Download as xlsx, pdf, or txt
Download as xlsx, pdf, or txt
You are on page 1of 134

KODE

NO NAMA DIAGNOSA
ICD X

1 Tuberkulosis (TB) Paru A15


2 Morbili B059
3 Varisela B019
4 Malaria B54
A90
5 Demam Berdarah
A91
6 Leptospirosis A279
7 Infeksi Pada Umbilikus A78
8 Kandidiasis Mulut B379
9 Lepra A30
10 Keracunan Makanan T622
11 Alergi Makanan A92
12 Exanthematous Drug Eruption L270

13 Fixed Drug Eruption (FDE) L270


14 Reaksi Anafilaktik A92
1 Anemia D649
2 Limfadenitis B70

1 Refluks Gastroesofageal K219


2 Gastritis K297
3 Intoleransi Makanan D29
4 Demam Tifoid A010
Gastroenteritis (termasuk disentri, kolera dan
5 A09
giardiasis)
6 Disentri Basiler dan Disentri Amuba D70
7 Hemoroid Grade 1-2 D95
8 Hepatitis A D72
9 Parotitis K112
10 Askariasis B779
11 Cutaneus Larva Migrans B769
B760
12 Penyakit Cacing Tambang
B761
B659
13 Skistosomiasis
B652
14 Strongiloidiasis B789
15 Taeniasis B689

1
KODE
NO NAMA DIAGNOSA
ICD X
1 Buta Senja H535
2 Hordeolum H000
3 Konjungtivitis infeksi H109
4 Konjungtivitis alergi H101
5 Blefaritis H010
6 Perdarahan Subkonjungtiva H578
7 Astigmatism H522
8 Hipermetropia H520
9 Presbiopia H524
10 Glaukoma Akut H402
1 Otitis Eksterna H609
2 Otitis Media Akut H660
3 Serumen Prop H612
1 Benda Asing di Hidung T171
1 Hipertensi Esensial I10
1 Lipoma D179

2
KODE
NO NAMA DIAGNOSA
ICD X
1 Kejang Demam R560

2 Vertigo R42

3 Migren G439
4 Tension Headache G442

1 Insomnia G47.0

1 Epistaksis R040
2 Furunkel Pada Hidung J340
3 Faringitis J029
4 Rhinitis Akut J00
5 Rhinitis Alergik J300
6 Rhinitis Vasomotor
7 Tonsilitis
8 Laringitis J040
9 Bronkitis Akut J209
10 Influenza J11
11 Pneumonia dan Bronkopneumonia J189
12 Pertusis A378
13 Asma Bronkial J45
1 Flour Albus/Vaginal discharge Non Gonore N989
2 Gonore A549
3 Vaginitis N760
4 Vulvitis N760
1 Kehamilan O809
2 Abortus O039
3 Anemia Defisiensi Besi pada Kehamilan D50
4 Ruptur Perineum Tingkat 1-2 O700
5 Mastitis N61
1 Infeksi saluran kemih N390
1 Obesitas E669
2 Hipoglikemia E162
E10
3 Diabetes Melitus
E11
4 Malnutrisi Energi Protein (MEP) E46
E790
5 Hiperuricemia-Gout Arthritis
3
KODE
NO
5 Hiperuricemia-GoutNAMA DIAGNOSA
Arthritis ICD X
M10
6 Dislipidemia E785
1 Miliaria L743
2 Veruka Vulgaris B07
3 Reaksi Gigitan Serangga T634
4 Herpes Zoster B029
5 Herpes Simpleks B009
6 Skabies B86
7 Pedikulosis Kapitis B850
B35
B350
B351
B352
8 Dermatofitosis B353
B354
B355
B356
B358
9 Pitiriasis versikolor/ Tinea versikolor B360

4
KODE
NO NAMA DIAGNOSA
ICD X
L01
10 Pioderma L02
L080
11 Dermatitis Seboroik L21
12 Dermatitis Atopik L20
13 Dermatitis Numularis L20.8
14 Dermatitis Kontak Iritan L24
15 Napkin Eczema (dermatitis popok) L22
16 Pitiriasis Rosea L42
17 Moluskum Kontagiosum B081
L50
18 Urtikaria
L509
B74
B740
19 Filariasis
B741
B742
20 Luka Bakar Derajat I dan II T310-T312

5
DESKRIPSI KOMPETENSI

Respiratory tuberculosis, bacteriologiccaly and histologically


4A
confirmed
Measles withaout complication (Measles NOS) 4A
Varicella without complication (Varicella NOS) 4A
Unspecified Malaria 4A
Dengue Fever 4A
Dengue Haemorrhagic Fever 4A
Leptospirosis 4A
Infectious disease other 4A
Candidiasis unspecified 4A
Leprosy [Hansen disease] 4A
Other Ingested (parts of plant(s)) 4A
Allergy/ allergic reaction NOS 4A
Generalized skin eruption due to drugs and medicaments 4A

Generalized skin eruption due to drugs and medicaments 4A


Allergy/ allergic reaction NOS 4A
Anaemia, unspecified 4A
Lymphadenitis Acute 4A

Gastro-oesophageal reflux disease without oesophagitis 4A


Gastritis, unspecified 4A
Digestive syndrome/complaint other 4A
Typhoid fever 4A
Diarrhoea and gastroenteritis of presumed infection origin 4A
Gastrointestinal infection 4A
Anal fissure/perianal abscess 4A
Viral Hepatitis 4A
Sialoadenitis 4A
Ascariaris unspecified 4A
Hookworm disease, unspecified 4A
Ankylostomiasis 4A
Necatoriasis 4A
Skistosomiasisunspecified 4A
Schistomiasis due to S. japonicum 4A
Strongyloidiasis 4A
Taeniasis 4A

6
DESKRIPSI KOMPETENSI

Colour vision deficiencies 4A


Hordeolum and other deep inflammation of eyelid 4A
Conjunctivitis, unspecified 4A
Acute atopic conjunctivitis 4A
Blepharitis 4A
Other specified disorders of eye and adnexa 4A
Astigmatism ringan 4A
Hypermetropia ringan 4A
Presbyopia 4A
Primary angle-closure glaucoma 4A
Otitis Externa, Unspecified 4A
Acute suppurative otitis media 4A
Impacted cerumen 4A
Foreign body in nostril 4A
Essential (primary) hypertension 4A
Benign lipomatous neoplasm 4A

7
DESKRIPSI KOMPETENSI

Febrile convulsions 4A
Dizziness and giddiness
4A
(Vertigo Vestibular/ Benign Paroxismal Positional Vertigo (BPPV))
Migraine, unspecified 4A
Tensiontype headache 4A

Disorders of initiating and maintaining sleep (insomnias) 4A

Epistaxis 4A
Abscess, furuncle and carbuncle of nose 4A
Acute pharyngitis, unspecified 4A
Acute nasopharingitis (common cold) 4A
Vasomotor rhinitis 4A
4A
Acute tonsillitis, unspecified 4A
Acute laryngitis 4A
Acute bronchitis, unspecified 4A
Influenza, virus not identified 4A
Pneumonia, unspecified 4A
Whooping cough, Bordetella bronchiseptica 4A
Asthma 4A
4A
Gonococcal infection,Unspecified 4A
Acute Vaginitis 4A
Acute Vaginitis 4A
Single spotaneous delivery, Unspecified 4A
Unspecified abortion, complete, without complication 4A
Iron deficiency anaemia 4A
First degree perineal laceration during delivery 4A
Inflammatory disorders of breast 4A
Urinary tract infection, site not specified 4A
obesity unspecified 4A
hypoglycaemia unspecified 4A
Insulin-dependent diabetes mellitus 4A
Non-insulin-dependent diabetes mellitus 4A
Unspecified protein-energy malnutrition 4A
Hyperuricemia without signs of inflammatory arthritis and
4A
tophaceous disease
8
DESKRIPSI KOMPETENSI

Gout 4A
Hiperlipidemia 4A
Miliaria, unspecified 4A
Viral warts 4A
Venom of other arthropods 4A
Zoster without complication 4A
Herpesviral infection, unspecified 4A
Scabies 4A
Pediculosis due to Pediculus humanus capitis 4A
Dermatophytosis 4A
Tinea barbae and tinea capitis 4A
Tinea unguium 4A
Tinea manuum 4A
Tinea pedis 4A
Tinea corporis 4A
Tinea imbricate 4A
Tinea cruris 4A
Other dermatophytoses 4A
Pityriasis versicolor 4A

9
DESKRIPSI KOMPETENSI

Impetigo 4A
Cutaneous abscess, furuncle and carbuncle 4A
Pyoderma 4A
Seborrhoeic dermatitis 4A
Atopic dermatitis 4A
Other atopic dermatitis 4A
Irritant contact dermatitis 4A
Diaper (napkin) dermatitis 4A
Pityriasis rosea 4A
Molluscum contagiosum 4A
Urticaria acut 4A
Urticaria, unspecified 4A
Filariasis 4A
Filariasis due to Wuchereria bancrofti 4A
Filariasis due to Brugia malayi 4A
Filariasis due to Brugia timori 4A
Luka Bakar Derajat I dan II 4A

