LB1

KODE PUSKESMAS : Lembar 1: Koordinator Sp3 Kab/Kot

DESA /KELURAHAN : CIBEUREUM Lembar 2: Untuk Koordinator Sp3 Pu
PUSKESMAS : KERTASARI
KECAMATAN : KERTASARI Bulan : Maret
KABUPATEN/KOTA : BANDUNG Tahun : 2017
PROPINSI JAWA BARAT

LAPORAN BULANAN PENYAKIT (LB1)

0-7Hr 8-30Hr <1Th 1-4Th 5-9Th 10-14Th 15-19Th 20-44Th 45-54Th 55-59Th 60-69Th
No. Kode Nama Penyakit
L P L P L P L P L P L P L P L P L P L P L
1- Penyakit Lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 A00.0 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 A01.0 Demam Tifoid 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
4 A01.4 Demam Paratifoid, tidak Spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0
5 A02.0 Infeksi Salmonela Lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 A03.0 Shigelosis, Disentri Basiler tidak spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 A04.0 Infeksi Usus karena bakteri lainnya tidak spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 A05.0 Keracunan makanan karena bakteri lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 A06.0 Amubiasis, Disentri Amuba 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 A07.0 Penyakit infeksi usus lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 A08.0 Infeksi Virus dan Infeksi usus tertentu lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 A08.3 Infeksi Virus Tidak Spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 A09.0 Diare dan Gastroenteritis 0 0 0 0 2 2 4 3 0 1 0 1 0 0 0 3 0 1 0 1 0
Tuberkulosa Paru BTA (+) dengan/tanpa pemeriksaan 0 0 0 0 0 0 0 0 1 2 0 1 0 0 4 0 1 0 0 0 0
14 A15.0 biakan
15 A16.0 Tuberkulosis Paru klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 A16.2 Tuberkulosis Paru lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 A16.3 Tuberkulosis alat nafas lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 A17.0 Meningitis Tuberkulosa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 A18.0 Tuberkulosis Organ Lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 A19.0 Tuberkulosis Miliaris 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 A20 Pes/Sampar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 A22 Antraks 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 A26 Parotitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 A27 Leptospirosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 A30.0 Kusta I/T (MB) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 A30.5 Kusta B/L (PB) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 A33 Tetanus Neonatorum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 A35.0 Tetanus Lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 A36 Difteria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 A37.9 Pertusis/Batuk Rejan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 A39.9 Infeksi Meningokok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 A40.0 Septisemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 A50.0 Sifilis Kongenital/bawaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 A51.9 Sifilis Dini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 A54.9 Infeksi Gonokok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
36 A65.0 Penyakit Sprirokaetal Lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 A66.0 Frambusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 A71 Trakoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 A80 Poliomielitis Akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 A82 Rabies 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 A87 Meningitis Karena Virus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 A90 Demam Dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
43 A91.0 Demam Berdarah Dengue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 A92.0 Chikungunya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 A93.0 Penyakit Demam Mungkin Bukan DBD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
46 B00 Infeksi Herpesvirus (herpes simplex) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
47 B01.9 Varisela/Cacar Air 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
48 B05.9 Campak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
49 B08 Penyakit Campak Dengan Komplikasi Berat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 B09 Penyakit Campak Komplikasi Pada Mata/Mulut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 B15 Hepatitis A Akut (Klinis) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
52 B15.9 Hepatitis Tidak Akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
53 B16 Hepatitis B Akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54 B17 Hepatitis Virus Lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 B20 Penyakit Virus Defisiensi Imun Pada Manusia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 B24 Penyakit HIV/AIDS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
57 B25 Penyakit Virus Lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
58 B26 Penyakit HIV/AIDS 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
59 B35 Dermatophytosis (Tinea) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
Malaria karena plasmodium Falsiparum (Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
60 B50 Tropika)
Malaria karena plasmodium Falsiparum (Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
61 B50.9 Tropika)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
62 B51 Malaria karena plasmodium Vivaks (Malaria Tertiana)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
63 B51.9 Malaria karena plasmodium Vivaks (Malaria Tertiana)
64 B52 Malaria karena plasmodium malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
65 B53.0 Malaria karena palsmodium ovale 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Malaria terbukti secara parasitologik tidak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
66 B53.8 terklasifikasikan
67 B54 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 B74 Filarisis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
69 B74.9 Filarisis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
70 B76 Penyakit Cacing Tambang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
71 B77 Askariasis (Penyakit Cacing Gelang) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
72 B79 Trikhuriasis (Penyakit Cacing Cambuk) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
73 B80 Enterobiasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
74 B86 Skabies 0 0 0 0 0 0 1 2 3 2 8 2 5 1 0 6 0 0 0 0 0
75 C00 Tumor ganas bibir, Rongga mulut, faring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
76 C15 Tumor ganas saluran pencernaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tumor ganas sistem pernafasan dan alat di dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
77 C30 rongga dada
78 C50 Tumor ganas payudara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
79 C53.9 Tumor ganas leher rahim 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
80 C54.9 Tumor ganas korpus rahim 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
81 C56 Tumor ganas indung telur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
82 C60 Tumor ganas alat kelamin pria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 83 C61 Tomor ganas prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 D36 Tumor Jinak Lainnya dan tidak spesifik tempatnya

