PCPAccFrm E-4A1F1 Rev2014

Enter Name of
Hospital: ILOILO MISSION HOSPITALHospital
Enter the place of
Admissions: ER Census census i.e. Ward,
ICU, ER, or OPD
Case-load (case census per year) and results of care Type the year here

Month/Year: DECEMBER 2019

Enter Total IM Admisssions
(Patient person count) for the
Total IM Admissions: Month

% of Total
% of
Admissions
# of Mortality
CARDIOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Hypertensive heart disease without (congestive) heart failure I11.9 2 #DIV/0!

Manually count the 0.00%
disease entity from
2 Hypertensive heart disease with (congestive) heart failure   I11.0 4 #DIV/0! 0.00%
your monthly census
3 Congestive heart failure  I50.0 11 #DIV/0!
and enter here. 0.00%
4 Rheumatic heart disease, unspecified I09.9 0 #DIV/0! #DIV/0!
5 Hypertensive urgency I16.0 34 #DIV/0! 0.00%
6 Acute myocardial infarction, unspecified 121.9 1 #DIV/0! 0.00%
7 Paroxysmal atrial fibrillation I48.0 4 #DIV/0! 0.00%
8 Pre-eclampsia, unspecified O14.9 0 #DIV/0! #DIV/0!
9 ACS-NSTEMI I21.4 10 #DIV/0! 0.00%
10 ACS-STEMI I21.3 1 #DIV/0! 0.00% Manually co
11 #DIV/0! #DIV/0! number of d
disease ent
12 #DIV/0! #DIV/0! monthly cen
13 #DIV/0! #DIV/0! enter here.
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 TOTAL 65 #DIV/0! 0 0.00%
% of Total
% of
Admissions
# of Mortality
1 INFECTIOUS DISEASES ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
2 Cystitis, unspecified N30.9 19 #DIV/0! # 0.00%
of Cases)
admissions)
3 Urinary tract infection, site not specified N39.0 26 #DIV/0! 0.00%
4 Dengue with warning signs A97.1 5 #DIV/0! 0.00%
5 Acute Tonsilitis, Unspecified J03.9 2 #DIV/0! 0.00%
6 Respiratory Tuberculosis unspecified A16.9 0 #DIV/0! #DIV/0!
7 Amebiasis, Unspecified A06.1 146 #DIV/0! 0.00%
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 TOTAL 198 #DIV/0! 0 0.00%
% of Total
% of
Admissions
# of Mortality
1 PULMONARY MEDICINE ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
2 Pneumonia, organism unspecified J18 149 #DIV/0! # 0.00%
of Cases)
admissions)
3 Pneumonitis due to food and vomit J69.0 5 #DIV/0! 0.00%
4 Chronic obstructive pulmonary disease, unspecified J44.9 4 #DIV/0! 0.00%
5 Acute respiratory failure J96.0 9 #DIV/0! 0.00%

We attest to the truthfulness of the above documentation: Page 1 of 21

Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

6 Asthma, unspecified J45.9 5 #DIV/0! 0.00%

7 Pleural effusion, not elsewhere classified J90 13 #DIV/0! 0.00%
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
#DIV/0! #DIV/0!
TOTAL 185 #DIV/0! 0 0.00%

% of Total
% of
Admissions
# of Mortality
GASTROENTEROLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Peptic ulcer, site unspecified K27 11 #DIV/0! 0.00%

2 Gastro-oesophageal reflux disease without oesophagitis K21.9 5 #DIV/0! 0.00%
3 Dyspepsia NOS R10.1 8 #DIV/0! 0.00%
4 Haemorrhoids, unspecified K64.9 2 #DIV/0! 0.00%
5 Other and unspecified cirrhosis of liver K74.6 8 #DIV/0! 0.00%
6 Alcoholic liver disease, unspecified K70.9 0 #DIV/0! #DIV/0!
7 Calculus of gallbladder with other cholecystitis K80.1 6 #DIV/0! 0.00%
8 Calculus of bile duct with cholecystitis K80,4 5 #DIV/0! 0.00%
9 Diarrhea, unspecified R19.7 19 #DIV/0! 0.00%
10 Esophageal varices I85.0 1 #DIV/0! 0.00%
11 Constipation, unspecified K59.0 0 #DIV/0! #DIV/0!
12 Acute Gastritis K29.0 14 #DIV/0! 0.00%
13 Acute appendicitis, unspecified K35.80 6 #DIV/0! 0.00%
14 Partial Gut Obstruction K56.600 6 #DIV/0! 0.00%
15 Fistula-In-Ano K60.3 1 #DIV/0! 0.00%
16 Sigmoid Volvulus K56.2 1 #DIV/0! 0.00%
17 Acute Appendicitis with Perforation K35.33 1 #DIV/0! 0.00%
18 Hepatitis B B19.10 1 #DIV/0! 0.00%
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
TOTAL 95 #DIV/0! 0 0.00%
% of Total
% of
Admissions
# of Mortality
NEPHROLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
1 Acute renal failure, unspecified N70.9 2 #DIV/0! # 0.00%
of Cases)
admissions)
2 Chronic kidney disease, stage 5 N18.5 3 #DIV/0! 0.00%
3 Chronic kidney disease, unspecified N18.9 4 #DIV/0! 0.00%
4 Nephrolithiasis NOS N20.1 10 #DIV/0! 0.00%
5 Other disorders of fluid, electrolyte and acid-base balance E87 9 #DIV/0! 0.00%
6 Benign prostatic hyperplasia N40 3 #DIV/0! 0.00%
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
#DIV/0! #DIV/0!
TOTAL 31 #DIV/0! 0 0.00%

% of Total
% of
Admissions
# of Mortality
ENDOCRINOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
1 Diabetes mellitus in pregnancy O24 14 #DIV/0! # 0.00%
of Cases)
admissions)
2 Type 2 diabetes mellitus without complications   E11.9 2 #DIV/0! 0.00%
3 Type 2 diabetes mellitus with foot ulcer E11.621 3 #DIV/0! 0.00%
4 Drug-induced hypoglycemia without coma E16.0 3 #DIV/0! 0.00%
5 Thyrotoxicosis, unspecified E05.9 2 #DIV/0! 0.00%
6 Cushings disease E24.9 0 #DIV/0! #DIV/0!
7 Hypothyroidism E03.9 2 #DIV/0! 0.00%
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!

