAH

46

KEMUNIN
G III(A)

III A

03-FEB-15

09-FEB-15

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

94 15020040 0001421165 SITI UMINAH , NY.

33

KEMUNIN
G III(A)

III A

02-JAN-15

07-JAN-15

K35.0

Acute appendicitis with Perbaikan TIDAK

generalized peritonitis
MAMP
U

95 15021516 0001433965 DICKY JULIANTO

24

KEMUNIN
G IV(B)

III A

25-FEB-15 03-MAR-15

K35.0

Acute appendicitis with Sembuh TIDAK

generalized peritonitis
MAMP
U

96 15022029 0001438265 USEP RUHIMAT

39

KEMUNIN
GV

II

17-MAR-15 19-MAR-15

K35.9

Acute appendicitis,
unspecified

Perbaikan KONTR

BPJS

AKTOR JAMSOST

EK
97 15023669 0000541765 JANI SOPIANY

63

KEMUNIN
G III(A)

III A

20-MAY-15 01-JUN-15

12

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

98 14028678 0001419766 SIHAF NURAENI

20

KANA

III A

27-DEC-14 02-JAN-15

K35.0

Acute appendicitis with Perbaikan UMUM

generalized peritonitis

17

KEMUNIN
G III(A)

III A

11-MAY-15 15-MAY-15

K35.9

Acute appendicitis,
unspecified

KEMUNIN
G II(A)

III A

K35.0

HAPSARI , NN.
99 15023434 0001450367 MUTHIA SEPTIANI

MARTIN NN
100 15024044 0001455967 IKNA ROSYIDIN

12

04-JUN-15

11-JUN-15

Perbaikan KONTR

BPJS
ASKES

AKTOR

BPJS
ASKES

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

BPJS
UMUM

Hal 4/ 6

INSTALASI REKAM MEDIS

RSUP Dr. HASAN SADIKIN
BANDUNG

MORBIDITAS PASIEN RAWAT INAP

PERIODE :

Kode ICD :

SMF
No No Ipd

K35

s/d

No RM

s/d

13-JUL-15

%
%
%
%

K35.9
KELOMPOK UMUR :

01-JAN-15

Nama Pasien

101 15020766 0001427268 SHANTI S.

Umur Sex
22

MULYADI, NN
102 15020140 0001039769 SEPTIAN DWI

Ruang

J. Kelamin :
Kelas

KEMUNIN
G III(A)

III A

Tgl Masuk Tgl Keluar LOS

28-JAN-15

01-FEB-15

ICD

K35.9

Nm Diagnosa
Acute appendicitis,
unspecified

Disposisi C_Bay Jamin

Perbaikan KONTR
AKTOR

BPJS
UMUM

28

KEMUNIN
G IV(B)

III A

06-JAN-15

12-JAN-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

BPJS
UMUM

103 15021391 0001432969 RIDHO SETIAWAN

KEMUNIN
G II(A)

III A

21-FEB-15

26-FEB-15

K35.0

Acute appendicitis with Sembuh KONTR

generalized peritonitis
AKTOR

BPJS
UMUM

104 15021380 0001027570 NIA SUMARNI, NY

45

KEMUNIN
G III(A)

III A

20-FEB-15

25-FEB-15

K35.0

Acute appendicitis with Perbaikan TIDAK

generalized peritonitis
MAMP
U

105 15022263 0001440170 ANI SURYANI, NY

38

KEMUNIN
GV

II

25-MAR-15 08-APR-15

14

K35.0

Acute appendicitis with Perbaikan KONTR

BPJS
generalized peritonitis
AKTOR JAMSOST

KEMUNIN
G II(A)

III A

19-JAN-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

BPJS
UMUM

107 15022567 0001442873 INDAH NURFATWA

21

PV.PARA RKUTM-C
HYANGA
N2

08-APR-15 14-APR-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

BPJS
ASKES

108 15020041 0001421173 AHMAD NUGRAHA

51

KEMUNIN
G IV(A)

