LAPORAN TAHUNAN DATA KESAKITAN PENYAKIT DI KAB SITUBONDO (PMK 514/2015)

Praktek Mandiri Bidan = Dayu Eka Lestari Bulan =Januari-Oktober

Alamat =
TING
KAT KODE JUMLAH KASUS BARU DAN LAMA ( UMUR DAN JENIS KELAMIN)
NO NAMA PENYAKIT KEMA
MPU ICPC II ICD X 0-7 HR 8-28 HR 1-11 BLN 1-4 THN 5-9 THN 10-14 THN 15-19 THN 20-44 THN 45-59 THN
AN
N. Kesehatan Wanita

Uncomplicated labour/delivery
1. Kehamilan Normal 4 A W90 livebirth O80.9 Single spontaneous delivery, unspecified 4

2. Hiperemesis Gravidarum 3 B W05 Pregnancy vomiting/nausea O21.0 Mild hyperemis gravidarum 1

3. Anemia Defisiensi Besi pada 4 A B80 Irondeficiency anaemia D50 Iron deficiency anaemia
Kehamilan

4. Pre Eklamsia 3 B W81 Toxaemia of pregnancy O14.9 Pre-eclampsia, unspecified

5. Eklamsia 3 B W81 Toxaemia of pregnancy O15.9 Eclampsia, unspecified as to time period

6. Abortus 4 A W82 Abortion spontaneous O03.9 Unspecified abortion, complete, without complication

O06.4 Unspecified abortion, incomplete, without

3 B W82 Abortion spontaneous complication

3 B O02.1 Abortus insipiens

Complicated labour/delivery
7. Ketuban Pecah Dini 3 A W92 042.9 Premature rupture of membrane, unspecified
livebirth

8. Persalinan Lama 3 B W92 Life birth O63.9 Long labour

W93 Still birth

9. Perdarahan Post Partum 3 B W17 Post partum bleeding 072.1 Other Immediate Postpartum haemorrhage

Complicated labour/delivery
10. Ruptur Perineum Tingkat 1-2 4 A W92 O70.0 First degree perineal laceration during delivery
livebirth
Breast symptom/complaint
11. Mastitis 4 A X21 N61 Inflammatory disorders of breast
female other
Breast disorder in pregnancy
12. Inverted Nipple / Putting Susu Datar 4 A W.95 O92.02 Retracted nipple associated with the puerperium
other
Nipple symptom/complaint
X.20 O92.03 Retracted nipple associated with lactation
female
Breast disorder in pregnancy
13. Cracked Nipple / Nyeri Putting Susu 4 A W.95 O92.12 Cracked nipple associated with the puerperium
other
Nipple symptom/complaint
X.20 O92.13 Cracked nipple associated with lactation
female

O. Penyakit Kelamin

1. Flour Albus / Vaginal Discharge Non 4 A X14 Vaginal discharge N98.9 Flour Albus
Gonore

X71 Gonore pada wanita

Urogenital candidiasis pada

X72 wanita
 TING
KAT KODE JUMLAH KASUS BARU DAN LAMA ( UMUR DAN JENIS KELAMIN)
NO NAMA PENYAKIT KEMA
MPU ICPC II ICD X 0-7 HR 8-28 HR 1-11 BLN 1-4 THN 5-9 THN 10-14 THN 15-19 THN 20-44 THN 45-59 THN
AN
Trikomoniasis urogenital pada
X73 wanita

X92 Klamidia genital pada wanita

2. Sifilis 3 A Y70 Syphilis male A51 Early syphilis

X70 Syphilis female A51.0 Primary genital syphilis

A52 Late syphilis

A53.9 Syphilis, unspecified

Gonorrhoea female, Y71

3. Gonore 4 A X71 A54.9 Gonococcal infection, unspecified
Gonorrhoea male

4. Vaginitis 4 A X84 Vaginitis N76.0 Acute Vaginitis

5. Vulvitis 4 A X84 Vaginitis/Vulvitis N76.0 Acute Vaginitis

P. LAIN - LAIN

1 Malnutrisi Energi Protein (MEP) E46

2 Nyeri Haid (Dismenorrhoe) N94

3 Pemeriksaan Kesehatan Umum Z00.0 1 1 3 7

4 Pemeriksaan Kesehatan Bayi Dan Anak Z00.1

Secara Rutin

5 Imunisasi BCG Z23.2

6 Imunisasi Tetanus Z23.5

7 Imunisasi Dan Kemoterapi Pencegahan Z23.0

Lainnya

8 Imunisasi Poliomielitis Z24.0

9 Imunisasi Rabies Z24.2

10 Imunisasi Campak Z24.4

11 Imunisasi Hepatitis Virus A24.6

12 Imunisasi Gabungan Dpt (Difteri, Pertusis, Z27.1

Tetanus)

13 Pengelolaan Kontrasepsi Z30 12

14 Pengawasan Kehamilan Normal Z34

15 Pengawasan Kehamilan Dengan Risiko Z35

Tinggi

16 Bayi Normal Z38.0 1

 TING
KAT KODE JUMLAH KASUS BARU DAN LAMA ( UMUR DAN JENIS KELAMIN)
NO NAMA PENYAKIT KEMA
MPU ICPC II ICD X 0-7 HR 8-28 HR 1-11 BLN 1-4 THN 5-9 THN 10-14 THN 15-19 THN 20-44 THN 45-59 THN
AN
Perawatan Dan Pemeriksaan Pasca
17 Persalinan Z39 1

