Laporan Rekapitulasi Pasien Berdasarkan Diagnosa

Instalasi Gawat Darurat

Periode : 01 Januari 2019 s/d 31 Januari 2019

No. ICD X Diagnosa Laki-Laki Perempuan Total

1 A09.9 Gastroenteritis and colitis of unspecified origin (A09.9) 76 89 165

2 A90 Dengue fever [classical dengue] (A90) 34 19 53

Non-insulin-dependent diabetes mellitus without
3 E11.9 21 25 46
complications (E11.9)
4 K30 Dyspepsia (K30) 12 22 34
5 A91 Dengue haemorrhagic fever (A91) 17 7 24
6 I63.9 Cerebral infarction, unspecified (I63.9) 13 10 23
7 A01.0 Typhoid fever (A01.0) 9 12 21
8 I50.9 Heart failure, unspecified (I50.9) 7 7 14
9 I20.0 Unstable angina (I20.0) 10 3 13
10 J45.9 Asthma, unspecified (J45.9) 6 5 11
11 K92.0 Haematemesis (K92.0) 7 3 10
Tb lung confirm sputum microscopy with or without
12 A15.0 3 6 9
culture (A15.0)
13 D64.9 Anaemia, unspecified (D64.9) 3 5 8
Non-insulin-dependent diabetes mellitus with peripheral
14 E11.5 4 4 8
circulatory complications (E11.5)
15 N18.5 Chronic kidney disease, stage 5 (N18.5) 6 1 7
16 G40.9 Epilepsy, unspecified (G40.9) 5 2 7
17 P59.8 Neonatal jaundice from other specified causes (P59.8) 6 1 7
Chronic obstructive pulmonary disease with acute
18 J44.1 2 4 6
exacerbation, unspecified (J44.1)
Intra-amniotic infection of fetus, not elsewhere classified
19 P39.2 3 3 6
(P39.2)
20 C50.9 Malignant neoplasm, breast, unspecified (C50.9) 0 6 6
Lain - lain 225 285 510
Total 469 519 988

Surabaya, 08 Februari 2019

Kepala Bidang Penunjang Medik
drg. Sri Wahjulien Koestiwijandari., M.M.
NIP. 19620502 198903 2006
 %
165

165

165

165
165
165
165
165
165
165
165

165

165

165

165
165
165

165

165

165
165
100

2019
Medik
dari., M.M.
006
 Laporan Rekapitulasi Pasien Berdasarkan Diagnosa
Instalasi Gawat Darurat
Periode : 01 Februari 2019 s/d 28 Februari 2019

No. ICD X Diagnosa Laki-Laki Perempuan Total

1 A09.9 Gastroenteritis and colitis of unspecified origin (A09.9) 66 63 129

2 A90 Dengue fever [classical dengue] (A90) 47 34 81

Non-insulin-dependent diabetes mellitus without
3 E11.9 24 35 59
complications (E11.9)
4 A91 Dengue haemorrhagic fever (A91) 25 18 43
5 K30 Dyspepsia (K30) 15 14 29
6 A01.0 Typhoid fever (A01.0) 14 12 26
7 I63.9 Cerebral infarction, unspecified (I63.9) 17 5 22
8 N18.5 Chronic kidney disease, stage 5 (N18.5) 12 8 20
9 I50.9 Heart failure, unspecified (I50.9) 12 7 19
10 I20.0 Unstable angina (I20.0) 6 13 19
Non-insulin-dependent diabetes mellitus with peripheral
11 E11.5 6 12 18
circulatory complications (E11.5)
Tb lung confirm sputum microscopy with or without
12 A15.0 7 6 13
culture (A15.0)
13 I48 Atrial fibrillation and flutter (I48) 6 6 12
Chronic obstructive pulmonary disease with acute
14 J44.1 8 4 12
exacerbation, unspecified (J44.1)
15 K92.1 Melaena (K92.1) 4 8 12
16 J45.9 Asthma, unspecified (J45.9) 4 7 11
17 J18.0 Bronchopneumonia, unspecified (J18.0) 6 5 11
18 J06.9 Acute upper respiratory infection, unspecified (J06.9) 5 4 9
19 D64.9 Anaemia, unspecified (D64.9) 2 5 7
20 P59.8 Neonatal jaundice from other specified causes (P59.8) 2 5 7
Lain - lain 266 297 563
Total 554 568 1122

Surabaya, 08 Maret 2019

Kepala Bidang Penunjang Medik

drg. Sri Wahjulien Koestiwijandari., M.M.

NIP. 19620502 198903 2006
sa

11.50

7.22

5.26

3.83
2.58
2.32
1.96
1.78
1.69
1.69

1.60

1.16

1.07

1.07

1.07
0.98
0.98
0.80
0.62
0.62
50.18
100

aret 2019
unjang Medik

iwijandari., M.M.
8903 2006
 Laporan Rekapitulasi Pasien Berdasarkan Diagnosa
Instalasi Gawat Darurat
Periode : 01 Maret 2019 s/d 31 Maret 2019

