LB 1 NEW

LAPORAN LB1 PUSKESMAS BERDASARKAN ICD-10
Kode Puskesmas :
Puskesmas : Kerumutan
Kecamatan : Kerumutan BULAN : NOVEMBER
Puskesmas pembantu yang ada : 3 Pustu TAHUN : 2016
Kabupaten : Pelalawan
Propinsi : Riau
KELOMPOK USIA
NO KODE 0 - 7 Hari 8 - 28 Hari 29 -< 1 Thn 1 - 4 Thn 5 - 14 Thn 15 - 24 Thn 25 - 44 Thn 45 - 64 Thn 65 +
ICD PENYAKIT
URUT X
B L B L B L B L B L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
01 I
01.01 A 00 Kolera 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
01.02 A 01 Demam Tifoid dan Paratifoid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
01.03 A 03 Shingellosis 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
01.04 A 04 Infeksi usus krn baktri lainnya 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
01.05 A 05 Keracunan mknan krn bakteri lainnya 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
01.06 A 06 Amoebiasis 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
01.07 A 07 Penyakit usus krn protozona lainnya 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
01.08 A 08 Infeksi usus dan khusus lainya 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
01.09 A 09.1 Diare & gastroenteritis oleh 0 0 0 0 0 1 0 0 5 3 1 0 8 8 9 5 4 6 0 2 7 2 2 1 1 6 0 1 2 0 0 0 0 0 0 0
01.10 A 09.2 Diare disentri (Diarrhoe dysentrie) 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 1 1 0 0 0 0 0 0 0 0 0
01.11 A 09.3 Penyakit infeksi usus lainnya 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 1 0 0 0 0 0 0 0 0 0 0
02 II
02.01 A 15 TB Paru BTA + 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 2 2 0 0 0 0 0 0
02.02 A 16 TB Paru Klinis ( Rotgen + ) 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
02.03 A 18 TB selain Paru ( Extra Pulminor ) 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
02.04 A 20 Pes ( sampar ) 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
03 III
03.01 A 30 Kusta 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
03.02 A 30.1 Lapra Tipe I dan Lepra Tipe II 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
03.03 A 33 Tetanus neonatorum 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
03.04 A 34 Tetanus Obtetrik 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
03.05 A 35 Tetanus 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
03.06 A 36 Difteria 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
03.07 A 37 Pertusis/Batuk Rejan 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
04 IV
04.01 A 22 Anthraks 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
04.02 A 33 Tetanus neonatorum 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
04.03 A 53 Siphilis 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
04.04 A 54 Infeksi gonokok 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
04.05 A 56 Infeksi klamidia yg ditularkan melalui hubungan seksual 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
04.06 A 57, Infeksi lainnya yg terutama ditularkan mlli hb seksual 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
04.07 A 59 Trichomoniasis 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
04.08 A 66 Patek (Frambusia) 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
KELOMPOK USIA
ICD PENYAKIT
URUT X B L B L B L B L B L B L B L B L B L
05 v
05.01 A 80 Poliomielitis akut 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
05.02 A 82 Rabies 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
05.03 A 90 DF ( Demam Dengue ) 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
05.04 A 91 DHF ( Demam Berdarah Dengue ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
05.05 B 00 Herpes Simplex 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
05.06 B 01 Verisela (cacar air) 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 2 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
05.07 B 02 zoster (herpes zester) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
05.08 B 05 Campak 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
05.09 B 19 Hepatitis virus YTT (yang tak ditentukan) 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
05.10 B 26 Parotitis 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
06 VI
06.01 B 35 Dermatopitosis 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0
06.02 B 37 Kandidiasis 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0
06.03 B 49 Mikosis Lainnya 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
07 VII
07.01 B 50 Malaria Tropika / mixed ( P. Falciparum ) 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
07.02 B 51 Malaria Tertiana ( P.Vivax ) 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
07.03 B 53 Malaria Tanpa Pemeriksaan Lab ( Malaria Klinis ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
07.04 B 74 Filariasis 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 1 0 0 0 0 0 0 0 0 0
08 VIII
08.01 B 76 Penyakit cacing tambang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
08.02 B 77 Penyakit cacing gelang (Askariasis) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
08.03 B 79 Penyakit cacing cambuk (Trikariasis) 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
09 IX
09.01 B 85 Pedikulosis 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
09.02 B 86 Skabies 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 X
10.01 C 11 Ca Nasopharink 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
10.02 C 18 Ca Colon 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
10.03 C 20 Ca Rectum 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
10.04 C 22 Ca Hepar 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
10.05 C 34 Ca Paru 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
10.06 C 41 Ca Tulang 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
10.07 C 43 Ca Kulit 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
10.08 C 50 Ca Payudara 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 1 0 0 0 0 0 0 0 0
10.09 C 53 Ca Cervik Uteri 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
10.1'0 C 61 Ca Prostat 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
10.11 C 71 Ca Otak 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
KELOMPOK USIA
ICD PENYAKIT
10.12 C 73 Ca Kelenjer Tiroid 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
11 XI
11.01 D 17 Lipoma 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 2 0 1 1 0 0 0 0 0 0 0
11.02 D 22 Nevus Pigmentosus 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
11.03 D 34 Pembesaran KelenjerTiroid 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
11.04 D 36 Neoplasma Benigna lain 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
12 XII
12.01 D 50 Anamia Defisiensi besi 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 1 0 2 0 1 3 0 0 0 0 0
12.02 D 62 Anemia Posthamorragic akut 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
12.03 D 64 Anamia Lainnya 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
12.04 D 69 Purpura dan Exanthema 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
13 XIII
13.01 E 00 Ganguan tiroid berhubungan dengan Defisiensi Iodium 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
13.02 E 05 Tirotoksikosis (hipertiroisisme) 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
13.03 E 03 Hipertiroisisme lain 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
13.04 E 04 Penyakit gondok non toksik lain 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
13.05 E 06 Tiroiditis 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
13.06 E 07 Gangguan kelenjar tiroid lainnya 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
13.07 E 10 Diabetes militus bergantung insulin 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 3 3 0 0 3 5 0 0 0 0
13.08 E 11 Diabetes militus tidak bergantung insulin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 1 4 12 6 8 4 2 3 0 0
13.09 E 12 Diabetes militus berhubungan mal nutrisi 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 5 4 1 0 9 5 0 0 0 0
13.1'0 E 13 Diabetes melitus YDT lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 2 0 0 0 0 0 0 0 0
13.11 E 14 Diabetes melitus YTT 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
13.12 E 34 Gangguan endokrin lain 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
13.13 E 40 kwasiorkor 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
13.14 E 41 Marasmus 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
13.15 E 42 Marasmus kwasiorkor 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
13.16 E 50 Defisiensi Vit A 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
13.17 E 51 Defisiensi Vit Lainnya 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
13.18 E 64 Gejala sisa malnutrisi & defisiensi gizi lainnya 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
13.19 E 66 Obesitas 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
13.2 E 68 Deplesi volume (dehidrasi) 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
14 XIV
14.01 F 03 Demensia 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
14.02 F 05 Delirium 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
14.03 F 19 Gangguan Mental dan perilaku akibat penggunaan zat psikoaktif 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0
14.04 F 20 Skizoprenia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0
14.05 F 23 Gangguan Psikotik akut 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
KELOMPOK USIA
ICD PENYAKIT
14.06 F 29 Gangguan Psikotikm nonorganik lain 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
14.07 F 41 Gangguan Kecemasan 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
14.08 F 45 Psikosomatis 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
14.09 F 51 Gangguan Tidur nonorganik 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
14.1 F 60 Gangguan Kepribadian 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

14.11 F 79 Retardasi mental 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
14.12 F 93 Gangguan Emosi pada anak 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
14.13 F 94 Gangguan fungsi sosial bermula pada anak 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
15 XV
15.01 G 03 Meningitis 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
15.02 G 40 Epilepsi 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
15.03 G 43 Migraine 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 1 1 1 0 0 0 1 0 0 0 0
15.04 G 44 Sindroma nyeri kepala 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
15.05 G 51 Gangguan Nervus Facial 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
15.06 G 62 Polyneuropathy 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
15.07 G 80 Cerebral Palsy 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
15.08 G 81 Hemiplegi 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
15.09 G 82 Paraplegi / tetraplegi 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
15.1'0 G 91 Hydrocepalus 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
15.11 G 95 Penyakit lain pada susunan tulang belakan. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 1 2 0 0 3 1 0 0 0 0 0 0 0
16 XVI
16.01 H 00 Hordeolum dan chalazion 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
16.02 H 01 Konjuntivitis 0 0 0 0 0 0 0 0 0 0 0 1 0 0 2 2 2 0 0 1 3 1 1 3 2 2 0 1 0 0 0 0 0 0 0 0
16.03 H 11 Pterigium 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
16.04 H 16 Karatitis 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
16.05 H 25 Katarak Senilis 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
16.06 H 26 Katarak lainnya 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
16.07 H 40 Glaukoma 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
16.08 H 50 Strabismus 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
16.09 H 52 Gangguan refraksi dan akomodasi 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
16.1'0 H 54 Kebutaan dan Penurunan visus 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
16.11 H 57 Penyakit mata dan adneksa lain 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
16.12 H 60 Otitis Eksterna 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
16.13 H 61 Cerumen 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
16.14 H 67 Otitis Media 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
16.15 H 70 Infeksi Mastoid ( Mastoiditis ) 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
16.16 H 90 Ketulian dan pendengaran menurun 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
16.17 H 92 Otalgia 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
16.18 H 93 Gangguan lain pada Telinga 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0
KELOMPOK USIA
ICD PENYAKIT
17 XVII
17.01 I 10 Hipertensi Primer 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 8 4 7 13 19 9 17 4 5 3 0
17.02 I 15 Hipertensi Skunder 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 1 0 0 1 0 2 3 0 0 1 2
17.03 I 20 Angina Pektoris 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
17.04 I 21 Infark Miokard akut 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
17.05 I 50 Gagal Jantung 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 1 0 0 0 0 0 0
17.06 I 64 Stroke 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
17.07 I 67 Penyakit Cerebrovasculer lain 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
17.08 I 80 Phlebitis dan trombophlebitis 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
17.09 I 84 Hemoroid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0
17.1'0 I 87 Varises 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
17.11 I 95 Hipotensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 1 2 1 0 2 5 0 0 0 0 0
17.12 I 99 Gangguan Pembuluh darah lain 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 1 0 0 1 1 0 0 1 0 0 0
18 XVIII
18.01 J 00 Common Cold/Nasopharyngitis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 0 1 0 0 2 0 0 0 0 1 0 0 0 0 0 0
18.02 J 01 Sinusitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0
18.03 J 02 Faringitis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 1 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0
18.04 J 03 Tonsilitis akut 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 2 0 0 0 0 0 0 0 0
18.05 J 04 Laringitis & Trakritis akut 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
18.06 J 06 Infeksi akut lain pada saluran pernapasan bagian atas 0 0 0 0 0 0 0 0 3 4 2 3 13 13 13 13 16 11 9 12 9 10 3 2 9 9 3 3 7 7 9 7 0 0 0 1
18.07 J 10 Influensa 0 0 0 0 1 0 0 2 6 4 1 1 13 8 5 6 6 8 5 1 5 5 2 3 8 2 2 3 1 3 1 1 1 0 0 0
18.08 J 18 Pneumonia 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
18.09 J 21 Bronkitis akur dan bronkiolitis akut 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
18.1 J 22 Infeksi akut lain pada saluran pernapasan bagian bawah 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
18.11 J 30 Rhinitis alergi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 3 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0
18.12 J 33 Nasal polip 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
18.13 J 35 Penyakit tonsil dan edenoid kronik 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
18.14 J 36 Peritonsiler Abses 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
18.15 J 40 Bronkitis tdkn ditentukan akut atau kronik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0
18.16 J 44 COPD ( Chronic Obtructive Pulmonary Diesese ) 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
18.17 J 45 Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 1 0 3 9 1 1 3 0 0 0
18.18 J 46 Status Asmatikus 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
18.19 J 60 Pneumokoniosis 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
18.2 J 90 Efusi pleura (empiema) 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
18.21 J 93 Pneumotoraks 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
19 XIX
19.01 K 00 Gangguan Perkembangan dan Erupsi Gigi 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
19.02 K 01 Gigi terbenam dan impaksi 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
19.03 K 02 Karies gigi 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 2 7 5 3 1 1 4 1 2 8 6 0 0 1 2 0 0 0 0 0 0
KELOMPOK USIA
ICD PENYAKIT
19.04 K 03 Penyakit jaringan keras gigi 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
19.05 K 04 Penyakit pulpa dan periapikal 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2 0 0 3 5 0 2 5 5 4 5 4 2 0 0 0 0 0 0
19.06 K 05 Gingivitis dan Penyakit Periodontal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0
19.07 K 06 Gangguan Gusi dan Hubungan Alveolar tak bergiginlainnya 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
19.08 K 07 Kelainan dentofasial termasuk maloklusi 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
19.09 K 08 Gangguan gigi dan jaringan penyangga 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 0 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 0 0
19.1'0 K 09 Kista rongga mulut yg tdk ditentukan (YTT) 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
19.11 K 10 Penyakit rahang lainnya 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
19.12 K 11 Penyakit kelenjar liur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

