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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: $$-*r
!!
!!!!
!!!!
!!!!
!!!!
utrisi: ! !
M%8i'isasi: ! !
asi' (Outcome):
e8ris !
Perara*an !
S,%" !
enii"an-Ren$anaemu'an#an:
Ban,a" minumTana erara*an
Ban,a" minumTana
erara*an
Ban,a" minumTana
erara*an
SanitasiImunisasi
(%ntr%' %'i"'ini"
arians: .
.
.um'a* Bia,aama Pera&at:
Dia#n%sis A"*ir: (%e ICD 10 .enis Tina"an: (%e ICD ? @
Utama Demam Berara* Den#ue A ?1
;isite-(%nsu': Anamnesis ?!0
ama D%"ter:
Pen,erta ! !!
;isite-(%nsu': P! isi" ?!
!!
Pemeri"saan mi"r%s"% ?0!)
ama Pe'a"sanaerii"asi:
(%m'i"asi ! !!
Pemasan#an I;D ??!2
!!
%t% t%ra"s R/D !
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CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMA
DIARE AKUT2016
ama Pasien:
Umur:
Berat Baan:!!"#
Tin##i Baan:!!$m
N%m%r Re"am Meis
ia#n%sis A&a': ! (%e ICD 10 : Ren$ana ra&at : 5 *ari
A"ti+itas Pe'a,ananR! Ra&at!
T#'-.am ms":
T#'-.am "'r:
/ama R&t!!! *ari
(e'as:!!
Tari-*r R3:!
Bia,a R
4ari Ra&at 1 4ari Ra&at 2 4ari Ra&at 5
4ari Sa"it: 4ari Sa"it: 4ari Sa"it:
ia#n%sis:
Pen,a"it Utama ! ! !
Pen,a"it Pen,erta ! ! !
(%m'i"asi ! ! !sessmen ('inis:
Pemeri"saan %"ter ! ! !
(%nsu'tasi ! ! !
emeri"saan Penun7an#:
DT/9 Urin 'en#"a
AGD an E'e"tr%'it
Ana'isis eses
Tes Mt
AGD an E'e"tr%'it Ba$a Tes Mt
ina"an: Pasan# I;D An#"at I;D
=8at %8atan:=ra'itI;D::$$-*r
!!!
!!
!!!
!!
!!!
!!
utrisi: ! ! !
M%8i'isasi: ! ! !
asi' (Outcome):
(esaaran ! ! !
e8ris ! ! !
Tana e*irasi ! ! !
enii"an-Ren$anaemu'an#an:
Ban,a" minumSanitasi
GiiImunisasi
(%ntr%' %'i"'ini"
arians:
.um'a* Bia,a
ama Pera&at:
!ama D%"ter:
!ama Pe'a"sana
eri"asi:
Dia#n%sis A"*ir: ICD 10 .enis Tina"an: ICD ? @ C
Utama Diare A"ut A 0! ;isite-(%nsu': Anamnesis ?!0
Pen,erta !!
;isite-(%nsu' Pemeri"saan ?!
!! Pemeri"saan mi"r%s"% ara* ?0!)
(%m'i"asi !!
AGD an e'e"tr%'it
!!
Pemasan#an I;D ??!2
!!
Ana'isis eses an Urin
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CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMA
PNEUMONIA2016
ama Pasien:
Umur:
Berat Baan:!!"#
Tin##i Baan:!!$m
N%m%r Re"am Meis
ia#n%sis A&a': ! (%e ICD 10 : Ren$ana ra&at : ) *ari
A"ti+itas Pe'a,ananR! Ra&at
!
T#'-.am ms":
T#'-.am "'r:
/ama R&t!!! *ari
(e'as:!!
Tari-*r R3:!
Bia,a R
4ari Ra&at 1 4ari Ra&at 2 4ari Ra&at 5 4ari Ra&at 4ari Ra&at )
4ari Sa"it: 4ari Sa"it: 4ari Sa"it: 4ari Sa"it: 4ari Sa"it:
ia#n%sis:
Pen,a"it Utama !
Pen,a"it Pen,erta !
(%m'i"asi !
sessmen ('inis:
Pemeri"saan %"ter ! !
