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SURVEILANS KASUS PTM DARI KAB/KOTA

Rumah Sakit Royal Surabaya


Provinsi : Jawa Timur Bulan : Januari
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDERITA
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 thn
NO NAMA PENYAKIT ICD-X
L P PL L P L P L P L P
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru
a a a a a a a a a a a
1 Hipertensi I10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Asma Bronkiale J45 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2
16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 OMSK H.66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Katarak H25.2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 2 0 2
40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Penyakit Rongga Mulut K09,K10,K13, K140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1
46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 19 0 6
NB : Yang diisi kolom berwarna kuning
AH PENDERITA MENURUT GOLONGAN UMUR
JUMLAH
10-14 thn 15-19 thn 20 - 44 45 - 54 55 - 59 60 - 69 70+
P L P L P L P L P L P L P L P
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam L P
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru
a a a a a a a a a a a a a a a
0 0 0 0 0 30 20 33 15 173 65 174 30 110 60 130 70 0 0 0 0 0 0 0 0 387 260 653 368 600 1016

0 0 0 0 0 7 0 20 0 30 14 15 0 20 10 15 20 0 0 0 0 0 0 0 0 63 195 57 195 258 252

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 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 2 0 0 5 3 4 0 5 0 0 0 5 0 0 0 0 0 0 0 13 30 9 22 43 31

0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 5 0 0 5

0 0 0 8 0 155 75 160 5 20 27 60 15 50 30 30 56 57 50 78 0 0 0 0 0 179 345 280 426 524 706

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 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 0 0 0 12 0 0 0 0 0 0 0 0 0 2 0 3 0 0 0 0 0 2 0 25 0 2 25

0 0 0 0 0 0 0 0 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 0 0 10 0 10 0 10 0 11 0 0 0 0 0 4 0 4 0 0 0 0 0 19 20 36 34 39 70

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 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 3 0 5 0 0 0 0 0 3 0 3 0 0 0 0 0 7 1 8 0 1 8

0 0 0 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 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 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 0 2 0 0 2

0 0 0 2 0 0 0 7 0 0 0 13 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 2 0 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 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 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 5 28 7 20 35

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 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 3 2 6 1 20 10 35 5 60 20 40 15 50 10 40 30 40 60 0 0 0 0 122 120 211 121 242 332

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 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 2 0 4 0 4 0 7 0 0 0 0 0 0 2 0 0 10 0 0 0 0 0 13 9 10 8 22 18

0 2 0 5 0 5 0 1 0 6 0 0 0 0 0 0 7 0 0 13 0 0 0 0 0 4 1 9 2 8 8
0 9 1 26 2 227 0 267 30 1086 0 344 67 225 115 227 165 638 0 153 60 0 0 0 0 817 1450 1197 1450 2267 2647
Mengetahui,
Direktur Rumah sakit
SURVEILANS KASUS PTM
KOTA SURABAYA
Provinsi : Jawa Timur Bulan : Januari
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDERITA MENURUT GOLONGAN UMUR
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 thn 15-19 thn 20 - 44 45 - 54 55 - 5
TOTAL NO NAMA PENYAKIT ICD-X
L P L P L P L P L P L P L P L P L P L

1616 1 Hipertensi I10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 48 238 204 170


510 2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 20 44 15 30
0 3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
74 5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 8 4 5
5 6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 2 0
1115 7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 0 8 230 165 47 75 80
0 8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 12 0 0 0
0 14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
109 15 Asma Bronkiale J45 0 0 0 0 0 0 1 0 0 0 0 2 3 0 10 10 10 11 0
0 16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 5 0
4 20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 7 0 15 0
0 24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 36 OMSK H.66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
574 39 Katarak H25.2 0 0 0 0 0 0 1 0 0 0 2 2 3 5 7 30 40 80 55
0 40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 43 Penyakit Rongga Mulut K09,K10,K13, K140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 1 0 0 0 0 1 2 2 4 4 7 0 0
16 46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 2 5 5 1 6 0 0
4914 JUMLAH 0 0 0 0 0 0 6 0 0 0 19 6 38 28 227 297 1086 411 340
SURVEILANS KASUS PTM
KOTA SURABAYA

JUMLAH PENDERITA MENURUT GOLONGAN UMUR TOTAL


55 - 59 60 - 69 70+ BARU LAMA KKL JKK

P L P L P L P L P L P L P

200 0 0 0 0 266 387 260 368


35 0 0 0 0 63 57 195 195
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 5 0 0 0 13 9 30 22
0 0 2 0 0 0 5 0 0
86 107 78 0 0 179 280 345 426
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 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 3 0 0 2 25 0 0
0 0 0 0 0 0 0 0 0
0 4 4 0 0 19 36 20 34
0 0 0 0 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 7 8 1 0
0 0 0 0 0 0 4 0 0
0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 2 0 0
0 0 0 0 0 0 22 0 2
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 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 28 5 7
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
60 70 100 0 0 122 211 120 121
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 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 10 0 0 13 10 9 8
7 0 13 0 0 4 9 1 2
392 191 213 0 0 817 1450 1197 1450
Mengetahui,
Direktur Rumah Sakit
SURVEILANS KASUS PTM DARI KAB/KOTA
Rumah Sakit Royal Surabaya
Provinsi : Jawa Timur Bulan : Juni
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDERITA MENURUT
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 thn
NO NAMA PENYAKIT ICD-X
L P L P L P P L L P P L
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru
a a a a a a a a a a a
1 Hipertensi I10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Asma Bronkiale J45 0 0 0 0 0 0 0 0 0 0 0 0 3 6 0 0 0 0 0 0 1 1 3
16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 OMSK H.66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Katarak H25.2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 4 1 3
40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Penyakit Rongga Mulut K09,K10,K13, K140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1
46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 4 1 0 0 0 0 0 0 5 2 8
NB : Yang diisi kolom berwarna kuning
ITA MENURUT GOLONGAN UMUR
JUMLAH
n 15-19 thn 20 - 44 45 - 54 55 - 59 60 - 69 70+
P L P P L L P L P L P L P L P
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam L
Baru Baru Baru Baru Baru Baru Baru Baru Baru Lama Baru Baru Baru Baru Lama Baru Lama
a a a a a a a a a a a a
0 0 0 0 0 16 70 63 69 38 287 188 389 107 598 102 507 26 432 0 0 0 0 0 0 310 1287 402 1985 1597
0 0 0 0 0 29 54 39 70 89 199 79 168 68 241 68 451 39 546 0 0 0 0 0 0 308 845 264 905 1153
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 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 26 3 41 40 114 17 54 30 105 12 49 18 158 6 142 0 0 0 0 59 158 69 206 217
0 0 0 0 0 2 6 5 17 21 37 25 36 54 154 34 216 34 157 35 104 0 0 0 0 69 384 69 369 453
0 0 0 8 0 46 107 89 256 75 488 189 438 157 587 207 554 108 682 211 487 0 0 0 0 414 1784 403 1998 2198
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 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 0 0 0 10 4 2 3 1 4 4 9 3 7 2 1 6 2 0 0 0 0 12 36 31 40 48
0 0 0 0 0 0 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 4 2 0 0 16 29 12 16 29 57 35 157 32 104 34 144 58 157 35 117 14 27 0 0 121 298 119 309 419
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 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 4 6 7 8 9 8 19 17 28 11 24 9 28 8 31 0 0 0 0 40 56 36 42 96
0 0 0 0 0 0 0 0 0 0 2 4 4 3 7 9 6 9 3 2 4 6 0 0 0 21 32 16 65 53
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 2 1 0 0 0 0 0 0 0 0 2 4 3 7 6
0 0 0 2 0 0 0 8 0 0 0 12 30 17 33 4 25 7 32 4 24 2 4 0 0 25 45 37 39 70
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 1 2 2 4 1 0 0 0 0 7 2 4 2 9
0 0 0 0 0 0 0 5 3 6 8 7 8 7 8 16 6 6 14 3 23 7 21 0 0 28 68 34 69 96
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 4 2 1 0 0 0 0 0 4 3 3 3 7
0 0 0 0 0 0 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 3 4 3 6 2 26 24 43 41 78 74 54 56 57 14 45 34 42 68 54 0 0 0 221 497 309 682 718
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 3 2 3 1 6 2 8 5 7 2 4 3 1 2 17 8 16 8 24 26 0 0 0 0 37 18 59 46 55
0 2 0 5 0 5 0 1 0 6 0 0 0 0 0 0 7 0 0 13 0 0 0 0 0 16 0 21 9 16
7 12 7 28 4 195 196 444 416 501 435 712 855 1443 2244 2551 2291 2668 2213 685 569 105 23 0 0 3956 3976 3966 3968 7932
Mengetahui,
Direktur Rumah sakit
SURVEILANS KASUS PTM
KOTA SURABAYA
Provinsi : Jawa Timur Bulan : Juni
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDERITA MENURUT GOLONGAN UMUR
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 thn 15-19 thn 20 - 44 45 - 54 55 - 59
TOTAL NO NAMA PENYAKIT ICD-X
P L P L P L P L P L P L P L P L P L P L P

2387 3984 1 Hipertensi I10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 132 325 577 705 609


1169 2322 2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83 109 288 247 309 519
0 0 3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
275 492 5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 44 154 71 135 61
438 891 6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 1 0 0 8 22 58 61 208 250
2401 4599 7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 0 8 153 345 563 627 744 761
0 0 8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
71 119 13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 14 5 5 13 10
0 0 14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
428 847 15 Asma Bronkiale J45 0 0 0 0 0 0 9 0 0 0 2 4 6 0 45 28 86 192 136 178
0 0 16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
78 174 19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 13 17 27 45 35
81 134 20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 8 10 15
0 0 21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 16 22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 3 3
76 146 23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 8 0 42 50 29
0 0 24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 15 35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3
103 199 36 OMSK H.66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 14 15 15 22
6 13 37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5
0 0 38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
991 1709 39 Katarak H25.2 0 0 0 0 0 0 1 0 0 0 5 8 7 7 8 50 84 152 110 71
0 0 40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 43 Penyakit Rongga Mulut K09,K10,K13, K140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
105 160 45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 1 0 0 0 0 2 5 4 8 13 9 7 3 25
30 46 46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 2 5 5 1 6 0 0 7
7934 15866 JUMLAH 0 0 0 0 0 0 11 0 0 0 7 15 20 32 436 787 1611 2033 2490 2603
SURVEILANS KASUS PTM
KOTA SURABAYA

