Laporan Bulanan Data Kesakitan (LB1)

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Jumlah 0 - 7 HR 8 - 28 HR 29 - < 1 TH 1 - 4 TH 5 - < 6 TH 6 - 9 TH

No Kode Dx Nama Penyakit Total
Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr Lk
B L B L B L B L B L B L B L B L B L B L B L B L B
4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 A01.0 Typhoid fever 3 2 1
2 A06.0 Acute amoebic dysentery 1 1 1
3 A08.3 Other viral enteritis 1 1
Other and unspecified gastroenteritis and colitis of
4 A09.0 3 2 1
infectious origin
5 A09.9 Gastroenteritis and colitis of unspecified origin 92 36 11 28 17 1 1 6 2 1 3 3 1 2 2
Tuberculosis of lung, confirmed by sputum microscopy
6 A15.0 2 1 1
with or without culture
7 A15.3 Tuberculosis of lung, confirmed by unspecified means 1 1
Respiratory tuberculosis unspecified, confirmed
8 A15.9 4 1 2 1 1
bacteriologically and histologically
Tuberculosis of lung, bacteriologically and histologically
9 A16.0 2 1 1 1 1
negative
Tuberculosis of intrathoracic lymph nodes, without
10 A16.3 1 1 1
mention of bacteriological or histological confirmation
Tuberculous pleurisy, without mention of bacteriological
11 A16.5 1 1
or histological confirmation
Respiratory tuberculosis unspecified, without mention of
12 A16.9 1 1
bacteriological or histological confirmation
13 A18.2 Tuberculous peripheral lymphadenopathy 1 1 1
14 A18.8 Tuberculosis of other specified organs 1 1 1
15 A46 Erysipelas 1 1
16 A54.9 Gonococcal infection, unspecified 2 1 1
17 B00.5 Herpesviral ocular disease 1 1
18 B00.9 Herpesviral infection, unspecified 6 1 5
19 B01.8 Varicella with other complications 2 1 1
20 B01.9 Varicella without complication 15 7 1 4 3 1 1 1 1
21 B02.9 Zoster without complication 11 6 4 1
22 B05.8 Measles with other complications 3 3 1
23 B05.9 Measles without complication 4 1 3 1
24 B07 Viral warts 2 1 1
 Other specified viral infections characterized by skin and
25 B08.8 2 1 1 1
mucous membrane lesions
26 B17.9 Acute viral hepatitis, unspecified 1 1
27 B18.0 Chronic viral hepatitis B with delta-agent 1 1
28 B18.2 Chronic viral hepatitis C 1 1
29 B26.9 Mumps without complication 9 4 1 1 3 1 1
30 B30.8 Other viral conjunctivitis 5 3 2
31 B30.9 Viral conjunctivitis, unspecified 1 1
32 B34.9 Viral infection, unspecified 3 3 1 1 1
33 B35.0 Tinea barbae and tinea capitis 9 6 3 1 1 1 1
34 B35.1 Tinea unguium 1 1
35 B35.3 Tinea pedis 1 1
36 B35.4 Tinea corporis 20 6 4 7 3 1
37 B35.6 Tinea cruris 8 3 5
38 B76.8 Other hookworm diseases 1 1
39 B76.9 Hookworm disease, unspecified 2 2
40 B86 Scabies 13 6 3 1 3 1 1 1
Malignant neoplasm: Malignant melanoma of skin,
41 C43.9 1 1
unspecified
42 C50.9 Malignant neoplasm: Breast, unspecified 5 1 4
43 C53.9 Malignant neoplasm: Cervix uteri, unspecified 1 1
44 C56 Malignant neoplasm of ovary 2 2
45 C61 Malignant neoplasm of prostate 1 1
46 C69.2 Malignant neoplasm: Retina 1 1 1
Malignant neoplasm of other and ill-defined sites:
47 C76.2 1 1
Abdomen
48 C91.0 Acute lymphoblastic leukaemia [ALL] 1 1
49 C92.1 Chronic myeloid leukaemia [CML], BCR/ABL-positive 2 1 1
50 D10.1 Benign neoplasm: Tongue 1 1
Benign neoplasm: Connective and other soft tissue of
51 D21.0 3 1 1 1
head, face and neck
Benign neoplasm: Connective and other soft tissue,
52 D21.9 4 1 1 2
unspecified
53 D24 Benign neoplasm of breast 4 3 1
54 D26.7 Other benign neoplasm: Other parts of uterus 1 1
55 D28.1 Benign neoplasm: Vagina 1 1
56 D33.0 Benign neoplasm: Brain, supratentorial 1 1
57 D33.4 Benign neoplasm: Spinal cord 1 1
58 D36.9 Benign neoplasm: Benign neoplasm of unspecified site 2 2
59 D47.3 Essential (haemorrhagic) thrombocythaemia 1 1
60 D50.9 Iron deficiency anaemia, unspecified 5 1 3 1 1
61 E03.9 Hypothyroidism, unspecified 2 1 1
62 E04.9 Nontoxic goitre, unspecified 1 1
63 E05.0 Thyrotoxicosis with diffuse goitre 3 3
64 E05.9 Thyrotoxicosis, unspecified 7 4 3
65 E10.8 Diabetes mellitus type 1: With unspecified complications 10 1 4 2 3
Diabetes mellitus type 2: With peripheral circulatory
66 E11.5 1 1
complications
67 E11.7 Diabetes mellitus type 2: With multiple complications 6 1 1 4
68 E11.8 Diabetes mellitus type 2: With unspecified complications 130 23 20 33 54
69 E11.9 Diabetes mellitus type 2: Without complications 2 1 1
Unspecified diabetes mellitus: With ophthalmic
70 E14.3 1 1
complications
71 E16.2 Hypoglycaemia, unspecified 1 1
Retarded development following protein-energy
72 E45 1 1 1
malnutrition
73 E67.1 Hypercarotenaemia 1 1 1
74 E78.0 Pure hypercholesterolaemia 8 2 6
75 E78.1 Pure hyperglyceridaemia 1 1
76 E78.5 Hyperlipidaemia, unspecified 9 2 5 2
77 E88.2 Lipomatosis, not elsewhere classified 1 1
78 F09 Unspecified organic or symptomatic mental disorder 1 1
79 F20.0 Paranoid schizophrenia 1 1
80 F20.8 Other schizophrenia 1 1
81 F20.9 Schizophrenia, unspecified 1 1
Bipolar affective disorder, current episode mild or
82 F31.3 1 1
moderate depression
83 F31.8 Other bipolar affective disorders 1 1
84 F32.0 Mild depressive episode 1 1
85 F39 Unspecified mood [affective] disorder 1 1
86 F41.1 Generalized anxiety disorder 1 1
87 F41.9 Anxiety disorder, unspecified 3 3
88 F80.8 Other developmental disorders of speech and language 2 2 1
Developmental disorder of speech and language,
89 F80.9 9 1 2 2 4 1 1 3 1 1 1
unspecified
 90 F84.0 Childhood autism 1 1
91 F84.1 Atypical autism 1 1 1
