<table cellspacing="0" border="1" id="tabeljelek" class="mui-table">

<colgroup width="44"></colgroup>
<colgroup width="47"></colgroup>
<colgroup width="118"></colgroup>
<colgroup span="2" width="20"></colgroup>
<colgroup width="27"></colgroup>
<colgroup width="26"></colgroup>
<colgroup width="20"></colgroup>
<colgroup span="24" width="26"></colgroup>
<colgroup width="32"></colgroup>
<colgroup span="30" width="26"></colgroup>
<colgroup width="32"></colgroup>
<colgroup width="36"></colgroup>
<colgroup width="32"></colgroup>
<thead>
<tr>
<td rowspan="3" height="51"
align="center" valign="middle"><b>Kode SP2TP</b></td>
<td rowspan="3" align="center"
valign="middle"><b>ICD-10</b></td>
<td rowspan="3" align="left"
valign="middle"><b>Nama Penyakit / Keadaan</b></td>
<td colspan="27" align="center"
valign="middle"><b>Jumlah Kasus Baru</b></td>
<td colspan="3" rowspan="2"
align="center" valign="middle"><b>Jumlah Baru</b></td>
<td colspan="27" align="center"
valign="middle"><b>Jumlah Kasus Lama</b></td>
<td colspan="3" rowspan="2"
align="center" valign="middle"><b>Jumlah Lama</b></td>
<td colspan="3" rowspan="2"
align="center" valign="middle"><b>Jumlah Lama dan Baru</b></td>
</tr>
<tr>
<td colspan="3" align="center"
valign="middle"><b>0-30 hari</b></td>
<td colspan="3" align="center"
valign="middle"><b>&lt; 1 tahun</b></td>
<td colspan="3" align="center"
valign="middle"><b>1-4 tahun</b></td>
<td colspan="3" align="center"
valign="middle"><b>5-14 tahun</b></td>
<td colspan="3" align="center"
valign="middle"><b>15-44 tahun</b></td>
<td colspan="3" align="center"
valign="middle"><b>45-54 tahun</b></td>
<td colspan="3" align="center"
valign="middle"><b>55-59 tahun</b></td>
<td colspan="3" align="center"
valign="middle"><b>60-69 tahun</b></td>
<td colspan="3" align="center"
valign="middle"><b>&gt; 70 tahun</b></td>
<td colspan="3" align="center"
valign="middle"><b>0-30 hari</b></td>
<td colspan="3" align="center"
valign="middle"><b>&lt; 1 tahun</b></td>
<td colspan="3" align="center"
valign="middle"><b>1-4 tahun</b></td>
<td colspan="3" align="center"
valign="middle"><b>5-14 tahun</b></td>
<td colspan="3" align="center"
valign="middle"><b>15-44 tahun</b></td>
<td colspan="3" align="center"
valign="middle"><b>45-54 tahun</b></td>
<td colspan="3" align="center"
valign="middle"><b>55-59 tahun</b></td>
<td colspan="3" align="center"
valign="middle"><b>60-69 tahun</b></td>
<td colspan="3" align="center"
valign="middle"><b>&gt; 70 tahun</b></td>
</tr>
<tr>
<td align="center"
valign="middle"><b>L</b></td>
<td align="center"
valign="middle"><b>P</b></td>
<td align="center"
valign="middle"><b>Jml</b></td>
<td align="center"
valign="middle"><b>L</b></td>
<td align="center"
valign="middle"><b>P</b></td>
<td align="center"
valign="middle"><b>Jml</b></td>
<td align="center"
valign="middle"><b>L</b></td>
<td align="center"
valign="middle"><b>P</b></td>
<td align="center"
valign="middle"><b>Jml</b></td>
<td align="center"
valign="middle"><b>L</b></td>
<td align="center"
valign="middle"><b>P</b></td>
<td align="center"
valign="middle"><b>Jml</b></td>
<td align="center"
valign="middle"><b>L</b></td>
<td align="center"
valign="middle"><b>P</b></td>
<td align="center"
valign="middle"><b>Jml</b></td>
<td align="center"
valign="middle"><b>L</b></td>
<td align="center"
valign="middle"><b>P</b></td>
<td align="center"
valign="middle"><b>Jml</b></td>
<td align="center"
valign="middle"><b>L</b></td>
<td align="center"
valign="middle"><b>P</b></td>
<td align="center"
valign="middle"><b>Jml</b></td>
<td align="center"
valign="middle"><b>L</b></td>
<td align="center"
valign="middle"><b>P</b></td>
 <td align="center"
valign="middle"><b>Jml</b></td>
<td align="center"
valign="middle"><b>L</b></td>
<td align="center"
valign="middle"><b>P</b></td>
<td align="center"
valign="middle"><b>Jml</b></td>
<td align="center"
valign="middle"><b>L</b></td>
<td align="center"
valign="middle"><b>P</b></td>
<td align="center"
valign="middle"><b>Jml</b></td>
<td align="center"
valign="middle"><b>L</b></td>
<td align="center"
valign="middle"><b>P</b></td>
<td align="center"
valign="middle"><b>Jml</b></td>
<td align="center"
valign="middle"><b>L</b></td>
<td align="center"
valign="middle"><b>P</b></td>
<td align="center"
valign="middle"><b>Jml</b></td>
<td align="center"
valign="middle"><b>L</b></td>
<td align="center"
valign="middle"><b>P</b></td>
<td align="center"
valign="middle"><b>Jml</b></td>
<td align="center"
valign="middle"><b>L</b></td>
<td align="center"
valign="middle"><b>P</b></td>
<td align="center"
valign="middle"><b>Jml</b></td>
<td align="center"
valign="middle"><b>L</b></td>
<td align="center"
valign="middle"><b>P</b></td>
<td align="center"
valign="middle"><b>Jml</b></td>
<td align="center"
valign="middle"><b>L</b></td>
<td align="center"
valign="middle"><b>P</b></td>
<td align="center"
valign="middle"><b>Jml</b></td>
<td align="center"
valign="middle"><b>L</b></td>
<td align="center"
valign="middle"><b>P</b></td>
<td align="center"
valign="middle"><b>Jml</b></td>
<td align="center"
valign="middle"><b>L</b></td>
<td align="center"
valign="middle"><b>P</b></td>
<td align="center"
valign="middle"><b>Jml</b></td>
<td align="center"
valign="middle"><b>L</b></td>
<td align="center"
valign="middle"><b>P</b></td>
<td align="center"
valign="middle"><b>Jml</b></td>
<td align="center"
valign="middle"><b>L</b></td>
<td align="center"
valign="middle"><b>P</b></td>
<td align="center"
valign="middle"><b>Jml</b></td>
<td align="center"
valign="middle"><b>Baru</b></td>
<td align="center"
valign="middle"><b>Lama</b></td>
<td align="center"
valign="middle"><b>Jml</b></td>
</tr>
<tr>
<td height="17" align="center"
valign="middle" sdval="1" sdnum="1033;">1</td>
<td align="center" valign="middle"
sdval="2" sdnum="1033;">2</td>
<td align="center" valign="middle"
sdval="3" sdnum="1033;">3</td>
<td align="center" valign="middle"
sdval="4" sdnum="1033;">4</td>
<td align="center" valign="middle"
sdval="5" sdnum="1033;">5</td>
<td align="center" valign="middle"
sdval="6" sdnum="1033;">6</td>
<td align="center" valign="middle"
sdval="7" sdnum="1033;">7</td>
<td align="center" valign="middle"
sdval="8" sdnum="1033;">8</td>
<td align="center" valign="middle"
sdval="9" sdnum="1033;">9</td>
<td align="center" valign="middle"
sdval="10" sdnum="1033;">10</td>
<td align="center" valign="middle"
sdval="11" sdnum="1033;">11</td>
<td align="center" valign="middle"
sdval="12" sdnum="1033;">12</td>
<td align="center" valign="middle"
sdval="13" sdnum="1033;">13</td>
<td align="center" valign="middle"
sdval="14" sdnum="1033;">14</td>
<td align="center" valign="middle"
sdval="15" sdnum="1033;">15</td>
<td align="center" valign="middle"
sdval="16" sdnum="1033;">16</td>
<td align="center" valign="middle"
sdval="17" sdnum="1033;">17</td>
<td align="center" valign="middle"
sdval="18" sdnum="1033;">18</td>
 <td align="center" valign="middle"
sdval="19" sdnum="1033;">19</td>
<td align="center" valign="middle"
sdval="20" sdnum="1033;">20</td>
<td align="center" valign="middle"
sdval="21" sdnum="1033;">21</td>
<td align="center" valign="middle"
sdval="22" sdnum="1033;">22</td>
<td align="center" valign="middle"
sdval="23" sdnum="1033;">23</td>
<td align="center" valign="middle"
sdval="24" sdnum="1033;">24</td>
<td align="center" valign="middle"
sdval="25" sdnum="1033;">25</td>
<td align="center" valign="middle"
sdval="26" sdnum="1033;">26</td>
<td align="center" valign="middle"
sdval="27" sdnum="1033;">27</td>
<td align="center" valign="middle"
sdval="28" sdnum="1033;">28</td>
<td align="center" valign="middle"
sdval="29" sdnum="1033;">29</td>
<td align="center" valign="middle"
sdval="30" sdnum="1033;">30</td>
<td align="center" valign="middle"
sdval="31" sdnum="1033;">31</td>
<td align="center" valign="middle"
sdval="32" sdnum="1033;">32</td>
<td align="center" valign="middle"
sdval="33" sdnum="1033;">33</td>
<td align="center" valign="middle"
sdval="34" sdnum="1033;">34</td>
<td align="center" valign="middle"
sdval="35" sdnum="1033;">35</td>
<td align="center" valign="middle"
sdval="36" sdnum="1033;">36</td>
<td align="center" valign="middle"
sdval="37" sdnum="1033;">37</td>
<td align="center" valign="middle"
sdval="38" sdnum="1033;">38</td>
<td align="center" valign="middle"
sdval="39" sdnum="1033;">39</td>
<td align="center" valign="middle"
sdval="40" sdnum="1033;">40</td>
<td align="center" valign="middle"
sdval="41" sdnum="1033;">41</td>
<td align="center" valign="middle"
sdval="42" sdnum="1033;">42</td>
<td align="center" valign="middle"
sdval="43" sdnum="1033;">43</td>
<td align="center" valign="middle"
sdval="44" sdnum="1033;">44</td>
<td align="center" valign="middle"
sdval="45" sdnum="1033;">45</td>
<td align="center" valign="middle"
sdval="46" sdnum="1033;">46</td>
<td align="center" valign="middle"
sdval="47" sdnum="1033;">47</td>
<td align="center" valign="middle"
sdval="48" sdnum="1033;">48</td>
<td align="center" valign="middle"
sdval="49" sdnum="1033;">49</td>
<td align="center" valign="middle"
sdval="50" sdnum="1033;">50</td>
<td align="center" valign="middle"
sdval="51" sdnum="1033;">51</td>
<td align="center" valign="middle"
sdval="52" sdnum="1033;">52</td>
<td align="center" valign="middle"
sdval="53" sdnum="1033;">53</td>
<td align="center" valign="middle"
sdval="54" sdnum="1033;">54</td>
<td align="center" valign="middle"
sdval="55" sdnum="1033;">55</td>
<td align="center" valign="middle"
sdval="56" sdnum="1033;">56</td>
<td align="center" valign="middle"
sdval="57" sdnum="1033;">57</td>
<td align="center" valign="middle"
sdval="58" sdnum="1033;">58</td>
<td align="center" valign="middle"
sdval="59" sdnum="1033;">59</td>
<td align="center" valign="middle"
sdval="60" sdnum="1033;">60</td>
<td align="center" valign="middle"
sdval="61" sdnum="1033;">61</td>
<td align="center" valign="middle"
sdval="62" sdnum="1033;">62</td>
<td align="center" valign="middle"
sdval="63" sdnum="1033;">63</td>
<td align="center" valign="middle"
sdval="64" sdnum="1033;">64</td>
<td align="center" valign="middle"
sdval="65" sdnum="1033;">65</td>
<td align="center" valign="middle"
sdval="66" sdnum="1033;">66</td>
</tr>
</thead>
<tbody><tr><td align="center"
valign="middle"><b>01</b></td><td></td><td valign="middle"><b>PENY INFEKSI PADA
USUS</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td></tr><tr><td align="center" valign="middle">0102</td><td align="center"
valign="middle">A01.0</td><td align="left" valign="middle">Demam tifoid </td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">5</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">4</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">7</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">7</td><td
align="center" valign="middle">10</td></tr><tr><td align="center"
valign="middle">0105</td><td align="center" valign="middle">A09</td><td
align="left" valign="middle">Diare dan gastroenteritis oleh penyebab penyakit
menular</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">10</td><td align="center" valign="middle">14</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">5</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">6</td><td align="center" valign="middle">18</td><td align="center"
valign="middle">24</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">7</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">10</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">9</td><td align="center" valign="middle">5</td><td align="center"
