LAPORAN SUMBER DATA RAWAT INAP

Tanggal Keluar : 01-02-2018 S/D 28-02-2018

Jenis
No No. RM Umur (Thn) Umur (Bln) Umur (Hr) Kelompok Umur Tgl Masuk Tgl Keluar LOS Diagnosa Masuk Kode Diagnosa 1
Kelamin
154 00425909 54 7 17 45 - 65 TH LAKI-LAKI 1/30/2018 2/3/2018 5 A15.0
190 00271404 55 2 15 45 - 65 TH PEREMPUAN 1/31/2018 2/5/2018 6 B20.0
225 00245126 36 7 8 15 - 44 TH LAKI-LAKI 1/31/2018 2/9/2018 10 A15.0
345 00411854 39 10 17 15 - 44 TH LAKI-LAKI 2/2/2018 2/6/2018 5 B20.0
436 00173222 77 1 23 >65TH PEREMPUAN 2/4/2018 2/9/2018 6 A16.2
473 00418220 42 1 14 15 - 44 TH PEREMPUAN 2/2/2018 2/7/2018 6 B20.0
791 00427217 80 0 14 >65TH PEREMPUAN 2/9/2018 2/19/2018 11 A16.5
802 00423034 58 9 28 45 - 65 TH PEREMPUAN 2/8/2018 2/12/2018 5 B20.9
827 00405236 76 1 29 >65TH LAKI-LAKI 2/9/2018 2/15/2018 7 A16.2
887 00357703 80 0 19 >65TH LAKI-LAKI 2/10/2018 2/15/2018 6 A15.8
895 00427319 54 7 28 45 - 65 TH PEREMPUAN 2/10/2018 2/15/2018 6 K75.8
923 00426985 48 9 9 45 - 65 TH PEREMPUAN 2/9/2018 2/16/2018 8 B20.0
1026 00427465 51 7 29 45 - 65 TH PEREMPUAN 2/12/2018 2/17/2018 6 A16.2
1140 00427674 59 2 11 45 - 65 TH LAKI-LAKI 2/14/2018 2/17/2018 4 A16.0
1142 00424344 42 10 27 15 - 44 TH LAKI-LAKI 2/13/2018 2/21/2018 9 B20.0
1225 00278428 68 0 21 >65TH LAKI-LAKI 2/15/2018 2/20/2018 6 A16.2
1403 00366362 79 2 0 >65TH LAKI-LAKI 2/19/2018 2/22/2018 4 A16.2
1466 00427957 67 5 2 >65TH LAKI-LAKI 2/20/2018 2/22/2018 3 B20.0
1468 00428129 33 3 15 15 - 44 TH PEREMPUAN 2/20/2018 2/27/2018 8 B20.0

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 Diagnosa 1 Kode Diagnosa 2 Diagnosa 2 Kode Diagnosa 3 Diagnosa 3 Jenis Kasus 1

Tuberculosis of lung, confirmed by sputum microscopy with or without culture

HIV disease resulting in mycobacD64.9 Anaemia, unspecified
Tuberculosis of lung, confirmed J44.1 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
HIV disease resulting in mycobacD64.9 Anaemia, unspecified
Tuberculosis of lung, without meJ44.1 Chronic obstructive pulmonary diI27.9 Pulmonary heart disease, unspecified
HIV disease resulting in mycobacterial infection
Tuberculous pleurisy, without mention of bacteriological or histological confirmation
HIV disease resulting in unspeciJ42 Unspecified chronic bronchitis
Tuberculosis of lung, without meI27.9 Pulmonary heart disease, unspecified
Other respiratory tuberculosis, confirmed bacteriologically and histologically
Other specified inflammatory liver diseases
HIV disease resulting in mycobacE14.9 Unspecified diabetes mellitus without complications
Tuberculosis of lung, without meE14.9 Unspecified diabetes mellitus wiD64.9 Anaemia, unspecified
Tuberculosis of lung, bacterioloE14.9 Unspecified diabetes mellitus without complications
HIV disease resulting in mycobacA41.9 Septicaemia, unspecified J96.9 Respiratory failure, unspecified
Tuberculosis of lung, without meJ44.1 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
Tuberculosis of lung, without meL27.0 Generalized skin eruption due to drugs and medicaments
HIV disease resulting in mycobacterial infection
HIV disease resulting in mycobacJ46 Status asthmaticus

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 Kode
Jenis Kasus 2 Jenis Kasus 3 DTD Kode Tindakan 1 Tindakan 1 Kode Tindakan 2 Tindakan 2
Ruangan

