1.

IDENTIFIKASI DATA SOSIAL

RM 1 RM 2
NO NO RM
1 2 3 4 5 1 2 3 4 5
1 122200 1 1 1 1 1 1 1 1 0 0
2 122201 1 1 1 0 1 1 1 1 1 1
3 122202 1 1 1 1 1 1 1 0 1 1
4 122203 1 1 1 1 1 1 1 0 1 0
5 122204 1 1 0 1 1 1 1 1 0 1
6 122205 1 1 1 1 0 1 1 1 1 1
7 122206 1 1 1 1 1 1 1 0 1 1
8 122207 1 1 1 1 1 1 1 1 1 1
9 122208 1 1 1 0 1 1 1 0 1 1
10 122209 1 1 1 1 0 1 1 1 0 0
11 122210 1 1 0 1 1 1 1 1 1 1
12 122211 1 1 1 1 1 1 1 1 1 1
13 122212 1 1 1 1 1 1 1 1 1 1
14 122213 1 1 1 1 0 1 1 1 1 0
15 122214 1 1 1 1 1 1 1 1 1 1
16 122215 1 1 1 1 1 1 1 1 1 1
17 122216 1 1 1 0 1 1 1 1 1 1
18 122217 1 1 1 1 1 1 1 1 1 1
19 122218 1 1 1 1 0 1 1 0 1 0
20 122219 1 1 1 1 1 1 1 1 1 1
21 122220 1 1 1 0 1 1 1 1 0 1
22 122221 1 1 1 0 1 1 1 1 1 1
23 122222 1 1 0 0 1 1 1 1 1 1
24 122223 1 1 1 1 0 1 1 1 1 0
25 122224 1 1 1 1 1 1 1 0 1 0
26 122225 1 1 0 1 1 1 1 1 0 1
27 122226 1 1 0 1 1 1 1 1 1 0
28 122227 1 1 1 0 1 1 1 0 0 1
29 122228 1 1 1 1 1 1 1 1 1 1
30 122229 1 1 1 1 0 1 1 1 1 0
JUMLAH 30 30 25 23 24 30 30 23 24 21

KETERANGAN
1. No Rekam Medis
2. Nama
3. Jenis Kelamin
4. Alamat
5. Pekerjaan
 RM 3 RM 4 RM 5
1 2 3 4 5 1 2 3 4 5 1 2 3
1 1 1 1 0 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 0 1 1 1 1 1
1 1 0 1 1 1 1 1 0 1 1 1 0
1 1 0 1 1 1 1 1 1 0 1 1 1
1 1 1 0 1 1 1 1 1 0 1 1 1
1 1 1 1 1 1 1 0 0 1 1 1 0
1 1 1 1 0 1 1 1 1 1 1 1 1
1 1 1 1 0 1 1 1 0 1 1 1 1
1 1 1 0 1 1 1 0 0 1 1 1 1
1 1 0 1 1 1 1 1 1 0 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 0 0 1 1 1 0
1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 0 1 0 1 1 1 1 1 1 1 1
1 1 1 1 0 1 1 1 0 1 1 1 0
1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 0 1 0 1 1 1
1 1 1 1 1 1 1 1 0 0 1 1 0
1 1 0 0 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 0 1 1 1
1 1 1 1 1 1 1 0 0 1 1 1 0
1 1 1 1 0 1 1 0 1 1 1 1 1
1 1 1 0 1 1 1 1 1 0 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 0
1 1 0 1 1 1 1 1 1 1 1 1 0
1 1 1 1 0 1 1 1 0 0 1 1 1
1 1 1 0 1 1 1 0 1 0 1 1 0
1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 0 1 1 1 1 0 1 1 1
30 30 24 25 22 30 30 22 21 20 30 30 20
RM 5
4 5
0 1
1 1
1 1
0 0
1 1
1 1
0 1
1 1
1 0
0 1
1 1
1 1
0 1
1 1
1 0
0 0
1 1
1 0
0 1
1 1
1 1
0 1
1 1
1 1
0 0
1 1
1 1
0 0
1 1
1 1
20 23
 2. Pelaporan Penting