NDERITA MENURUT GOLONGAN UMUR TOTAL

60 - 69 70+ BARU LAMA KKL JKK

L P L P L P L P L P L P

458 0 0 0 310 402 1287 1985


585 0 0 0 308 264 845 905
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
176 148 0 0 59 69 158 206
191 139 0 0 69 69 384 369
790 698 0 0 414 403 1784 1998
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 8 0 0 12 31 36 40
0 0 0 0 0 0 0 0
215 152 41 0 121 119 298 309
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
37 39 0 0 40 36 56 42
12 6 6 0 21 16 32 65
0 0 0 0 0 0 0 0
0 0 0 0 2 3 4 7
39 28 6 0 25 37 45 39
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 5 0 0 7 4 2 2
20 26 28 0 28 34 68 69
6 1 0 0 4 3 3 3
0 0 0 0 0 0 0 0
79 110 54 0 221 309 497 682
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 50 0 0 37 59 18 46
0 13 0 0 16 21 0 9
2639 1423 135 0 3956 3976 3966 3968
Mengetahui,
Direktur Rumah Sakit
SURVEILANS KASUS PTM DARI KAB/KOTA
Rumah Sakit Royal Surabaya
Provinsi : Jawa Timur Bulan : Maret
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDERITA
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 thn
NO NAMA PENYAKIT ICD-X
L P PL L P L P L P L P
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru
a a a a a a a a a a a
1 Hipertensi I10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Asma Bronkiale J45 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 0 0 0 0 1 1 3
16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 OMSK H.66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Katarak H25.2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 4 1 3
40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Penyakit Rongga Mulut K09,K10,K13, K140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1
46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 4 1 0 0 0 0 0 0 5 2 8
NB : Yang diisi kolom berwarna kuning
AH PENDERITA MENURUT GOLONGAN UMUR
JUMLAH
10-14 thn 15-19 thn 20 - 44 45 - 54 55 - 59 60 - 69 70+
P L P L P L P L P L P L P L P
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam L
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru
a a a a a a a a a a a a a a a
0 0 0 0 0 18 38 56 69 189 106 178 208 213 214 139 120 53 26 0 0 0 0 0 0 473 384 373 397 857
0 0 0 0 0 28 29 39 40 89 103 79 65 68 59 68 59 12 6 0 0 0 0 0 0 197 197 186 164 394
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 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 6 3 4 20 26 12 5 14 3 4 3 6 4 0 0 0 0 0 0 46 39 19 12 85
0 0 0 0 0 0 0 0 0 6 3 4 6 7 3 2 5 2 1 2 0 0 0 0 0 15 7 9 11 22
0 0 0 8 0 106 107 268 256 308 305 189 325 157 268 207 103 108 128 109 98 0 0 0 0 679 808 781 782 1487
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 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 0 0 0 10 4 2 3 1 4 4 9 3 7 2 1 6 2 0 0 0 0 8 13 26 17 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 0 0 0
1 4 2 0 0 17 8 14 10 28 8 28 9 28 24 29 17 25 24 35 29 3 2 0 0 108 70 109 66 178
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 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 4 8 2 6 2 8 5 20 14 7 2 8 9 7 6 0 0 0 0 37 29 30 15 66
0 0 0 0 0 0 0 0 0 0 1 2 3 2 6 8 4 9 3 2 4 6 0 0 0 17 10 12 11 27
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 2 1 0 0 0 0 0 0 0 0 1 2 2 3 3
0 0 0 2 0 0 0 7 0 0 0 12 9 9 7 4 5 6 8 2 3 0 0 0 0 15 15 27 17 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 1 2 0 0 0 0 0 0 0 4 1 2 1 5
0 0 0 0 0 0 0 4 2 5 7 6 7 6 7 8 3 4 8 1 2 4 0 0 0 19 22 19 14 41
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 4 2 1 0 0 0 0 0 4 3 3 3 7
0 0 0 0 0 0 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 3 4 3 6 2 26 24 43 41 78 74 54 56 57 14 45 34 42 68 52 0 0 0 209 137 210 188 346
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 3 2 3 1 6 2 8 5 7 2 4 3 1 2 17 8 16 8 24 26 0 0 0 0 34 16 57 44 50
0 2 0 5 0 5 0 1 0 6 0 0 0 0 0 0 7 0 0 13 0 0 0 0 0 13 0 19 7 13
7 12 7 28 4 195 196 444 416 703 607 601 725 586 676 642 362 302 1153 244 238 65 2 0 0 1879 1753 1884 1752 3632
Mengetahui,
Direktur Rumah sakit
SURVEILANS KASUS PTM
KOTA SURABAYA
Provinsi : Jawa Timur Bulan : Maret
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDERITA MENURUT GOLONGAN UMUR
JUMLAH
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 thn 15-19 thn 20 - 44 45 - 54 55 - 5
TOTAL NO NAMA PENYAKIT ICD-X
P L P L P L P L P L P L P L P L P L P L

770 1627 1 Hipertensi I10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 125 295 386 427


350 744 2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57 79 192 144 127
0 0 3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 116 5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 7 46 17 17
20 42 6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 9 10 10
1563 3050 7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 0 8 213 524 613 514 425
0 0 8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 64 13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 14 5 5 13
0 0 14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
175 353 15 Asma Bronkiale J45 0 0 0 0 0 0 3 0 0 0 2 4 6 0 25 24 36 37 52
0 0 16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 111 19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 10 8 13 34
23 50 20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 8
0 0 21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 8 22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 3
44 74 23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 7 0 21 16
0 0 24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 8 35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3
33 74 36 OMSK H.66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 12 13 13
6 13 37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0 0 38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
398 744 39 Katarak H25.2 0 0 0 0 0 0 1 0 0 0 5 8 7 7 8 50 84 152 110
0 0 40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 43 Penyakit Rongga Mulut K09,K10,K13, K140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
101 151 45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 1 0 0 0 0 2 5 4 8 13 9 7 3
26 39 46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 2 5 5 1 6 0 0
3636 7268 JUMLAH 0 0 0 0 0 0 5 0 0 0 7 15 20 32 391 860 1316 1326 1262
SURVEILANS KASUS PTM
KOTA SURABAYA

JUMLAH PENDERITA MENURUT GOLONGAN UMUR TOTAL

55 - 59 60 - 69 70+ BARU LAMA KKL JKK

P L P L P L P L P L P L P

259 79 0 0 0 473 373 384 397


127 18 0 0 0 197 186 197 164
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
7 10 0 0 0 46 19 39 12
7 3 2 0 0 15 9 7 11
310 236 207 0 0 679 781 808 782
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 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 3 8 0 0 8 26 13 17
0 0 0 0 0 0 0 0 0
46 49 64 5 0 108 109 70 66
0 0 0 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 17 13 0 0 37 30 29 15
12 12 6 6 0 17 12 10 11
0 0 0 0 0 0 0 0 0
3 0 0 0 0 1 2 2 3
9 14 5 0 0 15 27 15 17
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 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 2 0 0 0 4 2 1 1
11 12 3 4 0 19 19 22 14
5 6 1 0 0 4 3 3 3
0 0 0 0 0 0 0 0 0
71 79 110 52 0 209 210 137 188
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 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 24 50 0 0 34 57 16 44
7 0 13 0 0 13 19 0 7
921 564 482 67 0 1879 1884 1753 1752
Mengetahui,
Direktur Rumah Sakit
SURVEILANS KASUS PTM DARI KAB/KOTA
Rumah Sakit Royal Surabaya
Provinsi : Jawa Timur Bulan : April
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDERITA
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 thn
NO NAMA PENYAKIT ICD-X
L P P L L P L P L P L P
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru
a a a a a a a a a a a
1 Hipertensi I10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Asma Bronkiale J45 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 0 0 0 0 1 1 3
16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 OMSK H.66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Katarak H25.2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 4 1 3
40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Penyakit Rongga Mulut K09,K10,K13, K140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1
46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 4 1 0 0 0 0 0 0 5 2 8
NB : Yang diisi kolom berwarna kuning
AH PENDERITA MENURUT GOLONGAN UMUR
JUMLAH
10-14 thn 15-19 thn 20 - 44 45 - 54 55 - 59 60 - 69 70+
P L P L P L P L P L P L P L P
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam L
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru
a a a a a a a a a a a a a a a
0 0 0 0 0 18 38 56 69 189 106 178 208 213 214 139 120 53 26 0 0 0 0 0 0 476 384 373 397 860
0 0 0 0 0 28 29 39 40 89 103 79 65 68 59 68 59 12 6 0 0 0 0 0 0 201 197 186 164 398
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 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 6 3 4 20 26 12 5 14 3 4 3 6 4 0 0 0 0 0 0 46 39 19 12 85
0 0 0 0 0 0 0 0 0 6 3 4 6 7 3 2 5 2 1 2 0 0 0 0 0 15 7 9 11 22
0 0 0 8 0 106 107 268 256 308 305 189 325 157 268 207 103 108 128 109 98 0 0 0 0 702 817 783 784 1519
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 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 0 0 0 10 4 2 3 1 4 4 9 3 7 2 1 6 2 0 0 0 0 9 14 27 19 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 0 0 0
1 4 2 0 0 17 8 14 10 28 8 28 9 28 24 29 17 25 24 35 29 3 2 0 0 109 71 109 63 180
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 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 4 8 2 6 2 8 5 20 14 7 2 8 9 7 6 0 0 0 0 38 31 34 16 69
0 0 0 0 0 0 0 0 0 0 1 2 3 2 6 8 4 9 3 2 4 6 0 0 0 18 11 14 12 29
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 2 1 0 0 0 0 0 0 0 0 1 2 2 3 3
0 0 0 2 0 0 0 7 0 0 0 12 9 9 7 4 5 6 8 2 3 0 0 0 0 16 17 28 18 33
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 1 2 0 0 0 0 0 0 0 5 2 3 2 7
0 0 0 0 0 0 0 4 2 5 7 6 7 6 7 8 3 4 8 1 2 4 0 0 0 19 22 19 14 41
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 4 2 1 0 0 0 0 0 4 3 3 3 7
0 0 0 0 0 0 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 3 4 3 6 2 26 24 43 41 78 74 54 56 57 14 45 34 42 68 52 0 0 0 211 138 211 187 349
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 3 2 3 1 6 2 8 5 7 2 4 3 1 2 17 8 16 8 24 26 0 0 0 0 31 17 52 41 48
0 2 0 5 0 5 0 1 0 6 0 0 0 0 0 0 7 0 0 13 0 0 0 0 0 13 0 19 7 13
7 12 7 28 4 195 196 444 416 703 607 601 725 586 676 642 362 302 1153 244 238 65 2 0 0 1914 1772 1891 1753 3686
Mengetahui,
Direktur Rumah sakit
SURVEILANS KASUS PTM
KOTA SURABAYA
Provinsi : Jawa Timur Bulan : April
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDERITA MENURUT GOLONGAN UMUR
UMLAH
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 thn 15-19 thn 20 - 44 45 - 54 55 - 59
TOTAL NO NAMA PENYAKIT ICD-X
P L P L P L P L P L P L P L P L P L P L P

