LAPORAN REKAP DIAGNOSA - RS PROKLAMASI

Pasien Rawat Inap dan Rawat Jalan, Periode Tanggal Pulang: 1 Feb 2017 s/d 28 Feb 2017
Filter: Metode Pembayaran = Semua / Kelas Rawat = Semua / Severity = Semua / Cara Pulang = Semua / Jenis Tarif = TARIF RS KELAS C SWASTA
No. Kode Deskripsi Primer Sekunder Subtotal
1 A01.0 Typhoid fever 115 10 125
2 P03.4 Fetus and newborn affected by caesarean delivery 32 0 32
3 O06.4 Unspecified abortion, incomplete, without complication 17 0 17
4 A09 Diarrhoea and gastroenteritis of presumed infectious origin 16 13 29
5 A16.2 Tb lung without mention of bact or histological confirm 12 3 15
6 O14.1 Severe pre-eclampsia 11 0 11
7 O33.9 Maternal care for disproportion, unspecified 11 2 13
8 D21.6 Benign neoplasm, connective and other soft tissue of trunk, unspecified 9 0 9
9 K29.7 Gastritis, unspecified 9 19 28
10 O42.9 Premature rupture of membranes, unspecified 9 2 11
11 D24 Benign neoplasm of breast 7 0 7
12 D21.2 Benign neoplasm, connective and other soft tissue of lower limb, inc hip 7 0 7
13 M71.07 Abscess of bursa, ankle and foot 7 0 7
14 O36.4 Maternal care for intrauterine death 6 0 6
15 J44.9 Chronic obstructive pulmonary disease, unspecified 6 4 10
16 O32.1 Maternal care for breech presentation 6 1 7
17 A49.9 Bacterial infection, unspecified 6 1 7
18 J45.9 Asthma, unspecified 6 2 8
19 D21.1 Benign neoplasm, connective and other soft tis of upper limb, inc shoulder 5 0 5
20 S81.9 Open wound of lower leg, part unspecified 5 0 5
21 O63.0 Prolonged first stage of labour 5 0 5
22 E11.9 Non-insulin-dependent diabetes mellitus without complications 5 11 16
23 O63.1 Prolonged second stage of labour 5 1 6
24 J18.0 Bronchopneumonia, unspecified 4 0 4
25 O14.9 Pre-eclampsia, unspecified 4 2 6
26 J00 Acute nasopharyngitis [common cold] 3 10 13
27 D36.0 Benign neoplasm, lymph nodes 3 0 3
28 A91 Dengue haemorrhagic fever 3 3 6
29 K92.1 Melaena 3 0 3
30 K40.3 Unilateral or unspecified inguinal hernia, with obstruction, without gangrene 3 3 6
31 H81.4 Vertigo of central origin 3 1 4
32 O62.2 Other uterine inertia 3 0 3
33 D21.0 Benign neoplasm, connective and other soft tissue of head, face and neck 3 0 3
34 A90 Dengue fever [classical dengue] 3 3 6

Kode RS: 3215067 Halaman 1/5

 LAPORAN REKAP DIAGNOSA - RS PROKLAMASI
Pasien Rawat Inap dan Rawat Jalan, Periode Tanggal Pulang: 1 Feb 2017 s/d 28 Feb 2017
Filter: Metode Pembayaran = Semua / Kelas Rawat = Semua / Severity = Semua / Cara Pulang = Semua / Jenis Tarif = TARIF RS KELAS C SWASTA
No. Kode Deskripsi Primer Sekunder Subtotal
35 O21.0 Mild hyperemesis gravidarum 3 0 3
36 O34.2 Maternal care due to uterine scar from previous surgery 3 2 5
37 I64 Stroke, not specified as haemorrhage or infarction 2 1 3
38 K40.9 Unilateral or unspecified inguinal hernia, without obstruction or gangrene 2 0 2
39 M65.05 Abscess of tendon sheath, pelvic and thigh 2 0 2
40 N43.0 Encysted hydrocele 2 0 2
41 B90.9 Sequelae of respiratory and unspecified tuberculosis 2 0 2
42 O00.9 Ectopic pregnancy, unspecified 2 0 2
43 D21.4 Benign neoplasm, connective and other soft tissue of abdomen 2 0 2
44 I11.0 Hypertensive heart disease with (congestive) heart failure 2 1 3
45 G40.9 Epilepsy, unspecified 2 0 2
46 O36.6 Maternal care for excessive fetal growth 2 0 2
47 R56.0 Febrile convulsions 2 4 6
48 N92.1 Excessive and frequent menstruation with irregular cycle 2 0 2
49 D34 Benign neoplasm of thyroid gland 2 0 2
50 N43.3 Hydrocele, unspecified 2 0 2
51 J90 Pleural effusion, not elsewhere classified 2 0 2
52 O02.0 Blighted ovum and nonhydatidiform mole 2 0 2
53 K40.4 Unilateral or unspecified inguinal hernia, with gangrene 2 0 2
54 D64.9 Anaemia, unspecified 2 75 77
55 E11.5 Non-insulin-dependent diabetes mellitus with peripheral circulatory complications 2 11 13
56 O99.0 Anaemia complicating pregnancy, childbirth and the puerperium 2 34 36
57 T09.1 Open wound of trunk, level unspecified 2 0 2
58 K92.8 Other specified diseases of digestive system 2 0 2
59 O33.0 Maternal care for disproportion due to deformity of maternal pelvic bones 1 0 1
60 I84.1 Internal haemorrhoids with other complications 1 0 1
61 N18.9 Chronic renal failure, unspecified 1 2 3
62 C53.9 Malignant neoplasm, cervix uteri, unspecified 1 0 1
63 P59.9 Neonatal jaundice, unspecified 1 0 1
64 O16 Unspecified maternal hypertension 1 0 1
65 O32.2 Maternal care for transverse and oblique lie 1 0 1
66 O98.0 Tuberculosis complicating pregnancy, childbirth and the puerperium 1 0 1
67 C73 Malignant neoplasm of thyroid gland 1 0 1
68 O30.0 Twin pregnancy 1 0 1

