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KODE_RS KELAS_RS KELAS_RAWAT KODE_TARIF PTD ADMISSION_DATE DISCHARGE_DATE

1276014 B 1 BP 1 6/28/2020 7/1/2020


1276014 B 3 BP 1 6/30/2020 7/2/2020
1276014 B 1 BP 1 7/2/2020 7/5/2020
1276014 B 3 BP 1 7/1/2020 7/5/2020
1276014 B 3 BP 1 7/10/2020 7/10/2020
1276014 B 1 BP 1 7/10/2020 7/13/2020
1276014 B 3 BP 1 7/8/2020 7/14/2020
1276014 B 3 BP 1 7/11/2020 7/14/2020
1276014 B 3 BP 1 7/8/2020 7/15/2020
1276014 B 3 BP 1 7/14/2020 7/17/2020
1276014 B 3 BP 1 7/15/2020 7/18/2020
1276014 B 3 BP 1 7/11/2020 7/18/2020
1276014 B 3 BP 1 7/19/2020 7/20/2020
1276014 B 3 BP 1 7/16/2020 7/21/2020
1276014 B 1 BP 1 7/21/2020 7/24/2020
1276014 B 2 BP 1 7/21/2020 7/25/2020
1276014 B 3 BP 1 7/27/2020 7/27/2020
1276014 B 3 BP 1 7/17/2020 7/27/2020
1276014 B 1 BP 1 7/19/2020 7/28/2020
1276014 B 1 BP 1 7/22/2020 7/28/2020
1276014 B 3 BP 1 7/21/2020 7/28/2020
1276014 B 3 BP 1 7/20/2020 7/29/2020
1276014 B 3 BP 1 7/27/2020 7/30/2020
1276014 B 2 BP 1 7/28/2020 7/30/2020
1276014 B 1 BP 1 7/27/2020 7/30/2020
BIRTH_DATE BIRTH_WEIGHT SEX DISCHARGE_STATUS DIAGLIST
12/31/1965 0 1 1 N28.1
12/5/1963 0 1 1 Z51.5
8/28/1944 0 2 1 I64
5/12/1947 0 2 1 D61.9;I11.9
7/25/1956 0 1 4 A41.9;J17.0;E16.2
1/6/1977 0 2 1 E75.6
9/27/1954 0 1 1 A01.0;J17.0;I11.9
2/9/1952 0 1 1 K30
3/16/1964 0 1 1 J44.1;K75.9;R59.1;E75.6
3/5/1956 0 1 1 G58.9;I11.9
8/20/1986 0 2 2 Z51.5
5/23/2003 0 1 1 S02.6;S09.9;J93.9
4/4/1942 0 2 1 E16.2;I10
2/11/1962 0 2 1 A41.9;J17.0
1/15/1957 0 2 1 K92.2;N18.5;D64.9
9/4/2018 0 1 1 K40.9
12/12/1979 0 1 4 Z03.8;D64.9
2/3/2000 0 1 1 Z47.0
6/6/1974 0 1 1 N18.5;I82.9
12/2/1934 0 1 1 I11.9;K30
2/27/2008 0 1 1 Z47.0
5/24/1978 0 2 1 S53.1
9/20/2018 0 2 1 M84.16
5/10/1978 0 2 1 N18.5;E11.9
7/6/1947 0 1 1 I51.7;J02.9
PROCLIST ADL1 ADL2 IN_SP IN_SR IN_SI IN_SD INACBG
87.49;89.52;88.75;99.18;99.21;90.59;93.96 - - None None None None N-4-16-I
87.49;99.18;99.21;90.59 - - None None None None Z-4-12-I
87.03;87.49;89.52;99.18;99.21;90.59;93.96 - - None None None None G-4-15-I
99.04;99.18;90.59;99.21;87.49 - - None None None None D-4-13-I
93.94;87.49;89.52;96.07;57.94;99.18;99.21;90.59 - - None None None None A-4-10-III
87.49;99.18;99.21;90.59 - - None None None None E-4-12-I
04.81;87.49;99.18;99.21;90.59 - - None None None None A-4-14-III
87.49;93.96;89.52;99.21;99.18;90.59 - - None None None None K-4-18-I
87.49;88.76;41.32;89.52;04.81;99.18;99.21;90.59 - - None None None None J-4-17-II
89.52;87.49;99.18;99.21;90.59 - - None None None None G-4-17-I
