Tangg

Dari Tanggal al

0-7 HR 8-28 HR 29-1 TH

KODE PENYAKIT
BARU LAMA BARU LAMA BARU
L P L P L P L P L
A01.0 Typhoid fever 0 0 0 0 0 0 0 0 0
A08.5 Other specified intestinal infections 0 0 0 0 0 0 0 0 0
Diarrhoea and gastroenteritis of presumed
A09 infectious origin 0 0 0 0 0 0 0 0 0
Other and unspecified gastroenteritis and
A09.0 colitis of infectious origin 0 0 0 0 0 0 0 0 0
Gastroenteritis and colitis of unspecified
A09.9 origin 0 0 0 0 0 0 0 0 1

Tuberculosis of lung, confirmed by sputum

A15.0 microscopy with or without culture 0 0 0 0 0 0 0 0 0
Tuberculosis of lung, confirmed by culture
A15.1 only 0 0 0 0 0 0 0 0 0
Tuberculosis of lung, confirmed
A15.2 histologically 0 0 0 0 0 0 0 0 0

Respiratory tuberculosis unspecified,

confirmed bacteriologically and
A15.9 histologically 0 0 0 0 0 0 0 0 0

Respiratory tuberculosis, not confirmed

A16 bacteriologically or histologically 0 0 0 0 0 0 0 0 0
Tuberculosis of lung, bacteriologically and
A16.0 histologically negative 0 0 0 0 0 0 0 0 0
Tuberculosis of lung, bacteriological and
A16.1 histological examination not done 0 0 0 0 0 0 0 0 0

Tuberculosis of lung, without mention of

A16.2 bacteriological or histological confirmation 0 0 0 0 0 0 0 0 0

Respiratory tuberculosis unspecified,

without mention of bacteriological or
A16.9 histological confirmation 0 0 0 0 0 0 0 0 0

A18.2 Tuberculous peripheral lymphadenopathy 0 0 0 0 0 0 0 0 0

A18.8 Tuberculosis of other specified organs 0 0 0 0 0 0 0 0 0
A30.9 Leprosy, unspecified 0 0 0 0 0 0 0 0 0
A37.9 Whooping cough, unspecified 0 0 0 0 0 0 0 0 0
A54 Gonococcal infection 0 0 0 0 0 0 0 0 0
A54.9 Gonococcal infection, unspecified 0 0 0 0 0 0 0 0 0
A69.9 Spirochaetal infection, unspecified 0 0 0 0 0 0 0 0 0

A98.8 Other specified viral haemorrhagic fevers 0 0 0 0 0 0 0 0 0

B01 Varicella [chickenpox] 0 0 0 0 0 0 0 0 0
B02 Zoster [herpes zoster] 0 0 0 0 0 0 0 0 0
B05.9 Measles without complication 0 0 0 0 0 0 0 0 0
B06 Rubella [German measles] 0 0 0 0 0 0 0 0 0
B06.9 Rubella without complication 0 0 0 0 0 0 0 0 0
B26.9 Mumps without complication 0 0 0 0 0 0 0 0 0
B35 Dermatophytosis 0 0 0 0 0 0 0 0 0
B35.4 Tinea corporis 0 0 0 0 0 0 0 0 0
B66.9 Fluke infection, unspecified 0 0 0 0 0 0 0 0 0
B80 Enterobiasis 0 0 0 0 0 0 0 0 0
B86 Scabies 0 0 0 0 0 0 0 0 0
B88.2 Other arthropod infestations 0 0 0 0 0 0 0 0 0
B88.3 External hirudiniasis 0 0 0 0 0 0 0 0 0
Sequelae of respiratory and unspecified
B90.9 tuberculosis 0 0 0 0 0 0 0 0 0
Malignant neoplasm of rectosigmoid
C19 junction 0 0 0 0 0 0 0 0 0
Malignant neoplasm of skin of other and
C44.3 unspecified parts of face 0 0 0 0 0 0 0 0 0
D01.0 Carcinoma in situ of colon 0 0 0 0 0 0 0 0 0