10
106400

11
12
13
14
15
FKTP PERUJUK DENGAN DIAGNOSA NON SPESIALISTIK TERBANYAK BUPEL JANUARI S/D APRIL 2015
NO FASKES PERUJUK AWAL
1 dr. LILIK LAKSMIATI

dr. LILIK LAKSMIATI Total


2 dr. TRIWIRANTO

dr. TRIWIRANTO Total


3 KLINIK DOKTERKU BINA SEHAT
KLINIK DOKTERKU BINA SEHAT Total
4 dr. FAUZIAH PRATIWI

dr. FAUZIAH PRATIWI Total


5 KL PRATAMA DOKTERKU T GADING
KLINIK DOKTERKU TAMAN GADING Total
6 KLINIK CAMAR (JST)

KLINIK CAMAR (JST) Total


7 KLINIK UPT PELAYANAN KESEHATAN UNEJ
KLINIK UPT UNIVERSITAS JEMBER Total
8 KLINIK Dr. M. Suherman Unmuh (JST)

KLINIK Dr. M. Suherman Unmuh (JST) Total


9 KLINIK KIMIA FARMA (JST)

KLINIK KIMIA FARMA (JST) Total


10 dr. YUNI ERMITA DJATMIKO
dr. YUNI ERMITA DJATMIKO Total
11 dr. MEVIE FITRAH DEWI

dr. MEVIE FITRAH DEWI Total


12 dr. SUSILO WARDHANI

dr. SUSILO WARDHANI Total


13 dr. SUWINASIS

dr. SUWINASIS Total


14 dr. WIKE WAHYU WIJAYANTI

dr. WIKE WAHYU WIJAYANTI Total


15 dr. AKHMAD MULTAZAM
dr. AKHMAD MULTAZAM Total
16 dr. ALFI YUDISIANTO

dr. ALFI YUDISIANTO Total


17 dr. TITIS SULISTYOWATI

dr. TITIS SULISTYOWATI Total


18 dr. ADI WIDJAJA

dr. ADI WIDJAJA Total


19 dr. BAMBANG WITARNO

dr. BAMBANG WITARNO Total


20 KLINIK RAWAT INAP GRAHA PUGER SEHA

KLINIK RAWAT INAP GRAHA PUGER SEHA Total


21 KLINIK PRATAMA ROLAS MEDIKA

KLINIK PRATAMA ROLAS MEDIKA Total


22 dr. SUNARYO

dr. SUNARYO Total


23 dr. NURI USMAWATI
dr. NURI USMAWATI Total
24 KLINIK SAKINAH KALIURANG
KLINIK SAKINAH KALIURANG Total
25 KLINIK DOKTERKU MITRA SEHAT