No. ICD X Diagnosa Laki-Laki Perempuan Total %

1 A90 Dengue fever [classical dengue] (A90) 43 55 98 8.90
Gastroenteritis and colitis of unspecified origin
2 A09.9
(A09.9)
37 39 76 6.90
Non-insulin-dependent diabetes mellitus without
3 E11.9
complications (E11.9)
11 41 52 4.72
4 A91 Dengue haemorrhagic fever (A91) 24 14 38 3.45
5 A01.0 Typhoid fever (A01.0) 12 18 30 2.72
6 I50.9 Heart failure, unspecified (I50.9) 13 15 28 2.54
7 K30 Dyspepsia (K30) 15 11 26 2.36
8 I63.9 Cerebral infarction, unspecified (I63.9) 14 9 23 2.09
9 J18.0 Bronchopneumonia, unspecified (J18.0) 13 6 19 1.73
10 K92.1 Melaena (K92.1) 11 5 16 1.45
11 N18.5 Chronic kidney disease, stage 5 (N18.5) 8 6 14 1.27
12 I20.0 Unstable angina (I20.0) 4 10 14 1.27
13 D64.9 Anaemia, unspecified (D64.9) 6 7 13 1.18
Maternal care due to uterine scar from previous
14 O34.2
surgery (O34.2)
0 13 13 1.18
Gastro-oesophageal reflux disease without
15 K21.9
oesophagitis (K21.9)
5 7 12 1.09
Hyperemesis gravidarum with metabolic
16 O21.1
disturbance (O21.1)
0 9 9 0.82
17 O42 Premature rupture of membranes (O42) 0 9 9 0.82
Chronic obstructive pulmonary disease with acute
18 J44.1
exacerbation, unspecified (J44.1)
6 2 8 0.73
Tb lung confirm sputum microscopy with or without
19 A15.0
culture (A15.0)
4 4 8 0.73
Concussion, without open intracranial wound
20 S06.00
(S06.00)
6 1 7 0.64
Lain - lain 290 298 588 53.41
Total 522 579 1,101 100

Surabaya, 08 April 2019

Kepala Bidang Penunjang Medik
drg. Sri Wahjulien Koestiwijandari., M.M.
NIP. 19620502 198903 2006
 Laporan Rekapitulasi Pasien Berdasarkan Diagnosa
Instalasi Gawat Darurat
TRI WULAN I
Periode : 01 Januari 2019 s/d 31 Maret 2019

No. ICD X Diagnosa Laki-Laki Perempuan Total

1 A09.9 Gastroenteritis and colitis of unspecified origin (A09.9) 180 192 372

2 A90 Dengue fever [classical dengue] (A90) 125 108 233

Non-insulin-dependent diabetes mellitus without
3 E11.9 56 103 159
complications (E11.9)
4 A91 Dengue haemorrhagic fever (A91) 66 39 105
5 K30 Dyspepsia (K30) 42 48 90
6 A01.0 Typhoid fever (A01.0) 35 42 77
7 I63.9 Cerebral infarction, unspecified (I63.9) 47 25 72
8 I50.9 Heart failure, unspecified (I50.9) 32 29 61
9 I20.0 Unstable angina (I20.0) 20 26 46
10 N18.5 Chronic kidney disease, stage 5 (N18.5) 28 15 43
11 J18.0 Bronchopneumonia, unspecified (J18.0) 23 12 35
12 K92.1 Melaena (K92.1) 18 16 34
Non-insulin-dependent diabetes mellitus with peripheral
13 E11.5 13 21 34
circulatory complications (E11.5)
Tb lung confirm sputum microscopy with or without
14 A15.0 14 18 32
culture (A15.0)
15 D64.9 Anaemia, unspecified (D64.9) 11 17 28
16 J45.9 Asthma, unspecified (J45.9) 13 15 28
Chronic obstructive pulmonary disease with acute
17 J44.1 16 10 26
exacerbation, unspecified (J44.1)
Maternal care due to uterine scar from previous surgery
18 O34.2 0 21 21
(O34.2)
19 I48 Atrial fibrillation and flutter (I48) 11 9 20

20 P59.8 Neonatal jaundice from other specified causes (P59.8) 11 9 20

Lain - lain 800 904 1,704

Total 1,561 1,679 3,240

Surabaya, 08 April 2019

Kepala Bidang Penunjang Medik
drg. Sri Wahjulien Koestiwijandari., M.M
NIP. 19620502 198903 2006
pitulasi Pasien Berdasarkan Diagnosa
nstalasi Gawat Darurat
TRI WULAN I
: 01 Januari 2019 s/d 31 Maret 2019

11.48
7.19
4.91
3.24
2.78
2.38
2.22
1.88
1.42
1.33
1.08
1.05
1.05

0.99
0.86
0.86
0.80

0.65
0.62
0.62
52.59
100

Surabaya, 08 April 2019

Kepala Bidang Penunjang Medik
drg. Sri Wahjulien Koestiwijandari., M.M.
NIP. 19620502 198903 2006
 Laporan Rekapitulasi Pasien Berdasarkan Diagnosa
Instalasi Gawat Darurat
Periode : 01 Maret 2019 s/d 31 Maret 2019

No. ICD X Diagnosa Laki-Laki Perempuan Total %

1 A90 Dengue fever [classical dengue] (A90) 45 39 84 10.46
Gastroenteritis and colitis of unspecified origin
2 A09.9 33 27 60
(A09.9) 7.47
3 K30 Dyspepsia (K30) 11 23 34 4.23
4 A91 Dengue haemorrhagic fever (A91) 10 14 24 2.99
Non-insulin-dependent diabetes mellitus
5 E11.9 7 16 23
without complications (E11.9) 2.86
6 I63.9 Cerebral infarction, unspecified (I63.9) 8 8 16 1.99
7 I50.9 Heart failure, unspecified (I50.9) 11 5 16 1.99
8 I20.0 Unstable angina (I20.0) 8 6 14 1.74
9 A01.0 Typhoid fever (A01.0) 5 8 13 1.62
Tb lung confirm sputum microscopy with or
10 A15.0 6 6 12
without culture (A15.0) 1.49
11 N18.5 Chronic kidney disease, stage 5 (N18.5) 5 5 10 1.25
12 J18.0 Bronchopneumonia, unspecified (J18.0) 4 5 9 1.12
13 K92.1 Melaena (K92.1) 5 4 9 1.12
14 O42 Premature rupture of membranes (O42) 0 9 9 1.12
15 N18.9 Chronic renal failure, unspecified (N18.9) 4 3 7 0.87
16 O63.0 Prolonged first stage of labour (O63.0) 0 7 7 0.87
Abnormal uterine and vaginal bleeding,
17 N93.9 0 6 6
unspecified (N93.9) 0.75
18 K35 Acute appendicitis (K35) 2 4 6 0.75
19 D64.9 Anaemia, unspecified (D64.9) 3 3 6 0.75
20 P07.1 Other low birth weight (P07.1) 3 3 6 0.75
Lain - lain 209 223 432 53.80
Total 379 424 803 100

Surabaya, 08 Mei 2019

Kepala Bidang Penunjang Medik

drg. Sri Wahjulien Koestiwijandari., M.M.