We attest to the truthfulness of the above documentation: Page 2 of 21

Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 TOTAL 26 #DIV/0! 0 0.00%

% of Total
% of
Admissions
# of Mortality
1 HEMATOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
2 Anemia, unspecified D64.9 8 #DIV/0! # 0.00%
of Cases)
admissions)
3 Hemophilia A D68.311 0 #DIV/0! #DIV/0!
4 Immune thrombocytopenic purpura D69.3 2 #DIV/0! 0.00%
5 Thalassemia D56.3 2 #DIV/0! 0.00%
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 TOTAL 12 #DIV/0! 0 0.00%

We attest to the truthfulness of the above documentation: Page 3 of 21

Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

14
% of Total
% of
Admissions
# of Mortality
NEUROLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Cerebral infarction, unspecified I63.9 34 #DIV/0! 0.00%

2 Intracerebral haemorrhage, unspecified I61.9 10 #DIV/0! 0.00%
3 Epilepsy and recurrent seizures G40 2 #DIV/0! 0.00%
4 Transient cerebral ischemic attack, unspecified G45.9 9 #DIV/0! 0.00%
5 Tension Type Headache G44.2 0 #DIV/0! #DIV/0!
6 Benign Paroxysmal vertigo H81.1 18 #DIV/0! 0.00%
7 Hypokalemic Periodic Paralysis G72.3 1 #DIV/0! 0.00%
8 Metabolic Encephalopathy G93.41 5 #DIV/0! 0.00%
9 Epidural Hematoma SO6.4 1 #DIV/0! 0.00%
10 Syncope R55.9 1 #DIV/0! 0.00%
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 TOTAL 81 #DIV/0! 0 0.00%
% of Total
15 % of
Admissions
# of Mortality
ONCOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
1 Malignant neoplasm of nasopharynx C11 0 #DIV/0! ##DIV/0!
of Cases)
admissions)
2 Acute myeloblastic leukaemia [AML]   C92.0 1 #DIV/0! 0.00%
3 Malignant neoplasm: Breast, unspecified   C50.9 4 #DIV/0! 0.00%
4 Malignant neoplasm:Pancreas, unspecified   C25.9 0 #DIV/0! #DIV/0!
5 Malignant neoplasm of prostate   C61 2 #DIV/0! 0.00%
6 Malignant neoplasm: Colon, unspecified   C18.9 3 #DIV/0! 0.00%
7 Rectal Adnocarcinoma C21.8 0 #DIV/0! #DIV/0!
8 Multiple Myeloma C90 1 #DIV/0! 0.00%
9 Malignant Neoplasm of the Bladder: Unspecified C67.9 1 #DIV/0! 0.00%
10 Non-Hodgkin's Lymphoma C85.9 2 #DIV/0! 0.00%
11 Malignant Neoplasm of the Kidneys C64 2 #DIV/0! 0.00%
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 TOTAL 16 #DIV/0! 0 0.00%
% of Total
5 % of
Admissions
# of Mortality
6 DERMATOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
7 Impetigo L01.1 #DIV/0! ##DIV/0!
of Cases)
admissions)
8 Cellulitis, unspecified L03.9 #DIV/0! #DIV/0!
9 Decubitus ulcer and pressure area, unspecified   L89.9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!

We attest to the truthfulness of the above documentation: Page 4 of 21

Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

14 #DIV/0! #DIV/0!

#DIV/0! #DIV/0!

15
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 TOTAL 0 #DIV/0! 0 #DIV/0!
% of Total
5 % of
Admissions
# of Mortality
6 RHEUMATOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
7 Gout, unspecified   M10.9 2 #DIV/0! # 0.00%
of Cases)
admissions)
8 Osteoporosis, unspecified   M81.9 0 #DIV/0! #DIV/0!
9 Systemic lupus erythematosus, unspecified   M32.9 0 #DIV/0! #DIV/0!
10 Rheumatoid arthritis, unspecified M06.9 0 #DIV/0! #DIV/0!
11 Osteoarthrits, unspecified   M19.9 0 #DIV/0! #DIV/0!
12 Septic arthritis 0 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!

#DIV/0! #DIV/0!

15
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 TOTAL 2 #DIV/0! 0 0.00%
% of Total
5 % of
Admissions
# of Mortality
6 ALLERGOLOGY & IMMUNOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
7 Personal history of allergy to unspecified drugs, medicaments and biological Z88.9 0 #DIV/0! ##DIV/0!
of Cases)
admissions)
8 Allergic contact dermatitis, unspecified cause L23.9 0 #DIV/0! #DIV/0!
9 Other adverse food reactions, not elsewhere classified T78.1 6 #DIV/0! 0.00%
10 Atopic Dermatitis, Unspecified L20.9 0 #DIV/0! #DIV/0!
11 Allergic Rhinitis J30.9 0 #DIV/0! #DIV/0!
12 Anaphylaxis T78.2 1 #DIV/0! 0.00%
13 #DIV/0! #DIV/0!