KLINIK DOKTERKU MITRA SEHAT Total


26 dr. RITA WAHYUNINGSIH
dr. RITA WAHYUNINGSIH Total
27 dr. IGNATIUS Y.SUGIARTO

dr. IGNATIUS Y.SUGIARTO Total


28 dr. RINTO SUHARJO
29 dr. AGUS YUDI PRASTAJI

dr. AGUS YUDI PRASTAJI Total


30 KLINIK PRATAMA TEMU WARAS
31 KLINIK PRATAMA AL- FURQAN
SPESIALISTIK TERBANYAK BUPEL JANUARI S/D APRIL 2015
KDDIAG NMDIAG KASUS BIAYA
A010 - Typhoid fever 6 6,221,000
A150 - Tb lung confirm sputum microscopy with or without culture 3 481,500
A184 - Tuberculosis of skin and subcutaneous tissue 5 744,500
A91 - Dengue haemorrhagic fever 1 3,021,400
B24 - Unspecified human immunodeficiency virus [hiv] disease 3 562,300
B354 - Tinea corporis 1 141,100
D179 - Benign lipomatous neoplasm, unspecified 1 155,400
G442 - Tension-type headache 2 282,200
H612 - Impacted cerumen 1 141,100
H669 - Otitis media, unspecified 2 296,900
I10 - Essential (primary) hypertension 141 31,209,100
J40 - Bronchitis, not specified as acute or chronic 5 744,500
J459 - Asthma, unspecified 6 963,000
K291 - Other acute gastritis 1 3,063,000
N12 - Tubulo-interstitial nephritis not spec as acute or chronic 6 14,387,500
N700 - Acute salpingitis and oophoritis 4 613,000
R560 - Febrile convulsions 1 2,347,600
189 65,375,100
A010 - Typhoid fever 7 3,987,500
A059 - Bacterial foodborne intoxication, unspecified 1 3,032,300
A91 - Dengue haemorrhagic fever 5 17,327,100
B359 - Dermatophytosis, unspecified 1 141,100
G442 - Tension-type headache 2 301,600
H162 - Keratoconjunctivitis 3 466,200
H669 - Otitis media, unspecified 13 2,036,100
I10 - Essential (primary) hypertension 57 20,267,400
J304 - Allergic rhinitis, unspecified 2 321,000
J40 - Bronchitis, not specified as acute or chronic 2 352,300
J459 - Asthma, unspecified 5 869,200
L089 - Local infection of skin and subcutaneous tissue, unspecified 6 8,305,700
N390 - Urinary tract infection, site not specified 2 4,593,800
N760 - Acute vaginitis 1 160,500
107 62,161,800
A010 - Typhoid fever 51 121,245,700
A90 - Dengue fever [classical dengue] 7 15,801,000
A91 - Dengue haemorrhagic fever 6 18,286,100
B07 - Viral warts 1 183,400
D179 - Benign lipomatous neoplasm, unspecified 2 321,000
E100 - Insulin-dependent diabetes mellitus with coma 2 321,000
E162 - Hypoglycaemia, unspecified 4 4,206,600
G470 - Disorders of initiating and maintaining sleep [insomnias] 3 438,900
G510 - Bell's palsy 5 794,700
H600 - Abscess of external ear 1 154,500
H612 - Impacted cerumen 4 604,800
H669 - Otitis media, unspecified 4 600,200
I10 - Essential (primary) hypertension 7 3,131,100
J304 - Allergic rhinitis, unspecified 12 1,848,000
J40 - Bronchitis, not specified as acute or chronic 3 629,900
J459 - Asthma, unspecified 2 484,700
L022 - Cutaneous abscess, furuncle and carbuncle of trunk 2 3,450,500
N390 - Urinary tract infection, site not specified 1 3,416,000
R040 - Epistaxis 1 137,300
R560 - Febrile convulsions 2 306,500
120 176,361,900
A90 - Dengue fever [classical dengue] 1 4,460,600
A91 - Dengue haemorrhagic fever 1 132,700
B350 - Tinea barbae and tinea capitis 1 155,400
B354 - Tinea corporis 3 443,500
E100 - Insulin-dependent diabetes mellitus with coma 80 12,467,400
E110 - Non-insulin-dependent diabetes mellitus with coma 2 310,800
E790 - Hyperuricaem without sign inflamm arthritis+tophaceous dis 2 300,600
H612 - Impacted cerumen 2 310,800
H669 - Otitis media, unspecified 1 132,700
I10 - Essential (primary) hypertension 26 4,039,400
J040 - Acute laryngitis 1 132,700
J40 - Bronchitis, not specified as acute or chronic 3 531,700
J459 - Asthma, unspecified 13 2,055,600
K291 - Other acute gastritis 2 265,400
L010 - Impetigo [any organism] [any site] 2 288,100
N12 - Tubulo-interstitial nephritis not spec as acute or chronic 1 345,800
N390 - Urinary tract infection, site not specified 2 467,700
143 26,840,900
A010 - Typhoid fever 10 24,243,100
A150 - Tb lung confirm sputum microscopy with or without culture 1 131,500
A90 - Dengue fever [classical dengue] 1 2,331,600
A91 - Dengue haemorrhagic fever 6 14,888,500
B07 - Viral warts 3 532,200
B353 - Tinea pedis 1 141,100
B354 - Tinea corporis 2 282,200
B86 - Scabies 1 141,100
E110 - Non-insulin-dependent diabetes mellitus with coma 2 325,900
E785 - Hyperlipidaemia, unspecified 1 165,400
E790 - Hyperuricaem without sign inflamm arthritis+tophaceous dis 5 9,492,500
G442 - Tension-type headache 1 137,300
G470 - Disorders of initiating and maintaining sleep [insomnias] 1 150,800
I10 - Essential (primary) hypertension 16 7,876,100
J304 - Allergic rhinitis, unspecified 1 160,500
J40 - Bronchitis, not specified as acute or chronic 2 306,500
J459 - Asthma, unspecified 3 2,855,700
K210 - Gastro-oesophageal reflux disease with oesophagitis 2 330,800
L022 - Cutaneous abscess, furuncle and carbuncle of trunk 1 183,400
L080 - Pyoderma 9 1,269,900
L300 - Nummular dermatitis 2 282,200
L309 - Dermatitis, unspecified 1 141,100
L710 - Perioral dermatitis 1 141,100
N390 - Urinary tract infection, site not specified 1 129,500
N760 - Acute vaginitis 1 1,959,500
R560 - Febrile convulsions 2 292,000
77 68,891,500
A010 - Typhoid fever 18 25,730,300
A90 - Dengue fever [classical dengue] 3 7,213,400
A91 - Dengue haemorrhagic fever 2 5,179,400
B24 - Unspecified human immunodeficiency virus [hiv] disease 3 471,900
D649 - Anaemia, unspecified 5 9,494,700
E100 - Insulin-dependent diabetes mellitus with coma 1 160,500
G510 - Bell's palsy 5 822,600
I10 - Essential (primary) hypertension 2 3,179,300
J40 - Bronchitis, not specified as acute or chronic 1 160,500
L300 - Nummular dermatitis 1 165,400
L309 - Dermatitis, unspecified 5 729,800
N61 - Inflammatory disorders of breast 3 491,300
O000 - Abdominal pregnancy 2 5,359,900
R560 - Febrile convulsions 5 8,615,100
T171 - Foreign body in nostril 2 296,900
58 68,071,000
A010 - Typhoid fever 9 15,135,200
B001 - Herpesviral vesicular dermatitis 3 447,600
B356 - Tinea cruris 1 141,100
D179 - Benign lipomatous neoplasm, unspecified 4 644,800
D649 - Anaemia, unspecified 1 1,960,300
E162 - Hypoglycaemia, unspecified 2 6,094,700
G442 - Tension-type headache 2 494,200
G510 - Bell's palsy 1 152,700
H612 - Impacted cerumen 14 2,186,200
H669 - Otitis media, unspecified 2 311,600
I10 - Essential (primary) hypertension 4 910,200
J020 - Streptococcal pharyngitis 1 141,100
J40 - Bronchitis, not specified as acute or chronic 7 1,096,700
J459 - Asthma, unspecified 1 165,400
L309 - Dermatitis, unspecified 2 282,200
R560 - Febrile convulsions 1 179,700
55 30,343,700
A010 - Typhoid fever 12 28,076,300
A91 - Dengue haemorrhagic fever 2 4,527,200
B029 - Zoster without complication 1 141,100
B170 - Acute delta-(super)infection of hepatitis b carrier 1 159,800
B350 - Tinea barbae and tinea capitis 2 390,200
B353 - Tinea pedis 4 588,700
B354 - Tinea corporis 4 564,400
D179 - Benign lipomatous neoplasm, unspecified 4 5,934,300
E110 - Non-insulin-dependent diabetes mellitus with coma 2 330,800
G510 - Bell's palsy 4 623,500
H612 - Impacted cerumen 1 155,800
H669 - Otitis media, unspecified 1 155,800
I10 - Essential (primary) hypertension 8 5,360,700
J40 - Bronchitis, not specified as acute or chronic 6 971,100
J459 - Asthma, unspecified 2 321,000
L309 - Dermatitis, unspecified 1 141,100
L700 - Acne vulgaris 3 471,900
R560 - Febrile convulsions 1 2,605,600
59 51,519,300
A010 - Typhoid fever 4 9,478,200
A150 - Tb lung confirm sputum microscopy with or without culture 16 2,616,600
B86 - Scabies 1 132,700
D179 - Benign lipomatous neoplasm, unspecified 4 6,082,700
D649 - Anaemia, unspecified 1 6,012,300
I10 - Essential (primary) hypertension 11 1,739,800
J40 - Bronchitis, not specified as acute or chronic 1 160,500
J459 - Asthma, unspecified 1 160,500
K291 - Other acute gastritis 1 141,100
L309 - Dermatitis, unspecified 1 132,700
N61 - Inflammatory disorders of breast 2 3,046,300
N760 - Acute vaginitis 2 282,200
45 29,985,600
A010 - Typhoid fever 2 6,653,600
A150 - Tb lung confirm sputum microscopy with or without culture 2 292,000
A90 - Dengue fever [classical dengue] 1 141,100
G442 - Tension-type headache 5 1,235,500
H151 - Episcleritis 2 321,000
H612 - Impacted cerumen 1 160,500
I10 - Essential (primary) hypertension 16 8,024,200
N12 - Tubulo-interstitial nephritis not spec as acute or chronic 2 321,000
31 17,148,900
A010 - Typhoid fever 14 7,967,600
A91 - Dengue haemorrhagic fever 1 2,589,700
B86 - Scabies 1 141,100
D649 - Anaemia, unspecified 1 4,708,200
E100 - Insulin-dependent diabetes mellitus with coma 5 767,600
E110 - Non-insulin-dependent diabetes mellitus with coma 10 1,649,100
G442 - Tension-type headache 5 763,500
I10 - Essential (primary) hypertension 2 5,869,700
J459 - Asthma, unspecified 6 1,935,700
R560 - Febrile convulsions 1 2,502,200
46 28,894,400
A010 - Typhoid fever 5 6,289,400
A150 - Tb lung confirm sputum microscopy with or without culture 1 5,979,400
D179 - Benign lipomatous neoplasm, unspecified 2 5,723,600
G442 - Tension-type headache 1 155,400
I10 - Essential (primary) hypertension 11 16,714,900
20 34,862,700
A150 - Tb lung confirm sputum microscopy with or without culture 3 452,500
D649 - Anaemia, unspecified 1 155,400
H520 - Hypermetropia 8 1,352,700
H810 - M?ni?re's disease 2 494,200
I10 - Essential (primary) hypertension 8 4,689,300
J40 - Bronchitis, not specified as acute or chronic 1 165,400
23 7,309,500
A010 - Typhoid fever 1 137,300
D179 - Benign lipomatous neoplasm, unspecified 2 6,980,300
D500 - Iron deficiency anaemia secondary to blood loss (chronic) 1 6,042,200
D649 - Anaemia, unspecified 1 3,256,100
E110 - Non-insulin-dependent diabetes mellitus with coma 4 642,000
I840 - Internal thrombosed haemorrhoids 1 6,095,900
K210 - Gastro-oesophageal reflux disease with oesophagitis 4 642,000
R560 - Febrile convulsions 3 2,574,300
17 26,370,100
A010 - Typhoid fever 15 9,373,200
D649 - Anaemia, unspecified 1 14,276,300
F450 - Somatization disorder 1 150,800
H010 - Blepharitis 1 137,300
K291 - Other acute gastritis 2 306,500
20 24,244,100
A010 - Typhoid fever 1 3,021,400
A90 - Dengue fever [classical dengue] 1 2,589,700
D179 - Benign lipomatous neoplasm, unspecified 2 319,600
D649 - Anaemia, unspecified 1 165,400
E162 - Hypoglycaemia, unspecified 1 9,260,500
I10 - Essential (primary) hypertension 1 4,169,300
N390 - Urinary tract infection, site not specified 1 129,500
8 19,655,400
H521 - Myopia 3 584,700
I10 - Essential (primary) hypertension 9 1,445,700
J40 - Bronchitis, not specified as acute or chronic 1 185,500
J459 - Asthma, unspecified 1 165,400
K291 - Other acute gastritis 2 324,500
L020 - Cutaneous abscess, furuncle and carbuncle of face 1 132,700
17 2,838,500
B260 - Mumps orchitis 3 6,068,900
B740 - Filariasis due to wuchereria bancrofti 2 3,187,600
D649 - Anaemia, unspecified 4 2,654,400
G510 - Bell's palsy 1 165,400
N390 - Urinary tract infection, site not specified 1 125,800
11 12,202,100
D649 - Anaemia, unspecified 1 2,744,400
G510 - Bell's palsy 1 247,100
J304 - Allergic rhinitis, unspecified 2 330,800
O000 - Abdominal pregnancy 1 2,274,900
5 5,597,200
I10 - Essential (primary) hypertension 1 3,013,900
K291 - Other acute gastritis 1 4,280,600
2 7,294,500
A010 - Typhoid fever 1 2,331,600
A90 - Dengue fever [classical dengue] 1 1,829,000
D649 - Anaemia, unspecified 1 2,793,700
E110 - Non-insulin-dependent diabetes mellitus with coma 1 165,400
4 7,119,700
E100 - Insulin-dependent diabetes mellitus with coma 5 802,500
I10 - Essential (primary) hypertension 1 165,400
6 967,900
I10 - Essential (primary) hypertension 5 859,200
5 859,200
A91 - Dengue haemorrhagic fever 1 165,400
1 165,400
A91 - Dengue haemorrhagic fever 1 1,251,000
B354 - Tinea corporis 1 141,100
B359 - Dermatophytosis, unspecified 1 141,100
L300 - Nummular dermatitis 2 306,500
5 1,839,700
I10 - Essential (primary) hypertension 3 481,500
3 481,500
A91 - Dengue haemorrhagic fever 1 3,329,400
E100 - Insulin-dependent diabetes mellitus with coma 2 310,800
H669 - Otitis media, unspecified 1 155,800
4 3,796,000
B24 - Unspecified human immunodeficiency virus [hiv] disease 4 793,800
A150 - Tb lung confirm sputum microscopy with or without culture 1 160,500
A90 - Dengue fever [classical dengue] 1 2,589,700
2 2,750,200
G510 - Bell's palsy 1 158,700
H669 - Otitis media, unspecified 1 165,400
FKTP PERUJUK DENGAN DIAGNOSA NON SPESIALISTIK TERBANYAK
JANUARI S/D APRIL 2015
NO FASKES PERUJUK AWAL
KASUS BIAYA
1 dr. LILIK LAKSMIATI 189 65,375,100
2 dr. FAUZIAH PRATIWI 143 26,840,900
3 KLINIK DOKTERKU BINA SEHAT 120 176,361,900
4 dr. TRIWIRANTO 107 62,161,800
5 KLINIK DOKTERKU TAMAN GADING 77 68,891,500
6 KLINIK Dr. M. Suherman Unmuh (JST) 59 51,519,300
7 KLINIK CAMAR (JST) 58 68,071,000
8 KLINIK UPT UNIVERSITAS JEMBER 55 30,343,700
9 dr. MEVIE FITRAH DEWI 46 28,894,400
10 KLINIK KIMIA FARMA (JST) 45 29,985,600
11 dr. YUNI ERMITA DJATMIKO 31 17,148,900
12 dr. SUWINASIS 23 7,309,500
13 dr. SUSILO WARDHANI 20 34,862,700
14 dr. AKHMAD MULTAZAM 20 24,244,100
15 dr. WIKE WAHYU WIJAYANTI 17 26,370,100
16 dr. TITIS SULISTYOWATI 17 2,838,500
17 dr. ADI WIDJAJA 11 12,202,100
18 dr. ALFI YUDISIANTO 8 19,655,400
19 dr. SUNARYO 6 967,900
20 dr. BAMBANG WITARNO 5 5,597,200
21 dr. NURI USMAWATI 5 859,200
22 KLINIK DOKTERKU MITRA SEHAT 5 1,839,700
23 KLINIK PRATAMA ROLAS MEDIKA 4 7,119,700
24 dr. IGNATIUS Y.SUGIARTO 4 3,796,000
25 dr. RINTO SUHARJO 4 793,800
26 dr. RITA WAHYUNINGSIH 3 481,500
27 KLINIK RAWAT INAP GRAHA PUGER SEHA 2 7,294,500
28 dr. AGUS YUDI PRASTAJI 2 2,750,200
29 KLINIK SAKINAH KALIURANG 1 165,400
30 KLINIK PRATAMA TEMU WARAS 1 158,700
31 KLINIK PRATAMA AL- FURQAN 1 165,400
DIAGNOSA NON SPESIALISTIK TERBANYAK YANG DIRUJUK OLEH FKTP NON PUSKESMAS
JANUARI S/D APRIL 2015
NO KDDIAG NMDIAG
KASUS
1 I10 - Essential (primary) hypertension 329
2 A010 - Typhoid fever 156
3 E100 - Insulin-dependent diabetes mellitus with coma 95
4 J459 - Asthma, unspecified 40
5 J40 - Bronchitis, not specified as acute or chronic 32
6 A150 - Tb lung confirm sputum microscopy with or without culture 27
7 A91 - Dengue haemorrhagic fever 27
8 H669 - Otitis media, unspecified 25
9 H612 - Impacted cerumen 23
10 D179 - Benign lipomatous neoplasm, unspecified 21
11 D649 - Anaemia, unspecified 18
12 G442 - Tension-type headache 18
13 J304 - Allergic rhinitis, unspecified 17
14 A90 - Dengue fever [classical dengue] 16
15 R560 - Febrile convulsions 16
16 B354 - Tinea corporis 11
17 L309 - Dermatitis, unspecified 10
18 K291 - Other acute gastritis 9
19 L080 - Pyoderma 9
20 E785 - Hyperlipidaemia, unspecified 8
21 N390 - Urinary tract infection, site not specified 8
22 E790 - Hyperuricaem without sign inflamm arthritis+tophaceous dis 7
23 K210 - Gastro-oesophageal reflux disease with oesophagitis 6
24 L089 - Local infection of skin and subcutaneous tissue, unspecified 6
25 A184 - Tuberculosis of skin and subcutaneous tissue 5
JANUARI S/D APRIL 2015
BIAYA
123,146,200
269,891,400
14,829,800
9,976,200
5,304,600
10,114,000
70,697,900
3,854,500
3,559,200
26,161,700
48,221,200
3,369,700
2,660,300
36,956,100
19,423,000
1,572,300
1,426,900
8,381,100
1,269,900
19,727,200
8,862,300
9,793,100
972,800
8,305,700
744,500
FASKES ASAL RUJUKAN FASKES TUJUAN RUJUKAN
KLINIK DOKTERKU BINA SEHAT BINA SEHAT RS

