397 lines
12 KiB
Plaintext
397 lines
12 KiB
Plaintext
================================================================================
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TEST CASES - SISTEM REKAM MEDIS RUMAH SAKIT
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CLAIM GUARD FRONTEND APPLICATION
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================================================================================
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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. 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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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/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:
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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 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/No. RM/No. BPJS: MR2024001
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- Tanggal Lahir: (kosong)
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Expected Result:
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Pasien John Doe ditemukan berdasarkan nomor rekam medis
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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/No. RM/No. BPJS: 0001234567890
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- Tanggal Lahir: (kosong)
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Expected Result:
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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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======================================
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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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================================================================================
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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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====================================================
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Input Form:
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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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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 DENGAN NAMA PARSIAL
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==========================================
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Input Form:
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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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Menemukan "Ahmad Budi Santoso" dengan flexible matching
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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/No. RM/No. BPJS: Siti Aminah
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- Tanggal Lahir: (kosong)
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Expected Result:
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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. 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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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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Input Form:
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Diagnosis Klinis:
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Pasien laki-laki 28 tahun datang dengan keluhan demam tinggi 4 hari,
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mual muntah, nyeri perut, dan bintik merah di kulit. Pemeriksaan fisik:
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TD 90/60 mmHg, nadi 110x/menit, suhu 39.2°C. Lab: Hb 8.5 g/dL,
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trombosit 95.000/mm³, hematokrit 45%. Tourniquet test positif.
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Diagnosis: Demam Berdarah Dengue grade II.
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Prosedur/Tindakan:
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Transfusi packed red cells 2 kantong, pemasangan infus RL,
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monitoring vital sign setiap 2 jam, pemeriksaan lab darah lengkap
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harian, observasi tanda perdarahan, terapi simptomatik parasetamol.
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Tanggal Kunjungan Terakhir: 25 Juli 2024
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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 COMMUNITY
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Input Form:
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Diagnosis Klinis:
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Pasien perempuan 45 tahun dengan keluhan sesak napas, batuk berdahak
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kuning, demam 3 hari. Foto thorax menunjukkan infiltrat di lobus
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kanan bawah. Vital sign: TD 120/80 mmHg, RR 24x/menit, SpO2 92%.
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Diagnosis: Community Acquired Pneumonia.
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Prosedur/Tindakan:
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Foto Rontgen thorax AP/Lateral, pemeriksaan darah lengkap,
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kultur sputum, terapi antibiotik Ceftriaxone 2g/hari IV,
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nebulizer bronkodilator, oksigen 2 liter/menit.
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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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================================================================================
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5. SAMPLE DATA UNTUK TESTING
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================================================================================
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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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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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Primary Diagnosis: Unstable Angina (I20.0)
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Secondary: Essential Hypertension (I10), Type 2 Diabetes (E11.9)
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ADMINISTRATIVE PAGE - MOCK DATA:
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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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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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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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BPJS CODIFICATION - DETECTION KEYWORDS:
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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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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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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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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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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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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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- 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: "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. 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. 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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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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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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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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================================================================================ |