D17.9 Benign lipomatous neoplasm, unspecified 0 0 0 0 0 0 0 0 0

Other benign neoplasms of connective and
D21 other soft tissue 0 0 0 0 0 0 0 0 0

Other benign neoplasm of connective and

D21.0 other soft tissue of head, face and neck 0 0 0 0 0 0 0 0 0
Other benign neoplasm of connective and
D21.9 other soft tissue, unspecified 0 0 0 0 0 0 0 0 0
D24 Benign neoplasm of breast 0 0 0 0 0 0 0 0 0
D56 Thalassaemia 0 0 0 0 0 0 0 0 0
D56.9 Thalassaemia, unspecified 0 0 0 0 0 0 0 0 0
D64.9 Anaemia, unspecified 0 0 0 0 0 0 0 0 0
E03.9 Hypothyroidism, unspecified 0 0 0 0 0 0 0 0 0
E05.9 Thyrotoxicosis, unspecified 0 0 0 0 0 0 0 0 0
E07.9 Disorder of thyroid, unspecified 0 0 0 0 0 0 0 0 0
Insulin-dependent diabetes mellitus without
E10.9 complications 0 0 0 0 0 0 0 0 0
 Non-insulin-dependent diabetes mellitus
E11.0 with coma 0 0 0 0 0 0 0 0 0
Non-insulin-dependent diabetes mellitus
E11.1 with ketoacidosis 0 0 0 0 0 0 0 0 0

Non-insulin-dependent diabetes mellitus

E11.3 with ophthalmic complications 0 0 0 0 0 0 0 0 0

Non-insulin-dependent diabetes mellitus

E11.4 with neurological complications 0 0 0 0 0 0 0 0 0

Non-insulin-dependent diabetes mellitus

E11.6 with other specified complications 0 0 0 0 0 0 0 0 0

Non-insulin-dependent diabetes mellitus

E11.8 with unspecified complications 0 0 0 0 0 0 0 0 0
Non-insulin-dependent diabetes mellitus
E11.9 without complications 0 0 0 0 0 0 0 0 0
Disorder of lipoprotein metabolism,
E78.9 unspecified 0 0 0 0 0 0 0 0 0
F20 Schizophrenia 0 0 0 0 0 0 0 0 0
F20.1 Hebephrenic schizophrenia 0 0 0 0 0 0 0 0 0
F20.2 Catatonic schizophrenia 0 0 0 0 0 0 0 0 0
F20.9 Schizophrenia, unspecified 0 0 0 0 0 0 0 0 0
F22 Persistent delusional disorders 0 0 0 0 0 0 0 0 0
Acute and transient psychotic disorder,
F23.9 unspecified 0 0 0 0 0 0 0 0 0
F30 Manic episode 0 0 0 0 0 0 0 0 0
F50 Eating disorders 0 0 0 0 0 0 0 0 0
Acute disseminated demyelination,
G36.9 unspecified 0 0 0 0 0 0 0 0 0
G40.9 Epilepsy, unspecified 0 0 0 0 0 0 0 0 0
G44.0 Cluster headache syndrome 0 0 0 0 0 0 0 0 0
Disorders of initiating and maintaining sleep
G47.0 [insomnias] 0 0 0 0 0 0 0 0 0
G47.9 Sleep disorder, unspecified 0 0 0 0 0 0 0 0 0
G51.0 Bell's palsy 0 0 0 0 0 0 0 0 0
G56.0 Carpal tunnel syndrome 0 0 0 0 0 0 0 0 0
H01.0 Blepharitis 0 0 0 0 0 0 0 0 0
H10 Conjunctivitis 0 0 0 0 0 0 0 0 0
H10.9 Conjunctivitis, unspecified 0 0 0 0 0 0 0 0 0
H11.0 Pterygium 0 0 0 0 0 0 0 0 0
H25.0 Senile incipient cataract 0 0 0 0 0 0 0 0 0
H25.9 Senile cataract, unspecified 0 0 0 0 0 0 0 0 0
H26.9 Cataract, unspecified 0 0 0 0 0 0 0 0 0
Disorder of binocular movement,
H51.9 unspecified 0 0 0 0 0 0 0 0 0

