Ppt Buk Julia

8/17/2019 Ppt Buk Julia

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KELOMPOK 3KELENGKAPAN ISI BERKAS REKAM MEDIS DI

PUSKESMAS INGIN JAYA

NAMA KELOMPOK:ARJUNPEGY SUKMA MULIANI

ADE RAHMATSUSY HERAWATIFRIZKA ISMARITA PUTRI


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ISI BERKAS REKAM MEDIS DI PUSKESMAS INGIN JAYA

Menurut pen e!"#"n P"#"! $% "&"t '() UUPr"*t+* Ke,-*ter"n. re*"/ /e,+# /erup"*"n0er*"# &"n1 0er+#+ 2"t"t"n ,"n ,-*u/en &"n1ter,+r+ ,"r+ +,ent+t"# p"#+en. pe/er+*#""n &"n1

te!" ,+!"*u*"n. pen1-0"t"n &"n1 ,+0er+*"n-!e ,-*ter. t+n,"*"n ,"n pe!"&"n"n !"+n &"n1,+0er+*"n *ep"," p"#+enMenurut PERMENKES N-:4%56MENKES6PER6III64778 ,"t"9,"t" &"n1

"ru# ,+/"#u**"n ,"!"/ Me,+2"! Re2-r,,+0e,"*"n untu* p"#+en &"n1 ,+per+*#" ,+ un+tr" "t "!"n ,"n r" "t +n"p ,"n 1" "t ,"rur"t ;


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JALAN

D"t" p"#+en r" "t "!"n &"n1 ,+/"#u**"n ,"!"//e,+2"! re2-r, #e*ur"n19*ur"n1n&" "nt"r" !"+n:"; I,ent+t"# P"#+en0; T"n11"! ,"n "*tu;

2; An"/ne#+# '#e*ur"n19*ur"n1n&" *e!u "n. r+ "&"tpen&"*+t);,; H"#+! Pe/er+*#""n


4/11

DARURATD"t" p"#+en r" "t +n"p &"n1 "ru# ,+/"#u**"n ,"!"/ /e,+2"!re2-r, #e*ur"n19*ur"n1n&" "nt"r" !"+n:

"; I,ent+t"# P"#+en0; K-n,+#+ #""t p"#+en t+0" ,+ #"r"n" pe!"&"n"n *e#e "t"n2; I,ent+t"# pen1"nt"r p"#+en,; T"n11"! ,"n "*tu;e; H"#+! An"/ne#+# '#e*ur"n19*ur"n1n&" *e!u "n. r+ "&"t

pen&"*+t;=; H"#+! Pe/er+*#""n F+#+* ,"n penun "n1 /e,+#;1; D+"1n-#+#

; Pen1-0"t"n ,"n6"t"u t+n,"*"n+; R+n1*"#"n *-n,+#+ p"#+en #e0e!u/ /en+n11"!*"n pe!"&"n"n

un+t 1" "t ,"rur"t ,"n ren2"n" t+n,"* !"n ut; ; N"/" ,"n t"n," t"n1"n ,-*ter. ,-*ter 1+1+ "t"u ten"1"*e#e "t"n tertentu &"n1 /e/0er+*"n pe!"&"n"n *e#e "t"n;*; S"r"n" tr"n#p-rt"#+ &"n1 ,+1un"*"n 0"1+ p"#+en &"n1 "*"n,+p+n," *"n *e #"r"n" pe!"&"n"n *e#e "t"n !"+n ,"n

!; Pe!"&"n"n !"+n &"n1 te!" ,+0er+*"n -!e ten"1" *e#e "t"ntertentu;


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>ONTOH DATA PADA

PASIEN N"/" : Jen+# Ke!"/+n : Te/p"t T"n11"! !" +r : U/ur : A!"/"t : Pe*er ""n : Pen,+,+*"n : G-!-n1"n D"r" : St"tu# pern+*" "n : N"/" -r"n1 tu" : Pe*er ""n Or"n1 tu" : N"/" #u"/+6+#tr+ :


6/11

KELENGKAPAN ISI DOKUMEN REKAM MEDIS

Ke!en1*"p"n pen1+#+"n re*"/ /e,+# ,"p"t

,+pen1"ru + -!e 0e0er"p" ="*t-r. "nt"r" !"+n: '()!"t"r 0e!"*"n1 pen,+,+*"n ten"1" *e#e "t"n. '4)/"#" *er ". '3) pen1et" u"n /en1en"+re*"//e,+# '/"n=""t. *e1un""n. pert"n11un1

" "0"n). '$) *eter"/p+!"n. '?) /-t+@"#+. '%) "!"t*er ". ' ) #"r"n" *er ". '8) "*tu *er ".'5)pe,-/"n tertu!+#. '(7) *ep"tu "n ter ","ppe,-/"n;