770 1630 1 Hipertensi I10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56 125 295 386 427 259


350 748 2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57 79 192 144 127 127
0 0 3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 116 5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 7 46 17 17 7
20 42 6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 9 10 10 7
1567 3086 7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 0 8 213 524 613 514 425 310
0 0 8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
46 69 13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 14 5 5 13 10
0 0 14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
172 352 15 Asma Bronkiale J45 0 0 0 0 0 0 3 0 0 0 2 4 6 0 25 24 36 37 52 46
0 0 16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 119 19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 10 8 13 34 9
26 55 20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 8 12
0 0 21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 8 22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 3 3
46 79 23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 7 0 21 16 9
0 0 24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 12 35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3
33 74 36 OMSK H.66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 12 13 13 11
6 13 37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5
0 0 38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
398 747 39 Katarak H25.2 0 0 0 0 0 0 1 0 0 0 5 8 7 7 8 50 84 152 110 71
0 0 40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 43 Penyakit Rongga Mulut K09,K10,K13, K140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
93 141 45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 1 0 0 0 0 2 5 4 8 13 9 7 3 25
26 39 46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 2 5 5 1 6 0 0 7
3644 7330 JUMLAH 0 0 0 0 0 0 5 0 0 0 7 15 20 32 391 860 1316 1326 1262 921
SURVEILANS KASUS PTM
KOTA SURABAYA

JUMLAH PENDERITA MENURUT GOLONGAN UMUR TOTAL

60 - 69 70+ BARU LAMA KKL JKK

L P L P L P L P L P L P

79 0 0 0 476 373 384 397


18 0 0 0 201 186 197 164
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
10 0 0 0 46 19 39 12
3 2 0 0 15 9 7 11
236 207 0 0 702 783 817 784
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 8 0 0 9 27 14 19
0 0 0 0 0 0 0 0
49 64 5 0 109 109 71 63
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 13 0 0 38 34 31 16
12 6 6 0 18 14 11 12
0 0 0 0 0 0 0 0
0 0 0 0 1 2 2 3
14 5 0 0 16 28 17 18
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 5 3 2 2
12 3 4 0 19 19 22 14
6 1 0 0 4 3 3 3
0 0 0 0 0 0 0 0
79 110 52 0 211 211 138 187
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 50 0 0 31 52 17 41
0 13 0 0 13 19 0 7
564 482 67 0 1914 1891 1772 1753
Mengetahui,
Direktur Rumah Sakit
SURVEILANS KASUS PTM DARI KAB/KOTA
Rumah Sakit Royal Surabaya
Provinsi : Jawa Timur Bulan : Mei
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDERITA
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 thn
NO NAMA PENYAKIT ICD-X
L P PL L P L P L P L P
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru
a a a a a a a a a a a
1 Hipertensi I10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Asma Bronkiale J45 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 0 0 0 0 1 1 3
16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 OMSK H.66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Katarak H25.2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 4 1 3
40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Penyakit Rongga Mulut K09,K10,K13, K140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1
46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 4 1 0 0 0 0 0 0 5 2 8
NB : Yang diisi kolom berwarna kuning
AH PENDERITA MENURUT GOLONGAN UMUR
JUMLAH
10-14 thn 15-19 thn 20 - 44 45 - 54 55 - 59 60 - 69 70+
P L P L P L P L P L P L P L P
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam L
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru
a a a a a a a a a a a a a a a
0 0 0 0 0 7 38 56 69 32 106 178 208 213 214 139 120 17 26 0 0 0 0 0 0 269 384 373 397 653
0 0 0 0 0 28 29 39 40 89 103 79 65 68 59 68 59 12 6 0 0 0 0 0 0 197 197 186 164 394
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 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 6 3 4 20 26 12 5 14 3 4 3 6 4 0 0 0 0 0 0 46 39 19 12 85
0 0 0 0 0 0 0 0 0 6 3 4 6 7 3 2 5 2 1 2 0 0 0 0 0 15 7 9 11 22
0 0 0 8 0 106 107 268 256 308 305 189 325 157 268 207 103 108 128 109 98 0 0 0 0 679 808 781 782 1487
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 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 0 0 0 10 4 2 3 1 4 4 9 3 7 2 1 6 2 0 0 0 0 8 13 26 17 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 0 0 0
1 4 2 0 0 17 8 14 10 28 8 28 9 28 24 29 17 25 24 35 29 3 2 0 0 108 70 109 66 178
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 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 4 8 2 6 2 8 5 20 14 7 2 8 9 7 6 0 0 0 0 37 29 30 15 66
0 0 0 0 0 0 0 0 0 0 1 2 3 2 6 8 4 9 3 2 4 6 0 0 0 17 10 12 11 27
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 2 1 0 0 0 0 0 0 0 0 1 2 2 3 3
0 0 0 2 0 0 0 7 0 0 0 12 9 9 7 4 5 6 8 2 3 0 0 0 0 15 15 27 17 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 1 2 0 0 0 0 0 0 0 4 1 2 1 5
0 0 0 0 0 0 0 4 2 5 7 6 7 6 7 8 3 4 8 1 2 4 0 0 0 19 22 19 14 41
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 4 2 1 0 0 0 0 0 4 3 3 3 7
0 0 0 0 0 0 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 3 4 3 6 2 26 24 43 41 78 74 54 56 57 14 45 34 42 68 52 0 0 0 209 137 210 188 346
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 3 2 3 1 6 2 8 5 7 2 4 3 1 2 17 8 16 8 24 26 0 0 0 0 34 16 57 44 50
0 2 0 5 0 5 0 1 0 6 0 0 0 0 0 0 7 0 0 13 0 0 0 0 0 13 0 19 7 13
7 12 7 28 4 195 196 444 416 703 607 601 725 586 676 642 362 302 1153 244 238 65 2 0 0 1675 1753 1884 1752 3428
Mengetahui,
Direktur Rumah sakit
SURVEILANS KASUS PTM
KOTA SURABAYA
Provinsi : Jawa Timur Bulan : Mei
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDERITA MENURUT GOLONGAN UMUR
UMLAH
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 thn 15-19 thn 20 - 44 45 - 54 55 - 59
TOTAL NO NAMA PENYAKIT ICD-X
P L P L P L P L P L P L P L P L P L P L P

770 1423 1 Hipertensi I10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 125 138 386 427 259


350 744 2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57 79 192 144 127 127
0 0 3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 116 5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 7 46 17 17 7
20 42 6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 9 10 10 7
1563 3050 7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 0 8 213 524 613 514 425 310
0 0 8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 64 13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 14 5 5 13 10
0 0 14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
175 353 15 Asma Bronkiale J45 0 0 0 0 0 0 3 0 0 0 2 4 6 0 25 24 36 37 52 46
0 0 16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 111 19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 10 8 13 34 9
23 50 20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 8 12
0 0 21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 8 22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 3 3
44 74 23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 7 0 21 16 9
0 0 24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 8 35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3
33 74 36 OMSK H.66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 12 13 13 11
6 13 37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5
0 0 38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
398 744 39 Katarak H25.2 0 0 0 0 0 0 1 0 0 0 5 8 7 7 8 50 84 152 110 71
0 0 40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 43 Penyakit Rongga Mulut K09,K10,K13, K140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
101 151 45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 1 0 0 0 0 2 5 4 8 13 9 7 3 25
26 39 46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 2 5 5 1 6 0 0 7
3636 7064 JUMLAH 0 0 0 0 0 0 5 0 0 0 7 15 20 32 380 860 1159 1326 1262 921
SURVEILANS KASUS PTM
KOTA SURABAYA