NIP. 19620502 198903 2006
170 201 371
 Laporan Rekapitulasi Pasien Berdasarkan Diagnosa
Instalasi Gawat Darurat
Periode : 01 Mei 2019 s/d 31 Mei 2019

No. ICD X Diagnosa Laki-Laki Perempuan Total %

1 A90 Dengue fever [classical dengue] (A90) 47 37 84 9.72
Gastroenteritis and colitis of unspecified origin
2 A09.9 41 40 81 9.38
(A09.9)
Non-insulin-dependent diabetes mellitus
3 E11.9 15 18 33 3.82
without complications (E11.9)
4 I50.9 Heart failure, unspecified (I50.9) 14 8 22 2.55
5 A91 Dengue haemorrhagic fever (A91) 12 9 21 2.43
6 I63.9 Cerebral infarction, unspecified (I63.9) 11 8 19 2.20
7 K30 Dyspepsia (K30) 9 9 18 2.08
8 N18.5 Chronic kidney disease, stage 5 (N18.5) 9 8 17 1.97
Tb lung confirm sputum microscopy with or
9 A15.0 9 5 14 1.62
without culture (A15.0)
10 I20.0 Unstable angina (I20.0) 6 8 14 1.62
Intra-amniotic infection of fetus, not elsewhere
11 P39.2 4 8 12 1.39
classified (P39.2)
Neonatal jaundice from other specified causes
12 P59.8 8 3 11 1.27
(P59.8)
13 O63.0 Prolonged first stage of labour (O63.0) 0 11 11 1.27
14 O63.1 Prolonged second stage of labour (O63.1) 0 9 9 1.04
15 D64.9 Anaemia, unspecified (D64.9) 3 5 8 0.93
16 O42 Premature rupture of membranes (O42) 0 8 8 0.93
17 A01.0 Typhoid fever (A01.0) 4 4 8 0.93
Chronic obstructive pulmonary disease with
18 J44.1 3 3 6 0.69
acute exacerbation, unspecified (J44.1)
19 N18.9 Chronic renal failure, unspecified (N18.9) 4 1 5 0.58
20 S06.0 Concussion (S06.0) 1 4 5 0.58
Lain - lain 211 247 458 53.01
TOTAL 411 453 864 100

Surabaya, 10 Juni 2019

Kepala Bidang Penunjang Medik
drg. Sri Wahjulien Koestiwijandari., M.M.
NIP. 19620502 198903 2006
200 206 406
 Laporan Rekapitulasi Pasien Berdasarkan Diagnosa
Instalasi Gawat Darurat
Periode : 01 Juni 20189 s/d 30 Juni 2019

No. ICD X Diagnosa Laki-Laki Perempuan Total %

1 A09.9 Gastroenteritis and colitis of unspecified origin (A09.9) 37 51 88 12.98

2 A90 Dengue fever [classical dengue] (A90) 17 17 34 5.01

Non-insulin-dependent diabetes mellitus without
3 E11.9 3 22 25 3.69
complications (E11.9)
4 I63.9 Cerebral infarction, unspecified (I63.9) 8 15 23 3.39
5 K30 Dyspepsia (K30) 7 14 21 3.10
6 I50.9 Heart failure, unspecified (I50.9) 8 10 18 2.65
7 A91 Dengue haemorrhagic fever (A91) 10 7 17 2.51
Non-insulin-dependent diabetes mellitus with peripheral
8 E11.5 7 6 13 1.92
circulatory complications (E11.5)
9 I20.0 Unstable angina (I20.0) 7 6 13 1.92
10 O63.0 Prolonged first stage of labour (O63.0) 0 12 12 1.77
11 A01.0 Typhoid fever (A01.0) 5 6 11 1.62
12 N18.5 Chronic kidney disease, stage 5 (N18.5) 5 4 9 1.33
Tb lung confirm sputum microscopy with or without
13 A15.0 3 6 9 1.33
culture (A15.0)
Maternal care due to uterine scar from previous surgery
14 O34.2 0 8 8 1.18
(O34.2)
15 K92.1 Melaena (K92.1) 6 2 8 1.18
16 D64.9 Anaemia, unspecified (D64.9) 6 1 7 1.03
Gastro-oesophageal reflux disease without oesophagitis
17 K21.9 5 1 6 0.88
(K21.9)
18 O42 Premature rupture of membranes (O42) 0 6 6 0.88
Chronic obstructive pulmonary disease with acute
19 J44.1 4 1 5 0.74
exacerbation, unspecified (J44.1)
20 N18.9 Chronic renal failure, unspecified (N18.9) 2 3 5 0.74
Lain - lain 154 186 340 50.15
Total 294 384 678 100

Surabaya, 10 Juli 2019

Kepala Bidang Penunjang Medik

drg. Sri Wahjulien Koestiwijandari., M.M.