Tumor Tertentu atau Tidak Diketahui Perilakunya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

85 D48 lainnya, Â tempat dan tidak spesifik.
86 D50 Anemia Defisiensi Besi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
87 D51 Anemia Lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
88 D53.9 Anemia Defisiensi Gizi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
89 D63 Anemi Berat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
90 D64 Anemi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
91 E14 Diabetes Melitus Tidak Spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
92 E40 Kwasiorkor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
93 E41 Marasmus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
94 E42 Marasmik-Kwasiorkor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
95 E43 Kurang Kalori Protein Berat Tidak Spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
96 E44 Kurang Kalori Protein Sedang Tidak Spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
97 E45 Gangguan pertumbuhan karena kurang kalori protein
98 E46 Malnutrisi protein dan kalori tidak spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
99 E50 Kekurangan Vitamin A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 E66 Obesitas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
101 E78 Hypercholesterolaemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
102 E86 Deplesi Volume (Dehidrasi) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Gangguan jiwa dan perilaku yang disebabkan oleh

penggunaan lebih dari satu jenis obat dan zat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
103 F19 psikoaktif lainnya
104 F20.9 Skisofrenia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
105 F23 Gangguan Akut dan sementara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
106 F25 Gangguan Skizoafektif 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
107 F32 Episode Depresif 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
108 F45 Gangguan Somatoform 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
109 F48 Gangguan Emosi (Neurotik/Psisomatik) Lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
110 F48.9 Gangguan Emosi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
111 F79 Retardasi Mental tidak spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
112 G00 Meningitis bakterialis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
113 G40 Epilepsi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
114 G43 Migren dan sindrom nyeri kepala lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gangguan lain pada susunan saraf yang tidak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
115 G98 terklasifikasikan
116 H00 Hordeolum 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
117 H10.9 Konjungtivitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
118 H16.9 Keratitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
119 H25 Katarak Senilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
120 H25.9 Katarak Senilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
121 H26 Katarak lain tidak spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
122 H40 Glaukoma tidak Spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
123 H52 Gangguan Refraksi dan Akomodasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
124 H52.1 Myopia 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 2 0 0 0 0 0
125 H52.6 Other disorders of refraction 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
126 H54 Buta dan Rabun 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
127 H57 Gangguan mata dan adneksa lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
128 H57.9 Gangguan mata dan adneksa lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
129 H60 Ototis Eksterna 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
130 H65 Otottis Media Nonsupurativa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
131 H65.9 Otottis Media Nonsupurativa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
132 H66 Ototis Media Supurativa tidk spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
133 H66.4 Ototis Media Supurativa tidk spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
134 H70 Mastoiditis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
135 H72 Perforasi membran timpani 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
136 H93 Gangguan telinga lain tidak spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
137 H93.9 Gangguan telinga lain tidak spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
138 I10 Hipertensi Primer (Esensial) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 21 4 43 7 19 11
139 I11 Hypertensive Heart Disease (HHD) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
140 I15 Hipertensi Sekunder 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
141 I20 Angina Pektoris 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
142 I21 Infark miokard Akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
143 I23 Penyakit Jantung Isemik lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
144 I26 Emboli paru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
145 I50 Penyakit Gagal Jantung (Decompensatio Cordis) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1
146 I63 Infark Serebral 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
147 I64 Stroke, tidak menyebut pendarahan atau infark 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
148 I65 Penyakit pembuluh darah lain tidak infeksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
149 I84 Hemoroid (Wasir) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
150 I88 Nonspecific Lymphadenitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
151 I95 Hipotensi tidak spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
152 I99 Penyakit pembuluh darah Lain tidak spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
153 J00 Nasofaringitis Akuta (Common Cold) 0 0 0 0 0 2 0 7 2 2 1 1 0 0 0 0 0 0 0 0 0
154 J01 Sinusitis Akuta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
155 J02 Faringitis Akuta 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1 2 0 0 0 0 0
156 J03 Tonsilitis Akuta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
157 J04 Laringitis Akuta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit Infeksi Saluran Pernafasan Atas Akut tidak 2 0 0 0 8 9 23 42 16 16 4 9 2 2 6 25 3 8 0 3 4
158 J06 Spesifik
159 J06.0 Acute laryngopharyngitis 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
160 J09 Suspek Avian Influenza/Flu Burung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
161 J10 Influenza 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0
162 J11.1 Influenza 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
163 J18.0 Broncho Pneumonia Tidak Spesifik 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
164 J18.9 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
165 J22 Infeksi Saluran Pernafasan Bawah Akut Tidak Spesifik
166 J30.3 Alergi Rhinitis akibat kerja 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
167 J32 Sinusitis Kronik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
168 J36 Penyakit Saluran Pernafasan Bagian Atas Lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