JUMLAH PENDERITA MENURUT GOLONGAN UMUR TOTAL

60 - 69 70+ BARU LAMA KKL JKK

L P L P L P L P L P L P

43 0 0 0 269 373 384 397


18 0 0 0 197 186 197 164
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
10 0 0 0 46 19 39 12
3 2 0 0 15 9 7 11
236 207 0 0 679 781 808 782
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 8 0 0 8 26 13 17
0 0 0 0 0 0 0 0
49 64 5 0 108 109 70 66
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 13 0 0 37 30 29 15
12 6 6 0 17 12 10 11
0 0 0 0 0 0 0 0
0 0 0 0 1 2 2 3
14 5 0 0 15 27 15 17
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 4 2 1 1
12 3 4 0 19 19 22 14
6 1 0 0 4 3 3 3
0 0 0 0 0 0 0 0
79 110 52 0 209 210 137 188
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 50 0 0 34 57 16 44
0 13 0 0 13 19 0 7
528 482 67 0 1675 1884 1753 1752
Mengetahui,
Direktur Rumah Sakit
SURVEILANS KASUS PTM DARI KAB/KOTA
Rumah Sakit Royal Surabaya
Provinsi : Jawa Timur Bulan : Juni
Kab/Kota : Surabaya Tahun : 2019
JUMLAH
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 1
NO NAMA PENYAKIT ICD-X
L P L P L P LP P L L
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru
a a a a a a a a a a
1 Hipertensi I10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Asma Bronkiale J45 0 0 0 0 0 0 0 0 0 0 0 0 3 6 0 0 0 0 0 0 1
16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 OMSK H.66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Katarak H25.2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 4
40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Penyakit Rongga Mulut K09,K10,K13, K14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 4 1 0 0 0 0 0 0 5
NB : Yang diisi kolom berwarna kuning
JUMLAH PENDERITA MENURUT GOLONGAN UMUR
10-14 thn 15-19 thn 20 - 44 45 - 54 55 - 59 60 - 69 70+
L P L P P L
L P L P L P L P L
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam
Baru Baru Baru Baru Baru Baru Baru Baru Lama Baru Lama Baru Lama Baru Baru Baru Baru
a a a a a a a a a a a
0 0 0 0 0 0 0 16 70 63 69 38 287 188 389 107 598 102 507 26 432 0 0 0 0 0 0 310
0 0 0 0 0 0 0 29 54 39 70 89 199 79 168 68 241 68 451 39 546 0 0 0 0 0 0 308
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 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 26 3 41 40 114 17 54 30 105 12 49 18 158 6 142 0 0 0 0 59
0 1 0 0 0 0 0 2 6 5 17 21 37 25 36 54 154 34 216 34 157 35 104 0 0 0 0 69
0 0 0 0 0 8 0 46 107 89 256 75 488 189 438 157 587 207 554 108 682 211 487 0 0 0 0 414
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 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 0 0 0 10 4 2 3 1 4 4 9 3 7 2 1 6 2 0 0 0 0 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 0
1 3 1 4 2 0 0 16 29 12 16 29 57 35 157 32 104 34 144 58 157 35 117 14 27 0 0 121
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 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 4 6 7 8 9 8 19 17 28 11 24 9 28 8 31 0 0 0 0 40
0 0 0 0 0 0 0 0 0 0 0 0 2 4 4 3 7 9 6 9 3 2 4 6 0 0 0 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 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 2 2 1 0 0 0 0 0 0 0 0 2
0 0 0 0 0 2 0 0 0 8 0 0 0 12 30 17 33 4 25 7 32 4 24 2 4 0 0 25
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 1 2 2 4 1 0 0 0 0 7
0 0 0 0 0 0 0 0 0 5 3 6 8 7 8 7 8 16 6 6 14 3 23 7 21 0 0 28
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 4 2 1 0 0 0 0 0 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 0
1 3 5 4 3 4 3 6 2 26 24 43 41 78 74 54 56 57 14 45 34 42 68 54 0 0 0 221
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 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 3 2 3 1 6 2 8 5 7 2 4 3 1 2 17 8 16 8 24 26 0 0 0 0 37
0 0 0 2 0 5 0 5 0 1 0 6 0 0 0 0 0 0 7 0 0 13 0 0 0 0 0 16
2 8 7 12 7 28 4 195 196 444 416 501 435 712 855 1443 2244 2551 2291 2668 2213 685 569 105 23 0 0 489
Mengetahui,
Direktur Rumah sakit
Provinsi : Jawa Timur Bulan : Juni
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDERITA MENURUT GO
JUMLAH
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 thn 15-19 thn
TOTAL NO NAMA PENYAKIT ICD-X
L P
L P L P L P L P L P L P L P L P
Lama Baru Lama

1287 402 1985 750 624 1201 1 Hipertensi I10 0 0 0 0 0 0 0 0 0 0 0 0 0 0


845 264 905 530 412 900 2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0
158 69 206 217 275 492 5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0
384 69 369 453 438 891 6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 1 0 0
1784 403 1998 651 238 800 7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 0 8
0 0 0 0 0 0 8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 31 40 48 71 119 13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 6
0 0 0 0 0 0 14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0
298 119 309 124 96 200 15 Asma Bronkiale J45 0 0 0 0 0 0 9 0 0 0 2 4 6 0
0 0 0 0 0 0 16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 36 42 96 78 174 19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 16 65 53 81 134 20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 3 7 6 10 16 22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 37 39 70 76 146 23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 2
0 0 0 0 0 0 24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 4 2 9 6 15 35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 34 69 96 103 199 36 OMSK H.66 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 3 3 7 6 13 37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
497 309 682 718 991 1709 39 Katarak H25.2 0 0 0 0 0 0 1 0 0 0 5 8 7 7
0 0 0 0 0 0 40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 43 Penyakit Rongga Mulut K09,K10,K13, K140 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 59 46 55 105 160 45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 1 0 0 0 0 2 5 4
0 21 9 16 30 46 46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 2 5
1510 661 1511 1999 2172 4171 JUMLAH 0 0 0 0 0 0 11 0 0 0 7 15 20 32
SURVEILANS KASUS PTM
KOTA SURABAYA

JUMLAH PENDERITA MENURUT GOLONGAN UMUR TOTAL

20 - 44 45 - 54 55 - 59 60 - 69 70+ BARU LAMA KKL JKK

L P L P L P L P L P L P L P L P L P

86 132 325 577 705 609 458 0 0 0 310 402 1287 1985
83 109 288 247 309 519 585 0 0 0 308 264 845 905
0 0 0 0 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 44 154 71 135 61 176 148 0 0 59 69 158 206
8 22 58 61 208 250 191 139 0 0 69 69 384 369
153 345 563 627 744 761 790 698 0 0 414 403 1784 1998
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 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 5 5 13 10 3 8 0 0 12 31 36 40
0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 28 86 192 136 178 215 152 41 0 121 119 298 309
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 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 13 17 27 45 35 37 39 0 0 40 36 56 42
0 0 2 8 10 15 12 6 6 0 21 16 32 65
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3 3 0 0 0 0 2 3 4 7
0 8 0 42 50 29 39 28 6 0 25 37 45 39
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 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 4 5 0 0 7 4 2 2
0 8 14 15 15 22 20 26 28 0 28 34 68 69
0 0 0 0 1 5 6 1 0 0 4 3 3 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 50 84 152 110 71 79 110 54 0 221 309 497 682
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 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 13 9 7 3 25 24 50 0 0 37 59 18 46
5 1 6 0 0 7 0 13 0 0 16 21 0 9
436 787 1611 2033 2490 2603 2639 1423 135 0 489 1510 661 1511
Mengetahui,
Direktur Rumah Sakit
SURVEILANS KASUS PTM DARI KAB/KOTA
Rumah Sakit Royal Surabaya
Provinsi : Jawa Timur Bulan : Juli
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDER
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 th
NO NAMA PENYAKIT ICD-X
L P L PP L L P L P L
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru
a a a a a a a a a a a
1 Hipertensi I10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Asma Bronkiale J45 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 2 0
16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 OMSK H.66 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 6 5
37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Katarak H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Penyakit Rongga Mulut K09,K10,K13, K14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0
46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 1 0 0 0 13 5
NB : Yang diisi kolom berwarna kuning
AH PENDERITA MENURUT GOLONGAN UMUR
JUMLAH
10-14 thn 15-19 thn 20 - 44 45 - 54 55 - 59 60 - 69 70+
P L P P L
L P L P L P L P L P
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam L
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Lama
a a a a a a a a a a a a a a
0 0 4 5 7 14 19 58 19 59 26 84 32 87 31 96 32 98 18 87 21 87 0 0 0 0 181 731 237 732 181

0 0 1 0 0 0 7 0 0 0 48 35 9 19 6 21 10 23 17 32 28 21 0 0 0 0 40 37 33 36 77

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 4 7 5 6 8 4 6 10 4 8 1 4 0 0 0 0 6 32 5 31 38

0 0 7 2 1 3 71 69 3 49 316 129 2 187 3 166 6 158 97 215 98 52 0 0 0 0 199 520 322 540 719

0 0 1 2 0 0 23 5 1 3 100 136 22 56 5 97 2 69 40 68 12 43 0 0 0 0 87 140 111 146 227

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 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 3 0 10 17 6 19 17 35 4 34 3 36 1 28 3 26 6 14 0 0 0 0 18 51 37 52 69

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 0 2 0 1 0 1 0 0 0 0 0 0 3 3 1 3 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 10 9 0 0 7 5 0 0 4 3 0 0 0 0 2 21 23 25 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 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 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 4 0 0 0 0 0 0 13 3 0 0 0 0 0 0 4 2 0 0 0 0 0 0 19 10 31 11 29

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 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 11 0 0 0 0 0 0 47 48 71 47 48 69 54 48 39 28 24 12 0 0 0 0 98 150 112 152 248

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 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 2 3 1 1 2 4 1 0 2 6 2 4 6 6 2 5 0 0 0 0 13 8 20 10 21