NIP. 19620502 198903 2006
 Laporan Rekapitulasi Pasien Berdasarkan Diagnosa
Instalasi Gawat Darurat
TRI WULAN I
Periode : 01 April 2019 s/d 30 Juni 2019

No. ICD X Diagnosa Laki-Laki Perempuan Total %

1 A09.9 Gastroenteritis and colitis of unspecified origin (A09.9) 111 118 229 9.73
2 A90 Dengue fever [classical dengue] (A90) 109 93 202 8.58
Non-insulin-dependent diabetes mellitus without
3 E11.9 25 58 83 3.53
complications (E11.9)
4 K30 Dyspepsia (K30) 27 46 73 3.10
5 A91 Dengue haemorrhagic fever (A91) 32 30 62 2.63
6 I63.9 Cerebral infarction, unspecified (I63.9) 27 32 59 2.51
7 I50.9 Heart failure, unspecified (I50.9) 33 23 56 2.38
8 I20.0 Unstable angina (I20.0) 21 20 41 1.74
9 N18.5 Chronic kidney disease, stage 5 (N18.5) 19 17 36 1.53
Tb lung confirm sputum microscopy with or without culture
10 A15.0 18 17 35 1.49
(A15.0)
11 A01.0 Typhoid fever (A01.0) 14 18 32 1.36
12 O63.0 Prolonged first stage of labour (O63.0) 0 30 30 1.27
13 D64.9 Anaemia, unspecified (D64.9) 13 11 24 1.02
14 O42 Premature rupture of membranes (O42) 0 23 23 0.98
15 K92.1 Melaena (K92.1) 14 7 21 0.89
Non-insulin-dependent diabetes mellitus with peripheral
16 E11.5 10 10 20 0.85
circulatory complications (E11.5)
Intra-amniotic infection of fetus, not elsewhere classified
17 P39.2 7 12 19 0.81
(P39.2)
18 P59.8 Neonatal jaundice from other specified causes (P59.8) 11 8 19 0.81
19 J18.0 Bronchopneumonia, unspecified (J18.0) 10 7 17 0.72
20 N18.9 Chronic renal failure, unspecified (N18.9) 10 7 17 0.72
Lain - lain 575 681 1,256 53.36
Total 1,086 1,268 2,354 100

Surabaya, 10 Juli 2019

Kepala Bidang Penunjang Medik

drg. Sri Wahjulien Koestiwijandari., M.M.

NIP. 19620502 198903 2006
 Laporan Rekapitulasi Pasien Berdasarkan Diagnosa
Instalasi Gawat Darurat
SEMESTER I
Periode : 01 Januari 2019 s/d 30 Juni 2019

No. ICD X Diagnosa Laki-Laki Perempuan Total %

1 A09.9 Gastroenteritis and colitis of unspecified origin (A09.9) 291 310 601 10.74
2 A90 Dengue fever [classical dengue] (A90) 234 201 435 7.77
Non-insulin-dependent diabetes mellitus without complications
3 E11.9
(E11.9)
82 161
243 4.34
4 A91 Dengue haemorrhagic fever (A91) 98 69 167 2.98
5 K30 Dyspepsia (K30) 69 94 163 2.91
6 I63.9 Cerebral infarction, unspecified (I63.9) 74 57 131 2.34
7 I50.9 Heart failure, unspecified (I50.9) 65 52 117 2.09
8 A01.0 Typhoid fever (A01.0) 49 60 109 1.95
9 I20.0 Unstable angina (I20.0) 41 46 87 1.55
10 N18.5 Chronic kidney disease, stage 5 (N18.5) 47 32 79 1.41
Tb lung confirm sputum microscopy with or without culture
11 A15.0
(A15.0) 32 35 67 1.20
12 K92.1 Melaena (K92.1) 32 23 55 0.98
Non-insulin-dependent diabetes mellitus with peripheral
13 E11.5
circulatory complications (E11.5)
23 31
54 0.96
14 D64.9 Anaemia, unspecified (D64.9) 24 28 52 0.93
15 J18.0 Bronchopneumonia, unspecified (J18.0) 33 19 52 0.93
16 O63.0 Prolonged first stage of labour (O63.0) 0 45 45 0.80
17 O42 Premature rupture of membranes (O42) 0 41 41 0.73
Chronic obstructive pulmonary disease with acute exacerbation,
18 J44.1
unspecified (J44.1)
26 14
40 0.71
19 P59.8 Neonatal jaundice from other specified causes (P59.8) 22 17 39 0.70
20 J45.9 Asthma, unspecified (J45.9) 21 17 38 0.68
Lain - lain 1,385 1,596 2,981 53.27
Total 2,648 2,948 5,596 100

Surabaya, 10 Juli 2019

Kepala Bidang Penunjang Medik

drg. Sri Wahjulien Koestiwijandari., M.M.

NIP. 19620502 198903 2006
 Laporan Rekapitulasi Pasien Berdasarkan Diagnosa
Instalasi Gawat Darurat
Periode : 01 Juli 2019 s/d 31 Juli 2019

No. ICD X Diagnosa Laki-Laki Perempuan Total %

Gastroenteritis and colitis of unspecified origin
1 A09.9 33 48 81 13.87
(A09.9)
2 Z38.0 Singleton, born in hospital (Z38.0) 19 15 34 5.82
Non-insulin-dependent diabetes mellitus without
3 E11.9 10 20 30 5.14
complications (E11.9)
4 K30 Dyspepsia (K30) 9 13 22 3.77
5 I50.9 Heart failure, unspecified (I50.9) 10 12 22 3.77
6 I20.0 Unstable angina (I20.0) 8 9 17 2.91
7 D64.9 Anaemia, unspecified (D64.9) 7 6 13 2.23
Tb lung confirm sputum microscopy with or
8 A15.0 7 6 13 2.23
without culture (A15.0)