We attest to the truthfulness of the above documentation: Page 5 of 21

Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 TOTAL 7 #DIV/0! 0 0.00%
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42

43
44
45
46

We attest to the truthfulness of the above documentation: Page 6 of 21

Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

Enter Name of
Hospital

Manually count the

number of death per
disease entity from your
monthly census and
enter here.

We attest to the truthfulness of the above documentation: Page 7 of 21

Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

Hospital: ILOILO MISSION HOSPITAL

Admissions: ER Census
Case-load (case census per year) and results of care Enter Total IM Admisssions
(Patient person count) for the
Month/Year: FEBRUARY 2019Month

Total IM Admissions:
% of Total
% of
Admissions
# of Mortality
CARDIOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths /
Total IM
# of Cases)
admissions)

1 Hypertensive heart disease without (congestive) heart failure I11.9 8 #DIV/0! 0.00%
2 Hypertensive renal disease with renal failure I12.0 0 #DIV/0!
Manually count the #DIV/0!
3 Hypertensive heart disease with (congestive) heart failure   I11.0 4 #DIV/0!
disease entity from 0.00%
your monthly census
4 Congestive heart failure  I50.0 7 #DIV/0!
and enter here.
0.00%
5 Pre-eclampsia, unspecified O14.9 1 #DIV/0! 0.00%
6 Hypertensive urgency I16.0 16 #DIV/0! 0.00%
7 Other and unspecified right bundle-branch block I45.1 0 #DIV/0! #DIV/0!
8 Acute myocardial infarction, unspecified 121.9 19 #DIV/0! 0.00%
9 Stable angina I20.8 4 #DIV/0! 3 75.00%
YELLOW BO
10 Atherosclerotic heart disease I25.1 0 #DIV/0! #DIV/0! automatical
11 Sick sinus syndrome I49.5 0 #DIV/0! #DIV/0! data entered
12 Persistent atrial fibrillation I48.1 0 #DIV/0! #DIV/0! boxes. DO N
ANYTHING O
13 Paroxysmal atrial fibrillation I48.0 2 #DIV/0! 0.00% BOXES.
14 Dilated cardiomyopathy I42.0 0 #DIV/0! #DIV/0!
15 Mitral (valve) prolapse I34.1 0 #DIV/0! #DIV/0! Manually c
number of
16 Cardiac arrhythmia, unspecified I49.9 0 #DIV/0! #DIV/0! disease en
17 #DIV/0! #DIV/0! monthly ce
18 #DIV/0! #DIV/0! enter here.
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
26 #DIV/0! #DIV/0!
TOTAL 53 #DIV/0! 3 5.66%

% of Total
% of
Admissions
# of Mortality
INFECTIOUS DISEASES ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Cystitis, unspecified N30.9 0 #DIV/0! #DIV/0!

2 Urinary tract infection, site not specified N39.0 25 #DIV/0! 0.00%
3 Typhoid fever A01.0 0 #DIV/0! #DIV/0!
4 Zoster without complication B02.9 1 #DIV/0! 0.00%
5 Chronic viral hepatitis B without delta-agent B18.1 0 #DIV/0! #DIV/0!
6 Dengue with warning signs A97.1 10 #DIV/0! 0.00%
7 Dengue without warning signs A97.0 5 #DIV/0! 0.00%
8 Gastroenteritis and colitis of unspecified origin A09.9 31 #DIV/0! 0.00%
9 Varicella without complication B01.9 0 #DIV/0! #DIV/0!
10 tonsillopharyngitis J06.8 8 #DIV/0! 0.00%
11 Sepsis, unspecified A41.9 5 #DIV/0! 0.00%
12 Septic shock R57.2 2 #DIV/0! 0 0.00%
13 #DIV/0! 0 #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 87 #DIV/0! 0 0.00%
We attest to the truthfulness of the above documentation: Page 8 of 21
Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

% of Total
% of
Admissions
# of Mortality
PULMONARY MEDICINE ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Pneumonia, organism unspecified J18 143 #DIV/0! 6 4.20%

2 Pneumonitis due to food and vomit J69.0 2 #DIV/0! 0 0.00%
3 Chronic obstructive pulmonary disease, unspecified J44.9 2 #DIV/0! 0.00%
J44.1
4 Chronic obstructive pulmonary disease with acute exacerbation, unspec 6 #DIV/0! 0.00%
5 Tuberculosis of lung, confirmed by unspecified means A15.3 6 #DIV/0! 1 16.67%
6 Bronchiectasis J47 0 #DIV/0! #DIV/0!
7 Asthma, unspecified J45.9 19 #DIV/0! 0.00%
8 Acute upper respiratory infection, unspecified J06.9 1 #DIV/0! 0.00%
9 Pleural effusion, not elsewhere classified J90 3 #DIV/0! 0.00%
10 Acute sinusitis, unspecified J01.9 1 #DIV/0! 0.00%
11 Hyperventilation R06.4 0 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 183 #DIV/0! 7 3.83%

% of Total
% of
Admissions
# of Mortality
GASTROENTEROLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Peptic ulcer, site unspecified K27 3 #DIV/0! 0.00%

2 Calculus of gallbladder with other cholecystitis K80.1 8 #DIV/0! 0.00%
3 Gastro-oesophageal reflux disease without oesophagitis K21.9 4 #DIV/0! 0.00%
4 Gastroduodenitis, unspecified K29.9 0 #DIV/0! #DIV/0!
5 Dyspepsia NOS R10.1 18 #DIV/0! 0.00%
6 Haemorrhoids, unspecified K64.9 4 #REF! #REF!
7 Hepatic fibrosis K74 0 #DIV/0! #DIV/0!
8 Other and unspecified cirrhosis of liver K74.6 0 #DIV/0! #DIV/0!
9 Alcoholic liver disease, unspecified K70.9 1 #DIV/0! 0.00%
10 Irritable bowel syndrome with diarrhoea K58.1 0 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 38 #DIV/0! 0 0.00%

We attest to the truthfulness of the above documentation: Page 9 of 21

Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

% of Total
% of
Admissions
# of Mortality
NEPHROLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Acute renal failure, unspecified N70.9 0 #DIV/0! #DIV/0!

