SK Tentang Isi Rekam Medis

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8.4.1.1 sk tentang standarisasi kode

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8.4.3.3 SK Dan SOP

Sk Isi Rekam Medis

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PEMERINTAH KABUPATEN KABUPATEN PROBOLINGGO PROB OLINGGO

DINAS KESEHATAN

PUSKESMAS BANTARAN BANTARAN Jln. Raya Bantaran no. 43 Telp. (0335) 682862 BANTARAN email : pusesmas.!antaran"pro!olin##oa!.#o.i$ 6%26&

PROBOLINGGO

KEPUTUSAN KEPALA PUSKESMAS BANTARAN NOMOR : 440/ /SK/426.102.4/2016 TENTANG ISI REKAM MEDIS DENGAN RAHMAT TUHAN YANG MAHA ESA KEPALA PUSKESMAS BANTARAN,

'N'BAN* :

a. !a+,a ream me$is !er-un#si se!a#ai sum!e m!er inin-orm auan auan !ai !ai men#en men#enai ai $ata $ata sosial sosial// $ata $ata me$is/ me$is/ +in##a +in##a

tin$aan pen#o!atan yan# $i!erian epa$a pasien/ maa ! ters terse! e!ut ut +aru +arus s $ie $ielo lola la $en# $en#an an !ai !ai a#ar a#ar $apa $apatt $i man-aatnya !. !a+, !a+,a a $ala $alam m ran# ran#a a upay upaya a meni menin# n#a at tan an mutu mutu pelay pelay usesma usesmas s Bantaran Bantaran maa $iperluan $iperluan penyelen# penyelen##ara #araan an me$is yan# !ermutu tin##i. . !a+, a+,a a#ar pelay elaya anan nan re ream me$ me$is $i use uses smas mas terl terla asa san na

$en $en#an

!ai/ i/

per perlu

a$a a$anya nya

e!i e!i1aa 1aan n

usesma usesmas s Bantaran Bantaran se!a#ai se!a#ai lan$asan lan$asan !a#i penyelen# penyelen# pelayanan ream me$is

$. !a+,a !a+,a se+u!un# se+u!un#an an $en#an $en#an !utir !utir a/ ! $an $an  terse!ut terse!ut $i $i atas

perlu menetapan surat eputusan epala usesmas Ban tentan# isi ream me$is 'N* 'N*N N*A *AT T

:

Sign up to vote on this title



&. n$a n$an# n#u un$ n$an an# # Nomo Nomor2 r25 5 Ta+un2 +un200 00T Te entan ntan# # elay elayan anan an u  Useful  Not useful 2. n$an#u n$an#un$an# n$an#Nomor Nomor36 36 Ta+un20 Ta+un200ten 0tentan# tan# ese+atan ese+atan 3. n$a

n$an#

43 Ta+un20 Ta+un200ten 0tentan# tan# earsip

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8.4.3.3 SK Dan SOP

Sk Isi Rekam Medis

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MEMUTUSKAN :

'enetapan

:

 RA' '9

AT

:

'em!erlauan etentuan tentan# isi ream me$is se!a#

:

terlampir. eputusan se!a#aimanaterse!ut$alam $itum esatu ,a1i! $

9A

ole+ enan##un# 1a,a! $an etu#as Ream 'e$is u T*A

:

Bantaran eputusan ini !erlau se1a tan##al $itetapannya $an ap

emu$ian +ari ternyata ter$apat eeliruan $alam penetapan in $ia$aan per!aian se!a#aimana mestinya.

9itetapan $i : BANTARAN a$a tan##al : &8 e!ruari 20&6 A;A 'A BANTARAN

dr. Mo. Er!"# K"!$%&dd$# You're Reading a Preview Nip. &820803 20003 & 003 Unlock full access with a free trial.

Download With Free Trial


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8.4.3.3 SK Dan SOP

Sk Isi Rekam Medis

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ISI REKAM MEDIS

&. si ream me$is ra,at 1alan pa$a sarana pelayanan ese+atan memuat: a. $entitas pasien !. ;ampiran si Ream 'e$is •

T7 ' -oto opy

•



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artu BJ (!ila a$a)

•

JA'9A (!ila a$a)

. Tan##al $an ,atu pelayanan $. =asil anamnesa yan# menan#up elu+an utama. e. Ri,ayat penyait -. =asil pemerisaan -isi #. 9ia#nosa +. enatalasanaan (terapi) i.

en#o!atan $an tin$aan

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Nama $an tan$a tan#an $oter atau tena#a ese+atan tertentu yan# You're Reading a Preview

mem!erian pelayanan ese+atan.

Unlock full access with a free trial.

2. si ream me$is untu ra,at inap memuat: a. $entitas pasien


!. ;ampiran si Ream 'e$is •

T7 ' -oto opy

•



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artu BJ (!ilaa$a)

•

JA'9A (!ilaa$a)

. Tan##al $an ,atu pelayanan $. =asil anamnesa yan# menan#up elu+an utama. Sign up to vote on this title e. Ri,ayat penyait  Useful  Not useful -. =asil pemerisaan -isi

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8.4.3.3 SK Dan SOP

Sk Isi Rekam Medis

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

n. elayanan lain yan# $ilauan ole+ tena#a ese+atan tertentu. 3. si ream me$is untu pasien #a,at $arurat/ memuat: a. Tan##al $an ,atu $atan# !. No Ream 'e$is . $entitas pasien $. =asil anamnesa e. =asil pemerisaan -isi -.

tatus ;oalis

#. 9ia#nosis +. emerisaan penun1an# i.

Renana terapi

1.

Nama $an tan$a tan#an $oter atau tena#a ese+atan tertentu

You're Reading a Preview Unlock full access with a free trial.



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