0 0 1 0 2 0 2 2 1 1 2 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 5 2 5 3 10
0 0 43 24 15 17 135 154 32 134 577 482 158 448 106 497 120 444 228 473 196 241 0 0 0 0 681 1920 949 1936 2601
Mengetahui,
Direktur Rumah sakit
SURVEILANS KASUS P
KOTA SURABAYA
Provinsi : Jawa Timur Bulan : Juli
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDERITA MENURUT GOLONGAN UMUR
H
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 thn 15-19 thn 20 - 44 45 - 54
TOTAL NO NAMA PENYAKIT ICD-X
P L P L P L P L P L P L P L P L P L P

969 1881 1 Hipertensi I10 0 0 0 0 0 0 0 0 1 0 9 0 0 0 97 98 189 154


69 478 2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 9 24
0 0 3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 74 5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 8
862 1581 6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 56 79 58
257 484 7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 35 98 94
0 0 8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
89 158 15 Asma Bronkiale J45 0 0 0 0 0 0 0 0 0 0 0 0 1 2 4 7 5 8
0 0 16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 7 20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
48 50 24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 5
0 0 25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 71 36 OMSK H.66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 2 3
0 0 37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
264 512 39 Katarak H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 22
0 0 40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 43 Penyakit Rongga Mulut K09,K10,K13, K140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 51 45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 2
15 15 46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 3 1 2
2885 5486 JUMLAH 0 0 0 0 0 0 0 0 1 0 9 0 1 2 163 212 416 380
SURVEILANS KASUS PTM
KOTA SURABAYA

JUMLAH PENDERITA MENURUT GOLONGAN UMUR TOTAL

55 - 59 60 - 69 70+ BARU LAMA KKL JKK

L P L P L P L P L P L P L P

125 254 298 236 0 0 181 237 731 732


12 26 27 19 0 0 40 33 37 36
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
17 9 19 14 0 0 6 5 32 31
89 98 124 154 0 0 199 322 520 540
68 67 59 87 0 0 87 111 140 146
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 13 17 19 0 0 18 37 51 52
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 2 0 0 3 1 3 3
0 0 0 0 0 0 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 6 1 9 0 0 2 23 21 25
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 6 9 4 0 0 19 31 10 11
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
49 47 42 44 0 0 98 112 150 152
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 6 3 4 0 0 13 20 8 10
1 2 1 2 0 0 5 5 2 3
383 535 601 594 0 0 681 1920 949 1936
Mengetahui,
Direktur Rumah Sakit
SURVEILANS KASUS PTM DARI KAB/KOTA
Rumah Sakit Royal Surabaya
Provinsi : Jawa Timur Bulan : Agustus
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDERITA
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 thn
NO NAMA PENYAKIT ICD-X
L P PL L P L P L P L P
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru
a a a a a a a a a a a
1 Hipertensi I10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Asma Bronkiale J45 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 2 0 0
16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 OMSK H.66 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 6 5 0
37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Katarak H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Penyakit Rongga Mulut K09,K10,K13, K140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0
46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 1 0 0 0 12 5 0
NB : Yang diisi kolom berwarna kuning
MLAH PENDERITA MENURUT GOLONGAN UMUR
JUMLAH
10-14 thn 15-19 thn 20 - 44 45 - 54 55 - 59 60 - 69 70+
P L P L P L P L P L P L P L P
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Lama Baru Lama
a a a a a a a a a a a a a
0 3 4 6 12 14 55 17 57 25 53 30 84 30 95 30 95 17 84 20 81 0 0 0 0 179 725 235 730

0 1 0 0 0 6 0 0 0 47 35 9 19 6 21 10 23 17 32 28 21 0 0 0 0 39 35 30 32

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 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 2 4 7 5 6 8 4 6 10 4 8 1 4 0 0 0 0 6 32 5 31

0 6 2 1 3 69 64 3 43 310 125 2 184 3 163 6 158 94 210 92 48 0 0 0 0 199 520 322 540

0 1 2 0 0 21 4 1 3 97 132 21 41 4 91 2 67 40 68 9 41 0 0 0 0 87 140 111 146

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 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 3 0 9 14 6 17 14 33 3 32 3 3 1 27 3 24 6 12 0 0 0 0 18 51 37 52

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 0 2 0 1 0 1 0 0 0 0 0 0 3 3 1 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 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 4 0 0 0 0 0 0 13 3 0 0 0 0 0 0 4 2 0 0 0 0 0 0 19 10 31 11

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 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 11 0 0 0 0 0 0 44 43 68 45 41 67 52 46 36 26 21 11 0 0 0 0 98 150 112 152

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 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 2 3 1 1 2 4 1 0 2 6 2 4 6 6 2 5 0 0 0 0 13 8 20 10

0 1 0 2 0 2 2 1 1 2 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 5 2 5 3
0 41 23 14 15 130 152 20 133 573 476 156 445 104 196 119 443 226 471 194 240 0 0 0 0 627 1786 827 1785
Mengetahui,
Direktur Rumah sakit
SURVEILANS KASU
KOTA SURABA
Provinsi : Jawa Timur Bulan : Agustus
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDERITA MENURUT GOLONGAN UMUR
JUMLAH
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 thn 15-19 thn 20 - 44 45 - 5
TOTAL NO NAMA PENYAKIT ICD-X
L P L P L P L P L P L P L P L P L P L

180 960 1869 1 Hipertensi I10 0 0 0 0 0 0 0 0 1 0 9 0 0 0 97 98 189


74 62 136 2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 9
0 0 0 3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 36 73 5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6
712 860 1572 6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 56 79
227 253 480 7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 35 98
0 0 0 8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
69 84 153 15 Asma Bronkiale J45 0 0 0 0 0 0 0 0 0 0 0 0 1 2 4 7 5
0 0 0 16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 4 7 20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 4 4 24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0
0 0 0 25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 42 70 36 OMSK H.66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 2
0 0 0 37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
245 260 505 39 Katarak H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26
0 0 0 40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 43 Penyakit Rongga Mulut K09,K10,K13, K14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 29 49 45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1
5 10 15 46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 3 1
2413 2612 5025 JUMLAH 0 0 0 0 0 0 0 0 1 0 9 0 1 2 165 214 419
SURVEILANS KASUS PTM
KOTA SURABAYA

JUMLAH PENDERITA MENURUT GOLONGAN UMUR TOTAL

45 - 54 55 - 59 60 - 69 70+ BARU LAMA KKL JKK

P L P L P L P L P L P L P L P

154 125 254 298 236 0 0 179 235 725 730


24 12 26 27 19 0 0 39 30 35 32
0 0 0 0 0 0 0 0 3 0 0
0 0 0 0 0 0 0 0 4 0 0
8 17 9 19 14 0 0 6 5 32 31
58 89 98 124 154 0 0 199 322 520 540
94 68 67 59 87 0 0 87 111 140 146
0 0 0 0 0 0 0 0 8 0 0
0 0 0 0 0 0 0 0 9 0 0
0 0 0 0 0 0 0 0 10 0 0
0 0 0 0 0 0 0 0 11 0 0
0 0 0 0 0 0 0 0 12 0 0
0 0 0 0 0 0 0 0 13 0 0
0 0 0 0 0 0 0 0 14 0 0
8 9 13 17 19 0 0 18 37 51 52
0 0 0 0 0 0 0 0 16 0 0
0 0 0 0 0 0 0 0 17 0 0
0 0 0 0 0 0 0 0 18 0 0
0 0 0 0 0 0 0 0 19 0 0
0 1 1 1 2 0 0 4 1 3 3
0 0 0 0 0 0 0 0 21 0 0
0 0 0 0 0 0 0 0 22 0 0
0 0 0 0 0 0 0 0 23 0 0
5 1 6 1 9 0 0 0 0 0 4
0 0 0 0 0 0 0 0 25 0 0
0 0 0 0 0 0 0 0 26 0 0
0 0 0 0 0 0 0 0 27 0 0
0 0 0 0 0 0 0 0 28 0 0
0 0 0 0 0 0 0 0 29 0 0
0 0 0 0 0 0 0 0 30 0 0
0 0 0 0 0 0 0 0 31 0 0
0 0 0 0 0 0 0 0 32 0 0
0 0 0 0 0 0 0 0 33 0 0
0 0 0 0 0 0 0 0 34 0 0
0 0 0 0 0 0 0 0 35 0 0
3 7 6 9 4 0 0 19 31 10 11
0 0 0 0 0 0 0 0 37 0 0
0 0 0 0 0 0 0 0 38 0 0
22 49 47 42 44 0 0 98 112 150 152
0 0 0 0 0 0 0 0 40 0 0
0 0 0 0 0 0 0 0 41 0 0
0 0 0 0 0 0 0 0 42 0 0
0 0 0 0 0 0 0 0 43 0 0
0 0 0 0 0 0 0 0 44 0 0
2 4 6 3 4 0 0 13 20 8 10
2 1 2 1 2 0 0 5 5 2 3
391 389 540 801 590 0 0 627 827 1786 1785
Mengetahui,
Direktur Rumah Sakit
SURVEILANS KASUS PTM DARI KAB/KOTA
Rumah Sakit Royal Surabaya
Provinsi : Jawa Timur Bulan : September
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDER
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 t
NO NAMA PENYAKIT ICD-X
L P PL L P L P L P L
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru
a a a a a a a a a a a
1 Hipertensi I10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Asma Bronkiale J45 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 2 0
16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 OMSK H.66 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 6 5
37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Katarak H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Penyakit Rongga Mulut K09,K10,K13, K14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0
46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 1 0 0 0 14 7
NB : Yang diisi kolom berwarna kuning
JUMLAH PENDERITA MENURUT GOLONGAN UMUR
JUMLA
10-14 thn 15-19 thn 20 - 44 45 - 54 55 - 59 60 - 69 70+
P L P L P L P L P L P L P L P
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Lama Baru
a a a a a a a a a a a a a
0 0 3 4 6 12 14 55 17 57 25 53 30 84 30 95 30 95 17 84 20 81 0 0 0 0 187 732 267