Khitanan Menurut Agama Dan Adat

18 Kebiasaan Z41.2

19 Tindik telinga Z41.3 1

20 Nausea and vomiting/mual muntah R11

21 Sakit Kepala R51

22 Imunisasi MR Z27.4

23 Meno Metroragi N92

24 Tumor ganas pada payudara C50

25

26

27

28

29

30

31

32

Jumlah - 2 1 1 3 - - 25 -

Situbondo,
Kepala UPTD Puskesmas Pelaksana

_____________________ __________________
ri-Oktober Tahun = 2019

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 LAPORAN TAHUNAN DATA KESAKITAN PENYAKIT DI KAB SITUBONDO (SK 430 PB PDGI 2013 + KMK 62/2015 Gigi Klinis)
Praktek Mandiri Dokter Gigi = Bulan =
Alamat =
KODE JUMLAH KASUS BARU DAN LAMA ( UMUR DAN JENIS KELAMIN)
NO NAMA PENYAKIT
ICD X 0-7 HR 8-28 HR 1-11 BLN 1-4 THN 5-9 THN 10-14 THN 15-19 THN 20-44 THN 45-59 THN >59 THN JUM LAH

R. GIGI DAN MULUT

1 Acute Necritizing Ulcerative Ginggivitis (ANUG) A69.10 -

2 Herpes Simplex Labialis B00.11 -

3 Stomatitis Herpatika Primer / Stomatitis Herpatika B00.2 -

4 Hand, Foot And Mouth Disease / Flu Singapura B08.4 -

5 Mumps / Parotitis Epidemica / Gondongan B26.9 -

6 Stomatitis Kandidiasis Pseudomembran Akut B37.00 -

7 Kandidiasis Eritematous Kronik B37.03 -

8 Neoplasma Rongga Mulut C09.9 -

Mahkota Gigi Rusak Dan Tidak Kuat / Penampilan Gigi

9 K00.2 -
Mengganggu Estetika

10 Persistensi Gigi Sulung K00.6 -

11 Impaksi Gigi / Impacted Teed K01.1 -

12 Impacted Maxillary Molar K01.16 -

13 Impacted Mandibular Molar K01.17 -

14 Karies Gigi Dini / Karies Email Tanpa Kavitas K02.0 -

15 Karies Email/Karies Dentin/Karies Sementum/Akar K02.1 -

16 Karies Terhenti / Arrested Caries K02.3 -

17 Lesi White Spot (Karies Awal) Permukaan Pit Dan Fissure Gigi K02.51 -

18 Karies Gigi Pada Permukaan Pit Dan Fissure Menembus Ke K02.52 -

Dentin
19 White Spot (Karies Awal) Permukaan Gigi Yang Halus K02.61 -

20 Karies Gigi Pada Permukaan Halus Menembus Ke Dentin K02.62 -

21 Karies Mencapai Pulpa Vital Gigi Sulung K02.8 -

22 Penyakit Jaringan Keras Gigi Lainnya K03 -
23 Kerusakan Gigi Yang Berlebihan K03.0 -
24 Abrasi Gigi K03.1 -
 KODE JUMLAH KASUS BARU DAN LAMA ( UMUR DAN JENIS KELAMIN)
NO NAMA PENYAKIT
ICD X 0-7 HR 8-28 HR 1-11 BLN 1-4 THN 5-9 THN 10-14 THN 15-19 THN 20-44 THN 45-59 THN >59 THN JUM LAH

25 Erosi Gigi K03.2 -

26 Oral Hygiene Buruk K03.6 -
27 Perubahan Warna Ekternal Pada Gigi K03.7 -
28 Dentin Hypersensitif K03.80 -
29 Other diseases of hard tissue of teeth, unspecified K03.9 -

30 Hyperemia Pulpa Gigi Tetap Muda / Pulpitis Reversibel K04.00 -

31 Gangren Pulpa( Gp) / Nekrosis Pulpa K04.1 -

32 Pulpitis Irreversibel K04.401 -
33 Periodonitis Apikalis Kronis K04.5 -
34 Abses Periapikal tdk melibatkan sinus K04.7 -
35 Nyeri Orofasial K04.9 -
36 Ginggivitis Akibat Plak K05.00 -
37 Ginggivitis Kronis K05.1 -
38 Abses Periodental K05.21 -
Periodentitis Kronis Dengan Kehilangan Jaringan Periodontal
39 Ringan-Sedang K05.3 -

40 Disto-Oklusi / Deviasi Garis Tengah K07.20 -

41 Mesio-Oklusi K07.21 -

42 Overjet Berlebihan (Horizontal Overbite) / Jarak Gigi K07.22 -

Berlebihan
43 Tumpang Gigi Berlebih K07.23 -
44 Gigitan Bersilang Depan/Belakang K07.25 -
45 Oklusi Lingual Gigi Posterior K07.27 -
46 ImpaksiM3 Klasifikasi IA K07.35 -

47 Anomali Letak Gigi Karena Kehilangan Prematur Gigi Sulung / K07.38 -

Anomali Kelas I
48 Mal Oclussion / Anomali Letak Gigi K07.4 -
49 Kelainan Fungsi Dentofasila K07.5 -
50 Maloklusi Karena Abnormal Menelam K07.51 -
51 Maloklusi Karena Pernapasan Mulut K07.54 -
52 Maloklusi Karena Lidah, Bibir Atau Kebiasaan Jari K07.55 -
Kelainan Fungsi Sistem Stomatognatik Akibat Kehilangan
53 Semua Gigi, Ttpi Tl. Alveolar Masih Baik K08.1 -

