REKAPITULASI DIAGNOSA YANG MAMPU DITANGANI TUNTAS

HASIL SELF ASSESSMENT PEER REVIEW

FKTP PUSKESMAS

Dapat Tuntas Ditangani di Faskes

No. Kode ICD X Nama Diagnosa Nama ICD X
Ya Tidak *)
1 O03.9 Abortus spontan komplit Unspecified abortion, complete, without complication
Ya

2 L27.2 Alergi makanan Dermatitis due to ingested food Ya

3 D50 Anemia defisiensi besi pada kehamilan Iron deficiency anaemia
Ya

4 B77.9 Askariasis Ascariaris unspecified Ya

5 J45 Asma Bronkial Asthma Ya
6 H52.2 Astigmatism ringan Astigmatisme Tidak
7 G51.0 Bell's Palsy Bells’ palsy Ya
8 T17.1 Benda asing di hidung Foreign body in nostril Ya
9 T15.9 Benda asing di konjungtiva Foreign body on external eye, part unspecified Ya
10 H01.0 Blefaritis Blepharitis Ya
11 J20.9 Bronkitis akut Acute bronchitis, unspecified Ya
12 H53.6 Buta senja Night blindness Ya
13 B76.9 Cutaneus larva migran Hookworm disease, unspecified Ya
14 A91 Demam dengue, DHF Dengue haemorrhagic fever Ya
15 A01.0 Demam tifoid Typhoid fever Ya
16 L20 Dermatitis atopik (kecuali recalcitrant) Atopic dermatitis Ya
17 L24 Dermatitis kontak iritan Irritant contact dermatitis Ya
18 L20.8 Dermatitis numularis Other atopic dermatitis Ya
19 L21 Dermatitis seboroik Seborrhoeic dermatitis Ya
20 B35.0 Tinea kapitis Tinea barbae and tinea capitis Ya
21 B35.0 Tinea barbae Tinea barbae and tinea capitis Ya
22 B35.8 Tinea Imbricate Other dermatophytoses Ya
23 B35.4 Tinea korporis Tinea corporis Ya
24 B35.2 Tinea manum Tinea manuum Ya
25 B35.1 Tinea unguium Tinea unguium Ya
26 B35.6 Tinea kruris Tinea cruris Ya
27 B35.3 Tinea pedis Tinea pedis Ya
28 T89 Diabetes melitus tipe 1 Diabetes insulin dependent Tidak
29 E11 Diabetes melitus tipe 2 Non-insulin-dependent diabetes mellitus Ya
30 A06.0 Disentri basiler dan amuba Acute amoebic dysentery Ya
31 E78.5 Dislipidemia Hiperlipidemia Ya
32 R04.0 Epistaksis Epistaxis Ya
33 L27.0 Exanthematous drug eruption Generalized skin eruption due to drugs and Ya
medicament
34 J02.9 Faringitis Acute pharyngitis, unspecified Ya
35 B74 Filariasis Filariasis Ya
36 J34.0 Furunkel pada hidung Abscess, furuncle and carbuncle of nose Ya
37 K29.7 Gastritis Gastritis, unspecified Ya
38 A09 Gastroenteritis (termasuk kolera, Diarrhoea and gastroenteritis of presumed infection Ya
giardiasis) origin
39 A54.9 Gonore Gonococcal infection, unspecified Ya
40 I84 Hemoroid grade 1-2 Haemorrhoids Ya
41 B15 Hepatitis A Acute Hepatitis A Ya
42 B009 Herpes simpleks tanpa komplikasi Herpesviral infection, unspecified Ya
 REKAPITULASI DIAGNOSA YANG MAMPU DITANGANI TUNTAS
HASIL SELF ASSESSMENT PEER REVIEW
FKTP PUSKESMAS