0 0 1 0 0 0 6 0 0 0 47 35 9 19 6 21 10 23 17 32 28 21 0 0 0 0 34 190 40

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 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 2 4 7 5 6 8 4 6 10 4 8 1 4 0 0 0 0 2 14 4

0 0 6 2 1 3 69 64 3 43 310 125 2 184 3 163 6 158 94 210 92 48 0 0 0 0 264 462 352

0 0 1 2 0 0 21 4 1 3 97 132 21 41 4 91 2 67 40 68 9 41 0 0 0 0 47 112 75

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 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 3 0 9 14 6 17 14 33 3 32 3 3 1 27 3 24 6 12 0 0 0 0 18 36 30

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 0 2 0 1 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 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 4 0 0 0 0 0 0 13 3 0 0 0 0 0 0 4 2 0 0 0 0 0 0 11 4 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 0 0

0 0 0 0 0 0 0 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 11 0 0 0 0 0 0 44 43 68 45 41 67 52 46 36 26 21 11 0 0 0 0 65 89 64

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 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 0 2 3 1 1 2 4 1 0 2 6 2 4 6 6 2 5 0 0 0 0 10 4 10

0 0 1 0 2 0 2 2 1 1 2 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 4 0 2
0 0 43 24 16 17 162 154 21 124 574 478 159 447 106 198 120 447 229 473 196 241 0 0 0 0 656 1694 890
Mengetahui,
Direktur Rumah sakit
SURVEILANS KASU
KOTA SURABA
Provinsi : Jawa Timur Bulan : September
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDERITA MENURUT GOLONGAN UMUR
JUMLAH
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 thn 15-19 thn 20 - 44 45 - 5
TOTAL NO NAMA PENYAKIT ICD-X
P
L P L P L P L P L P L P L P L P L P L
Lama
728 919 995 1914 1 Hipertensi I10 0 0 0 0 0 0 0 0 1 0 9 0 0 0 97 98 189
180 224 220 444 2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 9
0 0 0 0 3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 16 22 38 5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6
458 726 810 1536 6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 56 79
117 159 192 351 7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 35 98
0 0 0 0 8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 54 70 124 15 Asma Bronkiale J45 0 0 0 0 0 0 0 0 0 0 0 0 1 2 4 7 5
0 0 0 0 16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 0 46 46 23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0
0 0 0 0 25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 15 17 32 36 OMSK H.66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 2
0 0 0 0 37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
92 154 156 310 39 Katarak H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26
0 0 0 0 40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 43 Penyakit Rongga Mulut K09,K10,K13, K140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 14 17 31 45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1
1 4 3 7 46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 3 1
1698 2350 2588 4938 JUMLAH 0 0 0 0 0 0 0 0 1 0 9 0 1 2 160 210 414
SURVEILANS KASUS PTM
KOTA SURABAYA

JUMLAH PENDERITA MENURUT GOLONGAN UMUR TOTAL

45 - 54 55 - 59 60 - 69 70+ BARU LAMA KKL JKK

P L P L P L P L P L P L P L P

154 125 254 298 236 0 0 187 267 732 728

24 12 26 27 19 0 0 34 40 190 180

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

8 17 9 19 14 0 0 2 4 14 18

58 89 98 124 154 0 0 264 352 462 458

94 68 67 59 87 0 0 47 75 112 117

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 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 9 13 17 19 0 0 18 30 36 40

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 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 2 0 0 0 0 0 0
0 0 0 0 0 0 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 0 26

5 1 6 1 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 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 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 7 6 9 4 0 0 11 12 4 5

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

22 49 47 42 44 0 0 65 64 89 92

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 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 4 6 3 4 0 0 10 10 4 7

2 1 2 1 2 0 0 4 2 0 1
387 380 530 798 589 0 0 656 890 1694 1698
Mengetahui,
Direktur Rumah Sakit
SURVEILANS KASUS PTM DARI KAB/KOTA
Rumah Sakit Royal Surabaya
Provinsi : Jawa Timur Bulan : Oktober
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDERITA
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 thn
NO NAMA PENYAKIT ICD-X
L P PL L P L P L P L P
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru
a a a a a a a a a a a
1 Hipertensi I10 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 3 0 0 0 3 0 0
2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Asma Bronkiale J45 0 0 0 0 0 0 0 0 0 0 0 0 3 6 0 0 0 0 0 0 0 0 1
16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 OMSK H.66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 0 0 0 0 0 0 0
37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Katarak H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0
40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Penyakit Rongga Mulut K09,K10,K13, K140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 3 3
45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1
46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 4 6 4 2 4 1 0 0 7 4 5
NB : Yang diisi kolom berwarna kuning
LAH PENDERITA MENURUT GOLONGAN UMUR
JUMLAH
10-14 thn 15-19 thn 20 - 44 45 - 54 55 - 59 60 - 69 70+
P L P L P L P L P L P L P L P
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Lama Baru Lama
a a a a a a a a a a a a a
0 2 0 0 0 35 87 20 67 248 198 6 206 15 280 20 356 150 180 80 259 0 0 0 0 189 835 237 835
0 0 0 0 0 10 15 5 15 48 65 30 45 10 36 15 45 30 59 12 35 0 0 0 0 52 205 40 205
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 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 2 4 2 5 0 4 2 5 1 6 2 4 0 0 0 0 4 15 6 14
0 3 0 0 0 79 40 0 0 90 150 80 90 0 369 0 364 50 287 50 260 0 0 0 0 246 468 425 467
0 1 0 0 0 10 15 12 10 51 78 90 130 0 0 0 0 20 60 39 79 0 0 0 0 91 148 132 148
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 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 8 24 10 23 0 0 0 0 0 0 0 0 4 26 5 48 0 0 0 0 17 47 36 48
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 1 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 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 0 0 0 0 0 0 0 0 0 2 0
0 0 0 0 0 0 0 6 6 0 0 3 6 0 0 0 0 0 0 1 5 0 0 0 0 0 0 10 17
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 0 0 0 3 2 6 4 5 6 0 0 0 2 1 1 1 2 0 0 0 0 9 1 15 2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 0 2 3 1 2 6 8 5 7 0 0 0 0 0 0 0 0 0 0 0 0 79 88 109 87
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 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 2 3 0 0 3 6 3 2 0 1 3 2 1 2 0 0 0 0 0 0 4 14 6 15
2 0 0 0 0 1 2 4 3 3 1 2 3 1 2 2 3 3 0 0 0 0 0 0 0 7 4 19 7
0 0 0 0 0 1 0 2 0 1 1 2 0 0 0 0 0 0 1 0 0 0 0 0 0 4 1 2 0
8 10 2 0 0 149 189 65 128 459 515 228 500 26 692 42 777 260 622 191 692 0 0 0 0 703 1826 1040 1845
Mengetahui,
Direktur Rumah sakit
SURVEILANS KASUS P
KOTA SURABAYA
Provinsi : Jawa Timur Bulan : Oktober
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDERITA MENURUT GOLONGAN UMUR
JUMLAH
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 thn 15-19 thn 20 - 44 45 - 54
TOTAL NO NAMA PENYAKIT ICD-X
L P L P L P L P L P L P L P L P L P L P

1024 1072 2096 1 Hipertensi I10 0 0 0 0 0 0 1 0 3 0 3 0 2 0 122 87 446 212


257 245 502 2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 20 113 75
0 0 0 3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 20 39 5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 6 7
714 892 1606 6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 0 3 0 119 0 240 170
239 280 519 7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 1 0 25 22 129 220
0 0 0 8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
64 84 148 15 Asma Bronkiale J45 0 0 0 0 0 0 9 0 0 0 0 3 0 0 32 33 0 0
0 0 0 16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 2 20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 2 2 22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0
0 27 27 23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 9
0 0 0 24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 17 27 36 OMSK H.66 0 0 0 0 0 0 0 6 0 0 0 0 3 0 0 5 10 11
0 0 0 37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
167 196 363 39 Katarak H25.2 0 0 0 0 0 0 0 0 0 0 3 0 3 0 5 3 14 12
0 0 0 40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 43 Penyakit Rongga Mulut K09,K10,K13, K140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 21 39 44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 5 7 0 0 5 0 9 5
11 26 37 45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 0 0 2 0 0 3 0 0 3 7 4 5
5 2 7 46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 2 2
2529 2885 5414 JUMLAH 0 0 0 0 0 0 10 6 5 0 11 13 12 0 338 193 974 728
SURVEILANS KASUS PTM
KOTA SURABAYA