valign="middle">14</td><td align="center" valign="middle">24</td><td align="center"
valign="middle">14</td><td align="center" valign="middle">38</td></tr><tr><td
align="center" valign="middle">10068</td><td align="center"
valign="middle">A03.0</td><td align="left" valign="middle">Shigellosis oleh
Disentri Shigella</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">28276</td><td align="center"
valign="middle">A01</td><td align="left" valign="middle">Demam tifoid dan
paratifoid</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td></tr><tr><td align="center" valign="middle">4306</td><td
align="center" valign="middle">A09.9</td><td align="left"
valign="middle">Gastroenteritis dan kolitis asal tidak ditentukan</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">5</td></tr><tr><td align="center"
valign="middle"><b>02</b></td><td></td><td valign="middle"><b>PENY
TUBERKULOSIS</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td></tr><tr><td align="center" valign="middle">0201</td><td
align="center" valign="middle">A15.0</td><td align="left" valign="middle">TBC paru-
paru , hasil konfirmasi mikroskop pada sputum dengan atau tanpa cultur</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">5</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">5</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">5</td><td
align="center" valign="middle">6</td><td align="center" valign="middle">11</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">11</td><td
align="center" valign="middle">11</td></tr><tr><td align="center"
valign="middle">0204</td><td align="center" valign="middle">A16.0</td><td
align="left" valign="middle">TBC paru-paru , bakteriologis dan histologis
negatif</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">4</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">6</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">6</td><td
align="center" valign="middle">7</td></tr><tr><td align="center"
valign="middle">10126</td><td align="center" valign="middle">A16.2</td><td
align="left" valign="middle">TBC paru-paru , tanpa adanya konfirmasi secara
bakteriologis atau histologis</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">4</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">6</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">6</td><td align="center"
valign="middle">6</td></tr><tr><td align="center" valign="middle">10130</td><td
align="center" valign="middle">A16.7</td><td align="left" valign="middle">TBC
pernafasan primer tanpa adanya konfirmasi bakteriologis atau histologis</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td></tr><tr><td align="center"
valign="middle">10132</td><td align="center" valign="middle">A16.9</td><td
align="left" valign="middle">TBC pernafasan tidak spesifik , tanpa adanya
konfirmasi bakteriologis atau histologis</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center"
valign="middle"><b>03</b></td><td></td><td valign="middle"><b>PENY KARENA
BAKTERI</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td><
/td><td></td><td></td></tr><tr><td align="center" valign="middle">0304</td><td
align="center" valign="middle">A30.5</td><td align="left" valign="middle">Kusta
lepromatous</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">3</td></tr><tr><td
align="center" valign="middle">0305</td><td align="center"
valign="middle">A30</td><td align="left" valign="middle">Lepra [Penyakit
Hansen]</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">3</td></tr><tr><td
align="center" valign="middle">28320</td><td align="center"
valign="middle">A30.0</td><td align="left" valign="middle">Kusta
Indeterminasi</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle"><b>04</b></td><td></td><td valign="middle"><b>PENY
KARENA VIRUS</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td></tr><tr><td align="center" valign="middle">0408</td><td
align="center" valign="middle">B02</td><td align="left" valign="middle">Zoster
[herpes zoster]</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">4</td></tr><tr><td align="center" valign="middle">0409</td><td
align="center" valign="middle">B05</td><td align="left"
valign="middle">Campak</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">10501</td><td
align="center" valign="middle">B18.1</td><td align="left" valign="middle">Hepatitis
virus B kronik tanpa agen-delta</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">10502</td><td
align="center" valign="middle">B18.2</td><td align="left" valign="middle">Hepatitis
virus C kronik</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">28373</td><td align="center"
valign="middle">B00.0</td><td align="left" valign="middle">Eczema
herpeticum</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">28374</td><td align="center"
valign="middle">B01</td><td align="left" valign="middle">Cacar air</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">4</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">4</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">5</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">5</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">5</td><td
align="center" valign="middle">9</td></tr><tr><td align="center"
valign="middle">28380</td><td align="center" valign="middle">B16</td><td
align="left" valign="middle">Hepatitis B akut</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">28385</td><td
align="center" valign="middle">B20</td><td align="left"
valign="middle">infecPenyakit akibat virus yang melemahkan kekebalan tubuh manusia
[HIV]</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">6</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">6</td><td align="center"
valign="middle">6</td></tr><tr><td align="center" valign="middle">28389</td><td
align="center" valign="middle">B25</td><td align="left" valign="middle">Penyakit
yang disebabkan oleh sitomegalovirus</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center"
valign="middle"><b>05</b></td><td></td><td valign="middle"><b>PENY KARENA PROTOZOA
DAN LAIN2</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td></tr><tr><td align="center" valign="middle">10725</td><td
align="center" valign="middle">B69.1</td><td align="left"
valign="middle">Sistiserkosis pada mata</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center"
valign="middle"><b>07</b></td><td></td><td valign="middle"><b>INFEKSI LAIN DAN PENY
KRN PARASIT DAN AKIBAT
KEMUDIAN</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td></tr><tr><td align="center" valign="middle">10570</td><td
align="center" valign="middle">B35.4</td><td align="left" valign="middle">Tinea
korporis</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">4</td><td
align="center" valign="middle">2</td><td align="center"
valign="middle">6</td></tr><tr><td align="center" valign="middle">10581</td><td
align="center" valign="middle">B37.0</td><td align="left"
valign="middle">Stomatitis yang disebabkan oleh candida</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">8</td></tr><tr><td align="center" valign="middle">4543</td><td
align="center" valign="middle">B86</td><td align="left" valign="middle">Kudis /
Scabies</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">7</td><td align="center" valign="middle">10</td><td align="center"
valign="middle">7</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">8</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">10</td><td align="center" valign="middle">8</td><td align="center"
valign="middle">18</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">5</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">9</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">6</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">10</td><td align="center" valign="middle">18</td><td align="center"
valign="middle">10</td><td align="center" valign="middle">28</td></tr><tr><td
align="center" valign="middle"><b>08</b></td><td></td><td valign="middle"><b>PENY
GANGGUAN ENDOKRIN &amp; METABOLIK SERTA GANGGUAN
KEKEBALAN</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td></tr><tr><td align="center" valign="middle">0804</td><td
align="center" valign="middle">E05</td><td align="left"
valign="middle">Tirotoksikosis [hipertiroidisme]</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">3</td></tr><tr><td align="center"
valign="middle">0807</td><td align="center" valign="middle">E10</td><td
align="left" valign="middle">Diabetes mellitus tergantung insulin</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">4</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">8</td><td align="center" valign="middle">9</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">13</td><td align="center" valign="middle">16</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">16</td><td
align="center" valign="middle">16</td></tr><tr><td align="center"
valign="middle">0808</td><td align="center" valign="middle">E11</td><td
align="left" valign="middle">Diabetes mellitus tak tergantung insulin</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">4</td><td
align="center" valign="middle">8</td><td align="center" valign="middle">16</td><td
align="center" valign="middle">24</td><td align="center" valign="middle">18</td><td
align="center" valign="middle">22</td><td align="center" valign="middle">40</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">28</td><td
align="center" valign="middle">44</td><td align="center" valign="middle">72</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">72</td><td
align="center" valign="middle">74</td></tr><tr><td align="center"
valign="middle">11785</td><td align="center" valign="middle">E10.8</td><td
align="left" valign="middle">Diabetes mellitus tergantung insulin dengan komplikasi
tak terspesifikasi</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td></tr><tr><td
align="center" valign="middle">11793</td><td align="center"
valign="middle">E11.6</td><td align="left" valign="middle">Diabetes mellitus tak
tergantung insulin dengan komplikasi spesifik lainny</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">4</td></tr><tr><td align="center" valign="middle">11795</td><td
align="center" valign="middle">E11.8</td><td align="left" valign="middle">Diabetes
mellitus tak tergantung insulin komplikasi tak terspesifikasi</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td></tr><tr><td align="center"
valign="middle">11796</td><td align="center" valign="middle">E11.9</td><td
align="left" valign="middle">Diabetes mellitus tak tergantung insulin tanpa
komplikasi</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">6</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">7</td><td align="center" valign="middle">11</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">12</td><td align="center"
valign="middle">14</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">6</td><td align="center" valign="middle">22</td><td align="center"
valign="middle">28</td><td align="center" valign="middle">6</td><td align="center"
valign="middle">28</td><td align="center" valign="middle">34</td></tr><tr><td
align="center" valign="middle">11830</td><td align="center"
valign="middle">E16.2</td><td align="left" valign="middle">Hipoglikemia, tidak
terspesifikasi</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">28622</td><td align="center"