169 J40 Bronchitis tidak ditemukan akut atau kronik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
170 J45 Asma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
171 J46 Status Asthmatikus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
172 J47 Bronkiektasis dan Bronkiolektasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
173 J84.9 Penyakit Jaringan Interstitial Paru lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
174 K00 Gangguan Perkembangan & Erupsi Gigi 0 0 0 0 0 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 0
175 K00.6 PERSISTENSI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
176 K01 Gigi Terbenam & Gigi Impaksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
177 K02 Karies Gigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
178 K03 Penyakit Jaringan Keras Gigi Lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
179 K04 Penyakit Pulpa dan Jaringan Periapikal 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 4 0 0 0 0 0
180 K05 Gingivitis & Penyakit Periodontral 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
181 K06 Penyakit gusi, jaringan periodontal dan tulang alveolar
182 K07 Kelainan Dentofasial Termasuk Maloklusi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
183 K08 Gangguan gigi dan jaringan penunjang lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit rongga mulut, kelenjar ludah, rahang dan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
184 K09 lainnya
185 K10 Penyakit Rahang Lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
186 K11 Penyakit Kelenjar Liur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
187 K12 Stomatitis dan Lesi-lesi yang Berhubungan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
188 K13 Penyakit Bibir dan Mukosa Lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
189 K14 Penyakit Lidah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
190 K25 Tukak Lambung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
191 K29.7 Gastritis, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
192 K29.9 Gastroduodenitesis Tidak Spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
193 K30 Dispepsia 0 0 0 0 0 0 0 0 1 1 0 4 0 11 13 131 1 12 0 4 1
194 K35 Apendisitis Akuta Tidak Spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
195 K36 Apendisitis lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
196 K40 Hernia Inguinalis 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
197 K41 Hernia Femoralis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
198 K42 Hernia Umbilikalis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
199 K63 Penyakit usus halus lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
200 K76 Penyakit hati lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
201 K92 Penyakit sistem pencernaan tidak spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
202 L01 Impetigo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
203 L02 Abses, furunkri, karbunkel kutan 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
204 L23 Dermatitis kontak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
205 L24 Dermatitis kontak iritan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
206 L30.9 Dermatitis lain tidak spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
207 L40 Psoriasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
208 L42 Pytryasis Rosea 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
209 L50 Urticaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
210 L51 Drug Eruption 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
211 L70 Acne Vulgaris 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
212 L80 Vitiligo 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
213 L89 Ulcus Decubitus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
214 L93 Sistemik Lupus Eritromatosus (SLE) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gangguan lain pada kulit dan jaringan subkutan yang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
215 L98 tidak terklasifikasikan
216 L98.0 Pyogenic granuloma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
217 M10 Gout 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
218 M13 Artritis lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
219 M22 Dislokasi Patella 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
220 M41 Skoliosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
221 M54.5 Low Back Pain (nyeri punggung bawah) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
222 M67.4 Ganglion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
223 M79.0 Rematisme tidak spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 16 2 6 1 1 1
224 M79.1 Myalgia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 65 8 34 6 14 4
225 M79.2 Neuralgia dan Neuritis tidak spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
226 M80 Osteoporosis Dengan Fraktur Patologis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
227 M81 Osteoporosis Tanpa Fraktur Patologis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
228 N04 Sindroma Nefrotik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
229 N10 Pyelonephritis Acute 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
230 N11 Pyelonephritis Cronic 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
231 N17 Gagal ginjal akuta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
232 N18 Gagal Ginjal Kronik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Batu sistem kemih (ginjal, ureter, saluran kemih 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
233 N20 bawah)
234 N23 Kolik ginjal tidak spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
235 N30 Sistitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
236 N34 Uretritis dan sindrom uretal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
237 N40 Gangguan prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
238 N45 Orchits and Epididymitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
239 N50.8 Hydrocele 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
240 N60 Dysplasia Mammae 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
241 N61 Mastitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
242 N62 Gynaecomastia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
243 N70 Salphingitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
244 N72 Cervicitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
245 N75 Kista Bartholin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
246 N76.0 Vaginitis Acute 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
247 N80 Endometriosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
248 N89.8 Leukorrhoea 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
249 N92.0 Menorrhagia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
250 N92.1 Menometrorrhagia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
251 O00 Kehamilan ektropik (di luar kandungan) 0 0 0 0 0 0 0 0 0 0 0 0 0 11 1 48 0 1 0 0 0
252 O03 Abortus spontan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
253 O04 Abortus atas indikasi medis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
254 O05 Abortus lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Hipertensi yang sudah ada sebelum kehamilan dan