H52 Disorders of refraction and accommodation 0 0 0 0 0 0 0 0 0

H52.1 Myopia 0 0 0 0 0 0 0 0 0
H52.5 Disorders of accommodation 0 0 0 0 0 0 0 0 0
H52.7 Disorder of refraction, unspecified 0 0 0 0 0 0 0 0 0
H60.9 Otitis externa, unspecified 0 0 0 0 0 0 0 0 0
H61.9 Disorder of external ear, unspecified 0 0 0 0 0 0 0 0 0
H66.0 Acute suppurative otitis media 0 0 0 0 0 0 0 0 0
H66.9 Otitis media, unspecified 0 0 0 0 0 0 0 0 0
H69.9 Eustachian tube disorder, unspecified 0 0 0 0 0 0 0 0 0
H81.1 Benign paroxysmal vertigo 0 0 0 0 0 0 0 0 0
H81.4 Vertigo of central origin 0 0 0 0 0 0 0 0 0
H91.9 Hearing loss, unspecified 0 0 0 0 0 0 0 0 0
H93.9 Disorder of ear, unspecified 0 0 0 0 0 0 0 0 0
I09.9 Rheumatic heart disease, unspecified 0 0 0 0 0 0 0 0 0
I10 Essential (primary) hypertension 0 0 0 0 0 0 0 0 0
I11 Hypertensive heart disease 0 0 0 0 0 0 0 0 0

I24.9 Acute ischaemic heart disease, unspecified 0 0 0 0 0 0 0 0 0

I25 Chronic ischaemic heart disease 0 0 0 0 0 0 0 0 0

I25.9 Chronic ischaemic heart disease, unspecified 0 0 0 0 0 0 0 0 0

I50 Heart failure 0 0 0 0 0 0 0 0 0
I50.0 Congestive heart failure 0 0 0 0 0 0 0 0 0
I50.9 Heart failure, unspecified 0 0 0 0 0 0 0 0 0
Subarachnoid haemorrhage from anterior
I60.2 communicating artery 0 0 0 0 0 0 0 0 0
I63.9 Cerebral infarction, unspecified 0 0 0 0 0 0 0 0 0
Unspecified haemorrhoids without
I84.9 complication 0 0 0 0 0 0 0 0 0
I86.3 Vulval varices 0 0 0 0 0 0 0 0 0

I88.9 Nonspecific lymphadenitis, unspecified 0 0 0 0 0 0 0 0 0

Other noninfective disorders of lymphatic
I89 vessels and lymph nodes 0 0 0 0 0 0 0 0 0
Other disorders of circulatory system in
I98 diseases classified elsewhere 0 0 0 0 0 0 0 0 0
J02 Acute pharyngitis 0 0 0 0 0 0 0 0 0
J02.9 Acute pharyngitis, unspecified 0 0 0 0 0 0 0 0 0
J03 Acute tonsillitis 0 0 0 0 0 0 0 0 0
J03.9 Acute tonsillitis, unspecified 0 0 0 0 0 0 0 0 0
Acute upper respiratory infections of
J06 multiple and unspecified sites 0 0 0 0 0 0 0 0 0
J06.0 Acute laryngopharyngitis 0 0 0 0 0 0 0 0 0
Other acute upper respiratory infections of
J06.8 multiple sites 0 0 0 0 0 0 0 0 0
Acute upper respiratory infection,
J06.9 unspecified 0 1 0 0 1 3 0 0 38
Influenza due to identified avian infliuenza
J09 virus 0 0 0 0 0 0 0 0 0
J18.9 Pneumonia, unspecified 0 0 0 0 0 0 0 0 1
J20.9 Acute bronchitis, unspecified 0 0 0 0 0 0 0 0 0
J30.0 Vasomotor rhinitis 0 0 0 0 0 0 0 0 0