valign="middle">E11.0</td><td align="left" valign="middle">Diabetes mellitus tak
tergantung insulin dengan koma</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td></tr><tr><td
align="center" valign="middle">28625</td><td align="center"
valign="middle">E14</td><td align="left" valign="middle">Diabetes mellitus tak
terspesifikasi</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td></tr><tr><td
align="center" valign="middle"><b>09</b></td><td></td><td valign="middle"><b>PENY
KELAINAN VITAMIN DAN
GIZI</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td></tr><tr><td align="center" valign="middle">0913</td><td align="center"
valign="middle">E66</td><td align="left" valign="middle">Obesitas</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">4</td><td
align="center" valign="middle">6</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">6</td><td align="center" valign="middle">9</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">9</td><td
align="center" valign="middle">11</td></tr><tr><td align="center"
valign="middle"><b>10</b></td><td></td><td valign="middle"><b>GANGGUAN
MENTAL</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td></tr><tr><td align="center" valign="middle">1006</td><td
align="center" valign="middle">F29</td><td align="left" valign="middle">Gangguan
Psikotik</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">1009</td><td
align="center" valign="middle">F32</td><td align="left"
valign="middle">DEPRESI</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">4</td><td align="center"
valign="middle">4</td></tr><tr><td align="center" valign="middle">12273</td><td
align="center" valign="middle">F32.2</td><td align="left" valign="middle">Episode
depresif berat tanpa simptom-simptom psikotik</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">12356</td><td
align="center" valign="middle">F52.6</td><td align="left"
valign="middle">Disparenia nonorganik</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">2</td></tr><tr><td align="center"
valign="middle">24838</td><td align="center" valign="middle">F20</td><td
align="left" valign="middle">Skizofrenia</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">10</td><td align="center" valign="middle">7</td><td align="center"
valign="middle">17</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">11</td><td align="center"
valign="middle">8</td><td align="center" valign="middle">19</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">19</td><td align="center"
valign="middle">22</td></tr><tr><td align="center" valign="middle">24846</td><td
align="center" valign="middle">F32.0</td><td align="left" valign="middle">Episode
depresif ringan</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle"><b>11</b></td><td></td><td valign="middle"><b>PENY
SUSUNAN SYARAF</b></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td></tr><tr><td align="center"
valign="middle">1103</td><td align="center" valign="middle">G40</td><td
align="left" valign="middle">Epilepsi</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">3</td></tr><tr><td align="center" valign="middle">1108</td><td
align="center" valign="middle">R50.0</td><td align="left" valign="middle">Demam
disertai menggigil</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">5</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">5</td><td
align="center" valign="middle">6</td></tr><tr><td align="center"
valign="middle">12621</td><td align="center" valign="middle">G44.0</td><td
align="left" valign="middle">Sindrom sakit kepala kluster</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td></tr><tr><td align="center" valign="middle">12637</td><td
align="center" valign="middle">G46.3</td><td align="left" valign="middle">Brain
stem stroke syndrome</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">12719</td><td
align="center" valign="middle">G61.9</td><td align="left"
valign="middle">Polineuropati inflamasi, tidak terspesifikasi</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">12769</td><td
align="center" valign="middle">G81.9</td><td align="left"
valign="middle">Hemiplegia, tidak terspesifikasi</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">13164</td><td
align="center" valign="middle">H81.4</td><td align="left" valign="middle">Vertigo
dengan penyebab sentral</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">20841</td><td
align="center" valign="middle">R06.0</td><td align="left" valign="middle">Sesak
nafas</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td></tr><tr><td
align="center" valign="middle">20854</td><td align="center"
valign="middle">R07.4</td><td align="left" valign="middle">Sakit dada, tidak
terspesifikasi</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td></tr><tr><td align="center"
valign="middle">20860</td><td align="center" valign="middle">R10.0</td><td
align="left" valign="middle">Akut abdomen</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">20861</td><td
align="center" valign="middle">R10.1</td><td align="left" valign="middle">Sakit
pada perut bagian atas</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">20864</td><td
align="center" valign="middle">R10.4</td><td align="left" valign="middle">Sakit
perut lain dan tidak terspesifikasi</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">20865</td><td
align="center" valign="middle">R11</td><td align="left" valign="middle">Mual dan
muntah</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">3</td></tr><tr><td align="center"
valign="middle">20888</td><td align="center" valign="middle">R21</td><td
align="left" valign="middle">Kemerahan dan erupsi kulit lain yang tidak
terspesifikasi</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">20893</td><td align="center"
valign="middle">R22.4</td><td align="left" valign="middle">Pembengkakan, massa
setempat pada alat gerak bawah</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">20971</td><td
align="center" valign="middle">R47.8</td><td align="left" valign="middle">Gangguan
lain dan tidak terspesifikasi dari fungsi bicara</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">20981</td><td
align="center" valign="middle">R50.1</td><td align="left" valign="middle">Demam
menetap</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">20982</td><td align="center"
valign="middle">R50.2</td><td align="left" valign="middle">Demam, tidak
terspesifikasi</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">8</td><td align="center"
valign="middle">11</td><td align="center" valign="middle">7</td><td align="center"
valign="middle">8</td><td align="center" valign="middle">15</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">12</td><td align="center" valign="middle">17</td><td align="center"
valign="middle">29</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">29</td><td align="center" valign="middle">29</td></tr><tr><td
align="center" valign="middle">20984</td><td align="center"
valign="middle">R50.9</td><td align="left" valign="middle">Fever,
unspecified</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">5</td><td align="center" valign="middle">18</td><td align="center"
valign="middle">16</td><td align="center" valign="middle">34</td><td align="center"
valign="middle">10</td><td align="center" valign="middle">5</td><td align="center"
valign="middle">15</td><td align="center" valign="middle">5</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">8</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">36</td><td align="center" valign="middle">27</td><td align="center"
valign="middle">63</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">6</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">6</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">10</td><td align="center" valign="middle">63</td><td align="center"
valign="middle">10</td><td align="center" valign="middle">73</td></tr><tr><td
align="center" valign="middle">20985</td><td align="center"
valign="middle">R51</td><td align="left" valign="middle">Sakit kepala
(pusing)</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">5</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">9</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">5</td><td align="center" valign="middle">8</td><td
align="center" valign="middle">13</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">5</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">5</td><td
align="center" valign="middle">8</td><td align="center" valign="middle">13</td><td
align="center" valign="middle">8</td><td align="center"
valign="middle">21</td></tr><tr><td align="center" valign="middle">20990</td><td
align="center" valign="middle">R53</td><td align="left" valign="middle">Malaise
(tidak enak badan) dan fatigue (kelelahan)</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">6</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">5</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">7</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">7</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">7</td></tr><tr><td align="center" valign="middle">24909</td><td
align="center" valign="middle">G44</td><td align="left" valign="middle">Sindrom-
sindrom sakit kepala lainnya</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">5</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">5</td><td
align="center" valign="middle">6</td><td align="center" valign="middle">5</td><td
align="center" valign="middle">6</td><td align="center"
valign="middle">11</td></tr><tr><td align="center" valign="middle">29147</td><td
align="center" valign="middle">R23</td><td align="left" valign="middle">Perubahan-
perubahan kulit lainnya</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">29164</td><td
align="center" valign="middle">R50</td><td align="left" valign="middle">Demam tanpa
diketahui penyebab</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">6</td><td align="center" valign="middle">9</td><td align="center"
valign="middle">9</td><td align="center" valign="middle">18</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">12</td><td align="center" valign="middle">13</td><td align="center"
valign="middle">25</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">6</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">6</td><td align="center" valign="middle">5</td><td align="center"
valign="middle">11</td><td align="center" valign="middle">25</td><td align="center"
valign="middle">11</td><td align="center" valign="middle">36</td></tr><tr><td
align="center" valign="middle">29165</td><td align="center"
valign="middle">R52</td><td align="left" valign="middle">Nyeri, tidak
terklasifikasi ditempat lain</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">2</td></tr><tr><td align="center" valign="middle">4550</td><td
align="center" valign="middle">H81.3</td><td align="left" valign="middle">Vertigo
perifer lainnya</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">6</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">6</td><td align="center" valign="middle">9</td></tr><tr><td
align="center" valign="middle">4802</td><td align="center"
valign="middle">G20</td><td align="left" valign="middle">Penyakit Parkinson</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center"
valign="middle"><b>12</b></td><td></td><td valign="middle"><b>PENY MATA DAN
ADNEKSA</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td></tr><tr><td align="center" valign="middle">1201</td><td