Ringkasan
Ringkasan Instruksi Catatan Asuhan
NO NO RM Masuk & Masuk Dokter Keperawatan Jumlah
Keluar
1 122200 1 1 1 1 4
2 122201 1 1 0 1 3
3 122202 1 1 1 0 3
4 122203 0 1 1 1 3
5 122204 1 1 1 0 3
6 122205 0 1 1 1 3
7 122206 1 1 1 1 4
8 122207 1 1 1 1 4
9 122208 1 1 1 0 3
10 122209 1 1 0 1 3
11 122210 1 0 1 1 3
12 122211 1 1 1 1 4
13 122212 0 1 1 0 2
14 122213 1 1 1 1 4
15 122214 1 1 0 1 3
16 122215 1 1 1 1 4
17 122216 1 0 1 1 3
18 122217 1 0 1 1 3
19 122218 1 1 1 0 3
20 122219 0 1 1 1 3
21 122220 1 1 1 1 4
22 122221 1 1 1 1 4
23 122222 1 1 0 1 3
24 122223 1 1 1 1 4
25 122224 1 1 0 0 2
26 122225 1 0 1 1 3
27 122226 1 1 0 1 3
28 122227 1 1 0 1 3
29 122228 1 1 1 1 4
30 122229 1 0 1 1 3
jumlah 26 25 23 24 98
Persenatase 87 83 77 80 327
Persentase

44
33
33
33
33
33
44
44
33
33
33
44
22
44
33
44
33
33
33
33
44
44
33
44
22
33
33
33
44
33
1,089
3,630
 3. Auntentikasi

RM 1 RM 2 RM 3 RM 4 RM 5
NO NO RM
T N TT T N TT T N TT T N TT T N TT
1 122200 1 1 1 1 1 0 1 1 1 1 1 1 0 1 1
2 122201 0 1 1 0 1 1 0 1 1 0 1 1 1 1 1
3 122202 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1
4 122203 0 1 1 1 1 1 1 1 1 1 1 0 0 1 0
5 122204 1 1 1 0 1 1 1 1 1 0 1 1 0 1 1
6 122205 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1
7 122206 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1
8 122207 1 1 1 1 1 1 0 1 0 0 1 1 0 1 1
9 122208 1 1 1 0 1 1 1 1 1 1 1 0 0 1 1
10 122209 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1
11 122210 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1
12 122211 1 1 0 1 1 1 0 1 1 1 1 1 0 1 0
13 122212 0 1 1 0 1 1 1 1 1 1 1 0 0 1 1
14 122213 1 1 1 1 1 0 1 1 0 0 1 1 1 1 1
15 122214 1 1 1 0 1 1 0 1 1 1 1 1 0 1 0
16 122215 1 1 0 1 1 1 1 1 0 1 1 1 0 1 1
17 122216 1 1 0 1 1 1 0 1 1 0 1 1 1 1 1
18 122217 1 1 1 1 1 1 0 1 1 1 1 1 0 1 1
19 122218 1 1 1 1 1 1 1 1 0 1 1 1 0 1 1
20 122219 0 1 0 1 1 1 1 1 0 0 1 1 1 1 0
21 122220 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1
22 122221 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1
23 122222 1 1 1 1 1 0 1 1 1 0 1 1 1 1 0
24 122223 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
25 122224 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1
26 122225 1 1 1 0 1 1 1 1 1 0 1 1 1 1 0
27 122226 1 1 0 1 1 1 0 1 1 1 1 1 1 1 1
28 122227 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1
29 122228 0 1 0 1 1 1 1 1 1 0 1 1 1 1 1
30 122229 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1
Jumlah 24 30 22 20 30 24 22 30 24 20 30 25 19 30 24
persentase 80 100 73.3 66.7 100 80 73.33 100 80 66.67 100 83.33 63.33 100 80