(%nsu'tasi ! !
emeri"saan Penun7an#: DT/ AGD CXR PA
AGD Tes Mt
< Ba$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:
Dia#n%sis A"*ir: ICD 10 .enis Tina"an: ICD ? @ C
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
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CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMA
DEMAM TIFOID2016
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 : 10 *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
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$aTes Mt
ina"an: .. .. .. .. .. .. .. .. .. .. =8at %8atan:
('%rameni"%' > !m#
Parasetam%' 5 > ! m#
utrisi: Ma"anan 'una" Ma"anan 8iasa M%8i'isasi: Tira* Barin# .. .. .. .. .. .. ..
Hasil (Outcome):(esaaran .. .. .. .. .. .. .. .. .. ..e8ris .. .. .. .. .. .. .. .. .. ..
Tana a8%men a"ut .. .. .. .. .. .. .. .. .. ..enii"an- R! Pemu'an#an: Pen7e'asan en,a"it Gii an Imunisasi (%ntr%' %'i"'ini"
arians: .. .. .. .. .. .. .. .. .. ...um'a* Bia,a
ama Pera&at:
ama D%"ter:
ama Pe'a"sanaerii"asi:
Dia#n%sis A"*ir: ICD 10 .enis Tina"an: ICD ? @
Utama Demam Ti%i A 01!0
;isite-(%nsu': Anamnesis ?!0
Pen,erta !! ;isite-(%nsu' Pemeri"saan isi" ?!
!! Pemeri"saan mi"r%s"% ara* ?0!)
(%m'i"asi !!
Pemasan#an I;D In7! %8at ??!2
!! Ser%'%#i ia' an I#m I#G t,*i %t3
!!
Bia"an emeu ara*
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CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMA
BAYI BARU LAHIR2016
ama Pasien: N%! Re"am Meis: ! T#' /a*ir: .am !
enis (e'amin:!!
Cara /a*ir:
Berat /a*ir:!#ram
Pan7an# Baan:!!$m
/in#"ar (ea'a:$m
Ni'ai A#ar:!
ia#n%sis A&a': ! (%e ICD 10 : Ren$ana ra&at : 5 *ari
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
4ari Ra&at 1 4ari Ra&at 2 4ari Ra&at 5
ia#n%sis:
Utama ! !
Pen,erta ! !
(%m'i"asi ! !
sessmen ('inis:
Pemeri"saan %"ter ! !
(%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 ! !
enii"an-Ren$anaemu'an#an:
Pera&atan 8a,i an ta'iusat
Pera&atan mamae
Tentan# ASI
Imunisasi (%ntr%' %'i"'ini"
arians: !!
!
.um'a* Bia,a
ama Pera&at:!
ama D%"ter:!
ama Pe'a"sanaerii"asi:
!
Dia#n%sis A"*ir: ICD 10 .enis Tina"an: ICD ? @ C
Utama !! ;isite-(%nsu': Anamnesis ?!0
Pen,erta !!
;isite-(%nsu' Pemeri"saan isi" ?! !!
Pemeri"saan mi"r%s"% ara* ?0!)
(%m'i"asi !!
ASI ??!?
!!
In7e"si %8at ;itamin (1 ??!2
!! !!
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CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMA
KEJANG DEMAM2016
ama Pasien:
Umur:
Berat Baan:
!!"#
Tin##i Baan:
!!$m
N%m%r Re"am Meis
ia#n%sis A&a': ! (%e ICD 10 : Ren$ana ra&at : 5 *ari
A"ti+itas Pe'a,ananR! Ra&at
!
T#'-.am ms":
T#'-.am "'r:
/ama R&t!!! *ari
(e'as:!!
Tari-*r R3:!
Bia,a R
4ari Ra&at 1 4ari Ra&at 2 4ari Ra&at 5
4ari Sa"it: 4ari Sa"it: 4ari Sa"it:
ia#n%sis:
Pen,a"it Utama . . .
Pen,a"it Pen,erta . . .
(%m'i"asi . . .sessmen ('inis:
Pemeri"saan %"ter . . .
(%nsu'tasi . . .
emeri"saan Penun7an#: DT/9 Urin9 eses9 AGD9Gu'a Dara* an E'e"tr%'itPun#si /um8a'9 Tes Mt
AGD an E'e"tr%'it Ba$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 . . .
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:!
ama Pe'a"sanaerii"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 !!
AGD9 u'a Dara* an e'e"tr%'it
!!
Pemasan#an I;D ??!2
!! Pun#si /um8a'
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CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMAMORBILI
2016ama 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 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 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#: 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"
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:!
ama Pe'a"sanaerii"asi:
!!
Dia#n%sis A"*ir: ICD 10 .enis Tina"an: ICD ? @ C
Utama M%r8i'i B 0)
;isite-(%nsu': Anamnesis ?!0
Pen,erta !! ;isite-(%nsu' Pemeri"saan ?!