92 F92.0 Depressive conduct disorder 1 1
93 G20 Parkinson disease 6 3 3
94 G40.9 Epilepsy, unspecified 6 1 1 4 1
95 G43.0 Migraine without aura [common migraine] 2 1 1
96 G43.9 Migraine, unspecified 1 1
97 G44.0 Cluster headache syndrome 2 2
98 G44.2 Tension-type headache 2 1 1
99 G44.8 Other specified headache syndromes 11 3 8
100 G47.9 Sleep disorder, unspecified 5 1 1 3
101 G51.0 Bell palsy 4 2 2
102 G56.0 Carpal tunnel syndrome 10 3 2 1 4
103 G60.0 Hereditary motor and sensory neuropathy 1 1
104 G60.9 Hereditary and idiopathic neuropathy, unspecified 4 2 2
105 G62.9 Polyneuropathy, unspecified 1 1
106 G70.0 Myasthenia gravis 1 1
107 G90.9 Disorder of autonomic nervous system, unspecified 1 1
108 G91.2 Normal-pressure hydrocephalus 1 1
109 G93.0 Cerebral cysts 1 1
110 H00.0 Hordeolum and other deep inflammation of eyelid 16 10 5 1 4
111 H01.9 Inflammation of eyelid, unspecified 1 1 1
112 H02.6 Xanthelasma of eyelid 1 1
113 H02.8 Other specified disorders of eyelid 1 1
114 H04.1 Other disorders of lacrimal gland 1 1
115 H04.2 Epiphora 1 1
116 H04.8 Other disorders of lacrimal system 1 1
117 H10.3 Acute conjunctivitis, unspecified 1 1
118 H10.5 Blepharoconjunctivitis 1 1 1
119 H10.8 Other conjunctivitis 2 1 1 1
120 H10.9 Conjunctivitis, unspecified 21 6 5 8 2 2 1
121 H11.0 Pterygium 1 1
122 H11.2 Conjunctival scars 1 1
123 H11.3 Conjunctival haemorrhage 2 1 1
124 H21.8 Other specified disorders of iris and ciliary body 1 1
125 H25.8 Other senile cataract 1 1
126 H25.9 Senile cataract, unspecified 4 1 2 1
127 H26.4 After-cataract 6 1 1 2 2
128 H26.8 Other specified cataract 1 1
129 H26.9 Cataract, unspecified 13 1 6 6
130 H35.9 Retinal disorder, unspecified 1 1 1
131 H36.8 Other retinal disorders in diseases classified elsewhere 1 1
132 H40.1 Primary open-angle glaucoma 4 1 3
133 H40.5 Glaucoma secondary to other eye disorders 1 1
134 H40.8 Other glaucoma 3 2 1
135 H40.9 Glaucoma, unspecified 4 1 2 1
136 H43.1 Vitreous haemorrhage 1 1
137 H43.9 Disorder of vitreous body, unspecified 2 1 1
138 H52.1 Myopia 1 1
139 H54.1 Severe visual impairment, binocular 12 7 5
140 H54.2 Moderate visual impairment, binocular 1 1
141 H54.4 Blindness, monocular 2 1 1
142 H54.5 Severe visual impairment, monocular 61 10 12 19 20 2
143 H54.9 Unspecified visual impairment (binocular) 7 4 3
144 H60.8 Other otitis externa 12 7 5 1 1
145 H60.9 Otitis externa, unspecified 1 1
146 H61.2 Impacted cerumen 29 8 7 12 2 1 1 3 1 2
147 H65.0 Acute serous otitis media 4 1 2 1 1
148 H65.1 Other acute nonsuppurative otitis media 1 1
149 H65.2 Chronic serous otitis media 1 1 1
150 H65.3 Chronic mucoid otitis media 1 1
151 H66.0 Acute suppurative otitis media 2 1 1
152 H66.3 Other chronic suppurative otitis media 1 1
153 H66.4 Suppurative otitis media, unspecified 3 1 2
154 H66.9 Otitis media, unspecified 10 1 2 1 6 1 1
155 H67.8 Otitis media in other diseases classified elsewhere 1 1
156 H81.1 Benign paroxysmal vertigo 44 6 5 18 15
157 H81.3 Other peripheral vertigo 5 2 3
158 H81.4 Vertigo of central origin 1 1
159 H81.8 Other disorders of vestibular function 1 1
160 H81.9 Disorder of vestibular function, unspecified 2 1 1
161 H91.0 Ototoxic hearing loss 1 1
162 H91.9 Hearing loss, unspecified 1 1
163 H92.0 Otalgia 2 1 1
164 H93.1 Tinnitus 4 1 3
165 I10 Essential (primary) hypertension 1 1
Hypertensive heart disease with (congestive) heart
166 I11.0 8 1 1 5 1
failure
Hypertensive heart disease without (congestive) heart
167 I11.9 14 2 3 1 8
failure
168 I15.8 Other secondary hypertension 1 1
169 I15.9 Secondary hypertension, unspecified 191 47 31 57 56
170 I20.9 Angina pectoris, unspecified 7 2 1 3 1
171 I25.0 Atherosclerotic cardiovascular disease, so described 29 6 11 3 9
172 I25.1 Atherosclerotic heart disease 2 1 1
173 I25.9 Chronic ischaemic heart disease, unspecified 7 2 4 1
174 I27.2 Other secondary pulmonary hypertension 1 1
175 I48 Atrial fibrillation and flutter 1 1
176 I50.0 Congestive heart failure 20 4 8 1 7
177 I50.9 Heart failure, unspecified 1 1
178 I51.7 Cardiomegaly 1 1
179 I63.9 Cerebral infarction, unspecified 1 1
180 I64 Stroke, not specified as haemorrhage or infarction 29 12 9 3 5
181 I82.9 Embolism and thrombosis of unspecified vein 1 1
182 I84.0 Internal thrombosed haemorrhoids 1 1
183 I84.1 Internal haemorrhoids with other complications 1 1
184 I84.2 Internal haemorrhoids without complication 1 1
185 I84.3 External thrombosed haemorrhoids 1 1
186 I84.4 External haemorrhoids with other complications 1 1
187 I86.8 Varicose veins of other specified sites 1 1
188 I87.8 Other specified disorders of veins 1 1
189 I88.9 Nonspecific lymphadenitis, unspecified 2 2
190 J00 Acute nasopharyngitis [common cold] 155 68 8 71 8 1 1 3 1 9 3 15 5 3 11
191 J01.2 Acute ethmoidal sinusitis 1 1
192 J01.8 Other acute sinusitis 1 1
193 J01.9 Acute sinusitis, unspecified 2 1 1
194 J02.0 Streptococcal pharyngitis 1 1
195 J02.8 Acute pharyngitis due to other specified organisms 3 1 2
196 J02.9 Acute pharyngitis, unspecified 80 24 15 26 15 3 1 3 1
197 J03.8 Acute tonsillitis due to other specified organisms 1 1
198 J03.9 Acute tonsillitis, unspecified 22 9 4 5 4 1 4 3
199 J04.0 Acute laryngitis 1 1
200 J04.2 Acute laryngotracheitis 2 1 1
201 J06.0 Acute laryngopharyngitis 4 3 1
202 J06.8 Other acute upper respiratory infections of multiple sites 13 3 1 1 8 1 1