BINA SEHAT RS Total


RS PERKEBUNAN PTPN X

RS PERKEBUNAN PTPN X Total


CITRA HUSADA RS

CITRA HUSADA RS Total


KLINIK DOKTERKU BINA SEHAT Total
TRIWIRANTO, DR KALISAT RSD
CITRA HUSADA RS

CITRA HUSADA RS Total


BINA SEHAT RS

BINA SEHAT RS Total


TRIWIRANTO, DR Total
KLINIK YONIF 515/K BALADHIKA HUSADA JEMBER RSU

BALADHIKA HUSADA JEMBER RSU Total


YUNI ERMITA DJATMIKO, DR BINA SEHAT RS

BINA SEHAT RS Total


BALUNG RSD

BALUNG RSD Total


YUNI ERMITA DJATMIKO, DR Total
BP CAMAR (JST) RS PERKEBUNAN PTPN X
CITRA HUSADA RS

CITRA HUSADA RS Total


BINA SEHAT RS
BP CAMAR (JST) Total
KLINIK WIRA SAKTI BALADHIKA HUSADA JEMBER RSU

BALADHIKA HUSADA JEMBER RSU Total


KL PRATAMA DOKTERKU T GADING RS PERKEBUNAN PTPN X

RS PERKEBUNAN PTPN X Total


BINA SEHAT RS
BINA SEHAT RS Total
RSUD KOTA AGUNG
CITRA HUSADA RS
KL PRATAMA DOKTERKU T GADING Total
KLINIK YONIF 509/9/2 KOSTRAD RSUD SAMPANG
BALADHIKA HUSADA JEMBER RSU

BALADHIKA HUSADA JEMBER RSU Total


KLINIK YONIF 509/9/2 KOSTRAD Total
BP Dr. M. Suherman Unmuh (JST) RS PERKEBUNAN PTPN X
CITRA HUSADA RS

CITRA HUSADA RS Total


BALADHIKA HUSADA JEMBER RSU
BP Dr. M. Suherman Unmuh (JST) Total
BP KIMIA FARMA (JST) RS BHINEKA BAKTI HUSADA

RS BHINEKA BAKTI HUSADA Total


CITRA HUSADA RS
BP KIMIA FARMA (JST) Total
SUSILO WARDHANI, dr RS TK.III WIJAYAKUSUMA
CITRA HUSADA RS

CITRA HUSADA RS Total


SUSILO WARDHANI, dr Total
KLINIK BRIGIF 9/K BALADHIKA HUSADA JEMBER RSU

BALADHIKA HUSADA JEMBER RSU Total


LILIK LAKSMIATI, DR CITRA HUSADA RS
BINA SEHAT RS
LILIK LAKSMIATI, DR Total
UPT PELAYANAN KESEHATAN UNEJ RS PERKEBUNAN PTPN X

RS PERKEBUNAN PTPN X Total


BINA SEHAT RS
UPT PELAYANAN KESEHATAN UNEJ Total
AKHMAD MULTAZAM, DR RS ISLAM ARAFAH

RS ISLAM ARAFAH Total


WIKE WAHYU WIJAYANTI, dr BALUNG RSD

BALUNG RSD Total


UPT PELAYANAN KESEHATAN UNEJ RSUD GENTENG
BINA SEHAT RS

BINA SEHAT RS Total


UPT PELAYANAN KESEHATAN UNEJ Total
MEVIE FITRAH DEWI,DR RS PERKEBUNAN PTPN X
CITRA HUSADA RS
BINA SEHAT RS
MEVIE FITRAH DEWI,DR Total
POLRES JEMBER CITRA HUSADA RS
BHAYANGKARA BONDOWOSO
BALADHIKA HUSADA JEMBER RSU
POLRES JEMBER Total
KLINIK DOKTERKU BINA SEHAT CITRA HUSADA RS

CITRA HUSADA RS Total


POSKES 05.10.23 TANGGUL BALADHIKA HUSADA JEMBER RSU

BALADHIKA HUSADA JEMBER RSU Total


BP Dokterku Mitra Sehat CITRA HUSADA RS
ADI WIDJAJA, dr BINA SEHAT RS
KDDIAG NMDIAG KASUS
A010 - Typhoid fever 15
A90 - Dengue fever [classical dengue] 3
A91 - Dengue haemorrhagic fever 1
D179 - Benign lipomatous neoplasm, unspecified 2
E785 - Hyperlipidaemia, unspecified 1
G510 - Bell's palsy 3
H000 - Hordeolum and other deep inflammation of eyelid 2
H520 - Hypermetropia 2
H521 - Myopia 13
H522 - Astigmatism 1
H524 - Presbyopia 1
H612 - Impacted cerumen 1
H669 - Otitis media, unspecified 2
I10 - Essential (primary) hypertension 4
J304 - Allergic rhinitis, unspecified 9
N390 - Urinary tract infection, site not specified 1
61
B07 - Viral warts 1
G470 - Disorders of initiating and maintaining sleep [insomnias] 1
R560 - Febrile convulsions 1
3
A010 - Typhoid fever 2
H520 - Hypermetropia 1
H521 - Myopia 1
H524 - Presbyopia 1
5
69
I10 - Essential (primary) hypertension 1
A010 - Typhoid fever 1
A059 - Bacterial foodborne intoxication, unspecified 1
H521 - Myopia 1
I10 - Essential (primary) hypertension 2
5
H521 - Myopia 4
H524 - Presbyopia 7
I10 - Essential (primary) hypertension 10
J40 - Bronchitis, not specified as acute or chronic 1
J459 - Asthma, unspecified 2
N390 - Urinary tract infection, site not specified 1
25
31
A010 - Typhoid fever 2
A150 - Tb lung confirm sputum microscopy with or without culture 1
A91 - Dengue haemorrhagic fever 2
B54 - Unspecified malaria 18
23
I10 - Essential (primary) hypertension 1
N12 - Tubulo-interstitial nephritis not spec as acute or chronic 2
3
A010 - Typhoid fever 1
H151 - Episcleritis 1
H521 - Myopia 2
H524 - Presbyopia 6
H612 - Impacted cerumen 1
I10 - Essential (primary) hypertension 5
16
19
H521 - Myopia 1
A010 - Typhoid fever 1
A90 - Dengue fever [classical dengue] 3
D649 - Anaemia, unspecified 2
H520 - Hypermetropia 1
H521 - Myopia 4
H522 - Astigmatism 1
H524 - Presbyopia 2
O000 - Abdominal pregnancy 2
16
G510 - Bell's palsy 1
18
A010 - Typhoid fever 7
A91 - Dengue haemorrhagic fever 5
D179 - Benign lipomatous neoplasm, unspecified 1
13
H521 - Myopia 1
R560 - Febrile convulsions 1
B07 - Viral warts 2
R560 - Febrile convulsions 1
5
A010 - Typhoid fever 1
H521 - Myopia 4
H524 - Presbyopia 1
I10 - Essential (primary) hypertension 1
7
A010 - Typhoid fever 1
I10 - Essential (primary) hypertension 1
14
A90 - Dengue fever [classical dengue] 1
A010 - Typhoid fever 4
D649 - Anaemia, unspecified 1
J459 - Asthma, unspecified 1
6
7
H521 - Myopia 2
A010 - Typhoid fever 1
I10 - Essential (primary) hypertension 3
4
A010 - Typhoid fever 1
7
A150 - Tb lung confirm sputum microscopy with or without culture 1
B86 - Scabies 1
I10 - Essential (primary) hypertension 3
L309 - Dermatitis, unspecified 1
6
H521 - Myopia 1
7
I10 - Essential (primary) hypertension 1
A010 - Typhoid fever 3
H000 - Hordeolum and other deep inflammation of eyelid 1
I10 - Essential (primary) hypertension 2
6
7
A010 - Typhoid fever 2
B54 - Unspecified malaria 1
J459 - Asthma, unspecified 2
N390 - Urinary tract infection, site not specified 1
6
A010 - Typhoid fever 2
I10 - Essential (primary) hypertension 4
6
H520 - Hypermetropia 1
H524 - Presbyopia 1
J40 - Bronchitis, not specified as acute or chronic 2
4
J40 - Bronchitis, not specified as acute or chronic 1
5
A010 - Typhoid fever 3
H524 - Presbyopia 2
5
D500 - Iron deficiency anaemia secondary to blood loss (chronic) 1
H521 - Myopia 2
K210 - Gastro-oesophageal reflux disease with oesophagitis 1
4
A010 - Typhoid fever 1
A010 - Typhoid fever 1
H524 - Presbyopia 2
3
4
E100 - Insulin-dependent diabetes mellitus with coma 1
J459 - Asthma, unspecified 1
A010 - Typhoid fever 2
4
I10 - Essential (primary) hypertension 1
N47 - Redundant prepuce, phimosis and paraphimosis 1
A010 - Typhoid fever 1
3
H520 - Hypermetropia 1
H524 - Presbyopia 2
3
A010 - Typhoid fever 1
N390 - Urinary tract infection, site not specified 1
2
A91 - Dengue haemorrhagic fever 1
N390 - Urinary tract infection, site not specified 1
Grand Total
FASKES ASAL RUJUKAN FASKES TUJUAN RUJUKAN
TRIWIRANTO, DR BALUNG RSD
BINA SEHAT RS