88.76;87.49;99.18;99.21;90.59 - - None None None None Z-4-12-I
34.04;76.43;87.49;87.03;87.16;04.81;99.18;99.21;90.59 - - None None None None M-1-10-II
87.49;99.18;99.21;90.59 - - None None None None E-4-10-I
04.81;99.18;99.21;90.59;89.52;88.76;87.49 - - None None None None A-4-10-III
99.04;39.95;89.52;99.18;90.59;99.21;04.81 - - None None None None K-4-18-II
53.00;04.81;99.18;99.21;90.59;87.49 - - None None None None K-1-14-I
89.52;87.49;99.18;99.21;90.59 - - None None None None Z-4-12-II
79.35;04.81;88.28;99.18;99.21;90.59 - - None None None None M-1-20-I
39.95;99.04;99.18;99.21;90.59 - - None None None None N-4-10-II
87.49;89.52;88.76;99.18;99.21;90.59 - - None None None None I-4-17-I
79.36;79.66;78.67;04.81;99.18;99.21;90.59;88.28;88.27 - - None None None None M-1-40-I
81.84;04.81;92.14;88.22;99.18;90.59;99.21 - - None None None None M-1-05-I
79.16;93.53;87.49;88.39;04.81;99.18;99.21;90.59 - - None None None None M-1-70-I
87.49;39.95;99.18;90.59;99.21;04.81 - - None None None None N-4-10-I
89.52;87.49;99.18;90.59;99.21 - - None None None None I-4-24-I
SUBACUTE CHRONIC SP SR SI SD
None None None None None None
None None None None None None
None None None None None None
None None None None None None
None None None None None None
None None None None None None
None None None None None None
None None None None None None
None None None None None None
None None None None None None
None None None None None None
None None None None None None
None None None None None None
None None None None None None
None None None None None None
None None None None None None
None None None None None None
None None None None None None
None None None None None None
None None None None None None
None None None None None None
None None None None None None
None None None None None None
None None None None None None
None None None None None None
DESKRIPSI_INACBG
PENYAKIT GINJAL DAN SALURAN URIN LAIN-LAIN (RINGAN)
FAKTOR-FAKTOR YANG MEMPENGARUHI STATUS KESEHATAN LAIN-LAIN (RINGAN)
KECEDERAAN PEMBULUH DARAH OTAK NON SPESIFIK & PENYUMBATAN PRE-CEREBRAL TANPA INFAR
GANGGUAN SEL DARAH MERAH SELAIN KRISIS ANEMIA SEL SICKLE (RINGAN)
SEPTIKEMIA (BERAT)
GANGGUAN METABOLIK BAWAAN (RINGAN)
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN (BERAT)
GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (RINGAN)
PENYAKIT PARU OBSTRUKTIF KRONIS (SEDANG)
GANGUAN SARAF KRANIAL DAN PERIFER (RINGAN)
FAKTOR-FAKTOR YANG MEMPENGARUHI STATUS KESEHATAN LAIN-LAIN (RINGAN)
PROSEDUR KRANIAL DAN REKONSTRUKSI TULANG WAJAH (SEDANG)