2 Chronic kidney disease, stage 5 N18.5 6 #DIV/0! 2 33.33%
3 Chronic kidney disease, unspecified N18.9 4 #DIV/0! 0.00%
4 Benign prostatic hyperplasia N40 1 #DIV/0! 0.00%
5 Nephrolithiasis NOS N20.1 1 #DIV/0! 0.00%
6 Other disorders of fluid, electrolyte and acid-base balance E87 12 #DIV/0! 0.00%
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 24 #DIV/0! 2 8.33%

% of Total
% of
Admissions
# of Mortality
ENDOCRINOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Diabetes mellitus in pregnancy O24 9 #DIV/0! 0.00%

2 Type 2 diabetes mellitus without complications   E11.9 11 #DIV/0! 0.00%
3 Type 2 diabetes mellitus with foot ulcer E11.621 6 #DIV/0! 0.00%
4 Drug-induced hypoglycemia without coma E16.0 5 #DIV/0! 0.00%
5 Thyrotoxicosis, unspecified E05.9 1 #DIV/0! 0.00%
6 Hypothyroidism, unspecified E03.9 1 2.00% 0.00%
7 Hyperlipidaemia, unspecified   E78.5 0 #DIV/0! #DIV/0!
8 Type 2 diabetes mellitus with renal complications   E11.2 0 #DIV/0! #DIV/0!
9 Thyrotoxicosis, unspecified E05.9 1 #DIV/0! 0.00%
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 34 #DIV/0! 0 0.00%

We attest to the truthfulness of the above documentation: Page 10 of 21

Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

% of Total
% of
Admissions
# of Mortality
HEMATOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Anemia, unspecified D64.9 6 #DIV/0! 0.00%

2 Thalassemia minor D56.3 0 #DIV/0! #DIV/0!
3 Aplastic anaemia, unspecified D61.9 1 #DIV/0! 0.00%
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 7 #DIV/0! 0 0.00%

% of Total
% of
Admissions
# of Mortality
NEUROLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Encephalopathy, unspecified G93.1 2 #DIV/0! 0.00%

2 Cerebral infarction, unspecified I63.9 35 #DIV/0! 0.00%
3 Intracerebral haemorrhage, unspecified I61.9 3 #DIV/0! 1 33.33%
4 Schizophrenia, unspecified F20.9 1 #DIV/0! 0.00%
5 Parkinson's Disease G20 0 #DIV/0! #DIV/0!
6 Epilepsy and recurrent seizures G40 0 #DIV/0! #DIV/0!
7 Alzheimer disease, unspecified  G30.9 0 #DIV/0! #DIV/0!
8 Benign paroxysmal vertigo H81.1 4 #DIV/0! 0.00%
9 Periodic paralysis   G72.3 0 #DIV/0! #DIV/0!
10 Transient cerebral ischemic attack, unspecified G45.9 1 #DIV/0! 0.00%
11 Bell palsy G15.0 0 #DIV/0! #DIV/0!
12 Tension-type headache G44.2 1 #DIV/0! 0.00%
13 Cerebral palsy, unspecified G80.9 0 #DIV/0! #DIV/0!
14 Myasthenia gravis G70.0 0 #DIV/0! #DIV/0!
15 x-Linked Dystonia G24.1 1 #DIV/0! 0.00%
16 Sturge-weber Syndrome Q85.8 1 #DIV/0! 0.00%
17 Stroke in the Young 2 #DIV/0! 0.00%
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 51 #DIV/0! 1 1.96%

We attest to the truthfulness of the above documentation: Page 11 of 21

Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

% of Total
% of
Admissions
# of Mortality
ONCOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Malignant neoplasm of nasopharynx C11 0 #DIV/0! #DIV/0!

2 Myelodysplastic syndrome, unspecified D46.9 0 #DIV/0! #DIV/0!
3 Malignant neoplasm: Breast, unspecified   C50.9 8 #DIV/0! 0.00%
4 Malignant neoplasm: Bronchus or lung, unspecified   C34.9 6 #DIV/0! 1 16.67%
5 Malignant neoplasm of prostate   C61 0 #DIV/0! #DIV/0!
6 Malignant neoplasm: Colon, unspecified   C18.9 2 #DIV/0! 0 0.00%
7 Malignant neoplasm of ovary C56 1 #DIV/0! 0.00%
8 Follicular lymphoma, unspecified C82.9 0 #DIV/0! #DIV/0!
9 Malignant neoplasm of endometrium C54.1 0 #DIV/0! #DIV/0!
10 Chronic myeloid leukaemia [CML], BCR/ABL-positive C92.1 1 #DIV/0! 0.00%
11 Malignant neoplasm of bladder, unspecified C67.9 1 #DIV/0! 0.00%
12 Cirrhosis K74.60 2 #DIV/0! 0.00%
13 Glioblastoma C71.9 1 #DIV/0! 0.00%
14 Meningioma D32.0 1 #DIV/0! 0.00%
15 Rectal Adenocarcinoma C21.8 1 #DIV/0! 0.00%
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 24 #DIV/0! 1 4.17%