54 Gangren Radik, Ulcus Dicubitus, Akar Gigi Tertinggal K08.3 -

55 Kelainan Fungsi System Stomatognatik Akibat Kehilangan Satu K08.4 -

Atau Beberapa Gigi Asli
 KODE JUMLAH KASUS BARU DAN LAMA ( UMUR DAN JENIS KELAMIN)
NO NAMA PENYAKIT
ICD X 0-7 HR 8-28 HR 1-11 BLN 1-4 THN 5-9 THN 10-14 THN 15-19 THN 20-44 THN 45-59 THN >59 THN JUM LAH

56 Recurrent Oral Aphtae / Sar (Stomatitis Aftosa Rekuren) K12.0 -

57 Ulkus Traumatik K12.04 -

58 Angular Cheilitis, Perleche K13.01 -
59 Eritema Multiformis L51.0 -
60 Nyeri Orofasial R51 -

61 Fraktur Mahkota Gigi Yang Tidak Merusak Pulpa / Fraktur S02.51 -

Korona
P. LAIN - LAIN
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
11 -
12 -
13 -
14 -

Jumlah - - - - - - - - - - -

Situbondo, -
Pelaksana

__________________
linis)
Tahun =

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 LAPORAN TAHUNAN DATA KESAKITAN PENYAKIT DI KAB SITUBONDO (PMK 514/2015)
Praktek Mandiri Dokter Umum = Bulan =
Alamat =
TING
KAT KODE JUMLAH KASUS BARU DAN LAMA ( UMUR DAN JENIS KELAMIN)
NO NAMA PENYAKIT KEMA
MPU ICPC II ICD X 0-7 HR 8-28 HR 1-11 BLN 1-4 THN 5-9 THN 10-14 THN 15-19 THN 20-44 THN 45-59 THN
AN
A. Kelompok Umum

Respiratory tuberkulosis, bacteriologiccaly and

1. Tuberkolosis ( TB ) Paru 4 A A 70 Tuberkulosis A15 histologically confirmed

2. Tuberkolosis ( TB ) dengan HIV

Respiratory tuberkulosis, bacteriologiccaly and

TB 3 A A 70 Tuberkulosis A15 histologically confirmed
Asymptomatic human immunodeficiency virus (HIV)
HIV B90 HIV-infection/AIDS Z21 infection status

3. Morbili 4 A A 71 Measles B05.9 Measles without complication (Measles NOS).

4. Varisela 4 A A 72 Chickenpox B01.9 Varicella without complication (Varicella NOS)

5. Malaria 4 A A 73 Malaria B54 Unspecified malaria

6. Leptospirosis 4 A A 78 Infection disease other/ NOS A27.9 Leptospirosis, unspecified

B74 Filariasis
B74.0 Filariasis due to Wuchereria bancrofti
7. Filariasis 4 A D96 Woms/other parasites
B74.1 Filariasis due to Brugia malayi
B74.2 Filariasis due
ofto Brugia timori
Omphalitis newborn with or without mild
8. Infeksi Pada Umbilikus 4 A A94 Perinatal morbidity other P38 haemorrhage

9. Kandidiasis Mulut 4 A A 78 Infection disease other/ NOS B37.9 Candidiasis unspecified

10. Lepra 4 A A 78 Infection disease other/ NOS A30 Leprosy [Hansen disease]

11. Keracunan Makanan 4 A A 86 Effect Non Medical Substance T62.2 Other Ingested (parts of plant(s))

12. Alergi Makanan 4 A A 92 Allergy/ allergic reaction NOS L27.2 Dermatitis due to ingested food

13. Syok 3 B K 99 Cardiovascular disease other R57.9 Shock, unspecified

14. Reaksi Anafilaktik 4 A A92 Allergy/allergic reaction NOS T78.2 Anaphylactic shock, unspecified

15. Demam Dengue dan Demam 4 A A77 Viral disease other/NOS A90 Dengue fever
Berdarah Dengue

A91 Dengue haemorrhagic fever

B. Darah, Pembentukan Darah, Sistem Imun

1. Anemia Defiisiensi Besi 4 A B80 Iron Deficiency Anaemia 280 Iron Deficiency Anemias

Asymptomatic Human Immunodeficiency Virus (HIV)

2. HIV / AIDS tanpa komplikasi 4 A B90 HIV-infection/AIDS Z21 infection status

3. Lupus Eritamatosus Sistemik 3 A L99 Systemic Lupus Erythematosus M32 Systemic Lupus Erythematosus
 TING
KAT KODE JUMLAH KASUS BARU DAN LAMA ( UMUR DAN JENIS KELAMIN)
NO NAMA PENYAKIT KEMA
MPU ICPC II ICD X 0-7 HR 8-28 HR 1-11 BLN 1-4 THN 5-9 THN 10-14 THN 15-19 THN 20-44 THN 45-59 THN
AN
Acute lymphadenitis,
4. Limfadenitis 4 A L04.9 unspecified B70 Lymphadenitis Acute

C. Digestive

1. Ulkus Mulut (Aftosa, Herpes) 4 A D83 Mouth / tongue / lip disease K12 Stomatitis and related lesions

K12.0 Recurrent oral aphtae

K12.1 Other form of stomatitis

Gastro-oesophageal reflux disease without

2. Refluksgastroesofageal 4 A D84 Oesphagus disease K21.9 oesophagitis

3. Gastritis 4 A D07 Dyspepsia/indigestion K29.7 Gastritis, unspecified

Digestive syndrome/complaint
4. Intoleransi Makanan 4 A D29 K90.4 Malabsorption due to intolerance
other
Digestive syndrome/complaint
5. Malabsorbsi Makanan 3 A D29 K90.9 Intestinal malabsorbtion, unspecified
other

6. Demam Tifoid 4 A D70 Gastrointestinal infection A01.0 Typhoid fever

7. Gastroenteritis (termasuk disentri, Gastroenteritis presumed Diarrhoea and gastroenteritis of presumed infection
4 A D73 A09
kolera dan giardiasis) infection origin

