Format Cp New

7/26/2019 Format Cp New

1/31

CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMA

DEMAM BERDARAH DENGUE2016

ama Pasien:

Umur:

Berat Baan:!!"#

Tin##i Baan:!!$m

N%m%r Re"am Meis:

ia#n%sis A&a': ! (%e ICD 10 : Ren$ana ra&at : ) *ari

A"ti+itas Pe'a,ananR! Ra&at

!

T#'-.am masu":!

T#'-.am "e'uar:!

/ama R&t!!! *ari

(e'as:!!

Tari-*r R3:!

Bia,a R

4ari Ra&at 1 4ari Ra&at 2 4ari Ra&at 5 4ari Ra&at 4ari Ra&at )

4ari Sa"it: 4ari Sa"it: 4ari Sa"it: 4ari Sa"it: 4ari Sa"it:

ia#n%sis:

Pen,a"it Utama !

Pen,a"it Pen,erta !

(%m'i"asi ! sessmen ('inis:

Pemeri"saan %"ter ! !

(%nsu'tasi ! !

emeri"saan Penun7an#: 4894t9Tr89 /eu"%sitDT/9 U9

4894t9Tr89 /eu 4894t9Tr89 /euCXR R/D

4894t9Tr89 /euI# G- I# M

4894t9Tr89 /eu"%

ina"an: Pasan# I;D < < < An#"at I;D

=8at %8atan:Parasetam%' 5 > m#I;D: $$-*r

!!

!!!!

!!!!

!!!!

!!!!

utrisi: ! !

M%8i'isasi: ! !

asi' (Outcome):

e8ris !

Perara*an !

S,%" !

enii"an-Ren$anaemu'an#an:

Ban,a" minumTana erara*an

Ban,a" minumTana

erara*an

Ban,a" minumTana

erara*an

SanitasiImunisasi

(%ntr%' %'i"'ini"

arians: .

.

.um'a* Bia,aama Pera&at:

Dia#n%sis A"*ir: (%e ICD 10 .enis Tina"an: (%e ICD ? @

Utama Demam Berara* Den#ue A ?1

;isite-(%nsu': Anamnesis ?!0

ama D%"ter:

Pen,erta ! !!

;isite-(%nsu': P! isi" ?!

!!

Pemeri"saan mi"r%s"% ?0!)

ama Pe'a"sanaerii"asi:

(%m'i"asi ! !!

Pemasan#an I;D ??!2

!!

%t% t%ra"s R/D !


2/31


3/31


DIARE AKUT2016

ama Pasien:

Umur:

Berat Baan:!!"#

Tin##i Baan:!!$m

N%m%r Re"am Meis

ia#n%sis A&a': ! (%e ICD 10 : Ren$ana ra&at : 5 *ari

A"ti+itas Pe'a,ananR! Ra&at!

T#'-.am ms":

T#'-.am "'r:

/ama R&t!!! *ari

(e'as:!!

Tari-*r R3:!

Bia,a R

4ari Ra&at 1 4ari Ra&at 2 4ari Ra&at 5

4ari Sa"it: 4ari Sa"it: 4ari Sa"it:

ia#n%sis:

Pen,a"it Utama ! ! !

Pen,a"it Pen,erta ! ! !

(%m'i"asi ! ! !sessmen ('inis:

Pemeri"saan %"ter ! ! !

(%nsu'tasi ! ! !

emeri"saan Penun7an#:

DT/9 Urin 'en#"a

AGD an E'e"tr%'it

Ana'isis eses

Tes Mt

AGD an E'e"tr%'it Ba$a Tes Mt

ina"an: Pasan# I;D An#"at I;D

=8at %8atan:=ra'itI;D::$$-*r

!!!

!!

!!!

!!

!!!

!!

utrisi: ! ! !

M%8i'isasi: ! ! !

asi' (Outcome):

(esaaran ! ! !

e8ris ! ! !

Tana e*irasi ! ! !


Ban,a" minumSanitasi

GiiImunisasi

(%ntr%' %'i"'ini"

arians:

.um'a* Bia,a

ama Pera&at:

!ama D%"ter:

!ama Pe'a"sana

eri"asi:

Dia#n%sis A"*ir: ICD 10 .enis Tina"an: ICD ? @ C

Utama Diare A"ut A 0! ;isite-(%nsu': Anamnesis ?!0

Pen,erta !!

;isite-(%nsu' Pemeri"saan ?!

!! Pemeri"saan mi"r%s"% ara* ?0!)

(%m'i"asi !!

AGD an e'e"tr%'it

!!

Pemasan#an I;D ??!2

!!

Ana'isis eses an Urin


4/31


5/31


PNEUMONIA2016

ama Pasien:

Umur:

Berat Baan:!!"#

Tin##i Baan:!!$m

N%m%r Re"am Meis



!

T#'-.am ms":

T#'-.am "'r:

/ama R&t!!! *ari

(e'as:!!

Tari-*r R3:!

Bia,a R



ia#n%sis:

Pen,a"it Utama !

Pen,a"it Pen,erta !

(%m'i"asi !

sessmen ('inis:


(%nsu'tasi ! !

emeri"saan Penun7an#: DT/ AGD CXR PA

AGD Tes Mt

< Ba$a Tes Mt

ina"an:

="si#en Pasan# I;D

< < An#"at I;D < !

=8at %8atan:

In7! Ami$ii'in > !!m#

In7! (emi$etine >

m#

!!!