203 J06.9 Acute upper respiratory infection, unspecified 1289 ### ### ### ### 13 3 12 3 78 26 88 20 34 10 18 7 86
Influenza with other respiratory manifestations, virus not
204 J11.1 1 1
identified
205 J30.0 Vasomotor rhinitis 2 1 1
206 J30.4 Allergic rhinitis, unspecified 2 1 1
207 J32.8 Other chronic sinusitis 1 1
208 J33.0 Polyp of nasal cavity 1 1
209 J33.9 Nasal polyp, unspecified 2 2
210 J34.8 Other specified disorders of nose and nasal sinuses 1 1
211 J35.0 Chronic tonsillitis 4 1 3 1
212 J35.1 Hypertrophy of tonsils 1 1
213 J35.2 Hypertrophy of adenoids 1 1 1
214 J35.3 Hypertrophy of tonsils with hypertrophy of adenoids 1 1
215 J44.8 Other specified chronic obstructive pulmonary disease 1 1
216 J44.9 Chronic obstructive pulmonary disease, unspecified 17 9 3 4 1
217 J45.9 Asthma, unspecified 16 4 2 7 3 1 1
218 J46 Status asthmaticus 15 2 4 4 5
219 J90 Pleural effusion, not elsewhere classified 1 1
220 K00.1 Supernumerary teeth 2 1 1
221 K00.4 Disturbances in tooth formation 2 1 1 1 1
222 K00.6 Disturbances in tooth eruption 17 6 11 1 1 1 4
223 K01.1 Impacted teeth 29 11 14 4 1
224 K02.0 Caries limited to enamel 8 3 5 1 3
225 K02.1 Caries of dentine 49 21 1 23 4 1 1 1
226 K02.9 Dental caries, unspecified 2 1 1
227 K03.1 Abrasion of teeth 10 6 1 3
228 K03.4 Hypercementosis 7 1 5 1
229 K03.6 Deposits [accretions] on teeth 9 1 8
230 K04.0 Pulpitis 131 35 20 55 21 3 2 1 1
231 K04.1 Necrosis of pulp 79 25 6 37 11 3
232 K04.7 Periapical abscess without sinus 1 1
233 K05.0 Acute gingivitis 15 8 7
234 K05.1 Chronic gingivitis 3 2 1 1
235 K05.2 Acute periodontitis 1 1
236 K05.3 Chronic periodontitis 5 2 3
Gingival and edentulous alveolar ridge lesions associated
237 K06.2 11 3 1 6 1
with trauma
Other specified disorders of gingiva and edentulous
238 K06.8 1 1
alveolar ridge
239 K07.6 Temporomandibular joint disorders 5 2 1 2
240 K08.0 Exfoliation of teeth due to systemic causes 6 3 1 2
Loss of teeth due to accident, extraction or local
241 K08.1 51 27 1 20 3 1 5
periodontal disease
242 K08.3 Retained dental root 3 1 2
Other specified disorders of teeth and supporting
243 K08.8 1 1
structures
244 K11.6 Mucocele of salivary gland 2 2
245 K11.9 Disease of salivary gland, unspecified 1 1
246 K12.1 Other forms of stomatitis 18 6 2 8 2 2 1 1
247 K12.3 Oral mucositis (ulcerative) 1 1
248 K13.0 Diseases of lips 4 1 2 1 1
Leukoplakia and other disturbances of oral epithelium,
249 K13.2 1 1
including tongue
250 K21.0 Gastro-oesophageal reflux disease with oesophagitis 2 1 1
251 K21.9 Gastro-oesophageal reflux disease without oesophagitis 7 1 1 4 1
Gastric ulcer: Chronic without haemorrhage or
252 K25.7 1 1
perforation
Gastric ulcer: Unspecified as acute or chronic, without
253 K25.9 6 1 1 4
haemorrhage or perforation
254 K30 Dyspepsia 244 74 17 ### 35 1 1 1 2 4
255 K35.8 Acute appendicitis, other and unspecified 1 1
256 K40.4 Unilateral or unspecified inguinal hernia, with gangrene 1 1
Unilateral or unspecified inguinal hernia, without
257 K40.9 4 2 2
obstruction or gangrene
Unilateral or unspecified femoral hernia, without
258 K41.9 1 1
obstruction or gangrene
259 K42.9 Umbilical hernia without obstruction or gangrene 1 1
260 K58.0 Irritable bowel syndrome with diarrhoea 2 1 1
261 K59.0 Constipation 17 7 5 4 1 2 1
262 K59.1 Functional diarrhoea 33 13 20 1 2 1 2
263 K62.5 Haemorrhage of anus and rectum 6 1 1 3 1
264 K62.9 Disease of anus and rectum, unspecified 1 1
265 K74.6 Other and unspecified cirrhosis of liver 1 1
266 K76.0 Fatty (change of) liver, not elsewhere classified 1 1
267 K76.1 Chronic passive congestion of liver 1 1
268 K80.0 Calculus of gallbladder with acute cholecystitis 1 1
269 K80.8 Other cholelithiasis 7 2 1 2 2
270 K92.0 Haematemesis 1 1
271 K92.1 Melaena 3 2 1
272 L01.0 Impetigo [any organism] [any site] 8 4 3 1 1 1 1
273 L01.1 Impetiginization of other dermatoses 1 1
274 L02.0 Cutaneous abscess, furuncle and carbuncle of face 6 5 1 1
275 L02.3 Cutaneous abscess, furuncle and carbuncle of buttock 1 1
276 L02.8 Cutaneous abscess, furuncle and carbuncle of other sites 1 1