align="center" valign="middle">H00</td><td align="left" valign="middle">Hordeolum
dan kalazion</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">1203</td><td align="center"
valign="middle">H10</td><td align="left" valign="middle">Konjungtivitis</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">5</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">5</td><td
align="center" valign="middle">5</td></tr><tr><td align="center"
valign="middle">1204</td><td align="center" valign="middle">H11.0</td><td
align="left" valign="middle">Pterigium</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">4</td></tr><tr><td
align="center" valign="middle">1208</td><td align="center"
valign="middle">H25</td><td align="left" valign="middle">Katarak senil</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">4</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">7</td></tr><tr><td align="center"
valign="middle">12871</td><td align="center" valign="middle">H10.2</td><td
align="left" valign="middle">Konjungtivitis akut lainnya</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">12872</td><td
align="center" valign="middle">H10.3</td><td align="left"
valign="middle">Konjungtivitis akut, tidak terspesifikasi</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">12982</td><td
align="center" valign="middle">H35.2</td><td align="left"
valign="middle">Retinopati proliferatif lainnya</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">12990</td><td
align="center" valign="middle">H36.0</td><td align="left" valign="middle">Diabetic
retinopathy</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">12995</td><td align="center"
valign="middle">H40.3</td><td align="left" valign="middle">Glaukoma sekunder akibat
trauma mata</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">13014</td><td align="center"
valign="middle">H44.5</td><td align="left" valign="middle">Kondisi-kondisi
degenerasi bola mata</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">13073</td><td
align="center" valign="middle">H54.1</td><td
align="left" valign="middle">Kebutaan, pada satu mata, penglihatan kurang, pada
mata yang lain</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">13074</td><td align="center"
valign="middle">H54.2</td><td align="left" valign="middle">Penglihatan kurang, pada
kedua mata</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">24953</td><td align="center"
valign="middle">H13</td><td align="left" valign="middle">Disorders of conjunctiva
in diseases classified elsewhere</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">24963</td><td
align="center" valign="middle">H26</td><td align="left" valign="middle">Katarak
lainnya</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td></tr><tr><td align="center"
valign="middle">24973</td><td align="center" valign="middle">H40.0</td><td
align="left" valign="middle">Suspek glaukoma</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td></tr><tr><td align="center"
valign="middle"><b>13</b></td><td></td><td valign="middle"><b>PENY PADA TELINGA DAN
PROC MASTOIDEUS</b></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td></tr><tr><td align="center"
valign="middle">13111</td><td align="center" valign="middle">H65.0</td><td
align="left" valign="middle">Otitis media serosa akut</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td></tr><tr><td align="center" valign="middle">13113</td><td
align="center" valign="middle">H65.2</td><td align="left" valign="middle">Otitis
media serosa kronik</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td
align="center" valign="middle">1</td></tr><tr><td align="center"
valign="middle">13122</td><td align="center" valign="middle">H66.9</td><td
align="left" valign="middle">Otitis media, tidak terspesifikasi</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td></tr><tr><td align="center"
valign="middle">13178</td><td align="center" valign="middle">H90.4</td><td
align="left" valign="middle">Sensorineural hearing loss, unilateral with
unrestricted hearing on the contralateral side</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td></tr><tr><td align="center" valign="middle">13193</td><td
align="center" valign="middle">H93.1</td><td align="left"
valign="middle">Tinnitus</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">2</td><td align="center"
valign="middle">3</td></tr><tr><td align="center" valign="middle">25007</td><td
align="center" valign="middle">H91</td><td align="left" valign="middle">Kehilangan
pendengaran lainnya</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td></tr><tr><td align="center" valign="middle">4509</td><td
align="center" valign="middle">H61.2</td><td align="left" valign="middle">Serumen
impak</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td></tr><tr><td
align="center" valign="middle"><b>14</b></td><td></td><td valign="middle"><b>PENY
JANTUNG ISKEMIK</b></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td></tr><tr><td align="center"
valign="middle">1403</td><td align="center" valign="middle">I50</td><td
align="left" valign="middle">Gagal jantung</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">4</td></tr><tr><td align="center" valign="middle">25049</td><td
align="center" valign="middle">I50.0</td><td align="left" valign="middle">Gagal
jantung kongestif</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">5</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">5</td><td align="center" valign="middle">7</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">5</td><td align="center" valign="middle">13</td><td
align="center" valign="middle">18</td><td align="center" valign="middle">5</td><td
align="center" valign="middle">18</td><td align="center"
valign="middle">23</td></tr><tr><td align="center" valign="middle">3902</td><td
align="center" valign="middle">I64</td><td align="left" valign="middle">Stroke,
tidak terspesifikasi sebagai perdarahan atau infark</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">5</td><td align="center" valign="middle">9</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">9</td><td align="center"
valign="middle">9</td></tr><tr><td align="center"
valign="middle"><b>15</b></td><td></td><td valign="middle"><b>DEMAM REMATIK DAN
JANTUNG REMATIK</b></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td></tr><tr><td align="center"
valign="middle">25026</td><td align="center" valign="middle">I24</td><td
align="left" valign="middle">Penyakit-penyakit jantung iskemik akut lainnya</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td></tr><tr><td align="center"
valign="middle"><b>16</b></td><td></td><td valign="middle"><b>PENY TEKANANAN
DARAH</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td></tr><tr><td align="center" valign="middle">13239</td><td
align="center" valign="middle">I11.0</td><td align="left" valign="middle">Penyakit
jantung hipertensi dengan gagal jantung (kongestif)</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">1601</td><td
 align="center" valign="middle">I10</td><td align="left" valign="middle">Hipertensi
esensial (primer)</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">5</td><td align="center"
valign="middle">7</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">8</td><td align="center"
valign="middle">10</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">7</td><td align="center"
valign="middle">7</td><td align="center" valign="middle">14</td><td align="center"
valign="middle">7</td><td align="center" valign="middle">17</td><td align="center"
valign="middle">24</td><td align="center" valign="middle">9</td><td align="center"
valign="middle">21</td><td align="center" valign="middle">30</td><td align="center"
valign="middle">22</td><td align="center" valign="middle">18</td><td align="center"
valign="middle">40</td><td align="center" valign="middle">6</td><td align="center"
valign="middle">7</td><td align="center" valign="middle">13</td><td align="center"
valign="middle">51</td><td align="center" valign="middle">70</td><td align="center"
valign="middle">121</td><td align="center" valign="middle">10</td><td
align="center" valign="middle">121</td><td align="center"
valign="middle">131</td></tr><tr><td align="center" valign="middle">25018</td><td
align="center" valign="middle">I11</td><td align="left" valign="middle">Penyakit
jantung hipertensi</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">3</td></tr><tr><td
align="center" valign="middle"><b>17</b></td><td></td><td valign="middle"><b>PENY
PEMBULUH
DARAH</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td></tr><tr><td align="center" valign="middle">1701</td><td
align="center" valign="middle">I84</td><td align="left"
valign="middle">Hemoroid</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">5</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">4</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">8</td><td
align="center" valign="middle">11</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">11</td><td align="center"
valign="middle">13</td></tr><tr><td align="center" valign="middle">25077</td><td
align="center" valign="middle">I88</td><td align="left"
valign="middle">Limfadenitis nonspesifik</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td></tr><tr><td
align="center" valign="middle"><b>18</b></td><td></td><td valign="middle"><b>PENY
INFEKSI SALURAN PERNAFASAN
ATAS</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td></tr><tr><td align="center" valign="middle">13599</td><td
align="center" valign="middle">J02.9</td><td align="left"
valign="middle">Faringitis akut, tidak terspesifikasi</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">5</td></tr><tr><td align="center" valign="middle">1801</td><td
align="center" valign="middle">J00</td><td align="left"
valign="middle">Nasofaringitis akut [ ISPA common cold ]</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">21</td><td align="center"
valign="middle">11</td><td align="center" valign="middle">32</td><td align="center"
valign="middle">50</td><td align="center" valign="middle">59</td><td align="center"
valign="middle">109</td><td align="center" valign="middle">40</td><td
align="center" valign="middle">31</td><td align="center" valign="middle">71</td><td
align="center" valign="middle">22</td><td align="center" valign="middle">44</td><td
align="center" valign="middle">66</td><td align="center" valign="middle">6</td><td
align="center" valign="middle">12</td><td align="center" valign="middle">18</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">142</td><td
align="center" valign="middle">159</td><td align="center"
valign="middle">301</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">8</td><td align="center" valign="middle">27</td><td align="center"
valign="middle">19</td><td align="center" valign="middle">46</td><td align="center"
valign="middle">56</td><td align="center" valign="middle">46</td><td align="center"
valign="middle">102</td><td align="center" valign="middle">73</td><td
align="center" valign="middle">107</td><td align="center"
valign="middle">180</td><td align="center" valign="middle">18</td><td
align="center" valign="middle">31</td><td align="center" valign="middle">49</td><td
align="center" valign="middle">8</td><td align="center" valign="middle">17</td><td
align="center" valign="middle">25</td><td align="center" valign="middle">11</td><td