J40 Bronchitis, not specified as acute or chronic 0 0 0 0 0 0 0 0 0

Other chronic obstructive pulmonary
J44 disease 0 0 0 0 0 0 0 0 0
Chronic obstructive pulmonary disease,
J44.9 unspecified 0 0 0 0 0 0 0 0 0
J45.9 Asthma, unspecified 0 0 0 0 0 0 0 0 0

J90 Pleural effusion, not elsewhere classified 0 0 0 0 0 0 0 0 0

Pleural effusion in conditions classified
J91 elsewhere 0 0 0 0 0 0 0 0 0
K00.1 Supernumerary teeth 0 0 0 0 0 0 0 0 0
K00.4 Disturbances in tooth formation 0 0 0 0 0 0 0 0 0
K00.6 Disturbances in tooth eruption 0 0 0 0 0 0 0 0 0
K01 Embedded and impacted teeth 0 0 0 0 0 0 0 0 0
K01.1 Impacted teeth 0 0 0 0 0 0 0 0 0
K02 Dental caries 0 0 0 0 0 0 0 0 0
K02.9 Dental caries, unspecified 0 0 0 0 0 0 0 0 0
K04.0 Pulpitis 0 0 0 0 0 0 0 0 0
K04.1 Necrosis of pulp 0 0 0 0 0 0 0 0 0
K04.2 Pulp degeneration 0 0 0 0 0 0 0 0 0
K04.7 Periapical abscess without sinus 0 0 0 0 0 0 0 0 0
Other and unspecified diseases of pulp and
K04.9 periapical tissues 0 0 0 0 0 0 0 0 0
K05 Gingivitis and periodontal diseases 0 0 0 0 0 0 0 0 0
K05.0 Acute gingivitis 0 0 0 0 0 0 0 0 0
K07.3 Anomalies of tooth position 0 0 0 0 0 0 0 0 0
K11.0 Atrophy of salivary gland 0 0 0 0 0 0 0 0 0
K12 Stomatitis and related lesions 0 0 0 0 0 0 0 0 0
K12.3 Oral mucositis (ulcerative) 0 0 0 0 0 0 0 0 0
K13.5 Oral submucous fibrosis 0 0 0 0 0 0 0 0 0
K27 Peptic ulcer, site unspecified 0 0 0 0 0 0 0 0 0
K29.0 Acute haemorrhagic gastritis 0 0 0 0 0 0 0 0 0
K29.7 Gastritis, unspecified 0 0 0 0 0 0 0 0 0
K29.8 Duodenitis 0 0 0 0 0 0 0 0 0
K29.9 Gastroduodenitis, unspecified 0 0 0 0 0 0 0 0 0
K30 Dyspepsia 0 0 0 0 0 0 0 0 1
K31.0 Acute dilatation of stomach 0 0 0 0 0 0 0 0 0
Disease of stomach and duodenum,
K31.9 unspecified 0 0 0 0 0 0 0 0 0
K35 Acute appendicitis 0 0 0 0 0 0 0 0 0
K35.9 Acute appendicitis, unspecified 0 0 0 0 0 0 0 0 0
K40 Inguinal hernia 0 0 0 0 0 0 0 0 0
K46 Unspecified abdominal hernia 0 0 0 0 0 0 0 0 0
Unspecified abdominal hernia without
K46.9 obstruction or gangrene 0 0 0 0 0 0 0 0 0
Noninfective gastroenteritis and colitis,
K52.9 unspecified 0 0 0 0 0 0 0 0 0
K59.0 Constipation 0 0 0 0 0 0 0 0 0
Fatty (change of) liver, not elsewhere
K76.0 classified 0 0 0 0 0 0 0 0 0
K90 Intestinal malabsorption 0 0 0 0 0 0 0 0 0
L01 Impetigo 0 0 0 0 0 0 0 0 0
Cutaneous abscess, furuncle and carbuncle
L02.8 of other sites 0 0 0 0 0 0 0 0 0
Cutaneous abscess, furuncle and carbuncle,
L02.9 unspecified 0 0 0 0 0 0 0 0 0
L03.9 Cellulitis, unspecified 0 0 0 0 0 0 0 0 0
L04.9 Acute lymphadenitis, unspecified 0 0 0 0 0 0 0 0 0
L08.1 Erythrasma 0 0 0 0 0 0 0 0 0
L11 Other acantholytic disorders 0 0 0 0 0 0 0 0 0