Non-insulin-dependent diabetes mellitus with

9 E11.5 3 9 12 2.05
peripheral circulatory complications (E11.5)

10 N18.9 Chronic renal failure, unspecified (N18.9) 2 9 11 1.88

11 N18.5 Chronic kidney disease, stage 5 (N18.5) 3 7 10 1.71
Chronic obstructive pulmonary disease with
12 J44.1 7 3 10 1.71
acute exacerbation, unspecified (J44.1)
13 I48 Atrial fibrillation and flutter (I48) 4 2 6 1.03
14 I63.9 Cerebral infarction, unspecified (I63.9) 3 3 6 1.03
15 A90 Dengue fever [classical dengue] (A90) 2 4 6 1.03
Fetus and newborn affected by caesarean
16 P03.4 3 3 6 1.03
delivery (P03.4)
17 K92.1 Melaena (K92.1) 4 2 6 1.03
18 O63.0 Prolonged first stage of labour (O63.0) 0 6 6 1.03
19 S06.0 Concussion (S06.0) 0 5 5 0.86
20 K92.0 Haematemesis (K92.0) 3 2 5 0.86
Lain - lain 112 151 263 45.03
Total 249 335 584 100

Surabaya, 05 Agutsus 2019

Kepala Bidang Penunjang Medik
drg. Sri Wahjulien Koestiwijandari., M.M.
NIP. 19620502 198903 2 006
 Laporan Rekapitulasi Pasien Berdasarkan Diagnosa
Instalasi Gawat Darurat
Periode : 01 Agustus 2019 s/d 31 Agustus 2019

No. ICD X Diagnosa Laki-Laki Perempuan Total %

1 R50.9 Fever, unspecified (R50.9) 41 47 88 8.67
2 K30 Dyspepsia (K30) 24 43 67 6.60
3 R11 Nausea and vomiting (R11) 29 38 67 6.60
Diarrhoea and gastroenteritis of presumed infectious
4 A09 19 47 66 6.50
origin (A09)
Gastroenteritis and colitis of unspecified origin
5 A09.9 19 31 50 4.93
(A09.9)
6 J45.9 Asthma, unspecified (J45.9) 18 11 29 2.86
7 R10 Abdominal and pelvic pain (R10) 10 7 17 1.67
8 I10 Essential (primary) hypertension (I10) 5 12 17 1.67
9 I20.0 Unstable angina (I20.0) 9 8 17 1.67
10 N39.0 Urinary tract infection, site not specified (N39.0) 5 12 17 1.67
11 R42 Dizziness and giddiness (R42) 3 13 16 1.58
Non-insulin-dependent diabetes mellitus without
12 E11.9 8 8 16 1.58
complications (E11.9)
13 K29.7 Gastritis, unspecified (K29.7) 4 10 14 1.38
14 N18.5 Chronic kidney disease, stage 5 (N18.5) 8 5 13 1.28
15 R10.0 Acute abdomen (R10.0) 5 7 12 1.18

16 J06.9 Acute upper respiratory infection, unspecified (J06.9) 6 5 11 1.08

17 I50.9 Heart failure, unspecified (I50.9) 6 5 11 1.08

18 R10.4 Other and unspecified abdominal pain (R10.4) 2 9 11 1.08
19 A01.0 Typhoid fever (A01.0) 4 6 10 0.99
20 T00.9 Multiple superficial injuries, unspecified (T00.9) 2 7 9 0.89
Lain - lain 221 236 457 45.02
Total 448 567 1015 100

Surabaya, 02 September 2019

Kepala Bidang Penunjang Medik

drg. Sri Wahjulien Koestiwijandari., M.M.

NIP. 19620502 198903 2 006
227 331 558
 Laporan Rekapitulasi Pasien Berdasarkan Diagnosa
Instalasi Gawat Darurat
Periode : 01 September 2019 s/d 30 September 2019

No. ICD X Diagnosa Laki-Laki Perempuan Total %

1 R11 Nausea and vomiting (R11) 47 63 110 6.25
2 K30 Dyspepsia (K30) 37 70 107 6.08
3 R50.9 Fever, unspecified (R50.9) 56 50 106 6.03
Diarrhoea and gastroenteritis of presumed
4 A09 32 59 91 5.17
infectious origin (A09)
Gastroenteritis and colitis of unspecified origin
5 A09.9 38 47 85 4.83
(A09.9)
6 R10 Abdominal and pelvic pain (R10) 13 33 46 2.62
7 J45.9 Asthma, unspecified (J45.9) 19 20 39 2.22

8 T00.9 Multiple superficial injuries, unspecified (T00.9) 22 8 30 1.71

9 N39.0 Urinary tract infection, site not specified (N39.0) 10 20 30 1.71

Upper respiratory tract hypersensitivity reaction,

10 J39.3 8 19 27 1.53
site unspecified (J39.3)
Fetus and newborn affected by caesarean delivery
11 P03.4 19 7 26 1.48
(P03.4)
Non-insulin-dependent diabetes mellitus without
12 E11.9 14 12 26 1.48
complications (E11.9)
13 R10.4 Other and unspecified abdominal pain (R10.4) 13 13 26 1.48
14 I10 Essential (primary) hypertension (I10) 8 16 24 1.36
15 H81.4 Vertigo of central origin (H81.4) 9 15 24 1.36
16 K29.7 Gastritis, unspecified (K29.7) 9 14 23 1.31
17 R42 Dizziness and giddiness (R42) 6 16 22 1.25
18 R51 Headache (R51) 5 13 18 1.02
19 I50.9 Heart failure, unspecified (I50.9) 6 12 18 1.02
Acute upper respiratory infection, unspecified
20 J06.9 6 11 17 0.97
(J06.9)
Lain - lain 407 457 864 49.12
Total 784 975 1759 100