JUMLAH PENDERITA MENURUT GOLONGAN UMUR TOTAL

55 - 59 60 - 69 70+ BARU LAMA KKL JKK

L P L P L P L P L P L P L P

295 376 330 339 0 0 189 237 835 835


46 60 89 47 0 0 52 40 205 205
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
4 7 7 6 0 0 4 6 15 14
369 364 337 310 0 0 246 425 468 467
0 0 80 118 0 0 91 132 148 148
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 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 53 0 0 17 36 47 48
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 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
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 2 0 0
0 0 0 6 0 0 0 10 0 17
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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 3 0 0 9 15 1 2
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 79 109 88 87
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 3 0 0 0 4 6 14 15
3 5 3 0 0 0 7 19 4 7
0 0 1 0 0 0 4 2 1 0
718 819 882 883 0 0 703 1040 1826 1845
Mengetahui,
Direktur Rumah Sakit
SURVEILANS KASUS PTM DARI KAB/KOTA
Rumah Sakit Royal Surabaya
Provinsi : Jawa Timur Bulan : November
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDERITA
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 thn
NO NAMA PENYAKIT ICD-X
L P PL L P L P L P L P
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru
a a a a a a a a a a a
1 Hipertensi I10 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0
2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Asma Bronkiale J45 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0
16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 OMSK H.66 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 1 1 0
37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Katarak H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Penyakit Rongga Mulut K09,K10,K13, K140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 2 0 0 0 0 0 0
46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 2 0 0 0 3 2 0
NB : Yang diisi kolom berwarna kuning
AH PENDERITA MENURUT GOLONGAN UMUR
JUMLAH
10-14 thn 15-19 thn 20 - 44 45 - 54 55 - 59 60 - 69 70+
P L P L P L P L P L P L P L P
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam L
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru
a a a a a a a a a a a a a a a
0 6 10 0 2 50 90 40 79 50 80 53 80 50 90 70 60 90 150 29 65 0 0 0 0 164 748 241 748 912
0 1 0 0 0 6 16 5 24 15 28 14 60 15 54 5 30 10 25 12 30 0 0 0 0 46 180 37 180 226
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 1
0 2 3 1 1 15 30 25 125 94 180 18 190 20 175 30 160 68 180 25 90 0 0 0 0 229 423 403 424 652
0 0 0 0 0 10 5 2 7 35 50 45 59 9 55 8 35 25 39 52 60 0 0 0 0 72 174 99 175 246
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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 10 0 0 17 26 2 9 17 9 2 25 5 12 3 20 6 25 0 0 0 0 0 0 25 44 27 44 69
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 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 1 1 2 2 1 1 1 2 0 0 0 5 3 4 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 1 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 0 0 2 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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 4 4 2 3 2 1 1 2 1 1 2 1 0 0 0 0 11 3 13 4 14
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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 10 0 0 0 50 65 8 54 20 30 5 57 36 65 4 75 0 0 0 0 69 163 114 162 232
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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 0 0 4 2 3 2 4 2 3 0 0 0 0 0 4 2 0 0 0 0 0 0 9 4 16 4 13
0 1 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 2 1 5 0 3
0 25 23 1 3 118 169 78 246 269 418 146 471 121 417 123 365 243 490 126 322 1 2 0 0 627 1746 961 1745 2373
Mengetahui,
Direktur Rumah sakit
SURVEILANS KASUS PTM
KOTA SURABAYA
Provinsi : Jawa Timur Bulan : November
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDERITA MENURUT GOLONGAN UMUR
UMLAH
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 thn 15-19 thn 20 - 44 45 - 54 55 - 59
TOTAL NO NAMA PENYAKIT ICD-X
P L P L P L P L P L P L P L P L P L P L P

989 1901 1 Hipertensi I10 0 0 0 0 0 0 1 0 0 0 2 0 16 2 140 119 130 133 140 130
217 443 2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 22 29 43 74 69 35
0 0 3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
827 1479 6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 0 5 2 45 150 274 208 195 190
274 520 7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 1 0 0 0 15 9 85 104 64 43
0 0 8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
71 140 15 Asma Bronkiale J45 0 0 0 0 0 0 3 0 0 0 0 0 19 0 43 11 26 27 17 23
0 0 16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 12 20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 2
0 0 21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
2 2 23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0
0 0 24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 31 36 OMSK H.66 0 0 0 0 0 0 2 0 0 0 2 0 2 0 0 0 8 5 3 3
0 0 37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
276 508 39 Katarak H25.2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 10 0 115 62 50 62
0 0 40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 43 Penyakit Rongga Mulut K09,K10,K13, K140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 33 45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 4 0 2 0 0 0 3 0 6 5 6 3 0 0
5 8 46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 1 0 5 0 0 0 0 0
2706 5079 JUMLAH 0 0 0 0 0 0 10 0 2 0 5 0 48 4 287 324 687 617 538 488
SURVEILANS KASUS PTM
KOTA SURABAYA

JUMLAH PENDERITA MENURUT GOLONGAN UMUR TOTAL

60 - 69 70+ BARU LAMA KKL JKK

L P L P L P L P L P L P

240 94 0 0 164 241 748 748


35 42 0 0 46 37 180 180
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 0 0 0 0 0 1 0
248 115 0 0 229 403 423 424
64 112 0 0 72 99 174 175
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 0 0 0 25 27 44 44
0 0 0 0 0 0 0 0
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 2 3 0 0 3 5 4
0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 0
0 1 0 0 0 2 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 3 0 0 11 13 3 4
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
101 79 0 0 69 114 163 162
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 0 0 0 9 16 4 4
1 0 0 0 2 5 1 0
733 448 3 0 627 961 1746 1745
Mengetahui,
Direktur Rumah Sakit
SURVEILANS KASUS PTM DARI KAB/KOTA
Rumah Sakit Royal Surabaya
Provinsi : Jawa Timur Bulan : Desember
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDERITA
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 thn
NO NAMA PENYAKIT ICD-X
L P PL L P L P L P L P
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru
a a a a a a a a a a a
1 Hipertensi I10 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 6 4 6
8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Asma Bronkiale J45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 OMSK H.66 0 0 0 0 0 0 0 0 0 0 0 0 3 2 0 0 0 0 0 0 0 0 3
37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Katarak H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0
40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Penyakit Rongga Mulut K09,K10,K13, K140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0
46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 5 2 1 0 0 0 1 0 1 1 9
NB : Yang diisi kolom berwarna kuning
AH PENDERITA MENURUT GOLONGAN UMUR
JUMLAH
10-14 thn 15-19 thn 20 - 44 45 - 54 55 - 59 60 - 69 70+
P L P L P L P L P L P L P L P
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam L
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Lama Baru Lama
a a a a a a a a a a a a a
0 0 0 0 2 25 55 0 63 52 156 0 109 12 79 24 206 45 105 23 57 0 0 0 0 155 830 209 840 985
0 0 0 0 0 4 6 4 9 58 40 63 68 0 0 0 0 0 0 0 0 0 0 0 0 72 202 43 201 274
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 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 1 0 2 1 2 0 0 0 0 0 0 0 0 0 0 0 0 1 4 1 2 5
0 1 2 1 1 6 4 12 20 42 56 60 89 0 10 0 14 22 40 35 46 0 0 0 0 255 449 376 448 704
3 0 0 0 0 0 0 0 0 50 100 50 120 0 0 0 0 15 16 20 10 0 0 0 0 59 150 90 156 209
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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 0 5 3 5 4 12 0 21 25 0 4 0 3 4 8 6 12 0 0 0 0 21 35 34 36 56
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 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 2 0 0 0 1 0 1 2 0 1 2 0 0 0 0 0 0 1 3 1 5 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 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 1 1 0
0 0 0 0 0 0 0 0 0 0 0 10 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 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 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 2 1 2 2 4 3 5 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 5 17 7 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 0 0 0
0 0 0 0 0 0 0 0 0 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 2 0 0 0 0 0 40 56 44 68 25 46 26 30 36 15 25 0 0 0 0 64 110 85 130 174
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 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 6 0 0 0 0 3 4 0 0 0 0 3 1 0 0 0 0 0 0 11 5 6 3 16
0 1 0 2 0 3 0 1 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 4 1 4 2 5
7 6 4 8 7 58 0 27 102 214 392 264 482 81 119 73 250 121 209 93 150 0 0 0 0 626 1898 849 1906 2524
Mengetahui,
Direktur Rumah sakit
SURVEILANS KASUS PTM
KOTA SURABAYA
Provinsi : Jawa Timur Bulan : Desember
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDERITA MENURUT GOLONGAN UMUR
JUMLAH
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 thn 15-19 thn 20 - 44 45 - 54 55 - 59
TOTAL NO NAMA PENYAKIT ICD-X
P L P L P L P L P L P L P L P L P L P L

1049 2034 1 Hipertensi I10 0 0 0 0 0 0 1 0 0 0 0 0 0 2 80 63 208 109 91


244 518 2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 13 98 131 0
0 0 3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 8 5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 2 3 0
824 1528 6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 0 3 2 10 32 98 149 10
246 455 7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 1 0 0 10 9 0 0 0 0 150 170 0
0 0 8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
70 126 15 Asma Bronkiale J45 0 0 0 0 0 0 0 0 0 0 0 0 3 0 8 9 12 46 4
0 0 16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 10 20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 1 1
0 0 21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 2 22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 31 23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0
0 0 24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 36 36 OMSK H.66 0 0 0 0 0 0 5 0 0 0 0 7 3 4 7 9 0 0 0
0 0 37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
215 389 39 Katarak H25.2 0 0 0 0 0 0 0 0 0 0 2 0 0 5 0 0 40 100 93
0 0 40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 43 Penyakit Rongga Mulut K09,K10,K13, K140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 25 45 Penyakit Pulpa & Jaringan Periap K04 0 0 0 0 0 0 1 0 0 1 0 0 0 0 15 0 0 7 0
6 11 46 Penyakit Gusi & Jaringan Period K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 1 2 3 1 0 0 1
2755 5279 JUMLAH 0 0 0 0 0 0 7 1 0 1 12 16 10 15 0 130 214 744 200
SURVEILANS KASUS PTM
KOTA SURABAYA