PENYAKIT KENCING MANIS & GANGGUAN NUTRISI/ METABOLIK (RINGAN)
SEPTIKEMIA (BERAT)
GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (SEDANG)
PROSEDUR HERNIA INGUINAL DAN FEMORAL (RINGAN)
FAKTOR-FAKTOR YANG MEMPENGARUHI STATUS KESEHATAN LAIN-LAIN (SEDANG)
PROSEDUR PAHA DAN SENDI PANGGUL (RINGAN)
TUMOR GINJAL & SALURAN URIN & GAGAL GINJAL (SEDANG)
HIPERTENSI (RINGAN)
EKSISI LOKAL DAN PENGANGKATAN ALAT FIKSASI INTERNAL (RINGAN)
PROSEDUR PADA SENDI TUNGKAI ATAS (RINGAN)
PROSEDUR LUTUT DAN TUNGKAI BAWAH SELAIN KAKI (RINGAN)
TUMOR GINJAL & SALURAN URIN & GAGAL GINJAL (RINGAN)
GANGGUAN SISTEM PEMBULUH DARAH LAIN-LAIN (RINGAN)
TARIF_INACBG TARIF_SUBACUTE TARIF_CHRONIC DESKRIPSI_SP TARIF_SP DESKRIPSI_SR TARIF_SR
5083800 0 0- 0- 0
1843900 0 0- 0- 0
5634400 0 0- 0- 0
2934800 0 0- 0- 0
5736600 0 0- 0- 0
4670000 0 0- 0- 0
3247000 0 0- 0- 0
1427400 0 0- 0- 0
4340200 0 0- 0- 0
4419000 0 0- 0- 0
1843900 0 0- 0- 0
44596900 0 0- 0- 0
3441500 0 0- 0- 0
5736600 0 0- 0- 0
3372200 0 0- 0- 0
6471600 0 0- 0- 0
3869200 0 0- 0- 0
12142200 0 0- 0- 0
5683800 0 0- 0- 0
2622700 0 0- 0- 0
4240200 0 0- 0- 0
7437400 0 0- 0- 0
14988700 0 0- 0- 0
3907100 0 0- 0- 0
3845800 0 0- 0- 0
DESKRIPSI_SI TARIF_SI DESKRIPSI_SD TARIF_SD TOTAL_TARIF TARIF_RS TARIF_POLI_EKS LOS
- 0- 0 5083800 2368769 0 4
- 0- 0 1843900 1194433 0 3
- 0- 0 5634400 2521030 0 4
- 0- 0 2934800 3805384 0 5
- 0- 0 5736600 2525628 0 1
- 0- 0 4670000 1747239 0 4
- 0- 0 3247000 2616649 0 7
- 0- 0 1427400 1510977 0 4
- 0- 0 4340200 4331859 0 8
- 0- 0 4419000 1866521 0 4
- 0- 0 1843900 2129450 0 4
- 0- 0 44596900 23636350 0 8
- 0- 0 3441500 1307366 0 2
- 0- 0 5736600 2681075 0 6
- 0- 0 3372200 6540246 0 4
- 0- 0 6471600 5840988 0 5
- 0- 0 3869200 2202413 0 1
- 0- 0 12142200 5274363 0 11
- 0- 0 5683800 12576929 0 10
- 0- 0 2622700 4681923 0 7
- 0- 0 4240200 6981841 0 8
- 0- 0 7437400 8309167 0 10
- 0- 0 14988700 5480550 0 4
- 0- 0 3907100 3266448 0 3
- 0- 0 3845800 2427190 0 4
ICU_INDIKATOR ICU_LOS VENT_HOUR NAMA_PASIEN MRN UMUR_TAHUN UMUR_HARI
0 0 0 EFENDI BANGUN 203127 54 19903
0 0 0 SAYUTI 205406 56 20662
0 0 0 ROHANA NASUTION 205425 75 27702
0 0 0 KONTAN BR DEPARI 199386 73 26714
0 0 0 MUSA TARIGAN 205470 63 23361
0 0 0 MITA SITEPU 205474 43 15891
0 0 0 ARFAN 201345 65 24026
0 0 0 TUMIN ADI PURWO 185300 68 24990
0 0 0 IRPAN 205461 56 20568
0 0 0 SURYA DARMA 205496 64 23507
0 0 0 IRMAWATI 205502 33 12383
0 0 0 YOGA ANANDA PRATAMA 206480 17 6259
0 0 0 NURAIDA 205991 78 28596
0 0 0 KASMI 156486 58 21340
0 0 0 SUWARNI 119506 63 23198
0 0 0 FAEYZA ALVARO SHAKIEL 206003 1 686
