Kode : RL 4A

Periode : July
Tanggal Cetak : 31-Jul-2023

Kode RS Nama RS Bulan Tahun Kode Provinsi No. Kode DTD

July 1 Kode DTD

July 2 Kode DTD
July 3 Kode DTD
July 4 Kode DTD

July 5 Kode DTD

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July 7 Kode DTD

July 8 Kode DTD

July 9 Kode DTD

July 10 Kode DTD
July 11 Kode DTD
July 12 Kode DTD
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July 14 Kode DTD

July 15 Kode DTD
July 16 Kode DTD
July 17 Kode DTD
July 18 Kode DTD
July 19 Kode DTD

July 20 Kode DTD

July 21 Kode DTD
July 22 Kode DTD
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July 29 Kode DTD
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July 32 Kode DTD

July 33 Kode DTD

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July 35 Kode DTD

July 36 Kode DTD
July 37 Kode DTD
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July 48 Kode DTD

July 49 Kode DTD
July 50 Kode DTD
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July 60 Kode DTD
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July 76 Kode DTD

July 77 Kode DTD

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July 79 Kode DTD
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July 90 Kode DTD
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July 101 Kode DTD

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July 128 Kode DTD
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July 178 Kode DTD

July 179 Kode DTD

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July 194 Kode DTD
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July 198 Kode DTD

July 199 Kode DTD
July 200 Kode DTD
July 201 Kode DTD
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July 204 Kode DTD
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July 208 Kode DTD

July 209 Kode DTD

July 210 Kode DTD

July 211 Kode DTD
July 212 Kode DTD
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July 214 Kode DTD

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July 219 Kode DTD

July 220 Kode DTD

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July 223 Kode DTD

July 224 Kode DTD

July 225 Kode DTD
July 226 Kode DTD
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July 251 Kode DTD
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July 268 Kode DTD
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July 289 Kode DTD
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July 327 Kode DTD
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July 330 Kode DTD

July 331 Kode DTD
July 332 Kode DTD

July 333 Kode DTD

July 334 Kode DTD

July 335 Kode DTD
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July 337 Kode DTD

July 338 Kode DTD
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July 340 Kode DTD

July 341 Kode DTD
July 342 Kode DTD
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July 344 Kode DTD

July 345 Kode DTD

July 346 Kode DTD

July 347 Kode DTD

July 348 Kode DTD

July 349 Kode DTD

July 350 Kode DTD

July 351 Kode DTD
July 352 Kode DTD

July 353 Kode DTD

July 354 Kode DTD

July 355 Kode DTD

July 356 Kode DTD

July 357 Kode DTD
July 358 Kode DTD
July 359 Kode DTD

July 360 Kode DTD

July 361 Kode DTD

July 362 Kode DTD

July 363 Kode DTD

July 364 Kode DTD

July 365 Kode DTD

July 366 Kode DTD

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July 368 Kode DTD

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July 372 Kode DTD

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July 376 Kode DTD

July 377 Kode DTD

July 378 Kode DTD

July 379 Kode DTD

July 380 Kode DTD
July 381 Kode DTD
July 382 Kode DTD

July 383 Kode DTD

July 384 Kode DTD
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July 386 Kode DTD

July 387 Kode DTD

July 388 Kode DTD
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July 390 Kode DTD

July 391 Kode DTD

July 392 Kode DTD

July 393 Kode DTD
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July 396 Kode DTD

July 397 Kode DTD

July 398 Kode DTD

July 399 Kode DTD

July 400 Kode DTD

July 401 Kode DTD

July 402 Kode DTD
July 403 Kode DTD
July 404 Kode DTD
July 405 Kode DTD
July 406 Kode DTD
July 407 Kode DTD
July 408 Kode DTD

July 409 Kode DTD

July 410 Kode DTD
July 411 Kode DTD
July 412 Kode DTD

July 413 Kode DTD

July 414 Kode DTD
July 415 Kode DTD

July 416 Kode DTD

July 417 Kode DTD

July 418 Kode DTD

July 419 Kode DTD

July 420 Kode DTD

July 421 Kode DTD

July 422 Kode DTD

July 423 Kode DTD

July 424 Kode DTD
July 425 Kode DTD

July 426 Kode DTD

July 427 Kode DTD
July 428 Kode DTD
July 429 Kode DTD
July 430 Kode DTD

July 431 Kode DTD

July 432 Kode DTD

July 433 Kode DTD

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July 436 Kode DTD

July 437 Kode DTD
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July 441 Kode DTD

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July 443 Kode DTD

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July 446 Kode DTD
July 447 Kode DTD
July 448 Kode DTD
July 449 Kode DTD