!

!!

!!

!!

!!

utrisi: ! !

M%8i'isasi: ! !

asi' (Outcome):

(esaaran !

e8ris !

Sesa" !

enii"an-R! Pemu'an#an: Pen7e'asan en,a"it! Gii an Imunisasi (%ntr%' %'i"'ini"

arians: !

.um'a* Bia,a

ama Pera&at:

!!ama D%"ter:

!!e'a"sana ;erii"asi:


Utama Pneum%nia . 1!0

;isite-(%nsu': Anamnesis P ?!0 an Pen,erta !! Pemeri"saan mi"r%s"% ara* ?0!)

!!

%t% t%ra"s PA !

(%m'i"asi !!

Pemasan#an I;D In7! %8at ??!2

!! ="si#en ?5!?6


6/31


DEMAM TIFOID2016

ama Pasien:

Umur:

Berat Baan:

!!"#

Tin##i Baan:

!!$m

N%m%r Re"am Meis



!

T#'-.am ms":

T#'-.am "'r:

/ama R&t!!! *ari

(e'as:!!

Tari-*r R3:!

Bia,a

4R 1 4R 2 4R 5 4R 4R ) 4R 6 4R 4R 4R ? 4R 10

4S 4S 4S 4S 4S 4S 4S 4S 4S 4S

ia#n%sis:

Pen,a"it Utama A 01!10

Pen,a"it Pen,erta .. .. .. .. .. .. .. .. .. ..(%m'i"asi .. .. .. .. .. .. .. .. .. ..

Asessmen Klinis:

Pemeri"saan %"ter .. .. .. .. .. .. .. .. .. ..

(%nsu'tasi .. .. .. .. .. .. .. .. .. .. emeri"saan Penun7an#: DT/9 U9

ia'9 Tes Mt9Bia"an emeu

ara*9 T,*i %tI# M I# G3

Ba$aTes Mt

ina"an: .. .. .. .. .. .. .. .. .. .. =8at %8atan:

('%rameni"%' > !m#

Parasetam%' 5 > ! m#

utrisi: Ma"anan 'una" Ma"anan 8iasa M%8i'isasi: Tira* Barin# .. .. .. .. .. .. ..

Hasil (Outcome):(esaaran .. .. .. .. .. .. .. .. .. ..e8ris .. .. .. .. .. .. .. .. .. ..

Tana a8%men a"ut .. .. .. .. .. .. .. .. .. ..enii"an- R! Pemu'an#an: Pen7e'asan en,a"it Gii an Imunisasi (%ntr%' %'i"'ini"

arians: .. .. .. .. .. .. .. .. .. ...um'a* Bia,a

ama Pera&at:

ama D%"ter:


Dia#n%sis A"*ir: ICD 10 .enis Tina"an: ICD ? @

Utama Demam Ti%i A 01!0


Pen,erta !! ;isite-(%nsu' Pemeri"saan isi" ?!


(%m'i"asi !!

Pemasan#an I;D In7! %8at ??!2

!! Ser%'%#i ia' an I#m I#G t,*i %t3

!!

Bia"an emeu ara*


7/31


BAYI BARU LAHIR2016

ama Pasien: N%! Re"am Meis: ! T#' /a*ir: .am !

enis (e'amin:!!

Cara /a*ir:

Berat /a*ir:!#ram

Pan7an# Baan:!!$m

/in#"ar (ea'a:$m

Ni'ai A#ar:!


A"ti+itas Pe'a,anan R! Ra&at!

T#'-.am ms":

T#'-.am "'r:

/ama R&t!!! *ari

(e'as:!!

Tari-*r R3:!

Bia,a R


ia#n%sis:

Utama ! !

Pen,erta ! !

(%m'i"asi ! !

sessmen ('inis:


(%nsu'tasi ! !

emeri"saan Penun7an#: DT/9 Gu'a Dara* S"rinin# TS4

ina"an: Pera&atan ta'i usat!!

Pera&atan ta'i usat

Pera&atan ta'i usat

=8at %8atan: In7! ;it! (1 1 m# IM atau ;it! (1 2 m# %ra' <

utrisi: ASI a 'i8itum ASI a 'i8itum ASI a 'i8itum

M%8i'isasi:

asi' (Outcome):

(esaaran ! !

e8ris ! !

Sesa" ! !

Sian%sis ! !

I"terus ! !


Pera&atan 8a,i an ta'iusat

Pera&atan mamae

Tentan# ASI

Imunisasi (%ntr%' %'i"'ini"

arians: !!

!

.um'a* Bia,a

ama Pera&at:!

ama D%"ter:!


!


Utama !! ;isite-(%nsu': Anamnesis ?!0

Pen,erta !!

;isite-(%nsu' Pemeri"saan isi" ?! !!

Pemeri"saan mi"r%s"% ara* ?0!)

(%m'i"asi !!

ASI ??!?

!!

In7e"si %8at ;itamin (1 ??!2

!! !!


8/31


KEJANG DEMAM2016

ama Pasien:

Umur:

Berat Baan:

!!"#

Tin##i Baan:

!!$m

N%m%r Re"am Meis



!

T#'-.am ms":

T#'-.am "'r:

/ama R&t!!! *ari

(e'as:!!

Tari-*r R3:!

Bia,a R


4ari Sa"it: 4ari Sa"it: 4ari Sa"it:

ia#n%sis:

Pen,a"it Utama . . .