Surabaya, 04 Oktober 2019

Kepala Bidang Penunjang Medik
drg. Sri Wahjulien Koestiwijandari., M.M.
NIP. 19620502 198903 2006
377 518 895
 Laporan Rekapitulasi Pasien Berdasarkan Diagnosa
Instalasi Gawat Darurat
TRI WULAN III
Periode : 01 Juli 2019 s/d 30 September 2019

No. ICD X Diagnosa Laki-Laki Perempuan Total %

1 R50.9 Fever, unspecified (R50.9) 117 116 233 6.61
Gastroenteritis and colitis of unspecified origin
2 A09.9 96 131 227 6.44
(A09.9)
3 K30 Dyspepsia (K30) 75 134 209 5.93
4 R11 Nausea and vomiting (R11) 81 112 193 5.48
Diarrhoea and gastroenteritis of presumed
5 A09 52 107 159 4.51
infectious origin (A09)
Non-insulin-dependent diabetes mellitus without
6 E11.9 35 43 78 2.21
complications (E11.9)
7 J45.9 Asthma, unspecified (J45.9) 40 33 73 2.07
8 R10 Abdominal and pelvic pain (R10) 25 42 67 1.90
9 I50.9 Heart failure, unspecified (I50.9) 24 30 54 1.53

10 T00.9 Multiple superficial injuries, unspecified (T00.9) 32 20 52 1.48

11 N39.0 Urinary tract infection, site not specified (N39.0) 17 35 52 1.48

12 R42 Dizziness and giddiness (R42) 13 38 51 1.45

13 R10.4 Other and unspecified abdominal pain (R10.4) 20 28 48 1.36
14 I20.0 Unstable angina (I20.0) 25 23 48 1.36
15 I10 Essential (primary) hypertension (I10) 16 30 46 1.31
16 K29.7 Gastritis, unspecified (K29.7) 14 24 38 1.08
Upper respiratory tract hypersensitivity reaction,
17 J39.3 15 23 38 1.08
site unspecified (J39.3)
18 H81.4 Vertigo of central origin (H81.4) 12 26 38 1.08
19 N18.5 Chronic kidney disease, stage 5 (N18.5) 18 18 36 1.02
Fetus and newborn affected by caesarean delivery
20 P03.4 26 10 36 1.02
(P03.4)
Lain - lain 811 937 1,748 49.60
Total 1564 1960 3524 100

Surabaya, 04 Oktober 2019

Kepala Bidang Penunjang Medik
drg. Sri Wahjulien Koestiwijandari., M.M.
NIP. 19620502 198903 2006
753 1023 1776
 Laporan Rekapitulasi Pasien Berdasarkan Diagnosa
Instalasi Gawat Darurat

Periode : 01 Oktober 2019 s/d 31 Oktober 2019

No. ICD X Diagnosa Laki-Laki Perempuan Total %

Gastroenteritis and colitis of unspecified origin
1 A09.9 57 57 114 9.94
(A09.9)
2 R11 Nausea and vomiting (R11) 23 56 79 6.89
3 R50.9 Fever, unspecified (R50.9) 34 37 71 6.19
4 K30 Dyspepsia (K30) 19 44 63 5.49
Diarrhoea and gastroenteritis of presumed
5 A09 18 20 38 3.31
infectious origin (A09)
Non-insulin-dependent diabetes mellitus
6 E11.9 7 16 23 2.01
without complications (E11.9)
7 R42 Dizziness and giddiness (R42) 3 19 22 1.92
8 R10 Abdominal and pelvic pain (R10) 8 12 20 1.74
Fetus and newborn affected by caesarean
9 P03.4 9 8 17 1.48
delivery (P03.4)
10 R10.4 Other and unspecified abdominal pain (R10.4) 5 12 17 1.48
11 R10.0 Acute abdomen (R10.0) 8 8 16 1.39
12 N18.5 Chronic kidney disease, stage 5 (N18.5) 9 7 16 1.39
13 I10 Essential (primary) hypertension (I10) 6 10 16 1.39
14 A90 Dengue fever [classical dengue] (A90) 10 4 14 1.22
Multiple superficial injuries, unspecified
15 T00.9 8 6 14 1.22
(T00.9)
16 K29.7 Gastritis, unspecified (K29.7) 5 8 13 1.13
17 J45.9 Asthma, unspecified (J45.9) 7 5 12 1.05
18 R07.4 Chest pain, unspecified (R07.4) 8 4 12 1.05
Urinary tract infection, site not specified
19 N39.0 5 7 12 1.05
(N39.0)
Tb lung confirm sputum microscopy with or
20 A15.0 7 3 10 0.87
without culture (A15.0)
Lain - lain 240 308 548 47.78
Total 496 651 1147 100

Surabaya, 14 November 2019

Kepala Bidang Penunjang Medik
drg. Sri Wahjulien Koestiwijandari., M.M.
NIP. 19620502 198903 2006
256 343 599
 Laporan Rekapitulasi Pasien Berdasarkan Diagnosa
Instalasi Gawat Darurat