BINA SEHAT RS Total


CITRA HUSADA RS

CITRA HUSADA RS Total


DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


KALISAT RSD

KALISAT RSD Total


RS PERKEBUNAN PTPN X

RS PERKEBUNAN PTPN X Total


TRIWIRANTO, DR Total
LILIK LAKSMIATI, DR BINA SEHAT RS
CITRA HUSADA RS
DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


RSU NEGARA
LILIK LAKSMIATI, DR Total
KLINIK DOKTERKU BINA SEHAT BINA SEHAT RS

BINA SEHAT RS Total


KL PRATAMA DOKTERKU T GADING BINA SEHAT RS

BINA SEHAT RS Total


DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


RS PERKEBUNAN PTPN X
KL PRATAMA DOKTERKU T GADING Total
MEVIE FITRAH DEWI,DR BINA SEHAT RS

BINA SEHAT RS Total


CITRA HUSADA RS
DR SOEBANDI JEMBER, RSD
DR SOEBANDI JEMBER, RSD Total
RS PERKEBUNAN PTPN X

RS PERKEBUNAN PTPN X Total


MEVIE FITRAH DEWI,DR Total
YUNI ERMITA DJATMIKO, DR BALUNG RSD

BALUNG RSD Total


CITRA HUSADA RS

CITRA HUSADA RS Total


DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


YUNI ERMITA DJATMIKO, DR Total
KL PRATAMA DOKTERKU T GADING CITRA HUSADA RS
DR PIRNGADI MEDAN

DR PIRNGADI MEDAN Total


DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


RS BHAYANGKARA TULUNGAGUNG

RS BHAYANGKARA TULUNGAGUNG Total


RS PERKEBUNAN PTPN X
RS PERKEBUNAN PTPN X Total
KL PRATAMA DOKTERKU T GADING Total
BP CAMAR (JST) CITRA HUSADA RS

CITRA HUSADA RS Total


DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


RS PERKEBUNAN PTPN X
BP CAMAR (JST) Total
BP Dr. M. Suherman Unmuh (JST) BALADHIKA HUSADA JEMBER RSU
CITRA HUSADA RS

CITRA HUSADA RS Total


DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


RS PERKEBUNAN PTPN X

RS PERKEBUNAN PTPN X Total


RSUD BLAMBANGAN
BP Dr. M. Suherman Unmuh (JST) Total
KLINIK YONIF 515/K BALADHIKA HUSADA JEMBER RSU

BALADHIKA HUSADA JEMBER RSU Total


CITRA HUSADA RS

CITRA HUSADA RS Total


KLINIK YONIF 515/K Total
BP DOKTERKU (JST) CITRA HUSADA RS

CITRA HUSADA RS Total


DR SOEBANDI JEMBER, RSD
RS PERKEBUNAN PTPN X

RS PERKEBUNAN PTPN X Total


RSUD BONDOWOSO
BP DOKTERKU (JST) Total
SUWINASIS, dr CITRA HUSADA RS
DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


RSUD BONDOWOSO
SUWINASIS, dr Total
KLINIK WIRA SAKTI BALADHIKA HUSADA JEMBER RSU

BALADHIKA HUSADA JEMBER RSU Total


DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


KLINIK WIRA SAKTI Total
UPT PELAYANAN KESEHATAN UNEJ DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


RS PERKEBUNAN PTPN X

RS PERKEBUNAN PTPN X Total


UPT PELAYANAN KESEHATAN UNEJ Total
WIKE WAHYU WIJAYANTI, dr BALUNG RSD

BALUNG RSD Total


BINA SEHAT RS

BINA SEHAT RS Total


DR HARYOTO LUMAJANG, RSUD
DR SOEBANDI JEMBER, RSD
RS PERKEBUNAN PTPN X
WIKE WAHYU WIJAYANTI, dr Total
UPT PELAYANAN KESEHATAN UNEJ BINA SEHAT RS

BINA SEHAT RS Total


DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


UPT PELAYANAN KESEHATAN UNEJ Total
BP KIMIA FARMA (JST) DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


RS BHINEKA BAKTI HUSADA
RSUD KOTA TANGERANG

RSUD KOTA TANGERANG Total


BP KIMIA FARMA (JST) Total
KLINIK UPT UNIVERSITAS JEMBER DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


KLINIK BRIGIF 9/K BALADHIKA HUSADA JEMBER RSU

BALADHIKA HUSADA JEMBER RSU Total


BHAYANGKARA BONDOWOSO
RS PERKEBUNAN PTPN X
KLINIK BRIGIF 9/K Total
SUSILO WARDHANI, dr CITRA HUSADA RS

CITRA HUSADA RS Total


DR SOEBANDI JEMBER, RSD
DR SOEBANDI JEMBER, RSD Total
SUSILO WARDHANI, dr Total
AKHMAD MULTAZAM, DR DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


RS ISLAM ARAFAH
AKHMAD MULTAZAM, DR Total
BP SAKINAH KALIURANG DR SOEBANDI JEMBER, RSD
RS PERKEBUNAN PTPN X

RS PERKEBUNAN PTPN X Total


BP SAKINAH KALIURANG Total
KLINIK DOKTERKU TAMAN GADING DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


BAMBANG WITARNO, dr BINA SEHAT RS
DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


BAMBANG WITARNO, dr Total
ADI WIDJAJA, dr BINA SEHAT RS

BINA SEHAT RS Total


DR SOEBANDI JEMBER, RSD
ADI WIDJAJA, dr Total
POLRES JEMBER CITRA HUSADA RS
DR SOEBANDI JEMBER, RSD
RS PERKEBUNAN PTPN X

RS PERKEBUNAN PTPN X Total


POLRES JEMBER Total
BP RAWAT INAP GRAHA PUGER SEHA BALUNG RSD
NURI USMAWATI, dr BINA SEHAT RS
DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


NURI USMAWATI, dr Total
KLINIK YONIF 509/9/2 KOSTRAD BALADHIKA HUSADA JEMBER RSU
BALADHIKA HUSADA JEMBER RSU Total
KLINIK DOKTERKU BINA SEHAT CITRA HUSADA RS
DR SOEBANDI JEMBER, RSD
RS GATOEL
KLINIK DOKTERKU BINA SEHAT Total
TITIS SULISTYOWATI, dr DR HARYOTO LUMAJANG, RSUD
DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


TITIS SULISTYOWATI, dr Total
POSKES 05.10.23 TANGGUL BALADHIKA HUSADA JEMBER RSU
BP Dokterku Mitra Sehat DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