0 0 0 HARIONO 205381 40 14838
0 0 0 DIKY HERMAWAN 203315 20 7470
0 0 0 MUKHLISH 177790 46 16845
0 0 0 MAHMUD AMIRUDDIN 71354 85 31279
0 0 0 M. AZIS 203319 12 4528
0 0 0 ROSMAWATI 205602 42 15398
0 0 0 ALFIYA NADIYA 203225 1 676
0 0 0 PURNAMAWATI 203103 42 15420
0 0 0 RUSTAM RASYIK,SH 206074 73 26685
DPJP SEP NOKARTU PAYOR_ID
DR. ALFRED TRIMULFA SITUMORANG SP.PD 0202R0010620V001552 2904505582 3;JKN
dr. DAVID I TAMBUN, Sp.B 0202R0010620V001632 2780438422 3;JKN
dr. JULIA E GTG, Sp.S 0202R0010720V000165 168718296 3;JKN
DR.KHALID HUDA SAGALA,SP.PD 0202R0010720V000116 1968588279 3;JKN
dr. KHALID HUDA SAGALA, Sp.PD 0202R0010720V000548 1870084001 3;JKN
DR. ALFRED TRIMULFA SITUMORANG SP.PD 0202R0010720V000565 10079741 3;JKN
dr. KHALID HUDA SAGALA, Sp.PD 0202R0010720V000459 269378572 3;JKN
dr. KHALID HUDA SAGALA, Sp.PD 0202R0010720V000615 2216548056 3;JKN
DR. ALFRED TRIMULFA SITUMORANG SP.PD 0202R0010720V000462 268414075 3;JKN
DR.KHALID HUDA SAGALA,SP.PD 0202R0010720V000773 1958757704 3;JKN
dr. EDYAN PINEM, Sp.PD 0202R0010720V000884 2225312188 3;JKN
dr. JHON W. SITUMORANG, Sp.B 0202R0010720V000641 2145642963 3;JKN
dr. KHALID HUDA SAGALA, Sp.PD 0202R0010720V001064 1728391869 3;JKN
DR. ALFRED TRIMULFA SITUMORANG SP.PD 0202R0010720V000952 2048650931 3;JKN
DR. ALFRED TRIMULFA SITUMORANG SP.PD 0202R0010720V001231 1339651304 3;JKN
dr. DAVID I TAMBUN, Sp.B 0202R0010720V001276 2779417618 3;JKN
DR. ALFRED TRIMULFA SITUMORANG SP.PD 0202R0010720V001642 2487094086 3;JKN
DR.FRANS HENRY PANDAPOTAN SAGALA,SP.OT 0202R0010720V001081 2933197108 3;JKN
DR. ALFRED TRIMULFA SITUMORANG SP.PD 0202R0010720V001080 173243799 3;JKN
DR. ALFRED TRIMULFA SITUMORANG SP.PD 0202R0010720V001324 10153078 3;JKN
dr. FRANS HENRY PANDA SAGALA, Sp,OT 0202R0010720V001246 2697991312 3;JKN
DR.FRANS HENRY PANDAPOTAN SAGALA,SP.OT 0202R0010720V001153 248339902 3;JKN
DR.FRANS HENRY PANDAPOTAN SAGALA,SP.OT 0202R0010720V001624 2485869276 3;JKN
dr. IDWAN HARIS SIAHAAN, Sp.PD 0202R0010720V001689 1319945332 3;JKN
dr. IDWAN HARIS SIAHAAN, Sp.PD 0202R0010720V001639 8827626 3;JKN
CODER_ID VERSI_INACBG VERSI_GROUPER C1
INACBG;123123123123;GR 5.4.5.202007290925 4 305638
JUBAIDAH;;JUBE 5.4.5.202007290925 4 306202
JUBAIDAH;;JUBE 5.4.5.202007290925 4 305648
INACBG;123123123123;GR 5.4.5.202007290925 4 305635
JUBAIDAH;;JUBE 5.4.5.202007290925 4 306104
JUBAIDAH;;JUBE 5.4.5.202007290925 4 305858
JUBAIDAH;;JUBE 5.4.5.202007290925 4 305790
JUBAIDAH;;JUBE 5.4.5.202007290925 4 305862
JUBAIDAH;;JUBE 5.4.5.202007290925 4 306320