align="center" valign="middle">28</td><td align="center" valign="middle">39</td><td
align="center" valign="middle">7</td><td align="center" valign="middle">10</td><td
align="center" valign="middle">17</td><td align="center"
valign="middle">204</td><td align="center" valign="middle">262</td><td
align="center" valign="middle">466</td><td align="center"
valign="middle">301</td><td align="center" valign="middle">466</td><td
align="center" valign="middle">767</td></tr><tr><td align="center"
valign="middle">1802</td><td align="center" valign="middle">J02</td><td
align="left" valign="middle">Faringitis akut</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">1</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">8</td><td align="center"
valign="middle">10</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">10</td><td align="center" valign="middle">13</td></tr><tr><td
align="center" valign="middle">1803</td><td align="center"
valign="middle">J03</td><td align="left" valign="middle">Tonsilitis akut</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td></tr><tr><td align="center"
valign="middle">1902</td><td align="center" valign="middle">J18.9</td><td
align="left" valign="middle">Pneumonia, tidak terspesifikasi</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">6</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">9</td><td align="center"
valign="middle">7</td><td align="center" valign="middle">7</td><td align="center"
valign="middle">14</td><td align="center" valign="middle">6</td><td align="center"
valign="middle">6</td><td align="center" valign="middle">12</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">19</td><td align="center"
valign="middle">17</td><td align="center" valign="middle">36</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">36</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">40</td></tr><tr><td align="center" valign="middle">25083</td><td
align="center" valign="middle">J01</td><td align="left" valign="middle">Sinusitis
akut</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">3</td></tr><tr><td
align="center" valign="middle">25087</td><td align="center"
valign="middle">J06</td><td align="left" valign="middle">Infeksi-infeksi pernafasan
atas akut pada tempat-tempat multipel dan tak</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td></tr><tr><td align="center"
valign="middle"><b>19</b></td><td></td><td valign="middle"><b>PENY INFEKSI SALURAN
PERNAFASAN
BAWAH</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td></tr><tr><td align="center" valign="middle">13656</td><td
align="center" valign="middle">J20.9</td><td align="left"
valign="middle">Bronkhitis akut, tidak terspesifikasi</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">5</td><td align="center"
valign="middle">8</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">5</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">8</td><td align="center"
valign="middle">8</td><td align="center" valign="middle">16</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">5</td><td align="center"
valign="middle">16</td><td align="center" valign="middle">5</td><td align="center"
valign="middle">21</td></tr><tr><td align="center" valign="middle">13658</td><td
align="center" valign="middle">J21.8</td><td align="left" valign="middle">Acute
bronchiolitis due to other specified organisms</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td></tr><tr><td align="center" valign="middle">13680</td><td
align="center" valign="middle">J34.0</td><td align="left" valign="middle">Abses,
furunkel dan karbunkel</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center"
valign="middle">2</td></tr><tr><td align="center" valign="middle">13685</td><td
align="center" valign="middle">J35.0</td><td align="left"
valign="middle">Tonsilitis kronik</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">13688</td><td
align="center" valign="middle">J35.3</td><td align="left"
valign="middle">Hipertrofi tonsil dengan hipertrofi adenoid</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td></tr><tr><td align="center" valign="middle">13721</td><td
align="center" valign="middle">J44.9</td><td align="left" valign="middle">Penyakit
paru obstruktif kronik, tidak terspesifikasi</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td></tr><tr><td align="center" valign="middle">13726</td><td
align="center" valign="middle">J46</td><td align="left" valign="middle">Status
asmatikus</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">6</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">6</td><td
align="center" valign="middle">6</td></tr><tr><td align="center"
valign="middle">13785</td><td align="center" valign="middle">J90</td><td
align="left" valign="middle">Effusi pleura, tidak terklasifikasi ditempat
lain</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">1903</td><td align="center"
valign="middle">J20</td><td align="left" valign="middle">Bronkhitis akut</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">3</td></tr><tr><td align="center"
valign="middle">1905</td><td align="center" valign="middle">J45</td><td
align="left" valign="middle">Asma</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">5</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">5</td><td align="center"
valign="middle">7</td></tr><tr><td align="center" valign="middle">25113</td><td
align="center" valign="middle">J44</td><td align="left" valign="middle">Penyakit
paru obstruktif kronik lainnya</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">3</td><td align="center"
valign="middle">5</td></tr><tr><td align="center"
valign="middle"><b>20</b></td><td></td><td valign="middle"><b>PENY GIGI DAN RONGGA
MULUT</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td></tr><tr><td align="center" valign="middle">13832</td><td
align="center" valign="middle">K01.1</td><td align="left" valign="middle">Gigi
impak</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">5</td><td align="center" valign="middle">6</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">5</td><td align="center"
valign="middle">6</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">6</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">7</td></tr><tr><td
align="center" valign="middle">13835</td><td align="center"
valign="middle">K02.1</td><td align="left" valign="middle">Karies dentin</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">8</td><td align="center" valign="middle">12</td><td
align="center" valign="middle">20</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">4</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">12</td><td
align="center" valign="middle">19</td><td align="center" valign="middle">31</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">4</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">5</td><td align="center" valign="middle">6</td><td
align="center" valign="middle">31</td><td align="center" valign="middle">6</td><td
align="center" valign="middle">37</td></tr><tr><td align="center"
valign="middle">13847</td><td align="center" valign="middle">K03.6</td><td
align="left" valign="middle">Deposit [akresion] pada gigi</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">4</td><td
align="center" valign="middle">6</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">7</td><td align="center" valign="middle">10</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">10</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">13</td></tr><tr><td align="center"
valign="middle">13856</td><td align="center" valign="middle">K04.7</td><td
align="left" valign="middle">Periapikal abses tanpa sinus</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">5</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">7</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">10</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">10</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">11</td></tr><tr><td align="center" valign="middle">13861</td><td
align="center" valign="middle">K05.0</td><td align="left"
valign="middle">Gingivitis akut</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">2003</td><td
align="center" valign="middle">K02</td><td align="left" valign="middle">Karies
gigi</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">2013</td><td align="center"
valign="middle">K04.0</td><td align="left" valign="middle">Pulpitis</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">4</td></tr><tr><td align="center"
valign="middle">2015</td><td align="center" valign="middle">K04.1</td><td
align="left" valign="middle">Nekrosis pulpa</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">6</td><td align="center" valign="middle">9</td><td align="center"
valign="middle">9</td><td align="center" valign="middle">7</td><td align="center"
valign="middle">16</td><td align="center" valign="middle">7</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">10</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">7</td><td align="center" valign="middle">9</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">25</td><td align="center"
valign="middle">26</td><td align="center" valign="middle">51</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">5</td><td align="center" valign="middle">8</td><td align="center"
valign="middle">13</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">10</td><td align="center"
valign="middle">13</td><td align="center" valign="middle">23</td><td align="center"
valign="middle">51</td><td align="center" valign="middle">23</td><td align="center"
valign="middle">74</td></tr><tr><td align="center" valign="middle">2017</td><td
align="center" valign="middle">K00.6</td><td align="left" valign="middle">Gangguan-
gangguan erupsi gigi</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">8</td><td align="center" valign="middle">9</td><td
align="center" valign="middle">17</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">8</td><td align="center" valign="middle">13</td><td
align="center" valign="middle">21</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">5</td><td
align="center" valign="middle">8</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">5</td><td
align="center" valign="middle">9</td><td align="center" valign="middle">21</td><td
align="center" valign="middle">9</td><td align="center"
valign="middle">30</td></tr><tr><td align="center"
valign="middle"><b>21</b></td><td></td><td valign="middle"><b>PENY SALURAN
PENCERNAAN DAN
HATI</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td></tr><tr><td align="center" valign="middle">13981</td><td
align="center" valign="middle">K29.1</td><td align="left" valign="middle">Gastritis
akut lainnya</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">5</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">5</td><td align="center"
valign="middle">5</td></tr><tr><td align="center" valign="middle">13987</td><td
align="center" valign="middle">K29.7</td><td align="left"
valign="middle">Gastritis, tidak terspesifikasi</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">8</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">6</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">6</td><td align="center"
valign="middle">12</td><td align="center" valign="middle">18</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">6</td><td align="center" valign="middle">8</td><td align="center"