SUNARYO, dr BALUNG RSD
dr. AGUS YUDI PRASTAJI BALUNG RSD
DR HARYOTO LUMAJANG, RSUD
dr. AGUS YUDI PRASTAJI Total
dr. Rinto Suharjo DR SOEBANDI JEMBER, RSD
KLINIK PRATAMA ROLAS MEDIKA DR SOEBANDI JEMBER, RSD
WISNU WIDODO EKA PUTRA, dr DR SOEBANDI JEMBER, RSD
RITA WAHYUNINGSIH, dr BINA SEHAT RS
dr. ALFI YUDISIANTO DR SOEBANDI JEMBER, RSD
dr. FAUZIAH PRATIWI RSU WONOLANGAN
KDDIAG NMDIAG KASUS
I10 - Essential (primary) hypertension 1
A010 - Typhoid fever 3
A91 - Dengue haemorrhagic fever 1
H521 - Myopia 7
H524 - Presbyopia 9
H669 - Otitis media, unspecified 2
I10 - Essential (primary) hypertension 6
J304 - Allergic rhinitis, unspecified 1
J40 - Bronchitis, not specified as acute or chronic 1
N760 - Acute vaginitis 1
31
H162 - Keratoconjunctivitis 3
H521 - Myopia 4
I10 - Essential (primary) hypertension 2
L089 - Local infection of skin and subcutaneous tissue, unspe 1
10
A010 - Typhoid fever 1
H521 - Myopia 2
H524 - Presbyopia 2
H669 - Otitis media, unspecified 4
I10 - Essential (primary) hypertension 4
13
A010 - Typhoid fever 1
I10 - Essential (primary) hypertension 1
2
G442 - Tension-type headache 1
H524 - Presbyopia 2
3
60
I10 - Essential (primary) hypertension 5
D179 - Benign lipomatous neoplasm, unspecified 1
A010 - Typhoid fever 1
G442 - Tension-type headache 2
H521 - Myopia 1
H669 - Otitis media, unspecified 1
I10 - Essential (primary) hypertension 43
R560 - Febrile convulsions 1
49
I10 - Essential (primary) hypertension 1
56
A010 - Typhoid fever 11
A90 - Dengue fever [classical dengue] 2
A91 - Dengue haemorrhagic fever 3
E162 - Hypoglycaemia, unspecified 1
E785 - Hyperlipidaemia, unspecified 2
G510 - Bell's palsy 2
H520 - Hypermetropia 2
H521 - Myopia 5
H524 - Presbyopia 4
H600 - Abscess of external ear 1
H612 - Impacted cerumen 2
H669 - Otitis media, unspecified 2
I10 - Essential (primary) hypertension 1
J304 - Allergic rhinitis, unspecified 3
L022 - Cutaneous abscess, furuncle and carbuncle of trunk 1
42
A010 - Typhoid fever 1
A91 - Dengue haemorrhagic fever 2
E110 - Non-insulin-dependent diabetes mellitus with coma 1
H521 - Myopia 2
H524 - Presbyopia 6
I10 - Essential (primary) hypertension 2
14
A010 - Typhoid fever 1
A91 - Dengue haemorrhagic fever 1
B353 - Tinea pedis 1
B86 - Scabies 1
E110 - Non-insulin-dependent diabetes mellitus with coma 1
E785 - Hyperlipidaemia, unspecified 1
H521 - Myopia 5
H524 - Presbyopia 1
I10 - Essential (primary) hypertension 2
K210 - Gastro-oesophageal reflux disease with oesophagitis 2
N390 - Urinary tract infection, site not specified 1
17
E790 - Hyperuricaem without sign inflamm arthritis+tophac 1
32
A010 - Typhoid fever 5
H524 - Presbyopia 1
6
E100 - Insulin-dependent diabetes mellitus with coma 1
A010 - Typhoid fever 1
A91 - Dengue haemorrhagic fever 1
B86 - Scabies 1
E100 - Insulin-dependent diabetes mellitus with coma 1
E110 - Non-insulin-dependent diabetes mellitus with coma 5
J459 - Asthma, unspecified 2
11
A010 - Typhoid fever 3
E100 - Insulin-dependent diabetes mellitus with coma 1
G442 - Tension-type headache 5
9
27
H151 - Episcleritis 1
H521 - Myopia 2
H524 - Presbyopia 5
I10 - Essential (primary) hypertension 4
12
H521 - Myopia 1
I10 - Essential (primary) hypertension 2
3
A010 - Typhoid fever 1
A90 - Dengue fever [classical dengue] 1
G442 - Tension-type headache 5
H524 - Presbyopia 1
I10 - Essential (primary) hypertension 3
11
26
H520 - Hypermetropia 1
H521 - Myopia 1
I10 - Essential (primary) hypertension 1
2
B07 - Viral warts 1
B354 - Tinea corporis 2
H521 - Myopia 4
I10 - Essential (primary) hypertension 1
J40 - Bronchitis, not specified as acute or chronic 2
L300 - Nummular dermatitis 1
11
A91 - Dengue haemorrhagic fever 2
J304 - Allergic rhinitis, unspecified 1
3
E790 - Hyperuricaem without sign inflamm arthritis+tophac 1
H520 - Hypermetropia 2
3
20
A010 - Typhoid fever 3
D649 - Anaemia, unspecified 2
H520 - Hypermetropia 2
H521 - Myopia 5
H524 - Presbyopia 3
15
H521 - Myopia 1
L300 - Nummular dermatitis 1
2
H521 - Myopia 1
18
A010 - Typhoid fever 1
A010 - Typhoid fever 4
H521 - Myopia 1
5
B353 - Tinea pedis 1
H524 - Presbyopia 1
I10 - Essential (primary) hypertension 1
L309 - Dermatitis, unspecified 1
4
A010 - Typhoid fever 1
H521 - Myopia 2
3
A010 - Typhoid fever 1
14
A010 - Typhoid fever 3
B54 - Unspecified malaria 5
8
A010 - Typhoid fever 2
K210 - Gastro-oesophageal reflux disease with oesophagitis 2
4
12
A010 - Typhoid fever 5
A90 - Dengue fever [classical dengue] 1
H521 - Myopia 1
7
A90 - Dengue fever [classical dengue] 1
G470 - Disorders of initiating and maintaining sleep [insomni 1
R560 - Febrile convulsions 1
2
H520 - Hypermetropia 1
11
D649 - Anaemia, unspecified 1
H810 - M?ni?re's disease 2
I10 - Essential (primary) hypertension 6
J40 - Bronchitis, not specified as acute or chronic 1
9
H520 - Hypermetropia 1
11
A010 - Typhoid fever 2
A91 - Dengue haemorrhagic fever 1
B07 - Viral warts 1
D649 - Anaemia, unspecified 1
J40 - Bronchitis, not specified as acute or chronic 1
6
G442 - Tension-type headache 1
H520 - Hypermetropia 1
H521 - Myopia 2
4
10
B009 - Herpesviral infection, unspecified 1
D179 - Benign lipomatous neoplasm, unspecified 1
H521 - Myopia 1
H524 - Presbyopia 1
H612 - Impacted cerumen 1
H669 - Otitis media, unspecified 1
I10 - Essential (primary) hypertension 1
7
H520 - Hypermetropia 1
H524 - Presbyopia 2
3
10
D179 - Benign lipomatous neoplasm, unspecified 2
K210 - Gastro-oesophageal reflux disease with oesophagitis 2
4
E110 - Non-insulin-dependent diabetes mellitus with coma 1
I840 - Internal thrombosed haemorrhoids 1
2
R560 - Febrile convulsions 2
H520 - Hypermetropia 1
A010 - Typhoid fever 1
10
A010 - Typhoid fever 1
J40 - Bronchitis, not specified as acute or chronic 1
2
B001 - Herpesviral vesicular dermatitis 1
D179 - Benign lipomatous neoplasm, unspecified 2
H521 - Myopia 1
H612 - Impacted cerumen 1
I10 - Essential (primary) hypertension 2
L309 - Dermatitis, unspecified 1
8
10
H521 - Myopia 1
H524 - Presbyopia 1
N760 - Acute vaginitis 2
4
I10 - Essential (primary) hypertension 1
A150 - Tb lung confirm sputum microscopy with or without cu 1
I10 - Essential (primary) hypertension 3
4
9
D179 - Benign lipomatous neoplasm, unspecified 1
H000 - Hordeolum and other deep inflammation of eyelid 1
H520 - Hypermetropia 1
H524 - Presbyopia 1
H612 - Impacted cerumen 1
I10 - Essential (primary) hypertension 1
J40 - Bronchitis, not specified as acute or chronic 2
L309 - Dermatitis, unspecified 1
9
A010 - Typhoid fever 1
A91 - Dengue haemorrhagic fever 3
B54 - Unspecified malaria 1
5
A010 - Typhoid fever 1
A010 - Typhoid fever 1
7
G442 - Tension-type headache 1
H000 - Hordeolum and other deep inflammation of eyelid 1
H524 - Presbyopia 1
I10 - Essential (primary) hypertension 2
5
D179 - Benign lipomatous neoplasm, unspecified 1
H000 - Hordeolum and other deep inflammation of eyelid 1
2
7
F450 - Somatization disorder 1
K291 - Other acute gastritis 1
2
A010 - Typhoid fever 5
7
H521 - Myopia 2
H520 - Hypermetropia 1
H521 - Myopia 2
3
5
H521 - Myopia 3
I10 - Essential (primary) hypertension 1
L309 - Dermatitis, unspecified 1
5
H524 - Presbyopia 1
G510 - Bell's palsy 1
H524 - Presbyopia 1
J304 - Allergic rhinitis, unspecified 2
4
5
B260 - Mumps orchitis 2
D649 - Anaemia, unspecified 2
4
G510 - Bell's palsy 1
5
A91 - Dengue haemorrhagic fever 1
B001 - Herpesviral vesicular dermatitis 1
A010 - Typhoid fever 1
D179 - Benign lipomatous neoplasm, unspecified 1
2
4
H521 - Myopia 4
H521 - Myopia 1
H521 - Myopia 1
I10 - Essential (primary) hypertension 2
3
4
A010 - Typhoid fever 2
D179 - Benign lipomatous neoplasm, unspecified 1
3
H520 - Hypermetropia 1
H521 - Myopia 1
H521 - Myopia 1
3
J459 - Asthma, unspecified 1
H521 - Myopia 1
I10 - Essential (primary) hypertension 1
2
3
A91 - Dengue haemorrhagic fever 2
B354 - Tinea corporis 1
B359 - Dermatophytosis, unspecified 1
2
E100 - Insulin-dependent diabetes mellitus with coma 2
A150 - Tb lung confirm sputum microscopy with or without cu 1
A90 - Dengue fever [classical dengue] 1
2
B24 - Unspecified human immunodeficiency virus [hiv] disea 2
E110 - Non-insulin-dependent diabetes mellitus with coma 1
H521 - Myopia 1
I10 - Essential (primary) hypertension 1
H521 - Myopia 1
H520 - Hypermetropia 1
Grand Total
TAHUN BULAN

KASUS BIAYA

FASKES ASAL RUJUKAN FASKES TUJUAN RUJUKAN


LILIK LAKSMIATI, DR BINA SEHAT RS
DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


LILIK LAKSMIATI, DR Total
TRIWIRANTO, DR BINA SEHAT RS

BINA SEHAT RS Total


CITRA HUSADA RS

CITRA HUSADA RS Total


DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


TRIWIRANTO, DR Total
BP CAMAR (JST) CITRA HUSADA RS

CITRA HUSADA RS Total


DR SOEBANDI JEMBER, RSD
DR SOEBANDI JEMBER, RSD Total
BINA SEHAT RS

BINA SEHAT RS Total


BP CAMAR (JST) Total
KLINIK DOKTERKU TAMAN GADING CITRA HUSADA RS

CITRA HUSADA RS Total


DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


KLINIK DOKTERKU TAMAN GADING Total
KLINIK DOKTERKU BINA SEHAT BINA SEHAT RS

BINA SEHAT RS Total


RS GRIYA HUSADA
KLINIK DOKTERKU BINA SEHAT Total
BP Dr. M. Suherman Unmuh (JST) CITRA HUSADA RS
DR SOEBANDI JEMBER, RSD
DR SOEBANDI JEMBER, RSD Total
BP Dr. M. Suherman Unmuh (JST) Total
KL PRATAMA DOKTERKU T GADING BINA SEHAT RS

BINA SEHAT RS Total


DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


KL PRATAMA DOKTERKU T GADING Total
KLINIK BRIGIF 9/K CITRA HUSADA RS
DR HARYOTO LUMAJANG, RSUD
DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