19.13 K 12 Penyakit jaringan lunak mulut (Stomatitis) dan lesi yg berhubungan 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
19.14 K 13 Penyakit bibir, mukosa mulut lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0
19.15 K 14 Penyakit lidah 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
20 XX
20.01 K 27 Ulkus Peptikum 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
20.02 K 29 Gastritis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 4 0 3 5 5 4 5 12 11 2 12 16 15 5 4 6 2 0 0
20.03 K 30 Dispepsia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 0 0 3 5 0 1 1 3 0 0 3 0 0 0
20.04 K 35 Appendicitis 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 1 0 0 0 0 0 0 0 0 0 0
20.05 K 40 Hernia Inguinal 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
20.06 K 45 Hernia Abdominal yg lain 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
20.07 K 62 Penyakit pada Anus dan Rectum 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
20.08 K 65 Peritonitis 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
20.09 K 73 Hepatitis Kronik 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
20.1'0 K 76 Penyakit hati lainnya 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
20.11 K 80 Cholelithiasis 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
20.12 K 81 Cholecystitis 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
20.13 K 90 Malabsorsi 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
20.14 K 92 Penyakit Sistem pencernaan lainnya 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
21 XXI
21.01 L 00 Impetigo 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
21.02 L 02 Abses, Furunkel dan karbunkel 0 0 0 0 0 0 0 0 0 1 0 0 2 0 1 1 2 0 0 0 0 2 0 0 1 2 1 0 1 0 0 0 0 0 0 0
21.03 L 03 Cellulitis 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
21.04 L 08 Infeksi kulit dan jaringan sub kutan yang lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0
21.05 L 20 Dermatitis atopik 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
21.06 L 21 Dermatitis Seboroik 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 1 0 0 0 0 0 0 0
21.07 L 23 Dermatitis Kontak alergi 0 0 0 0 0 0 0 0 0 0 0 0 3 2 0 1 6 5 1 0 0 1 0 1 3 4 0 2 2 3 1 1 0 0 0 0
21.08 L 24 Dermatitis kontak Iritan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
21.09 L 29 Pruritus 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
21.1'0 L 30 Dermatitis lainnya 0 0 0 0 1 0 0 0 1 0 0 0 1 2 1 0 5 1 0 1 0 2 0 1 0 7 0 2 2 0 0 0 0 0 0 0
21.11 L 40 Psoriasis 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
KELOMPOK USIA
ICD PENYAKIT
21.12 L 42 Ptiriasis Rosea 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 1 0 0 0 0 0 0 0 0 0 0
21.13 L 43 Lichen Planus 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
21.14 L 50 Urtikaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0 0 0 0
21.15 L 53 Eritema 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
21.16 L 60 Nail Disorders 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
21.17 L 63 Alopesia areata 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
21.18 L 70 Acne 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
21.19 L 80 Vitiligo 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
21.2'0 L 88 Pyoderma 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
21.21 L 93 Lupus Eritematosus 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
21.22 L 98 Penyakit Kulit lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0

22 XXII
22.01 M 06 Rheumatoid Arthritis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 9 3 9 11 13 5 11 4 6 0 1
22.02 M 10 Sindroma Nefrotik 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
22.03 M 13 Arthritis lain 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
22.04 M 15 Polyarthrosis 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
22.05 M 25 Gangguan Sendi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 0 2 1 0 2 1 0 0 0 0
22.06 M 30 Polyarteritis nodosa 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
22.07 M 33 Dermatopolymyositis 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
22.08 M 47 Spondylosis 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
22.09 M 62 Gangguan lain pada jaringan otot 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
22.1 M 86 Osteomy 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
22.11 M 79 Gangguan Jaringan lunak lainnya ( Reumatik ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 5 7 0 6 1 4 8 5 0 2 0 2
23 XXIII
23.01 N 02 Hematuri 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
23.02 N 04 Sindroma Nefrotik 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
23.03 N 17 Gagal ginjal akut 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
23.04 N 18 Gagal ginjal Kronis 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
23.05 N 20 Urolithiasis 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
23.06 N 23 Kolik Renal 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
23.07 N 28 Gangguan lain pada Ginjal dan Ureter 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
23.08 N 30 Cystitis 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
23.09 N 34 Urethritis 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
23.1 N 39 Penyakit saluiran kencing lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 2 0 0 2 0 0 0 1 0 0 0
24 XXIV
24.01 N 40 BPH ( Benigna Prostat Hyperthrophy ) 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
24.02 N 43 Hydrocele dan Spermatocele 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
24.03 N 44 Torsi Testis 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
24.04 N 45 Orchitis dan epididymitis 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
KELOMPOK USIA
ICD PENYAKIT
24.05 N 48 Gangguan lain pada penis 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
25 XXV
25.01 N 60 Fibro adenoma mammae 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25.02 N 61 Gangguan Inflamasi pada mammae 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 4 0 0 0 0 0 0 0 0 0 0
25.03 N 64 Gangguan lain pada mammae 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
25.04 N 73 PID ( Pelvic Inflamatory Diseases ) 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
25.05 N 80 Endometreosis 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 1 0 0 0 0 0 0 0 0
25.06 N 81 Prolaps 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
25.07 N 84 Polip traktus genital 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
25.08 N 86 Erosi 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
25.09 N 91 Amenorea 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 3 0 2 0 0 0 0 0 0 0 0 0 0 0 0
25.1 N 92 Menometrorrhagi 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
25.11 N 94 Nyeri organ genital dan menstruasi 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

25.12 N 95 Gangguan pada masa menopause 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
25.13 N 97 Infertilitas 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
25.14 N 99 Gangguan Sistem Genitourinaria lain 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 2 0 0 0 0 0 0 0 0 0 0
26 XXVI
26.01 O 00 Kehamilan Ektopik 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
26.02 O 04 Abortus 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 3 0 1 0 0 0 0 0 0 0 0
26.03 O 14 Preeklamsia 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
26.04 O 15 Eklamsia 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
26.05 O 20 Pendarahan pada Kehamilan 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
26.06 O 21 Hiperemesis Gravidarum 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 1 0 1 0 0 0 0 0 0 0 0
26.07 O 24 Diebetes melitus dlm kehamilan 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
26.08 O 30 Kehamilan Kembar 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
26.09 O 40 Polihidramnion 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
26.1'0 O 42 Ketuban Pecah Dini 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
26.11 O 44 Placenta Previa 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
26.12 O 45 Solusio plasenta 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
26.13 O 46 Pendarahan antepartum YTK ditempat lain 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
26.14 O 48 Kehamilan Serotinus 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
26.15 O 60 Partus Prematurus 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
26.16 O 63 Partus lama 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
26.17 O 70 Laserasi perineum 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
26.18 O 71 Trauma Obstetric lain 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
26.19 O 72 Perdarahan Post partum 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
26.2'0 O 80 Persalinan Tunggal Spontan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 7 0 3 0 0 0 1 0 0 0 0 0 0
26.21 O 83 Persalinan dengan kesulitan 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
26.22 O 84 Persalinan kembar 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
KELOMPOK USIA
ICD PENYAKIT
26.23 O 92 Mastitis 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
26.24 O 97 Kematian Ibu akibat Obstetrik lansung 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
27 XXVII
27.01 P 07 BBLR 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
27.02 P 15 Trauma lahir 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
27.03 P 21 Asfiksia 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
27.04 P 57 Kuning pada bayi Baru Lahir ( Kernicterus ) 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
27.05 P 95 Lahir Mati 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
27.06 P 96 Kondisi lain pada perinatal 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
28 XXVIII
28.01 Q 37 Bibir Sumbing 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
28.02 Q 69 Polydactily 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
28.03 Q 89 Kelainan Kongenital lain 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
29 XXIX
29.01 R 00 Suara Jantung Abnormal 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

