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FR Costa API

This clinical pathway document summarizes a patient's hospital stay for a rib fracture. It includes the patient's name, diagnosis of rib fracture and lung contusion, treatments including oxygen, chest tube insertion and ventilation, medications, nutrition and mobilization plans. Outcomes and discharge plan are listed. The total costs of treatment and codes for diagnosis and procedures are also included.

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Ikhdin Saadhi
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33 views1 page

FR Costa API

This clinical pathway document summarizes a patient's hospital stay for a rib fracture. It includes the patient's name, diagnosis of rib fracture and lung contusion, treatments including oxygen, chest tube insertion and ventilation, medications, nutrition and mobilization plans. Outcomes and discharge plan are listed. The total costs of treatment and codes for diagnosis and procedures are also included.

Uploaded by

Ikhdin Saadhi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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CLINICAL PATHWAYS

RSUD dr.MOEWARDI SURAKARTA


Fraktur Costa
2019
Nama Pasien: Umur: Berat Badan: Tinggi Badan: Nomor Rekam Medis:
………………………………………………… ……………… ……………..kg …………..cm …………………………….
Diagnosis Awal: Kode ICD 10 : S22./……………… Rencana rawat : …7… hari
……………………………….
R. Rawat Tgl/Jam masuk: Tgl/Jam keluar: Lama Rwt Kelas: Tarif/hr (Rp): Biaya
Aktivitas Pelayanan ……………. ………………. ………………. ……... hari …….. …………. (Rp)
…………
Hari Rawat Hari Rawat Hari Rawat Hari Rawat Hari Rawat Hari Rawat Hari Rawat
1 2 3 4 5 6 7
Hari Sakit.. Hari Sakit.. Hari Sakit.. Hari Sakit.. Hari Sakit.. Hari Sakit.. Hari Sakit..
Diagnosis:
 Penyakit Utama
Fraktur Costa
 Penyakit Penyerta
Contusio Pulmonun
 Komplikasi
Pneumothorax
Haemothorax
Asessmen Klinis:
 Pemeriksaan dokter ………
 Konsultasi ………
Pemeriksaan Penunjang: ………
Foto Thorax
Darah Rutin
Analisis Gas Darah

Tindakan: ………
Oksigenasi
Insersi Chest Tube
Ventilator
Obat obatan:
 ……………………… ………
 ……………………… ………
 ……………………… ………
Nutrisi: ………
Mobilisasi: ………
Hasil (Outcome):
 ………………………
 ………………………
 ………………………
Pendidikan/Rencana
Pemulangan:
Varians:
Jumlah Biaya ………
Perawat Diagnosis Akhir: Kode ICD 10 Jenis Tindakan: Kode ICD 9 –
(PPJP) CM
………………
PPDU:  Utama ……………………… ………..  ……………………………………… ……………….
……………
PPDS:  Penyerta ……………………… ………..  ……………………………………… ……………….
……………
Dokter ………………………. ………..  ……………………………………… ……………….
Penanggung ……………………… ………..  ……………………………………… ……………….
Jawab Pasien  Komplikasi ……………………… ………..  ……………………………………… ……………….
(DPJP): ………………………. ………..  ……………………………………… ……………….
....................... ……………………… ………..  ……………………………………… ……………….
Verifikator: ………………………. ………..  ……………………………………… ……………….
……………… ……………………… ………..  ……………………………………… ……………….

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