Pen,a"it Pen,erta . . .

(%m'i"asi . . .sessmen ('inis:

Pemeri"saan %"ter . . .

(%nsu'tasi . . .

emeri"saan Penun7an#: DT/9 Urin9 eses9 AGD9Gu'a Dara* an E'e"tr%'itPun#si /um8a'9 Tes Mt

AGD an E'e"tr%'it Ba$a Tes Mt

ina"an: Pasan# I;D An#"at I;D

=8at %8atan:Parasetam%' 5 > m#

atau I8ur%en 5 > m#

Diaeam 2 > !m#

I;D::$$-*r

!!!!!!!

!!

!!!!!!!

!

!!!!!!!

!

utrisi: . . . M%8i'isasi: . . .

asi' (Outcome):

(esaaran . . .

e8ris . . .

(e7an# . . .

Deisit neur%'%#is . . .


arians:

.um'a* Bia,a

ama Pera&at:!

ama D%"ter:!


!!

Dia#n%sis A"*ir: ICD 10 .enis Tina"an: ICD ? @ C Utama Diare A"ut A 0? ;isite-(%nsu': Anamnesis ?!0

Pen,erta !!



(%m'i"asi !!

AGD9 u'a Dara* an e'e"tr%'it

!!

Pemasan#an I;D ??!2

!! Pun#si /um8a'


9/31

CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMAMORBILI

2016ama Pasien:

Umur:

Berat Baan:

!!"#

Tin##i Baan:

!!$m

N%m%r Re"am Meis



!

T#'-.am ms":

T#'-.am "'r:

/ama R&t!!! *ari

(e'as:!!

Tari-*r R3:!

Bia,a R



ia#n%sis:

Pen,a"it Utama

Pen,a"it Pen,erta

(%m'i"asi

sessmen ('inis:

Pemeri"saan %"ter

(%nsu'tasi

emeri"saan Penun7an#: DT/9 U9

ina"an:

=8at %8atan:

Parasetam%' 5 > m#;itamin A 100 000 IU

Ta'" Sa'isi'i"

utrisi:

M%8i'isasi:

asi' (Outcome):

(esaaran

e8ris

Sesa"


arians:

.um'a* Bia,a

ama Pera&at:!

ama D%"ter:!


!!


Utama M%r8i'i B 0)


Pen,erta !! ;isite-(%nsu' Pemeri"saan ?!

!!


(%m'i"asi !! Pemeri"saan rutin urin an

!! !!

!!

!!


10/31


HIPERBILIRUBINEMIA NEONATAL2016

ama Pasien: N%! Re"am Meis: ! T#' /a*ir: .am !enis (e'amin:

!!Cara /a*ir:

Berat /a*ir:!#ram

Pan7an# Baan:!!$m

/in#"ar (ea'a:$m

Ni'ai A#ar:!


A"ti+itas Pe'a,anan R! Ra&at!

T#'-.am ms":

T#'-.am "'r:

/ama R&t

!!! *ari

(e'as:

!!

Tari-*r R3:

!

Bia,a R


ia#n%sis:

Utama ! !

Pen,erta ! !

(%m'i"asi ! !

sessmen ('inis:


(%nsu'tasi ! !

emeri"saan Penun7an#: DT/9 Gu'a Dara*9 Bi'iru8in t%ta' ire" an inire"39 Prearatausan ara*9 G6PD9 G%'! Dara* i8u an 8a,i AB= anR*esus39 U7i C%%m8s

Bi'iru8in t%ta'ire" an inire"3

ina"an: Terai sinarPera&atan ta'i usat

Pera&atan ta'i usat

=8at %8atan: ;it! (1 1 m# IM atau %ra' 2 m# <

utrisi: ASI a 'i8itum ASI a 'i8itum ASI a 'i8itum

M%8i'isasi: ! !

asi' (Outcome):

(esaaran ! !

e8ris ! !

Sesa" ! ! !

Sian%sis ! ! !

I"terus ! !


Pera&atan 8a,i an ta'i usat

Pera&atan mamae Tentan# ASI Imunisasi

(%ntr%' %'i"'ini"

arians: !! !

.um'a* Bia,a

ama Pera&at:

ama D%"ter:



Utama 4ier8i'iru8inemia P )?


Pen,erta !! ;isite-(%nsu' Pemeri"saan isi" ?!

!!


(%m'i"asi !! ASI ??!? !!

In7e"si %8at ??!2

!!

Terai sinar ??!5


11/31


BRONKIOLITIS AKUT2016

ama Pasien:

Umur:

Berat Baan:

!!"#

Tin##i Baan:

!!$m

N%m%r Re"am Meis



!

T#'-.am ms":

T#'-.am "'r:

/ama R&t!!! *ari

(e'as:!!

Tari-*r R3:!

Bia,a R



ia#n%sis:

Pen,a"it Utama !

Pen,a"it Pen,erta !

(%m'i"asi !

sessmen ('inis:


(%nsu'tasi ! !


DT/

AGD CXR PA

AGD

Tes Mt< Ba$a Tes Mt !m#

Riamisin 1 > m#

Pirainami 2 > m#

!!

utrisi: !!!!!! !!!!!! !!!!!! !!!!!! !!!!!!M%8i'isasi: !!!!!! !!!!!! !!!!!! !!!!!! !!!!!!

asi' (Outcome):(esaaran !!!!!! !!!!!! !!!!!! !!!!!! !!!!!!

e8ris !!!!!! !!!!!! !!!!!! !!!!!! !!!!!!