III A

02-JAN-15

07-JAN-15

K35.0

Acute appendicitis with Perbaikan UMUM

generalized peritonitis

32

KEMUNIN
G III(A)

III A

11-MAY-15 16-MAY-15

K35.9

Acute appendicitis,
unspecified

Acute appendicitis with Perbaikan TIDAK

generalized peritonitis
MAMP
U

ANGGARA

EK
106 15020346 0001423773 YOGA PRATAMA

AZALI
109 15023436 0000423074 RENI SUSANTI

14-JAN-15

Sembuh KONTR

BPJS

AKTOR JAMSOST

EK

39

KEMUNIN
G IV(B)

III A

26-FEB-15 03-MAR-15

K35.0

111 15024408 0001459674 DEDE AMINAH

43

KEMUNIN
G III(B)

III A

19-JUN-15

22-JUN-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

112 15023002 0001446774 APONG, NY

57

KEMUNIN
G III(A)

III A

25-APR-15 04-MAY-15

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

113 15021944 0001437575 DIDIN

18

KEMUNIN
G IV(A)

III A

13-MAR-15 18-MAR-15

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

114 15022678 0001443875 TIKTIK WARTIKAN , 41

KEMUNIN
G III(A)

III A

12-APR-15 17-APR-15

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

37

KANA

III A

26-DEC-14 01-JAN-15

K35.0

Acute appendicitis with Perbaikan TIDAK

generalized peritonitis
MAMP
U

116 14028791 0001352277 DEDEN SAEPUDIN

47

KEMUNIN
GV

II

31-DEC-14 16-JAN-15

16

K35.0

Acute appendicitis with Perbaikan KONTR BPJS TNI

generalized peritonitis
AKTOR

117 15020975 0001429479 SISKA LISDAWATI

24

KEMUNIN
G III(A)

III A

05-FEB-15

09-FEB-15

K35.0

Acute appendicitis with Perbaikan UMUM

generalized peritonitis

118 15022318 0001440779 KOMARUDIN. TN

47

KEMUNIN
G IV(B)

III A

29-MAR-15 01-APR-15

K35.9

Acute appendicitis,
unspecified

Perbaikan KONTR BPJS PBI

KEMUNIN
G III(A)

III A

22-JAN-15

K35.9

Acute appendicitis,
unspecified

Perbaikan KONTR BPJS PBI

Perbaikan UMUM

110 15021541 0001434174 YONI

SURYOKOSONO

NY.
115 14028667 0001419676 RINA KUSMIATI ,

NY.

119 15020591 0000894680 SARI APRIANI, NY

120 15020764 0001427280 HURIN IN

21

27-JAN-15

BPJS
UMUM

AKTOR

AKTOR

18

KEMUNIN
GV

II

28-JAN-15

31-JAN-15

K35.9

Acute appendicitis,
unspecified

KEMUNIN
G II(A)

III A

22-JUN-15

28-JUN-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

55

KEMUNIN
G IV(A)

III A

17-JAN-15

27-JAN-15

10

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

123 15024610 0001461482 DINDIN TOHARUDIN 39

ANTURIU
M

26-JUN-15

30-JUN-15

K35.9

Acute appendicitis,
unspecified

124 15021214 0001137383 RAEIHAN ABDUL

KEMUNIN
GV

II

15-FEB-15

19-FEB-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

BPJS
UMUM

46

ANTURIU
M

24-DEC-14 02-JAN-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

BPJS
ASKES

SALSABILA , NN.
121 15024461 0001460081 MUH. AL QABIL

GHAZWAN
122 15020456 0001424682 TOHA

FATHIR , AN.
125 14028649 0000820686 IMAS TATI

BPJS
UMUM

Sembuh UMUM

Hal 5/ 6

INSTALASI REKAM MEDIS

RSUP Dr. HASAN SADIKIN
BANDUNG

MORBIDITAS PASIEN RAWAT INAP

PERIODE :

Kode ICD :

SMF

s/d

K35

No RM

s/d

13-JUL-15

%
%
%
%

K35.9
KELOMPOK UMUR :

