TUGAS ONLINE 4 MANAJEMEN REKAM MEDIS DESAIN FORM PENGKAJIAN AWAL DOKTER

TUGAS ONLINE 4

MANAJEMEN REKAM MEDIS

DESAIN FORM PENGKAJIAN AWAL DOKTER

Nama Kelompok 15:

Erika Waty (2014-31-218)

Saroh Kuswanti (2014-31-285)

Devi Yunira (2014-31-116)

FAKULTAS KESEHATAN MASYARAKAT

UNIVERSITAS ESA UNGGUL

2015

ANAMNESA PASIEN BARU DI RAWAT INAP
1. PEMERIKSAAN FISIK

NO	PEMERIKSAAN	NORMAL	JIKA TIDAK NORMAL, JELASKAN
1	Kepala
2	Mata
3	THT
4	Mulut
5	Leher
6	Kardiovaskular
7	Pernafasan
8	Abdomen
9	Genetalia
10	Reproduksi
11	Neuro
12	Muskuletal

2. PEMERIKSAAN PENUNJANG SEBELUM RAWAT INAP :
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3. DIAGNOSA :
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4. DIAGNOSA BANDING :
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5. PENGOBATAN :
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6. DIIT :
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7. RENCANA :
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Tanda Tangan dan Nama lengkap Dokter Tanggal :
Jam :