valign="middle">18</td><td align="center" valign="middle">8</td><td align="center"
valign="middle">26</td></tr><tr><td align="center" valign="middle">14080</td><td
align="center" valign="middle">K59.1</td><td align="left" valign="middle">Diare
fungsional</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">5</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">5</td><td align="center" valign="middle">5</td></tr><tr><td
align="center" valign="middle">14092</td><td align="center"
valign="middle">K61.0</td><td align="left" valign="middle">Abses pada anus</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">14112</td><td align="center"
valign="middle">K63.5</td><td align="left" valign="middle">Polyp of colon</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">2</td></tr><tr><td align="center"
valign="middle">14232</td><td align="center" valign="middle">K92.9</td><td
align="left" valign="middle">Penyakit sistem pencernaan, tidak
terspesifikasi</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">2102</td><td align="center"
valign="middle">K29</td><td align="left" valign="middle">Gastritis dan
duodenitis</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">6</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">5</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">7</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">10</td><td align="center" valign="middle">12</td><td align="center"
valign="middle">22</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">22</td><td align="center" valign="middle">22</td></tr><tr><td
align="center" valign="middle">2103</td><td align="center"
valign="middle">K30</td><td align="left" valign="middle">Dispepsia</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">8</td><td align="center" valign="middle">4</td><td
align="center" valign="middle">12</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">8</td><td align="center" valign="middle">6</td><td align="center"
valign="middle">14</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">8</td><td align="center" valign="middle">10</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">12</td><td align="center"
valign="middle">15</td><td align="center" valign="middle">14</td><td align="center"
valign="middle">15</td><td align="center" valign="middle">29</td></tr><tr><td
align="center" valign="middle">25154</td><td align="center"
valign="middle">K27</td><td align="left" valign="middle">Ulkus peptik, letak tidak
terspesifikasi</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">5</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">5</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">9</td></tr><tr><td
align="center" valign="middle">25163</td><td align="center"
valign="middle">K40</td><td align="left" valign="middle">Hernia inguinal</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td></tr><tr><td align="center"
valign="middle">25164</td><td align="center" valign="middle">K40.9</td><td
align="left" valign="middle">Hernia inguinal unilateral atau tidak terspesifikasi,
tanpa obstruksi atau ga</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center"
valign="middle">1</td></tr><tr><td
align="center" valign="middle"><b>22</b></td><td></td><td valign="middle"><b>PENY
PADA SALURAN KENCING</b></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td></tr><tr><td align="center"
valign="middle">19040</td><td align="center" valign="middle">N04</td><td
align="left" valign="middle">Sindrom nefrotik</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td></tr><tr><td align="center" valign="middle">19126</td><td
align="center" valign="middle">N18.9</td><td align="left" valign="middle">Gagal
ginjal kronik, tidak terspesifikasi</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">19154</td><td
align="center" valign="middle">N30</td><td align="left" valign="middle">Radang
kandung kemih</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">19182</td><td align="center"
valign="middle">N35.9</td><td align="left" valign="middle">Striktur uretra, tidak
terspesifikasi</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td></tr><tr><td align="center"
valign="middle">19192</td><td align="center" valign="middle">N39.0</td><td
align="left" valign="middle">Infeksi saluran kemih, letak tidak
terspesifikasi</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">6</td></tr><tr><td
align="center" valign="middle">28769</td><td align="center"
valign="middle">N18</td><td align="left" valign="middle">Gagal ginjal
kronik</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">5</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">5</td><td align="center" valign="middle">5</td></tr><tr><td
align="center" valign="middle">28770</td><td align="center"
valign="middle">N18.0</td><td align="left" valign="middle">Penyakit ginjal tahap
akhir</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">28774</td><td
align="center" valign="middle">N20.0</td><td align="left" valign="middle">Batu pada
ginjal</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">3</td></tr><tr><td
align="center" valign="middle"><b>23</b></td><td></td><td valign="middle"><b>PENY
ALAT KELAMIN LAKI-LAKI</b></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td></tr><tr><td align="center"
valign="middle">0605</td><td align="center" valign="middle">A54</td><td
align="left" valign="middle">Infeksi Gonokokus</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">3</td></tr><tr><td align="center" valign="middle">10332</td><td
align="center" valign="middle">A66.2</td><td align="left" valign="middle">Lesi
kulit awal lain dari patek</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">10348</td><td
align="center" valign="middle">A69.0</td><td align="left"
valign="middle">Necrotizing stomatitis ulseratif</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td></tr><tr><td
align="center" valign="middle">19198</td><td align="center"
valign="middle">N40</td><td align="left" valign="middle">Hiperplasi prostat</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">2</td></tr><tr><td align="center"
valign="middle"><b>24</b></td><td></td><td valign="middle"><b>PENY ALAT KELAMIN
PEREMPUAN</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td></tr><tr><td align="center" valign="middle">19287</td><td
align="center" valign="middle">N76.0</td><td align="left" valign="middle">Vaginitis
akut</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">19297</td><td align="center"
valign="middle">N80</td><td align="left" valign="middle">Endometriosis</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td></tr><tr><td align="center"
valign="middle">19324</td><td align="center" valign="middle">N83.0</td><td
align="left" valign="middle">Kista folikular ovarium</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">19326</td><td
align="center" valign="middle">N83.2</td><td align="left" valign="middle">Kista
ovarium lain dan tidak terspesifikasi</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">7</td></tr><tr><td align="center" valign="middle">19371</td><td
align="center" valign="middle">N90</td><td align="left" valign="middle">Kelainan-
kelainan noninflamasi lain pada vulva dan perineum</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center"
valign="middle"><b>25</b></td><td></td><td valign="middle"><b>KESEHATAN
MATERNAL</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td></tr><tr><td align="center" valign="middle">19443</td><td
align="center" valign="middle">O02.1</td><td
align="left" valign="middle">Missed aborsi</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td></tr><tr><td align="center"
valign="middle"><b>26</b></td><td></td><td valign="middle"><b>SEBAB KELAINAN
KANDUNGAN LANGSUNG (PERSALINAN
RESTI)</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td></tr><tr><td align="center" valign="middle">28903</td><td
align="center" valign="middle">O44.1</td><td align="left" valign="middle">Plasenta
previa dengan perdarahan</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center"
valign="middle">1</td></tr><tr><td align="center"
valign="middle"><b>26A</b></td><td></td><td valign="middle"><b>HASIL
PERSALINAN</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td></tr><tr><td align="center" valign="middle">19782</td><td
align="center" valign="middle">O82.9</td><td align="left" valign="middle">Delivery
by caesarean section, unspecified</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">0</td><td align="center"
valign="middle">3</td></tr><tr><td align="center" valign="middle">24414</td><td
align="center" valign="middle">Z54.0</td><td align="left" valign="middle">Pemulihan
setelah operasi</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center"
valign="middle"><b>27</b></td><td></td><td
valign="middle"><b>KEHAMILAN</b></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td></tr><tr><td align="center"
valign="middle">2710</td><td align="center" valign="middle">Z34</td><td
align="left" valign="middle">Pengawasan kehamilan normal</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">12</td><td align="center"
valign="middle">12</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">12</td><td align="center" valign="middle">12</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">12</td><td align="center"
valign="middle">12</td></tr><tr><td align="center" valign="middle">2803</td><td
align="center" valign="middle">Z34.8</td><td align="left"
valign="middle">Pengawasan kehamilan normal lainnya / Kunj Lama</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">34</td><td
align="center" valign="middle">35</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">35</td><td align="center" valign="middle">36</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">36</td><td
align="center" valign="middle">36</td></tr><tr><td align="center"
valign="middle"><b>28</b></td><td></td><td valign="middle"><b>IBU HAMIL
RESTI</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td></tr><tr><td align="center" valign="middle">24292</td><td
align="center" valign="middle">Z35.9</td><td align="left"
valign="middle">Pengawasan kehamilan berisiko tinggi , tidak spesifik</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">28170</td><td align="center"
valign="middle">Z38.8</td><td align="left" valign="middle">Beberapa lainnya , yang
tidak spesifik untuk tempat lahir</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center"
valign="middle"><b>33</b></td><td></td><td valign="middle"><b>CACAT
KONGENITAL</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td></tr><tr><td align="center" valign="middle">20343</td><td
align="center" valign="middle">Q24.9</td><td align="left"
valign="middle">Malformasi kongenital pada jantung, tidak terspesifikasi</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td></tr><tr><td align="center"
valign="middle">20656</td><td align="center" valign="middle">Q75.3</td><td
align="left" valign="middle">Makrosefali</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td></tr><tr><td align="center"
valign="middle"><b>34</b></td><td></td><td valign="middle"><b>KEADAAN TERTENTU PADA
MASA PERINATAL</b></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td></tr><tr><td align="center"
valign="middle">20148</td><td align="center" valign="middle">P78.3</td><td
align="left" valign="middle">Diare neonatal noninfektif</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center"