menjadi penyulit pada masa kehamilan, persalinan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
255 O10 dan nifas.
256 O13 Pre-eklamsia Ringan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
257 O14.0 Pre-eklamsia Sedang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
258 O14.1 Pre-eklamsia berat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
259 O15.0 Eklamsia selama kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
260 O15.1 Eklamsia dalam proses melahirkan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
261 O15.2 Eklamsia pada masa nifas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Eklamsia tidak spesifik (selama kehamilan atau 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
262 O15.3 persalinan atau nifas)
263 O16 Hipertensi maternal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
264 O21 Muntah berlebihan selama masa kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Diabetes mellitus (penyakit kencing manis) dalam 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
265 O24 kehamilan
266 O25 Kehamilan dengan malnutrisi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
267 O42 Ketuban pecah dini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
268 O46 Pendarahan antepartum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
269 O63 Persalinan (Partus) lama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
270 O68 Persalinan Dengan Penyulit Gawat Janin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
271 O72 Perdarahan Setelah Persalinan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
272 O80 Persalinan Tunggal Spontan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
273 P05 Pertumbuhan Janin Lambat dan Malnutrisi Janin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Gangguan yang berhubungan dengan pendeknya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
masa gestasi (kehamilan) dan berat badan lahir
274 P07 rendah, tidak terklasifikasikan di tempat lainnya
275 P21 Asfiksia Waktu Lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
276 P22 Sindrome Distres Saluran Pernafasan (RDS) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gangguan Kardiovaskuler Yang Berhubungan Dengan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
277 P29 Masa Perinatal
278 P50 Kehilangan Darah Janin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
279 P55 Penyakit Hemolitik Pada Janin dan Bayi Baru Lahir
Jaundis Pada Bayi Baru Lahir disebabkan oleh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
280 P58 Hemolisis Berlebihan
Jaundis Pada Bayi Baru Lahir yang disebabkan Oleh 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
281 P59 Penyebab Tidak Spesifik Lainnya
282 P95 Lahir Mati 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
283 Q21 Ventricular Septal Defect (VSD) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
284 Q21.1 Atrial Septal Defect 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
285 Q21.3 Tetralogy Of Fallot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
286 Q35 Celah Palatum (Langit-langit) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
287 Q36 Celah Bibir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
288 Q37 Celah Palatum Dengan Celah Bibir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
289 Q38 Kelainan Bawaan Lain Pada Lidah, Mulut dan Faring
290 R04 Epistaxis 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0
291 R04.2 Haemoptysis (Batuk Darah) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
292 R05 Batuk 0 0 0 1 4 3 5 16 15 11 10 10 6 0 6 13 1 6 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
293 R07.4 Nyeri Dada Tidak Spesifik (Chest Pain Unspecified)
294 R10 Nyeri Pinggul dan Perut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
295 R15 Inkontinensia Feses 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
296 R33 Retensi Urin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
297 R50 Demam Yang Tidak diketahui Sebabnya 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
298 R50.9 Fever, unspecified 1 1 1 0 3 3 0 3 1 4 2 0 0 1 2 4 1 2 0 0 0
299 R51 Sakit Kepala 0 0 0 0 0 0 0 1 1 0 0 0 1 5 9 58 1 13 0 0 1
300 R53 Malaise and Fatigue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
301 R55 Pingsan (Syncope) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
302 R56 Kejang Yang Tidak Terklasifikasikan ditempat Lain
303 R57 Shock 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
304 R68 Gejala dan Tanda Umum Lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Acute pulmonary oedema due to chemicals, gases, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
305 R68.1 fumes and vapours
306 R68.8 Other specified general symptoms and signs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
307 S00 Cedera Pada Kepala 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
308 S10 Cedera Pada Leher 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
309 S20 Cedera Pada Rongga Dada (toraks) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Cedera Pada Perut, Punggung, Tulang Belakang, Â dan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
310 S30 Pinggul
Cedera Pada Bahu, Lengan Atas, Siku, Lengan Bawah, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
311 S40 Pergelangan dan  Telapak Tangan
312 S42 Fraktur Tulang Anggota Gerak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
313 S62 Fracture at Wrist and Hand Level 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Cedera Pada Paha, Lutut, Kaki Bagian Bawah, Telapak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
314 S70 Kaki
315 S72 Fracture of Femur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
316 T00 Cedera Pada Daerah Multipel 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
317 T14 Luka Lecet (VE) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
318 T14.1 Luka Robek (VL) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
319 T15 Corpal Pada Mata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
320 T16 Corpal Pada Telinga 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
321 T17 Corpal Pada Saluran Nafas 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
322 T18 Corpal pada Saluran Cerna 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
323 T19 Corpal Pada Saluran Kemih & Genital 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
324 T20 Luka Bakar dan Korosi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Luka Bakar Berdasarkan Permukaan Tubuh yg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
325 T31 Terpapar
326 T36 Keracunan Obat dan Preparat Biologik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
327 T60 Keracunan Pestisida 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
328 Z30.0 Konseling KB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
329 Z30.1 Pemasangan IUD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
330 Z30.2 MOW/MOP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
331 Z30.3 Metode Kalender 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
332 Z30.41 PIL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
333 Z30.5 Kontrol IUD dan AFF IUD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
334 Z32 Tes dan Pemeriksaan Kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
335 Z34.0 Gravida I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
336 Z34.8 Gravida II dan Seterusnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
337 Z35 Kehamilan Dengan Riwayat Infertilitas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
338 Z35.4 Multipara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
339 Z35.5 Primi Tua 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
340 Z35.6 Primi Muda 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
341 Z39 Post Natal Care 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
inator Sp3 Kab/Kota
Koordinator Sp3 Puskesmas ( Arsip)