29.02 R 02 Ganggren yg tdk diklasifikasikan di tempat ln 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
29.03 R 04 Perdarahan dari saluran respirasi 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
29.04 R 05 Batuk 0 0 0 0 0 0 0 0 1 1 0 1 1 6 2 2 4 6 0 1 0 1 0 1 5 3 1 1 1 1 1 0 1 0 1 0
29.05 R 06 Pernafasan Abnormal 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 1 0 0 2 1 0 0 0 0 0 0
29.06 R 07 Nyeri dada 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 2 0 1 0 0 0 0
29.07 R 09 Simtom dan tanda lain pada sistem sirkulasi dan respirasi 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
29.08 R 10 Nyeri Abdomen 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 1 0 2 2 0 2 1 1 0 0 0 0 1 0 0
29.09 R 11 Nausea dan Vomitus 0 0 0 0 0 0 0 0 1 1 0 0 2 0 0 0 1 1 0 0 0 1 0 2 0 0 0 1 1 0 0 0 0 0 0 0
29.1 R 12 Nyeri Epigastrium 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
29.11 R 13 Disfagia 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
29.12 R 14 Meteorismus 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
29.13 R 15 Faecal Incontinence 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
29.14 R 16 Hepatomegali dan Spienomegali 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
29.15 R 18 Asites 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
29.16 R 19 Simtom dan tanda lain pada sistem pencernaan dan abdomen 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 XXX
30.01 R 30 Nyeri yang berhubungan dengan miksi 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
30.02 R 32 Incontinensia Urine 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
30.03 R 33 Retensi Urine 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
30.04 R 34 Anuria dan oliguria 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
30.05 R 35 Poliuria 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
30.06 R 36 Erethal Discharge 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
30.07 R 39 Gejala lain pada sistem urinarius 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
31 XXXI
KELOMPOK USIA
ICD PENYAKIT
31.01 R 50 Demam yang tidak diketahui sebabnya 0 0 0 0 0 0 0 0 4 2 0 3 6 5 3 5 6 6 1 1 0 3 0 1 0 4 0 2 0 2 0 0 0 0 1 0
31.02 R 51 Nyeri Kepala 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 2 1 2 0 0 4 4 1 0 5 7 1 2 3 4 1 2 3 0 1 0
31.03 R 53 Malaise dan Fatigue 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
31.04 R 55 Syncope 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
31.05 R 56 Kejang 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
31.06 R 57 Shock 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
31.07 R 60 Oedem 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
31.08 R 61 Hiperhidrosis 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
31.09 R 64 Cachexia 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
32 XXXII
32.01 S 09 Trauma Kepala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0
32.02 S 19 Trauma leher 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
32.03 S 29 Trauma dada 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
32.04 S 39 Trauma perut, punggung bawah dan pelvis 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
32.05 S 49 Trauma anggota gerak atas 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 1 0 0 0 0 0 0 0 0
32.06 S 89 Trauma anggota gerak bawah 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 1 0 0 0 0 0
32.07 T 00 Luka Lecet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 2 0 1 2 2 0 0 2 1 1 1 0 0 0 0 0

32.08 T 01 Luka Terbuka 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 3 0 0 0 0 1 1 1 4 2 0 1 1 0 0 0 0 0 0 0
32.09 T 03 Fraktur 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
32.1 T 04 Dislokasi 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
32.11 T 07 Trauma multiple 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
33 XXXIII
33.01 T 15 Benda asing di mata 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
33.02 T 16 Benda asing di telinga 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0
33.03 T 17 Benda asing di saluran pernapasan 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
33.04 T 18 Benda asing di saluran makanan 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
34 XXXIV
34.01 T 20 Luka bakar dan korosi di kepala dan leher 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
34.02 T 22 Luka bakar Di anggota bagian atas 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 1 0 0 0 0 0 0 0 0 0 0
34.03 T 23 Luka bakar di pergelangan tangan dan tangan 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 1 0 0 0 0 0 0 0 0
34.04 T 24 Luka bakar di anggota badan bawah 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
34.05 T 25 Luka bakar di pergelangan kaki dan kaki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
34.06 T 27 Luka bakar dan Korosi di saluiran pernafasan 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
34.07 T 28 Luka bakar dan korosi di organ internal 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
34.08 T 31 Luka bakar dan korosi lainnya 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
35 XXXV
35.01 T 50 Keracunan obat 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
35.02 T 60 Keracunan pestisida 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0
35.03 T 62 Keracunan makanan 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
KELOMPOK USIA
ICD PENYAKIT
35.04 T 65 Keracunan substansi lain. 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
Mengetahui
Kepala Puskesmas Kerumutan Penanggung jawab
HARNO, SKM dr. METTA BARUS

NIP. 19780914 200604 1 014 NIP.19730114 200604 2 004
TOTAL
0
1
0
0
0
0
0
2
74
2
1
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL
0
0
0
1
0
7
1
0
0
0
6
4
0
0
0
1
1
2
3
0
0
1
0
0
0
0
0
0
0
1
0
0
0
TOTAL
4
0
0
0
7
0
0
0
0
0
0
0
0
0
14
46
24
5
0
0
0
0
0
0
0
0
0
0
0
0
2
4
0
TOTAL
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
9
3
21
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
4
TOTAL
91
10
0
0
1
0
0
0
2
0
14
4
7
2
7
2
0
191
104
0
0
0
7
0
0
0
2
0
23
0
0
0
0
0
0
47
TOTAL
0
39
4
0
0
8
0
0
1
3
3
0
0
113
19
1
0
0
0
0
0
0
0
0
0
0
0
14
0
3
0
7
36
3
0
27
0
TOTAL
1
0
3
0
0
0
0
0
0
0
77
0
0
0
10
0
0
0
0
0
41
0
0
0
0
0
0
0
0
0
8
0
0
0
0
TOTAL
1
4
0
0
1
0
0
0
7
0
0
0
0
2
0
4
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
15
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
42
4
6
0
14
11
0
0
0
0
0
0
2
0
0
0
0
0
0
0
TOTAL
55
45
0
0
0
0
0
0
0
2
0
0
0
1
1
14
16
0
0
0
0
2
0
0
0
1
1
0
1
0
0
0
0
2
0
TOTAL
0
1457
00604 2 004
LAPORAN LB1 PUSKESMAS BERDASARKAN ICD-
Kode Puskesmas :
Kecamatan : Kerumutan
Puskesmas pembantu yang ada :
Propinsi : Riau
KELOMP
NO KODE 0 - 7 Hari 8 - 28 Hari 29 -< 1 Thn 1 - 4 Thn
ICD PENYAKIT
URUT X B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK
01 I
01.01 A 00 Kolera
01.02 A 01 Demam Tifoid dan Paratifoid
01.03 A 03 Shingellosis
01.04 A 04 Infeksi usus krn baktri lainnya
01.05 A 05 Keracunan mknan krn bakteri lainnya
01.06 A 06 Amoebiasis
01.07 A 07 Penyakit usus krn protozona lainnya
01.08 A 08 Infeksi usus dan khusus lainya 1
01.09 A 09.1 Diare & gastroenteritis oleh 1 5 3 1 8
01.10 A 09.2 Diare disentri (Diarrhoe dysentrie)
01.11 A 09.3 Penyakit infeksi usus lainnya
02 II
02.01 A 15 TB Paru BTA +
02.02 A 16 TB Paru Klinis ( Rotgen + )
02.03 A 18 TB selain Paru ( Extra Pulminor )
02.04 A 20 Pes ( sampar )
03 III
03.01 A 30 Kusta
03.02 A 30.1 Lapra Tipe I dan Lepra Tipe II
03.03 A 33 Tetanus neonatorum
03.04 A 34 Tetanus Obtetrik
03.05 A 35 Tetanus
03.06 A 36 Difteria
03.07 A 37 Pertusis/Batuk Rejan
04 IV
04.01 A 22 Anthraks
04.03 A 53 Siphilis
04.04 A 54 Infeksi gonokok
04.05 A 56 Infeksi klamidia yg ditularkan melalui hubungan seksual
04.06 A 57, Infeksi lainnya yg terutama ditularkan mlli hb seksual
04.07 A 59 Trichomoniasis
04.08 A 66 Patek (Frambusia)
05 v
05.01 A 80 Poliomielitis akut
05.02 A 82 Rabies
05.03 A 90 DF ( Demam Dengue )
05.04 A 91 DHF ( Demam Berdarah Dengue )
05.05 B 00 Herpes Simplex
05.06 B 01 Verisela (cacar air)
05.07 B 02 zoster (herpes zester)
05.08 B 05 Campak
05.09 B 19 Hepatitis virus YTT (yang tak ditentukan)
05.10 B 26 Parotitis
06 VI
06.01 B 35 Dermatopitosis 1
06.02 B 37 Kandidiasis 1
06.03 B 49 Mikosis Lainnya
07 VII
07.01 B 50 Malaria Tropika / mixed ( P. Falciparum )
07.02 B 51 Malaria Tertiana ( P.Vivax )
07.03 B 53 Malaria Tanpa Pemeriksaan Lab ( Malaria Klinis )
07.04 B 74 Filariasis
08 VIII
08.01 B 76 Penyakit cacing tambang
08.02 B 77 Penyakit cacing gelang (Askariasis)
08.03 B 79 Penyakit cacing cambuk (Trikariasis)
09 IX
09.01 B 85 Pedikulosis
09.02 B 86 Skabies
10 X
10.01 C 11 Ca Nasopharink
10.02 C 18 Ca Colon
10.03 C 20 Ca Rectum
10.04 C 22 Ca Hepar
10.05 C 34 Ca Paru
10.06 C 41 Ca Tulang
10.07 C 43 Ca Kulit
10.08 C 50 Ca Payudara
10.09 C 53 Ca Cervik Uteri
10.1'0 C 61 Ca Prostat
10.11 C 71 Ca Otak
10.12 C 73 Ca Kelenjer Tiroid
11 XI
11.01 D 17 Lipoma
11.02 D 22 Nevus Pigmentosus
11.03 D 34 Pembesaran KelenjerTiroid
11.04 D 36 Neoplasma Benigna lain
12 XII
12.01 D 50 Anamia Defisiensi besi
12.02 D 62 Anemia Posthamorragic akut
12.03 D 64 Anamia Lainnya
12.04 D 69 Purpura dan Exanthema
13 XIII
13.01 E 00 Ganguan tiroid berhubungan dengan Defisiensi Iodium
13.02 E 05 Tirotoksikosis (hipertiroisisme)
13.03 E 03 Hipertiroisisme lain
13.04 E 04 Penyakit gondok non toksik lain
13.05 E 06 Tiroiditis
13.06 E 07 Gangguan kelenjar tiroid lainnya
13.07 E 10 Diabetes militus bergantung insulin
13.08 E 11 Diabetes militus tidak bergantung insulin
13.09 E 12 Diabetes militus berhubungan mal nutrisi
13.1'0 E 13 Diabetes melitus YDT lainnya
13.11 E 14 Diabetes melitus YTT
13.12 E 34 Gangguan endokrin lain
13.13 E 40 kwasiorkor
13.14 E 41 Marasmus
13.15 E 42 Marasmus kwasiorkor
13.16 E 50 Defisiensi Vit A
13.17 E 51 Defisiensi Vit Lainnya
13.18 E 64 Gejala sisa malnutrisi & defisiensi gizi lainnya
13.19 E 66 Obesitas
13.2 E 68 Deplesi volume (dehidrasi)
14 XIV
14.01 F 03 Demensia
14.02 F 05 Delirium
14.03 F 19 Gangguan Mental dan perilaku akibat penggunaan zat psikoaktif
14.04 F 20 Skizoprenia
14.05 F 23 Gangguan Psikotik akut
14.06 F 29 Gangguan Psikotikm nonorganik lain
14.07 F 41 Gangguan Kecemasan
14.08 F 45 Psikosomatis
14.09 F 51 Gangguan Tidur nonorganik
14.1 F 60 Gangguan Kepribadian