JUMLAH PENDERITA MENURUT GOLONGAN UMUR TOTAL

55 - 59 60 - 69 70+ BARU LAMA KKL JKK

P L P L P L P L P L P L P

230 150 80 0 0 155 209 830 840


0 0 0 0 0 72 43 202 201
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 4 2
14 62 81 0 0 255 376 449 448
0 31 30 0 0 59 90 150 156
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 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 12 18 0 0 21 34 35 36
0 0 0 0 0 0 0 0 0
0 0 0 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 3 0 0 0 1 1 3 5
0 0 0 0 0 0 0 0 0
0 2 0 0 0 0 1 0 1
0 0 0 0 0 0 10 0 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
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 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 17 5 7
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
72 66 40 0 0 64 85 110 130
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 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 11 6 5 3
2 0 0 0 0 4 4 1 2
321 330 249 0 0 626 1898 849 1906
Mengetahui,
Direktur Rumah Sakit
SURVEILANS KASUS PTM DARI KAB/KOTA
Rumah Sakit Royal Surabaya
Provinsi : Jawa Timur Bulan : Desember
Kab/Kota : Surabaya Tahun : 2019
JUMLAH PENDERITA
0-7 hari 8-28 hari >29-1 thn 1-4 thn 5-9 thn 10-14 thn
NO NAMA PENYAKIT ICD-X
L P L PP L L P L P L P
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam
Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru Baru
a a a a a a a a a a a
1 Hipertensi I10 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Gagal jantung I50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PPOK J44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Stroke I64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 6 4 6
8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 DM-TB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Obesitas E66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Penyakit tiroid E00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Hipotiroid E03 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Hipertiroid E05 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Hipertropi Prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Asma Bronkiale J45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 SLE / Lupus M32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Thalasemia D56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Osteoporosis M81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Leukemia C91-C95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Kanker cerviks C53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Kanker Payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Tumor payudara C50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Retinoblastoma C69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Glaukoma H40-H42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 OMSK H.66 0 0 0 0 0 0 0 0 0 0 0 0 3 2 0 0 0 0 0 0 0 0 3
37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Katarak H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0
40 NIHL H25.2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Presbicusis H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Penyakit Rongga Mulut K09,K10,K13, K14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 Caries Gigi K02 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 Penyakit Pulpa & Jaringan Periapika K04 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0
46 Penyakit Gusi & Jaringan Periodont K05, K06 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 5 2 1 0 0 0 1 0 1 1 9

NB : Yang diisi kolom berwarna kuning


ERITA MENURUT GOLONGAN UMUR
JUMLAH
15-19 thn 20 - 44 45 - 54 55 - 59 60 - 69 70+
P L P L P L P L P L P L P L P
Lam Lam Lam Lam Lam Lam Lam Lam Lam Lam
Baru Baru Baru Baru Baru Baru Baru Lama Baru Lama Baru Lama Baru Baru Baru Baru Lama Baru Lama
a a a a a a a a a a
0 0 0 0 2 25 55 0 63 52 156 0 109 12 79 24 206 45 105 23 57 0 0 0 0 155 830 209 840
0 0 0 0 0 4 6 4 9 58 40 63 68 0 0 0 0 0 0 0 0 0 0 0 0 72 202 43 201
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 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 1 0 2 1 2 0 0 0 0 0 0 0 0 0 0 0 0 1 4 1 2
0 1 2 1 1 6 4 12 20 42 56 60 89 0 10 0 14 22 40 35 46 0 0 0 0 255 449 376 448
3 0 0 0 0 0 0 0 0 50 100 50 120 0 0 0 0 15 16 20 10 0 0 0 0 59 150 90 156
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 0 5 3 5 4 12 0 21 25 0 4 0 3 4 8 6 12 0 0 0 0 21 35 34 36
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 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 2 0 0 0 1 0 1 2 0 1 2 0 0 0 0 0 0 1 3 1 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 1
0 0 0 0 0 0 0 0 0 0 0 10 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 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 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 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 2 1 2 2 4 3 5 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 5 17 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 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 2 0 0 0 0 0 40 56 44 68 25 46 26 30 36 15 25 0 0 0 0 64 110 85 130
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 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 6 0 0 0 0 3 4 0 0 0 0 3 1 0 0 0 0 0 0 11 5 6 3
0 1 0 2 0 3 0 1 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 4 1 4 2
7 6 4 8 7 58 0 27 102 214 392 264 482 81 119 73 250 121 209 93 150 0 0 0 0 626 1898 849 1906

Mengetahui,
Direktur Rumah sakit
Provinsi : Jawa Timur Bulan : Desember
Kab/Kota : Surabaya Tahun : 2019
JUM
0-7 hari 8-28 hari >29-1 thn 1-4 thn
TOTAL NO NAMA PENYAKIT ICD-X
L P L P L P L P L P

985 1049 2034 1 Hipertensi I10 0 0 0 0 0 0 1 0


274 244 518 2 Penyakit jantung koroner I24.0 0 0 0 0 0 0 0 0
0 0 0 3 Gagal jantung I50 0 0 0 0 0 0 0 0
0 0 0 4 PPOK J44 0 0 0 0 0 0 0 0
5 3 8 5 Stroke I64 0 0 0 0 0 0 0 0
704 824 1528 6 Diabetes Melitus Tipe I E10 0 0 0 0 0 0 0 0
209 246 455 7 Diabetes Melitus Tipe II E11 0 0 0 0 0 0 0 1
0 0 0 8 Diabetes Mellitus Gestasional O24 0 0 0 0 0 0 0 0
0 0 0 9 DM-TB 0 0 0 0 0 0 0 0
0 0 0 10 Obesitas E66 0 0 0 0 0 0 0 0
0 0 0 11 Penyakit tiroid E00 0 0 0 0 0 0 0 0
0 0 0 12 Hipotiroid E03 0 0 0 0 0 0 0 0
0 0 0 13 Hipertiroid E05 0 0 0 0 0 0 0 0
0 0 0 14 Hipertropi Prostat 0 0 0 0 0 0 0 0
56 70 126 15 Asma Bronkiale J45 0 0 0 0 0 0 0 0
0 0 0 16 SLE / Lupus M32 0 0 0 0 0 0 0 0
0 0 0 17 Thalasemia D56 0 0 0 0 0 0 0 0
0 0 0 18 Osteoporosis M81 0 0 0 0 0 0 0 0
0 0 0 19 Ginjal Kronik N00-N19 0 0 0 0 0 0 0 0
4 6 10 20 Rematoid Artritis M05.9 0 0 0 0 0 0 0 0
0 0 0 21 Leukemia C91-C95 0 0 0 0 0 0 0 0
0 2 2 22 Kanker cerviks C53 0 0 0 0 0 0 0 0
0 31 31 23 Kanker Payudara C50 0 0 0 0 0 0 0 0
0 0 0 24 Tumor payudara C50 0 0 0 0 0 0 0 0
0 0 0 25 Kanker Kolorektal D12 0 0 0 0 0 0 0 0
0 0 0 26 Cidera Akibat Terbakar X00-X19 0 0 0 0 0 0 0 0
0 0 0 27 Cidera Akibat Tenggelam W65-W74 0 0 0 0 0 0 0 0
0 0 0 28 Cidera Akibat Keracunan X40-X49 0 0 0 0 0 0 0 0
0 0 0 29 Cidera Akibat Digigit Ular X20-X29 0 0 0 0 0 0 0 0
0 0 0 30 Cidera Akibat KLL V01-V99 0 0 0 0 0 0 0 0
0 0 0 31 Cidera Akibat Kekerasan X60-Y09 0 0 0 0 0 0 0 0
0 0 0 32 Cidera Akibat Jatuh W00-X59 0 0 0 0 0 0 0 0
0 0 0 33 Psoriasis Vulgaris L40.0 0 0 0 0 0 0 0 0
0 0 0 34 Retinoblastoma C69 0 0 0 0 0 0 0 0
0 0 0 35 Glaukoma H40-H42 0 0 0 0 0 0 0 0
12 24 36 36 OMSK H.66 0 0 0 0 0 0 5 0
0 0 0 37 Gangguan Refraksi H.52 0 0 0 0 0 0 0 0
0 0 0 38 Serumen Prop H.61.2 0 0 0 0 0 0 0 0
174 215 389 39 Katarak H25.2 0 0 0 0 0 0 0 0
0 0 0 40 NIHL H25.2 0 0 0 0 0 0 0 0
0 0 0 41 Presbicusis H.93 0 0 0 0 0 0 0 0
0 0 0 42 Tuli Kongenital H.93 0 0 0 0 0 0 0 0
0 0 0 43 Penyakit Rongga Mulut K09,K10,K13, K14 0 0 0 0 0 0 0 0
0 0 0 44 Caries Gigi K02 0 0 0 0 0 0 0 0
16 9 25 45 Penyakit Pulpa & Jaringan Periapikal K04 0 0 0 0 0 0 1 0
5 6 11 46 Penyakit Gusi & Jaringan Periodontal K05, K06 0 0 0 0 0 0 0 0
2524 2755 5279 JUMLAH 0 0 0 0 0 0 7 1
SURVEILANS KASUS PTM
KOTA SURABAYA

JUMLAH PENDERITA MENURUT GOLONGAN UMUR TOTAL


5-9 thn 10-14 thn 15-19 thn 20 - 44 45 - 54 55 - 59 60 - 69 70+ BARU LAMA KKL JKK

L P L P L P L P L P L P L P L P L P L P L P L P

0 0 0 0 0 2 80 63 208 109 91 230 150 80 0 0 155 209 830 840


0 0 0 0 0 0 10 13 98 131 0 0 0 0 0 0 72 43 202 201
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 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 2 3 0 0 0 0 0 0 1 1 4 2
0 0 0 0 3 2 10 32 98 149 10 14 62 81 0 0 255 376 449 448
0 0 10 9 0 0 0 0 150 170 0 0 31 30 0 0 59 90 150 156
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 8 9 12 46 4 3 12 18 0 0 21 34 35 36
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 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 1 1 2 3 0 0 0 1 1 3 5
0 0 0 0 0 0 0 0 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 1 0 1
0 0 0 0 0 0 0 0 0 31 0 0 0 0 0 0 0 10 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3 4 7 9 0 0 0 0 0 0 0 0 7 17 5 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5 0 0 40 100 93 72 66 40 0 0 64 85 110 130
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 15 0 0 7 0 0 4 0 0 0 11 6 5 3
0 0 0 0 1 2 3 1 0 0 1 2 0 0 0 0 4 4 1 2
0 1 12 16 10 15 0 130 214 744 200 321 330 249 0 0 626 1898 849 1906

Mengetahui,
Direktur Rumah Sakit

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