99.04 Transfusion of packed cells

99.04 Transfusion of packed cells

99.04 Transfusion of packed cells

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 Kode Kode Kode Kode Kode
Ruangan Kelas Jenis Pasien Cara Keluar Dokter Asal Pasien Kelurahan
Kelas Jenis Pasien Dokter Kelurahan Kecamatan
310004 MAWAR 1 2 10 III 21 BPJS PBI Pulang 63 DR. MUSDALIFAH,SIGD 3313140002 Nangsri
405004 MAWAR 2 0 20 II 22 BPJS NON PBI Pulang 64 DR. MUSRIFAH BUDIGD
310010 MAWAR I 2 10 III 22 BPJS NON PBI Pulang 63 DR. MUSDALIFAH,SIGD 3313150004 Pojok
320009 MAWAR 1 0 10 III 21 BPJS PBI Pulang 63 DR. MUSDALIFAH,SIGD
410006 MAWAR 2 1 10 III 21 BPJS PBI Pulang 63 DR. MUSDALIFAH,SIGD 3313090004 Tegalgede
410016 MAWAR 2 2 10 III 22 BPJS NON PBI Pulang 64 DR. MUSRIFAH BUDIGD 3313060003 Tawangmang
410004 MAWAR 2 1 10 III 12 JAMKESDA Pulang 56 MULYONO AGUNG PRIGD 3313070009 Ngargoyoso
405002 MAWAR 2 0 10 III 21 BPJS PBI Pulang 9 Nur Hidayat, Dr.IGD 3313110002 Jati
310012 MAWAR I 2 10 III 21 BPJS PBI Pulang 63 DR. MUSDALIFAH,SIGD
1900039 CEMPAKA 3 20 II 22 BPJS NON PBI Pulang 66 DIMAS ADI NUGROHIGD 3313040001 Sedayu
405006 MAWAR 2 0 20 II 22 BPJS NON PBI Pulang 64 DR. MUSRIFAH BUDIGD
410003 MAWAR 2 1 10 III 12 JAMKESDA Meningg 63 DR. MUSDALIFAH,SIGD 3313090008 Bejen
410005 MAWAR 2 1 10 III 21 BPJS PBI Pulang 63 DR. MUSDALIFAH,SIGD
320001 MAWAR 1 0 30 I 1 Umum Pulang 63 DR. MUSDALIFAH,SIGD
310015 MAWAR I 3 10 III 21 BPJS PBI Pulang 63 DR. MUSDALIFAH,SIGD 3313140004 Kebak
310010 MAWAR I 2 10 III 21 BPJS PBI Pulang 63 DR. MUSDALIFAH,SIGD
140002 TERATAI 0 30 I 22 BPJS NON PBI Pulang 63 DR. MUSDALIFAH,SIGD
140040 TERATAI 0 10 III 12 JAMKESDA Meningg 56 MULYONO AGUNG PRIGD
400002 MAWAR 2 0 20 II 1 Umum Pulang 63 DR. MUSDALIFAH,SIGD

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 Kode Kode
Kecamatan Kabupaten Propinsi Kelengkapan RM
Kabupaten Propinsi
3313140 Kebak Kram 3313 Karanganyar INA06 Jawa Tengah
3313 Karanganyar INA06 Jawa Tengah
3313150 Mojogedang 3313 Karanganyar INA06 Jawa Tengah
3311080 Mojolaban 3311 Sukoharjo INA06 Jawa Tengah
3313090 Karanganya 3313 Karanganyar INA06 Jawa Tengah
3313060 Tawangmang 3313 Karanganyar INA06 Jawa Tengah
3313070 Ngargoyoso 3313 Karanganyar INA06 Jawa Tengah
3313110 Jaten 3313 Karanganyar INA06 Jawa Tengah
3313 Karanganyar INA06 Jawa Tengah
3313040 Jumantono 3313 Karanganyar INA06 Jawa Tengah
3313 Karanganyar INA06 Jawa Tengah
3313090 Karanganya 3313 Karanganyar INA06 Jawa Tengah
3313 Karanganyar INA06 Jawa Tengah
3313 Karanganyar INA09 DKI Jakarta
3313140 Kebak Kram 3313 Karanganyar INA06 Jawa Tengah
3313 Karanganyar INA06 Jawa Tengah
3313020 Jatiyoso 3313 Karanganyar INA06 Jawa Tengah
3313 Karanganyar INA06 Jawa Tengah
3313 Karanganyar INA06 Jawa Tengah

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