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Billing JK Umur Ruang
Billing JK Umur Ruang
Billing JK Umur Ruang
1 dr. Isngadi, M.Kes, Sp. An, KAO. 2 Dr. dr. A. Andyk Asmoro, Sp. An ANESTESI
FIPM. 3 dr.OK SENTRAL
Taufik Agus RSUD DR SAIFUL
Siswagama, ANWAR
Sp. An. 4 dr. MALANG
Rudy Vitraludyono, Sp. An. PJT/TKV dr. Djudjuk , Sp. An, KAKV, KAR
.
OK JAM NAMA BILLING JK UMUR RUANG DIAGNOSIS RENCANA TINDAKAN DPJP RESIDEN ASA ANESTESI KET
ASA 3
Moderate cholangitis CP
dr. Taufik score 7
Moderate Cholangitis Dt Agus Hiperbilirubinemia Bil T/D/I
1 Mahmud 11406287 L 54th 17 External Drainage NDI/PRO Saran LA
Choledocolithiasis Siswagama, 23.1/21.47/1.63
Sp. An Transaminitis OT/PT 92/74
DM tipe 2 terkontrol
ASA 3 CKD St V on HD
dr. Taufik
(Ur/creat : 90.6/12.61), Ur/cr
Agus
3 Hanifah 11376922 P 41th 28 Ckd Stg V + Hf Stg B + Ht On Tx Capd NDI/PRO tertinggi (97/ 24), HT on GA LMA
Siswagama,
treatmen (130/90), HF st B fc
Sp. An
I, anemia 7.9
ASA 3, CKD St V Ur/CR:
Cervix Cancer St Iva + Ckd St V 105,4/7,45 (Ur/Cr tertinggi
dr. Taufik
+ Anemia + Right Severe saat ini, gejala +), uremic
OK 3 Bilateral Dj Stent Insertion I.F Agus
1 Tomblok 11406917 L 57th 4 Hydronephrosis + Left Moderate NIA/ZII gastropaty, Hiponatremia GA Intubasi
UROLOGI Bilateral Pns Siswagama,
Hydroureteronephrosis + Gross 126, Anemia 8.8, Keganasan,
Sp. An
Hematuria + Hypoalbuminemia SIRS (Tax 38, Leukositosis
15ribu)
dr. Taufik
Right Staghorn Stone + Right Agus
2 Husnul Hasanah 11406364 P 40th 17 Nephrolithotomy NIA/ZII ASA 1 GA epidural
Hydronephrosis Gr. Iv Siswagama,
Sp. An
Right Pyelum Stone + Right dr. Taufik
Multiple Renal Stone + Right Agus ASA 2, Azotemia Ur/CR:
1 Nasuri 11407064 L 54th 19 Right Rpg-Urs + Right Pcnl NIA/ZII RA SAB
Hydroureteronephrosis Gr. Iii + Siswagama, 26,7/1,22, HT stage 1
Left Renal Hypoplasia Sp. An
Bph + Bladder Stone + Left Non- dr. Taufik
OK 4 Opaque Proximal Ureteral Stone Left Rpg + Cystoscopy I.N Agus ASA 2 HT stage 1, HF st B fc
2 Pailan 11404999 L 61th 19 NIA/ZII RA SAB
UROLOGI + Ht St I + Hyperuricemia + Left Turp + Vesicolithotomy Siswagama, 1
Hydronephrosis Gr Ii Sp. An
dr. Taufik
ASA 3 Keganasan, post kemo,
Endometrium Cancer Ib Residif + Bilateral Dj Stent Insertion I.F Agus
3 Ana Dwi 11375486 P 35th 17 NIA/ZII Azotemia Ur/CR: 21,3/1,3, GA LMA
Right Mild Hydronephrosis Stop Siswagama,
oligouria
Sp. An
1 Pain Managemen
dr. Taufik
P3A0 post partus forceps ekstraksi Agus
OK 5 2 Ny. Sulistyowati 11408636 P 35TH R4 MOW ONY/BAY ASA 2, HT st 2 terkontrol RA SAB
hari ke 1 Siswagama,
EKSTIRPASI
Sp. An
dr. Taufik ASA 2, susp keganasan,
Laparotomy biopsi + dj stent Agus distended abdomen,
3 Maratus 11303053 P 40TH R5 Mixed ovarial tumor ONY/BAY GA intubasi
insertion Siswagama, obesitas, HT stage 1
Sp. An (130/90), anemia (8,9)
Septum Deviasi D Grade
dr. Taufik ASA 3 Obesity class 2 BMI 35,
3+Hipertropi Konka inferior D et S perhatia
Septoplasty D+Turbinoplasty Agus Sulit intubasi, Leher pendek,
OK 6 THT 1 Yuda 11388107 L 33TH R21 grade 3+severe HAM/PRO GA Intubasi n sulit
D et S Siswagama, Malampati 3, High risk OSA
OSAS+Obesitas+Hipertropi intubasi
Sp. An stop bang score 6
Adenoid-Parikh 2
dr. Taufik
Agus Asa 2 keganasan ca cervix