8. Disentri Basiler dan Disentri Amuba 4 A D70 Gastrointestinal infection A06.0 Acute amoebic dysentery

9. Perdarahan Gastroenteritis 3 A D14 Haematemesis/vomiting blood K92.2 Gastrointestinal haemorrhage, unspecified

D15 / Melaena / Rectal Bleeling K62.5 Haemorrhage of anus and rectum

D16

10. Hemoroid Grade 1 – 2 4 A D95 Anal fissure/perianal abscess I84 Haemorrhoids

11. Hepatitis A 4 A D72 Viral Hepatitis B15 Acute Hepatitis A

12. Hepatitis B 3 A D72 Viral Hepatitis B16 Acute Hepatitis B

13. Kolesistitis 3 A D98 Cholecystitis/cholelithiasis K81.9 Cholecystitis, unspecified

14. Apendisitis Acut 3 A S87 Appendicitis K35.9 Acute appendicitis

15. Peritonitis 3 A D99 Disease digestive system, other K65.9 Peritonitis, unspecified

4 A D71 / Mumps / Disease digestive

16. Parotitis B26 Mumps
D99 system, other

17. Askariasis / Cacing gelang 4 A D96 Worms/ other parasites B77.9 Ascariaris unspecified

18. Ankylostomiasis / Cacing tambang 4 A D96 Worms/other parasites B76.0 Ankylostomiasis

B76.1 Necatoriasis

19. Skistosomiasis 4 A D96 Worm/outer parasite B65.9 Skistosomiasisunspecified

B65.2 Schistomiasis due to S. japonicum

 TING
KAT KODE JUMLAH KASUS BARU DAN LAMA ( UMUR DAN JENIS KELAMIN)
NO NAMA PENYAKIT KEMA
MPU ICPC II ICD X 0-7 HR 8-28 HR 1-11 BLN 1-4 THN 5-9 THN 10-14 THN 15-19 THN 20-44 THN 45-59 THN
AN
20. Taeniasis 4 A D96 Worms/other parasites B68.9 Taeniasis

21. Strongiloidiasis 4 A D96 Worms/other parasites B78.9 Strongyloidiasis

D. Mata

1. Mata Kering / Dry eye 4 A F99 Eye/adnexa disease, other H04.1 Otherdisorders of lacrimal gland

2. Buta Senja 4 A F99 Eye/adnexa disease other H53.6 Night blindness

3. Hordeolum 4 A F72 Blepharitis/stye/chalazion H00.0 Hordeolum and other deep inflammation of eyelid

4. Konjungtivitis

Konjungtivitis Infeksi 4 A F70 Conjunctivitis infectious H10.9 Conjunctivitis, unspecified

Konjungtivitis Alergi F71 Conjunctivitis allergic H10.1 Acute atopic conjunctivitis

5. Blefaritis 4 A F72 Blepharitis/stye/chalazion H01.0 Blepharitis

6. Perdarahan Subkonjungtiva 4 A F75 Contusion/ haemorrhage eye H57.8 Other specified disorders of eye and adnexa

7. Benda Asing di Konjungtiva 4 A F76 Foreign body in eye T15.9 Foreign body on external eye, part unspecified

8. Astigmatism 4 A F91 Refractive error H52.2 Astigmatisme

9. Hipermetropia 4 A F91 Refractive error H52.0 Hypermetropia ringan

10. Miopia Ringan 4 A F91 Refractive error H52.1 Myopia

11. Presbiopia 4 A F91 Refractive error H52.4 Presbyopia

12. Katarak Pada Pasien Dewasa 2 F92 Cataract H26.9 Cataract, unspecified

13. Glaukoma Akut 4 A F93 Glaucoma H40.2 Primary angle-closure glaucoma

14. Glaukoma Kronis 3 B F93 Glaucoma H40.2 Primary angle-closure glaucoma

15. Trichiasis 4 A F99 Eye / adnexa disease, other H02 Entropion and trichiasis of eyelid

16. Episkleritis 4 A F99 Eye / adnexa disease, other H15.1 Episcleritis

17. Trauma Kimia Mata 3 A F79 Injury eye other T26 Burn and corrosion confined to eye and adnexa

18. Laserasi Kelopak Mata 3 A F79 Injury eye other S01.1 Open wound of eyelid and periocular area

19. Hifema 3 A F75 Contusion/haemorrhage eye H21.0 Hyphaema

20. Retinopaty Diabetik 2 F83 Retinopathy H36.0 Diabetic retinopathy

E. Telinga
 TING
KAT KODE JUMLAH KASUS BARU DAN LAMA ( UMUR DAN JENIS KELAMIN)
NO NAMA PENYAKIT KEMA
MPU ICPC II ICD X 0-7 HR 8-28 HR 1-11 BLN 1-4 THN 5-9 THN 10-14 THN 15-19 THN 20-44 THN 45-59 THN
AN
1. Otitis Eksterna 4 A H70 Otitis externa H60.9 Otitis externa, unspecified