Dapat Tuntas Ditangani di Faskes

No. Kode ICD X Nama Diagnosa Nama ICD X
Ya Tidak *)
43 B02.9 Herpes zoster tanpa komplikasi Zoster without complication Ya
44 H52.0 Hipermetropia ringan Hypermetropia Tidak
45 I10 Hipertensi esensial Essential (primary) hypertension Ya
46 M10 Hiperuricemia (Gout) Gout Ya
47 E16.2 Hipoglikemia ringan hypoglycaemia unspecified Ya
48 Z21 HIV AIDS tanpa komplikasi Asymptomatic Human Immunodeficiency Virus (HIV) Tidak
infection status
49 H00.0 Hordeolum Hordeolum and other deep inflammation of eyelid Ya
50 P38 Infeksi pada umbilikus Omphalitis of newborn with or without mild Ya
haemorrhage
51 N39.0 Infeksi saluran kemih Urinary tract infection, site not specified Ya
52 J11 Influenza Influenza, virus not identified Ya
53 F51 Insomnia Insomnia non organik pada psikiatri Ya
54 K90.4 Intoleransi makanan Malabsorption due to intolerance Ya
55 B37.9 Kandidiasis mulut Candidiasis unspecified Ya
56 O80.9 Kehamilan normal Single spontaneous delivery, unspecified Ya
57 R56.0 Kejang demam Febrile convulsions Ya
58 T62.2 Keracunan makanan Other Ingested (parts of plant(s)) Ya
59 H10.9 Konjungtivitis Conjunctivitis, unspecified Ya
60 J04.0 Laringitis Acute laryngitis Ya
61 A30 Lepra Leprosy [Hansen disease] Ya
62 A27.9 Leptospirosis (tanpa komplikasi) Leptospirosis, unspecified Ya
63 B70 Limfadenitis Lymphadenitis Acute Ya
64 D17.9 Lipoma Benign lipomatous neoplasm Ya
65 T30 Luka bakar derajat 1 dan 2 burn and corrosion, body region unspecified Ya
66 B54 Malaria Unspecified malaria Ya
67 E46 Malnutirisi energi-protein Unspecified protein-energy malnutrition Ya
68 N61 Mastitis Inflammatory disorders of breast Ya
69 H04.1 Mata kering Otherdisorders of lacrimal gland Ya
70 G43.9 Migren Migraine, unspecified Ya
71 L74.3 Miliaria Miliaria, unspecified Ya
72 H52.1 Miopia ringan Myopia Tidak
73 B08,1 Moluskum kontagiosum Molluscum contagiosum Ya
74 B05.9 Morbili tanpa komplikasi Measles without complication (Measles NOS). Ya
75 L22 Napkin eczema Diaper (napkin) dermatitis Ya
76 E66.9 Obesitas obesity unspecified Ya
77 H60.9 Otitis eksterna Otitis externa, unspecified Ya
78 H65.0 Otitis media akut Acute serous otitis media Ya
79 B26 Parotitis Mumps Ya
80 B85.0 Pedikulosis kapitis Pediculosis due to Pediculus humanus capitis Ya
81 B76.0 Penyakit cacing tambang Ankylostomiasis Ya
82 H57.8 Perdarahan subkonjungtiva Other specified disorders of eye and adnexa Ya
83 Pertusis *tidak ditemukan Panduan Klinis di KMK Ya
84 L42 Pitiriasis rosea Ya
85 B36.0 Pitiriasis versikolor Pityriasis versicolor Ya
 REKAPITULASI DIAGNOSA YANG MAMPU DITANGANI TUNTAS
HASIL SELF ASSESSMENT PEER REVIEW
FKTP PUSKESMAS