July 450 Kode DTD

July 451 Kode DTD
July 452 Kode DTD
July 453 Kode DTD
July 454 Kode DTD

July 455 Kode DTD

July 456 Kode DTD
July 457 Kode DTD

July 458 Kode DTD

July 459 Kode DTD

July 460 Kode DTD

July 461 Kode DTD

July 462 Kode DTD
July 463 Kode DTD

July 464 Kode DTD

July 465 Kode DTD

July 466 Kode DTD

July 467 Kode DTD

July 468 Kode DTD

July 469 Kode DTD

July 470 Kode DTD

July 471 Kode DTD
July 472 Kode DTD
July 473 Kode DTD
July 474 Kode DTD

July 475 Kode DTD

July 476 Kode DTD

July 477 Kode DTD

July 478 Kode DTD
July 479 Kode DTD

July 480 Kode DTD

July 481 Kode DTD

July 482 Kode DTD

July 483 Kode DTD

July 484 Kode DTD

July 485 Kode DTD

July 486 Kode DTD

July 487 Kode DTD
July 488 Kode DTD
July 489 Kode DTD
July 490 Kode DTD

July 491 Kode DTD

July 492 Kode DTD
July 493 Kode DTD
July 494 Kode DTD

July 495 Kode DTD

July 496 Kode DTD

July 497 Kode DTD

July 498 Kode DTD
July 499 Kode DTD
July 500 Kode DTD
July 501 Kode DTD

July 502 Kode DTD

July 503 Kode DTD

July 504 Kode DTD

July 505 Kode DTD

July 506 Kode DTD

July 507 Kode DTD

July 508 Kode DTD

July 509 Kode DTD
July 510 Kode DTD

July 511 Kode DTD

July 512 Kode DTD

July 513 Kode DTD

July 514 Kode DTD
July 515 Kode DTD
July 516 Kode DTD
July 517 Kode DTD

July 518 Kode DTD

July 519 Kode DTD

July 520 Kode DTD

July 521 Kode DTD

July 522 Kode DTD

July 523 Kode DTD
July 524 Kode DTD
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July 526 Kode DTD

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July 536 Kode DTD

July 537 Kode DTD

 Jumlah Pasien Laki-laki <= 6 Jumlah Pasien Perempuan <= 6
Kode ICD Deskripsi
hari hari

A00 Kolera 0 0
A01 Demam tifoid dan paratifoid 0 0
A03 Sigelosis 0 0
A06.4 Abses hati amuba 0 0

A06.0–3.5-9 Amebiasis lainnya 0 0

A09 Diare & gastroenteritis oleh penyebab Infeksi 0 0
tertentu (kolitis infeksi)
A02. A04-A05. Penyakit infeksi usus lainnya 0 0
A07-A08
A15.0 Tuberkulosis (TB) paru BTA (+) dengan/tanpa 0 0
tindakan kuman TB
A15.1-A16.2 Tuberkulosis paru lainnya 0 0
A16.3-9 Tuberkulosis alat napas lainnya 0 0
A17.0 Meningitis tuberkulosa 0 0
A17.1-7 Tuberkulosis susunan saraf pusat lainnya 0 0
A18.0 Tuberkulosis tulang dan sensi 0 0

A18.2 Limfadenitis tuberkulosa 0 0

A19 Tuberkulosis milier 0 0
A18.1.3-8 Tuberkulosis lainnya 0 0
A20 Sampar/Pes 0 0
A23 Bruselosis 0 0
A30 Lepra/Kusta 0 0

A33 Tetanus neonatorum 0 0

 A34-A35 Tetanus lainnya 0 0
A36 Difteria 0 0
A37 Pertusis/Batuk rejan 0 0
A39 Infeksi meningokok 0 0

A40-A41 Septisemia 0 0
A22 Antrak 0 0
A21.24-28. A31- Penyakit bakteri lainnya 0 0
32, 38-42-49

A50 Sifilis bawaan 0 0

A51 Sifilis dini 0 0
A52-A53 Sifilis lainnya 0 0
A54 Infeksi gonokok 0 0

A55-A56 Penyakit klamidia yg ditularkan melalui Hubungan 0 0

seksual
A57-A64 Infeksi lainnya yang terutama ditularkan Melalui 0 0
hubungan seksual
A68 Demam bolak balik 0 0

A71 Trakoma 0 0
A75 Demam tifus 0 0
A80 Poliomielitis akut 0 0
A82 Rabies 0 0
A83-A86 Ensefalitis virus 0 0
A95 Demam kuning 0 0

A90 Demam dengue 0 0

A91 Demam berdarah dengue 0 0
A92.0 Chikungunya 0 0
A92.1-A92 Demam virus tular nyamuk 0 0
A93-A94. A96- Demam virus dan demam berdarah virus tular 0 0
A99 Serangga lainnya
B00 Infeksi herpesvirus (Herpes simpleks) 0 0

B01-B02 Varisela (cacar air) dan zoster (herpes zoster) 0 0

B05 Campak 0 0
 B06 Rubela 0 0
B16 Hepatitis B akut 0 0
B15 Hepatitis A akut 0 0
B17.1 Hepatitis C akut 0 0
B17.2 Hepatitis E akut 0 0

B17.0.8 B18-B19 Hetitis virus lainnya 0 0

B20-B24 Penyakit virus gangguan defisiensi imun Pada 0 0

manusia (HIV)
B26 Gondong 0 0

A81. A87-A89. Penyakit virus lainnya 0 0

B03-B04. B07-
B09. B25. B27-
B34
B35-B49 Mikosis 1 0

B50.0 Malaria cerebral NOS 0 0

B50.8-9 Malaria falciparum 0 0
B51.0 Malaria vivax 0 0
B51.8-9 Malaria vivax lainnya 0 0
B52.0 Malaria malariae 0 0
B52.8-9 Malaria malariae lainnya 0 0

B53 Malaria ovale 0 0

B54 Malaria YTT 0 0
B55 Lesmaniasis 0 0
B56-B57 Tripanosomiasis 0 0
B65 Skistosomiasis (Bilharziasis) 0 0

B66 Infeksi trematoda lainnya 0 0

B67 Ekinokokosis 0 0
B72 Drakunkuliasis 0 0
B73 Onkosersiasis 0 0
B74 Filariasis 0 0

B76 Penyakit cacing tambang 0 0

B68-B71, B75, Helmitiansis lain 0 0
B77-B83
B90.9.1 Patu/lobus luluh akibat TB 0 0
B90.9.2 Sindrom obstruksi pasca TB 0 0
B90.0-8 Sekuele (gejala sisa) TB lainnya 0 0
B91 Sekuele (gejala sisa) poliomielitis 0 0
B92 Sekuele (gejala sisa) lepra 0 0