277 L02.9 Cutaneous abscess, furuncle and carbuncle, unspecified 41 10 9 13 9 1 1 1

278 L03.9 Cellulitis, unspecified 2 1 1
279 L04.0 Acute lymphadenitis of face, head and neck 2 2
280 L04.9 Acute lymphadenitis, unspecified 3 1 1 1 1
281 L08.0 Pyoderma 22 14 8 2 3
Local infection of skin and subcutaneous tissue,
282 L08.9 4 2 2 1
unspecified
283 L13.0 Dermatitis herpetiformis 1 1
284 L20.8 Other atopic dermatitis 30 15 15 1 1
285 L20.9 Atopic dermatitis, unspecified 6 1 1 3 1 1 1
286 L21.0 Seborrhoea capitis 1 1
287 L21.8 Other seborrhoeic dermatitis 1 1
288 L21.9 Seborrhoeic dermatitis, unspecified 1 1
289 L22 Diaper [napkin] dermatitis 4 1 1 2 1 1 2
290 L23.2 Allergic contact dermatitis due to cosmetics 2 2
Allergic contact dermatitis due to other chemical
291 L23.5 3 1 1 1
products
Allergic contact dermatitis due to food in contact with
292 L23.6 1 1
skin
293 L23.8 Allergic contact dermatitis due to other agents 4 1 1 1 1 1
294 L23.9 Allergic contact dermatitis, unspecified cause 48 7 12 12 17 1 2
295 L24.0 Irritant contact dermatitis due to detergents 3 2 1
296 L24.9 Irritant contact dermatitis, unspecified cause 4 1 2 1 1
297 L28.0 Lichen simplex chronicus 8 7 1
298 L28.2 Other prurigo 1 1
299 L29.0 Pruritus ani 1 1
300 L29.8 Other pruritus 3 2 1
301 L29.9 Pruritus, unspecified 16 5 5 5 1
302 L30.1 Dyshidrosis [pompholyx] 2 1 1 1
303 L30.3 Infective dermatitis 7 4 3 1 1
304 L30.4 Erythema intertrigo 1 1
305 L30.9 Dermatitis, unspecified 4 4
306 L40.0 Psoriasis vulgaris 1 1
307 L40.9 Psoriasis, unspecified 5 1 2 1 1
308 L42 Pityriasis rosea 1 1
309 L50.0 Allergic urticaria 5 1 4 1
310 L50.8 Other urticaria 1 1 1
311 L50.9 Urticaria, unspecified 21 5 1 8 7 1 2 1
312 L60.0 Ingrowing nail 9 3 1 4 1
313 L60.9 Nail disorder, unspecified 3 2 1
314 L63.8 Other alopecia areata 1 1
315 L63.9 Alopecia areata, unspecified 1 1
316 L66.4 Folliculitis ulerythematosa reticulata 1 1
317 L70.9 Acne, unspecified 1 1
318 L73.9 Follicular disorder, unspecified 1 1
319 L74.2 Miliaria profunda 1 1
320 L74.3 Miliaria, unspecified 11 2 8 1 1 1 1 1
321 L80 Vitiligo 3 2 1 1
322 L84 Corns and callosities 2 1 1
323 L91.0 Hypertrophic scar 2 1 1
324 L91.9 Hypertrophic disorder of skin, unspecified 1 1
325 M10.9 Gout, unspecified 44 14 5 19 6
326 M13.0 Polyarthritis, unspecified 3 3
327 M13.9 Arthritis, unspecified 9 1 8
328 M15.0 Primary generalized (osteo)arthrosis 31 10 21
329 M17.0 Primary gonarthrosis, bilateral 2 1 1
330 M17.1 Other primary gonarthrosis 4 4
331 M17.2 Post-traumatic gonarthrosis, bilateral 2 2
332 M17.3 Other post-traumatic gonarthrosis 1 1
333 M17.4 Other secondary gonarthrosis, bilateral 1 1
334 M17.9 Gonarthrosis, unspecified 30 5 2 13 10
335 M19.0 Primary arthrosis of other joints 1 1
336 M19.9 Arthrosis, unspecified 32 3 3 12 14
337 M21.1 Varus deformity, not elsewhere classified 1 1 1
338 M21.6 Other acquired deformities of ankle and foot 1 1
339 M32.9 Systemic lupus erythematosus, unspecified 3 2 1
340 M34.0 Progressive systemic sclerosis 1 1
341 M35.0 Sicca syndrome [Sj?gren] 1 1
342 M41.9 Scoliosis, unspecified 2 1 1
343 M47.8 Other spondylosis 1 1
344 M47.9 Spondylosis, unspecified 3 2 1
345 M48.9 Spondylopathy, unspecified 1 1
346 M50.0 Cervical disc disorder with myelopathy 1 1
Lumbar and other intervertebral disc disorders with
347 M51.0 2 1 1
myelopathy
Lumbar and other intervertebral disc disorders with
348 M51.1 5 1 4
radiculopathy
349 M51.2 Other specified intervertebral disc displacement 1 1
350 M51.9 Intervertebral disc disorder, unspecified 6 3 1 2
351 M53.0 Cervicocranial syndrome 1 1
352 M53.3 Sacrococcygeal disorders, not elsewhere classified 1 1
353 M54.1 Radiculopathy 3 1 2
