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DAFTAR ISI:
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1. Clinical.tsx - Test Cases (Rekam Medis Klinis)
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2. Administrative.tsx - Test Cases (Rekam Medis Administratif)
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3. CostRecommendation.tsx - Test Cases (Rekomendasi Biaya)
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4. BPJSCodeification.tsx - Test Cases (Kodefikasi BPJS)
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5. Instruksi Penggunaan Test Cases
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3. BPJSCodeification.tsx - Test Cases (Asisten Kodefikasi BPJS)
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4. CostRecommendation.tsx - Test Cases (Rekomendasi Biaya)
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5. Sample Data untuk Testing
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6. Instruksi Penggunaan Test Cases
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================================================================================
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1. CLINICAL.TSX - TEST CASES (REKAM MEDIS KLINIS)
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================================================================================
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TEST CASE 1: PENCARIAN PASIEN LENGKAP
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=====================================
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SCHEMA PENCARIAN:
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- Input tunggal: Nama Pasien / Nomor Rekam Medis / Nomor BPJS
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- Tanggal Lahir (Opsional)
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- Pencarian fleksibel dengan word matching
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TEST CASE 1: PENCARIAN NAMA LENGKAP
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==================================
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Input Form:
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- Nama/Nomor RM/BPJS: Ahmad Budi Santoso
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- Tanggal Lahir: 15 Januari 1985
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- Nama/No. RM/No. BPJS: John Doe
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- Tanggal Lahir: 15 Juni 1985
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Expected Result:
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Menampilkan rekam medis lengkap dengan identitas pasien, riwayat medis,
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pemeriksaan fisik, diagnosis, rencana pengobatan, dan dokumen medis.
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Menampilkan rekam medis lengkap dengan:
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- Identitas pasien (John Doe, MR2024001, BPJS: 0001234567890)
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- Riwayat medis (Hipertensi 2020, Diabetes 2021)
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- Pemeriksaan fisik dengan tanda vital
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- Diagnosis ICD-10 (Unstable Angina - I20.0)
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- Rencana pengobatan dan dokumen medis
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TEST CASE 2: PENCARIAN DENGAN NOMOR REKAM MEDIS
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TEST CASE 2: PENCARIAN NAMA PARSIAL (WORD MATCHING)
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==================================================
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Input Form:
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- Nama/No. RM/No. BPJS: john
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- Tanggal Lahir: (kosong)
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Expected Result:
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Pasien "John Doe" ditemukan meskipun hanya input "john"
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TEST CASE 3: PENCARIAN DENGAN NOMOR REKAM MEDIS
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===============================================
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Input Form:
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- Nama/Nomor RM/BPJS: MRN2024001
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- Nama/No. RM/No. BPJS: MR2024001
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- Tanggal Lahir: (kosong)
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Expected Result:
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Pasien ditemukan berdasarkan nomor rekam medis dengan data klinis lengkap.
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Pasien John Doe ditemukan berdasarkan nomor rekam medis
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TEST CASE 3: PENCARIAN DENGAN NOMOR BPJS
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=========================================
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TEST CASE 4: PENCARIAN DENGAN NOMOR BPJS
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========================================
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Input Form:
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- Nama/Nomor RM/BPJS: 000987654321
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- Tanggal Lahir: 12 April 1985
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Expected Result:
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Verifikasi pasien dengan nomor BPJS dan tanggal lahir yang sesuai.
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TEST CASE 4: PENCARIAN NAMA PARSIAL
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===================================
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Input Form:
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- Nama/Nomor RM/BPJS: Sari
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- Nama/No. RM/No. BPJS: 0001234567890
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- Tanggal Lahir: (kosong)
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Expected Result:
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Hasil pencarian untuk pasien dengan nama yang mengandung "Sari".