60-69Th >=70Th Jml

P L P Baru Lama Total

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 1 0 1
0 0 0 2 0 2
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 15 0 15

0 0 5 5 10
0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
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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0 0 0 0 0 0
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0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 1 0 1
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 1 1
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 1 0 1
0 0 0 0 0 0

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

0 0 0 0 0
0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 24 4 28
0 0 0 0 0 0
0 0 0 0 0 0

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

0 0 0 0 0
0

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

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

0 0 0 0 0
0
0 0 0 1 0 1
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 1 0 1
0 0 0 1 1 2
0 0 0 0 0 0
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0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
25 18 18 145 149 294
0 0 0 0 0 0
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0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 2 1 3
0 0 0 0 0 0
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0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 15 5 20
0 0 0 0 0 0
0 0 0 2 0 2
0 0 0 0 0 0
0 0 0 0 0 0

3 0 159 20 179
5
0 0 0 1 0 1
0 0 0 0 0 0
0 0 0 3 0 3
0 0 0 0 0 0
0 0 0 1 0 1
0 0 0 0 0 0

0 0 0 0 0
0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 1 1
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 3 1 4
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 4 0 4
0 0 0 0 0 0

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

0 0 0 0 0
0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 1 1
0 0 0 0 3 3
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2 0 1 38 31 69
0 0 0 0 0 0
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0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 1 0 1
0 0 0 0 0 0
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0 0 0 0 0
0
0 0 0 0 0 0
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0 0 0 0 0 0
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0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
2 0 1 14 0 14
7 2 4 79 41 120
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 1 1
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0

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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0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
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0 0 0 0 0 0
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0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 12 3 15
0 0 0 0 0 0
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0 0 0 1 1
0
0 0 0 0 0 0
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0 0 0 0 0 0
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0 0 0 0 0 0

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

0
0 0 0 0 0 0
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0 0 0 0 0
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0 0 1 0 1
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0 0 0 0 0
0
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0 0 0 0 0 0
0 2 1 91 8 99

0 0 0 0 0
0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 1 0 1
0 0 0 23 5 28
1 0 0 24 16 40
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0 0 0 0 0
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0 0 0 0 0
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0 0 0 0 0
0
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0 0 0 0 0
0
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0 0 0 0 0 0
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0 0 0 0 0 0
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0 0 0 0 0
0
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0 0 0 0 2 2
0 0 0 0 0 0
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0 0 0 0 0 0
0 0 0 0 40 40
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