Dapat Tuntas Ditangani di Faskes

No. Kode ICD X Nama Diagnosa Nama ICD X
Ya Tidak *)
86 J18.0 Pneumonia, bronkopneumonia Bronchopneumonia, unspecified Ya
87 H52.4 Presbiopia Presbyopia Tidak
88 T78.2 Reaksi anafilaktik Anaphylactic shock, unspecified Ya
89 T63.4 Reaksi gigitan serangga Venom of other arthropods Ya
90 K21.9 Refluks gastroesofageal Gastro-oesophageal reflux disease without Ya
oesophagitis
91 J00 Rhinitis akut Acute nasopharyngitis (common cold) Ya
92 J30.4 Rhinitis alergika Allergic rhinitis, unspecified Ya
93 J30.0 Rhinitis vasomotor Vasomotor rhinitis Ya
94 O70.0 Ruptur perineum tingkat 1-2 First degree perineal laceration during delivery Ya
95 H61.2 Serumen prop Impacted cerumen Ya
96 B86 Skabies Scabies Ya
97 B65.9 Skistosomiasis Skistosomiasis unspecified Ya
98 B78.9 Strongiloidiasis Strongyloidiasis Ya
99 B68.9 Taeniasis Taeniasis Ya
100 G44.2 Tension headache Tension–type headache Ya
101 A35 Tetanus Other tetanus Tidak
102 J03 Tonsilitis Acute tonsillitis Ya
103 A15 Tuberkulosis paru tanpa komplikasi Respiratory tuberkulosis, bacteriologically and Ya
histologically confirmed
104 L50 Urtikaria (akut & kronis) Urticaria Ya
105 N76.0 Vaginitis Acute Vaginitis Ya
106 B01.9 Varisela tanpa komplikasi Varicella without complication (Varicella NOS) Ya
107 R42 Vertigo (Benign paroxysmal positional Dizziness and giddiness Ya
vertigo)
108 B07 Veruka vulgaris Viral warts Ya
109 N76.0 Vulvitis Acute Vaginitis Ya
110 F45 Gangguan somatoform Somatoform disorders Ya
111 H02 Trikiasis Entropion and trichiasis of eyelid Ya
112 H15.1 Episkleritis Episcleritis Ya
113 Mabuk perjalanan *tidak ditemukan Panduan Klinis di KMK Ya
114 K12 Ulkus mulut (aptosa, herpes) Stomatitis and related lesions Ya
115 N10 Pielonefritis tanpa komplikasi Acute tubulo-interstitial nephritis (applicable to: acute Ya
pyelonephritis)
116 N47 Fimosis Phimosis Ya
117 N47.2 Parafimosis Paraphimosis Ya
118 N98.9 Sindrom duh (discharge) genital (gonore Complication associated with artificial fertilization, Ya
dan nongonore) unspecified
119 N39.0 Infeksi saluran kemih bagian bawah Urinary tract infection, site not specified Ya
120 N76.0 Vaginosis bakterialis Acute Vaginitis Ya
121 Salpingitis *tidak ditemukan Panduan Klinis di KMK Tidak
122 Abses folikel rambut atau kelenjar *tidak ditemukan Panduan Klinis di KMK Ya
sebasea
123 O9212; Cracked nipple Cracked nipple associated with the Ya
O9213 puerperium; Cracked nipple associated with lactation
124 O92.02; Inverted nipple Retracted nipple associated with the Ya
O92.03 puerperium; Retracted nipple associated with
125 Defisiensi vitamin *tidak ditemukan Panduan Klinis di KMK Ya
126 Defisiensi mineral *tidak ditemukan Panduan Klinis di KMK Tidak
127 280 Anemia defisiensi besi Iron Deficiency Anemias Ya
128 I83.0; L97 Ulkus pada tungkai Varicose veins of lower extremities with ulcer; Ulcer of Ya
lower limb, notelsewhere classified
 REKAPITULASI DIAGNOSA YANG MAMPU DITANGANI TUNTAS
HASIL SELF ASSESSMENT PEER REVIEW
FKTP PUSKESMAS

Dapat Tuntas Ditangani di Faskes

No. Kode ICD X Nama Diagnosa Nama ICD X
Ya Tidak *)
129 Sifilis stadium 1 dan 2 *tidak ditemukan Panduan Klinis di KMK Ya
130 L01 Impetigo Impetigo Ya
131 L02 Impetigo ulseratif (ektima) Impetigo Ya
132 L08.0 Folikulitis superfisialis Pioderma Ya
133 L02 Furunkel, karbunkel Cutaneous abscess, furuncle and carbuncle Ya
134 L08.1 Eritrasma Erythrasmay Ya
135 A46 Erisipelas Erysipelas Ya
136 A18.4 Skrofuloderma Tuberculosis of skin and subcutaneous tissue Tidak
137 B37.9 Kandidosis mukokutan ringan Candidiasis unspecified Ya
138 B85.3 Pedikulosis pubis Pthiriasis Ya
139 L70.0 Akne vulgaris ringan Acne vulgaris Ya
140 L73.2 Hidradenitis supuratif Hidradenitis suppurativa Ya
141 L71.0 Dermatitis perioral Perioral dermatitis Ya
142 T14.1 Vulnus laseratum, punctum Open wound of unspecified body region Ya
143 Kekerasan tumpul *tidak ditemukan Panduan Klinis di KMK Ya
144 Kekerasan tajam *tidak ditemukan Panduan Klinis di KMK Ya