A66 Patek (Frambusia) 0 0

A70 Infeksi Klamedia 0 0
B58 Toksoplasmosis 0 0
A65. A67. A69- Penyakit infeksi dan parasit lainnya 0 0
A70. A74. A77-
A79. B59-64.85-
89.94-99
C00-C10 Neoplasma ganas bibir, rongga mulut,Kelenjar liur, 0 0
faring, tonsil
C11 Neoplasma ganas nosofaring 0 0
C12-C14 Neoplasma ganas bibir, rongga mulut,Faring, 0 0
lainnya & YTT
C15 Neoplasma ganas esofagus 0 0
C16 Neoplasma ganas lambung 0 0
C18 Neoplasma ganas kolon 0 0
C19-C21 Neoplasma ganas daerah rektosigmoid, Rektum 0 0
dan anus
C22 Neoplasma ganas hati dan saluran empedu 0 0
Intrahepatik
C25 Neoplasma ganas pankreas 0 0
C17.C23- Neoplasma ganas usus halus dan alat cerna 0 0
C24.C26 lainnya
C32 Neoplasma laring 0 0

C33 Neoplasma ganas trakea 0 0

C34 Neoplasma ganas bronkus dan paru 0 0
C38.1-8 Neoplasma ganas mediastinum 0 0
C30.C3. C37- Neoplasma ganas sistem napas dan alat Rongga 0 0
C38.0 C39 dada lainnya
 C40-C41 Neoplasma ganas tulang dan tulang rawan sendi 0 0

C43 Melanoma ganas kulit 0 0

C44 Neoplasma ganas kulit lainnya 0 0
C45 Mesotelioma 0 0
C46-C49 Neoplasma ganas jaringan ikat & jaringan Lunak 0 0

C50 Neoplasma ganas payudara 0 0

C53 Neoplasma ganas serviks uterus 0 0

C54 Neoplasma ganas korpus uteri 0 0
C55 Neoplasma ganas bagian uterus lainnya Dan YTT 0 0

C56 Neoplasma ganas ovarium (indung telur) 0 0

C58 Neopalsma ganas plasenta (uri) 0 0
C51-C52.C57 Neoplasma ganas alat kelamin perempuan 0 0
Lainnya
C61 Neopalsma ganas prostat 0 0
C60 Neopalsma ganas penis 0 0

C62 Neoplasma ganas testis 0 0

C63 Neoplasma ganas alat kelamin pria lainnya 0 0
C67 Neoplasma ganas kandung kemih (buli – buli) 0 0

C64-C65 Neoplasma ganas ginjal, pelvis ginjal 0 0

C66. C68 Neoplasma ganas alat kemih lainnya 0 0
C69 Neoplasma ganas mata dan adneksa 0 0
C71 Neoplasma ganas otak 0 0

C70, C72 Neoplasma ganas bagian susunan saraf pusat 0 0

C73 Neopalsma ganas kelenjar tiroid 0 0

C74-C75 Neoplasma ganas kelenjar endokrin lain dan 0 0

struktur terkait
C76 Neoplasma ganas tempat lain dan yang tidak Jelas 0 0
batasannya
C77-C80 Neoplasma ganas sekunder dan neoplasma 0 0
Ganas kelenjar getah bening YTT
C97 Neoplasma ganas primer tempat multipel 0 0
 C81 Penyakit hodgkin 0 0
C82-C85 Limfoma non hodgkin 0 0
C91-C95 Leukimia 0 0
C88-C90. C96 Neoplasma ganas lain dari limfoid Hematopoetik 0 0
dan jaringan terkait lainnya
D06 Karsinoma in situ serviks uterus 0 0
D22-D23 Neoplasma jinak kulit 0 0
D24 Neoplasma jinak payudara 0 0

D25 Leiomioma uterus 0 0

D27 Neoplasma jinak ovarium (indung telur) 0 0
D30 Neoplasma jinak alat kemih 0 0
D33 Neoplasma jinak otak dan susunan saraf Pusat 0 0
lainnya
D04 Karsinoma in situ kulit 0 0
D05 Karsinoma in situ payudara 0 0
D00-D03, D07- Karsinoma 0 0
D09
D12.6 Polip gastrointestinal 0 0
D14.1-4 Neoplasma jinak sistem napas lainnya 0 0

D15.2 Neoplasma jinak mediastinum 0 0

D10-D12.0-5.7-9. Neoplasma jinak lainnya 0 0
D13-D14.0.
D15.0.1 D79-D12,
D21. D26. D28-
29, D31-32. D34-
D36

D3-D48 Neoplasma yang tak menentu peragainya Dan 0 0

yang tak diketahui sifatnya
D50 Anemia defisiensi zat besi 0 0

D59 Anemia Hemolitik 0 0

D61 Anemia aplastik lainnya 0 0
D51-D58, D60. Anemia lainnya 0 0
D62-D64
D70 Agranulositosus 0 0
D74 Metahaemoglobinema 0 0
D65-D69, D71- Kondisi hemoragik dan penyakit darah dan organ 0 0
D73, D75-D77 Pembuat darah lainnya
D80-D89 Penyakit tertentu yang menyangkut mekanisme 0 0

E00-E02 Gangguan tiroid berhubungan dengan Defisiensi 0 0

iodium
E05 Tirotoksikosis (hipertiroidisme) 0 0
E03 Hipotiroidisme lain 0 0
E04 Penyakit gondok nontoksik lain 0 0
E06 Tiroiditis 0 0

E07 Gangguan kelenjar tiroid lainnya 0 0

E10 Diabetes melitus bergantung insulin 0 0
E11 Diabetes melitus tidaj bergantung insulin 0 0
E12 Diabetel militus berhubungan malnutrisi 0 0
E13 Diabetes melitus YDT lainnya 0 0