L23.0 Allergic contact dermatitis due to metals 0 0 0 0 0 0 0 0 0

L23.2 Allergic contact dermatitis due to cosmetics 0 0 0 0 0 0 0 0 0

Allergic contact dermatitis, unspecified
L23.9 cause 0 0 0 0 0 0 0 0 1
Unspecified contact dermatitis, unspecified
L25.9 cause 0 0 0 0 0 0 0 0 0
L30.4 Erythema intertrigo 0 0 0 0 0 0 0 0 0
L30.9 Dermatitis, unspecified 0 0 0 0 0 0 0 0 0
L50 Urticaria 0 0 0 0 0 0 0 0 0
L50.1 Idiopathic urticaria 0 0 0 0 0 0 0 0 0
L50.6 Contact urticaria 0 0 0 0 0 0 0 0 0
L50.9 Urticaria, unspecified 0 0 0 0 0 0 0 0 0
L53.9 Erythematous condition, unspecified 0 0 0 0 0 0 0 0 0
L91.0 Keloid scar 0 0 0 0 0 0 0 0 0

Other disorders of skin and subcutaneous

L98 tissue, not elsewhere classified 0 0 0 0 0 0 0 0 0
L98.0 Pyogenic granuloma 0 0 0 0 0 0 0 0 0
L98.1 Factitial dermatitis 0 0 0 0 0 0 0 0 0

L98.2 Febrile neutrophilic dermatosis [Sweet] 0 0 0 0 0 0 0 0 0

Other specified disorders of skin and
L98.8 subcutaneous tissue 0 0 0 0 0 0 0 0 0
Disorder of skin and subcutaneous tissue,
L98.9 unspecified 0 0 0 0 1 1 0 0 41

Other specified disorders of skin and

subcutaneous tissue in diseases classified
L99.8 elsewhere 0 0 0 0 0 0 0 0 0

M11.11 Familial chondrocalcinosis, shoulder region 0 0 0 0 0 0 0 0 0

Crystal arthropathy, unspecified, multiple
M11.90 sites 0 0 0 0 0 0 0 0 0
M13.99 Arthritis, unspecified, unspecified site 0 0 0 0 0 0 0 0 0
M15.4 Erosive (osteo)arthrosis 0 0 0 0 0 0 0 0 0
M40.09 Postural kyphosis, site unspecified 0 0 0 0 0 0 0 0 0
M54.39 Sciatica, site unspecified 0 0 0 0 0 0 0 0 0
M54.59 Low back pain, site unspecified 0 0 0 0 0 0 0 0 0
M79.18 Myalgia, other site 0 0 0 0 0 0 0 0 0
M79.19 Myalgia, site unspecified 0 0 0 0 0 0 0 0 0
Neuralgia and neuritis, unspecified, site
M79.29 unspecified 0 0 0 0 0 0 0 0 0
M79.79 Fibromyalgia, site unspecified 0 0 0 0 0 0 0 0 0
Soft tissue disorder, unspecified, shoulder
M79.91 region 0 0 0 0 0 0 0 0 0

M79.92 Soft tissue disorder, unspecified, upper arm 0 0 0 0 0 0 0 0 0

M79.94 Soft tissue disorder, unspecified, hand 0 0 0 0 0 0 0 0 0
Soft tissue disorder, unspecified, site
M79.99 unspecified 0 0 0 0 0 0 0 0 0