!!
Pemeri"saan mi"r%s"% ara* ?0!)
(%m'i"asi !! Pemeri"saan rutin urin an
!! !!
!!
!!
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CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMA
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:!
ia#n%sis A&a': ! (%e ICD 10 : Ren$ana ra&at : 5 *ari
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
4ari Ra&at 1 4ari Ra&at 2 4ari Ra&at 5
ia#n%sis:
Utama ! !
Pen,erta ! !
(%m'i"asi ! !
sessmen ('inis:
Pemeri"saan %"ter ! !
(%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 ! !
enii"an-Ren$anaemu'an#an:
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:
ama Pe'a"sanaerii"asi:
Dia#n%sis A"*ir: ICD 10 .enis Tina"an: ICD ? @ C
Utama 4ier8i'iru8inemia P )?
;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 ??!2
!!
Terai sinar ??!5
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CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMA
BRONKIOLITIS 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 : ) *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 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#:
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: !!!!!! !!!!!! !!!!!! !!!!!! !!!!!!
.um'a* Bia,aama Pera&at:
ama D%"ter:!!
ama Pe'a"sanaerii"asi:
!!
Dia#n%sis A"*ir: ICD 10 .enis Tina"an: ICD ? @ C
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 !
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CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMA
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
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
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 !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
enii"an-R! Pemu'an#an: Pen7e'asan Pen,a"it Gii an Imunisasi (%ntr%' %'i"'ini"
arians: !!!
!!!
!!!
!!!
!!!
!!!
!!!
!!!
!!!
!!!
.um'a* Bia,a
ama Pera&at:
ama D%"ter:!!
ama Pe'a"sanaerii"asi:
!!
Dia#n%sis A"*ir: ICD 10 .enis Tina"an: ICD ? @ C
Utama Menin#itis Tu8er"u'%sis A 1
;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
!! Pun#si /um8a' !!
CT S$an
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CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMA
MENINGITISBAKTERIALIS2016
ama Pasien: Umur: Berat Baan:!!"# Tin##i Baan: !!$m N%! Re"am Meis:
ia#n%sis A&a': (%e ICD 10 : Ren$ana ra&at : 10 *ari
A"ti+itas Pe'a,ananR! Ra&at
!
T#'-.am ms":
T#'-.am "'r:
/ama R&t!!! *ari
(e'as:!!
Tari-*r R3:!
Bia,a R
4R 1 4R 2 4R 5 4R 4R ) 4R 6 4R 4R 4R ? 4R 10
4S!! 4S!! 4S!! 4S!! 4S!! 4S!! 4S!! 4S!! 4S!! 4S!!
ia#n%sis:
Pen,a"it Utama !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
Pen,a"it Pen,erta !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
(%m'i"asi !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
sessmen ('inis:
Pemeri"saan %"ter !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
(%nsu'tasi !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! emeri"saan Penun7an#:T/9 Urin9 eses9 AGD9 /Pes Mt9 CXR PA9 CT S$an
!!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
ina"an: I;D:$$-*r !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
=8at %8atan:
Parasetam%' 5 > m#
Diaeam 2 > !m#
Ami$i''in 6 > !m#
(emi$etine > m#
Meti'renis%'%n 5 >m#
!!!!!!!!!!!!!!!
!!!
!!!!!!!!!!!!!!!
!!!
!!!!!!
!!!!!!!!!
!!!
!!!!!!
!!!!!!!!!
!!!
!!!!!!!!!!!!!!!
!!!
!!!!!!!!!!!!!!!
!!!
!!!!!!
!!!!!!!!!
!!!
!!!!!!
!!!!!!!!!
!!!
!!!!!!!!!!!!!!!
!!!
!!!!!!!!!!!!!!!
!!!
utrisi: !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!M%8i'isasi: !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
asi' (Outcome):
(esaaran !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
e8ris !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
(e7an# !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
Deisit neur%'%#is !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
enii"an-R! Pemu'an#an: Pen7e'asan Pen,a"it Gii an Imunisasi (%ntr%' %'i"'ini"
arians: !!!!!!
!!!!!!
!!!!!!
!!!!!!
!!!!!!
!!!!!!
!!!!!!
!!!!!!
!!!!!!
!!!!!!
.um'a* Bia,a
ama Pera&at:
ama D%"ter:
!!ama Pe'a"sanaerii"asi:
!!