% of Total
% of
Admissions
# of Mortality
DERMATOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Cellulitis, unspecified L03.9 25 #DIV/0! 0.00%

2 Decubitus ulcer and pressure area, unspecified   L89.9 1 #DIV/0! 0.00%
3 Cutaneous abscess, furuncle and carbuncle, unspecified L02.9 0 #DIV/0! #DIV/0!
4 Psoriasis, unspecified L40.9 2 #DIV/0! 0.00%
5 Tinea B35.4 1 #DIV/0! 0.00%
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 29 #DIV/0! 0 0.00%

We attest to the truthfulness of the above documentation: Page 12 of 21

Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

% of Total
% of
Admissions
# of Mortality
RHEUMATOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Gout, unspecified   M10.9 2 #DIV/0! 0.00%

2 Osteoporosis, unspecified   M81.9 1 #DIV/0! 0.00%
3 Systemic lupus erythematosus, unspecified   M32.9 2 #DIV/0! 0.00%
4 Rheumatoid arthritis, unspecified M06.9 2 #DIV/0! 0.00%
5 Osteoarthrits, unspecified   M19.9 2 #DIV/0! 0.00%
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 9 #DIV/0! 0 0.00%

% of Total
% of
Admissions
# of Mortality
ALLERGOLOGY & IMMUNOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Personal history of allergy to unspecified drugs, medicaments and biol Z88.9 2 #DIV/0! 0.00%
2 Atopic dermatitis, unspecified L20.9 1 #DIV/0! 0.00%
3 Other adverse food reactions, not elsewhere classified T78.1 1 #DIV/0! 0.00%
4 Allergic rhinitis, unspecified J30.9 0 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 4 #DIV/0! 0 0.00%

We attest to the truthfulness of the above documentation: Page 13 of 21

Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

Hospital: ILOILO MISSION HOSPITAL

Admissions: ER Census
Case-load (case census per year) and results of care Enter Total IM Admisssions
(Patient person count) for the
Month/Year: MARCH 2017 Month

Total IM Admissions: 581

% of Total
% of
Admissions
# of Mortality
CARDIOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths /
Total IM
# of Cases)
admissions)

1 Ischaemic heart disease (chronic) NOS I25.9 0.00% #DIV/0!

2 Hypertensive heart disease without (congestive) heart failureI11.9 0.00% #DIV/0!
3 Hypertensive renal disease with renal failure I12.0 0.00% #DIV/0!
4 Hypertensive heart disease with (congestive) heart failure   I11.0 0.00% #DIV/0!
5 Congestive heart failure  I50.0 0.00% #DIV/0!
6 Pre-eclampsia, unspecified O14.9 0.00% #DIV/0!
Manuall
7 Hypertensive urgency I16.0 0.00% #DIV/0! disease
8 Other and unspecified right bundle-branch block I45.1 0.00% #DIV/0! your mo
9 Acute myocardial infarction, unspecified 121.9 0.00% #DIV/0! and ente
10 Stable angina I20.8 0.00% #DIV/0!
11 Atherosclerotic heart disease I25.1 0.00% #DIV/0! YELLOW
12 Sick sinus syndrome I49.5 0.00% #DIV/0! automa
13 Persistent atrial fibrillation I48.1 0.00% 1 #DIV/0! data ent
boxes. D
14 Paroxysmal atrial fibrillation I48.0 0.00% #DIV/0! ANYTHI
15 Dilated cardiomyopathy I42.0 0.00% #DIV/0! BOXES.
16 Mitral (valve) prolapse I34.1 0.00% #DIV/0!
17 Cardiac arrhythmia, unspecified I49.9 0.00% #DIV/0! Manua
numbe
18 0.00% #DIV/0! diseas
19 0.00% #DIV/0! month
20 0.00% #DIV/0! enter h
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
26 0.00% #DIV/0!
TOTAL 0 0.00% 1 #DIV/0!

% of Total
% of
Admissions
# of Mortality
INFECTIOUS DISEASES ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Cystitis, unspecified N30.9 0.00% #DIV/0!

2 Urinary tract infection, site not specified N39.0 0.00% #DIV/0!
3 Typhoid fever A01.0 0.00% #DIV/0!
4 Zoster without complication B02.9 0.00% #DIV/0!
5 Chronic viral hepatitis B without delta-agent B18.1 0.00% #DIV/0!
6 Dengue with warning signs A97.1 0.00% #DIV/0!
7 Dengue without warning signs A97.0 0.00% #DIV/0!
8 Gastroenteritis and colitis of unspecified origin A09.9 0.00% #DIV/0!
9 Varicella without complication B01.9 0.00% #DIV/0!
10 tonsillopharyngitis J06.8 0.00% #DIV/0!
Sepsis, unspecified A41.9 0.00% #DIV/0!
1 Septic shock R57.2 0.00% 2 #DIV/0!
2 0.00% 1 #DIV/0!
3 0.00% #DIV/0!
4 0.00% #DIV/0!
5 0.00% #DIV/0!
6 0.00% #DIV/0!
7 0.00% #DIV/0!
8 0.00% #DIV/0!
9 0.00% #DIV/0!
10 0.00% #DIV/0!
11 0.00% #DIV/0!
12 0.00% #DIV/0!
13 0.00% #DIV/0!
14 0.00% #DIV/0!
TOTAL 0 0.00% 3 #DIV/0!
We attest to the truthfulness of the above documentation: Page 14 of 21
Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

% of Total
% of
Admissions
# of Mortality
PULMONARY MEDICINE ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Pneumonia, organism unspecified J18 0.00% 3 #DIV/0!