M86.99 Osteomyelitis, unspecified, site unspecified 0 0 0 0 0 0 0 0 0

 Juvenile osteochondrosis of hip and pelvis,
M91.91 unspecified, shoulder region 0 0 0 0 0 0 0 0 0
Renal tubulo-interstitial disorders in diseases
N16 classified elsewhere 0 0 0 0 0 0 0 0 0
N18 Chronic kidney disease 0 0 0 0 0 0 0 0 0
N20.0 Calculus of kidney 0 0 0 0 0 0 0 0 0
N20.9 Urinary calculus, unspecified 0 0 0 0 0 0 0 0 0
N23 Unspecified renal colic 0 0 0 0 0 0 0 0 0
N30.9 Cystitis, unspecified 0 0 0 0 0 0 0 0 0
N34.1 Nonspecific urethritis 0 0 0 0 0 0 0 0 0

N39.0 Urinary tract infection, site not specified 0 0 0 0 0 0 0 0 0

N39.9 Disorder of urinary system, unspecified 0 0 0 0 0 0 0 0 0
N40 Hyperplasia of prostate 0 0 0 0 0 0 0 0 0
N64.9 Disorder of breast, unspecified 0 0 0 0 0 0 0 0 0
N80.9 Endometriosis, unspecified 0 0 0 0 0 0 0 0 0
N82.0 Vesicovaginal fistula 0 0 0 0 0 0 0 0 0
N83.2 Other and unspecified ovarian cysts 0 0 0 0 0 0 0 0 0
Other specified noninflammatory disorders
N89.8 of vagina 0 0 0 0 0 0 0 0 0
Noninflammatory disorder of vagina,
N89.9 unspecified 0 0 0 0 0 0 0 0 0
N92.6 Irregular menstruation, unspecified 0 0 0 0 0 0 0 0 0
Other abnormal uterine and vaginal
N93 bleeding 0 0 0 0 0 0 0 0 0
O02.1 Missed abortion 0 0 0 0 0 0 0 0 0

Spontaenous abortion, incomplete, with

O03.3 other and unspecified complications 0 0 0 0 0 0 0 0 0
Spontaneous abortion, incomplete, without
O03.4 complication 0 0 0 0 0 0 0 0 0
O14.9 Pre-eclampsia, unspecified 0 0 0 0 0 0 0 0 0
O20.0 Threatened abortion 0 0 0 0 0 0 0 0 0

O24.9 Diabetes mellitus in pregnancy, unspecified 0 0 0 0 0 0 0 0 0

O30.0 Twin pregnancy 0 0 0 0 0 0 0 0 0
O32.1 Maternal care for breech presentation 0 0 0 0 0 0 0 0 0
Maternal care for malpresentation of fetus,
O32.9 unspecified 0 0 0 0 0 0 0 0 0

O33.9 Maternal care for disproportion, unspecified 0 0 0 0 0 0 0 0 0

Maternal care due to uterine scar from
O34.2 previous surgery 0 0 0 0 0 0 0 0 0
O48 Prolonged pregnancy 0 0 0 0 0 0 0 0 0
Retained placenta and membranes, without
O73 haemorrhage 0 0 0 0 0 0 0 0 0