E14 Diabetes melitus YTT 0 0

E40-E46 Malnutrisi 0 0
E50 Defisiensi vitamin A 0 0
E51-E56 Defisiensi vitamin lainnya 0 0
E64 Gejala sisa malnutrisi dan defisiensi gizi lainnya 0 0

E66 Obesitas 0 0
E86 Deplesi volume (dehidrasi) 0 0

E15- Gangguan endokrin, nutrisi dan metbolik Lainnya 0 0

35.58.63.65.67,
E85.87-90
F00-F03 Demensia 0 0

F10 Gangguan mental dan perilaku akibat Penggunaan 0 0

alkohol
F11 Gangguan mental dan perlaku akibat Penggunaan 0 0
opioida
F12 Gangguan mental dan perilaku akibat 0 0
Pengguanaan kanabinoida
F13 Gangguan mental dan perilaku akibat Penggunaan 0 0
Sedativa atau Hipnotika
F14 Gangguan mental dan perilaku akibat Penggunaan 0 0
Kokain
 F15 Gangguan mental dan perilaku akibat Penggunaan 0 0
stimeunlansia
F16 Gangguan mental dan perilaku akibat Pengunaan 0 0
halosinogenika
F17 Gangguan mental dan perilaku akibat Penggunaan 0 0
tembakau
F18.F19 Gangguan mental dan perilaku akibat Zat pelarut 0 0
yang mudah menguap, atau zat Multipel dan zat
psikoaktif lainnya
F20.F21.F23 Skizofrenia, gangguan skizotipal, psikotik Akut dan 0 0
sementara
F22,F24 Gangguan waham menetap dan induksi 0 0
F25 Gangguan skizoafektif 0 0
F28,F29 Gangguan psikotik nonorganik lainnya atau YTT 0 0

F30,F31 Episode manik dan gangguan efektif bipolar 0 0

F32,F39 Episode defresif, gangguan depresif Berulang, 0 0
gangguan suasana perasaan (mood Efektif)
menetap, lainnya atau YTT
F40,F41.1,3-9 Gangguan anxietas fobik, gangguan anxietas 0 0
Lainnya
F42 Gangguan obsesif – kompulsif 0 0
F43.1 Gangguian stres pasca trauma 0 0
F43.0,F43.2,F45, Reaksi terhadap stres berat dan gangguan 0 0
F48 Penyesuaian, gangguan somatoform, gangguan
Neurotik lainnya
F44 Gangguan dososiatif (konversi) 0 0
F70-F79 Retardasi mental 0 0
F04, F07, F09 Sindrom amnestik dan gangguan mental organik 0 0

F50-F52,F53.1- Sindrom makan, gangguan tidur, disfungsi 0 0

9,F54,F59 seksual,gangguan indentitas, gangguan Perilaku
lainnya
F60-F69 Gangguan kepribadian, gangguan kebiasaan Dan 0 0
impuls, gangguan identitas, gangguan Prevensi
seksual
F80-F89 Gangguan perkembangan psikologis 0 0
F05-F06.0-6,8-9, Gangguan hiperkinetik,perilaku,emosional Atau 0 0
F90-F98 fungsi sosial khas, gangguan “tic” Dan gangguan
mental dan emosi lainnya
 F53.0 Depresif post partum 0 0
F41.2 Depresif gangguan cemas 0 0
F99 Gangguan jiwa YTT 0 0

G00-G09 Penyakit radang susunan saraf pusat 0 0

G20 Penyakit parkinson 0 0
G30 Penyakit Alzheimer 0 0
G35 Sklerosis multipel 0 0
G40-G41 Epilepsi 0 0

G43-G44 Migren dan sindrom nyeri kepala lainnya 0 0

G45 Gangguan serangan peredaran otak sepintas Dan 0 0
sindroma yang terkait
G56.0 Sindroma carpal tunnel 0 0
G56.2 Lesi saraf ulnaris 0 0
G56.3 Lesi saraf radialis 0 0
G56.8 Mononeuropati anggota tunuh bagian atas lainnya 0 0

G50-G55, G57- Gangguan saraf , radiks dan pleksus saraf 0 0

G59
G80 Infantil cerebral palsy 0 0
G81-G83 Sindroma paralitik lainnya 0 0
G21 Parkinson sekunder 0 0

G92 Toksik insefallopati 0 0

G10-13, G26, Penyakit susunan saraf lainnya 0 0
G31-32. G36-
G37, G46-47,
G60-73, G90-
G91, G93, G99

H00-H01 Radang kelopak mata 0 0

H10-H13 Konjungtivitis dan gangguan lain konjungtiva 0 0

H15-H19 Keratitis dan dan gangguan lain sklera dan kornea 0 0

H25-H28 Katarak dan gangguan lain lensa 0 0

H33 Ablasi dan kerusakan retina 0 0

H40-H42 Glaukoma 0 0
 H49-H50 Strabismus 0 0
H52 Gangguan refraksi dan oakomodasi 0 0
H54 Buta dan rabun 0 0

H02-H03 Gangguan lain kelopak mata 0 0

H04-H06 Gangguan sistem lakrimal dan orbita 0 0
H20-H22 Iridosiklitis dan gangguan lain iris dan Badan silier 0 0

H30-H32 Gangguan koroid dan korieretina 0 0

H34 Sumbatan vaskular retina 0 0
H35-H36 Gangguan lain retina 0 0
H43-H45 Gangguan badan kaca dan bola mata 0 0

H46-H48 Gangguan saraf mata optik dan saraf penglihatan 0 0

H51 Gangguan lain gerakan mata binokular 0 0

H53 Gangguan daya liat 0 0
H55 Nistagmus & pergerakan mata yang tidak teratur 0 0
lainnya
H55-H59 Penyakit lain mata dan edneksia 0 0
H65-H75 Otitis media dan gangguan mastoid dan Telinga 0 0
tengah
H90-H91 Gangguan daya dengar 0 0
H61.8 Fistula/Kista preurikel 0 0
H83.3 Efek kebisingan telinga bagian dalam 0 0
H60-61.3.9 H62, Penyakit telinga dan proseus mastoid 0 0
H80-H83.0.
H83.2, H83.8-
H83.9 H92, H95