1 Uripah 11406923 P 33th 4 Ca Cervix Brachiterapy ONY/BAY RA SAB
Siswagama, Post kemoteraphy
Sp. An
dr. Taufik
Asa 2 keganasan ca cervix
OK 7 OBG Agus
2 Painten 11364063 P 60th 9 Ca Cervix Brachiterapy ONY/BAY Ht stage 1 on therapy RA SAB
Siswagama,
Sp. An
dr. Taufik
Fendy Agus
3 11483860 L 14th Bgv Avn Left Hip Hemiarthroplasty PAV
Alfiandianta Siswagama,
Sp. An
dr. Taufik
Salphingo oovorectomi vrice Agus
OK 8 OBG 1 Ririn 11401385 P 35TH R4 Cystoma ovarii ONY/BAY ASA 2, susp keganasan CSE
coupe Siswagama,
Sp. An
dr. Taufik
R.IGD- atresia ani dengan fistel perineal Agus
1 By.Ny. Wahyu 11408983 L 1hari sigmoidostomy PAV
peri (unpatent) Siswagama,
Sp. An
Asa 4, Neonatus 12hr, syok
septic on dopamin ,Sofa
score 6, pneumonia, gagal
nafas on cpap pf ratio 449, Koreksi FFP
susp PJB asianotik, susp 10cc/kg, TC
dr. Taufik
OK 9 BEDAH atresia duodenum, 10cc/kg Post op
High Level Bowel Obstruction Dt Agus
ANAK 2 By.Nuzulus 11403546 P 14hari Perina Explorasi Laparotomi NOF/NAB trombositopenia 62000, Echocardiogra NICU
Susp Atresia Duodenum Siswagama,
pemanjangan PT 2.29x INR phy
Sp. An
2.3x, APTT 2.49x, GA Caudal
transaminitis 531/278,
leukositosis 22280,
hiperbilirubinemia 6.02
dr. Taufik
Agus
3 An. Awang 11366081 L 13th 15 Udt D + Hil D Reponible Orchidopexy D NOF/NAB ASA 1, Pediatri GA Intubasi
Siswagama,
Sp. An
dr Isngadi,
Laminectomy + Stabilization
Suhra 11408997 P 52 th Dahlia Spondilitis TB V.L II-III FR C Mkes, SpAn PAV
posterior + Fusi
KAO
dr Isngadi,
OD katarak br gr IV+OS katarak br ASA 2, DM Tipe 2 terkontrol
1 Sanabun 11408248 L 57th R20 OD ECCE Mkes, SpAn MAY/LIL GA Intubasi
gr II (GDS 175 mg/dL)
KAO
OK IV MATA
dr Isngadi,
2 Lyla 11408178 P 10 th R20 ODS childhood katarak OD/OS Cataract Extraction Mkes, SpAn MAY/LIL ASA 1,pediatri (10 th) GA Intubasi
KAO
dr Isngadi,
1 Dewi Yustiana 11388143 P 37th R20 Impaksi Gigi Ekstraksi Gigi Mkes, SpAn MAY/YES/LIL ASA 1 GA Intubasi
KAO
dr Isngadi,
ASA 2, susp keganasan,
4 Umi Kulsum 11405691 P 21th 18 Borderline Phyloides Tumor Simple Mastectomy Mkes, SpAn MAY/YES/LIL GA Intubasi
anemia (9.7)
KAO
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
External
ASA 3 Drainage
Moderate cholangitis CP score 7
Hiperbilirubinemia Bil T/D/I 23.1/21.47/1.63
Transaminitis OT/PT 92/74
DM tipe 2 terkontrol
Saran LA
0
Err:509
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
#REF!
GA intubasi
0
Err:509
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
#REF!
Ckd Stg V On Hd
Capd
GA LMA
back up HD post op
Err:509
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
#REF!
Hthr D/S
RA SAB
0
Err:509
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
#REF!
Hil D Reponnible
Hthr D
ASA 2
Hipertensi stg 1 TD 140/90
Riwayat CVA infark 3th yll tanpa sequele
RA SAB
0
Err:509
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
#REF!
Capd
GA LMA
0
Err:509
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
#REF!
Cervix Cancer St Iva + Ckd St V + Anemia + Right
Severe Hydronephrosis + Left Moderate
Hydroureteronephrosis + Gross Hematuria +
Hypoalbuminemia
0
Err:509
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
#REF!
Nephrolithotomy
ASA 1
GA epidural
0
#NAME?
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
#NAME?