Dia#n%sis A"*ir: ICD 10 .enis Tina"an: ICD ? @ C
Utama Menin#itis Ba"teria'is G 00
;isite-(%nsu': Anamnesis ?!0 Pen,erta !! ;isite-(%nsu' Pemeri"saan ?!
!!
Pemeri"saan mi"r%s"% ara* ?0!)
(%m'i"asi !! AGD9 Gu'a Dara* an e'e"tr%'it
!!
Pemasan#an I;D ??!2
!!
Pun#si /um8a'
!! CT S$an
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CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMAENSEFALITIS
2016ama Pasien: Umur: Berat Baan:!!"# Tin##i Baan: !!$m N%! Re"am Meis:
Dia#n%sis A&a': (%e ICD 10 : Ren$ana ra&at : ) *ari
A"ti+itas Pe'a,ananR! Ra&at
!
T#'-.am ms":
T#'-.am "'r:
/ama R&t!!! *ari
(e'as:!!
Tari-*r R3:!
Bia,a R
4ari Ra&at 1 4ari Ra&at 2 4ari Ra&at 5 4ari Ra&at 4ari Ra&at )
4ari Sa"it: 4ari Sa"it: 4ari Sa"it: 4ari Sa"it: 4ari Sa"it:
Dia#n%sis:
Pen,a"it Utama !! !! !! !! !!
Pen,a"it Pen,erta
(%m'i"asi
Asessmen ('inis:
Pemeri"saan %"ter ! ! ! ! !
(%nsu'tasi !! !! !! !! !! emeri"saan Penun7an#:DT/9 Urin9 eses9 AGD9 /Pes Mt9 CXR PA9 CT S$an
!!! !!! !!! !!! !!! !
ina"an: I;D:$$-*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 ! ! ! ! !
enii"an-R! Pemu'an#an: Pen7e'asan en,a"it! Gii an Imunisasi (%ntr%' %'i"'ini"
;arians: ! ! ! ! !
.um'a* Bia,aama Pera&at:
ama D%"ter:
!!ama Pe'a"sana
;erii"asi:!!
Dia#n%sis A"*ir: ICD 10 .enis Tina"an: ICD ? @ C
Utama Ensea'itis G 0
;isite-(%nsu': Anamnesis ?!0
Pen,erta !!
;isite-(%nsu' Pemeri"saan ?!
!! Pemeri"saan mi"r%s"% ara* ?0!)
(%m'i"asi !!
AGD9 Gu'a Dara* an e'e"tr%'it
!! Pemasan#an I;D ??!2
!! Pun#si /um8a'
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EFUSI PLEURA 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
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
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
Pun#si 'eura!!!!!!
!!!!!!
!!!!!!
!!!!!!
!!!!!!
!!!!!!
!!!!!!
!!!!!!
!!!!!!
!!!!!!
=8at %8atan:
Parasetam%' 5 > m#
IN4 1 > !m#
Riamisin 1 > m#
Pirainami 2 > m#Prenis%n 5 > !!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: !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
.um'a* Bia,a
ama Pera&at:
ama D%"ter:
ama Pe'a"sanaerii"asi:
Dia#n%sis A"*ir: ICD 10 .enis Tina"an: ICD ? @ C
Utama Eusi P'eura Tu8er"u'%sis A 1)!6
;isite-(%nsu' Anamnesis 9 P ?!0 ?
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 !!
Pun#si /um8a'
!! %t% t%ra"s PA9 USG Paru !
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CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMA
EFUSI PLEURA BAKTERIALIS2016
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
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
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 Tes
Mt9 CXR PA9 USG Paruia"an $airan 'eura
!!!!!!!!!
!!!!!!!!!
!!!!!!!!!
!!!!!!
!!!
!!!!!!
!!!
!!!!!!
!!
!!!!!!
!!
!!!!!!
!!
!!!!!!
!!
!!!!!!
!!!
ina"an:
Pun#si 'eura
SD!!!
!!!
!!!
!!!
!!!
!!!
!!!
!!!
!!!
!!!
=8at %8atan:
Ami$i''in > m#
(emi$etine > !m#
Prenis%n 5 > !!m#
!!!!!!
!!!
!!!
!!!!!!
!!!
!!!
!!!!!!
!!!
!!!
!!!!!!
!!!
!!!
!!!!!!
!!!
!!!
!!!!!!
!!!
!!!
!!!!!!
!!!
!!!
!!!!!!
!!!
!!!
!!!!!!
!!!
!!!
!!!!!!
!!!