354 M54.2 Cervicalgia 3 3
355 M54.3 Sciatica 6 1 1 4
356 M54.5 Low back pain 59 15 9 21 14
357 M54.6 Pain in thoracic spine 1 1
358 M54.8 Other dorsalgia 1 1
359 M62.9 Disorder of muscle, unspecified 1 1
360 M65.3 Trigger finger 10 2 3 5
361 M65.4 Radial styloid tenosynovitis [de Quervain] 1 1
362 M66.4 Spontaneous rupture of other tendons 1 1
363 M67.4 Ganglion 1 1
364 M72.2 Plantar fascial fibromatosis 2 2
365 M75.0 Adhesive capsulitis of shoulder 7 3 3 1
366 M75.9 Shoulder lesion, unspecified 4 2 1 1
367 M79.1 Myalgia 59 9 6 31 13
368 M79.2 Neuralgia and neuritis, unspecified 8 3 4 1
369 M79.6 Pain in limb 1 1
370 M81.8 Other osteoporosis 1 1
371 M81.9 Osteoporosis, unspecified 1 1
372 M84.0 Malunion of fracture 4 3 1 1 1 1
373 M84.2 Delayed union of fracture 2 2
374 M94.0 Chondrocostal junction syndrome [Tietze] 1 1
375 M96.9 Postprocedural musculoskeletal disorder, unspecified 2 1 1
376 N04.9 Nephrotic syndrome: Unspecified 1 1
Hydronephrosis with ureteral stricture, not elsewhere
377 N13.1 1 1 1
classified
Hydronephrosis with renal and ureteral calculous
378 N13.2 1 1
obstruction
379 N18.4 Chronic kidney disease, stage 4 1 1
380 N18.5 Chronic kidney disease, stage 5 4 2 2
381 N18.9 Chronic kidney disease, unspecified 2 2
382 N20.2 Calculus of kidney with calculus of ureter 1 1
383 N20.9 Urinary calculus, unspecified 2 1 1
384 N28.9 Disorder of kidney and ureter, unspecified 1 1
385 N30.0 Acute cystitis 1 1
386 N39.0 Urinary tract infection, site not specified 27 8 15 4 1
387 N39.8 Other specified disorders of urinary system 1 1 1
388 N40 Hyperplasia of prostate 11 7 4
389 N43.3 Hydrocele, unspecified 1 1 1
Orchitis, epididymitis and epididymo-orchitis without
390 N45.9 3 1 2
abscess
391 N47 Redundant prepuce, phimosis and paraphimosis 1 1 1
392 N50.8 Other specified disorders of male genital organs 1 1
393 N75.0 Cyst of Bartholin gland 1 1
394 N76.0 Acute vaginitis 1 1
395 N76.8 Other specified inflammation of vagina and vulva 1 1
Vaginitis, vulvitis and vulvovaginitis in infectious and
396 N77.1 1 1
parasitic diseases classified elsewhere
397 N80.8 Other endometriosis 1 1
398 N80.9 Endometriosis, unspecified 1 1
399 N81.4 Uterovaginal prolapse, unspecified 1 1
400 N89.0 Mild vaginal dysplasia 1 1
401 N89.4 Leukoplakia of vagina 1 1
402 N89.8 Other specified noninflammatory disorders of vagina 1 1
403 N89.9 Noninflammatory disorder of vagina, unspecified 1 1
404 N90.4 Leukoplakia of vulva 1 1
Noninflammatory disorder of vulva and perineum,
405 N90.9 1 1
unspecified
406 N92.0 Excessive and frequent menstruation with regular cycle 1 1

407 N92.1 Excessive and frequent menstruation with irregular cycle 2 1 1

408 N92.3 Ovulation bleeding 1 1
409 N92.6 Irregular menstruation, unspecified 5 4 1
410 N93.0 Postcoital and contact bleeding 1 1
411 N94.6 Dysmenorrhoea, unspecified 5 1 4
412 O00.0 Abdominal pregnancy 2 2
413 O02.1 Missed abortion 2 2
Spontaneous abortion: Incomplete, with other and
414 O03.3 1 1
unspecified complications
Medical abortion: Complete or unspecified, complicated
415 O04.6 1 1
by delayed or excessive haemorrhage
416 O20.8 Other haemorrhage in early pregnancy 1 1
417 O20.9 Haemorrhage in early pregnancy, unspecified 2 1 1
418 O21.0 Mild hyperemesis gravidarum 2 2
419 O26.8 Other specified pregnancy-related conditions 2 2
420 O36.9 Maternal care for fetal problem, unspecified 2 1 1
421 O48 Prolonged pregnancy 1 1
422 O62.0 Primary inadequate contractions 1 1
423 O82.0 Delivery by elective caesarean section 5 2 3
424 O82.8 Other single delivery by caesarean section 1 1
425 O82.9 Delivery by caesarean section, unspecified 2 2
426 O91.2 Nonpurulent mastitis associated with childbirth 1 1