O75.0 Maternal distress during labour and delivery 0 0 0 0 0 0 0 0 0

Mental disorders and diseases of the

nervous system complicating pregnancy,
O99.3 childbirth and the puerperium 0 0 0 0 0 0 0 0 0
P20.9 Intrauterine hypoxia, unspecified 0 0 0 0 0 0 0 0 0
Disseminated intravascular coagulation of
P60 fetus and newborn 0 0 0 0 0 0 0 0 0
Congenital malformation of heart,
Q24.9 unspecified 0 0 0 0 0 0 0 0 0
Atresia of oesophagus with tracheo-
Q39.1 oesophageal fistula 0 0 0 0 0 0 0 0 0
Q84.4 Congenital leukonychia 0 0 0 0 0 0 0 0 0
R00.2 Palpitations 0 0 0 0 0 0 0 0 0
R02 Gangrene, not elsewhere classified 0 0 0 0 0 0 0 0 0
R04.2 Haemoptysis 0 0 0 0 0 0 0 0 0
R05 Cough 0 0 0 0 0 0 0 0 0
R06.0 Dyspnoea 0 0 0 0 0 0 0 0 0
R10.4 Other and unspecified abdominal pain 0 0 0 0 0 0 0 0 0
R11 Nausea and vomiting 0 0 0 0 0 0 0 0 0
R18 Ascites 0 0 0 0 0 0 0 0 0
R33 Retention of urine 0 0 0 0 0 0 0 0 0
R50 Fever of other and unknown origin 1 1 0 0 1 0 0 0 12
R50.0 Fever with chills 0 0 0 0 0 0 0 0 0
R50.1 Persistent fever 0 0 0 0 0 0 0 0 0
R50.9 Fever, unspecified 0 1 0 0 0 1 0 1 12
R51 Headache 0 0 0 0 0 0 0 0 0
R52.9 Pain, unspecified 0 0 0 0 0 0 0 0 0
R60.9 Oedema, unspecified 0 0 0 0 0 0 0 0 0
R90.0 Intracranial space-occupying lesion 0 0 0 0 0 0 0 0 0
S01 Open wound of head 0 0 0 0 0 0 0 0 0
S08.0 Avulsion of scalp 0 0 0 0 0 0 0 0 0
S09.9 Unspecified injury of head 0 0 0 0 0 0 0 0 0
S62.61 Fracture of other finger , open 0 0 0 0 0 0 0 0 0

Traumatic rupture of ligament of finger at

metacarpophalangeal and interphalangeal
S63.4 joint(s) 0 0 0 0 0 0 0 0 0

T14.1 Open wound of unspecified body region 0 0 0 0 0 0 0 0 0

T15.1 Foreign body in conjunctival sac 0 0 0 0 0 0 0 0 0
Foreign body on external eye, part
T15.9 unspecified 0 0 0 0 0 0 0 0 0
Burn of unspecified body region, unspecified
T30.0 degree 0 0 0 0 0 0 0 0 0
T63.0 Toxic effect of snake venom 0 0 0 0 0 0 0 0 0
T67.0 Effects of heatstroke and sunstroke 0 0 0 0 0 0 0 0 0

Occupant [any] of three-wheeled motor

V39.9 vehicle injured in unspecified traffic accident 0 0 0 0 0 0 0 0 0

Bitten or stung by nonvenomous insect and

other nonvenomous arthropods,
W57.9 Unspecified Place 0 0 0 0 0 0 0 0 0

Adverse effects in the therapeutic use of

antihyperlipidaemic and antiarteriosclerotic
Y52.6 drugs 0 0 0 0 0 0 0 0 0

Adverse effects in the therapeutic use of

Y54.9 mineral salts, not elsewhere classified 0 0 0 0 0 0 0 0 0

Topical agents primarily affecting skin and

mucous membrane and ophthalmological,
Y56 otorhinolaryngological and dental drugs 0 0 0 0 0 0 0 0 0

Anaesthesiology devices associated with

adverse incidents, prosthetic and other
Y70.2 implants, materials and accessory devices 0 0 0 0 0 0 0 0 0

General examination and investigation of

persons without complaint and reported
Z00 diagnosis 0 0 0 0 0 0 0 0 0
Z00.0 General medical examination 0 0 0 0 0 0 0 0 0
Z00.8 Other general examinations 0 0 0 0 0 0 0 0 0
Medical observation and evaluation for
Z03 suspected diseases and conditions 0 0 0 0 0 0 0 0 0
Observation for suspected disease or
Z03.9 condition, unspecified 0 0 0 0 0 0 0 0 0

Follow-up examination after unspecified

Z09.9 treatment for other conditions 0 0 0 0 0 1 0 0 2

Z22.9 Carrier of infectious disease, unspecified 0 0 0 0 0 0 0 0 0

 Need for immunization against arthropod-
Z24.1 borne viral encephalitis 0 0 0 0 0 0 0 0 0
Z30 Contraceptive management 0 0 0 0 0 0 0 0 0