!!!
utrisi: !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
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:
ama Pe'a"sanaerii"asi:
Dia#n%sis A"*ir: ICD 10 .enis Tina"an: ICD ? @ C
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
!! Pun#si P'eura
%t% t%ra"s PA USG Paru !
!!
SD Paru
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CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMA
MALNUTRISI ENERGI PROTEIN DERAJAT BERAT (GIZI BURUK)2016
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 : Min##uA"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
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
!!!
!!!
!!!
!!!
=8at %8atan: !!!
!!!
!!!
!!!
utrisi: !!!
!!!
!!!
!!!
M%8i'isasi: ! ! ! !
asi' (Outcome):
BB9 //A ! ! !
enii"an: Gii an $ara em8erian ma"ananImunisasi!
(%ntr%' P%'i'ini"
arians:
!
.um'a* Bia,a
ama Pera&at:!
ama D%"ter:
ama Pe'a"sana ;erii"asi:!
Dia#n%sis A"*ir: ICD 10 .enis Tina"an: ICD ? @
Utama (&as*i%r"%r E0
;isite-(%nsu' Anamnesis ?!0 an
Marasmus E1
Pemeri"saan mi"r%s"% ?0!)
Marasmi" (&as*i%r"%r E2 Pemasan#an I;D ??!2
Pen,erta !! %t% t%ra"s PA ! !!
AGD9 Gu'a Dara*9 e'e"tr%'it
(%m'i"asi !!
E(G !!
!!
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CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMA
HIV BAYI BARU LAHIR2016
ama Pasien:
Umur:
Berat Baan:
#ram
Tin##i Baan:
!!$m
Ni'ai APGAR:
N%! R M
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#: DT/9 U9 9 aa' 4ati9 un#siGin7a'9PCR
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CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMA
OBSERVASI FEBRIS (Panas > 7 ha! "an # $% ha!)2016
ama Pasien:
Umur:
Berat Baan:
!!"#
Tin##i Baan:
!!$m
N%m%r Re"am Meis
ia#n%sis A&a': ! (%e ICD 10 : Ren$ana ra&at : 6 *ari
A"ti+itas Pe'a,ananR! Ra&at
!
T#'-.am masu":!
T#'-.am "e'uar:!
/ama R&t!!! *ari
(e'as:!!
Tari-*r R3:!
Bia,a R
4ari Ra&at 1 4ari Ra&at 2 4ari Ra&at 5 4ari Ra&at 4ari Ra&at ) 4ari Ra&at 6
4ari Sa"it: 4ari Sa"it: 4ari Sa"it: 4ari Sa"it: 4ari Sa"it: 4ari Sa"it:
ia#n%sis:
Pen,a"it Utama !! !! !! !! !! !!
Pen,a"it Pen,erta !! !! !! !! !! !!
(%m'i"asi !! !! !! !! !! !!
sessmen ('inis:
Pemeri"saan %"ter !! !! !! !! !! !! !
(%nsu'tasi !! !! !! !! !! !! !
emeri"saan Penun7an#: DT/9 U9 9 CXR PA9 Tes Mt9Bia"an ara*9 T,*i %t9
Bia"an emeu!!! !! !! !! !
ina"an: Pasan# I;D !! !! !! An#"at I;D !! !
=8at %8atan:
In7! Ami$i'in > m#
In7! (emi$etine > m#
Parasetam%' 5 > !!m#
!!!!
!!!!
!!!!
!!!!
!!!!
!!!!
utrisi: Ma"anan 'una" !""a'-*r !! !! !! !! !
M%8i'isasi: !! !! !! !! !! !! !
asi' (Outcome):e8ris !! !! !! !! !! !!
(esaaran !! !! !! !! !! !!
enii"an-Ren$anaemu'an#an:
Pen7e'asan en,a"it Gii an Imunisasi (%ntr%'%'i"'ini"
arians: !!!
!!!
!!!
!!!
!!!
!!!
.um'a* Bia,a
ama Pera&at:
Dia#n%sis A"*ir: (%e ICD 10 .enis Tina"an: (%e ICD ? @
Utama !! ;isite-(%nsu': Anamnesis P ?!0 an ?ama D%"ter:
Pen,erta ! !!
Pemeri"saan mi"r%s"% ara* ?0!)
!!
Pemasan#an I;D9 In7! =8at Tes
??!2
ama Pe'a"sanaerii"asi:
(%m'i"asi ! !! Ser%'%#i ia' an I#m I#G t,*i%t3
! !!