14.11 F 79 Retardasi mental
14.12 F 93 Gangguan Emosi pada anak
14.13 F 94 Gangguan fungsi sosial bermula pada anak
15 XV
15.01 G 03 Meningitis
15.02 G 40 Epilepsi
15.03 G 43 Migraine
15.04 G 44 Sindroma nyeri kepala
15.05 G 51 Gangguan Nervus Facial
15.06 G 62 Polyneuropathy
15.07 G 80 Cerebral Palsy
15.08 G 81 Hemiplegi
15.09 G 82 Paraplegi / tetraplegi
15.1'0 G 91 Hydrocepalus
15.11 G 95 Penyakit lain pada susunan tulang belakan.
16 XVI
16.01 H 00 Hordeolum dan chalazion 1
16.02 H 01 Konjuntivitis 1
16.03 H 11 Pterigium
16.04 H 16 Karatitis
16.05 H 25 Katarak Senilis
16.06 H 26 Katarak lainnya
16.07 H 40 Glaukoma
16.08 H 50 Strabismus
16.09 H 52 Gangguan refraksi dan akomodasi
16.1'0 H 54 Kebutaan dan Penurunan visus
16.11 H 57 Penyakit mata dan adneksa lain
16.12 H 60 Otitis Eksterna
16.13 H 61 Cerumen
16.14 H 67 Otitis Media 1
16.15 H 70 Infeksi Mastoid ( Mastoiditis )
16.16 H 90 Ketulian dan pendengaran menurun
16.17 H 92 Otalgia
16.18 H 93 Gangguan lain pada Telinga
17 XVII
17.01 I 10 Hipertensi Primer
17.02 I 15 Hipertensi Skunder
17.03 I 20 Angina Pektoris
17.04 I 21 Infark Miokard akut
17.05 I 50 Gagal Jantung
17.06 I 64 Stroke
17.07 I 67 Penyakit Cerebrovasculer lain
17.08 I 80 Phlebitis dan trombophlebitis
17.09 I 84 Hemoroid
17.1'0 I 87 Varises
17.11 I 95 Hipotensi
17.12 I 99 Gangguan Pembuluh darah lain
18 XVIII
18.01 J 00 Common Cold/Nasopharyngitis akut
18.02 J 01 Sinusitis
18.03 J 02 Faringitis akut
18.04 J 03 Tonsilitis akut
18.05 J 04 Laringitis & Trakritis akut
18.06 J 06 Infeksi akut lain pada saluran pernapasan bagian atas 3 4 2 3###
18.07 J 10 Influensa 1 2 6 4 1 1###
18.08 J 18 Pneumonia
18.09 J 21 Bronkitis akur dan bronkiolitis akut
18.1 J 22 Infeksi akut lain pada saluran pernapasan bagian bawah
18.11 J 30 Rhinitis alergi
18.12 J 33 Nasal polip
18.13 J 35 Penyakit tonsil dan edenoid kronik
18.14 J 36 Peritonsiler Abses
18.15 J 40 Bronkitis tdkn ditentukan akut atau kronik
18.16 J 44 COPD ( Chronic Obtructive Pulmonary Diesese )
18.17 J 45 Asma
18.18 J 46 Status Asmatikus
18.19 J 60 Pneumokoniosis
18.2 J 90 Efusi pleura (empiema)
18.21 J 93 Pneumotoraks
19 XIX
19.01 K 00 Gangguan Perkembangan dan Erupsi Gigi
19.02 K 01 Gigi terbenam dan impaksi
19.03 K 02 Karies gigi
19.04 K 03 Penyakit jaringan keras gigi
19.05 K 04 Penyakit pulpa dan periapikal
19.06 K 05 Gingivitis dan Penyakit Periodontal
19.07 K 06 Gangguan Gusi dan Hubungan Alveolar tak bergiginlainnya
19.08 K 07 Kelainan dentofasial termasuk maloklusi
19.09 K 08 Gangguan gigi dan jaringan penyangga
19.1'0 K 09 Kista rongga mulut yg tdk ditentukan (YTT)
19.11 K 10 Penyakit rahang lainnya
19.12 K 11 Penyakit kelenjar liur

19.13 K 12 Penyakit jaringan lunak mulut (Stomatitis) dan lesi yg berhubungan 2
19.14 K 13 Penyakit bibir, mukosa mulut lainnya
19.15 K 14 Penyakit lidah
20 XX
20.01 K 27 Ulkus Peptikum
20.02 K 29 Gastritis
20.03 K 30 Dispepsia
20.04 K 35 Appendicitis
20.05 K 40 Hernia Inguinal
20.06 K 45 Hernia Abdominal yg lain
20.07 K 62 Penyakit pada Anus dan Rectum
20.08 K 65 Peritonitis
20.09 K 73 Hepatitis Kronik
20.1'0 K 76 Penyakit hati lainnya
20.11 K 80 Cholelithiasis
20.12 K 81 Cholecystitis
20.13 K 90 Malabsorsi
20.14 K 92 Penyakit Sistem pencernaan lainnya
21 XXI
21.01 L 00 Impetigo
21.02 L 02 Abses, Furunkel dan karbunkel 1 2
21.03 L 03 Cellulitis
21.04 L 08 Infeksi kulit dan jaringan sub kutan yang lain
21.05 L 20 Dermatitis atopik
21.06 L 21 Dermatitis Seboroik 1 1
21.07 L 23 Dermatitis Kontak alergi 3
21.08 L 24 Dermatitis kontak Iritan
21.09 L 29 Pruritus
21.1'0 L 30 Dermatitis lainnya 1 1 1
21.11 L 40 Psoriasis
21.12 L 42 Ptiriasis Rosea
21.13 L 43 Lichen Planus
21.14 L 50 Urtikaria
21.15 L 53 Eritema
21.16 L 60 Nail Disorders
21.17 L 63 Alopesia areata
21.18 L 70 Acne
21.19 L 80 Vitiligo
21.2'0 L 88 Pyoderma
21.21 L 93 Lupus Eritematosus
21.22 L 98 Penyakit Kulit lainnya

22 XXII
22.01 M 06 Rheumatoid Arthritis
22.02 M 10 Sindroma Nefrotik
22.03 M 13 Arthritis lain
22.04 M 15 Polyarthrosis
22.05 M 25 Gangguan Sendi
22.06 M 30 Polyarteritis nodosa
22.07 M 33 Dermatopolymyositis
22.08 M 47 Spondylosis
22.09 M 62 Gangguan lain pada jaringan otot
22.1 M 86 Osteomy
22.11 M 79 Gangguan Jaringan lunak lainnya ( Reumatik )
23 XXIII
23.01 N 02 Hematuri
23.02 N 04 Sindroma Nefrotik
23.03 N 17 Gagal ginjal akut
23.04 N 18 Gagal ginjal Kronis
23.05 N 20 Urolithiasis
23.06 N 23 Kolik Renal
23.07 N 28 Gangguan lain pada Ginjal dan Ureter
23.08 N 30 Cystitis
23.09 N 34 Urethritis
23.1 N 39 Penyakit saluiran kencing lainnya
24 XXIV
24.01 N 40 BPH ( Benigna Prostat Hyperthrophy )
24.02 N 43 Hydrocele dan Spermatocele
24.03 N 44 Torsi Testis
24.04 N 45 Orchitis dan epididymitis
24.05 N 48 Gangguan lain pada penis
25 XXV
25.01 N 60 Fibro adenoma mammae
25.02 N 61 Gangguan Inflamasi pada mammae
25.03 N 64 Gangguan lain pada mammae
25.04 N 73 PID ( Pelvic Inflamatory Diseases )
25.05 N 80 Endometreosis
25.06 N 81 Prolaps
25.07 N 84 Polip traktus genital
25.08 N 86 Erosi
25.09 N 91 Amenorea
25.1 N 92 Menometrorrhagi
25.11 N 94 Nyeri organ genital dan menstruasi

25.12 N 95 Gangguan pada masa menopause
25.13 N 97 Infertilitas
25.14 N 99 Gangguan Sistem Genitourinaria lain
26 XXVI
26.01 O 00 Kehamilan Ektopik
26.02 O 04 Abortus
26.03 O 14 Preeklamsia
26.04 O 15 Eklamsia
26.05 O 20 Pendarahan pada Kehamilan
26.06 O 21 Hiperemesis Gravidarum
26.07 O 24 Diebetes melitus dlm kehamilan
26.08 O 30 Kehamilan Kembar
26.09 O 40 Polihidramnion
26.1'0 O 42 Ketuban Pecah Dini
26.11 O 44 Placenta Previa
26.12 O 45 Solusio plasenta
26.13 O 46 Pendarahan antepartum YTK ditempat lain
26.14 O 48 Kehamilan Serotinus
26.15 O 60 Partus Prematurus
26.16 O 63 Partus lama
26.17 O 70 Laserasi perineum
26.18 O 71 Trauma Obstetric lain
26.19 O 72 Perdarahan Post partum
26.2'0 O 80 Persalinan Tunggal Spontan
26.21 O 83 Persalinan dengan kesulitan
26.22 O 84 Persalinan kembar
26.23 O 92 Mastitis
26.24 O 97 Kematian Ibu akibat Obstetrik lansung
27 XXVII
27.01 P 07 BBLR
27.02 P 15 Trauma lahir
27.03 P 21 Asfiksia
27.04 P 57 Kuning pada bayi Baru Lahir ( Kernicterus )
27.05 P 95 Lahir Mati
27.06 P 96 Kondisi lain pada perinatal
28 XXVIII
28.01 Q 37 Bibir Sumbing
28.02 Q 69 Polydactily
28.03 Q 89 Kelainan Kongenital lain
29 XXIX
29.01 R 00 Suara Jantung Abnormal