No No Ipd

01-JAN-15

Umur Sex

Nama Pasien

126 15020466 0001424786 IMAS ENDAH

Ruang

J. Kelamin :
Kelas

Tgl Masuk Tgl Keluar LOS

ICD

Nm Diagnosa

Disposisi C_Bay Jamin

21

KEMUNIN
G III(A)

III A

18-JAN-15

28-JAN-15

10

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

127 15021204 0001431386 SITI AISAH, NY

24

KEMUNIN
G III(A)

III A

14-FEB-15

19-FEB-15

K35.0

Acute appendicitis with Sembuh UMUM

generalized peritonitis

128 15023740 0001453487 M. AGUS RIYALDI

21

ANTURIU
M

24-MAY-15 29-MAY-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

BPJS
ASKES

KEMUNIN
GV

II

19-MAY-15 24-MAY-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

BPJS
ASKES

130 15021196 0001431288 AJI SAEPUDIN TN

19

KANA

III A

13-FEB-15

18-FEB-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

BPJS
UMUM

131 15020643 0001426288 TRI WULAN

17

KEMUNIN
G III(A)

III A

24-JAN-15

28-JAN-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

BPJS
UMUM

KEMUNIN
G II(A)

III A

29-JAN-15

04-FEB-15

K35.0

Acute appendicitis with Perbaikan UMUM

generalized peritonitis

31

ANTURIU
M

20-APR-15 22-APR-15

K35.9

Acute appendicitis,
unspecified

LUTPIAH

129 15023612 0001451988 FATHAN EKA

WIRABUANA

HERAWATI A
132 15020793 0001427588 RIZKIA PUTRI

BERLIANA , AN.
133 15022900 0001445489 UJANG ROHIDIN.

TN
134 15021203 0001431390 SONA MARYANA,

Perbaikan KONTR
AKTOR

BPJS
UMUM
BPJS
UMUM

34

KEMUNIN
GV

II

14-FEB-15

20-FEB-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

135 15021077 0001430192 MASKUPAH

37

GICU

II

09-FEB-15

26-FEB-15

17

K35.0

Acute appendicitis with Perbaikan KONTR BPJS PBI

generalized peritonitis
AKTOR

136 15020599 0001347192 NENENG ISNAENI,

49

PV.PARA RKUTM-B
HYANGA
N3

21-JAN-15

25-JAN-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

137 15023476 0001450893 AGUS

15

KEMUNIN
G IV(A)

III A

13-MAY-15 21-MAY-15

K35.0

Acute appendicitis with Sembuh KONTR BPJS PBI

generalized peritonitis
AKTOR

138 15021878 0001323693 EUTIK RATNASIH,

48

KEMUNIN
G III(A)

III A

11-MAR-15 20-MAR-15

K35.0

Acute appendicitis with Perbaikan UMUM

generalized peritonitis

32

KEMUNIN
G IV(B)

III A

11-MAR-15 16-MAR-15

K35.9

Acute appendicitis,
unspecified

NY

NY

NY
139 15021864 0001437095 DANI SONJAYA

MARULI H.
140 15020207 0001422595 NURJANAH, NY

AKTOR

KEMUNIN
G III(A)

III A

08-JAN-15

14-JAN-15

K35.0

Acute appendicitis with Sembuh TIDAK

generalized peritonitis
MAMP
U

KEMUNIN
G II(A)

III A

12-MAY-15 16-MAY-15

K35.0

Acute appendicitis with Perbaikan KONTR

generalized peritonitis
AKTOR

KANA

III A

09-APR-15 15-APR-15

K35.0

Acute appendicitis with Perbaikan TIDAK

generalized peritonitis
MAMP
U

142 15022664 0001417599 TUTI SULASTRI, NY 39

TOTAL
RATA-RATA LAMA RAWAT

Perbaikan KONTR BPJS PBI

35

141 15023443 0001450597 ZAVAS KESHIANA

817

BPJS
ASKES

BPJS
UMUM

142

5.75

KET:
LOS : Leng Of Stay (Lama Rawat)

Hal 6/ 6