valign="middle"><b>35</b></td><td></td><td valign="middle"><b>NEOPLASMA /
KEGANASAN</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td></tr><tr><td align="center" valign="middle">11209</td><td
align="center" valign="middle">C81.9</td><td align="left" valign="middle">Penyakit
Hodgkin, tidak terspesifikasi</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">28467</td><td
align="center" valign="middle">C34</td><td align="left" valign="middle">Neoplasma
ganas pada bronkus dan paru</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">3503</td><td
align="center" valign="middle">C50</td><td align="left" valign="middle">Tumor ganas
: Payudara</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">3</td></tr><tr><td
align="center" valign="middle"><b>35B</b></td><td></td><td valign="middle"><b>TUMOR
JINAK</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td></tr><tr><td align="center" valign="middle">11409</td><td
align="center" valign="middle">D21.0</td><td align="left" valign="middle">Neoplasma
jinak lain jaringan penyambung dan jaringan lunak lainnya pa</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">11554</td><td
align="center" valign="middle">D46.4</td><td align="left" valign="middle">Anemia
refrakter, tidak terspesifikasi</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">3</td><td align="center"
valign="middle">3</td></tr><tr><td align="center" valign="middle">28560</td><td
align="center" valign="middle">D25.0</td><td align="left"
valign="middle">Leiomyoma pada submukosa rahim</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">3508</td><td
align="center" valign="middle">D17</td><td align="left" valign="middle">Tumor jinak
: Lipoma</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">3511</td><td align="center"
valign="middle">D24</td><td align="left" valign="middle">Tumor jinak :
Payudara</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle"><b>36</b></td><td></td><td
valign="middle"><b>KECELAKAAN DAN
KERACUNAN</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td></tr><tr><td align="center" valign="middle">21167</td><td
align="center" valign="middle">S01.0</td><td align="left" valign="middle">Luka
terbuka pada kulit kepala</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">21315</td><td align="center"
valign="middle">S14.3</td><td align="left" valign="middle">Cedera pleksus
brakialis</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">21643</td><td align="center"
valign="middle">S50.8</td><td align="left" valign="middle">Luka dangkal lainnya
lengan</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">21667</td><td align="center"
valign="middle">S52.6</td><td align="left" valign="middle">Fraktur ujung bawah dari
kedua ulna dan radius</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td
align="center" valign="middle">1</td></tr><tr><td align="center"
valign="middle">21711</td><td align="center" valign="middle">S59.7</td><td
align="left" valign="middle">Beberapa cedera lengan</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">21752</td><td
align="center" valign="middle">S63.0</td><td align="left" valign="middle">Dislokasi
pergelangan tangan</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">21818</td><td align="center"
valign="middle">S72.30</td><td align="left" valign="middle">Fracture of shaft of
femur, closed</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">21869</td><td align="center"
valign="middle">S81.9</td><td align="left" valign="middle">Luka terbuka dari kaki
bagian bawah , bagian yang tidak spesifik</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">29204</td><td
align="center" valign="middle">S04</td><td align="left" valign="middle">Injury of
cranial nerves</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">29267</td><td align="center"
valign="middle">S72</td><td align="left" valign="middle">Fracture of femur</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td></tr><tr><td align="center"
valign="middle">3607</td><td align="center" valign="middle">S61.0</td><td
align="left" valign="middle">Luka terbuka jari ( s ) tanpa merusak kuku</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td></tr><tr><td align="center"
valign="middle"><b>37</b></td><td></td><td valign="middle"><b>PENY PADA PRODUKSI
SEL DARAH</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td
></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></
tr><tr><td align="center" valign="middle">28590</td><td align="center"
valign="middle">D56</td><td align="left" valign="middle">Talassemia</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td></tr><tr><td align="center"
valign="middle">3701</td><td align="center" valign="middle">D50</td><td
align="left" valign="middle">Anemia: Deff Fe</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center"
valign="middle"><b>38</b></td><td></td><td valign="middle"><b>PENY KULIT DAN
JARINGAN SUBKUTAN</b></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td></tr><tr><td align="center"
valign="middle">14263</td><td align="center" valign="middle">L08.9</td><td
align="left" valign="middle">Infeksi lokal pada kulit dan jaringan subkutan, tidak
terspesifikasi</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">14297</td><td align="center"
valign="middle">L23.2</td><td align="left" valign="middle">Dermatitis kontak alergi
yang disebabkan oleh kosmetik</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">14298</td><td
align="center" valign="middle">L23.3</td><td align="left"
valign="middle">Dermatitis kontak alergi yang disebabkan oleh obat-obatan kontak
denga</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">14304</td><td align="center"
valign="middle">L23.9</td><td align="left" valign="middle">Dermatitis kontak
alergi, penyebab tidak terspesifikasi</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">14341</td><td
align="center" valign="middle">L30.3</td><td align="left"
valign="middle">Dermatitis infektif</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">6</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">6</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">5</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">5</td><td
align="center" valign="middle">6</td><td align="center" valign="middle">11</td><td
align="center" valign="middle">6</td><td align="center" valign="middle">11</td><td
align="center" valign="middle">17</td></tr><tr><td align="center"
valign="middle">14344</td><td align="center" valign="middle">L30.8</td><td
align="left" valign="middle">Dermatitis spesifik lainnya</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">14345</td><td
align="center" valign="middle">L30.9</td><td align="left"
valign="middle">Dermatitis, tidak terspesifikasi</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">14429</td><td
align="center" valign="middle">L60.3</td><td align="left" valign="middle">Distrofi
kuku</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">14537</td><td align="center"
valign="middle">L91.0</td><td align="left" valign="middle">Parut keloid</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td></tr><tr><td align="center"
valign="middle">14569</td><td align="center" valign="middle">L98.6</td><td
align="left" valign="middle">Kelainan-kelainan infiltratif lain pada kulit dan
jaringan subkutan</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">28683</td><td align="center"
valign="middle">L21</td><td align="left" valign="middle">Dermatitis
seboroik</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">28690</td><td align="center"
valign="middle">L30</td><td align="left" valign="middle">Dermatitis lainnya</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td></tr><tr><td align="center"
valign="middle">28695</td><td align="center" valign="middle">L50.0</td><td
align="left" valign="middle">Urtikaria alergi</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">6</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">8</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">5</td><td align="center" valign="middle">8</td><td align="center"
valign="middle">5</td><td align="center" valign="middle">13</td></tr><tr><td
align="center" valign="middle">28704</td><td align="center"
valign="middle">L60</td><td align="left" valign="middle">Kelainan-kelainan pada
kuku</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">28726</td><td align="center"
valign="middle">L90</td><td align="left" valign="middle">Kelainan-kelainan atrofik
pada kulit</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">28732</td><td align="center"
valign="middle">L98</td><td align="left" valign="middle">Kelainan-kelainan lain
pada kulit dan jaringan subkutan, tidak terklasifikas</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">3802</td><td
align="center" valign="middle">L02</td><td align="left" valign="middle">Abses,
furunkel dan karbunkel kutan</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">3805</td><td
align="center" valign="middle">L08</td><td align="left" valign="middle">Infeksi-
infeksi lokal lain pada kulit dan jaringan subkutan</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td></tr><tr><td align="center" valign="middle">3806</td><td
align="center" valign="middle">L20</td><td align="left" valign="middle">Dermatitis
atopik</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td></tr><tr><td
align="center" valign="middle">3808</td><td align="center"
valign="middle">L23</td><td align="left" valign="middle">Dermatitis kontak
alergi</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">6</td></tr><tr><td align="center" valign="middle">3809</td><td
align="center" valign="middle">L29</td><td align="left"
valign="middle">Pruritus</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">0</td><td align="center"
valign="middle">2</td></tr><tr><td align="center" valign="middle">3812</td><td
align="center" valign="middle">L50</td><td align="left"
valign="middle">Urtikaria</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">4</td><td
align="center" valign="middle">4</td><td align="center"
valign="middle">8</td></tr><tr><td align="center"
valign="middle"><b>40</b></td><td></td><td valign="middle"><b>PENY PADA SISTEM OTOT
DAN JARINGAN PENGIKAT</b></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td></tr><tr><td align="center"
valign="middle">14889</td><td align="center" valign="middle">M05</td><td
align="left" valign="middle">Artritis rematoid seropositif</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">4</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">5</td><td
align="center" valign="middle">7</td><td align="center" valign="middle">13</td><td
align="center" valign="middle">20</td><td align="center" valign="middle">6</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">9</td><td
align="center" valign="middle">17</td><td align="center" valign="middle">17</td><td
align="center" valign="middle">34</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">34</td><td align="center"
valign="middle">35</td></tr><tr><td align="center" valign="middle">14901</td><td
align="center" valign="middle">M05.1</td><td align="left" valign="middle">Penyakit
paru rematoid</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td></tr><tr><td
align="center" valign="middle">14956</td><td align="center"
valign="middle">M06</td><td align="left" valign="middle">Artritis rematoid
