feat (generate-file): screening form a tested and ok, form b not fully tested
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dpurbosakti
@@ -56,17 +56,17 @@
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"
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>
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<tr>
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<td style="width: 9rem;">No. RM</td>
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<td style="width: 9rem;"><b>No. RM</b></td>
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<td class="data-colon">:</td>
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<td>{{ .MedicalRecord }}</td>
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<td><b>{{ .MedicalRecord }}</b></td>
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</tr>
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<tr>
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<td>Nama</td>
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<td><b>Nama</b></td>
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<td class="data-colon">:</td>
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<td><b>{{ .Name }}</b></td>
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</tr>
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<tr>
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<td>Tanggal Lahir</td>
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<td><b>Tanggal Lahir</b></td>
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<td class="data-colon">:</td>
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<td>{{ .BirthDate }}</td>
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</tr>
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@@ -33,94 +33,76 @@
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</head>
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<body style="font-family: Arial, sans-serif; line-height: 1.4">
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<table style="margin-top: 1rem;">
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<tr>
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<td style="width: 9rem;">
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Tanggal Terbit
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</td>
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<td class="data-colon">: </td>
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<td>{{ .Repalcable }}</td>
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</tr>
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<tr>
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<td>
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No. RM
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</td>
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<td class="data-colon">: </td>
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<td>{{ .Repalcable }}</td>
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</tr>
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<tr>
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<td>
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Nama
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</td>
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<td class="data-colon">: </td>
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<td>{{ .Repalcable }}</td>
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</tr>
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<tr>
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<td>
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Tanggal Lahir
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</td>
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<td class="data-colon">: </td>
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<td>{{ .Repalcable }}</td>
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</tr>
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</table>
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<hr style="margin: 20px 0" />
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<h1 style="
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text-align: center;
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font-weight: bold;
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font-size: 1rem;
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margin: 0;
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<!-- Tanggal Terbit (top-right) -->
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<div style="
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text-align: right;
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margin-right: 2rem;
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font-size: 0.95rem;
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margin-top: 0.5rem;
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">
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FORM B
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</h1>
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Tanggal Terbit : {{ .IssuedDate }}
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</div>
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<table class="border-table" style="margin-top: 1rem;">
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<!-- Patient Info Box -->
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<table
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style="
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margin-top: 1rem;
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margin-left: auto;
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margin-right: 2rem; /* space from right like example */
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border: 1px solid #000;
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padding: 0.5rem 1rem;
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border-collapse: separate;
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border-spacing: 0.3rem 0.2rem;
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width: auto;
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"
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>
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<tr>
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<th style="width: 2rem;">
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NO
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</th>
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<th>
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Tanggal/jam
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</th>
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<th>
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Implementasi, Monitoring, Fasilitasi, koordinasi, komunikasi dan kolaborasi, advokasi, hasil pelayanan,
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Terminasi
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</th>
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<th>
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MPP
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</th>
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<td style="width: 9rem;"><b>No. RM</b></td>
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<td class="data-colon">:</td>
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<td><b>{{ .MedicalRecord }}</b></td>
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</tr>
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<tr>
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<td style="text-align: center;">
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1
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</td>
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<td style="text-align: center;">
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2025-10-08 16:08:18
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</td>
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<td>
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<ul>
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<li><b>Implementasi: </b>Pemantauan harian terhadap penggunaan alat medis (oksigen dan alat bantu
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jalan) serta kepatuhan terapi.</li>
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<li><b>Monitoring: </b>Observasi respon pasien terhadap terapi dan edukasi keluarga untuk perawatan
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mandiri di rumah.</li>
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<li><b>Fasilitasi: </b>Menyediakan alat bantu sesuai kebutuhan dan menghubungkan pasien dengan
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layanan rehabilitasi medik.</li>
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<li><b>Koordinasi: </b>Melibatkan dokter penanggung jawab, perawat, dan keluarga dalam penyusunan
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rencana tindak lanjut.</li>
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<li><b>Komunikasi dan Kolaborasi: </b>Diskusi rutin antar profesi untuk evaluasi perkembangan
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pasien.</li>
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<li><b>Advokasi: </b>Memberikan dukungan informasi dan hak pasien terkait rencana pulang dan
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kesinambungan terapi.</li>
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<li><b>Hasil Pelayanan: </b>Pasien menunjukkan perbaikan fungsi mobilitas, tingkat kepatuhan terapi
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meningkat.</li>
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</ul>
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</td>
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<td style="width: 3rem;padding: 0.3rem;text-align: center;">
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GATOT SUBROTO,AMd.Kep
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</td>
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<td><b>Nama</b></td>
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<td class="data-colon">:</td>
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<td><b>{{ .Name }}</b></td>
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</tr>
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<tr>
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<td><b>Tanggal Lahir</b></td>
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<td class="data-colon">:</td>
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<td>{{ .BirthDate }}</td>
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</tr>
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</table>
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<table class="border-table"
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style="margin-top: 1rem; width: 100%; table-layout: fixed;">
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<tr>
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<th style="width: 3rem; text-align:center;">NO</th>
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<th style="width: 9rem; text-align:center;">Tanggal/jam</th>
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<th style="width: auto;">
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Implementasi, Monitoring, Fasilitasi, koordinasi, komunikasi dan kolaborasi,
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advokasi, hasil pelayanan, Terminasi
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</th>
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<th style="width: 9rem; text-align:center;">MPP</th>
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</tr>
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{{ range .FormB }}
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<tr>
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<td style="text-align: center;">{{ .Number }}</td>
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<td style="text-align: center;">{{ .Date }}</td>
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<td style="white-space: normal; word-wrap: break-word;">
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{{ .Value }}
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</td>
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<td style="text-align: center; white-space: normal;">
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{{ .Employee_Name }}
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</td>
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</tr>
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{{ end }}
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</table>
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<div style="height: 3rem;"></div>
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</body>
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