I00-I02 Demam reumatik akut 0 0

I05-I09 Penyakit jantung reumatik kronik 0 0

I10 Hipertensi esensial (primer) 0 0

I11-I15 Penyakit hipertensi lainnya 0 0
I21-I22 Infark miokard akut 0 0
I20, I23-I25 Penyakit jantung iskemik lainnya 0 0
 I26 Emboli paru 0 0

I44-I49 Gangguan hantaran dan aritmia jantung 0 0

I50 Gagal jantung 0 0
I42-I43 Kardiomiopati 0 0
I27-I41,51,52 Penyakit jantung lainnya 0 0
I60-I62 Perdarahan intrakranial 0 0
I63 Infark serebral 0 0

I64 Strok tak menyebut perdarahan atau infark 0 0

I65-I69 Penyakit serebrovaskular lainnya 0 0
I70 Aterosklerosis 0 0
I73.0 Sindroma raynaud's 0 0
I73, I73.8-9 Penyakit pembuluh darah perifer lainnya 0 0

I74 Emboli dan trombosis arteri 0 0

I71-I72,77-79 Penyakit arteri, arteriol dan kapiler lainnya 0 0
I80-I82 Flebitis, tromboflebitis,emboli dan trombosis vena 0 0

I83 Varises vena ekstremitas bawah 0 0

I84 Hemoroid/Wasir 0 0
I85 Varises esofagus 0 0
I86-I99 Penyakit sistem sirkulasi lainnya 0 0

J02 Faringitis akut 0 0

J03 Tonsilitis akut 0 0
J04 Laringitis dan trakeitis akut 0 0
J00-J01, J05-J06 Infeksi saluran napas bagian atas akut Lainnya 0 1

J10 Influensa virus teridentifikasi 0 0

J11 Influensa virus tidak teridentifikasi 0 0
J12-J18 Pneumonia 0 0

J20-J21 Bronkitis akut dan bronkiolitis akut 0 0

J32 Sinusitis kronik 0 0
J30.3 Alergi rhinitis akibat kerja 0 0
 J34.8 Ulcus mucosa hidung & performasi septum nasi 0 0

J30.0-J30.2, Penyakit hidung dan sinus hidung lainnya 0 0

J30.4-J31, J33-
J34.0, J34.3
J35 Penyakit tonsil dan adenoid kronik 0 0
J36-J39 Penyakit saluran napas bagian atas lainnya 0 0
J40-J44 Bronkitis, emfisema dan penyakit paru Obstruktif 0 0
kronik lainnya
J45 Asma 0 0
J46 Atatus asmatika 0 0

J47 Bronkiektasis 0 0
J60-J65 Pneumokoniasis 0 0
J85.1.2 Abses paru 0 0
J93 Pneumonotoraks 0 0
J86 Piotoraks (empisema) 0 0

J90-J91 Efusi pleural (empisema) 0 0

J66.0 Bisinosis 0 0
J67 Pneumonisis hipersensitivity akibat abu organik 0 0

J68 Gangguan penafasan akibat menghirup zat kimia, 0 0

Gas asap dan uap
J92 Plak pleural 0 0
J22. J66.1.2, Penyakit sistem napas lainnya 0 0
J66.8. J69-
J85.0.3-J89, J94-
J99
K02 Karies gigi 0 0
K00-K01 Gangguan perkembangan dan erupsi gigi 0 0
Termasuk impaksi
K03 Penyakit jaringan keras gigi lainnya 0 0
K04 Penyakit pulpa dan periapikal 0 0
K05-K06 Penyakit gusi, jaringan periodontal dan tulang 0 0
Alveolar
K07-K08 Kelainan dentofasial termasuk maloklusi 0 0
K09-K10 Kista rongga mulut dan penyakit pada rahang 0 0
 K11 Penyakit kelenjar liur 0 0
K12 Penyakit jaringan lunak mulut (stomatitis) dan Lesi 0 0
yang berkaitan
K13-K14 Penyakit bibir, mukosa mulut lainnya dan lidah 0 0

K25-K27 Tukak lambung dan duodenum 0 0

K29 Gastritis dan duodenitis 0 0

K30 Dispepsia 0 0
K20-K23, K28- Penyakit esopagus, lambung dan duodenum 0 0
K31 Lainnya
K35-K38 Penyakit apendiks 0 0
K40 Hernia inguinal 0 0
K41-K46 Hernia lainnya 0 0
K50-K51 Penyakit crohn dan duodenum lainnya 0 0
K56 Ileus paralitik dan obstruksi usus tanpa hernia 0 0

K57 Penyakit divertikel usus 0 0

K58 Sindrom usus ringkih (irritable bowel syndrome) 0 0

K52-K55,59-67 Penyakit usus dan peritoneum lainnya 0 0

K70 Penyakit hati alkohol 0 0

K72 Koma hepatikum dan hepatitis fulminan 0 0
K73 Hepatitis kronik 0 0
K74.6 Sirosis hati 0 0
K76.0 Perlemakan hati 0 0

K76.6 Hipertensi portal 0 0

K76.7 Sindrom hepatorenal 0 0
K71 Penyakit hati akibat bahan beracun di tempat kerja 0 0

K74.0-5, K75, Penyakit hati lainnya 0 0

K76.1-5,8,9 K77

K80 Kolelitiasis 0 0
K81 Kolesistitis 0 0
 K85-K86 Pankreatitis akut dan penyakit pankreas lainnya 0 0