lainnya</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">3</td></tr><tr><td
align="center" valign="middle">15023</td><td align="center"
valign="middle">M06.9</td><td align="left" valign="middle">Artritis rematoid, tidak
terpesifikasi</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">6</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">5</td><td align="center"
valign="middle">8</td><td align="center" valign="middle">6</td><td align="center"
valign="middle">8</td><td align="center" valign="middle">14</td></tr><tr><td
align="center" valign="middle">15030</td><td align="center"
valign="middle">M06.96</td><td align="left" valign="middle">Rheumatoid arthritis,
unspecified, lower leg</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td></tr><tr><td align="center"
valign="middle">15219</td><td align="center" valign="middle">M10</td><td
align="left" valign="middle">Gout</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">0</td><td align="center"
valign="middle">3</td></tr><tr><td align="center" valign="middle">15457</td><td
align="center" valign="middle">M15.0</td><td align="left"
valign="middle">Osteoartrosis primer general</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">3</td></tr><tr><td align="center" valign="middle">15474</td><td
align="center" valign="middle">M17</td><td align="left" valign="middle">Gonartrosis
[artrosis pada lutut]</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">5</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">5</td><td
align="center" valign="middle">5</td><td align="center" valign="middle">5</td><td
align="center" valign="middle">5</td><td align="center"
valign="middle">10</td></tr><tr><td align="center" valign="middle">15475</td><td
align="center" valign="middle">M17.0</td><td align="left"
valign="middle">Gonartrosis primer, bilateral</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">2</td></tr><tr><td align="center" valign="middle">15535</td><td
align="center" valign="middle">M19.9</td><td align="left" valign="middle">Artrosis,
tidak terspesifikasi</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">16177</td><td
align="center" valign="middle">M43.0</td><td align="left"
valign="middle">Spondilolisis</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">16445</td><td
align="center" valign="middle">M48.06</td><td align="left" valign="middle">Spinal
stenosis, lumbar region</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center"
valign="middle">2</td></tr><tr><td align="center" valign="middle">16728</td><td
align="center" valign="middle">M54.37</td><td align="left"
valign="middle">Sciatica, lumbosacral region</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td></tr><tr><td align="center" valign="middle">16742</td><td
align="center" valign="middle">M54.5</td><td align="left" valign="middle">Nyeri
(sakit) punggung bawah</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">16743</td><td
align="center" valign="middle">M54.50</td><td align="left" valign="middle">Low back
pain, multiple sites</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">16749</td><td
align="center" valign="middle">M54.56</td><td align="left" valign="middle">Low back
pain, lumbar region</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">17176</td><td
align="center" valign="middle">M67.4</td><td align="left"
valign="middle">Ganglion</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">17494</td><td
align="center" valign="middle">M75.0</td><td align="left"
valign="middle">Kapsulitis adhesif pada pundak</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">17703</td><td
align="center" valign="middle">M79.1</td><td align="left"
valign="middle">Mialgia</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">7</td><td
align="center" valign="middle">8</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">8</td><td align="center" valign="middle">9</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">17</td><td align="center" valign="middle">20</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">20</td><td
align="center" valign="middle">21</td></tr><tr><td align="center"
valign="middle">17714</td><td align="center" valign="middle">M79.2</td><td
align="left" valign="middle">Neuralgia dan neuritis, tidak terspesifikasi</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td></tr><tr><td align="center"
valign="middle">17717</td><td align="center" valign="middle">M79.22</td><td
align="left" valign="middle">Neuralgia and neuritis, unspecified, upper arm</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td></tr><tr><td align="center"
valign="middle"><b>45</b></td><td></td><td valign="middle"><b>PENYAKIT
LAIN-LAIN</b></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td></tr><tr><td align="center" valign="middle">22153</td><td
align="center" valign="middle">T16</td><td align="left" valign="middle">Benda asing
di telinga</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td></tr><tr><td
align="center" valign="middle">22268</td><td align="center"
valign="middle">T31.0</td><td align="left" valign="middle">Luka bakar yang
melibatkan kurang
dari 10 % dari permukaan tubuh</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">3</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">4</td><td align="center"
valign="middle">4</td></tr><tr><td align="center" valign="middle">24109</td><td
align="center" valign="middle">Z00.0</td><td align="left"
valign="middle">Pemeriksaan kesehatan umum</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">6</td><td align="center" valign="middle">10</td><td align="center"
valign="middle">16</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">8</td><td align="center"
valign="middle">10</td><td align="center" valign="middle">18</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">7</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">11</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">7</td><td align="center"
valign="middle">5</td><td align="center" valign="middle">12</td><td align="center"
valign="middle">18</td><td align="center" valign="middle">12</td><td align="center"
valign="middle">30</td></tr><tr><td align="center" valign="middle">24110</td><td
align="center" valign="middle">Z00.1</td><td align="left" valign="middle">Rutin
Pemeriksaan kesehatan anak</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center"
valign="middle">1</td></tr><tr><td align="center" valign="middle">24121</td><td
align="center" valign="middle">Z01.4</td><td align="left"
valign="middle">Pemeriksaan Ginekologi (umum ) ( rutin )</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">7</td><td align="center"
valign="middle">9</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">7</td><td align="center" valign="middle">9</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">26</td><td align="center" valign="middle">26</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">26</td><td
align="center" valign="middle">26</td><td align="center" valign="middle">9</td><td
align="center" valign="middle">26</td><td align="center"
valign="middle">35</td></tr><tr><td align="center" valign="middle">24135</td><td
align="center" valign="middle">Z02.9</td><td align="left"
valign="middle">Pemeriksaan KIR untuk Calon Pengantin</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">21</td><td align="center"
valign="middle">21</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">21</td><td align="center" valign="middle">21</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">21</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">21</td></tr><tr><td align="center" valign="middle">24990</td><td
align="center" valign="middle">H60</td><td align="left" valign="middle">Otitis
eksterna</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">3</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">7</td></tr><tr><td
align="center" valign="middle">28144</td><td align="center"
valign="middle">Z02.5</td><td align="left" valign="middle">Pemeriksaan KIR untuk
berpartisipasi dalam olahraga</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">4</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">4</td><td align="center"
valign="middle">4</td></tr><tr><td align="center" valign="middle">29305</td><td
align="center" valign="middle">T14</td><td align="left" valign="middle">Injury of
unspecified body region</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">2</td></tr><tr><td align="center"
valign="middle">3201</td><td align="center" valign="middle">Z01.7</td><td
align="left" valign="middle">pemeriksaan Laboratorium</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">6</td><td align="center"
valign="middle">2</td><td align="center" valign="middle">6</td><td align="center"
valign="middle">8</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">8</td><td align="center"
valign="middle">9</td><td align="center" valign="middle">17</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">3</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">2</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">1</td><td align="center" valign="middle">5</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">9</td><td align="center"
valign="middle">17</td><td align="center" valign="middle">9</td><td align="center"
valign="middle">26</td></tr><tr><td align="center" valign="middle">3202</td><td
align="center" valign="middle">Z01.8</td><td align="left"
valign="middle">Pemeriksaan khusus lainnya yang spesifik</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">1</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">4</td><td align="center"
valign="middle">8</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">5</td><td align="center"
valign="middle">4</td><td align="center" valign="middle">9</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">0</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">9</td><td align="center" valign="middle">0</td><td align="center"
valign="middle">9</td></tr><tr><td align="center" valign="middle">3205</td><td
align="center" valign="middle">Z02.0</td><td align="left"
valign="middle">Pemeriksaan KIR untuk masuk ke lembaga pendidikan</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">1</td><td
align="center" valign="middle">2</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">3</td></tr><tr><td align="center"
valign="middle">3299</td><td align="center" valign="middle">Z02.1</td><td
align="left" valign="middle">Pemeriksaan KIR Melamar Pekerjaan</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">22</td><td align="center" valign="middle">28</td><td
align="center" valign="middle">50</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">22</td><td
align="center" valign="middle">28</td><td align="center" valign="middle">50</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">35</td><td align="center" valign="middle">30</td><td
align="center" valign="middle">65</td><td align="center" valign="middle">2</td><td
align="center" valign="middle">1</td><td align="center" valign="middle">3</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">0</td><td
align="center" valign="middle">0</td><td align="center" valign="middle">37</td><td
align="center" valign="middle">31</td><td align="center" valign="middle">68</td><td
align="center" valign="middle">50</td><td align="center" valign="middle">68</td><td
align="center" valign="middle">118</td></tr></tbody>
</table>