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Pasien John Doe ditemukan berdasarkan nomor BPJS
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TEST CASE 5: PENCARIAN CASE INSENSITIVE
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Input Form:
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- Nama/No. RM/No. BPJS: JOHN DOE
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- Tanggal Lahir: (kosong)
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Expected Result:
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Pasien ditemukan meskipun menggunakan huruf kapital
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================================================================================
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2. ADMINISTRATIVE.TSX - TEST CASES (REKAM MEDIS ADMINISTRATIF)
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TEST CASE 1: PENCARIAN PASIEN AKTIF
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===================================
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SCHEMA PENCARIAN:
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- Input tunggal: Nama Pasien, No. RM, atau No. BPJS
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- Tanggal Lahir (Opsional)
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- Flexible word matching untuk nama
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TEST CASE 1: PENCARIAN PASIEN DENGAN STATUS APPROVED
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Input Form:
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- Nama/Nomor RM/BPJS: Siti Nurhaliza
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- Tanggal Lahir: 25 Juli 1990
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- Nama/No. RM/No. BPJS: Ahmad Budi Santoso
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- Tanggal Lahir: 10 Mei 1985
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Expected Result:
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Detail administratif menampilkan status klaim aktif, informasi pembayaran,
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dan riwayat kunjungan.
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Menampilkan data administratif:
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- Nama: Ahmad Budi Santoso
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- MRN: MRN2024001, BPJS: 0001234567890
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- Status Klaim: Disetujui (hijau)
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- Status Pembayaran: Lunas (hijau)
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- Total Biaya: Rp 2.500.000
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- Rawat Jalan di Poli Penyakit Dalam
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TEST CASE 2: PENCARIAN PASIEN BPJS
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==================================
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TEST CASE 2: PENCARIAN DENGAN NAMA PARSIAL
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==========================================
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Input Form:
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- Nama/Nomor RM/BPJS: 000123456789
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- Nama/No. RM/No. BPJS: ahmad santoso
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- Tanggal Lahir: (kosong)
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Expected Result:
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Data administratif pasien dengan status klaim BPJS dan detail pembayaran.
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Menemukan "Ahmad Budi Santoso" dengan flexible matching
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TEST CASE 3: PASIEN KUNJUNGAN TERBARU
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=====================================
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TEST CASE 3: PENCARIAN PASIEN UNDER REVIEW
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==========================================
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Input Form:
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- Nama/Nomor RM/BPJS: MRN2024002
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- Tanggal Lahir: 10 September 1978
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Expected Result:
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Pasien dengan kunjungan terbaru menampilkan status proses klaim saat ini.
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TEST CASE 4: PASIEN DENGAN MULTIPLE KLAIM
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=========================================
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Input Form:
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- Nama/Nomor RM/BPJS: Bambang Sutrisno
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- Nama/No. RM/No. BPJS: Siti Aminah
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- Tanggal Lahir: (kosong)
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Expected Result:
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Pasien dengan beberapa klaim dan riwayat pembayaran.
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Menampilkan pasien dengan:
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- Status Klaim: Sedang Ditinjau (biru)
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- Status Pembayaran: Menunggu (kuning)
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- Total Biaya: Rp 1.800.000
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- Sisa Tagihan: Rp 1.800.000
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TEST CASE 4: PENCARIAN PASIEN INPATIENT
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Input Form:
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- Nama/No. RM/No. BPJS: Roberto Silva
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- Tanggal Lahir: (kosong)
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Expected Result:
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Menampilkan pasien dengan:
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- Rawat Inap - Kelas 2
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- Status Pembayaran: Sebagian (orange)
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- IGD Emergency case
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================================================================================
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3. COSTRECOMMENDATION.TSX - TEST CASES (REKOMENDASI BIAYA)
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3. BPJSCODIFICATION.TSX - TEST CASES (ASISTEN KODEFIKASI BPJS)
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================================================================================
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SCHEMA INPUT (UPDATED):
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- Catatan Medis / Anamnesis (textarea)
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- Tindakan / Prosedur yang Dilakukan (input)
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- TIDAK ADA input Hasil Laboratorium (sudah dihapus)
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TEST CASE 1: KASUS PNEUMONIA
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Input Form:
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Catatan Medis / Anamnesis:
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Pasien mengeluh demam sejak 3 hari, batuk berdahak, sesak napas, nyeri dada.
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Pemeriksaan fisik ditemukan suara napas menurun di basal kanan. Pasien tampak sesak.
