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KODE PUSKESMAS : 11230701 LB 1

PUSKESMAS : JATINOM Halaman :1


KECAMATAN : JATINOM Lembar 1 : Untuk Ka Sie P2M Dinkes Kab./Kota
PUSKESMAS PEMBANTU YANG: - ADA Lembar 2 : Untuk Koordinator SP2TP Dinkes Kab./Kota
- LAPOR Lembar 3 : Untuk Koordinator SP2TP Puskesmas
KABUPATEN/KODYA : KLATEN (Arsip)
PROPINSI : JAWA TENGAH
Wilayah Pelaporan : Semua Wilayah TANGGAL AWAL : 01-01-2020
Tempat Pemeriksaan : Semua Lokasi Pemeriksaan LAPORAN BULANAN DATA KESAKITAN TANGGAL AKHIR : 30-06-2020

JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

A00.9 Cholera, unspecified 1 1 1

A01 Typhoid and paratyphoid fevers 2 1 6 1 8 8 1 1 2 1 9 3 4 3 2 24 27 1 52

A01.0 Typhoid fever 1 1 1 1 2 2 4 1 3 1 6 11 3 1 21

A01.1 Paratyphoid fever A 1 1 1

A01.4 Paratyphoid fever, unspecified 1 1 2 4 4

A03.0 Shigellosis due to Shigella dy 1 1 1

A03.9 Shigellosis, unspecified 1 1 1

A04 Other bacterial intestinal inf 1 1 1 1 2

A04.1 Enterotoxigenic Escherichia co 1 1 1

A04.4 Other intestinal Escherichia c 1 1 1 1 2

A04.9 Bacterial intestinal infection 2 1 3 6 6

A06.9 Amoebiasis, unspecified 1 1 1

A07.9 Protozoal intestinal disease, 1 1 1

A09 Diarrhoea and gastroenteritis 1 1 9 4 36 19 16 12 5 8 7 10 26 48 9 14 8 10 6 12 5 6 127 145 272