INACBG;123123123123;GR 5.4.5.202007290925 4 306226
JUBAIDAH;;JUBE 5.4.5.202007290925 4 306665
JUBAIDAH;;JUBE 5.4.5.202007290925 4 306685
JUBAIDAH;;JUBE 5.4.5.202007290925 4 306801
JUBAIDAH;;JUBE 5.4.5.202007290925 4 306800
Giyatno;198108232009031001;Agic 5.4.5.202007290925 4 306416
JUBAIDAH;;JUBE 5.4.5.202007290925 4 306678
JUBAIDAH;;JUBE 5.4.5.202007290925 4 306771
JUBAIDAH;;JUBE 5.4.5.202007290925 4 306522
JUBAIDAH;;JUBE 5.4.5.202007290925 4 306686
INACBG;123123123123;GR 5.4.5.202007290925 4 306524
JUBAIDAH;;JUBE 5.4.5.202007290925 4 306521
JUBAIDAH;;JUBE 5.4.5.202007290925 4 306691
JUBAIDAH;;JUBE 5.4.5.202007290925 4 306698
JUBAIDAH;;JUBE 5.4.5.202007290925 4 307044
INACBG;123123123123;GR 5.4.5.202007290925 4 306840
C2 C3
1#0##0#0#0.0#2020-09-29 13:39:19#0#00:00:00#00:00:00#00:00:00# 4
1#0##0#0#0.0#2020-09-14 09:55:39#0#00:00:00#00:00:00#00:00:00# 2
1#0##0#0#0.0#2020-09-14 09:52:54#0#00:00:00#00:00:00#00:00:00# 2
1#0##0#0#0.0#2020-09-29 13:59:47#0#00:00:00#00:00:00#00:00:00# 3
1#0##0#0#0.0#2020-09-30 11:10:22#0#00:00:00#00:00:00#00:00:00# 4
1#0##0#0#0.0#2020-09-14 10:21:56#0#00:00:00#00:00:00#00:00:00# 2
1#0##0#0#0.0#2020-09-14 09:58:54#0#00:00:00#00:00:00#00:00:00# 2
1#0##0#0#0.0#2020-09-14 10:22:57#0#00:00:00#00:00:00#00:00:00# 2
1#0##0#0#0.0#2020-09-14 09:57:25#0#00:00:00#00:00:00#00:00:00# 4
4#0##0#0#0.0#2020-09-29 13:26:51#0#00:00:00#00:00:00#00:00:00# 7
1#0##0#0#0.0#2020-09-14 09:51:55#0#00:00:00#00:00:00#00:00:00# 2
1#0##0#0#0.0#2020-09-14 10:36:57#0#00:00:00#00:00:00#00:00:00# 3
1#0##0#0#0.0#2020-09-30 11:12:43#0#00:00:00#00:00:00#00:00:00# 3
1#0##0#0#0.0#2020-09-14 09:44:48#0#00:00:00#00:00:00#00:00:00# 3
1#0##0#0#0.0#2020-09-22 10:37:48#0#00:00:00#00:00:00#12:20:36# 5
1#0##0#0#0.0#2020-09-14 10:34:00#0#00:00:00#00:00:00#00:00:00# 2
1#0##0#0#0.0#2020-09-14 10:02:48#0#00:00:00#00:00:00#00:00:00# 2
1#0##0#0#0.0#2020-09-14 10:37:40#0#00:00:00#00:00:00#00:00:00# 4
1#0##0#0#0.0#2020-09-14 10:33:14#0#00:00:00#00:00:00#00:00:00# 2
3#0##0#0#0.0#2020-09-29 13:57:04#0#00:00:00#00:00:00#12:02:16# 4
1#0##0#0#0.0#2020-09-30 11:08:02#0#00:00:00#00:00:00#00:00:00# 5
1#0##0#0#0.0#2020-09-14 10:01:27#0#00:00:00#00:00:00#00:00:00# 2
1#0##0#0#0.0#2020-09-14 09:50:49#0#00:00:00#00:00:00#00:00:00# 5
1#0##0#0#0.0#2020-09-15 10:56:25#0#00:00:00#00:00:00#00:00:00# 2
1#0##0#0#0.0#2020-09-29 13:41:56#0#00:00:00#00:00:00#00:00:00# 3
C4 PROSEDUR_NON_BEDAH PROSEDUR_BEDAH KONSULTASI
6ea0439f051615904346d1215a99fbfe 0 0 295000
eabc0037397d99fac3349bf95b72601d 0 0 170000
d7832a9d78fabd1d3ea2b622bc0235e2 0 0 340000