KLINIK BRIGIF 9/K Total
BP KIMIA FARMA (JST) CITRA HUSADA RS

CITRA HUSADA RS Total


DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


RS TK IV DAAN MOGOT
BP KIMIA FARMA (JST) Total
KLINIK YONIF 515/K CITRA HUSADA RS

CITRA HUSADA RS Total


DR SOEBANDI JEMBER, RSD
DR SOEBANDI JEMBER, RSD Total
KLINIK YONIF 515/K Total
MUMBULSARI BINA SEHAT RS

BINA SEHAT RS Total


CITRA HUSADA RS
DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


MUMBULSARI Total
MEVIE FITRAH DEWI,DR BINA SEHAT RS

BINA SEHAT RS Total


CITRA HUSADA RS
DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


MEVIE FITRAH DEWI,DR Total
KLINIK UPT UNIVERSITAS JEMBER DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


SUSILO WARDHANI, dr CITRA HUSADA RS

CITRA HUSADA RS Total


DR SOEBANDI JEMBER, RSD
SUSILO WARDHANI, dr Total
dr. ALFI YUDISIANTO DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


SUWINASIS, dr DR SOEBANDI JEMBER, RSD
DR SOEBANDI JEMBER, RSD Total
UPT PELAYANAN KESEHATAN UNEJ BINA SEHAT RS

BINA SEHAT RS Total


DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


UPT PELAYANAN KESEHATAN UNEJ Total
KLINIK WIRA SAKTI BALADHIKA HUSADA JEMBER RSU
DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


KLINIK WIRA SAKTI Total
ADI WIDJAJA, dr BINA SEHAT RS

BINA SEHAT RS Total


DR SOEBANDI JEMBER, RSD
ADI WIDJAJA, dr Total
AKHMAD MULTAZAM, DR DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


RS ISLAM ARAFAH
AKHMAD MULTAZAM, DR Total
KLINIK YONIF 509/9/2 KOSTRAD DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


POLRES JEMBER CITRA HUSADA RS
DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


POLRES JEMBER Total
BP DOKTERKU (JST) CITRA HUSADA RS
KL PRATAMA DOKTERKU T GADING DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


RS ISLAM ARAFAH
RS MELATI
KL PRATAMA DOKTERKU T GADING Total
WISNU WIDODO EKA PUTRA, dr DR SOEBANDI JEMBER, RSD
RITA WAHYUNINGSIH, dr BINA SEHAT RS
DR SOEBANDI JEMBER, RSD
RITA WAHYUNINGSIH, dr Total
NURI USMAWATI, dr BINA SEHAT RS
DR SOEBANDI JEMBER, RSD
NURI USMAWATI, dr Total
WIKE WAHYU WIJAYANTI, dr BINA SEHAT RS
DR SOEBANDI JEMBER, RSD
WIKE WAHYU WIJAYANTI, dr Total
POSKES 05.10.23 TANGGUL CITRA HUSADA RS
DR SOEBANDI JEMBER, RSD
POSKES 05.10.23 TANGGUL Total
BP Dokterku Mitra Sehat DR SOEBANDI JEMBER, RSD
KLINIK PRATAMA ROLAS MEDIKA DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


UPT PELAYANAN KESEHATAN UNEJ DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


BAMBANG WITARNO, dr DR SOEBANDI JEMBER, RSD

DR SOEBANDI JEMBER, RSD Total


TITIS SULISTYOWATI, dr DR SOEBANDI JEMBER, RSD
dr. Rinto Suharjo DR SOEBANDI JEMBER, RSD
YUNI ERMITA DJATMIKO, DR BINA SEHAT RS
DR SOEBANDI JEMBER, RSD
YUNI ERMITA DJATMIKO, DR Total
BP SAKINAH KALIURANG DR SOEBANDI JEMBER, RSD
BP RAWAT INAP GRAHA PUGER SEHA DR SOEBANDI JEMBER, RSD
KLINIK PRATAMA AL- FURQAN DR SOEBANDI JEMBER, RSD
SUNARYO, dr DR SOEBANDI JEMBER, RSD
NonSpesialis TYPEPPK

Grand Total
KDDIAG NMDIAG KASUS
I10 - Essential (primary) hypertension 10
A010 - Typhoid fever 1
A91 - Dengue haemorrhagic fever 1
B24 - Unspecified human immunodeficiency virus [hiv] disease 3
H612 - Impacted cerumen 1
H669 - Otitis media, unspecified 1
I10 - Essential (primary) hypertension 48
K291 - Other acute gastritis 1
N12 - Tubulo-interstitial nephritis not spec as acute or chronic 6
N700 - Acute salpingitis and oophoritis 1
63
73
A91 - Dengue haemorrhagic fever 1
H521 - Myopia 5
H524 - Presbyopia 4
H669 - Otitis media, unspecified 1
I10 - Essential (primary) hypertension 8
19
A010 - Typhoid fever 1
H524 - Presbyopia 1
I10 - Essential (primary) hypertension 4
L089 - Local infection of skin and subcutaneous tissue, unspecified 2
8
A91 - Dengue haemorrhagic fever 1
H521 - Myopia 1
H524 - Presbyopia 2
H669 - Otitis media, unspecified 5
I10 - Essential (primary) hypertension 5
L089 - Local infection of skin and subcutaneous tissue, unspecified 3
17
44
A010 - Typhoid fever 6
D649 - Anaemia, unspecified 1
H520 - Hypermetropia 2
H521 - Myopia 3
R560 - Febrile convulsions 3
15
B24 - Unspecified human immunodeficiency virus [hiv] disease 3
H520 - Hypermetropia 1
H521 - Myopia 3
I10 - Essential (primary) hypertension 2
L309 - Dermatitis, unspecified 1
N61 - Inflammatory disorders of breast 1
R560 - Febrile convulsions 1
T171 - Foreign body in nostril 1
13
A010 - Typhoid fever 2
H113 - Conjunctival haemorrhage 1
H521 - Myopia 10
H524 - Presbyopia 2
15
43
H520 - Hypermetropia 1
H521 - Myopia 1
2
G470 - Disorders of initiating and maintaining sleep [insomnias] 1
H520 - Hypermetropia 1
H521 - Myopia 3
H524 - Presbyopia 2
I10 - Essential (primary) hypertension 2
J459 - Asthma, unspecified 1
L080 - Pyoderma 9
L300 - Nummular dermatitis 1
L710 - Perioral dermatitis 1
21
23
A010 - Typhoid fever 8
A91 - Dengue haemorrhagic fever 2
H000 - Hordeolum and other deep inflammation of eyelid 1
I10 - Essential (primary) hypertension 2
J459 - Asthma, unspecified 1
L022 - Cutaneous abscess, furuncle and carbuncle of trunk 1
R040 - Epistaxis 1
16
J459 - Asthma, unspecified 1
17
A010 - Typhoid fever 1
A010 - Typhoid fever 1
A91 - Dengue haemorrhagic fever 1
B029 - Zoster without complication 1
B170 - Acute delta-(super)infection of hepatitis b carrier 1
D179 - Benign lipomatous neoplasm, unspecified 4
H521 - Myopia 1
H612 - Impacted cerumen 1
I10 - Essential (primary) hypertension 3
L700 - Acne vulgaris 2
15
16
A010 - Typhoid fever 1
H520 - Hypermetropia 2
H521 - Myopia 3
I10 - Essential (primary) hypertension 2
L022 - Cutaneous abscess, furuncle and carbuncle of trunk 1
9
A010 - Typhoid fever 1
H521 - Myopia 1
I10 - Essential (primary) hypertension 2
J459 - Asthma, unspecified 2
6
15
I10 - Essential (primary) hypertension 1
A91 - Dengue haemorrhagic fever 1
D179 - Benign lipomatous neoplasm, unspecified 1
G442 - Tension-type headache 8
H520 - Hypermetropia 1
10
12
A010 - Typhoid fever 2
H521 - Myopia 1
H524 - Presbyopia 1
4
A150 - Tb lung confirm sputum microscopy with or without culture 1
D179 - Benign lipomatous neoplasm, unspecified 4
H521 - Myopia 2
7
A010 - Typhoid fever 1
12
A010 - Typhoid fever 2
A91 - Dengue haemorrhagic fever 1
3
B24 - Unspecified human immunodeficiency virus [hiv] disease 2
D179 - Benign lipomatous neoplasm, unspecified 1
H669 - Otitis media, unspecified 4
7
10
A010 - Typhoid fever 1
G442 - Tension-type headache 1
I10 - Essential (primary) hypertension 1
3
H524 - Presbyopia 1
A91 - Dengue haemorrhagic fever 1
D649 - Anaemia, unspecified 1
I10 - Essential (primary) hypertension 1
L309 - Dermatitis, unspecified 3
6
10
A010 - Typhoid fever 2
E110 - Non-insulin-dependent diabetes mellitus with coma 1
3
I10 - Essential (primary) hypertension 2
E110 - Non-insulin-dependent diabetes mellitus with coma 3
J459 - Asthma, unspecified 2
5
10
B009 - Herpesviral infection, unspecified 1
B356 - Tinea cruris 1
H521 - Myopia 3
H612 - Impacted cerumen 2
H669 - Otitis media, unspecified 1
J459 - Asthma, unspecified 1
9
A010 - Typhoid fever 2
H000 - Hordeolum and other deep inflammation of eyelid 1
I10 - Essential (primary) hypertension 3
6
I10 - Essential (primary) hypertension 2
8
A010 - Typhoid fever 1
A90 - Dengue fever [classical dengue] 1
E162 - Hypoglycaemia, unspecified 1
H524 - Presbyopia 4
N390 - Urinary tract infection, site not specified 1
8
H520 - Hypermetropia 6
I10 - Essential (primary) hypertension 1
7
A010 - Typhoid fever 1
H612 - Impacted cerumen 2
3
E162 - Hypoglycaemia, unspecified 2
H612 - Impacted cerumen 2
4
7
A010 - Typhoid fever 1
A010 - Typhoid fever 1
H521 - Myopia 2
N390 - Urinary tract infection, site not specified 1
4
5
B260 - Mumps orchitis 1
D649 - Anaemia, unspecified 2
3
B740 - Filariasis due to wuchereria bancrofti 2
5
D649 - Anaemia, unspecified 1
K291 - Other acute gastritis 1
2
A010 - Typhoid fever 3
5
D179 - Benign lipomatous neoplasm, unspecified 2
H521 - Myopia 1
I10 - Essential (primary) hypertension 1
4
J459 - Asthma, unspecified 1
A010 - Typhoid fever 1
A184 - Tuberculosis of skin and subcutaneous tissue 1
B150 - Hepatitis a with hepatic coma 1
3
4
A010 - Typhoid fever 4
H520 - Hypermetropia 1
N760 - Acute vaginitis 1
2
A010 - Typhoid fever 1
A010 - Typhoid fever 1
4
H521 - Myopia 3
I10 - Essential (primary) hypertension 2
H521 - Myopia 1
3
I10 - Essential (primary) hypertension 1
I10 - Essential (primary) hypertension 2
3
E110 - Non-insulin-dependent diabetes mellitus with coma 2
H521 - Myopia 1
3
O000 - Abdominal pregnancy 1
G470 - Disorders of initiating and maintaining sleep [insomnias] 1
2
L300 - Nummular dermatitis 2
H520 - Hypermetropia 1
H522 - Astigmatism 1
2
H521 - Myopia 1
R560 - Febrile convulsions 1
2
D649 - Anaemia, unspecified 1
H520 - Hypermetropia 1
2
H521 - Myopia 2
B24 - Unspecified human immunodeficiency virus [hiv] disease 2
H521 - Myopia 1
I10 - Essential (primary) hypertension 1
2
A91 - Dengue haemorrhagic fever 1
I10 - Essential (primary) hypertension 1
H669 - Otitis media, unspecified 1
I10 - Essential (primary) hypertension 1
TAHUN