29.02 R 02 Ganggren yg tdk diklasifikasikan di tempat ln
29.03 R 04 Perdarahan dari saluran respirasi
29.04 R 05 Batuk 1 1 1 1
29.05 R 06 Pernafasan Abnormal
29.06 R 07 Nyeri dada
29.07 R 09 Simtom dan tanda lain pada sistem sirkulasi dan respirasi
29.08 R 10 Nyeri Abdomen 1
29.09 R 11 Nausea dan Vomitus 1 1 2
29.1 R 12 Nyeri Epigastrium
29.11 R 13 Disfagia
29.12 R 14 Meteorismus
29.13 R 15 Faecal Incontinence
29.14 R 16 Hepatomegali dan Spienomegali
29.15 R 18 Asites
29.16 R 19 Simtom dan tanda lain pada sistem pencernaan dan abdomen 1 1
30 XXX
30.01 R 30 Nyeri yang berhubungan dengan miksi
30.02 R 32 Incontinensia Urine
30.03 R 33 Retensi Urine
30.04 R 34 Anuria dan oliguria
30.05 R 35 Poliuria
30.06 R 36 Erethal Discharge
30.07 R 39 Gejala lain pada sistem urinarius
31 XXXI
31.01 R 50 Demam yang tidak diketahui sebabnya 4 2 3 6
31.02 R 51 Nyeri Kepala 1
31.03 R 53 Malaise dan Fatigue
31.04 R 55 Syncope
31.05 R 56 Kejang
31.06 R 57 Shock
31.07 R 60 Oedem
31.08 R 61 Hiperhidrosis
31.09 R 64 Cachexia
32 XXXII
32.01 S 09 Trauma Kepala
32.02 S 19 Trauma leher
32.03 S 29 Trauma dada
32.04 S 39 Trauma perut, punggung bawah dan pelvis
32.05 S 49 Trauma anggota gerak atas
32.06 S 89 Trauma anggota gerak bawah
32.07 T 00 Luka Lecet

32.08 T 01 Luka Terbuka 2
32.09 T 03 Fraktur
32.1 T 04 Dislokasi
32.11 T 07 Trauma multiple
33 XXXIII
33.01 T 15 Benda asing di mata
33.02 T 16 Benda asing di telinga
33.03 T 17 Benda asing di saluran pernapasan
33.04 T 18 Benda asing di saluran makanan
34 XXXIV
34.01 T 20 Luka bakar dan korosi di kepala dan leher
34.02 T 22 Luka bakar Di anggota bagian atas
34.03 T 23 Luka bakar di pergelangan tangan dan tangan
34.04 T 24 Luka bakar di anggota badan bawah
34.05 T 25 Luka bakar di pergelangan kaki dan kaki
34.06 T 27 Luka bakar dan Korosi di saluiran pernafasan
34.07 T 28 Luka bakar dan korosi di organ internal
34.08 T 31 Luka bakar dan korosi lainnya
35 XXXV
35.01 T 50 Keracunan obat
35.02 T 60 Keracunan pestisida
35.03 T 62 Keracunan makanan
35.04 T 65 Keracunan substansi lain.
Mengetahui
Kepala Puskesmas
ERDASARKAN ICD-10
BULAN :
TAHUN :
KELOMPOK USIA
1 - 4 Thn 5 - 14 Thn 15 - 24 Thn 25 - 44 Thn 45 - 64 Thn 65 +
TOTAL
B L B L B L B L B L B L
PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
1
8 9 5 4 6 2 7 2 2 1 1 6 1 2
1 1
1
2 2
1
1 1 1 2 1 1
1
1 1 1 2
1 1 1
1
1
1 1
1 1 1
2 1 1
1 2 1 3
3 3 3 5
1 5 1 4### 6 8 4 2 3
5 4 1 9 5
2 1 2
1 1
1 2 1
1 1 1 1
2 1 2 3 1
1 1
2 2 2 1 3 1 1 3 2 2 1
1 1
2 1 1
2 8 4 7### 19 9 17 4 5 3
1 1 2 3 1 2
1 1
1 2 1 2 1 2 5
1 1 1 1
2 1 1 2 1
1 1
2 1 1 2 1
2
############### 9### 9### 3 2 9 9 3 3 7 7 9 7 1

8 5 6 6 8 5 1 5 5 2 3 8 2 2 3 1 3 1 1 1
1 1 3 2
1 1
1 1 1 1 1 1 3 9 1 1 3
3 1 2 7 5 3 1 1 4 1 2 8 6 1 2
1 1 2 3 5 2 5 5 4 5 4 2
1 3
1 4 2 1
1
1
1 1 1
2 4 3 5 5 4 5###### 2###### 15 5 4 6 2
1 2 3 5 1 1 3 3
1
1 1 2 2 1 2 1 1
1 1 1
2 2 1
2 1 6 5 1 1 1 3 4 2 2 3 1 1
1 1 1
2 1 5 1 1 2 1 7 2 2
1
1 1 1
2 1 1
5 9 3 9### 13 5 11 4 6 1
1 1 1 1 2 1 2 1
1 5 7 6 1 4 8 5 2 2
1 2 2 2 1
1
4
1
2 3 2
3 1
1 1
4 7 3 1
6 2 2 4 6 1 1 1 5 3 1 1 1 1 1 1 1
1 2 1
1 1 1 2 1
1 1 1 1 2 2 2 1 1 1
1 1 1 2 1 1
5 3 5 6 6 1 1 3 1 4 2 2 1
1 2 1 2 4 4 1 5 7 1 2 3 4 1 2 3 1
1 1
1
1
1 1 2 1 2 2 2 1 1 1
3 1 1 1 4 2 1 1
1 1
1
1
1 1
Penanggung jawab
Kode Puskesmas :
Propinsi : Riau
KELOMP
ICD PENYAKIT
LK PR LK PR LK PR LK PR LK PR LK PR LK
01 I
01.01 A 00 Kolera
01.08 A 08 Infeksi usus dan khusus lainya
01.09 A 09.1 Diare & gastroenteritis oleh
02 II
03 III
03.01 A 30 Kusta
03.05 A 35 Tetanus
03.06 A 36 Difteria
04 IV
04.01 A 22 Anthraks
04.03 A 53 Siphilis
05 v
05.02 A 82 Rabies
05.08 B 05 Campak
06 VI
06.01 B 35 Dermatopitosis
06.02 B 37 Kandidiasis
07 VII
08 VIII
09 IX
09.02 B 86 Skabies
10 X
10.02 C 18 Ca Colon
10.04 C 22 Ca Hepar
10.05 C 34 Ca Paru
10.07 C 43 Ca Kulit
10.11 C 71 Ca Otak
11 XI
11.01 D 17 Lipoma
12 XII
13 XIII
13.14 E 41 Marasmus
13.19 E 66 Obesitas
14 XIV
14.01 F 03 Demensia
14.02 F 05 Delirium

15 XV
15.02 G 40 Epilepsi
15.03 G 43 Migraine
16 XVI
16.01 H 00 Hordeolum dan chalazion
16.02 H 01 Konjuntivitis
16.07 H 40 Glaukoma
16.13 H 61 Cerumen
16.14 H 67 Otitis Media
16.17 H 92 Otalgia
17 XVII
17.06 I 64 Stroke
17.09 I 84 Hemoroid
17.1'0 I 87 Varises
18 XVIII
18.06 J 06 Infeksi akut lain pada saluran pernapasan bagian atas
18.07 J 10 Influensa
18.17 J 45 Asma
19 XIX

19.13 K 12 Penyakit jaringan lunak mulut (Stomatitis) dan lesi yg berhubungan
20 XX
21 XXI
21.01 L 00 Impetigo
21.02 L 02 Abses, Furunkel dan karbunkel
21.06 L 21 Dermatitis Seboroik
21.07 L 23 Dermatitis Kontak alergi
21.09 L 29 Pruritus
21.1'0 L 30 Dermatitis lainnya
21.15 L 53 Eritema
21.18 L 70 Acne
21.19 L 80 Vitiligo

22 XXII
22.1 M 86 Osteomy
23 XXIII
23.01 N 02 Hematuri
23.08 N 30 Cystitis
24 XXIV
25 XXV
25.06 N 81 Prolaps
25.08 N 86 Erosi
25.09 N 91 Amenorea

26 XXVI
26.02 O 04 Abortus
26.04 O 15 Eklamsia
26.23 O 92 Mastitis
27 XXVII
27.01 P 07 BBLR
27.03 P 21 Asfiksia
28 XXVIII
29 XXIX

29.04 R 05 Batuk
29.08 R 10 Nyeri Abdomen
29.09 R 11 Nausea dan Vomitus
29.11 R 13 Disfagia
29.15 R 18 Asites
29.16 R 19 Simtom dan tanda lain pada sistem pencernaan dan abdomen
30 XXX
30.05 R 35 Poliuria
31 XXXI
31.01 R 50 Demam yang tidak diketahui sebabnya
31.02 R 51 Nyeri Kepala
31.04 R 55 Syncope
31.05 R 56 Kejang
31.06 R 57 Shock
31.07 R 60 Oedem
31.09 R 64 Cachexia
32 XXXII