Deisit neur%'%#is !!!!!! !!!!!! !!!!!! !!!!!! !!!!!!

enii"an-R! Pemu'an#an: Pen7e'asan Pen,a"it Gii an Imunisasi (%ntr%' %'i"'ini"

arians: !!!!!! !!!!!! !!!!!! !!!!!! !!!!!!


ama D%"ter:!!


!!


Utama Tu8er"u'%sis Paru A 16 ;isite-(%nsu' Anamnesis P ?!0 an

Pen,erta !!

Pemeri"saan mi"r%s"% ara* ?0!) !! AGD9 Gu'a Dara* an e'e"tr%'it

(%m'i"asi !!

Pemasan#an I;D ??!2

!! %t% t%ra"s PA !


13/31


MENINGITIS TUBERKULOSIS2016

ama Pasien: Umur: Berat Baan:!!"# Tin##i Baan: !!$m N%! Re"am Meis:

ia#n%sis A&a': (%e ICD 10 : Ren$ana ra&at : 10 *ari


!

T#'-.am ms":

T#'-.am "'r:

/ama R&t!!! *ari

(e'as:!!

Tari-*r R3:!

Bia,a R

4R 1 4R 2 4R 5 4R 4R ) 4R 6 4R 4R 4R ? 4R 10

4S!! 4S!! 4S!! 4S!! 4S!! 4S!! 4S!! 4S!! 4S!! 4S!!

ia#n%sis:

Pen,a"it Utama !! !!! !!! !!! !!! !!! !!! !!! !!!

Pen,a"it Pen,erta !! !!! !!! !!! !!! !!! !!! !!! !!!

(%m'i"asi !! !!! !!! !!! !!! !!! !!! !!! !!!

sessmen ('inis:

Pemeri"saan %"ter !! !!! !!! !!! !!! !!! !!! !!! !!!

(%nsu'tasi !! !!! !!! !!! !!! !!! !!! !!! !!! emeri"saan Penun7an#: DT/9 Urin9 eses9 AGD9

/P9 Tes Mt9 CXR PA9CT S$an

!!! !!! !!! !!! !!! !!! !!!

ina"an: I;D:$$-*r !! !!! !!! !!! !!! !!! !!! !!! !!!

=8at %8atan:

Parasetam%' 5 > m#

Diaeam 2 > !m#

IN4 1 > !m#

Riamisin 1 > m#

Pirainami 2 > m#

Prenis%n 5 > !!m#

!!!!!!!!!!

!!

!!!!!!

!!!!!!!!!

!!!

!!!!!!

!!!!!!!!!

!!!

!!!!!!!!!!!!!!!

!!!

!!!!!!!!!!!!!!!

!!!

!!!!!!

!!!!!!!!!

!!!

!!!!!!

!!!!!!!!!

!!!

!!!!!!!!!!!!!!!

!!!

!!!!!!!!!!!!!!!

!!!

utrisi: !! !!! !!! !!! !!! !!! !!! !!! !!!M%8i'isasi: !! !!! !!! !!! !!! !!! !!! !!! !!!

asi' (Outcome):

(esaaran !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

e8ris !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

(e7an# !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

Deisit neur%'%#is !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!


arians: !!!

!!!

!!!

!!!

!!!

!!!

!!!

!!!

!!!

!!!

.um'a* Bia,a

ama Pera&at:

ama D%"ter:!!


!!


Utama Menin#itis Tu8er"u'%sis A 1

;isite-(%nsu' Anamnesis P ?!0 an

Pen,erta !!


!! AGD9 Gu'a Dara* an e'e"tr%'it

(%m'i"asi !!

Pemasan#an I;D ??!2

!! Pun#si /um8a' !!

CT S$an


14/31


MENINGITISBAKTERIALIS2016




!

T#'-.am ms":

T#'-.am "'r:

/ama R&t!!! *ari

(e'as:!!

Tari-*r R3:!

Bia,a R

4R 1 4R 2 4R 5 4R 4R ) 4R 6 4R 4R 4R ? 4R 10

4S!! 4S!! 4S!! 4S!! 4S!! 4S!! 4S!! 4S!! 4S!! 4S!!

ia#n%sis:

Pen,a"it Utama !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

Pen,a"it Pen,erta !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

(%m'i"asi !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

sessmen ('inis:

Pemeri"saan %"ter !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

(%nsu'tasi !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! emeri"saan Penun7an#:T/9 Urin9 eses9 AGD9 /Pes Mt9 CXR PA9 CT S$an

!!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

ina"an: I;D:$$-*r !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

=8at %8atan:

Parasetam%' 5 > m#

Diaeam 2 > !m#

Ami$i''in 6 > !m#

(emi$etine > m#

Meti'renis%'%n 5 >m#

!!!!!!!!!!!!!!!

!!!

!!!!!!!!!!!!!!!

!!!

!!!!!!

!!!!!!!!!

!!!

!!!!!!

!!!!!!!!!

!!!

!!!!!!!!!!!!!!!

!!!

!!!!!!!!!!!!!!!

!!!

!!!!!!

!!!!!!!!!

!!!

!!!!!!

!!!!!!!!!

!!!

!!!!!!!!!!!!!!!

!!!

!!!!!!!!!!!!!!!