KASUS

FASKES RUJUK AWAL


dr. FAUZIAH PRATIWI

dr. FAUZIAH PRATIWI Total


TRIWIRANTO, DR

TRIWIRANTO, DR Total
LILIK LAKSMIATI, DR

LILIK LAKSMIATI, DR Total


BP CAMAR (JST)
BP CAMAR (JST) Total
BP Dr. M. Suherman Unmuh (JST)

BP Dr. M. Suherman Unmuh (JST) Total


KLINIK WIRA SAKTI

KLINIK WIRA SAKTI Total


BP KIMIA FARMA (JST)

BP KIMIA FARMA (JST) Total


KLINIK YONIF 515/K

KLINIK YONIF 515/K Total


KLINIK YONIF 509/9/2 KOSTRAD
KLINIK YONIF 509/9/2 KOSTRAD Total
KLINIK DOKTERKU BINA SEHAT

KLINIK DOKTERKU BINA SEHAT Total


UPT PELAYANAN KESEHATAN UNEJ

UPT PELAYANAN KESEHATAN UNEJ Total


MEVIE FITRAH DEWI,DR

MEVIE FITRAH DEWI,DR Total


KL PRATAMA DOKTERKU T GADING

KL PRATAMA DOKTERKU T GADING Total


BP DOKTERKU (JST)
dr. ALFI YUDISIANTO

dr. ALFI YUDISIANTO Total


POLRES JEMBER

POLRES JEMBER Total


KLINIK UPT UNIVERSITAS JEMBER

KLINIK UPT UNIVERSITAS JEMBER Total


BP RAWAT INAP GRAHA PUGER SEHA

BP RAWAT INAP GRAHA PUGER SEHA Total


KL PRATAMA DOKTERKU T GADING

KL PRATAMA DOKTERKU T GADING Total


IGNATIUS Y.SUGIARTO, dr

IGNATIUS Y.SUGIARTO, dr Total


SUWINASIS, dr

SUWINASIS, dr Total
AKHMAD MULTAZAM, DR

AKHMAD MULTAZAM, DR Total


KLINIK BRIGIF 9/K
POSKES 05.10.23 TANGGUL

POSKES 05.10.23 TANGGUL Total


KLINIK PRATAMA ROLAS MEDIKA

KLINIK PRATAMA ROLAS MEDIKA Total


BAMBANG WITARNO, dr

BAMBANG WITARNO, dr Total


WIKE WAHYU WIJAYANTI, dr

WIKE WAHYU WIJAYANTI, dr Total


KLINIK PRATAMA TEMU WARAS
UPT PELAYANAN KESEHATAN UNEJ
TITIS SULISTYOWATI, dr
WISNU WIDODO EKA PUTRA, dr
ADI WIDJAJA, dr
SUSILO WARDHANI, dr
SUNARYO, dr
YUNI ERMITA DJATMIKO, DR
KDDIAG NMDIAG
B350 - Tinea barbae and tinea capitis
B354 - Tinea corporis
E100 - Insulin-dependent diabetes mellitus with coma
E110 - Non-insulin-dependent diabetes mellitus with coma
E790 - Hyperuricaem without sign inflamm arthritis+tophaceous dis
H520 - Hypermetropia
H521 - Myopia
H524 - Presbyopia
H612 - Impacted cerumen
H669 - Otitis media, unspecified
I10 - Essential (primary) hypertension
J40 - Bronchitis, not specified as acute or chronic
J459 - Asthma, unspecified
K291 - Other acute gastritis
L010 - Impetigo [any organism] [any site]
N12 - Tubulo-interstitial nephritis not spec as acute or chronic

A91 - Dengue haemorrhagic fever


B359 - Dermatophytosis, unspecified
G442 - Tension-type headache
H520 - Hypermetropia
H521 - Myopia
H524 - Presbyopia
H669 - Otitis media, unspecified
I10 - Essential (primary) hypertension
J304 - Allergic rhinitis, unspecified
J459 - Asthma, unspecified

A010 - Typhoid fever


A184 - Tuberculosis of skin and subcutaneous tissue
B354 - Tinea corporis
I10 - Essential (primary) hypertension
J459 - Asthma, unspecified
N700 - Acute salpingitis and oophoritis

A010 - Typhoid fever


A91 - Dengue haemorrhagic fever
G510 - Bell's palsy
H521 - Myopia
H524 - Presbyopia
L309 - Dermatitis, unspecified
N61 - Inflammatory disorders of breast
R560 - Febrile convulsions
T171 - Foreign body in nostril

A010 - Typhoid fever


A91 - Dengue haemorrhagic fever
B350 - Tinea barbae and tinea capitis
B353 - Tinea pedis
B354 - Tinea corporis
G510 - Bell's palsy
H521 - Myopia
H669 - Otitis media, unspecified
J40 - Bronchitis, not specified as acute or chronic
L700 - Acne vulgaris
R560 - Febrile convulsions

A010 - Typhoid fever


A90 - Dengue fever [classical dengue]
A91 - Dengue haemorrhagic fever
G442 - Tension-type headache
H521 - Myopia
H669 - Otitis media, unspecified
J40 - Bronchitis, not specified as acute or chronic

A150 - Tb lung confirm sputum microscopy with or without culture


H521 - Myopia
H524 - Presbyopia
I10 - Essential (primary) hypertension
K291 - Other acute gastritis

A010 - Typhoid fever


A370 - Whooping cough due to bordetella pertussis
B54 - Unspecified malaria
J00 - Acute nasopharyngitis [common cold]
J100 - Influenza with pneumonia, influenza virus identified
J459 - Asthma, unspecified
K291 - Other acute gastritis

A010 - Typhoid fever


H100 - Mucopurulent conjunctivitis
I10 - Essential (primary) hypertension

A010 - Typhoid fever


H521 - Myopia
H612 - Impacted cerumen
J40 - Bronchitis, not specified as acute or chronic

H612 - Impacted cerumen


J020 - Streptococcal pharyngitis

D649 - Anaemia, unspecified


E110 - Non-insulin-dependent diabetes mellitus with coma
H520 - Hypermetropia
H521 - Myopia
J459 - Asthma, unspecified
R560 - Febrile convulsions

A90 - Dengue fever [classical dengue]


G442 - Tension-type headache
H520 - Hypermetropia
H524 - Presbyopia
I10 - Essential (primary) hypertension

A010 - Typhoid fever


D179 - Benign lipomatous neoplasm, unspecified
D649 - Anaemia, unspecified
H524 - Presbyopia
I10 - Essential (primary) hypertension

A010 - Typhoid fever


D649 - Anaemia, unspecified
E110 - Non-insulin-dependent diabetes mellitus with coma

A010 - Typhoid fever


D649 - Anaemia, unspecified
G442 - Tension-type headache

H521 - Myopia
H522 - Astigmatism
K291 - Other acute gastritis
A010 - Typhoid fever
A91 - Dengue haemorrhagic fever

A91 - Dengue haemorrhagic fever


E100 - Insulin-dependent diabetes mellitus with coma
H669 - Otitis media, unspecified

H520 - Hypermetropia
H521 - Myopia
I10 - Essential (primary) hypertension

A010 - Typhoid fever


H010 - Blepharitis

G442 - Tension-type headache


A010 - Typhoid fever
A150 - Tb lung confirm sputum microscopy with or without culture

H520 - Hypermetropia
H521 - Myopia

H521 - Myopia
O000 - Abdominal pregnancy

E110 - Non-insulin-dependent diabetes mellitus with coma


R560 - Febrile convulsions

G510 - Bell's palsy


G442 - Tension-type headache
I10 - Essential (primary) hypertension
H521 - Myopia
H520 - Hypermetropia
I10 - Essential (primary) hypertension
H521 - Myopia
A150 - Tb lung confirm sputum microscopy with or without culture
Grand Total
KASUS
1
1
64
1
2
1
7
2
1
1
26
1
6
2
2
1
119 109
2
1
1
1
3
16
1
12
1
1
39
2
2
1
26
3
3
37
6
1
3
10
2
4
1
1
1
29
1
1
2
3
4
1
2
1
1
1
1
18
2
1
1
2
1
6
1
14
4
1
4
2
1
12
4
2
1
1
1
1
1
11
3
2
1
6
1
2
1
2
6
5
1
6
1
1
1
1
1
1
6
1
1
1
2
1
6
5
2
1
1
1
5
2
1
1
4
2
1
1
4
1
1
1
3
2
1
3
1
1
1
3
1
1
1
3
2
1
3
2
1
1
2
1
1
2
1
1
2
1
1
2
1
1
1
1
1
1
1
1

You might also like