2 Pneumonitis due to food and vomit J69.0 0.00% #DIV/0!
3 Chronic obstructive pulmonary disease, unspecified J44.9 0.00% #DIV/0!
4 Chronic obstructive pulmonary disease with acute exacerbatiJ44.1 0.00% 1 #DIV/0!
5 Acute respiratory failure J96.0 0.00% 1 #DIV/0!
6 Tuberculosis of lung, confirmed by unspecified means A15.3 0.00% #DIV/0!
7 Bronchiectasis J47 0.00% #DIV/0!
8 Asthma, unspecified J45.9 0.00% #DIV/0!
9 Acute upper respiratory infection, unspecified J06.9 0.00% #DIV/0!
10 Pleural effusion, not elsewhere classified J90 0.00% #DIV/0!
11 Acute sinusitis, unspecified J01.9 0.00% #DIV/0!
12 Hyperventilation R06.4 0.00% #DIV/0!
13 0.00% #DIV/0!
14 0.00% #DIV/0!
15 0.00% #DIV/0!
16 0.00% #DIV/0!
17 0.00% #DIV/0!
18 0.00% #DIV/0!
19 0.00% #DIV/0!
20 0.00% #DIV/0!
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
TOTAL 0 0.00% 5 #DIV/0!

% of Total
% of
Admissions
# of Mortality
GASTROENTEROLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Peptic ulcer, site unspecified K27 0.00% #DIV/0!

2 Calculus of gallbladder with other cholecystitis K80.1 0.00% #DIV/0!
3 Gastro-oesophageal reflux disease without oesophagitis K21.9 0.00% #DIV/0!
4 Gastroduodenitis, unspecified K29.9 0.00% #DIV/0!
5 Dyspepsia NOS R10.1 0.00% #DIV/0!
6 Haemorrhoids, unspecified K64.9 0.00% #DIV/0!
7 Hepatic fibrosis K74 0.00% #DIV/0!
8 Other and unspecified cirrhosis of liver K74.6 0.00% #DIV/0!
9 Alcoholic liver disease, unspecified K70.9 0.00% #DIV/0!
10 Irritable bowel syndrome with diarrhoea K58.1 0.00% #DIV/0!
11 0.00% #DIV/0!
12 0.00% #DIV/0!
13 0.00% #DIV/0!
14 0.00% #DIV/0!
15 0.00% #DIV/0!
16 0.00% #DIV/0!
17 0.00% #DIV/0!
18 0.00% #DIV/0!
19 0.00% #DIV/0!
20 0.00% #DIV/0!
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
TOTAL 0 0.00% 0 #DIV/0!

We attest to the truthfulness of the above documentation: Page 15 of 21

Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

% of Total
% of
Admissions
# of Mortality
NEPHROLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Acute renal failure, unspecified N70.9 0.00% #DIV/0!

2 Chronic kidney disease, stage 5 N18.5 0.00% #DIV/0!
3 Chronic kidney disease, unspecified N18.9 0.00% #DIV/0!
4 Benign prostatic hyperplasia N40 0.00% #DIV/0!
5 Nephrolithiasis NOS N20.1 0.00% #DIV/0!
6 Other disorders of fluid, electrolyte and acid-base balance E87 0.00% #DIV/0!
7 0.00% #DIV/0!
8 0.00% #DIV/0!
9 0.00% #DIV/0!
10 0.00% #DIV/0!
11 0.00% #DIV/0!
12 0.00% #DIV/0!
13 0.00% #DIV/0!
14 0.00% #DIV/0!
15 0.00% #DIV/0!
16 0.00% #DIV/0!
17 0.00% #DIV/0!
18 0.00% #DIV/0!
19 0.00% #DIV/0!
20 0.00% #DIV/0!
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
TOTAL 0 0.00% 0 #DIV/0!

% of Total
% of
Admissions
# of Mortality
ENDOCRINOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Diabetes mellitus in pregnancy O24 0.00% #DIV/0!

2 Type 2 diabetes mellitus without complications   E11.9 0.00% #DIV/0!
3 Type 2 diabetes mellitus with foot ulcer E11.621 0.00% #DIV/0!
4 Drug-induced hypoglycemia without coma E16.0 0.00% #DIV/0!
5 Thyrotoxicosis, unspecified E05.9 0.00% #DIV/0!
6 Hypothyroidism, unspecified E03.9 0.00% #DIV/0!
7 Hyperlipidaemia, unspecified   E78.5 0.00% #DIV/0!
8 Type 2 diabetes mellitus with renal complications   E11.2 0.00% #DIV/0!
9 Thyrotoxicosis with toxic multinodular goitre E05.2 0.00% #DIV/0!
10 0.00% #DIV/0!
11 0.00% #DIV/0!
12 0.00% #DIV/0!
13 0.00% #DIV/0!
14 0.00% #DIV/0!
15 0.00% #DIV/0!
16 0.00% #DIV/0!
17 0.00% #DIV/0!
18 0.00% #DIV/0!
19 0.00% #DIV/0!
20 0.00% #DIV/0!
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
TOTAL 0 0.00% 0 #DIV/0!

We attest to the truthfulness of the above documentation: Page 16 of 21

Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

% of Total
% of
Admissions
# of Mortality
HEMATOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Anemia, unspecified D64.9 0.00% #DIV/0!

2 Thalassemia minor D56.3 0.00% #DIV/0!
3 Aplastic anaemia, unspecified D61.9 0.00% #DIV/0!
4 0.00% #DIV/0!
5 0.00% #DIV/0!
6 0.00% #DIV/0!
7 0.00% #DIV/0!
8 0.00% #DIV/0!
9 0.00% #DIV/0!
10 0.00% #DIV/0!
11 0.00% #DIV/0!
12 0.00% #DIV/0!
13 0.00% #DIV/0!
14 0.00% #DIV/0!
15 0.00% #DIV/0!
16 0.00% #DIV/0!
17 0.00% #DIV/0!
18 0.00% #DIV/0!
19 0.00% #DIV/0!
20 0.00% #DIV/0!
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
TOTAL 0 0.00% 0 #DIV/0!