Z30.9 Contraceptive management, unspecified 0 0 0 0 0 0 0 0 0

Z36.8 Other antenatal screening 0 0 0 0 0 0 0 0 0
Z36.9 Antenatal screening, unspecified 0 0 0 0 0 0 0 0 0
Z39.2 Routine postpartum follow-up 0 0 0 0 0 0 0 0 0
Z48.9 Surgical follow-up care, unspecified 0 0 0 0 0 0 0 0 0
Care involving use of rehabilitation
Z50.9 procedure, unspecified 0 0 0 0 0 0 0 0 0
Z59.0 Homelessness 0 0 0 0 0 0 0 0 0

Z62.3 Hostility towards and scapegoating of child 0 0 0 0 0 0 0 0 0

Problem related to primary support group,
Z63.9 unspecified 0 0 0 0 0 0 0 0 0
Person consulting on behalf of another
Z71.0 person 0 0 0 0 0 0 0 0 0
Z71.8 Other specified counselling 0 0 0 0 0 0 0 0 0
Z71.9 Counselling, unspecified 3 0 0 0 0 3 1 0 4
Person awaiting admission to adequate
Z75.1 facility elsewhere 0 0 0 0 0 0 0 0 0
Z81.2 Family history of tobacco abuse 0 0 0 0 0 0 0 0 0
Personal history of allergy to other anti-
Z88.3 infective agents 0 0 0 0 0 0 0 0 0
Z89.6 Acquired absence of leg above knee 0 0 0 0 0 0 0 0 0

Z90.0 Acquired absence of part of head and neck 0 0 0 0 0 0 0 0 0

Z90.2 Acquired absence of lung [part of] 0 0 0 0 0 0 0 0 0
Personal history of other specified risk-
Z91.8 factors, not elsewhere classified 0 0 0 0 0 0 0 0 0
Personal history of long-term (current) use
Z92.1 of anticoagulants 0 0 0 0 0 0 0 0 0
Presence of (intrauterine) contraceptive
Z97.5 device 0 0 0 0 0 0 0 0 0
Z98.8 Other specified postsurgical states 0 0 0 0 0 0 0 0 0
Z99.1 Dependence on respirator 0 0 0 0 0 0 0 0 0
Dependence on unspecified enabling
Z99.9 machine and device 0 0 0 0 0 0 0 0 0
Jumlah 4 3 0 0 3 9 1 1 113

MTBS
BARU LAMA
L P L P
290 278 569 459
 JUMLAH KASUS / GOLONGAN UMUR
29-1 TH 1-5 TH 6-14 TH 15-19 TH 20-34 TH 35-39 TH
BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU LAMA BARU LAMA
P L P L P L P L P L P L P L P L P L P L P L P
0 0 0 0 0 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 1 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 1 0 0 0 0

0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0

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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 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 1 1 1 0 0 2 1 20 1 0 57 77 2 0 38 9

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 3 3 0 0 0 3

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

0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 1 2 0 1 8 6 9 9 1 0 2 3

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 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 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0
1 0 0 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 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 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 2 0 1 0 1 0 1
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 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 3 3 38 11 40 22 22 8 15 10 4 5 4 12 3 1 3 6
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 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 0 0 0 1 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

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0 24 0 47 0 6 0 68 0 0 0 4 0 0 0 0 0 68 0 185
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
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0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 0

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6 12 10 36 4 10 17 54 4 4 19 7 1 1 8 3 41 81 112 203

0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 1 2
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
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0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1
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0 0 0 0 0 0 1 1 0 0 1 2 0 0 0 0 0 1 2 3
53 119 139 397 107 153 280 675 81 77 271 294 43 46 220 157 1196 1960 2481 4107
 KRITERIA
JUMLAH TOTAL
INDIKATOR PASIEN BARU PASIEN LAMA KUNJUNGAN
L P L P L P
GULA DARAH 0 0 0
KOLESTEROL 0 0 0
MTBS 290 278 569 459 859 737 1596
KUNJUNGAN PASIEN 1196 1960 2481 4107 3677 6067 9744