K82-K83, K87- Penyakit sistem cerna lainnya 0 0

K93
L00-L08 Infeksi kulit dan jaringan subkutan 0 0
L23-L24 Dermatosis akibat kerja 0 0
L10-L22, L25-L99 Penyakit kulit dan jaringan subkutan lainnya 0 0

M05-M06 Artritis reumatoid 0 0

M07 Psoriasis dan artropati enteropati 0 0
M08-M09 Artritis belia 0 0

M10-M11 Psoriasis dan artripati lainnya 0 0

M12-M14 Artripati dan artritis 0 0
M15-M19 Artrisis 0 0
M20-M21 Deformitas tungkai didapat 0 0
M00-M01 Artritis piogenik dan artritis pada penyakit infeksi 0 0
Dan parasit YDK di tempat lain
M02-M03 Artripati reaktif 0 0
M22-M25 Kelainan sendi lainnya 0 0

M32 Lupus eritemateus sistemik 0 0

M30-M31, M33- Gangguan jaringan ikat sistemik lainnya 0 0
M36
M50-M51 Gangguan diskus servikal dan intervertebral 0 0
lainnya
M45-M49 Spondiloartropati seronegatif 0 0
M54.5 Nyeri punggung bawah 0 0
M40-M44, M53- Dorsopati lainnya 0 0
M54.0, M54.4,
M54.6, M54.8,9

M60-M64, M65.0- Miopati dan reumatisme 0 0

M65.3.8.9, M68

M65.4 Penyakit de queervain 0 0

 M70 Gangguan jaringan lunak akibat yang 0 0
berhubungan Dengan penggunaan tekanan
berlebihan
M71-M79 Gangguan jaringan ikat lainnya 0 0
M80-M85 Gangguan struktur dan densitas tulang 0 0
M86 Osteomielitis 0 0
M87-M99 Penyakit sistem muskuloskeletal dan jaringan ikat 0 0
Lainnya
N00-N01 Sindrom nefritik progresif cepat dan akut 0 0
N04 Ssindrom nefrotik 0 0

N02.8 Nefropati imunoglobulin A (lg A) 0 0

N02.0-7.9. N03, Penyakit glomerulus lainnya 0 0
N05-N08
N12 Nefritis tubulo – intersitial, tidak Ditemukan akut 0 0
atau kronik/pielonefritis
N14.3 Nefropati disebabkan oleh logam – logam berat 0 0

N10-N11, Penyakit tubulo -intersitial ginjal lainnya 0 0

N13,14.0-2.4 16

N17.8 Gagal ginjal akut akibat asam jengkol 0 0

N17.0-2,9-N19 Gagal ginjal lainnya 0 0

N20-N23 Urolitisiasis 0 0
N30 Sistitis 0 0
N25-N29, N31- Penyakit sistem kemih lainnya 0 0
N39
N40 Hiperplasia prostat 0 0
N41-N42 Gangguan prostat lainnya 0 0
N43 Hidrokel dan spermatokel 0 0
N47 Prepusium berlebih, fimosis dan parafimosis 0 0

N44-N46, N48- Penyakit alat kelamin laki lainnya 0 0

N51
N60-N64 Gangguan pada payudarah 0 0
N70 Salpingitis dan ooforitis 0 0

N72 Radang serviks 0 0

 N73 Radang panggul perempuan lainnya 0 0
N75.0.1 Kista dan abses kelenjar Bartholin 0 0
N71, N74, N75.8- Radang alat dalam panggul perempuan lainnya 0 0
N77 (adneksitis)
N80 Endometriosis 0 0
N81 Prolaps alat kelamin perempuan 0 0
N83 Gangguan bukan radang pada indung telur, 0 0
Saluran telur dan ligamentum latum
N91.0.1.2 Amenare 0 0

N92.0.1 Menoragi atau metroragi 0 0

N91.3-5,92 2-6 Gangguan haid lainnya 0 0
N95 Gangguan dalam masa menapause dan perime 0 0
nopause Lainnya
N97 Infertilitas perempuan 0 2
N82. N84-N90. Gangguan sistem kemih kelamin lainnya 0 0
N93-N94. N96.
N98-N99
O03 Abortus spontan 0 0
O04 Abortus medik 0 0
O00 Kehamilan ektopik 0 0
O01 Mola hidatidosa 0 0

O05 Abortus lainnya 0 0

O02.O06-O08 Kehamilan lain yang berakhir dengan abortus 0 0

O14 Hipertensi gestasional (akibat kehamilan) Dengan 0 0

proteinuria yang nyata/preeklamsia
O15 Eklampsia 0 0
O10-O13.O16 Edema,proteinuria dan gangguan hipertensi Dalam 0 0
kehamilan,persalinan dan masa nifas

O44 Plasenta previa 0 0

O45 Solusio plasenta 0 0
O46 Perdarahan antepartum 0 0
O30 Kehamilan multipel 0 0
O40 Hidramnion 0 0
 O42 Ketuban pecah dini 0 0
O48 Kehamilan lewat waktu 0 0
O31-O39, O41, Perawatan ibu yang berkaitan dengan janin Dan 0 0
043, 047 ketuban dan masalah persalinan
O64-O66 Persalinan macet 0 0
O72 Pendarahan pasca persalinan 0 0
O24 Diabetes militus dalam kehamilan 0 0
O60 Persalinan prematur 0 0

O68 Persalinan dengan penyulit gawat janin 0 0

O84 Persalinan multipel 0 0
O20-O23. 025- Penyulit kehamilan dan persalinan lainnya 0 2
O29, O61-O63.
O67, O69-71,
O73-O75. 081-
O83