2. Otitis Media Akut 4 A H71 Acute otitis media/myringitis H65.0 Acute serous otitis media

H65.1 Other acure nonsuppurative otitis media

H66.0 Acute suppurative otitis media

3. Otitis Media Supuratif Kronik 3 A H74 Chronic otitis media H66.1 Chronic tubotympanic suppurative otitis media

H66.2 Chronic atticoantral suppurative otitis media

H66.3 Other chronic suppurative otitis media

4. Benda Asing di Telinga 3 A H76 Foreign body in ear T16 Foreign body in ear

5. Seromen Prop H81 Excessive ear wax H61.2 Impacted cerumen

F. Kardiovaskuler

Ischaemic heart disease with

1. Angina Pektoris Stabil 3 B K74 I20.9 Angina pectoris, unspecified
angina

2. Infark Miokard 3 B K75 Acute Myocardial Infarction I21.9 Acute Myocardial Infarction, Unspecified

3. Takikardia 3 B K79 Paroxysmal Tachicardy R00.0 Tachicardy Unspecified

I47.1 Supraventicular Tachicardy

I47.2 Ventricular Tachicardy

4. Gagal Jantung Akut dan Kronis K77 Heart failure I50.9 Heart failure, unspecified

3 B Akut

3 A Kronik

5. Cardiorespiratory Arrest 3 B K80 Cardiac arrhytmia NOS R09.2 Respiratory arrest/ Cardiorespiratory failure

6. Hipertensi Esensial K86 Hypertension uncomplicated I10 Essential (primary) hypertension

G. Muskuloskeletal 211

1. Fraktur Terbuka 3 B L76 Fracture other T14 Fracture of unspecified body

2. Fraktur Tertutup 3 B L76 Fracture other T14 Fracture of unspecified body

3. Polimiagia Reumatik 3 A L99 Musculosceletal disease other M53.3 Polymyalgia rheumatica

4. Artritis Reumatoid 3 A L99 Musculosceletal disease other M53.3 Polymyalgia rheumatica

5. Artritis, Osteoartritis 3 A L91 Osteoarthrosis other M19.9 Osteoarthrosis other

 TING
KAT KODE JUMLAH KASUS BARU DAN LAMA ( UMUR DAN JENIS KELAMIN)
NO NAMA PENYAKIT KEMA
MPU ICPC II ICD X 0-7 HR 8-28 HR 1-11 BLN 1-4 THN 5-9 THN 10-14 THN 15-19 THN 20-44 THN 45-59 THN
AN
6. Vulnus 3 B S.16 Bruise / Contusion T14.1 Open wound of unspecified body region

S.17 Abration / Scratch / Blister

4 A S.18 Laceration / Cut

7. Lipoma 4 A S78 Lipoma D17.9 Benign lipomatous neoplasm

H. Neurologi

1. Tension Headche 4 A N95 Tension Headache G44.2 Tension–type headache

2. Migren 4 A N89 Migraine G43.9 Migraine, unspecified

3. Vertigo 4 A N17 Vertigo/dizziness R42 Dizziness and giddiness

4. Tetanus 4 A N72 Tetanus A35 Other tetanus

5. Rabies 3 B A77 Viral disease other/NOS A82.9 Rabies, Unspecified

6. Malaria Selebral 3 B A73 Malaria B50 Plasmodium falciparum with cerebral complication

7. Epilepsi 3 A N88 Epilepsy G40.9 Epilepsy, unspecified

8. Transient Ischemuk Attack / TIA 3 B K89 Transient cerebral ischaemia G45.9 Transient cerebral ischaemic attack, unspecified

9. Stroke 3 B K90 Stroke/cerebrovascular accident I63.9 Cerebral infarction, unspecified

10. Bells’ Palsy 4 A N91 Facial paralysis/Bells’ palsy G51.0 Bells’ palsy

11. Status Epilepsi 3 B N88 Epilepsy G41.9 Status epilepticus, unspecified

12. Delirium 3 A P71 Organic psychosis other F05.9 Delirium, unspecified

13. Kejang Deman 4 A N07 Convulsion/Seizure R56.0 Febrile convulsions

14. Tetanus Neonatorum 3 B N72 Tetanus A33 Tetanus Neonatorum

I. Psikiatri

1. Gangguan Somatofrom 4 A P75 Somatization disorder F45 Somatoform disorders

2. Demensia 3 A P70 Dementia F03 Unspecified dementia

3. Imsomnia 4 A P06 Sleep disturbance F51 Insomnia non organik pada psikiatri

4. Gangguan campuran Eksietas dan 3 A P74 Anxiety Disorder (anxiety state) F41.2 Mixed Anxiety and Depression Disorder
depresi

5. Gangguan Psikotik 3 A P98 Psychosis NOS/other F20 Chronic Psychotic Disorder

J. Respirasi
 TING
KAT KODE JUMLAH KASUS BARU DAN LAMA ( UMUR DAN JENIS KELAMIN)
NO NAMA PENYAKIT KEMA
MPU ICPC II ICD X 0-7 HR 8-28 HR 1-11 BLN 1-4 THN 5-9 THN 10-14 THN 15-19 THN 20-44 THN 45-59 THN
AN
1. Influenza 4 A R80 Influenza J11 Influenza, virus not identified

Upper respiratory infection

2. Pharyngitis Acut 4 A R74 J02.9 Acute pharyngitis, unspecified
acute

3. Laringitis Acut 4 A R77 Laryngitis/tracheitis acute J04.0 Acute laryngitis

4. Tonsilitis Acut 4 A R76 Tonsillitis acute J03 Acute tonsillitis

J35 Chronic tonsilitis

5. Bronkitis Akut 4 A R78 Acute bronckitis /bronchiolitis J20.9 Acute bronchitis, unspecified

6. Asma Bronkial (Asma Stabil) 4 A R96 Asthma J45 Asthma

J45.90 Unspecified asthma with status asthmaticus

7. Status Asmatikus (Asma Acut Berat) 3 B R03 Wheezing 2

8. Pneumonia Aspirasi 3 B R99 Respiratory disease other J69.0 Pneumonitis due to food and vomit

9. Pneumonia dan Bronkopneumonia 4 A R81 Pneumonia J18.0 Bronchopneumonia, unspecified

J18.9 Pneumonia, unspecified

10. Pneumothoraks 4 A R99 Respiratory Disease Other J93.9 Respiratory Disease other

11. PPOK (Penyakit Paru Obstruktif Chronic Obstructive Pulmonary J44.9

3 B R95 Chronic Obstructive Pulmonary Diseasesm unspecified
Kronis) Diseases

12. Epistaksis 4 A R06 Nose bleed/epistaxis R04.0 Epistaxis

Foreign body
13. Benda Asing di Hidung 4 A R87 T17.1 Foreign body in nostril
nose/larynx/bronch