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Tindakan / Prosedur:
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Rontgen thorax, darah lengkap
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Expected Result:
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- ICD-10: J18.9 - Pneumonia dengan kuman tidak spesifik
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- Prosedur: 87.44 - Foto Rontgen thorax, 90.59 - Pemeriksaan darah lengkap
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- INA-CBG: B-4-13-I - Pneumonia tanpa komplikasi (Rp 3.500.000)
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TEST CASE 2: KASUS DIABETES + HIPERTENSI
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========================================
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Input Form:
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Catatan Medis / Anamnesis:
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Pasien dengan riwayat diabetes mellitus dan hipertensi datang untuk kontrol rutin.
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Keluhan poliuria, polidipsia. Tekanan darah tinggi 150/95 mmHg. Kadar gula darah tinggi.
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Tindakan / Prosedur:
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EKG, pemeriksaan HbA1c
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Expected Result:
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- ICD-10: E11.9 - Diabetes mellitus tipe 2, I10 - Hipertensi esensial
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- Prosedur: 89.52 - Elektrokardiogram
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- INA-CBG: E-4-10-I - Diabetes Mellitus tanpa komplikasi (Rp 2.100.000)
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TEST CASE 3: KASUS GASTRITIS
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Input Form:
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Catatan Medis / Anamnesis:
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Pasien mengeluh nyeri perut, mual, muntah sejak kemarin. Nyeri seperti terbakar di ulu hati.
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Tindakan / Prosedur:
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Endoskopi lambung
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Expected Result:
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- ICD-10: K29.1 - Gastritis akut lainnya
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- Prosedur: 45.13 - Esofagogastroduodenoskopi (EGD)
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- INA-CBG: G-4-10-I - Gastritis akut tanpa komplikasi (Rp 1.200.000)
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TEST CASE 4: KASUS TIDAK SPESIFIK
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=================================
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Input Form:
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Catatan Medis / Anamnesis:
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Pasien datang dengan keluhan umum tidak jelas
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Tindakan / Prosedur:
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Pemeriksaan rutin
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Expected Result:
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- ICD-10: R69 - Penyakit tidak spesifik
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- Prosedur: 99213 - Kunjungan rawat jalan
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- INA-CBG: Z-4-00-I - Kondisi tidak spesifik (Rp 750.000)
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================================================================================
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4. COSTRECOMMENDATION.TSX - TEST CASES (REKOMENDASI BIAYA)
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================================================================================
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TEST CASE 1: KASUS DEMAM BERDARAH DENGUE
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@@ -118,8 +225,8 @@ Expected Result:
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Analisis AI menunjukkan peringatan potensi overclaim untuk transfusi
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dengan Hb > 7 g/dL threshold.
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TEST CASE 2: KASUS PNEUMONIA
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============================
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TEST CASE 2: KASUS PNEUMONIA COMMUNITY
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======================================
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Input Form:
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Diagnosis Klinis:
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@@ -138,204 +245,153 @@ Tanggal Kunjungan Terakhir: 15 Agustus 2024
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Expected Result:
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Analisis biaya dengan koding ICD-10 yang tepat dan rekomendasi pengobatan.
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TEST CASE 3: KASUS DIABETES FOLLOW-UP
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=====================================
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Input Form:
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Diagnosis Klinis:
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Pasien laki-laki 55 tahun dengan diabetes mellitus tipe 2 kontrol
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rutin. Keluhan poliuria, polidipsia ringan. GDS 180 mg/dL,
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HbA1c 8.2%. TD 140/90 mmHg. Kaki: tidak ada ulkus, sensasi normal.
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Prosedur/Tindakan:
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Pemeriksaan HbA1c, GDS, urinalisis, konsultasi gizi,
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edukasi diabetes, penyesuaian dosis metformin, kontrol rutin 1 bulan.
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Tanggal Kunjungan Terakhir: 5 September 2024
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Expected Result:
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Peringatan interval kontrol untuk kunjungan dalam 30 hari,
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koding manajemen diabetes yang tepat.
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================================================================================
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4. BPJSCODIFICATION.TSX - TEST CASES (KODEFIKASI BPJS)
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5. SAMPLE DATA UNTUK TESTING
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================================================================================
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TEST CASE 1: KASUS EMERGENCY - APPENDICITIS AKUT
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================================================
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Input Form:
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CLINICAL PAGE - MOCK DATA:
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=========================
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Patient Identity:
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- Name: John Doe
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- Medical Record Number: MR2024001
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- BPJS Number: 0001234567890
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- Birth Date: 1985-06-15
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- Gender: Male
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- Blood Type: O+
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- Address: Jl. Sudirman No. 123, Jakarta Pusat
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Keluhan Pasien:
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Nyeri perut kanan bawah sejak 12 jam yang lalu, mula-mula nyeri
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di epigastrium kemudian berpindah ke fossa iliaka dextra.