!!!

utrisi: !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!M%8i'isasi: !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

asi' (Outcome):

(esaaran !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

e8ris !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

(e7an# !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

Deisit neur%'%#is !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!


arians: !!!!!!

!!!!!!

!!!!!!

!!!!!!

!!!!!!

!!!!!!

!!!!!!

!!!!!!

!!!!!!

!!!!!!

.um'a* Bia,a

ama Pera&at:

ama D%"ter:

!!ama Pe'a"sanaerii"asi:

!!


Utama Menin#itis Ba"teria'is G 00

;isite-(%nsu': Anamnesis ?!0 Pen,erta !! ;isite-(%nsu' Pemeri"saan ?!

!!


(%m'i"asi !! AGD9 Gu'a Dara* an e'e"tr%'it

!!

Pemasan#an I;D ??!2

!!

Pun#si /um8a'

!! CT S$an


15/31

CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMAENSEFALITIS

2016ama Pasien: Umur: Berat Baan:!!"# Tin##i Baan: !!$m N%! Re"am Meis:

Dia#n%sis A&a': (%e ICD 10 : Ren$ana ra&at : ) *ari


!

T#'-.am ms":

T#'-.am "'r:

/ama R&t!!! *ari

(e'as:!!

Tari-*r R3:!

Bia,a R



Dia#n%sis:

Pen,a"it Utama !! !! !! !! !!

Pen,a"it Pen,erta

(%m'i"asi

Asessmen ('inis:

Pemeri"saan %"ter ! ! ! ! !

(%nsu'tasi !! !! !! !! !! emeri"saan Penun7an#:DT/9 Urin9 eses9 AGD9 /Pes Mt9 CXR PA9 CT S$an

!!! !!! !!! !!! !!! !

ina"an: I;D:$$-*r Pasan# I;D !! !! !! An#"at I;D

=8at %8atan:Parasetam%' 5 > m#

Diaeam 2 > !m#

Ami$i''in > !m#

(emi$etine > m#

Meti'renis%'%n 5 >m#

utrisi:M%8i'isasi:

asi' (Outcome):

(esaaran !! !! !! !! !!

e8ris

(e7an#

Deisit neur%'%#is ! ! ! ! !


;arians: ! ! ! ! !


ama D%"ter:

!!ama Pe'a"sana

;erii"asi:!!


Utama Ensea'itis G 0


Pen,erta !!



(%m'i"asi !!

AGD9 Gu'a Dara* an e'e"tr%'it

!! Pemasan#an I;D ??!2

!! Pun#si /um8a'


16/31


EFUSI PLEURA TUBERKULOSIS2016




!

T#'-.am ms":

T#'-.am "'r:

/ama R&t!!! *ari

(e'as:!!

Tari-*r R3:!

Bia,a R

4R 1 4R 2 4R 5 4R 4R ) 4R 6 4R 4R 4R ? 4R 10

4S!! 4S!! 4S!! 4S!! 4S!! 4S!! 4S!! 4S!! 4S!! 4S!!

ia#n%sis:

Pen,a"it Utama !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

Pen,a"it Pen,erta !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

(%m'i"asi !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

sessmen ('inis:

Pemeri"saan %"ter !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

(%nsu'tasi !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! emeri"saan Penun7an#:T/9 Urin9 eses9 AGD9un#si P'eura Tes Mt9 CXRA9 USG Paru

ina"an:

I;D:$$-*r

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asi' (Outcome):

(esaaran !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

e8ris !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

Deisit neur%'%#is !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!


arians: !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

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ama Pera&at:

ama D%"ter:



Utama Eusi P'eura Tu8er"u'%sis A 1)!6

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Pun#si /um8a'

!! %t% t%ra"s PA9 USG Paru !


17/31


EFUSI PLEURA BAKTERIALIS2016




!

T#'-.am ms":

T#'-.am "'r:

/ama R&t!!! *ari

(e'as:!!

Tari-*r R3:!

Bia,a R

4R 1 4R 2 4R 5 4R 4R ) 4R 6 4R 4R 4R ? 4R 10

4S!! 4S!! 4S!! 4S!! 4S!! 4S!! 4S!! 4S!! 4S!! 4S!!

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Pen,a"it Utama !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

Pen,a"it Pen,erta !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

(%m'i"asi !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

sessmen ('inis:

Pemeri"saan %"ter !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

(%nsu'tasi !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! emeri"saan Penun7an#:T/9 Urin9 eses9 AGD9 Tes

Mt9 CXR PA9 USG Paruia"an $airan 'eura

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M%8i'isasi: !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

asi' (Outcome):

(esaaran !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

e8ris !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

Sesa" naas !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

enii"an Pen7e'asan Pen7e'asan Gii Imunisasi Gii Imunisasi (%ntr%' %'i"'ini"

arians: !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

.um'a* Bia,a

ama Pera&at:

ama D%"ter:



Utama Eusi P'eura Ba"teria'is . ?0 ;isite-(%nsu' Anamnesis P ?!0 an

Pen,erta !!

Pemeri"saan mi"r%s"% ara* ?0!) !! AGD9 Gu'a Dara* an e'e"tr%'it

(%m'i"asi !!

Pemasan#an I;D ??!2

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%t% t%ra"s PA USG Paru !

!!