Periode : 01 November 2018 s/d 30 November 2018

No. ICD X Diagnosa Laki-Laki Perempuan Total %

Gastroenteritis and colitis of unspecified origin
1 A09.9 68 53 121 10.24
(A09.9)
2 R50.9 Fever, unspecified (R50.9) 45 51 96 8.12
3 R11 Nausea and vomiting (R11) 34 43 77 6.51
4 K30 Dyspepsia (K30) 24 43 67 5.67
5 R10 Abdominal and pelvic pain (R10) 12 23 35 2.96
Diarrhoea and gastroenteritis of presumed infectious
6 A09 18 16 34 2.88
origin (A09)
Non-insulin-dependent diabetes mellitus without
7 E11.9 9 18 27 2.28
complications (E11.9)
8 A01.0 Typhoid fever (A01.0) 5 13 18 1.52
9 K29.7 Gastritis, unspecified (K29.7) 3 14 17 1.44
Upper respiratory tract hypersensitivity reaction, site
10 J39.3 7 8 15 1.27
unspecified (J39.3)
11 R10.4 Other and unspecified abdominal pain (R10.4) 6 8 14 1.18
12 J45.9 Asthma, unspecified (J45.9) 8 5 13 1.10
13 A90 Dengue fever [classical dengue] (A90) 8 5 13 1.10
Tb lung confirm sputum microscopy with or without
14 A15.0 10 3 13 1.10
culture (A15.0)
Acute upper respiratory infection, unspecified
15 J06.9 10 2 12 1.02
(J06.9)
16 R42 Dizziness and giddiness (R42) 3 9 12 1.02
17 I10 Essential (primary) hypertension (I10) 5 6 11 0.93
18 R51 Headache (R51) 4 7 11 0.93
19 T00.9 Multiple superficial injuries, unspecified (T00.9) 9 2 11 0.93
Cerebral infarction due to thrombosis of cerebral
20 I63.3 4 6 10 0.85
arteries (I63.3)
Lain - lain 279 276 555 46.95
Total 571 611 1182 100

Surabaya, 05 Desember 2019

Kepala Bidang Penunjang Medik

drg. Sri Wahjulien Koestiwijandari., M.M.

NIP. 19620502 198903 2006
 Laporan Rekapitulasi Pasien Berdasarkan Diagnosa
Instalasi Gawat Darurat

Periode : 01 Desember 2019 s/d 31 Desember 2019

No. ICD X Diagnosa Laki-Laki Perempuan Total %

Gastroenteritis and colitis of unspecified origin
1 A09.9 62 70 132 9.84
(A09.9)
2 R50.9 Fever, unspecified (R50.9) 66 57 123 9.17
3 K30 Dyspepsia (K30) 34 72 106 7.90
4 R11 Nausea and vomiting (R11) 47 49 96 7.15
Diarrhoea and gastroenteritis of presumed infectious
5 A09 16 28 44 3.28
origin (A09)
6 R10 Abdominal and pelvic pain (R10) 13 28 41 3.06
7 A90 Dengue fever [classical dengue] (A90) 18 7 25 1.86
8 T00.9 Multiple superficial injuries, unspecified (T00.9) 17 7 24 1.79
Non-insulin-dependent diabetes mellitus without
9 E11.9 4 17 21 1.56
complications (E11.9)
10 I50.9 Heart failure, unspecified (I50.9) 8 11 19 1.42
11 R56.0 Febrile convulsions (R56.0) 15 3 18 1.34
Tb lung confirm sputum microscopy with or without
12 A15.0 14 4 18 1.34
culture (A15.0)
13 A01.0 Typhoid fever (A01.0) 15 3 18 1.34
Upper respiratory tract hypersensitivity reaction, site
14 J39.3 9 7 16 1.19
unspecified (J39.3)
Cerebral infarction due to thrombosis of cerebral
15 I63.3 6 9 15 1.12
arteries (I63.3)
16 J45.9 Asthma, unspecified (J45.9) 6 8 14 1.04
17 N18.5 Chronic kidney disease, stage 5 (N18.5) 10 4 14 1.04
18 E16.2 Hypoglycaemia, unspecified (E16.2) 2 12 14 1.04

19 J06.9 Acute upper respiratory infection, unspecified (J06.9) 4 9 13 0.97

20 D64.9 Anaemia, unspecified (D64.9) 2 11 13 0.97
Lain - lain 256 302 558 41.58
Total 624 718 1342 100

Surabaya, 10 Januari 2020

Kepala Bidang Penunjang Medik
drg. Sri Wahjulien Koestiwijandari., M.M.
NIP. 19620502 198903 2006
 Laporan Rekapitulasi Pasien Berdasarkan Diagnosa
Instalasi Gawat Darurat
TRI WULAN IV
Periode : 01 Oktober 2019 s/d 31 Desember 2019

No. ICD X Diagnosa Laki-Laki Perempuan Total %

1 A09.9 Gastroenteritis and colitis of unspecified origin (A09.9) 187 181 368 9.96
2 R50.9 Fever, unspecified (R50.9) 145 146 291 7.88
3 R11 Nausea and vomiting (R11) 104 148 252 6.82
4 K30 Dyspepsia (K30) 78 163 241 6.52
Diarrhoea and gastroenteritis of presumed infectious origin
5 A09 52 64 116 3.14
(A09)
6 R10 Abdominal and pelvic pain (R10) 33 63 96 2.60
Non-insulin-dependent diabetes mellitus without
7 E11.9 20 51 71 1.92
complications (E11.9)
8 A90 Dengue fever [classical dengue] (A90) 36 16 52 1.41
9 T00.9 Multiple superficial injuries, unspecified (T00.9) 34 15 49 1.33
10 A01.0 Typhoid fever (A01.0) 23 20 43 1.16
11 K29.7 Gastritis, unspecified (K29.7) 11 31 42 1.14
12 R42 Dizziness and giddiness (R42) 6 35 41 1.11
Tb lung confirm sputum microscopy with or without culture
13 A15.0 31 10 41 1.11
(A15.0)
14 N18.5 Chronic kidney disease, stage 5 (N18.5) 27 13 40 1.08
15 J45.9 Asthma, unspecified (J45.9) 21 18 39 1.06
16 I10 Essential (primary) hypertension (I10) 16 21 37 1.00
17 R10.4 Other and unspecified abdominal pain (R10.4) 16 21 37 1.00
Upper respiratory tract hypersensitivity reaction, site
18 J39.3 18 16 34 0.92
unspecified (J39.3)
19 I50.9 Heart failure, unspecified (I50.9) 14 19 33 0.89
20 N39.0 Urinary tract infection, site not specified (N39.0) 13 20 33 0.89
Lain - lain 816 923 1739 47.06
Total 1701 1994 3695 100

Surabaya, 10 Januari 2020

Kepala Bidang Penunjang Medik

drg. Sri Wahjulien Koestiwijandari., M.M.