Other diseases of the blood and blood-forming organs

427 O99.1 and certain disorders involving the immune mechanism 1 1
complicating pregnancy, childbirth and the puerperium

Diseases of the respiratory system complicating

428 O99.5 1 1
pregnancy, childbirth and the puerperium
429 P39.0 Neonatal infective mastitis 1 1
430 P92.0 Vomiting in newborn 1 1
431 Q21.0 Ventricular septal defect 1 1
432 Q24.9 Congenital malformation of heart, unspecified 1 1
433 Q37.8 Unspecified cleft palate with bilateral cleft lip 1 1 1
434 Q79.4 Prune belly syndrome 1 1
435 Q90.9 Down syndrome, unspecified 1 1
436 R00.0 Tachycardia, unspecified 2 2
437 R00.2 Palpitations 2 2
438 R02 Gangrene, not elsewhere classified 52 17 7 22 6 1 3
439 R04.0 Epistaxis 2 1 1
440 R04.1 Haemorrhage from throat 2 2
441 R04.2 Haemoptysis 1 1
442 R04.9 Haemorrhage from respiratory passages, unspecified 1 1 1
443 R05 Cough 14 1 7 1 5 2
444 R06.0 Dyspnoea 1 1 1
445 R07.3 Other chest pain 2 1 1
446 R07.4 Chest pain, unspecified 8 2 2 4
447 R10.1 Pain localized to upper abdomen 1 1 1
448 R10.3 Pain localized to other parts of lower abdomen 9 3 5 1
449 R10.4 Other and unspecified abdominal pain 42 11 2 22 7 1 1
450 R11 Nausea and vomiting 12 3 9 1 1 3
451 R16.0 Hepatomegaly, not elsewhere classified 1 1
452 R17 Unspecified jaundice 1 1 1
453 R25.1 Tremor, unspecified 1 1
454 R35 Polyuria 1 1
455 R42 Dizziness and giddiness 26 8 18
456 R43.0 Anosmia 1 1
457 R47.8 Other and unspecified speech disturbances 1 1 1
458 R50.2 Drug-induced fever 1 1
459 R50.8 Other specified fever 15 7 8 1
460 R50.9 Fever, unspecified 84 24 21 16 23 1 2 3 5 6 6 7
461 R51 Headache 58 12 7 25 14
462 R53 Malaise and fatigue 5 1 2 2
463 R60.0 Localized oedema 20 10 10 1 1 1
464 R60.9 Oedema, unspecified 6 2 1 3
465 R62.0 Delayed milestone 1 1 1
466 R63.4 Abnormal weight loss 3 2 1
467 R63.6 Insufficient intake of food and water due to self neglect 1 1 1
468 R90.0 Intracranial space-occupying lesion 1 1
469 S01.5 Open wound of lip and oral cavity 1 1
470 S02.5 Fracture of tooth 4 2 1 1
471 S02.6 Fracture of mandible 1 1
472 S05.8 Other injuries of eye and orbit 1 1
473 S42.0 Fracture of clavicle 2 1 1
474 S42.2 Fracture of upper end of humerus 2 2
475 S42.4 Fracture of lower end of humerus 2 1 1
476 S52.3 Fracture of shaft of radius 1 1
477 S62.8 Fracture of other and unspecified parts of wrist and hand 1 1
478 S63.0 Dislocation of wrist 1 1
479 S63.7 Sprain and strain of other and unspecified parts of hand 2 1 1
480 S72.9 Fracture of femur, part unspecified 1 1
481 S80.9 Superficial injury of lower leg, unspecified 1 1
482 S82.0 Fracture of patella 1 1
Sprain and strain involving (anterior)(posterior) cruciate
483 S83.5 1 1
ligament of knee
484 S92.9 Fracture of foot, unspecified 1 1
485 S93.0 Dislocation of ankle joint 2 1 1
486 T14.0 Superficial injury of unspecified body region 13 12 1 2 2
487 T14.1 Open wound of unspecified body region 4 3 1 2 1
488 T14.3 Dislocation, sprain and strain of unspecified body region 7 4 3 1
489 T14.4 Injury of nerve(s) of unspecified body region 1 1 1
490 T14.8 Other injuries of unspecified body region 5 2 1 2 1
491 T14.9 Injury, unspecified 54 27 11 14 2 1 1 1 3
492 T15.0 Foreign body in cornea 2 1 1
493 T15.1 Foreign body in conjunctival sac 1 1
494 T16 Foreign body in ear 4 2 2
Foreign body in other and multiple parts of respiratory
495 T17.8 1 1
tract
496 T17.9 Foreign body in respiratory tract, part unspecified 1 1
 Burn of unspecified degree of shoulder and upper limb,
497 T22.0 1 1
except wrist and hand
498 T23.0 Burn of unspecified degree of wrist and hand 1 1
499 T23.5 Corrosion of first degree of wrist and hand 1 1
500 T25.1 Burn of first degree of ankle and foot 1 1 1
501 T25.2 Burn of second degree of ankle and foot 1 1
Burns of multiple regions, no more than first-degree
502 T29.1 1 1
burns mentioned
Burns of multiple regions, no more than second-degree
503 T29.2 1 1
burns mentioned
504 T60.2 Toxic effect: Other insecticides 2 2
505 T78.3 Angioneurotic oedema 1 1
506 W53 Bitten by rat 1 1
507 W54 Bitten or struck by dog 1 1 1
Bitten or stung by nonvenomous insect and other
508 W57 1 1
nonvenomous arthropods
509 Y62.3 During injection or immunization 28 16 12 1 11 10 4 1
510 Y84.8 Other medical procedures 2 2
511 Z00.0 General medical examination 66 28 38 2 2 1
512 Z00.8 Other general examinations 5 2 2 1
513 Z09.0 Follow-up examination after surgery for other conditions 2 2
Follow-up examination after other treatment for other
514 Z09.8 7 2 5 1
conditions
515 Z30.9 Contraceptive management, unspecified 70 2 68
516 Z35.9 Supervision of high-risk pregnancy, unspecified 1 1
517 Z36.9 Antenatal screening, unspecified 49 10 39
518 Z47.8 Other specified orthopaedic follow-up care 1 1
519 Z47.9 Orthopaedic follow-up care, unspecified 4 1 3
520 Z48.9 Surgical follow-up care, unspecified 11 4 1 4 2 1
521 Z71.0 Person consulting on behalf of another person 25 12 3 8 2 1 2 1 1
Person with feared complaint in whom no diagnosis is
522 Z71.1 1 1
made
523 Z71.8 Other specified counselling 4 3 1
524 Z71.9 Counselling, unspecified 86 26 8 20 32 1 1 2
Persons encountering health services in other specified
525 Z76.8 5 3 2
circumstances
Person encountering health services in unspecified
526 Z76.9 39 16 23
circumstances
527 Z96.1 Presence of intraocular lens 3 1 1 1
528 Z96.6 Presence of orthopaedic joint implants 3 3
529 Z97.5 Presence of (intrauterine) contraceptive device 1 1
6 - 9 TH 10 - 11 TH 12 - 14 TH 15 - 17 TH 18 - 19 TH 20 - 24 TH 25 - 34 TH 35 - 44 TH 45 - 54 TH 55 - 59 TH 60 - 64 TH 65 - 69 TH
Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr
L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B
32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
2 1