SD Paru


18/31


MALNUTRISI ENERGI PROTEIN DERAJAT BERAT (GIZI BURUK)2016


ia#n%sis A&a': (%e ICD 10 : Ren$ana ra&at : Min##uA"ti+itas Pe'a,anan R! Ra&at

!

T#'-.am ms":

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/ama R&t!!! *ari

(e'as:!!

Tari-*r R3:!

Bia,a R

Min##u I Min##u II Min##u III Min##u I;

ia#n%sis:

Pen,a"it Utama

Pen,a"it Pen,erta

(%m'i"asi

sessmen ('inis:

Pemeri"saan %"ter

(%nsu'tasi

emeri"saan Penun7an#: DT/9 Urin9 eses9 A'8umin9 G'%8u'in9 Ee"tr%'it9Tanserin9 eritin9 Pr%i' /ema"9 CXR PA9 E(G!

ina"an:

I;D: !!$$-*ariTPN: ""a'-*ari

!!!

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M%8i'isasi: ! ! ! !

asi' (Outcome):

BB9 //A ! ! !

enii"an: Gii an $ara em8erian ma"ananImunisasi!

(%ntr%' P%'i'ini"

arians:

!

.um'a* Bia,a

ama Pera&at:!

ama D%"ter:

ama Pe'a"sana ;erii"asi:!

Dia#n%sis A"*ir: ICD 10 .enis Tina"an: ICD ? @

Utama (&as*i%r"%r E0

;isite-(%nsu' Anamnesis ?!0 an

Marasmus E1

Pemeri"saan mi"r%s"% ?0!)

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Pen,erta !! %t% t%ra"s PA ! !!

AGD9 Gu'a Dara*9 e'e"tr%'it

(%m'i"asi !!

E(G !!

!!


19/31


HIV BAYI BARU LAHIR2016

ama Pasien:

Umur:

Berat Baan:

#ram

Tin##i Baan:

!!$m

Ni'ai APGAR:

N%! R M



!

T#'-.am masu":!

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Bia,a R



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Pen,a"it Utama .

Pen,a"it Pen,erta .

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sessmen ('inis:

Pemeri"saan %"ter .

(%nsu'tasi .

emeri"saan Penun7an#: DT/9 U9 9 aa' 4ati9 un#siGin7a'9PCR


20/31


OBSERVASI FEBRIS (Panas > 7 ha! "an # $% ha!)2016

ama Pasien:

Umur:

Berat Baan:

!!"#

Tin##i Baan:

!!$m

N%m%r Re"am Meis



!

T#'-.am masu":!

T#'-.am "e'uar:!

/ama R&t!!! *ari

(e'as:!!

Tari-*r R3:!

Bia,a R

4ari Ra&at 1 4ari Ra&at 2 4ari Ra&at 5 4ari Ra&at 4ari Ra&at ) 4ari Ra&at 6

4ari Sa"it: 4ari Sa"it: 4ari Sa"it: 4ari Sa"it: 4ari Sa"it: 4ari Sa"it:

ia#n%sis:

Pen,a"it Utama !! !! !! !! !! !!

Pen,a"it Pen,erta !! !! !! !! !! !!

(%m'i"asi !! !! !! !! !! !!

sessmen ('inis:

Pemeri"saan %"ter !! !! !! !! !! !! !

(%nsu'tasi !! !! !! !! !! !! !

emeri"saan Penun7an#: DT/9 U9 9 CXR PA9 Tes Mt9Bia"an ara*9 T,*i %t9

Bia"an emeu!!! !! !! !! !

ina"an: Pasan# I;D !! !! !! An#"at I;D !! !

=8at %8atan:

In7! Ami$i'in > m#

In7! (emi$etine > m#

Parasetam%' 5 > !!m#

!!!!

!!!!

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M%8i'isasi: !! !! !! !! !! !! !

asi' (Outcome):e8ris !! !! !! !! !! !!

(esaaran !! !! !! !! !! !!


Pen7e'asan en,a"it Gii an Imunisasi (%ntr%'%'i"'ini"

arians: !!!

!!!

!!!

!!!

!!!

!!!

.um'a* Bia,a

ama Pera&at:


Utama !! ;isite-(%nsu': Anamnesis P ?!0 an ?ama D%"ter:

Pen,erta ! !!


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??!2


(%m'i"asi ! !! Ser%'%#i ia' an I#m I#G t,*i%t3

! !!

Bia"an ara* an emeu


21/31

CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMAHIV ANAK

2016Nama Pasien:

Umur:

Berat Baan:

!!"#

Tin##i Baan:

!!$m

N%m%r Re"am Meis

Dia#n%sis A&a': ! (%e ICD 10 : Ren$ana ra&at : *ari


!

T#'-.am masu":!

T#'-.am "e'uar:!

/ama R&t!!! *ari

(e'as:!!

Tari-*r R3:!

Bia,a

4R 1 4R 2 4R 5 4R 4R ) 4R 6 4R

4S ! 4S ! 4S ! 4S ! 4S ! 4S ! 4S !

Dia#n%sis:

Pen,a"it Utama

Pen,a"it Pen,erta

(%m'i"asi

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Pemeri"saan %"ter

(%nsu'tasi

Pemeri"saan Penun7an#: DT/9 U9 9 aa' Gin7a'9CD 9 /im%sit t%ta'9

Ser%'%#i 4I;9 PCR


22/31


HEPATITIS AKUT2016

ama Pasien:

Umur:

Berat Baan:

!!"#

Tin##i Baan:

!!$m

N%m%r Re"am Meis:



!