Bia"an ara* an emeu
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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
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
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
Asessmen ('inis:
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
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CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMA
HEPATITIS 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 : 10 *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
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 U9 9SG=T9 SGPT9HGT9 anti 4A;9 I# M anti
4A;9 4Bs A# 9 Tes Mt
Urin rutin9SG=T9 SGPT
Urin rutin9SG=T9 SGPT
ina"an: I;D
=8at %8atan: 4eat%r%te"t%r
utrisi: Diet 4ati ! ""a'-*r
M%8i'isasi: !! !! !! !! !! !! !! ! !
asi' (Outcome):
e8ris
I"teri"
enii"an-Ren$anaemu'an#an:
Pen7e'asan Pen,a"it Gii an Imunisasi (%ntr%' %'i"'ini"
arians: !! !! !! !! !! !! !! ! !
.um'a* Bia,a
ama Pera&at:
Dia#n%sis A"*ir: (%e ICD 10 .enis Tina"an: (%e ICD ? @
Utama !!
;isite-(%nsu': Anamnesis P ?!0 an ?
ama D%"ter:
Pen,erta !!
!!!!
Pemeri"saan ara* tei 'en#"a9Urin an eses rutin
(%m'i"asi !
!!!!
Pemeri"san enim *atiama Pe'a"sanaerii"asi:
Ser%'%#i mar"er *eatitis
Tes Mant%u>
Pemasan#an I;D
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CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMA
FEBRIS LAMA (Panas > & '!n(()2016
ama Pasien:
Umur:
Berat Baan:
!!"#
Tin##i Baan:
!!$m
N%m%r Re"am Meis:
ia#n%sis A&a': ! (%e ICD 10 : Ren$ana ra&at : 10 *ari
A"ti+itas Pe'a,ananR! Ra&at
!
T#'-.am masu":!
T#'-.am "e'uar:!
/ama R&t!!! *ari
(e'as:!!
Tari-*r R3:!
Bia,a R
4R 1 4R 2 4R 5 4R 4R ) 4R 6 4R 4R 4R ? 4R 10
4S ! 4S ! 4S ! 4S ! 4S ! 4S ! 4S ! 4S ! 4S ! 4S !
ia#n%sis:
Pen,a"it Utama !! !! !! !! !! !! !! ! !
Pen,a"it Pen,erta !! !! !! !! !! !! !! ! !
(%m'i"asi !! !! !! !! !! !! !! ! !
sessmen ('inis:
Pemeri"saan %"ter !! !! !! !! !! !! !! ! !
(%nsu'tasi !! !! !! !! !! !! !! ! !
emeri"saan Penun7an#: DT/9 U9 9 Bia"an ara* anurin9 Bia"an emeu9 ia'9
T,*i %t9 aa' *ati an#in7a'9 CXR PA-/at9 ANA9
CRP9 AST=9 Tes Mt
!
USGA8%men!
!
CT S$an(ea'a
!!
!
!
ina"an: I;D !! !! !! !! !! !! ! !
=8at %8atan:
In7! Ami$i''in > m#
In7! (emi$etine >
!m#
!!!!!!
!!
!!!!!!
!!
!!!!!!
!!
!!!!
!!
!!!!!!
!!
!!!!
!!
!!!!!!
!!
!!!!
!!
!!!!!!
!!
!!!!
!!
utrisi: Diet 4ati ! ""a'-*r
M%8i'isasi: !! !! !! !! !! !! !! ! !
asi' (Outcome):
e8ris !! !! !! !! !! !! !! ! !
I"teri" !! !! !! !! !! !! !! ! !
enii"an-Ren$anaemu'an#an:
Pen7e'asan Pen,a"it Gii an Imunisasi (%ntr%' %'i"'ini"
arians: !! !! !! !! !! !! !! ! !
.um'a* Bia,a
ama Pera&at:
Dia#n%sis A"*ir: (%e ICD 10 .enis Tina"an: (%e ICD ? @
Utama
;isite-(%nsu': Anamnesis P ?!0 an ?ama D%"ter:
Pen,erta !
!!
Pemeri"saan ara* tei 'en#"a9Urin an eses rutin
Bia"an ara*9 urin an emeu
ama Pe'a"sanaerii"asi:
(%m'i"asi !!