% of Total
% of
Admissions
# of Mortality
NEUROLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Encephalopathy, unspecified G93.1 0.00% #DIV/0!

2 Cerebral infarction, unspecified I63.9 0.00% #DIV/0!
3 Intracerebral haemorrhage, unspecified I61.9 0.00% #DIV/0!
4 Schizophrenia, unspecified F20.9 0.00% #DIV/0!
5 Parkinson's Disease G20 0.00% #DIV/0!
6 Epilepsy and recurrent seizures G40 0.00% #DIV/0!
7 Alzheimer disease, unspecified  G30.9 0.00% #DIV/0!
8 Benign paroxysmal vertigo H81.1 0.00% #DIV/0!
9 Periodic paralysis   G72.3 0.00% #DIV/0!
10 Transient cerebral ischemic attack, unspecified G45.9 0.00% #DIV/0!
11 Bell palsy G15.0 0.00% #DIV/0!
12 Tension-type headache G44.2 0.00% #DIV/0!
13 Cerebral palsy, unspecified G80.9 0.00% #DIV/0!
14 Myasthenia gravis G70.0 0.00% #DIV/0!
15 0.00% #DIV/0!
16 0.00% #DIV/0!
17 0.00% #DIV/0!
18 0.00% #DIV/0!
19 0.00% #DIV/0!
20 0.00% #DIV/0!
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
TOTAL 0 0.00% 0 #DIV/0!

We attest to the truthfulness of the above documentation: Page 17 of 21

Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

% of Total
% of
Admissions
# of Mortality
ONCOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Malignant neoplasm of nasopharynx C11 0.00% #DIV/0!

2 Myelodysplastic syndrome, unspecified D46.9 0.00% #DIV/0!
3 Malignant neoplasm: Breast, unspecified   C50.9 0.00% #DIV/0!
4 Malignant neoplasm: Bronchus or lung, unspecified   C34.9 0.00% #DIV/0!
5 Malignant neoplasm of prostate   C61 0.00% #DIV/0!
6 Malignant neoplasm: Colon, unspecified   C18.9 0.00% #DIV/0!
7 Malignant neoplasm of ovary C56 0.00% #DIV/0!
8 Follicular lymphoma, unspecified C82.9 0.00% #DIV/0!
9 Malignant neoplasm of endometrium C54.1 0.00% #DIV/0!
10 Chronic myeloid leukaemia [CML], BCR/ABL-positive C92.1 0.00% #DIV/0!
11 Malignant neoplasm of bladder, unspecified C67.9 0.00% #DIV/0!
12 0.00% #DIV/0!
13 0.00% #DIV/0!
14 0.00% #DIV/0!
15 0.00% #DIV/0!
16 0.00% #DIV/0!
17 0.00% #DIV/0!
18 0.00% #DIV/0!
19 0.00% #DIV/0!
20 0.00% #DIV/0!
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
TOTAL 0 0.00% 0 #DIV/0!

% of Total
% of
Admissions
# of Mortality
DERMATOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Cellulitis, unspecified L03.9 0.00% #DIV/0!

2 Decubitus ulcer and pressure area, unspecified   L89.9 0.00% #DIV/0!
3 Cutaneous abscess, furuncle and carbuncle, unspecified L02.9 0.00% #DIV/0!
4 Psoriasis, unspecified L40.9 0.00% #DIV/0!
5 0.00% #DIV/0!
6 0.00% #DIV/0!
7 0.00% #DIV/0!
8 0.00% #DIV/0!
9 0.00% #DIV/0!
10 0.00% #DIV/0!
11 0.00% #DIV/0!
12 0.00% #DIV/0!
13 0.00% #DIV/0!
14 0.00% #DIV/0!
15 0.00% #DIV/0!
16 0.00% #DIV/0!
17 0.00% #DIV/0!
18 0.00% #DIV/0!
19 0.00% #DIV/0!
20 0.00% #DIV/0!
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
TOTAL 0 0.00% 0 #DIV/0!

We attest to the truthfulness of the above documentation: Page 18 of 21

Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

% of Total
% of
Admissions
# of Mortality
RHEUMATOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Gout, unspecified   M10.9 0.00% #DIV/0!

2 Osteoporosis, unspecified   M81.9 0.00% #DIV/0!
3 Systemic lupus erythematosus, unspecified   M32.9 0.00% #DIV/0!
4 Rheumatoid arthritis, unspecified M06.9 0.00% #DIV/0!
5 Osteoarthrits, unspecified   M19.9 0.00% #DIV/0!
6 0.00% #DIV/0!
7 0.00% #DIV/0!
8 0.00% #DIV/0!
9 0.00% #DIV/0!
10 0.00% #DIV/0!
11 0.00% #DIV/0!
12 0.00% #DIV/0!
13 0.00% #DIV/0!
14 0.00% #DIV/0!
15 0.00% #DIV/0!
16 0.00% #DIV/0!
17 0.00% #DIV/0!
18 0.00% #DIV/0!
19 0.00% #DIV/0!
20 0.00% #DIV/0!
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
TOTAL 0 0.00% 0 #DIV/0!

% of Total
% of
Admissions
# of Mortality
ALLERGOLOGY & IMMUNOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 Personal history of allergy to unspecified drugs, medicament Z88.9 0.00% #DIV/0!