32.08 T 01 Luka Terbuka
32.09 T 03 Fraktur
32.1 T 04 Dislokasi
33 XXXIII
34 XXXIV
35 XXXV
Mengetahui
Kepala Puskesmas
ERDASARKAN ICD-10
BULAN :
TAHUN :
KELOMPOK USIA
TOTAL
B L B L B L B L B L B L
PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
Penanggung jawab
Kode Puskesmas :
Propinsi : Riau
KELOMPO
ICD PENYAKIT
LK PR LK PR LK PR LK PR LK PR LK PR LK PR
01 I
01.01 A 00 Kolera
02 II
03 III
03.01 A 30 Kusta
03.05 A 35 Tetanus
03.06 A 36 Difteria
04 IV
04.01 A 22 Anthraks
04.03 A 53 Siphilis
05 v
05.02 A 82 Rabies
05.08 B 05 Campak
06 VI
07 VII
08 VIII
09 IX
09.02 B 86 Skabies
10 X
10.02 C 18 Ca Colon
10.04 C 22 Ca Hepar
10.05 C 34 Ca Paru
10.07 C 43 Ca Kulit
10.11 C 71 Ca Otak
11 XI
11.01 D 17 Lipoma
12 XII
13 XIII
13.14 E 41 Marasmus
13.19 E 66 Obesitas
14 XIV
14.01 F 03 Demensia
14.02 F 05 Delirium

15 XV
15.02 G 40 Epilepsi
15.03 G 43 Migraine
16 XVI
16.07 H 40 Glaukoma
16.13 H 61 Cerumen
16.17 H 92 Otalgia
17 XVII
17.06 I 64 Stroke
17.09 I 84 Hemoroid
17.1'0 I 87 Varises
18 XVIII
18.17 J 45 Asma
19 XIX

20 XX
21 XXI
21.01 L 00 Impetigo
21.09 L 29 Pruritus
21.15 L 53 Eritema
21.18 L 70 Acne
21.19 L 80 Vitiligo

22 XXII
22.1 M 86 Osteomy
23 XXIII
23.01 N 02 Hematuri
23.08 N 30 Cystitis
24 XXIV
25 XXV
25.06 N 81 Prolaps
25.08 N 86 Erosi
25.09 N 91 Amenorea

26 XXVI
26.02 O 04 Abortus
26.04 O 15 Eklamsia
26.23 O 92 Mastitis
27 XXVII
27.01 P 07 BBLR
27.03 P 21 Asfiksia
28 XXVIII
29 XXIX

29.04 R 05 Batuk
29.11 R 13 Disfagia
29.15 R 18 Asites
30 XXX
30.05 R 35 Poliuria
31 XXXI
31.04 R 55 Syncope
31.05 R 56 Kejang
31.06 R 57 Shock
31.07 R 60 Oedem
31.09 R 64 Cachexia
32 XXXII

32.09 T 03 Fraktur
32.1 T 04 Dislokasi
33 XXXIII
34 XXXIV
35 XXXV
Mengetahui
Kepala Puskesmas
DASARKAN ICD-10
BULAN :
TAHUN :
KELOMPOK USIA
TOTAL
L B L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0
0 0
Penanggung jawab
Kode Puskesmas :
Propinsi : Riau
KELOMPO
ICD PENYAKIT
01 I
01.01 A 00 Kolera
02 II
03 III
03.01 A 30 Kusta
03.05 A 35 Tetanus
03.06 A 36 Difteria
04 IV
04.01 A 22 Anthraks
04.03 A 53 Siphilis
05 v
05.02 A 82 Rabies
05.08 B 05 Campak
06 VI
07 VII
08 VIII
09 IX
09.02 B 86 Skabies
10 X
10.02 C 18 Ca Colon
10.04 C 22 Ca Hepar
10.05 C 34 Ca Paru
10.07 C 43 Ca Kulit
10.11 C 71 Ca Otak
11 XI
11.01 D 17 Lipoma
12 XII
13 XIII
13.14 E 41 Marasmus
13.19 E 66 Obesitas
14 XIV
14.01 F 03 Demensia
14.02 F 05 Delirium

15 XV
15.02 G 40 Epilepsi
15.03 G 43 Migraine
16 XVI
16.07 H 40 Glaukoma
16.13 H 61 Cerumen
16.17 H 92 Otalgia
17 XVII
17.06 I 64 Stroke
17.09 I 84 Hemoroid
17.1'0 I 87 Varises
18 XVIII
18.17 J 45 Asma
19 XIX

20 XX
21 XXI
21.01 L 00 Impetigo
21.09 L 29 Pruritus
21.15 L 53 Eritema
21.18 L 70 Acne
21.19 L 80 Vitiligo

22 XXII
22.1 M 86 Osteomy
23 XXIII
23.01 N 02 Hematuri
23.08 N 30 Cystitis
24 XXIV
25 XXV
25.06 N 81 Prolaps
25.08 N 86 Erosi
25.09 N 91 Amenorea

26 XXVI
26.02 O 04 Abortus
26.04 O 15 Eklamsia
26.23 O 92 Mastitis
27 XXVII
27.01 P 07 BBLR
27.03 P 21 Asfiksia
28 XXVIII
29 XXIX

29.04 R 05 Batuk
29.11 R 13 Disfagia
29.15 R 18 Asites
30 XXX
30.05 R 35 Poliuria
31 XXXI
31.04 R 55 Syncope
31.05 R 56 Kejang
31.06 R 57 Shock
31.07 R 60 Oedem
31.09 R 64 Cachexia
32 XXXII

32.09 T 03 Fraktur
32.1 T 04 Dislokasi
33 XXXIII
34 XXXIV
35 XXXV
Mengetahui
Kepala Puskesmas
DASARKAN ICD-10
BULAN :
TAHUN :
KELOMPOK USIA
TOTAL
0 0 0 0 0 0 0
0 0 0 0
0 0
Penanggung jawab
0
Kode Puskesmas :
Propinsi : Riau
KELOMPO
ICD PENYAKIT
01 I
01.01 A 00 Kolera
02 II
03 III
03.01 A 30 Kusta
03.05 A 35 Tetanus
03.06 A 36 Difteria
04 IV
04.01 A 22 Anthraks
04.03 A 53 Siphilis
05 v
05.02 A 82 Rabies
05.08 B 05 Campak
06 VI
07 VII
08 VIII
09 IX
09.02 B 86 Skabies
10 X
10.02 C 18 Ca Colon
10.04 C 22 Ca Hepar
10.05 C 34 Ca Paru
10.07 C 43 Ca Kulit
10.11 C 71 Ca Otak
11 XI
11.01 D 17 Lipoma
12 XII
13 XIII
13.14 E 41 Marasmus
13.19 E 66 Obesitas
14 XIV
14.01 F 03 Demensia
14.02 F 05 Delirium

15 XV
15.02 G 40 Epilepsi
15.03 G 43 Migraine
16 XVI
16.07 H 40 Glaukoma
16.13 H 61 Cerumen
16.17 H 92 Otalgia
17 XVII
17.06 I 64 Stroke
17.09 I 84 Hemoroid
17.1'0 I 87 Varises
18 XVIII
18.17 J 45 Asma
19 XIX

20 XX
21 XXI
21.01 L 00 Impetigo
21.09 L 29 Pruritus
21.15 L 53 Eritema
21.18 L 70 Acne
21.19 L 80 Vitiligo

22 XXII
22.1 M 86 Osteomy
23 XXIII
23.01 N 02 Hematuri
23.08 N 30 Cystitis
24 XXIV
25 XXV
25.06 N 81 Prolaps
25.08 N 86 Erosi
25.09 N 91 Amenorea

26 XXVI
26.02 O 04 Abortus
26.04 O 15 Eklamsia
26.23 O 92 Mastitis
27 XXVII
27.01 P 07 BBLR
27.03 P 21 Asfiksia
28 XXVIII
29 XXIX

29.04 R 05 Batuk
29.11 R 13 Disfagia
29.15 R 18 Asites
30 XXX
30.05 R 35 Poliuria
31 XXXI
31.04 R 55 Syncope
31.05 R 56 Kejang
31.06 R 57 Shock
31.07 R 60 Oedem
31.09 R 64 Cachexia
32 XXXII

32.09 T 03 Fraktur
32.1 T 04 Dislokasi
33 XXXIII
34 XXXIV
35 XXXV
Mengetahui
Kepala Puskesmas
DASARKAN ICD-10
BULAN :
TAHUN :
KELOMPOK USIA
TOTAL
0 0 0
0 0 0
0 0
Penanggung jawab
0 0 0 0 0
0
Kode Puskesmas :
Propinsi : Riau
KELOMPO
ICD PENYAKIT
01 I
01.01 A 00 Kolera
02 II
03 III
03.01 A 30 Kusta
03.05 A 35 Tetanus
03.06 A 36 Difteria
04 IV
04.01 A 22 Anthraks
04.03 A 53 Siphilis
05 v
05.02 A 82 Rabies
05.08 B 05 Campak
06 VI
07 VII
08 VIII
09 IX
09.02 B 86 Skabies
10 X
10.02 C 18 Ca Colon
10.04 C 22 Ca Hepar
10.05 C 34 Ca Paru
10.07 C 43 Ca Kulit
10.11 C 71 Ca Otak
11 XI
11.01 D 17 Lipoma
12 XII
13 XIII
13.14 E 41 Marasmus
13.19 E 66 Obesitas
14 XIV
14.01 F 03 Demensia
14.02 F 05 Delirium

15 XV
15.02 G 40 Epilepsi
15.03 G 43 Migraine
16 XVI
16.07 H 40 Glaukoma
16.13 H 61 Cerumen
16.17 H 92 Otalgia
17 XVII
17.06 I 64 Stroke
17.09 I 84 Hemoroid
17.1'0 I 87 Varises
18 XVIII
18.17 J 45 Asma
19 XIX

20 XX
21 XXI
21.01 L 00 Impetigo
21.09 L 29 Pruritus
21.15 L 53 Eritema
21.18 L 70 Acne
21.19 L 80 Vitiligo

22 XXII
22.1 M 86 Osteomy
23 XXIII
23.01 N 02 Hematuri
23.08 N 30 Cystitis
24 XXIV
25 XXV
25.06 N 81 Prolaps
25.08 N 86 Erosi
25.09 N 91 Amenorea

26 XXVI
26.02 O 04 Abortus
26.04 O 15 Eklamsia
26.23 O 92 Mastitis
27 XXVII
27.01 P 07 BBLR
27.03 P 21 Asfiksia
28 XXVIII
29 XXIX

29.04 R 05 Batuk
29.11 R 13 Disfagia
29.15 R 18 Asites
30 XXX
30.05 R 35 Poliuria
31 XXXI
31.04 R 55 Syncope
31.05 R 56 Kejang
31.06 R 57 Shock
31.07 R 60 Oedem
31.09 R 64 Cachexia
32 XXXII