Kode RS: 3215067 Halaman 2/5

 LAPORAN REKAP DIAGNOSA - RS PROKLAMASI
Pasien Rawat Inap dan Rawat Jalan, Periode Tanggal Pulang: 1 Feb 2017 s/d 28 Feb 2017
Filter: Metode Pembayaran = Semua / Kelas Rawat = Semua / Severity = Semua / Cara Pulang = Semua / Jenis Tarif = TARIF RS KELAS C SWASTA
No. Kode Deskripsi Primer Sekunder Subtotal
69 P59.8 Neonatal jaundice from other specified causes 1 0 1
70 O42.1 Premature rupture of membranes, onset of labour after 24 hours 1 0 1
71 K63.1 Perforation of intestine (nontraumatic) 1 1 2
72 D21.9 Benign neoplasm, connective and other soft tissue, unspecified 1 0 1
73 A01.4 Paratyphoid fever, unspecified 1 0 1
74 N48.2 Other inflammatory disorders of penis 1 0 1
75 E14.7 Unspecified diabetes mellitus with multiple complications 1 0 1
76 D25.9 Leiomyoma of uterus, unspecified 1 0 1
77 M43.06 Spondylolysis, lumbar region 1 0 1
78 O61.9 Failed induction of labour, unspecified 1 0 1
79 N18.4 Chronic kidney disease, stage 4 1 0 1
80 K93.0 Tuberculous disorders of intestines, peritoneum and mesenteric glands 1 0 1
81 K75.0 Abscess of liver 1 0 1
82 K80.4 Calculus of bile duct with cholecystitis 1 0 1
83 C50.9 Malignant neoplasm, breast, unspecified 1 0 1
84 O70.9 Perineal laceration during delivery, unspecified 1 0 1
85 O60.2 Preterm labour with term delivery 1 0 1
86 S67.8 Crush injury other and unspecified parts of wrist and hand 1 0 1
87 L02.2 Cutaneous abscess, furuncle and carbuncle of trunk 1 0 1
88 O36.5 Maternal care for poor fetal growth 1 0 1
89 O73.0 Retained placenta without haemorrhage 1 1 2
90 P21.1 Mild and moderate birth asphyxia 1 0 1
91 I50.0 Congestive heart failure 1 4 5
92 I10 Essential (primary) hypertension 1 17 18
93 O68.9 Labour and delivery complicated by fetal stress, unspecified 1 0 1
94 N64.9 Disorder of breast, unspecified 1 0 1
95 M67.4 Ganglion 1 0 1
96 N39.0 Urinary tract infection, site not specified 1 2 3
97 J18.9 Pneumonia, unspecified 1 1 2
98 O82.9 Delivery by caesarean section, unspecified 1 45 46
99 M65.07 Abscess of tendon sheath, ankle and foot 1 0 1
100 K52.9 Noninfective gastroenteritis and colitis, unspecified 1 0 1
101 M76.0 Gluteal tendinitis 1 0 1
102 C49.1 Malignant neoplasm, connective and soft tissue of upper limb, including shoulder 1 0 1

