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Emergency Medical Team Medical Record (MDS+) : MDS - Check All That Apply
Emergency Medical Team Medical Record (MDS+) : MDS - Check All That Apply
2/3TypeEMTatcareRequi
4 □ Major head / spine injury
re
Measles □Y □N □ Unknown
19 □
20 □ Klien batuk, pilek, susah
menelan dan sering bersin-
□
l
21
bersin
22 □
Em
23
24 □ Medical emergency (Non-infectious)
25 □ Skin disease
26 □ Acute mental health problem
Other key
diseases
27 □ Obstetric complications
28 □ Severe Acute Malnutrition (SAM) *
29 □ Other diagnosis, not specified above
33
34 □ Caesarean section
Outcome
35 □ Obstetrics others
36 □ Discharge without medical follow-up Diagnosis
ISPA
37 □ Discharge with medical follow-up
Outcome
Procedure &
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