T#'-.am masu":!

T#'-.am "e'uar:!

/ama R&t!!! *ari

(e'as:!!

Tari-*r R3:!

Bia,a R

4R 1 4R 2 4R 5 4R 4R ) 4R 6 4R 4R 4R ? 4R 10

4S ! 4S ! 4S ! 4S ! 4S ! 4S ! 4S ! 4S ! 4S ! 4S !

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Pen,a"it Utama !! !! !! !! !! !! !! ! !

Pen,a"it Pen,erta !! !! !! !! !! !! !! ! !

(%m'i"asi !! !! !! !! !! !! !! ! !

sessmen ('inis:

Pemeri"saan %"ter !! !! !! !! !! !! !! ! !

(%nsu'tasi !! !! !! !! !! !! !! ! !

emeri"saan Penun7an#: DT/9 U9 9SG=T9 SGPT9HGT9 anti 4A;9 I# M anti

4A;9 4Bs A# 9 Tes Mt

Urin rutin9SG=T9 SGPT

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ina"an: I;D

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e8ris

I"teri"


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arians: !! !! !! !! !! !! !! ! !

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ama Pera&at:


Utama !!

;isite-(%nsu': Anamnesis P ?!0 an ?

ama D%"ter:

Pen,erta !!

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Ser%'%#i mar"er *eatitis

Tes Mant%u>

Pemasan#an I;D


23/31


FEBRIS LAMA (Panas > & '!n(()2016

ama Pasien:

Umur:

Berat Baan:

!!"#

Tin##i Baan:

!!$m

N%m%r Re"am Meis:



!

T#'-.am masu":!

T#'-.am "e'uar:!

/ama R&t!!! *ari

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Bia,a R

4R 1 4R 2 4R 5 4R 4R ) 4R 6 4R 4R 4R ? 4R 10

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Pen,a"it Utama !! !! !! !! !! !! !! ! !

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Pemeri"saan %"ter !! !! !! !! !! !! !! ! !

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T,*i %t9 aa' *ati an#in7a'9 CXR PA-/at9 ANA9

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Pemasan#an I;D


24/31

CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMADIFTERI

2016ama Pasien:

Umur:

Berat Baan:

!!"#

Tin##i Baan:

!!$m

N%m%r Re"am Meis



!

T#'-.am masu":!

T#'-.am "e'uar:!

/ama R&t!!! *ari

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4R1

4R2

4R5

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4S!!

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Pen,a"it Utama Diteri

Pen,a"it Pen,erta !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

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Pemeri"saan %"ter !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !

(%nsu'tasi !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !

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CXR PA-/atera'9E(G E(G E(G E(G !

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e8ris !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

=8stru"si 'arin# !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

(aritis !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

enii"an-Ren$ana : Pen7e'asan en,a"it Pen,u'u*an Gii an Imunisasi (%ntr%' %'i"'in"

arians: !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

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ama Pera&at:


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!! E(G

! !! CXR PA-/atera'

!!


25/31

CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMATETANUS

2016ama Pasien:

Umur:

Berat Baan:

!!"#

Tin##i Baan:

!!$m

N%m%r Re"am Meis



!

T#'-.am masu":!

T#'-.am "e'uar:!

/ama R&t!!! *ari

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Tari-*r R3:!

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4R1

4R2

4R5

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4R12

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Pen,a"it Utama Tetanus

Pen,a"it Pen,erta !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

(%m'i"asi !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

sessmen ('inis:

Pemeri"saan %"ter !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

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!!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

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e8ris !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

(esaaran !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

(e7an# !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

enii"an-Ren$ana : Pen7e'asan en,a"it Gii an Imunisasi (%ntr%' %'i"'ini"

arians: !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

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ama Pera&at:


Utama !! ;isite-(%nsu': Anamnesis P ?!0 an ?

ama D%"ter:


!! Bia"an Ine"si %"a'


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(a'sium ara*

I;D9 NGT


26/31


SEPSIS PADA ANAK!2016

ama Pasien:

Umur:

Berat Baan:

!!"#

Tin##i Baan:

!!$m

N%m%r Re"am Meis

ia#n%sis A&a': ! (%e ICD 10 : Ren$ana ra&at : *ari


!

T#'-.am masu":!

T#'-.am "e'uar:!

/ama R&t1 *ari

(e'as:!!

Tari-*r R3:!

Bia,a

4R1

4R2

4R5

4R

4R)

4R6

4R

4R

4R?

4R10

4R11

4R12

4R15

4R1

4S 4S 4S 4S 4S 4S 4S 4S 4S 4S 4S 4S 4S 4S

ia#n%sis:

Pen,a"it Utama Sesis

Pen,a"it Pen,erta !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

(%m'i"asi !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!sessmen ('inis:

Pemeri"saan %"ter !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

(%nsu'tasi !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

emeri"saan Penun7an#:DT/9 U9 9(u'tur ara* an urin9

/P9

CXR PA-/at

!!!!!!

!!!!!

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asi' (Outcome):

(esaran !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

e8ris !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

Perara*an sa'! $erna !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!

enii"an-Ren$ana : Pen7e'asan en,a"it Gii an Imunisasi (%ntr%' %'i"'ini"

arians: !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!