O80 Persalinan tunggal spontan 0 0

O85-O99 Penyulit yang lebih banyak berhubungan Dengan 0 0
masa nifas dan kondisi obsterik Lainnya, YTK
ditempat lain
P00-P04 Janin dan bayi baru lahir yang dipengaruhi Oleh 0 0
faktor dan penyulit kehamilan persalinan Dan
kelahiran
P05-P07 Pertumbuhan janin lamban, malnutrisi janin Dan 0 0
gangguan yang berhubungan dengan kehamilan
pendek dan berat badan lahir rendah

P10-P15 Cedera lahir 0 0

P20-P21 Hipoksia intrauterus dan asfiksia lahir 0 0

P22-P28 Gangguan saluran napas lainnya yang 0 0
Berhubungan dengan masa perinatal
P35-P37 Penyakit infeksi dan parasit kongeniotal 0 0
P38-P39 Infeksi khusus lainnya pada masa perinatal 0 0
P55 Penyakit hemolitik pd jamin & bayi baru lahir 0 0

P95 Lahir mati 0 0

P08, P29, P50- Kondisi lain yang bermula pada masa Perinatal 0 0
54, P56-P94, P96
 Q05 Spina bifida 0 0
Q03 Hidrosefalus kongenital 0 0
Q00-Q02, Q04, Malformasi kongenital susunan saraf lain 0 0
Q06, Q07
Q20-Q28 Malformasi kongenital sistem peredaran darah 0 0

Q35-Q37 Bibir selah dan langit langit celah 0 0

Q41 Tidak ada, atresia dan stenosis usus halus 0 0

Q38, Q40, Q42- Malformasi kongenital sistem cerna lainnya 0 0

Q45
Q53 Testis tidak turun 0 0

Q50-Q52 Malformasi kongenital alat kelamin wanita 0 0

Q54-Q56 Malformasi kongenital alat kelamin laki 0 0
Q60-Q64 Malformasi kongenital sistem kemih lainnya 0 0
Q65 Deformasi kongenital sendi panggul 0 0
Q66 Deformasi kongenital kaki 0 0

Q67-Q79 Malformasi dan deformasi kongenital sistem 0 0

Muskuloskeletal lain
Q10-Q18, Q30- Malformasi kongenital lainnya 0 0
Q34, Q80-Q89

Q90 Sindrom down 0 0

Q91-Q99 Kelainan kromosom YTK ditempat lain 0 0

R10 Nyeri perut dan panggul 0 0
R50 Demam yang sebabnya tidak diketahui 0 0
R54 Senilitas 0 0
R00 – R01 Gejala pada jantung 0 0
R09.2 Gagal napas 0 0

R33 Retensi urin 0 0

R56 Kejang YTT 0 0
R75 Hasil laboratorium positif HIV 0 0
R95 Sindrom mati mendadak pada bayi 0 0
R02-R09.0.1.3.8, gejala,tanda dan penemuan klinik dan 0 0
R11-R32, R34- Laboratorium tidak normal lainnya, YDT di Tempat
R49, R51-R53. lain
R55. R57-R74.
R76-R94.96-99

S02 Fraktur tengkorak dan tulang muka 0 0

S12,22,32,T08 Fraktur leher,toraks atau panggul 0 0
S72 Fraktur paha 0 0

S42, S52, S62, Fraktur tulang anggota gerak lainnya 0 0

S82, S92, T10,
T12
T02 Fraktur meliputi daerah badan multipel 0 0
S03,13,23,33,43, Dislokasi,terkilir,teregang YDT dan daerah Badab 0 0
53, multipel
S63,73,83,93.T03

S05 Cedera mata orbita 0 0

S06 Cedera intrakranial 0 0
S26 – S27,S36 – Cedera alat dalam lainnya 0 0
S37
S07-08.17- Cedera remuk dan trauma amputasi YDT dan 0 0
18.28.38, S47-48. Daerah badan mulpel
S57-58, S67-
68.77-78.87-88,
S97-98. T04-05

S00-01.04.09-11, Cedera YDT lainnya.YTT dan daerah badan 0 0

S14-16.19- mutipel
21.21.24-25, S29-
31.34-35.39-41,
S44-46.49-51.54-
56, S59-61.64-
66.69-71,

T16 Benda asing pada telingah 0 0

T15.T17-T19 Akibat dari kemasukan benda asing melalui 0 0
Lubang tubuh
T20-T32 Luka bakar dan korosi 0 0
T36-T50 Keracunan obat dan preparat biologok 0 0

T52 Keracunan pelarut organik 0 0

 T56 Keracunan logam 0 0
T59 Keracunan gas, asap dan uap lain 0 0
T60 Keracunan pestisida 0 0
T51. T53-T55, Efek toksik bahan non medisinal lainnya 0 0
T57. T58. T61-
T65
T74 Sindrom salah perlakuan 0 0
T66 Efek radiasi YTT 0 0

T67 Efek panas dan pencahayaan 0 0

T70 Efek tekanan udara dan tekanan air 0 0
T33-T35, T68, Efek sebab luar lainnya dan YTT Pembedahan dan 0 0
T69, T71-T73, perawatan YTK di tempat Lain
T75-T78
T79-T88 Penyulit awal trauma tertentu dan penyulit 0 0
Pembedahan dan perawatan YTK di tempat lain

T90-T98 Gejala sisa cedera, keracunan dan akibat Lanjut 0 0

sebab luar
U04 Sindrome akut respiratory berat (SARS) 0 0

Z00.0 Pemeriksaan kesehatan umum 0 0

Z00.1 Pemeriksaan kesehatan bayi dan anak secara 0 0
Rutin
Z00.2-Z13 Orang yang mendapatkan pelayanan kesehatan 0 0
Untuk pemeriksaan khusus dan investigasi lainnya