KET : T : Tempat
N : Nama
TT : Tanda Tangan
JML T JML N JML TT

4 5 4
1 5 5
5 5 4
3 5 3
2 5 5
5 5 4
4 5 3
2 5 4
3 5 4
5 5 3
4 5 5
3 5 3
2 5 4
4 5 3
2 5 4
4 5 3
3 5 4
3 5 5
4 5 4
3 5 2
4 5 5
4 5 5
4 5 3
5 5 5
3 5 5
3 5 4
4 5 4
4 5 4
3 5 4
5 5 4
105 656 4,102
350 2,188 13,672
 4. Pencatatan yang baik dan benar

RM 1 RM 2 RM 3
NO NO RM
coretan type-x terisi coretan type-x terisi coretan type-x terisi
1 122200 1 1 1 0 1 1 1 1 1
2 122201 0 1 1 1 1 1 1 0 1
3 122202 1 0 1 1 0 1 1 1 0
4 122203 1 1 0 1 1 1 1 0 1
5 122204 0 1 1 1 1 1 0 1 1
6 122205 0 1 1 0 1 1 1 1 1
7 122206 1 1 0 1 1 1 0 1 1
8 122207 1 0 1 1 1 1 1 1 1
9 122208 1 0 1 1 0 1 0 1 1
10 122209 1 1 1 0 1 1 1 1 0
11 122210 1 1 0 1 1 0 1 1 1
12 122211 0 1 1 0 1 1 1 1 0
13 122212 1 1 1 1 1 1 1 0 1
14 122213 1 1 1 0 1 1 1 1 1
15 122214 1 1 0 1 1 1 0 1 0
16 122215 0 1 1 1 0 1 1 0 1
17 122216 1 0 0 1 1 1 1 1 1
18 122217 1 1 1 0 1 1 1 1 0
19 122218 0 1 1 1 1 1 0 1 1
20 122219 1 1 1 1 0 1 1 1 1
21 122220 1 0 1 1 1 0 1 0 1
22 122221 1 1 1 1 1 1 1 1 1
23 122222 0 1 1 1 1 1 1 0 0
24 122223 1 1 0 1 1 1 0 1 1
25 122224 0 1 1 1 1 1 1 1 1
26 122225 0 1 1 1 0 1 1 1 1
27 122226 1 1 0 1 1 1 1 1 0
28 122227 1 0 1 1 1 1 1 0 1
29 122228 0 1 1 0 1 1 1 1 1
30 122229 1 1 1 1 0 1 1 0 1
Jumlah 20 24 23 23 24 28 24 22 23
 RM 4 RM 5 Jml Jml type-x Terisi
coretan type-x terisi coretan type-x terisi coretan
1 1 1 1 1 1 4 5 5
1 1 1 1 0 0 4 3 4
1 1 0 1 1 1 5 3 3
1 0 1 1 1 0 5 3 3
1 1 1 1 1 0 3 5 4
0 1 1 1 0 1 2 4 5
1 0 1 0 1 1 3 4 4
1 1 1 1 1 1 5 4 5
1 0 1 0 1 1 3 2 5
1 1 1 1 0 1 4 4 4
1 1 1 1 1 1 5 5 3
1 1 1 1 0 0 3 4 3
1 0 1 1 1 1 5 3 5
1 0 1 1 1 1 4 4 5
1 1 1 0 1 1 3 5 3
0 1 0 1 1 0 3 3 3
1 1 1 1 0 1 5 3 4
1 1 1 0 1 0 3 5 3
1 0 1 1 1 1 3 4 5
1 1 0 1 1 1 5 4 4
1 1 1 1 0 1 5 2 4
0 1 1 1 1 0 4 5 4
1 0 1 1 0 1 4 2 4
0 1 1 0 1 1 2 5 4
1 1 1 0 1 1 3 5 5
1 1 1 1 0 0 4 3 4
1 0 1 1 1 1 5 4 3
1 1 1 1 1 1 5 3 5
1 1 0 1 0 1 3 4 4
0 1 1 0 1 1 3 3 5
25 22 26 23 21 22 115 113 122