2 Atopic dermatitis, unspecified L20.9 0.00% #DIV/0!
3 Other adverse food reactions, not elsewhere classified T78.1 0.00% #DIV/0!
4 Allergic rhinitis, unspecified J30.9 0.00% #DIV/0!
5 0.00% #DIV/0!
6 0.00% #DIV/0!
7 0.00% #DIV/0!
8 0.00% #DIV/0!
9 0.00% #DIV/0!
10 0.00% #DIV/0!
11 0.00% #DIV/0!
12 0.00% #DIV/0!
13 0.00% #DIV/0!
14 0.00% #DIV/0!
15 0.00% #DIV/0!
16 0.00% #DIV/0!
17 0.00% #DIV/0!
18 0.00% #DIV/0!
19 0.00% #DIV/0!
20 0.00% #DIV/0!
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
TOTAL 0 0.00% 0 #DIV/0!

We attest to the truthfulness of the above documentation: Page 19 of 21

Chairman, Dept. of Medicine
 Philippine College of Physicians
PCPAccFrm E-4A1F2 Rev2014

SUMMARY OF CENSUS ER Census

HOSPITAL ILOILO MISSION HOSPITAL

Month/Year % of Total Admissions % Mortality

JANUARY # of Cases (# of cases / total IM # of Mortality (# of deaths/ #
Cases) of cases)
='Census per Disease E-4A1F1 JAN'!E6

Cardiology 216 23.10% 0 0.00%

Infectious Diseases 88 9.41% 0 0.00%
Pulmonary Medicine 247 26.42% 0 0.00%
Gastroenterology 94 10.05% 0 0.00%
Nephrology 56 5.99% 0 0.00%
Endocrinology 81 8.66% 0 0.00%
Hematology 25 2.67% 0 0.00%
Neurology 61 6.52% 0 0.00%
Oncology 37 3.96% 0 0.00%
Dermatology 2 0.21% 0 0.00%
Rheumatology 15 1.60% 0 0.00%
Allergology & Immunology 13 1.39% 0 0.00%

Total IM Cases 935 Total Mortality 0

Total IM Admissions 687 Total Mortality/Total IM Cases 0.00%

SUMMARY OF CENSUS ER Census

HOSPITAL ILOILO MISSION HOSPITAL

Month/Year % of Total Admissions % Mortality

FEBRUARY # of Cases (# of cases / total IM # of Mortality (# of deaths/ #
Cases) of cases)
='Census per Disease E-4A1F1 JAN'!E6

Cardiology 157 22.91% 3 1.91%

Infectious Diseases 66 9.63% 0 0.00%
Pulmonary Medicine 167 24.42% 7 4.18%
Gastroenterology 41 5.98% 0 0.00%
Nephrology 36 5.25% 2 5.56%
Endocrinology 123 17.95% 0 0.00%
Hematology 2 0.29% 0 0.00%
Neurology 50 7.29% 1 2.00%
Oncology 10 1.46% 1 10.00%
Dermatology 12 1.75% 0 0.00%
Rheumatology 16 2.33% 0 0.00%
Allergology & Immunology 5 0.73% 0 0.00%

Total IM Cases 685 Total Mortality 14

Total IM Admissions 584 Total Mortality/Total IM Cases 2.04%

We attest to the truthfulness of the above documentation: Page 20 of 21

 Philippine College of Physicians
PCPAccFrm E-4A1F2 Rev2014

SUMMARY OF CENSUS ER Census

HOSPITAL ILOILO MISSION HOSPITAL

Month/Year % of Total Admissions % Mortality

MARCH # of Cases (# of cases / total IM # of Mortality (# of deaths/ #
Cases) of cases)
='Census per Disease E-4A1F1 JAN'!E6

Cardiology 285 30.48% 1 0.35%

Infectious Diseases 131 14.01% 3 2.29%
Pulmonary Medicine 308 32.94% 5 1.62%
Gastroenterology 77 8.24% 0 0.00%
Nephrology 83 8.88% 0 0.00%
Endocrinology 152 16.26% 0 0.00%
Hematology 15 1.60% 0 0.00%
Neurology 76 8.13% 0 0.00%
Oncology 38 4.06% 0 0.00%
Dermatology 17 1.82% 0 0.00%
Rheumatology 10 1.07% 0 0.00%
Allergology & Immunology 20 2.14% 0 0.00%

Total IM Cases 1,212 Total Mortality 9

Total IM Admissions 581 Total Mortality/Total IM Cases 0.74%

SUMMARY OF CENSUS ER Census

HOSPITAL ILOILO MISSION HOSPITAL

Months/Year
JANUARY % of Total Admissions % Mortality
FEBRUARY # of Cases (# of cases/total IM # of Mortality (# of deaths/ #
Cases) of cases)
MARCH
='Census per Disease E-4A1F1 JAN'!E6

Cardiology 658 23.23% 4 0.61%

Infectious Diseases 285 10.06% 3 1.05%
Pulmonary Medicine 722 25.51% 12 1.66%
Gastroenterology 212 7.48% 0 0.00%
Nephrology 175 6.18% 2 1.14%
Endocrinology 356 12.57% 0 0.00%
Hematology 42 1.48% 0 0.00%
Neurology 187 6.60% 1 0.53%
Oncology 85 3.00% 1 1.18%
Dermatology 31 1.09% 0 0.00%
Rheumatology 41 1.45% 0 0.00%
Allergology & Immunology 38 1.34% 0 0.00%

Total IM Cases 2,832 Total Mortality 23

Total IM Admissions 1,852 Total Mortality/Total IM Cases 0.81%

We attest to the truthfulness of the above documentation: Page 21 of 21