Kode RS: 3215067 Halaman 3/5

 LAPORAN REKAP DIAGNOSA - RS PROKLAMASI
Pasien Rawat Inap dan Rawat Jalan, Periode Tanggal Pulang: 1 Feb 2017 s/d 28 Feb 2017
Filter: Metode Pembayaran = Semua / Kelas Rawat = Semua / Severity = Semua / Cara Pulang = Semua / Jenis Tarif = TARIF RS KELAS C SWASTA
No. Kode Deskripsi Primer Sekunder Subtotal
103 K66.0 Peritoneal adhesions 1 2 3
104 D23.3 Benign neoplasm, skin of other and unspecified parts of face 1 0 1
105 S92.91 Fracture of foot, unspecified , open 1 0 1
106 Q55.6 Other congenital malformations of penis 1 0 1
107 I84.2 Internal haemorrhoids without complication 1 0 1
108 O60.1 Preterm labour with preterm delivery 1 0 1
109 N83.2 Other and unspecified ovarian cysts 1 0 1
110 O22.4 Haemorrhoids in pregnancy 1 0 1
111 D72.8 Other specified disorders of white blood cells 0 34 34
112 E05.5 Thyroid crisis or storm 0 2 2
113 D40.1 Neoplasm of uncertain or unknown behaviour of testis 0 1 1
114 R50.9 Fever, unspecified 0 1 1
115 K65.0 Acute peritonitis 0 4 4
116 K63.0 Abscess of intestine 0 1 1
117 R10.4 Other and unspecified abdominal pain 0 1 1
118 E44.1 Mild protein-energy malnutrition 0 1 1
119 P39.9 Infection specific to the perinatal period, unspecified 0 1 1
120 I77.2 Rupture of artery 0 1 1
121 H52.1 Myopia 0 1 1
122 E14.9 Unspecified diabetes mellitus without complications 0 7 7
123 M54.5 Low back pain 0 1 1
124 K61.0 Anal abscess 0 1 1
125 Z37.1 Single stillbirth 0 1 1
126 R11 Nausea and vomiting 0 1 1
127 R42 Dizziness and giddiness 0 3 3
128 Z37.2 Twins, both liveborn 0 1 1
129 K59.0 Constipation 0 1 1
130 A41.9 Septicaemia, unspecified 0 14 14
131 Q25.3 Stenosis of aorta 0 1 1
132 J02.9 Acute pharyngitis, unspecified 0 2 2
133 J06.9 Acute upper respiratory infection, unspecified 0 3 3
134 E05.9 Thyrotoxicosis, unspecified 0 1 1
135 L25.9 Unspecified contact dermatitis, unspecified cause 0 1 1
136 Z37.0 Single live birth 0 67 67

Kode RS: 3215067 Halaman 4/5

 LAPORAN REKAP DIAGNOSA - RS PROKLAMASI
Pasien Rawat Inap dan Rawat Jalan, Periode Tanggal Pulang: 1 Feb 2017 s/d 28 Feb 2017
Filter: Metode Pembayaran = Semua / Kelas Rawat = Semua / Severity = Semua / Cara Pulang = Semua / Jenis Tarif = TARIF RS KELAS C SWASTA
No. Kode Deskripsi Primer Sekunder Subtotal
137 N39.9 Disorder of urinary system, unspecified 0 1 1
138 K74.6 Other and unspecified cirrhosis of liver 0 1 1
139 O82.1 Delivery by emergency caesarean section 0 10 10
140 I82.9 Embolism and thrombosis of unspecified vein 0 1 1
141 R40.2 Coma, unspecified 0 1 1
142 M10.9 Gout, unspecified 0 1 1
143 K30 Dyspepsia 0 10 10
144 R57.1 Hypovolaemic shock 0 1 1
145 R59.0 Localized enlarged lymph nodes 0 1 1
146 O33.6 Maternal care for disproportion due to hydrocephalic fetus 0 1 1
147 M19.9 Arthrosis, unspecified 0 1 1
148 K56.0 Paralytic ileus 0 3 3
149 O41.0 Oligohydramnios 0 3 3
150 O80.9 Single spontaneous delivery, unspecified 0 17 17
151 E16.2 Hypoglycaemia, unspecified 0 4 4
152 K67.3 Tuberculous peritonitis 0 1 1
153 I48 Atrial fibrillation and flutter 0 1 1
154 E86 Volume depletion 0 1 1
155 I84.9 Unspecified haemorrhoids without complication 0 2 2
156 L03.9 Cellulitis, unspecified 0 1 1
Total 454 509 963

Kode RS: 3215067 Halaman 5/5