Z21 Keadaan infeksi HIV asimtomatik 0 0

Z23.2 Imunisasi BCG 0 0
Z23.5 Imunisasi tetanus 0 0
Z24.0 Imunaisasi poliomielitis 0 0
Z24.2 Imunisasi rabies 0 0

Z24.4 Imunisasi campak 0 0

Z24.6 Imunisasi hepatitis virus 0 0
Z27.1 Imunisasi gabungan DPT (Difteri,Pertusis,tetanus) 0 0
Z23.0.1.3.4.6-8, Imunisasi dan kemoterapi pencegahan lainnya 0 0
Z24.1.3.5. Z25-
Z27.0.2-Z29

Z20, Z22 Orang lain dengan risiko gangguan kesehatan 0 0

Yang berkaitan dengan penyakit menular

Z30 Pengelolaan kontrasepsi 0 0

Z34 Pengawasan kehamilan normal 0 33

Z35 Pengawasan kehamilan dengan risiko tinggi 0 0
Z36 Seleksi antenatal 0 0
Z38 Bayi lahir hidup sesuai tempat lahir 0 0
Z39 Perawatan dan pemeriksaan pasca persalinan 0 0

Z46.0 Pemasangan dan penyesuaian kacamata dan 0 0

Lensa kontak
Z41.2 Khitanan menurut agama dan adat kebiasaan 0 0

Z46.3 Pemasangan dan penyesuaian gigi palsu 0 0

Z50 Pelayanan yang melibatkan gangguan prosedur 0 0
Rehabilitasi
Z40-Z41.0.1.3, Orang yang mengunjungi pelayanan kesehatan 0 0
Z45, Z46.1.2.4.9- Untuk tindakan perawatan khusus lainnya
Z49, Z51-Z54

Z31-Z33. Z37, Penunjang sarana kesehatan untuk alasan 0 0

Z55-Z99 Lainnya
V 01 - V 89 Kecelakaan angkutan darat 0 0
V 90 - V 94 Kecelakaan angkutan air 0 0
V 95 - V 97 Kecelakaan angkutan udara dan ruang angkasa 0 0

V 98 -V 99 Kecelakaan angkutan lain 0 0

W 00 - W 19 Jatuh 0 0

W 65 - W 74 Kecelakaan tenggelam dan terbenam 0 0

X 00 - X 09 Terdedah asap, api dan uap 0 0
X 45 Keracunan akibat pemaparan alkohol 0 0
X 46 Keracunan akibat pemaparan pelarut organik & 0 0
hidro
 X 47 Keracunan akibat pemaparan gas-gas & uap-uap 0 0
lainn
X 48 Keracunan akibat pemaparan pestisida 0 0
X 49 Keracunan akibat pemaparan bahan beracun 0 0
berbahaya
X 40 - X 44 Kecelakaan keracunan dan terdedah oleh bahan 0 0
berac
X 60 - X 69 Sengaja mencederai diri dengan bahan beracun 0 0

X 70 - X 84 Sengaja mencederai diri lainnya 0 0

X 85 - Y 04 Dicederai 0 0
X 10 - X 19 Kontak dengan bahan panas 0 0
X 20 - X 29 Kontak dengan binatang & tumbuhan beracun 0 0

X 30 - X 39 Terdedah faktor alam 0 0

Y 40 - Y 59 Efeksamping pengguna obat, bahan obat dan 0 0
bahan bi
Y 60 - Y 89 Kesalahan pada pasien selama perawatan medis 0 0
non b
W 42 Pemaparan bising 0 0
W 43 Pemaparan getaran 0 0

W 88 Pemaparan radiasi pengion 0 0

W 89 Pemaparan sinar ultra violet dan man-mide visible 0 0

W 90 Pemaparan radiasi pengion lain 0 0

W 91 Pemaparan radiasi YTT 0 0
X 50 Gangguan gerakan berulang-ulang dengan 0 0
kekuatan b
X 96 Gangguan kesehatan yang berhubungan dengan 0 0
kesehat
W20-W41, W Sebab luar lainnya 0 0
Jumlah Pasien Laki-laki >6 hari Jumlah Pasien Perempuan >6 hari Jumlah Pasien Laki-laki >28 hari
dan <= 28 hari dan <= 28 hari dan <=1 thn

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

0 0 0
0 0 0

0 0 0

0 0 0

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

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

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

0 0 0
0 0 0
0 0 0

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

0 0 0

0 0 0

0 0 0

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

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

0 0 0

0 0 0

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

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

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

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

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

0 0 0
0 0 0

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

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

0 0 0

0 0 0
0 0 0

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

0 0 0

0 0 0
0 0 0

0 0 0

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

0 0 0
0 0 0
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 RL 4A PENYAKIT RAWAT INAP

Jumlah Pasien Perempuan >28 hari Jumlah Pasien Laki-laki >1 thn dan Jumlah Pasien Perempuan >1 thn
dan <=1 thn <=4 thn dan <=4 thn

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RAWAT INAP

Jumlah Pasien Laki-laki >4 thn dan Jumlah Pasien Perempuan >4 thn Jumlah Pasien Laki-laki >14 thn
<=14 thn dan <=14 thn dan <=24 thn

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Jumlah Pasien Perempuan >14 thn Jumlah Pasien Laki-laki >24 thn Jumlah Pasien Perempuan >24 dan
dan <=24 thn dan <=44 thn <= 44 thn

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Jumlah Pasien Laki-laki antara >44 Jumlah Pasien Perempuan antara
Jumlah Pasien Laki-laki > 64 thn Jumlah Pasien Perempuan > 64
thn dan <= 64 thn >44 thn dan <= 64 thn

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Jumlah Pasien Perempuan > 64 thn Jumlah Pasien Laki-laki Jumlah Pasien Perempuan Total

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