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Disertai mual, muntah 2x, demam subfebris.
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Medical History:
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- Previous Diseases: Hypertension (2020), Diabetes Mellitus Type 2 (2021)
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- Allergies: Penicillin, Shellfish
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- Current Medications: Metformin 500mg, Lisinopril 10mg
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Pemeriksaan Fisik:
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TD 110/70 mmHg, nadi 88x/menit, suhu 37.8°C. Abdomen:
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McBurney sign (+), Rovsing sign (+), defans muskuler (+)
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regio iliaka dextra. Bising usus normal.
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Primary Diagnosis: Unstable Angina (I20.0)
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Secondary: Essential Hypertension (I10), Type 2 Diabetes (E11.9)
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Pemeriksaan Penunjang:
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Leukosit 12.500/μL dengan shift to left, USG abdomen:
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appendix menebal dengan fluid collection, foto polos
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abdomen dalam batas normal.
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ADMINISTRATIVE PAGE - MOCK DATA:
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===============================
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Patient 1:
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- Name: Ahmad Budi Santoso
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- Birth Date: 1985-05-10
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- MRN: MRN2024001
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- BPJS: 0001234567890
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- Claim Status: approved
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- Payment Status: paid
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- Total Cost: 2,500,000
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- Admission Type: outpatient
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Diagnosis: Acute appendicitis
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Patient 2:
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- Name: Siti Aminah
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- Birth Date: 1990-11-22
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- MRN: MRN2024002
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- BPJS: 0009876543210
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- Claim Status: under_review
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- Payment Status: pending
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- Total Cost: 1,800,000
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- Admission Type: outpatient
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Tindakan: Appendectomy laparoscopic
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Patient 3:
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- Name: Roberto Silva
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- Birth Date: 1978-03-15
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- MRN: MRN2024003
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- BPJS: 0003456789012
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- Claim Status: pending
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- Payment Status: partial
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- Total Cost: 5,200,000
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- Admission Type: inpatient
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- Room Class: Kelas 2
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Expected Result:
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ICD-10 K35.9, kode prosedur untuk laparoscopic appendectomy,
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mapping INA-CBG dengan tarif bedah.
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BPJS CODIFICATION - DETECTION KEYWORDS:
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======================================
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Pneumonia Keywords: pneumonia, infiltrat, demam, batuk, sesak
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→ ICD-10: J18.9, INA-CBG: B-4-13-I (Rp 3.500.000)
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TEST CASE 2: KASUS MEDIS - KRISIS HIPERTENSI
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============================================
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Input Form:
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Hypertension Keywords: hipertensi, bp 150/95, tekanan darah tinggi
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→ ICD-10: I10, INA-CBG: F-4-13-II (Rp 1.850.000)
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Keluhan Pasien:
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Nyeri kepala hebat sejak pagi, pandangan kabur, mual muntah.
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Pasien memiliki riwayat hipertensi tidak terkontrol,
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tidak rutin minum obat.
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Diabetes Keywords: diabetes, hba1c, glukosa, gula darah
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→ ICD-10: E11.9, INA-CBG: E-4-10-I (Rp 2.100.000)
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Pemeriksaan Fisik:
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Kesadaran compos mentis, TD 220/120 mmHg, nadi 95x/menit
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reguler, RR 20x/menit. Funduskopi: perdarahan retina (+),
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papil edema (+). JVP tidak meningkat.
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Gastritis Keywords: gastritis, nyeri perut, mual, muntah
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→ ICD-10: K29.1, INA-CBG: G-4-10-I (Rp 1.200.000)
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Pemeriksaan Penunjang:
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EKG: LVH dengan strain pattern, urinalisis: proteinuria +2,
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kreatinin 1.8 mg/dL, troponin negatif. Foto thorax:
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kardiomegali dengan pulmonary edema.