Pemeri"saan aa' *ati an #in7a'
Ser%'%#i ANA9 CRP9 AST=
In7! =8at an Tes Mant%u>
CXR PA-/atera'
Pemasan#an I;D
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CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMADIFTERI
2016ama Pasien:
Umur:
Berat Baan:
!!"#
Tin##i Baan:
!!$m
N%m%r Re"am Meis
ia#n%sis A&a': ! (%e ICD 10 : Ren$ana ra&at : 1 *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
4R1
4R2
4R5
4R
4R)
4R6
4R
4R
4R?
4R10
4R11
4R12
4R15
4R1
4S!!
4S!!
4S!!
4S!!
4S!!
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4S!!
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4S!!
4S!!
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Pen,a"it Utama Diteri
Pen,a"it Pen,erta !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
(%m'i"asi !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!sessmen ('inis:
Pemeri"saan %"ter !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !
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Pemeri"saan Penun7an#: DT/9 U9 9 Tes MT9(u'tur a#ar te''urite ari *iun# an 'esi mu"%"utan
CXR PA-/atera'9E(G E(G E(G E(G !
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ADS IU
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utrisi: Ma"anan $air !$$-*ari !
M%8i'isasi: Tira* 8arin# M%8i'isasi 8erta*a !
asi' (Outcome):
e8ris !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
=8stru"si 'arin# !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
(aritis !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
enii"an-Ren$ana : Pen7e'asan en,a"it Pen,u'u*an Gii an Imunisasi (%ntr%' %'i"'in"
arians: !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
.um'a* Bia,a
ama Pera&at:
Dia#n%sis A"*ir: (%e ICD 10 .enis Tina"an: (%e ICD ? @
Utama !! ;isite-(%nsu': Anamnesis P ?!0 an ?ama D%"ter:
Pen,erta ! !! Pemeri"saan rutin: ara*9 urin an eses
!! Bia"an ari *iun# an 'esi mu"%"utan
ama Pe'a"sanaerii"asi:
(%m'i"asi ! !! In7! =8at an Tes Mant%u>
!! E(G
! !! CXR PA-/atera'
!!
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CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMATETANUS
2016ama Pasien:
Umur:
Berat Baan:
!!"#
Tin##i Baan:
!!$m
N%m%r Re"am Meis
ia#n%sis A&a': ! (%e ICD 10 : Ren$ana ra&at : 1 *ari
A"ti+itas Pe'a,ananR! Ra&at
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T#'-.am masu":!
T#'-.am "e'uar:!
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Tari-*r R3:!
Bia,a
4R1
4R2
4R5
4R
4R)
4R6
4R
4R
4R?
4R10
4R11
4R12
4R15
4R1
4S 4S 4S 4S 4S 4S 4S 4S 4S 4S 4S 4S 4S 4S
ia#n%sis:
Pen,a"it Utama Tetanus
Pen,a"it Pen,erta !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
(%m'i"asi !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
sessmen ('inis:
Pemeri"saan %"ter !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
(%nsu'tasi !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
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ATS )0 000 IU IM
PP > !!IU I;
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utrisi: Ma"anan $air !!!$$-*ari Ma"anan 'una" !! ""a'-*ari
M%8i'isasi: Tira* 8arin# M%8i'isasi 8erta*a
asi' (Outcome):
e8ris !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
(esaaran !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
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enii"an-Ren$ana : Pen7e'asan en,a"it Gii an Imunisasi (%ntr%' %'i"'ini"
arians: !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
.um'a* Bia,a
ama Pera&at:
Dia#n%sis A"*ir: (%e ICD 10 .enis Tina"an: (%e ICD ? @
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!
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I;D9 NGT
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CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXRS CITAMA
SEPSIS PADA ANAK!2016
ama Pasien:
Umur:
Berat Baan:
!!"#
Tin##i Baan:
!!$m
N%m%r Re"am Meis
ia#n%sis A&a': ! (%e ICD 10 : Ren$ana ra&at : *ari
A"ti+itas Pe'a,ananR! Ra&at
!
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 !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!
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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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Dia#n%sis A"*ir: (%e ICD 10 .enis Tina"an: (%e ICD ? @
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!!
2016ama 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:!!
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Bia,a R
4R 1 4R 2 4R 5 4R 4R ) 4R 6 4R 4R 4R ? 4R10
4R11
4R12
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ia#n%sis:
Pen,a"it Utama
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(%m'i"asi
sessmen ('inis:
Pemeri"saan %"ter
(%nsu'tasi
emeri"saan Penun7an#:
ina"an:
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utrisi: M%8i'isasi:
asi' (Outcome):
enii"an-Ren$anaemu'an#an:
arians:
.um'a* Bia,a
ama Pera&at:
Dia#n%sis A"*ir: (%e ICD 10 .enis Tina"an: (%e ICD ? @
Utama !! ama D%"ter:
Pen,erta ! !! !!
ama Pe'a"sanaerii"asi:
(%m'i"asi ! !! !!