1
1 1
2 1 4 1 2 1 2 5 1 1 2 7 2 7 4 6 1 3 1 2 1 1 2 1 3 1
1 1
1
1 1 1

1
1 1
1
1 1 2
1 1
2 1 2 1 1 1 1 1 1
1 3 2 1 1 1
1 1
1 1 1
1 1
 1
1
1
1
1 1 1 1 2 1
1 1 1 2
1

1 2 1 1
1
1
1 1 1 2 1 1 4 2 2 1 1 1
1 1 1 1 2 2
1
2
1 1 3 1 1 1 1 1
1
2 1 1
1
2

1
1
1 1
1
1 1 1

1 1 1 1
2 1 1
1
1
1
1
 1 1

1 3
1 1
1
1 1 1
1 1 1 2 1
1 1 1 1 1 1 1

1
1 2 1 1
1 1 2 4 1 1 5 7 4 8 13 5 7 8 9 6 5 7 12 1 2 4
1 1
1
1

1 1 1 4 1
1
1 1 2 1 1 1
1
1
1
1
1
1
1

1
1
1 2
1

1
1

1
1 2 1
1 1 1 1 1
1 1
1
2
1 1
1 1 1 1 2 1 1 1 1
1 1 1 1
1 2 1
1 1 1 1 1 2 2 1
1
1 1 1 1
1
1
1
1
1
1 2 2 3 1 2 1

1
1
1
1

1
2 1 1 1 1 1 1 1 1 2 1 1 1 1
1
1
1 1
1
 1
1 1 1

1 1 2 1 2 2 1 1

1
1 1
1
1 1 1
1 1
1
1 1
1
1 1 2 1 2 2 1 1
1
1 1
1 1 2 1 1 1 2 2 2 2 2 1 5 3 3 2 2 1 3 1 3 1 2 3 2
1 1 1 1 2 1
1 1 3 2 1 1 1
1
1 1 1 1 1 1 1 1 1 1 2 1 1 1 1
1 2
1

1
1 1
1
1 1
1 1 1 1 1 1 1
1
1 1 1 3 1 1 1 6 2 1 5 6 1 3 2 1 1 1 1
1 2 1
1
1
 1
1
1 1
1 2 1
1
1 2 1 1 1

1 1 1 2 1 1
1
2 2 3 2 5 2 15 5 10 8 10 4 12 12 5 7 3 11 6 6 12
1 1 1 1 1 1
1 2 1 1 2 1 3 1 4 1 1
1 1
1 1 1 1 1 1
1
1
1 2 2 1 1 3

1
1
1 3 1 5 1 1 1 3 2 1 1 2
1
1
1
1
1
1
1
1
2
11 2 6 3 1 4 1 3 1 1 7 7 9 2 6 1 5 1 5 2 8 1 1 1 4 2 1 1 1
1
1
1 1
1
1 1 1
2 2 1 1 1 2 1 2 1 3 2 5 1 7 1 5 2 4 2 4 5 2 4 1 1 1 1 1 1 2 2 1
1
1 1 2 1 1 1 1 2 2 1 1
1
1 1
1 1 1 1
2 2 2 1 1 1 2

9 55 17 23 6 14 1 26 8 13 4 18 8 22 3 7 10 3 32 9 38 11 55 12 84 16 41 12 58 14 47 12 45 9 21 4 17 3 13 7 21 4 14 11

1
1 1
1 1
1
1
1 1
1
2 1
1

1 1 1 1 1 1 1 1 1 2 1
1 1 1 1 1 1 2 1 2 1 1
1 1 1 1 1 1 1 1 1 2 1 1 1

1 1

6 1 2 1
2 3 2 6 8 2 1 3 1
1 1 1 1
1 2 1 4 1 1 1 7 7 2 4 4 3 4 2 1 1
1 1
1 1 2 1 1 3 1
1 2 1 2 1
2 1 2 1 3
2 2 2 1 1 3 3 1 4 1 1 1 4 1 1 7 5 1 1 12 4 6 5 8 5 8 3 8 4 3 4 1 1 1 1 2 1 3
4 1 3 1 1 1 2 1 3 3 2 7 3 5 1 8 3 4 5 3 3 1 1 3 1 1 1 1 1