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Diagnosis: Hypertensive emergency with target organ damage
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Tindakan: IV antihypertensive therapy, cardiac monitoring
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Expected Result:
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ICD-10 I16.1, kode prosedur untuk monitoring intensif,
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INA-CBG untuk emergency hipertensi.
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TEST CASE 3: KASUS OBSTETRIK - PERSALINAN NORMAL
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================================================
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Input Form:
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Keluhan Pasien:
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G2P1A0 usia kehamilan 39 minggu datang dengan keluhan
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kontraksi uterus teratur sejak 6 jam yang lalu,
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keluar lendir bercampur darah.
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Pemeriksaan Fisik:
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TD 120/80 mmHg, nadi 80x/menit, kontraksi uterus 3x/10 menit
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lamanya 40 detik. VT: pembukaan 6 cm, ketuban (+),
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presentasi kepala, hodge II.
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Pemeriksaan Penunjang:
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CTG: reactive, variabilitas baik, tidak ada deselerasi.
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Hb 11.5 g/dL, golongan darah O Rh+, HbsAg non-reaktif,
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VDRL non-reaktif.
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Diagnosis: Term pregnancy in labor, vertex presentation
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Tindakan: Spontaneous vaginal delivery, episiotomy
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Expected Result:
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ICD-10 O80, kode prosedur untuk persalinan dan episiotomy,
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paket INA-CBG maternal.
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TEST CASE 4: KASUS PEDIATRIK - BRONKIOLITIS
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===========================================
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Input Form:
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Keluhan Pasien:
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Bayi laki-laki 8 bulan dibawa orangtua dengan keluhan
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sesak napas sejak 2 hari, batuk, demam ringan.
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Riwayat pilek pada kakak 1 minggu sebelumnya.
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Pemeriksaan Fisik:
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BB 8 kg, suhu 37.5°C, RR 50x/menit, retraksi intercostal (+),
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wheezing ekspirasi (+) bilateral, ronki basah halus (+).
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SpO2 94% udara bebas.
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Pemeriksaan Penunjang:
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Foto thorax: hiperinflasi bilateral, peribronchial thickening.
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Rapid test RSV positif. Leukosit 8.500/μL,
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analisa gas darah normal.
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Diagnosis: Acute bronchiolitis due to RSV
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Tindakan: Oxygen therapy, bronchodilator nebulization, supportive care
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Expected Result:
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ICD-10 J21.0, kode prosedur untuk respiratory support,
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tarif INA-CBG pediatrik.
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Procedure Keywords:
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- rontgen, x-ray → 87.44 Foto Rontgen thorax
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- darah lengkap, cbc → 90.59 Pemeriksaan darah lengkap
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- endoskopi → 45.13 Esofagogastroduodenoskopi
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- ekg, ecg → 89.52 Elektrokardiogram
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- usg, ultrasound → 88.76 USG abdomen
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================================================================================
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5. INSTRUKSI PENGGUNAAN TEST CASES
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6. INSTRUKSI PENGGUNAAN TEST CASES
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================================================================================
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PERUBAHAN SCHEMA TERBARU:
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========================
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1. ADMINISTRATIVE.TSX:
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✅ Input tunggal untuk Nama/MRN/BPJS (bukan 3 field terpisah)
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✅ Flexible word matching untuk nama (ahmad santoso → Ahmad Budi Santoso)
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✅ Case insensitive search
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✅ Dapat mencari dengan kata parsial
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2. BPJSCODIFICATION.TSX:
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✅ DIHAPUS: Input "Hasil Laboratorium"
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✅ Hanya 2 input: Catatan Medis + Prosedur
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✅ Interface lebih sederhana
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3. CLINICAL.TSX:
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✅ Tetap sama dengan pencarian fleksibel
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CARA MELAKUKAN TESTING:
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=======================
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1. CLINICAL.TSX:
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- Masukkan data pasien sesuai test case
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- Klik tombol "Cari Rekam Medis"
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- Verifikasi tampilan rekam medis lengkap
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- Input: "john" → Harus menemukan "John Doe"
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- Input: "MR2024001" → Harus menemukan pasien
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- Input: "0001234567890" → Harus menemukan via BPJS
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2. ADMINISTRATIVE.TSX:
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- Input data pasien
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- Klik tombol "Cari Rekam Medis"
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- Periksa informasi billing/klaim status