14. Furunkel Pada Hidung 4 A R73 Boil/abscess nose J34.0 Abscess, furuncle and carbuncle of nose

Upper respiratory infection

15. Rhinitis Akut 4 A R74 J00 Acute nasopharyngitis (common cold)
acute

16. Rhinitis Vasomotor 4 A R97 Allergic rhinitis J30.0 Vasomotor rhinitis

17. Rhinitis Alergik 4 A R97 Allergic rhinitis J30.4 Allergic rhinitis, unspecified

18. Sinusitis (Rinosinusitis) 4 A R75 Sinusitis acute / chronic J01 Acute sinusitis (Rinosinusitis akut)

3 A J32 Chronic sinusitis (Rinosinusitis kronik)

K. Kulit

1. Miliaria 4 A S92 Sweat gland disease L74.3 Miliaria, unspecified

2. Veruka Vulgaris 4 A S03 Warts B07 Viral warts

3. Herpes Zoster 4 A S70 Herpes Zoster B02.9 Zoster without complication

4. Herpes Simpleks 4 A S71 Herpes Simplex B00.9 Herpesviral infection, unspecified

 TING
KAT KODE JUMLAH KASUS BARU DAN LAMA ( UMUR DAN JENIS KELAMIN)
NO NAMA PENYAKIT KEMA
MPU ICPC II ICD X 0-7 HR 8-28 HR 1-11 BLN 1-4 THN 5-9 THN 10-14 THN 15-19 THN 20-44 THN 45-59 THN
AN
5. Moluskum Kontagiosum 4 A S95 Molluscum contagiosum B08.1 Molluscum contagiosum

6. Reaksi Gigitan Serangga 4 A S12 Insect bite/sting T63.4 Venom of other arthropods

7. Skabies 4 A S72 Scabies/other acariasis B86 Scabies

Pediculosis/skin infestation
8. Pedikulosis Kapitis / kutu rambut 4 A S73 other B85.0 Pediculosis due to Pediculus humanus capitis

Pediculosis/skin infestation
9. Pedikulosis Pubis / kutu kemaluan 4 A S73 B85.3 Pthiriasis
other

10. Dermatofitosis 4 A S74 Dermatophytosis B35 Dermatophytosis

B35.0 Tinea barbae and tinea capitis

B35.1 Tinea unguium

B35.2 Tinea manuum

B35.3 Tinea pedis

B35.4 Tinea corporis

B35.5 Tinea imbricate

B35.6 Tinea cruris

B35.8 Other dermatophytoses

11. Pitiriasis Versikolor / Tinea 4 A S76 Skin infection other B36.0 Pityriasis versicolor
Versikolor

12. Pioderma 4 A S84 Impetigo L01 Impetigo

4 A L02 Cutaneous abscess, furuncle and carbuncle

4 A L08.0 Pyoderma

4 A Folikulitis superfisialis

4 A Furunkel, Furunkulosis dan Karbunkel

Impetigo krustosa (impetigo contagiosa) dan Impetigo

4 A bulosa

4 A Ektima (impetigo ulseratif)

13. Erysipelas 4 A S76 Skin infection other A 46 Erysipelas

14. Dermatitis Seboroik 4 A S86 Dermatitis seborrhoeic L21 Seborrhoeic dermatitis

15. Dermatitis Atopik 4 A S87 Dermatitis/atopic eczema L20 Atopic dermatitis

16. Dermatitis Numularis 4 A S87 Dermatitis/atopic eczema L20.8 Other atopic dermatitis
 TING
KAT KODE JUMLAH KASUS BARU DAN LAMA ( UMUR DAN JENIS KELAMIN)
NO NAMA PENYAKIT KEMA
MPU ICPC II ICD X 0-7 HR 8-28 HR 1-11 BLN 1-4 THN 5-9 THN 10-14 THN 15-19 THN 20-44 THN 45-59 THN
AN
17. Liken Simpleks Kronik
3 A S87 Dermatitis/atopic eczema L28.0 Lichen simplex chronicus
(Neurodermatitis Sirkumkripta)

18. Dermatitis Kontak Alergik (DKA) 3 A S88 Dermatitis contact/allergic L23 Allergic contact dermatitis

19. Dermatitis Kontak Iritan 4 A S88 Dermatitis contact/allergic L24 Irritant contact dermatitis

20. Napkin Eczema (Dermatitis Popok) 4 A S89 Diaper rash L22 Diaper (napkin) dermatitis

21. Dermatitis Perioral 4 A S99 Skin disease other L71.0 Perioral dermatitis

22. Pitiriasis Rosea 4 A S90 Pityriasis rosea L42 Pityriasis rosea

23. Eritrasma 4 A S76 Skin infection other L08.1 Erythrasmay

24. Skrofuloderma 4 A A 70 Tuberculosis A 18.4 Tuberculosis of skin and subcutaneous tissue

25. Hidradenitis Supuratif 4 A S92 Sweat gland disease L73.2 Hidradenitis suppurativa

26. Akne Vulgaris Ringan 4 A S96 Acne L70.0 Acne vulgaris

27. Urtikaria S98 Urticaria L50 Urticaria

L50 L50.9Urticaria, unspecified

4 A Urtikaria akut

3 A Urtikaria kronis

Generalized skin eruption due to drugs and

28. Exanthematous Drug Eruption 4 A S07 Rash generalized L27.0 medicament
Generalized skin eruption due to drugs and
29. Fixed Drug Eruption 4 A A85 Adverse effect medical agent L27.0 medicaments