NIP. 19620502 198903 2006
 Laporan Rekapitulasi Pasien Berdasarkan Diagnosa
Instalasi Gawat Darurat
SEMESTER II
Periode : 01 Juli 2019 s/d 31 Desember 2019

No. ICD X Diagnosa Laki-Laki Perempuan Total

1 A09.9 Gastroenteritis and colitis of unspecified origin (A09.9) 283 312 595
2 R50.9 Fever, unspecified (R50.9) 262 262 524
3 K30 Dyspepsia (K30) 153 297 450
4 R11 Nausea and vomiting (R11) 186 260 446
Diarrhoea and gastroenteritis of presumed infectious origin
5 A09 104 171 275
(A09)
6 R10 Abdominal and pelvic pain (R10) 58 105 163
Non-insulin-dependent diabetes mellitus without complications
7 E11.9 55 94 149
(E11.9)
8 J45.9 Asthma, unspecified (J45.9) 61 51 112
9 T00.9 Multiple superficial injuries, unspecified (T00.9) 66 35 101
10 R42 Dizziness and giddiness (R42) 19 73 92
11 I50.9 Heart failure, unspecified (I50.9) 38 49 87
12 R10.4 Other and unspecified abdominal pain (R10.4) 36 49 85
13 N39.0 Urinary tract infection, site not specified (N39.0) 30 55 85
14 I10 Essential (primary) hypertension (I10) 32 51 83
15 K29.7 Gastritis, unspecified (K29.7) 25 55 80
16 A90 Dengue fever [classical dengue] (A90) 50 27 77
17 N18.5 Chronic kidney disease, stage 5 (N18.5) 45 31 76
Tb lung confirm sputum microscopy with or without culture
18 A15.0 51 24 75
(A15.0)
19 A01.0 Typhoid fever (A01.0) 35 40 75
Upper respiratory tract hypersensitivity reaction, site unspecified
20 J39.3 33 39 72
(J39.3)
Lain - lain 1,647 1,875 3,522
Total 3269 3955 7224

Surabaya, 10 Januari 2020

Kepala Bidang Penunjang Medik

drg. Sri Wahjulien Koestiwijandari., M.M.

NIP. 19620502 198903 2006
ulasi Pasien Berdasarkan Diagnosa
alasi Gawat Darurat
SEMESTER II
1 Juli 2019 s/d 31 Desember 2019

%
8.24
7.25
6.23
6.17

3.81

2.26

2.06

1.55
1.40
1.27
1.20
1.18
1.18
1.15
1.11
1.07
1.05

1.04

1.04

1.00

48.75
100.00

Surabaya, 10 Januari 2020

Kepala Bidang Penunjang Medik

drg. Sri Wahjulien Koestiwijandari., M.M.

NIP. 19620502 198903 2006
 Laporan Rekapitulasi Pasien Berdasarkan Diagnosa
Instalasi Gawat Darurat
TAHUN 2018
Periode : 01 Januari 2019 s/d 31 Desember 2019

No. ICD X Diagnosa Laki-Laki Perempuan Total

1 R50.9 Fever, unspecified (R50.9) 625 585 1210
2 A09.9 Gastroenteritis and colitis of unspecified origin (A09.9) 578 628 1206
3 R11 Nausea and vomiting (R11) 269 356 625
4 K30 Dyspepsia (K30) 222 392 614
5 A90 Dengue fever [classical dengue] (A90) 285 228 513
Non-insulin-dependent diabetes mellitus without complications
6 E11.9 138 264 402
(E11.9)

7 A09 Diarrhoea and gastroenteritis of presumed infectious origin (A09) 109 176 285

8 I50.9 Heart failure, unspecified (I50.9) 103 104 207

9 A91 Dengue haemorrhagic fever (A91) 115 75 190
10 A01.0 Typhoid fever (A01.0) 84 100 184
11 I63.9 Cerebral infarction, unspecified (I63.9) 97 75 172
12 R10 Abdominal and pelvic pain (R10) 58 105 163
13 R10.4 Other and unspecified abdominal pain (R10.4) 71 87 158
14 N18.5 Chronic kidney disease, stage 5 (N18.5) 94 63 157
15 R42 Dizziness and giddiness (R42) 38 119 157
16 I20.0 Unstable angina (I20.0) 79 77 156
17 J45.9 Asthma, unspecified (J45.9) 82 70 152
18 R56.0 Febrile convulsions (R56.0) 97 55 152

19 A15.0 Tb lung confirm sputum microscopy with or without culture (A15.0) 84 62 146

20 D64.9 Anaemia, unspecified (D64.9) 46 61 107

Lain - lain 2,683 3,261 5,944
Total 5957 6943 12900

Surabaya, 10 Januari 2020

Kepala Bidang Penunjang Medik

drg. Sri Wahjulien Koestiwijandari., M.M.

NIP. 19620502 198903 2006
 lasi Pasien Berdasarkan Diagnosa
alasi Gawat Darurat
TAHUN 2018
anuari 2019 s/d 31 Desember 2019

%
9.38
9.35
4.84
4.76
3.98

3.12

2.21

1.60
1.47
1.43
1.33
1.26
1.22
1.22
1.22
1.21
1.18
1.18

1.13

0.83
46.08
100

Surabaya, 10 Januari 2020

Kepala Bidang Penunjang Medik

drg. Sri Wahjulien Koestiwijandari., M.M.

NIP. 19620502 198903 2006