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ama D%"ter:


!! Bia"an Ine"si %"a'


(%m'i"asi !! In7! =8at an Tes Mant%u>

! !! /P

! !! CXR PA-/atera'


27/31

CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXSM I/MU (ESE4ATAN ANA( RSUP DR! SARD.IT= =GA(ARTA

!!

2016ama Pasien:

Umur:

Berat Baan:

!!"#Tin##i Baan:!!$m

N%m%r Re"am Meis



!

T#'-.am masu":!

T#'-.am "e'uar:!

/ama R&t!!! *ari

(e'as:!!

Tari-*r R3:!

Bia,a R

4R 1 4R 2 4R 5 4R 4R ) 4R 6 4R 4R 4R ? 4R10

4R11

4R12

4S !! 4S !! 4S !! 4S !! 4S !! 4S !! 4S !! 4S !! 4S !! 4S !! 4S !! 4S !!

ia#n%sis:

Pen,a"it Utama

Pen,a"it Pen,erta

(%m'i"asi

sessmen ('inis:

Pemeri"saan %"ter

(%nsu'tasi


ina"an:

=8at %8atan:

utrisi: M%8i'isasi:

asi' (Outcome):


arians:

.um'a* Bia,a

ama Pera&at:


Utama !! ama D%"ter:

Pen,erta ! !! !!


(%m'i"asi ! !! !!


28/31


!!2016

ama Pasien:

Umur:

Berat Baan:

!!"#

Tin##i Baan:

!!$m

N%m%r Re"am Meis



!

T#'-.am masu":!

T#'-.am "e'uar:!

/ama R&t!!! *ari

(e'as:!!

Tari-*r R3:!

Bia,a

4R1

4R2

4R5

4R

4R)

4R6

4R

4R

4R?

4R10

4R11

4R12

4R15

4R1

4S 4S 4S 4S 4S 4S 4S 4S 4S 4S 4S 4S 4S 4S

ia#n%sis:

Pen,a"it Utama

Pen,a"it Pen,erta

(%m'i"asisessmen ('inis:

Pemeri"saan %"ter

(%nsu'tasi


ina"an:

=8at %8atan:

utrisi: M%8i'isasi:

asi' (Outcome):


arians:

.um'a* Bia,a

ama Pera&at:


Utama !!

ama D%"ter:

Pen,erta ! !! !! ama Pe'a"sanaerii"asi:

(%m'i"asi ! !! !!


29/31


!2016

ama Pasien:

Umur:

Berat Baan:

!!"#

Tin##i Baan:

!!$m

N%m%r Re"am Meis:



!

T#'-.am masu":!

T#'-.am "e'uar:!

/ama R&t!!! *ari

(e'as:!!

Tari-*r R3:!

Bia,a R



ia#n%sis:

Pen,a"it Utama .

Pen,a"it Pen,erta .

(%m'i"asi .

sessmen ('inis:

Pemeri"saan %"ter .

(%nsu'tasi .

emeri"saan Penun7an#: .

ina"an: .

=8at %8atan:

.

.

!!!!

!!!!

!!!!

!!!!

utrisi: .

M%8i'isasi: .

asi' (Outcome):

. .

.


.

arians: .

.

.um'a* Bia,a

ama Pera&at:



Pen,erta ! !!

!! ama Pe'a"sanaerii"asi:

(%m'i"asi ! !! !!


30/31


!!2016

ama Pasien:

Umur:

Berat Baan:

!!"#

Tin##i Baan:

!!$m

N%m%r Re"am Meis



!

T#'-.am masu":!

T#'-.am "e'uar:!

/ama R&t!!! *ari

(e'as:!!

Tari-*r R3:!

Bia,a R

4ari Ra&at 1 4ari Ra&at 2 4ari Ra&at 5 4ari Ra&at 4ari Ra&at ) 4ari Ra&at 6

4ari Sa"it: 4ari Sa"it: 4ari Sa"it: 4ari Sa"it: 4ari Sa"it: 4ari Sa"it:

ia#n%sis:

Pen,a"it Utama

Pen,a"it Pen,erta

(%m'i"asi

sessmen ('inis:

Pemeri"saan %"ter

(%nsu'tasi


ina"an:

=8at %8atan:

utrisi:

M%8i'isasi:

asi' (Outcome):


arians:

.um'a* Bia,a

ama Pera&at:



Pen,erta ! !!


(%m'i"asi ! !! !!


31/31


!!2016

ama Pasien:

Umur:

Berat Baan:

!!"#

Tin##i Baan:

!!$m

N%m%r Re"am Meis:



!

T#'-.am masu":!

T#'-.am "e'uar:!

/ama R&t!!! *ari

(e'as:!!

Tari-*r R3:!

Bia,a

4ari Ra&at1

4ari Ra&at2

4ari Ra&at5

4ari Ra&at

4ari Ra&at)

4ari Ra&at6

4ari Ra&at

4ari Sa"it!! 4ari Sa"it!! 4ari Sa"it!! 4ari Sa"it!! 4ari Sa"it!! 4ari Sa"it!! 4ari Sa"it!!

ia#n%sis:

Pen,a"it Utama

Pen,a"it Pen,erta

(%m'i"asi

sessmen ('inis:Pemeri"saan %"ter

(%nsu'tasi


ina"an:

=8at %8atan:

utrisi:

M%8i'isasi:

asi' (Outcome):


arians:

.um'a* Bia,a

ama Pera&at:



Pen,erta ! !!


(%m'i"asi ! !! !!

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