30. Cutaneus Larva Migrans 4 A D96 Worms/other parasites B76.9 Hookworm disease, unspecified

31. Luka Bakar Derajat I dan II 4 A S14 Burn/scald T30 Burn and corrosion, body region unspecified

Burns classified according to extent of body surface

T31 involved
Corrosions classified according to extent of body
T32 surface involved

32. Ulkus Pada Tungkai 4 A S97 Chronic Ulcer Skin I83.0 Varicose veins of lower extremities with ulcer

L97 Ulcer of lower limb, notelsewhere classifi

33. Sindrom Stevens Johnson 3 B S99 Skin disease other L51.1 Bullous erythema multiforme

L. Metabolik Endokrin Dan Nutrisi

1. Obesitas 4 A T82 Obesity, T83 overweight E66.9 Obesity unspecified

2. Tirotoksikosis 3 B T85 Hipertiroidisme/tirotoksikosis E05.9 Tirotoksikosis unspecified

 TING
KAT KODE JUMLAH KASUS BARU DAN LAMA ( UMUR DAN JENIS KELAMIN)
NO NAMA PENYAKIT KEMA
MPU ICPC II ICD X 0-7 HR 8-28 HR 1-11 BLN 1-4 THN 5-9 THN 10-14 THN 15-19 THN 20-44 THN 45-59 THN
AN
3. Diabetes Melitus Type 2 4 A T90 Diabetes non-insulin dependent E11 Non-insulin-dependent diabetes mellitus

4. Hiperglikemia Hiperosmolar Non Abnormal result invetigation

3 B A91 R73.9 Hyperglycaemia unspecified
Ketotik NOS

5. Hipoglikemia T87 Hypoglycaemia E16.2 Hypoglycaemia unspecified

4 A Hipoglikemia ringan

3 B Hipoglikemia berat

Endocrine/metabolic/nutritional E79.0 Hyperuricemia without signs ofinflammatory arthritis

6. Hiperiricemia-Gout Arthritis 4 A T99 disease other and tophaceous disease

T92 Gout M10 Gout

7. Lipidemia 4 A T93 Lipid disorder E78.5 Hiperlipidemia

8. Malnutrisi Energi Protein (MEP) 4 A T91 Vitamin/nutritional deficiency E46 Unspecified protein-energy malnutrition

M. Saluran Kemih

1. Infeksi Saluran Kemih 4 A U71 Cystitis/urinary infection others N39.0 Urinary tract infection, site not specified

Acute tubulo-interstitial nephritis (applicable to:

2. Pielonefritis Tanpa Komplikasi 4 A U70 Pyelonephritis / pyelitis N10 acute pyelonephritis)

3. Fimosis 4 A Y81 Phimosis N47 Phimosis

4. Parafimosis 4 A Y81 Paraphimosis N47.2 Paraphimosis

N. Kesehatan Wanita

Uncomplicated labour/delivery
1. Kehamilan Normal 4 A W90 O80.9 Single spontaneous delivery, unspecified
livebirth

2. Hiperemesis Gravidarum 3 B W05 Pregnancy vomiting/nausea O21.0 Mild hyperemis gravidarum

3. Anemia Defisiensi Besi pada 4 A B80 Irondeficiency anaemia D50 Iron deficiency anaemia
Kehamilan

4. Pre Eklamsia 3 B W81 Toxaemia of pregnancy O14.9 Pre-eclampsia, unspecified

5. Eklamsia 3 B W81 Toxaemia of pregnancy O15.9 Eclampsia, unspecified as to time period

6. Abortus 4 A W82 Abortion spontaneous O03.9 Unspecified abortion, complete, without complication

O06.4 Unspecified abortion, incomplete, without

3 B W82 Abortion spontaneous complication

3 B O02.1 Abortus insipiens

Complicated labour/delivery
7. Ketuban Pecah Dini 3 A W92 042.9 Premature rupture of membrane, unspecified
livebirth

8. Persalinan Lama 3 B W92 Life birth O63.9 Long labour

W93 Still birth

 TING
KAT KODE JUMLAH KASUS BARU DAN LAMA ( UMUR DAN JENIS KELAMIN)
NO NAMA PENYAKIT KEMA
MPU ICPC II ICD X 0-7 HR 8-28 HR 1-11 BLN 1-4 THN 5-9 THN 10-14 THN 15-19 THN 20-44 THN 45-59 THN
AN
9. Perdarahan Post Partum 3 B W17 Post partum bleeding 072.1 Other Immediate Postpartum haemorrhage

Complicated labour/delivery
10. Ruptur Perineum Tingkat 1-2 4 A W92 O70.0 First degree perineal laceration during delivery
livebirth
Breast symptom/complaint
11. Mastitis 4 A X21 N61 Inflammatory disorders of breast
female other
Breast disorder in pregnancy
12. Inverted Nipple / Putting Susu Datar 4 A W.95 other O92.02 Retracted nipple associated with the puerperium

Nipple symptom/complaint
X.20 O92.03 Retracted nipple associated with lactation
female
Breast disorder in pregnancy
13. Cracked Nipple / Nyeri Putting Susu 4 A W.95 O92.12 Cracked nipple associated with the puerperium
other
Nipple symptom/complaint
X.20 O92.13 Cracked nipple associated with lactation
female