Nasuri
Right Pyelum Stone + Right Multiple Renal Stone +
Right Hydroureteronephrosis Gr. Iii + Left Renal
Hypoplasia
RA SAB
0
Err:509
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
#REF!
Bph + Bladder Stone + Left Non-Opaque Proximal
Ureteral Stone + Ht St I + Hyperuricemia + Left
Hydronephrosis Gr Ii
ASA 2 HT stage 1, HF st B fc 1
RA SAB
0
Err:509
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
#REF!
GA LMA
0
Err:509
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
#REF!
0
#NAME?
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
#NAME?
Ny. Sulistyowati
MOW
ASA 2, HT st 2 terkontrol
RA SAB
0
Err:509
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
#REF!
GA intubasi
0
#NAME?
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
#NAME?
Yuda
Septum Deviasi D Grade 3+Hipertropi Konka inferior
D et S grade 3+severe OSAS+Obesitas+Hipertropi
Adenoid-Parikh 2
Septoplasty D+Turbinoplasty D et S
ASA 3 Obesity class 2 BMI 35, Sulit intubasi, Leher
pendek, Malampati 3, High risk OSA stop bang
score 6
GA Intubasi
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
#REF!
Ca Cervix
Brachiterapy
RA SAB
0
Err:509
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
#REF!
Ca Cervix
Brachiterapy
Asa 2 keganasan ca cervix
Ht stage 1 on therapy
RA SAB
0
#NAME?
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
#NAME?
Fendy Alfiandianta
Hemiarthroplasty
0
#NAME?
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
#NAME?
Ririn
Cystoma ovarii
CSE
0
Err:509
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
#REF!
sigmoidostomy
0
Err:509
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
#REF!
Post op NICU
Err:509
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
#REF!
Orchidopexy D
ASA 1, Pediatri
GA Intubasi
0
0
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
0
0
Ckr 356 + Cf Os Frontal + Ch Temporobasal S +
Edh Frontal 3cc + Fraktur Maxilla Lefort 1 + Tear
Drop Fracture V.Cervical Ii Asia E
ASA 3 CKR 356 → 456
Rekonstruksi Tulang
Edema Cerebri (H3)
EDH Frontal 3 cc
Fraktur LeFort I
Tear drop Fr. V. Cervicalis II ASIA E
Kemungkinan sulit intubasi
GA Intubasi inline position
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
0
GA Intubasi
0
Err:509
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
#REF!
GA Intubasi
0
#NAME?
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
#NAME?
Ngatminah
Cf Intertrochanter L Femur
Hemiarthroplasty
ASA 3, geriatri, obesitas class I (BMI 31,1),
hipertensi stage 2 (150/80) on tx, HF stage B FC II
Epidural
0
Err:509
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
#REF!
Of Middle Third L Femur Gr Ii Post Debridement +
Skin Traksi + Of Middle Third L Tibia Fibula Gr Iiia
Post External Fixation
External Fixation Femur + Revisi External Fixation
Tibia
ASA 2, anemia (9,3)
GA Intubasi
0
Err:509
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
#REF!
0
Err:509
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
#REF!
OD ECCE
GA Intubasi
0
0
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
0
GA Intubasi
0
Err:509
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
#REF!
Impaksi Gigi
Ekstraksi Gigi
ASA 1
GA Intubasi
0
Err:509
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
Err:509
#REF!
Open Biopsy
ASA 2, susp keganasan, alergi obat (gol penisilin),
R/asma (terkahir kambuh 4 th yll), anemia (7.4),
trombositopenia (57.000)
GA Intubasi
0
#NAME?
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
#NAME?
Anis Sumiati
Open Biopsy
ASA 3, susp keganasan, DM tipe 2 (GDS 253
mg/dL),HT terkontrol on tx Amlodipin 5 mg, Ramipril
10 mg dan Bisoprolol 2.5 mg
GA TIVA
0
#NAME?
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
#NAME?
Umi Kulsum
Simple Mastectomy
GA Intubasi
0
#NAME?
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
#NAME?
Ony Widianto
GA Intubasi
0
#NAME?
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
#NAME?
Gianto
Redebridement + Vac
ASA 2, MRSA (+), anemia 9,60, hipoalbumin 2,69,
transaminitis OT/PT 36/108,
GA Intubasi
Posisi Lateral
#NAME?
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
#NAME?
Bahron
Double Lumen
0
0
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
0
0
0
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
0
0
#NAME?
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
#NAME?
#NAME?
0
#NAME?
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
#NAME?
#NAME?
0
#NAME?
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
#NAME?
#NAME?
0
#NAME?
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
#NAME?
#NAME?
0
#NAME?
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
#NAME?
#NAME?
0
0
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
0
0
0
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
0
0
0
Identitas
Diagnosis
Tindakan
Status Fisik
Manajemen
Anestesi
Keterangan
0