Abstraksi Kasus

Yanuar Gilang Ramadhan

P2.06.37.0.17.040
Kasus
Ibu melahirkan bayi 1 hidup di rumah sakit secara
normal , Bayi dilahirkan usia kehamilan 30 minggu
BB bayi 2000 gram, bayi tampak kuning dengan
labium leporinum.
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ibu melahirkan premature
Leadterm
01 delivery

Icd 10 vol 3
02 delivery (hal 191)
- premature or pretern NEC O60.1

Icd 10 vol 1
03 hal 661
O60.1 pretern spontaneous labour with pretern delivery
pretern spontaneous labourwith pretern delivery by
caesarean delivery
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Outcome of delivery a single live birth
Leadterm
01 outcome

Icd 10 vol 3
02 Outcome of delivery Z37.9
-Single Z37.9
- - liveborn Z37.0 (halaman 494)
Icd 10 vol 1
03 Z37.0 Single live birth (halaman 993)

Termin : Outcome (ket) : hasil

Of (ket) : pada
Delivery (ket) : persalinan
Single (ket) : satu/tunggal
Live (ket) : hidup
Birth (ket) : lahir
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Premature newborn
Leadterm : premature
V3 : premature
-newborn, see prematurity
prematuriry NEC (less than 37 completed weeks) P07.3 (Hal 532)
Volume 1 : P07.3 Other preterm infants
28 completed weeks or more but less than 37 completed weeks
(196 completed days but less than 259 completed days) of gestation.
Prematurity NOS (halaman 685)
Termin : Premature (Ket) : kondisi bayi lahir sebelum waktunya
newborn (Ket) : bayi baru lahir
Low birth weight
Leadterm : birth
Volume3 : birth
- weigth
- - Low (between 1000 and 2499 grams) P07.1 (Halaman 78)
Volume 1 : P07.1 other low birth weigth
Birth weight 1000-2499 g.
Termin : Low (Ket) : rendah
birth (Ket) : kelahiran
weight (Ket) : Berat
Single liveborn infant born in hospital
Leadterm : Infant
Volume 3 : Infant(s) - see also infancy
- liveborn (singleton) Z38.2
- - born
- - -in hospital Z38.0 (halaman 347)
Termin : Single (Ket) : tunggal
liveborn (Ket): lahir hidup
infant (Ket) : bayi
born (Ket) : terlahir
in (Ket) : di
hospital (Ket) : rumah sakit
Volume 1 : Z38.0 Singleton, born in hospital (halaman 993)
bayi tampak kuning
Leadterm
01 hyperbilirubin

Icd 10 vol 3
02 hyperbilirubinemia (hal 328)
- neonatal P59.9

Icd 10 vol 1
03 hal 697
P59.9 neonatal jaundice,unspecified
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Termin : cleft = keterangan = sumbing

lip = WR = bibir
Leadterm : labium leporinum.
Volume 3 : hal 390 labium leporinum Q36.9
Volume 1 : hal 723 Q36.9 cleft lip, unilateral