d7cf6bed115a4a029c425271caf5a842 0 0 255000
b012dd266f1fb3cb22a8244b8ff94f80 0 0 125000
58ec99d70c0652e87baee877ab33bde0 0 0 170000
23b89d52153a3180f5cfb2aec3776319 0 0 425000
2bc6a389888a55900ccaf0de4adf184c 0 0 255000
b1a55ece77599e2901a928041260b7ef 300000 0 595000
dceaf765a6c78ba2ff967f61d0b8f9c7 0 0 340000
326243dad8aced0011039003a43707b7 0 0 255000
a8a471f9d5d03ff4bd9969e9277c3b89 166000 3780000 8995000
b7c666e0d6cf8af92522b6d27840cf95 0 0 0
15fd58fc690165cc07781361330c7013 0 0 250000
01de865c21df459a9f7be3c145de902d 960000 0 295000
9bfccc6c0ee1e64bfdf35a77d2f9e403 0 3750000 510000
aa1c88edc8ba0ec7fc264d8a68093bf0 0 0 40000
b9d0866c2535f4c2df6faaf73a0201fb 0 3750000 170000
37d696a4bffb624e389856c26b5fce8d 1920000 0 720000
83ba08abe38a246c07260664d2fddaec 0 0 425000
10c16322735beb6b111d5c370e087384 0 3750000 510000
6811f92356c35e903102841f2faba786 0 3750000 935000
573aa89ab01b07873429cd918baaaab6 0 3750000 425000
df024546b82843a0ddb2264eb1fdeac0 960000 0 210000
9252a905363fb543c34f36a792340b02 0 0 340000
TENAGA_AHLI KEPERAWATAN PENUNJANG RADIOLOGI LABORATORIUM PELAYANAN_DARAH
0 0 50000 425000 263250 0
0 0 0 100000 391650 0
0 0 0 940000 108400 0
0 0 50000 100000 421200 0
0 0 0 100000 680100 0
0 0 0 0 391950 0
0 0 0 100000 747600 0
0 0 50000 100000 280350 0
0 0 0 460000 452700 0
0 0 0 100000 406350 0
0 0 0 0 411750 0
0 891000 0 1148000 106650 360000
0 0 0 100000 475450 0
0 0 0 425000 132300 0
0 0 0 0 347400 0
0 0 0 100000 106650 0
0 0 0 100000 1060200 0
0 0 0 200000 338650 0
0 0 0 100000 212400 0
0 0 0 460000 545650 0
0 0 0 300000 137000 0
0 0 0 300000 362250 0
0 0 0 200000 148950 0
0 0 0 100000 293650 0
0 0 50000 100000 428600 0
REHABILITASI KAMAR_AKOMODASI RAWAT_INTENSIF OBAT ALKES BMHP SEWA_ALAT
0 780450 0 555069 0 0 0
0 375000 0 157783 0 0 0
0 835300 0 297330 0 0 0
0 2195000 0 784184 0 0 0
0 1035000 0 540528 45000 0 0
0 795000 0 390289 0 0 0
0 645000 0 699049 0 0 0
0 690000 0 135627 0 0 0
0 1550000 0 974159 0 0 0
0 770000 0 250171 0 0 0
460000 690000 0 312700 0 0 0
0 1930000 0 1818500 0 3841200 600000
0 620000 0 111916 0 0 0
0 1150000 0 723775 0 0 0
0 3905000 0 1032846 0 0 0
0 890000 0 484338 0 0 0
0 597000 0 405213 0 0 0
0 465000 0 350713 0 0 0
0 7380000 0 2244529 0 0 0
0 2030000 0 1221273 0 0 0
0 1282000 0 1002841 0 0 0
0 1845000 0 1116917 0 0 0
0 777000 0 179600 0 0 0
0 1430000 0 272798 0 0 0
0 1195000 0 313590 0 0 0
OBAT_KRONIS OBAT_KEMO
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

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