2 2 1 2 2 1 1 1
1 1
1
2 3
1 1 1 4 1 1 1 1

1
1 1 1 1 1
1 1 2 1 1
8 5 2 1 1 2 2 3 4 1 2 1 1 4 1
1 2
1
1 1
1
2 1 1 1 1 1 1 1 1 1
1
1 1 1
1
1 1
1 1 2 1 1 1

1 3

3 1 4 1 1 3 1 6 8 3 3 1 8 3 19 1 16 5 22 9 11 3 13 5 12 4 14 8 4 11 2 2 9 3 3 2
1
1

1 1

1
 1 1
1 1 1 1 2 1 2 1 2
1 1 1 2 2 1 2 1 4 1 4 2 2 2
2 1 1 1 1
1
1
1
1

1 1 1 1 1 1 1
1
1 1 1
1 1 1 1 1
1
2 1 1 1
1
1

2 1 1 1 1 1 1 2 1 4 3 2 2 1 5 5 2 2 1
1 1
1 1
1 1
1 1 1 1 1 1 1 3 1 1 1 3 1
1 1 1
1
1 1 1 1 3 2 1 5 3 2 1 2 1 2 1
1 2
1
1
1

2
1 1 1

1
 1 1 1
3 1 1 1 1 1 1 1 1 4 5 3 3 2 3 1 1 4 1 2 1 1
1 1 1
1 1 1
1 3 3 1
1
1
1 1 1
1 1 1 1 1 3 1 1 1 1 1 1
1
1 1 1 1 1
1
1 1 1 1
1
1 1 1 1
1
1 1 1 1

1 1 1 3 2 1 1 1 1 1 1 1 1
1 3 1 1 1 1
1 1 1
1
1
1
1
1
1
1 2 2 1
1 1
1 1
1 1

1 1 1 3 1 2 2 5 8 1 3 4 1 2 1 2
1 1 1
1 1 1 2 1 3
1 2 3 4 7 1 1 4 2 4
 1 1
2 1
2
1

1 2 1 2 3 2 1 3 1 1 2
1
1 1 1 1 2 1 1 3 3 1 2 1 1 1 1

1
2 1
1
1
1 1
1
1 1
1
1
1 1

1 1 1
1
1 1 1 1 1
1
1
1 1
1 1 1
1 1 1 1 1
1 1 2 1 2 2 5 3 5 5 3 1 4 4 3 1 2 1 1 5
1
1
1
2 1 2 2 2 1
1

1
 1 1
1 2 1 1 1
1 1 1 1
1 1 1 1 1 4 1 1 6 2 10 4 5 2 5 2 1 2 1 1
1 1 1 1 1 1 1 1
1
1
1
1
1 1
1
1
1

1
1
1 1 1
1 1
1
1
1
1
1 1 2 1 5 3 1 2 3 1 1 3

2 1 1 1 2 1

1 1 1

1
1
1
1
1
1
 1
1
1
1
1
1
1
1

1 1
1
2 1 2
1
1 1 1 2
2
1 1
1

1
1
1 1
2
1 1
1 1
1
1
1 3 1
1
1 1
1

1
 1
1
1
1

1
1
1 1
2
1 1 1 2 3 2 4 2 1 2 3 2 2 2 1 2 1 1 1 4 2 1 1 1
1 1
1 1
1

1 1 1 1 3 1 1 1 1

1 1
1 1 1 1 1

1 2 1 1 1 1 1 1
1 1 1 2 1 1 4 2 4 1 6 1 1 3 2 1 3 2
1 1 2 2 1
1

1
1
1 1 3 4 3 3 2 2 1
1

1
1 1 2 1 1 2 1 3 1 1
3 3 1 1 1 3 1 1 3 1 2 1 1 1 1 1 6 2 3 3 1 3 3 1 2 1 1 2
1 1 3 1 1 1 3 2 5 4 3 1 5 2 4 2 1 2 1 2 1 1 1 3 2
1 1 1
1 1 1 1 1 1 1 1 3 4 1 1
1 2 1 1
 1 1

1
1
1 1 1
1
1
1 1

1 1
1
1
1
1 1
1
1

1
1
1 1
1 2 1 3 2
1
1 1 2 1

1 1 1 1
2 2 1 5 1 2 1 5 2 6 1 2 1 4 4 3 1 2
1 1
1
1 1 1 1
1
1
 1
1
1

1
1

1
2
1
1

1
1
2
2 1 4 3 2 3 5 6 5 1 4 4 4 3 1 1 3 2 1 2
1 2 1 1
1 1

1 1 2 1
6 2 32 21 9
1
2 2 4 30 4 7
1
1 2 1
2 1 1 2 1 1 1 1
1 2 1 1 1 1 1 2 3 2 1 1 1
1
1 1 1
1 2 3 5 2 2 2 4 1 2 3 5 6 8 3 1 1 3 1 3 2 6 1 4 1 3
1 2 1 1

1 1 1 4 2 12 1 2 3 2 3 1 3 1 2
1
 1
1

Penanggung Jawab,

_______________
65 - 69 TH >= 70 TH
Pr Lk Pr
L B L B L
78 79 80 81 82

1
1 1 4

2
 1

1
1

1
1 1 1

1
2 5 10

1 1

1
 1 1

1
1

1 1

1
 1 1 1
1 1 1
1
2

1 1

1 1

1 4 5

4 1

1
1

2 2 1
1

1 1
 1 1

3 2 1 1

6 6 7 13 17
1
3 3 3 1 1

2 2 1 5
1

2 1 2 2

1 4
 1

5 15 4 9 1

1
4 1
1
1
1
 1 1
2
1
2 1

5 2

1 1

1 2 1 4 3

1
1 1
1

1
1
 1 2

1 1

1
1

1
2 2 2

2
1

1
1 2 1 5 2

3 8

1 1

1
2 1 1 3

1
1

2 2 2 1

1 1

1 2
 3 2

1 2

1 2

1 5

1
1 1 2 1
1 1

1
 1

2 1
 1 3

1 1

1
1 1 1 4

1 1
 1 1

Penanggung Jawab,

_______________