O. Penyakit Kelamin

1. Flour Albus / Vaginal Discharge Non 4 A X14 Vaginal discharge N98.9 Flour Albus
Gonore

X71 Gonore pada wanita

Urogenital candidiasis pada

X72 wanita
Trikomoniasis urogenital pada
X73 wanita

X92 Klamidia genital pada wanita

2. Sifilis 3 A Y70 Syphilis male A51 Early syphilis

X70 Syphilis female A51.0 Primary genital syphilis

A52 Late syphilis

A53.9 Syphilis, unspecified

Gonorrhoea female, Y71

3. Gonore 4 A X71 A54.9 Gonococcal infection, unspecified
Gonorrhoea male

4. Vaginitis 4 A X84 Vaginitis N76.0 Acute Vaginitis

5. Vulvitis 4 A X84 Vaginitis/Vulvitis N76.0 Acute Vaginitis

P. LAIN - LAIN

1 Malnutrisi Energi Protein (MEP) E46

2 Nyeri Haid (Dismenorrhoe) N94

3 Kecelakaan Lalu Lintas/KLL V29.9

4 Pemeriksaan Kesehatan Umum Z00.0

5 Pemeriksaan Kesehatan Bayi Dan Anak Z00.1

Secara Rutin
 TING
KAT KODE JUMLAH KASUS BARU DAN LAMA ( UMUR DAN JENIS KELAMIN)
NO NAMA PENYAKIT KEMA
MPU ICPC II ICD X 0-7 HR 8-28 HR 1-11 BLN 1-4 THN 5-9 THN 10-14 THN 15-19 THN 20-44 THN 45-59 THN
AN
6 Imunisasi BCG Z23.2

7 Imunisasi Tetanus Z23.5

Imunisasi Dan Kemoterapi Pencegahan

8 Lainnya Z23.0

9 Imunisasi Poliomielitis Z24.0

10 Imunisasi Rabies Z24.2

11 Imunisasi Campak Z24.4

12 Imunisasi Hepatitis Virus A24.6

13 Imunisasi Gabungan Dpt (Difteri, Pertusis, Z27.1

Tetanus)

14 Pengelolaan Kontrasepsi Z30

15 Pengawasan Kehamilan Normal Z34

16 Pengawasan Kehamilan Dengan Risiko Z35

Tinggi

17 Bayi Normal Z38.0

18 Perawatan Dan Pemeriksaan Pasca Z39

Persalinan

19 Khitanan Menurut Agama Dan Adat Z41.2

Kebiasaan

20 Tindik telinga Z41.3

21 Schizoprenia F20

22 ISPA J06

23 Ptyrigium H11.0

24 Batuk R05

25 Demam Yang Tdk Diketahui Sebabnya R50

26 Myalgia M79.1

27 Atritis Reumatik I55

28 Dispepsia K30

29 Luka di Kepala S00

K90
30 Nausea and vomiting/mual muntah stroke R11
/cere 63.9 cerebral infarction
31 Infark Serebral/STROKE 3 B brova Iunspecified G80
scular
accid
ent
 TING
KAT KODE JUMLAH KASUS BARU DAN LAMA ( UMUR DAN JENIS KELAMIN)
NO NAMA PENYAKIT KEMA
MPU ICPC II ICD X 0-7 HR 8-28 HR 1-11 BLN 1-4 THN 5-9 THN 10-14 THN 15-19 THN 20-44 THN 45-59 THN
AN
32 Sakit Kepala R51

33 Imunisasi MR Z27.4

34 Meno Metroragi N92

35 Anoreksia R63

36 Gagal Ginjal Kronis/GGK N18.9

37 Pertusis A37.9

38 Tumor ganas pada payudara C50

39

40

R. GIGI DAN MULUT

41 Persistensi K00.6

42 Karies Dentin (Hiperemia Pulpa) K02.1

43 Pulpitis K04.0

44 Necrosis Pulpa K04.1

45 Periodonitis Apikalis Kronis K04.5

46 Abses Periapikal tdk melibatkan sinus K04.7

47 Anomali Letak Gigi K07.4

48 Ginggivitis Kronis K05.1

49 Gangren Radik, Ulcus Dicubitus K08.3

50 Periodonitis Kronis K05.3

51 Gigi Impaksi K01.1

52 Fraktur Korona S02.51

53 Neoplasma Rongga Mulut C09.9

54 Excessive attrition of teeth K03.0

55 Other diseases of hard tissue of teeth, K03.9

unspecified

56
 TING
KAT KODE JUMLAH KASUS BARU DAN LAMA ( UMUR DAN JENIS KELAMIN)
NO NAMA PENYAKIT KEMA
MPU ICPC II ICD X 0-7 HR 8-28 HR 1-11 BLN 1-4 THN 5-9 THN 10-14 THN 15-19 THN 20-44 THN 45-59 THN
AN
57

Jumlah - - - - - - - - -

Situbondo,
Kepala UPTD Puskesmas Pelaksana

_____________________ __________________
 Tahun =

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JUMLAH RUJUKAN
>59 THN JUM LAH L P JUM LAH L P JUM LAH RUJUKAN BALIK

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JUMLAH RUJUKAN
>59 THN JUM LAH L P JUM LAH L P JUM LAH RUJUKAN BALIK

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JUMLAH RUJUKAN
>59 THN JUM LAH L P JUM LAH L P JUM LAH RUJUKAN BALIK

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JUMLAH RUJUKAN
>59 THN JUM LAH L P JUM LAH L P JUM LAH RUJUKAN BALIK

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