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- Input: "ahmad santoso" → Harus menemukan "Ahmad Budi Santoso"
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- Input: "siti" → Harus menemukan "Siti Aminah"
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- Input: "MRN2024001" → Harus menemukan via MRN
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- Verifikasi flexible word matching
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3. COSTRECOMMENDATION.TSX:
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- Masukkan diagnosis klinis (copy paste dari test case)
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- Masukkan prosedur/tindakan
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- Pilih tanggal kunjungan terakhir
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- Klik "Analisis Rekomendasi"
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- Verifikasi analisis AI dan deteksi overclaim
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3. BPJSCODIFICATION.TSX:
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- Hanya isi 2 field (bukan 3)
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- Test dengan keyword: "pneumonia, batuk, sesak"
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- Prosedur: "rontgen thorax"
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- Verifikasi ICD-10 dan tarif yang benar
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4. BPJSCODIFICATION.TSX:
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- Input data klinis lengkap sesuai test case
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- Klik tombol untuk generate koding
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- Periksa hasil ICD-10, prosedur, dan mapping INA-CBG
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4. COSTRECOMMENDATION.TSX:
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- Copy paste diagnosis klinis lengkap
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- Isi prosedur/tindakan
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- Pilih tanggal kunjungan
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- Verifikasi analisis AI
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PERILAKU YANG DIHARAPKAN:
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========================
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TESTING CHECKLIST:
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==================
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✓ Search dengan nama parsial berhasil
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✓ Search case insensitive berfungsi
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✓ BPJS Codification hanya 2 input field
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✓ Word matching fleksibel (ahmad santoso → Ahmad Budi Santoso)
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✓ Loading spinner tampil
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✓ Error handling untuk data tidak ditemukan
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✓ Format mata uang Indonesia (Rp)
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✓ Responsive di mobile dan desktop
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✓ Konsistensi warna dan UI
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✓ Loading Spinner: Tampil saat proses pencarian/analisis
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✓ Hasil Lengkap: Informasi pasien/analisis yang komprehensif
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✓ Error Handling: Pesan yang tepat jika tidak ada hasil
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✓ Format Tanggal: Format Indonesia di seluruh aplikasi
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✓ Status Tombol: Disabled/enabled yang tepat
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✓ Responsive: Berfungsi di berbagai ukuran layar
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✓ Bahasa Indonesia: Semua text dalam bahasa Indonesia
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✓ Tema Biru-Putih: Konsistensi warna tombol
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COVERAGE TESTING:
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================
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✓ Kasus Emergency (Appendicitis)
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✓ Kasus Medis (Hipertensi, Pneumonia, Diabetes)
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✓ Kasus Bedah (Appendectomy)
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✓ Kasus Obstetrik (Persalinan Normal)
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✓ Kasus Pediatrik (Bronkiolitis)
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✓ Pencarian Nama, Nomor RM, BPJS
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✓ Analisis Biaya dan Overclaim
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✓ Kodefikasi ICD-10 dan INA-CBG
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EXPECTED BEHAVIOR:
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==================
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✓ Pencarian TIDAK mengembalikan "tidak ada data" jika input valid
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✓ Flexible matching untuk nama dengan urutan kata berbeda
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✓ Interface yang sederhana dan user-friendly
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✓ Performance yang responsif
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✓ Data yang konsisten dan realistis
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================================================================================
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CATATAN PENTING:
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================================================================================
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1. Semua test case menggunakan data medis yang realistis
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2. Format tanggal menggunakan bahasa Indonesia
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3. Input diagnosis dan prosedur sudah disesuaikan dengan terminologi medis
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4. Test case mencakup berbagai spesialisasi medis
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5. Verifikasi response time dan user experience
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6. Pastikan tidak ada error di console browser
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7. Test di berbagai browser (Chrome, Firefox, Edge)
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================================================================================
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CREATED: Desember 2024
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VERSION: 1.0
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UPDATED: Desember 2024
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VERSION: 2.0
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CHANGES: Updated schema for unified search input and removed lab results field
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SYSTEM: Claim Guard Frontend - Medical Records Module
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================================================================================
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