Ten"1" &"n1 0er "* /en1+#+ re*"/ /e,+# "nt"r"!"+n ,-*ter u/u/. ,-*ter #pe#+"!+#. ,-*ter 1+1+,"n ,-*ter 1+1+ #pe#+"!+#. ,-*ter t"/u &"n1/er" "t p"#+en ,+ ru/" #"*+t. re#+,en &"n1#e,"n1 /e!"*#"n"*"n pr"*te*.ten"1" p"r"/e,+#

per" "t"n ,"n ten"1" p"r"/e,+# n-n per" "t"n;


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ISI DOKUMEN REKAM

MEDISP"#"! 4 Per/en*e# N-;4%56Men*e#6Per6III64778 ,"n 0u*u /"nu"!re*"/ /e,+# /en&e0ut*"n 0" " re*"//e,+# ter,+r+ ,"r+ re*"/ /e,+# *-n@en#+-n"!,"n re*"/ /e,+# ,+1+t"!;

I#+ re*"/ /e,+# /erup"*"n 2"t"t"n

*e",""n tu0u ,"n *e#e "t"n. ter/"#u* ,"t"tent"n1 +,ent+t"# ,"n ,"t" /e,+# #e-r"n1p"#+en; Se2"r" u/u/. +#+ re*"/ /e,+# ,"p"t,+0"1+ ,"!"/ 4 *e!-/p-* ,"t" &"+tu:


8/11

KELOMPOK ISI REKAM MEDISDATA MEDIS ATAU DATA KLINISD"t" /e,+# ","!" #e1"!" ,"t" tent"n1 r+ "&"tpen&"*+t. "#+! pe/er+*#""n


9/11

Menurut J; Gu "n,+ ,"!/ 0u*un&" &"n1 0er u,u! R" "#+"Me,+#./en1e!-/p-**"n ,"t" p"#+en &"n1 ,+per!u*"n,"!"/ re*"/ /e,+# /en ",+ $ *e!-/p-*. &"+tu :

A.DATA PRIBADI,"t" pr+0",+ /erup"*"n *eter"n1"n9*eter"n1"n &"n1,+per!u*"n untu* +,ent+


10/11

C.DATA SOSIALD"t" #-#+"! ","!" *eter"n1"n /en1en"+ *e,u,u*"n#-#+"! p"#+en.&"+tu *etr"n1"n tent"n1*e "r1"ne1"r""n 6 *e!u"r1" p"#+en. u0un1"n*e!"ur1". "1"/". pen1 +,up"n p"#+en. *e1+"t"n/"#&"r"*"t &"n1 ,++*ut+ p"#+en. ,"n #e0"1"+n&";

D.DATA MEDIS

D"t" /e,+# /erup"*"n re*"/ *!+n+# ,"r+ p"#+en.re*"/"n r+ "&"t pen1-0"t"n &"n1 ,+0er+*"n *ep","p"#+en #e!"/" /en "!"n+ per" "t"n ,"n pen1-0"t"n;D"t" /e,+# ter#e0ut 0er+#+ "#+! pe/er+*#""n


11/11

KESIMPULANRe*"/ /e,+# ","!" #u"tu 0er*"# &"n1 0er+#+,-*u/en tent"n1 p"#+en.0"+* +tu ,+"1n-#" /"upunpe!"&"n"n ru/" #"*+t ter ","p p"#+en ter#e0ut;Ke!en1*"p"n +#+ ,-*u/en re*"/ /e,+# "ru# 0ne"r90en"r ,+ "!"n*"n "1"r t+,"* ter ",+ *e#"!" "n ,"!"/pe/0er*"#"n p"#+en.&"n1 0ert"n11un1 " "0 "t"#

*e!en1*"p"n +#+ ,-*u/en re*"/ /e,+# +tu #en,+r+","!" petu1"# re*"/ /e,+# ,"n ,-*ter &"n10er#"n1*ut"n;Ke0+ "*"n *e!en1*"p"n +#+ ,-*u/en re*"/ /e,+# &"n1,+ter"p*"n ,+pu#*e#/"# +n1+n "&" #u," ter0+!"n10"+*.,"r+ #e1+ t"n11un1 " "0 petu1"# ,"n ,-*ter&"n1 0er#"n1*ut"n ter/"#u* 0"1"+/"n" #+#te/pen&+/p"n"n ,-*u/en re*"/ /e,+# u1" #"n1"t0erpen1"ru p"," *e!en1*"p"n +#+,-*u/en re*"//e,+#;

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Ppt Buk Julia