32.09 T 03 Fraktur
32.1 T 04 Dislokasi
33 XXXIII
34 XXXIV
35 XXXV
Mengetahui
Kepala Puskesmas
DASARKAN ICD-10
BULAN :
TAHUN :
KELOMPOK USIA
TOTAL
0 0 0
0 0 0
0 0
Penanggung jawab
0 0 0 0 0
0
Kode Puskesmas :
Propinsi : Riau
KELOMPO
ICD PENYAKIT
01 I
01.01 A 00 Kolera
02 II
03 III
03.01 A 30 Kusta
03.05 A 35 Tetanus
03.06 A 36 Difteria
04 IV
04.01 A 22 Anthraks
04.03 A 53 Siphilis
05 v
05.02 A 82 Rabies
05.08 B 05 Campak
06 VI
07 VII
08 VIII
09 IX
09.02 B 86 Skabies
10 X
10.02 C 18 Ca Colon
10.04 C 22 Ca Hepar
10.05 C 34 Ca Paru
10.07 C 43 Ca Kulit
10.11 C 71 Ca Otak
11 XI
11.01 D 17 Lipoma
12 XII
13 XIII
13.14 E 41 Marasmus
13.19 E 66 Obesitas
14 XIV
14.01 F 03 Demensia
14.02 F 05 Delirium

15 XV
15.02 G 40 Epilepsi
15.03 G 43 Migraine
16 XVI
16.07 H 40 Glaukoma
16.13 H 61 Cerumen
16.17 H 92 Otalgia
17 XVII
17.06 I 64 Stroke
17.09 I 84 Hemoroid
17.1'0 I 87 Varises
18 XVIII
18.17 J 45 Asma
19 XIX

20 XX
21 XXI
21.01 L 00 Impetigo
21.09 L 29 Pruritus
21.15 L 53 Eritema
21.18 L 70 Acne
21.19 L 80 Vitiligo

22 XXII
22.1 M 86 Osteomy
23 XXIII
23.01 N 02 Hematuri
23.08 N 30 Cystitis
24 XXIV
25 XXV
25.06 N 81 Prolaps
25.08 N 86 Erosi
25.09 N 91 Amenorea

26 XXVI
26.02 O 04 Abortus
26.04 O 15 Eklamsia
26.23 O 92 Mastitis
27 XXVII
27.01 P 07 BBLR
27.03 P 21 Asfiksia
28 XXVIII
29 XXIX

29.04 R 05 Batuk
29.11 R 13 Disfagia
29.15 R 18 Asites
30 XXX
30.05 R 35 Poliuria
31 XXXI
31.04 R 55 Syncope
31.05 R 56 Kejang
31.06 R 57 Shock
31.07 R 60 Oedem
31.09 R 64 Cachexia
32 XXXII

32.09 T 03 Fraktur
32.1 T 04 Dislokasi
33 XXXIII
34 XXXIV
35 XXXV
Mengetahui
Kepala Puskesmas
DASARKAN ICD-10
BULAN :
TAHUN :
KELOMPOK USIA
TOTAL
0 0 0
0 0 0
0 0
Penanggung jawab
0 0 0 0 0
0
Kode Puskesmas :
Propinsi : Riau
KELOMPO
ICD PENYAKIT
01 I
01.01 A 00 Kolera
02 II
03 III
03.01 A 30 Kusta
03.05 A 35 Tetanus
03.06 A 36 Difteria
04 IV
04.01 A 22 Anthraks
04.03 A 53 Siphilis
05 v
05.02 A 82 Rabies
05.08 B 05 Campak
06 VI
07 VII
08 VIII
09 IX
09.02 B 86 Skabies
10 X
10.02 C 18 Ca Colon
10.04 C 22 Ca Hepar
10.05 C 34 Ca Paru
10.07 C 43 Ca Kulit
10.11 C 71 Ca Otak
11 XI
11.01 D 17 Lipoma
12 XII
13 XIII
13.14 E 41 Marasmus
13.19 E 66 Obesitas
14 XIV
14.01 F 03 Demensia
14.02 F 05 Delirium

15 XV
15.02 G 40 Epilepsi
15.03 G 43 Migraine
16 XVI
16.07 H 40 Glaukoma
16.13 H 61 Cerumen
16.17 H 92 Otalgia
17 XVII
17.06 I 64 Stroke
17.09 I 84 Hemoroid
17.1'0 I 87 Varises
18 XVIII
18.17 J 45 Asma
19 XIX

20 XX
21 XXI
21.01 L 00 Impetigo
21.09 L 29 Pruritus
21.15 L 53 Eritema
21.18 L 70 Acne
21.19 L 80 Vitiligo

22 XXII
22.1 M 86 Osteomy
23 XXIII
23.01 N 02 Hematuri
23.08 N 30 Cystitis
24 XXIV
25 XXV
25.06 N 81 Prolaps
25.08 N 86 Erosi
25.09 N 91 Amenorea

26 XXVI
26.02 O 04 Abortus
26.04 O 15 Eklamsia
26.23 O 92 Mastitis
27 XXVII
27.01 P 07 BBLR
27.03 P 21 Asfiksia
28 XXVIII
29 XXIX

29.04 R 05 Batuk
29.11 R 13 Disfagia
29.15 R 18 Asites
30 XXX
30.05 R 35 Poliuria
31 XXXI
31.04 R 55 Syncope
31.05 R 56 Kejang
31.06 R 57 Shock
31.07 R 60 Oedem
31.09 R 64 Cachexia
32 XXXII

32.09 T 03 Fraktur
32.1 T 04 Dislokasi
33 XXXIII
34 XXXIV
35 XXXV
Mengetahui
Kepala Puskesmas
DASARKAN ICD-10
BULAN :
TAHUN :
KELOMPOK USIA
TOTAL
0 0 0
0 0 0
0 0
Penanggung jawab
0 0 0 0 0
0
Kode Puskesmas :
Propinsi : Riau
KELOMPO
ICD PENYAKIT
01 I
01.01 A 00 Kolera
02 II
03 III
03.01 A 30 Kusta
03.05 A 35 Tetanus
03.06 A 36 Difteria
04 IV
04.01 A 22 Anthraks
04.03 A 53 Siphilis
05 v
05.02 A 82 Rabies
05.08 B 05 Campak
06 VI
07 VII
08 VIII
09 IX
09.02 B 86 Skabies
10 X
10.02 C 18 Ca Colon
10.04 C 22 Ca Hepar
10.05 C 34 Ca Paru
10.07 C 43 Ca Kulit
10.11 C 71 Ca Otak
11 XI
11.01 D 17 Lipoma
12 XII
13 XIII
13.14 E 41 Marasmus
13.19 E 66 Obesitas
14 XIV
14.01 F 03 Demensia
14.02 F 05 Delirium

15 XV
15.02 G 40 Epilepsi
15.03 G 43 Migraine
16 XVI
16.07 H 40 Glaukoma
16.13 H 61 Cerumen
16.17 H 92 Otalgia
17 XVII
17.06 I 64 Stroke
17.09 I 84 Hemoroid
17.1'0 I 87 Varises
18 XVIII
18.17 J 45 Asma
19 XIX

20 XX
21 XXI
21.01 L 00 Impetigo
21.09 L 29 Pruritus
21.15 L 53 Eritema
21.18 L 70 Acne
21.19 L 80 Vitiligo

22 XXII
22.1 M 86 Osteomy
23 XXIII
23.01 N 02 Hematuri
23.08 N 30 Cystitis
24 XXIV
25 XXV
25.06 N 81 Prolaps
25.08 N 86 Erosi
25.09 N 91 Amenorea

26 XXVI
26.02 O 04 Abortus
26.04 O 15 Eklamsia
26.23 O 92 Mastitis
27 XXVII
27.01 P 07 BBLR
27.03 P 21 Asfiksia
28 XXVIII
29 XXIX

29.04 R 05 Batuk
29.11 R 13 Disfagia
29.15 R 18 Asites
30 XXX
30.05 R 35 Poliuria
31 XXXI
31.04 R 55 Syncope
31.05 R 56 Kejang
31.06 R 57 Shock
31.07 R 60 Oedem
31.09 R 64 Cachexia
32 XXXII

32.09 T 03 Fraktur
32.1 T 04 Dislokasi
33 XXXIII
34 XXXIV
35 XXXV
Mengetahui
Kepala Puskesmas
DASARKAN ICD-10
BULAN :
TAHUN :
KELOMPOK USIA
TOTAL
0 0 0
0 0 0
0 0
Penanggung jawab
0 0 0 0 0
0
Kode Puskesmas :
Propinsi : Riau
KELOMPO
ICD PENYAKIT
01 I
01.01 A 00 Kolera
02 II
03 III
03.01 A 30 Kusta
03.05 A 35 Tetanus
03.06 A 36 Difteria
04 IV
04.01 A 22 Anthraks
04.03 A 53 Siphilis
05 v
05.02 A 82 Rabies
05.08 B 05 Campak
06 VI
07 VII
08 VIII
09 IX
09.02 B 86 Skabies
10 X
10.02 C 18 Ca Colon
10.04 C 22 Ca Hepar
10.05 C 34 Ca Paru
10.07 C 43 Ca Kulit
10.11 C 71 Ca Otak
11 XI
11.01 D 17 Lipoma
12 XII
13 XIII
13.14 E 41 Marasmus
13.19 E 66 Obesitas
14 XIV
14.01 F 03 Demensia
14.02 F 05 Delirium

15 XV
15.02 G 40 Epilepsi
15.03 G 43 Migraine
16 XVI
16.07 H 40 Glaukoma
16.13 H 61 Cerumen
16.17 H 92 Otalgia
17 XVII
17.06 I 64 Stroke
17.09 I 84 Hemoroid
17.1'0 I 87 Varises
18 XVIII
18.17 J 45 Asma
19 XIX

20 XX
21 XXI
21.01 L 00 Impetigo
21.09 L 29 Pruritus
21.15 L 53 Eritema
21.18 L 70 Acne
21.19 L 80 Vitiligo

22 XXII
22.1 M 86 Osteomy
23 XXIII
23.01 N 02 Hematuri
23.08 N 30 Cystitis
24 XXIV
25 XXV
25.06 N 81 Prolaps
25.08 N 86 Erosi
25.09 N 91 Amenorea

26 XXVI
26.02 O 04 Abortus
26.04 O 15 Eklamsia
26.23 O 92 Mastitis
27 XXVII
27.01 P 07 BBLR
27.03 P 21 Asfiksia
28 XXVIII
29 XXIX

29.04 R 05 Batuk
29.11 R 13 Disfagia
29.15 R 18 Asites
30 XXX
30.05 R 35 Poliuria
31 XXXI
31.04 R 55 Syncope
31.05 R 56 Kejang
31.06 R 57 Shock
31.07 R 60 Oedem
31.09 R 64 Cachexia
32 XXXII