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CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXSM I/MU (ESE4ATAN ANA( RSUP DR! SARD.IT= =GA(ARTA
!!2016
ama Pasien:
Umur:
Berat Baan:
!!"#
Tin##i Baan:
!!$m
N%m%r Re"am Meis
ia#n%sis A&a': ! (%e ICD 10 : Ren$ana ra&at : *ari
A"ti+itas Pe'a,ananR! Ra&at
!
T#'-.am masu":!
T#'-.am "e'uar:!
/ama R&t!!! *ari
(e'as:!!
Tari-*r R3:!
Bia,a
4R1
4R2
4R5
4R
4R)
4R6
4R
4R
4R?
4R10
4R11
4R12
4R15
4R1
4S 4S 4S 4S 4S 4S 4S 4S 4S 4S 4S 4S 4S 4S
ia#n%sis:
Pen,a"it Utama
Pen,a"it Pen,erta
(%m'i"asisessmen ('inis:
Pemeri"saan %"ter
(%nsu'tasi
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ina"an:
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utrisi: M%8i'isasi:
asi' (Outcome):
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arians:
.um'a* Bia,a
ama Pera&at:
Dia#n%sis A"*ir: (%e ICD 10 .enis Tina"an: (%e ICD ? @
Utama !!
ama D%"ter:
Pen,erta ! !! !! ama Pe'a"sanaerii"asi:
(%m'i"asi ! !! !!
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CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIXSM I/MU (ESE4ATAN ANA( RSUP DR! SARD.IT= =GA(ARTA
!2016
ama Pasien:
Umur:
Berat Baan:
!!"#
Tin##i Baan:
!!$m
N%m%r Re"am Meis:
ia#n%sis A&a': ! (%e ICD 10 : Ren$ana ra&at : *ari
A"ti+itas Pe'a,ananR! Ra&at
!
T#'-.am masu":!
T#'-.am "e'uar:!
/ama R&t!!! *ari
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Bia,a R
4ari Ra&at 1 4ari Ra&at 2 4ari Ra&at 5 4ari Ra&at 4ari Ra&at )
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ia#n%sis:
Pen,a"it Utama .
Pen,a"it Pen,erta .
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(%m'i"asi ! !! !!
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!!2016
ama Pasien:
Umur:
Berat Baan:
!!"#
Tin##i Baan:
!!$m
N%m%r Re"am Meis
ia#n%sis A&a': ! (%e ICD 10 : Ren$ana ra&at : *ari
A"ti+itas Pe'a,ananR! Ra&at
!
T#'-.am masu":!
T#'-.am "e'uar:!
/ama R&t!!! *ari
(e'as:!!
Tari-*r R3:!
Bia,a R
4ari Ra&at 1 4ari Ra&at 2 4ari Ra&at 5 4ari Ra&at 4ari Ra&at ) 4ari Ra&at 6
4ari Sa"it: 4ari Sa"it: 4ari Sa"it: 4ari Sa"it: 4ari Sa"it: 4ari Sa"it:
ia#n%sis:
Pen,a"it Utama
Pen,a"it Pen,erta
(%m'i"asi
sessmen ('inis:
Pemeri"saan %"ter
(%nsu'tasi
emeri"saan Penun7an#:
ina"an:
=8at %8atan:
utrisi:
M%8i'isasi:
asi' (Outcome):
enii"an-Ren$anaemu'an#an:
arians:
.um'a* Bia,a
ama Pera&at:
Dia#n%sis A"*ir: (%e ICD 10 .enis Tina"an: (%e ICD ? @
Utama !! ama D%"ter:
Pen,erta ! !!
!! ama Pe'a"sanaerii"asi:
(%m'i"asi ! !! !!
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!!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
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
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
emeri"saan Penun7an#:
ina"an:
=8at %8atan:
utrisi:
M%8i'isasi:
asi' (Outcome):
enii"an-Ren$anaemu'an#an:
arians:
.um'a* Bia,a
ama Pera&at:
Dia#n%sis A"*ir: (%e ICD 10 .enis Tina"an: (%e ICD ? @
Utama !! ama D%"ter:
Pen,erta ! !!
!! ama Pe'a"sanaerii"asi:
(%m'i"asi ! !! !!