32.09 T 03 Fraktur
32.1 T 04 Dislokasi
33 XXXIII
34 XXXIV
35 XXXV
Mengetahui
Kepala Puskesmas
DASARKAN ICD-10
BULAN :
TAHUN :
KELOMPOK USIA
TOTAL
0 0 0
0 0 0
0 0
Penanggung jawab
0 0 0 0 0
0
LAPORAN LB1 PUSKESMAS BERDASARKAN ICD-10
Kode Puskesmas :
Kecamatan : Kerumutan BULAN :
Puskesmas pembantu yang ada : TAHUN :
Propinsi : Riau
KELOMPOK USIA
ICD PENYAKIT TOTAL
01 I
01.01 A 00 Kolera
02 II
03 III
03.01 A 30 Kusta
03.05 A 35 Tetanus
03.06 A 36 Difteria
04 IV
04.01 A 22 Anthraks
04.03 A 53 Siphilis
05 v
05.02 A 82 Rabies
05.08 B 05 Campak
06 VI
07 VII
08 VIII
09 IX
09.02 B 86 Skabies
10 X
10.02 C 18 Ca Colon
10.04 C 22 Ca Hepar
10.05 C 34 Ca Paru
10.07 C 43 Ca Kulit
10.11 C 71 Ca Otak
11 XI
11.01 D 17 Lipoma
12 XII
13 XIII
13.14 E 41 Marasmus
13.19 E 66 Obesitas
14 XIV
14.01 F 03 Demensia
14.02 F 05 Delirium

15 XV
15.02 G 40 Epilepsi
15.03 G 43 Migraine
16 XVI
16.07 H 40 Glaukoma
16.13 H 61 Cerumen
16.17 H 92 Otalgia
17 XVII
17.06 I 64 Stroke
17.09 I 84 Hemoroid
17.1'0 I 87 Varises
18 XVIII
18.06 J 06 Infeksi akut lain pada saluran pernapasan bagian atas 0
18.08 J 18 Pneumonia 0
18.17 J 45 Asma
19 XIX

20 XX
21 XXI
21.01 L 00 Impetigo
21.09 L 29 Pruritus
21.15 L 53 Eritema
21.18 L 70 Acne
21.19 L 80 Vitiligo

22 XXII
22.1 M 86 Osteomy
23 XXIII
23.01 N 02 Hematuri
23.08 N 30 Cystitis
24 XXIV
25 XXV
25.06 N 81 Prolaps
25.08 N 86 Erosi
25.09 N 91 Amenorea

26 XXVI
26.02 O 04 Abortus
26.04 O 15 Eklamsia
26.23 O 92 Mastitis
27 XXVII
27.01 P 07 BBLR
27.03 P 21 Asfiksia
28 XXVIII
29 XXIX

29.04 R 05 Batuk 0
29.11 R 13 Disfagia
29.15 R 18 Asites
30 XXX
30.05 R 35 Poliuria
31 XXXI
31.04 R 55 Syncope
31.05 R 56 Kejang
31.06 R 57 Shock
31.07 R 60 Oedem
31.09 R 64 Cachexia
32 XXXII
32.09 T 03 Fraktur
32.1 T 04 Dislokasi
33 XXXIII
34 XXXIV
35 XXXV
Mengetahui Penanggung jawab

Kepala Puskesmas
0 0 0 0 0 0 0
0 0 0
0
REKAPITULASI PENDERITA DIARE MENURUT GOLONGAN UMUR PUSKESMAS KERUMUTAN
BULAN : APRIL TAHUN : 2014
PUSKESMAS : KERUMUTAN
SARANA KESEHATAN KADER PEMERIKSAAN LAB

0<1 Thn 1 - 4 Thn ≥ 5 Thn JUMLAH PENDERITA DIBERI JUMLSH PEMAKAIAN JUMLAH TOTAL
NO NAMA DESA 0<1 Thn 1 - 4 Thn ≥ 5 Thn JUMLAH PEMAKAIAN PENDERITA JUMLAH
P M P M P M P M POS
ORALIT ZINC RL ORALIT ZINC RL ORALIT SPECIMEN
L P L P L P L P L P L P L P L P L P L P L P L P L P
1 KERUMUTAN 6 4 0 0 17 13 0 0 17 19 0 0 40 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 36 0 0
2 BUKIT LEMBAH SUBUR 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
3 BANJAR PANJANG 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
4 BERINGIN MAKMUR 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
5 PEMATANG TINGGI 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
6 PANGKALAN TAMPOI 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
7 PANGKALAN PANDUK 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
8 TANJUNG AIR HITAM 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
9 MAKTEDUH 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
10 LIPAI BULAN 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
TOTAL 6 4 0 0 17 13 0 0 17 19 0 0 40 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 36 0 0
Mengetahui, Kerumutan, ###

Kepala Puskesmas Kerumutan Pemegang Program
ARDI ARSYAD, SKM dr. OCTARINA HASAN

NIP . 19710125 199703 2 004 19851003 201102 2 001
LAPORAN ISPA PNEUMONIA PUSKESMAS KERUMUTAN
BULAN : APRIL
TAHUN : 2014
JML PDDK TARGET REALISASI PENEMUAN PENDERITA JUMLAH ISPA

JUMLAH
USIA BALITA PENEMUAN PNEUMONIA BATUK BUKAN KEMATIAN ( > 5 Tahun )
PDDK PNEUMONIA PNEUMONIA BERAT JUMLAH PNEUMONIA BALITA KARENA
NO NAMA DESA
(10 % Pddk) BALITA PNEUMONIA Bukan
%
Pneumonia
(10 % Balita) < 1 Th 1-4 Th < 1 Th 1-4 Th <1 1-4 < 1 Th 1-4 Th JML < 1 Th 1-4 Th JML Pneumonia
Total
Th Th
L P L P L P L P L P L P L P L P L L P L P
1 Kerumutan 5180 518 52 0 0 0 0 0 0 0 0 0 0 0 0.0 6 9 29 34 78 0 0 0 0 0 79 76 0 0
2 Bukit Lembah Subur 2826 283 28 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
3 Banjar Panjang 1328 133 13 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
4 Beringin Makmur 2395 240 24 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
5 Pematang Tinggi 2080 208 21 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
6 Pangkalan Tampoi 1591 159 16 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
7 Pangkalan Panduk 1205 121 12 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
8 Tanjung Air Hitam 868 87 9 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
9 Makteduh 2251 225 23 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
10 Lipai Bulan 396 40 4 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
TOTAL 20,120 2,012 201 0 0 0 0 0 0 0 0 0 0 0 0.0 6 9 29 34 78 0 0 0 0 0 79 76 0 0
Keterangan Mengetahui, Kerumutan, Friday, May 02, 2014

Kolom 13 : Total ( Kolom 12 ) X 100 % Kepala Puskesmas Kerumutan Pemegang Program
Total ( Kolom 5 )
ARDI ARSYAD SKM dr. OCTARINA HASAN

NIP. 19710125 199703 1 004 NIP. 19851003 201102 2 001

LB 1 NEW

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

LB 1 NEW

Uploaded by

Copyright:

Available Formats

LAPORAN LB1 PUSKESMAS BERDASARKAN ICD-10

14.1 F 60 Gangguan Kepribadian 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

19.12 K 11 Penyakit kelenjar liur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

21.22 L 98 Penyakit Kulit lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0

25.11 N 94 Nyeri organ genital dan menstruasi 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

29.01 R 00 Suara Jantung Abnormal 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

32.07 T 00 Luka Lecet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 2 0 1 2 2 0 0 2 1 1 1 0 0 0 0 0

HARNO, SKM dr. METTA BARUS

14.1 F 60 Gangguan Kepribadian

19.12 K 11 Penyakit kelenjar liur

21.22 L 98 Penyakit Kulit lainnya

25.11 N 94 Nyeri organ genital dan menstruasi

29.01 R 00 Suara Jantung Abnormal

32.07 T 00 Luka Lecet

############### 9### 9### 3 2 9 9 3 3 7 7 9 7 1

14.1 F 60 Gangguan Kepribadian

19.12 K 11 Penyakit kelenjar liur

21.22 L 98 Penyakit Kulit lainnya

25.11 N 94 Nyeri organ genital dan menstruasi

29.01 R 00 Suara Jantung Abnormal

32.07 T 00 Luka Lecet

14.1 F 60 Gangguan Kepribadian

19.12 K 11 Penyakit kelenjar liur

21.22 L 98 Penyakit Kulit lainnya

25.11 N 94 Nyeri organ genital dan menstruasi

29.01 R 00 Suara Jantung Abnormal

32.07 T 00 Luka Lecet

14.1 F 60 Gangguan Kepribadian

19.12 K 11 Penyakit kelenjar liur

21.22 L 98 Penyakit Kulit lainnya

25.11 N 94 Nyeri organ genital dan menstruasi

29.01 R 00 Suara Jantung Abnormal

32.07 T 00 Luka Lecet

14.1 F 60 Gangguan Kepribadian

19.12 K 11 Penyakit kelenjar liur

21.22 L 98 Penyakit Kulit lainnya

25.11 N 94 Nyeri organ genital dan menstruasi

29.01 R 00 Suara Jantung Abnormal

32.07 T 00 Luka Lecet

14.1 F 60 Gangguan Kepribadian

19.12 K 11 Penyakit kelenjar liur

21.22 L 98 Penyakit Kulit lainnya

25.11 N 94 Nyeri organ genital dan menstruasi

29.01 R 00 Suara Jantung Abnormal

32.07 T 00 Luka Lecet

14.1 F 60 Gangguan Kepribadian

19.12 K 11 Penyakit kelenjar liur

21.22 L 98 Penyakit Kulit lainnya

25.11 N 94 Nyeri organ genital dan menstruasi

29.01 R 00 Suara Jantung Abnormal

32.07 T 00 Luka Lecet

14.1 F 60 Gangguan Kepribadian

19.12 K 11 Penyakit kelenjar liur

21.22 L 98 Penyakit Kulit lainnya

25.11 N 94 Nyeri organ genital dan menstruasi

29.01 R 00 Suara Jantung Abnormal

32.07 T 00 Luka Lecet

14.1 F 60 Gangguan Kepribadian

19.12 K 11 Penyakit kelenjar liur

21.22 L 98 Penyakit Kulit lainnya

25.11 N 94 Nyeri organ genital dan menstruasi

29.01 R 00 Suara Jantung Abnormal

32.07 T 00 Luka Lecet