A09.0 Other and unspecified gastroen 1 2 3 1 1 2 6 8

A09.9 Gastroenteritis and colitis of 1 1 1 1 1 1 2 2 2 7 5 12

A15 Respiratory tuberculosis, bact 1 1 3 2 23 2 1 1 4 29 1 2 36

A15.0 Tuberculosis of lung, confirme 1 6 2 9 1 10

A16 Respiratory tuberculosis, not 1 1 1

A16.9 Respiratory tuberculosis unspe 2 2 2

A18 Tuberculosis of other organs 1 1 1


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

A18.2 Tuberculous peripheral lymphad 2 1 1 3 1 4

A30 Leprosy [Hansen disease] 1 1 1

A41.9 Septicaemia, unspecified 1 1 1

A48 Other bacterial diseases, not 1 1 1

A49 Bacterial infection of unspeci 1 1 1

A54.9 nococcal infection, unspecifie 1 1 1

A59.9 Trichomoniasis, unspecified 1 1 2 2

A90 Dengue fever [classical dengue 1 2 2 2 1 1 4 5 9

A91 Dengue haemorrhagic fever 2 1 1 3 1 4

B00 Herpesviral [herpes simplex] i 1 2 2 2 6 5 1 4 1 1 1 1 11 16 27

B00.0 Eczema herpeticum 1 1 1

B00.1 Herpesviral vesicular dermatit 1 1 1

B00.9 Herpesviral infection, unspeci 1 1 1 1 3 1 4

B01 Varicella [chickenpox] 1 1 1 1 3 1 6 7

B01.9 Varicella without complication 5 2 1 6 2 8

B02 Zoster [herpes zoster] 1 1 1

B02.9 Zoster without complication 1 1 1 1 1 2 3 5

B05 Measles 1 1 1

B05.9 Measles without complication 1 1 1

B06.9 Rubella without complication 1 1 1

B09 Unspecified viral infection ch 1 1 2 2

B17 Other acute viral hepatitis 1 1

B18 Chronic viral hepatitis 1 1 1

B18.1 Chronic viral hepatitis B with 1 2 1 2 3

B19.9 Unspecified viral hepatitis wi 1 1 1

B20 Human immunodeficiency virus [ 1 2 2 1 2 2 5

B20.9 HIV disease resulting in unspe 1 1 1

B26.0 Mumps orchitis 1 1 1


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

B26.9 Mumps without complication 1 2 1 2 3

B34.9 Viral infection, unspecified 1 1 2 1 3 4

B35.1 Tinea unguium 1 2 1 1 3 4

B35.3 Tinea pedis 1 1 1 1 2 3

B35.4 Tinea corporis 1 7 1 5 1 2 1 2 15 1 18

B35.6 Tinea cruris 1 2 1 3 1 4

B35.8 Other dermatophytoses 1 1 1

B36.0 Pityriasis versicolor 1 1 2 2

B37.9 Candidiasis, unspecified 1 1 1

B60 Other protozoal diseases, not 1 1 1

B77.9 Ascariasis, unspecified 1 1 1

B86 Scabies 3 4 1 1 3 8 4 12

B90 Sequelae of tuberculosis 1 1 1

C15 Malignant neoplasm of oesophag 1 1 1

C16.9 Malignant neoplasm of stomach, 1 1 1

C32.9 Malignant neoplasm of larynx, 1 1 1

C34.9 Malignant neoplasm of bronchus 2 1 1 2 2 4

C40 Malignant neoplasm of bone and 1 1 1

C40.2 Malignant neoplasm of long bon 1 1 1

C43 Malignant melanoma of skin 1 1 1 1 2

C44.2 Malignant neoplasm of skin of 1 1 1

C50 Malignant neoplasm of breast 1 1 1 1 2

C50.3 Malignant neoplasm of lower-in 1 1 1 1 2

C50.9 Malignant neoplasm of breast, 1 1 1 1 2 3

C69.9 Malignant neoplasm of eye, uns 1 1 1

C73 Malignant neoplasm of thyroid 1 1 1

C85.9 Non-Hodgkin's lymphoma, unspec 1 2 2 1 3

D16.2 Benign neoplasm of long bones 1 1


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

D16.9 Benign neoplasm of bone and ar 1 1 1

D21 Other benign neoplasms of conn 1 1 4 5 1 6

D21.0 Other benign neoplasm of conne 1 1 1

D21.4 Other benign neoplasm of conne 1 1 1 1 2

D24 Benign neoplasm of breast 5 5 5

D50 Iron deficiency anaemia 4 1 1 1 1 6 7

D50.0 Iron deficiency anaemia second 1 1 2 2

D50.9 Iron deficiency anaemia, unspe 1 1 1 1 1 3 4

D53.9 Nutritional anaemia, unspecifi 1 1 1

D56.9 Thalassaemia, unspecified 1 1 1

D59 Acquired haemolytic anaemia 1 1 1

D64 Other anaemias 1 1 1

D64.9 Anaemia, unspecified 1 1 1

D69 Purpura and other haemorrhagic 1 1 2 2

D69.3 Idiopathic thrombocytopenic pu 1 1 1 1 2

E03.9 Hypothyroidism, unspecified 1 1 2 2

E05 Thyrotoxicosis [hyperthyroidis 1 1 2 2

E05.9 Thyrotoxicosis, unspecified 3 1 2 1 6 1 2 9

E07.9 Disorder of thyroid, unspecifi 1 1 1 3 1 1 4 6

E10 Insulin-dependent diabetes mel 1 1 1

E10.4 Insulin-dependent diabetes mel 2 2 1 2 1 4 2 1 8

E10.5 Insulin-dependent diabetes mel 1 1 1 2

E10.7 Insulin-dependent diabetes mel 1 1 1

E10.8 Insulin-dependent diabetes mel 1 1 1

E10.9 Insulin-dependent diabetes mel 1 2 1 2 1 2 3 1 3 6 2 2 1 14

E11 Non-insulin-dependent diabetes 1 2 1 1 2 4 3 7

E11.0 Non-insulin-dependent diabetes 1 1 1 1 2

E11.3 Non-insulin-dependent diabetes 1 1 1


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

E11.4 Non-insulin-dependent diabetes 2 1 3 3 5 7 3 4 3 5 2 6 2 1 2 1 8 17 5 20 2 2 54

E11.5 Non-insulin-dependent diabetes 1 1 2 1 2 1 3 2 1 1 8

E11.6 Non-insulin-dependent diabetes 1 3 2 1 1 2 1 4 2 4 1 4 2 17

E11.7 Non-insulin-dependent diabetes 2 2 2

E11.8 Non-insulin-dependent diabetes 2 2 1 4 2 2 1 3 1 3 6 6 3 2 1 21

E11.9 Non-insulin-dependent diabetes 1 28 3 24 27 73 11 50 9 47 9 23 15 23 10 9 3 11 1 5 55 182 34 111 12 56 450

E14.9 Unspecified diabetes mellitus 1 1 1

E51 Thiamine deficiency 1 1 1

E63.8 Other specified nutritional de 1 1 1

E63.9 Nutritional deficiency, unspec 1 1 1

E70.2 Disorders of tyrosine metaboli 1 1 1

E70.9 Disorder of aromatic amino-aci 1 1 1

E78 Disorders of lipoprotein metab 1 1 1 1 2

E78.0 Pure hypercholesterolaemia 1 1 1 1 2

E87.6 Hypokalaemia 1 1 1

F03 Unspecified dementia 1 1 1

F14.0 Mental and behavioural disorde 1 1 1

F20 Schizophrenia 2 3 2 1 2 1 3 2 8

F20.0 Paranoid schizophrenia 2 1 1 2 2 1 3 6

F20.9 Schizophrenia, unspecified 13 4 12 5 5 3 2 1 1 4 1 2 6 2 8 18 12 18 21 8 8 85

F29 Unspecified nonorganic psychos 1 2 1 2 3

F30.9 Manic episode, unspecified 1 1 1

F31.4 Bipolar affective disorder, cu 3 3 3

F32 Depressive episode 1 1 1

F32.3 Severe depressive episode with 2 2 2

F32.9 Depressive episode, unspecifie 1 4 1 5 1 6

F41 Other anxiety disorders 1 1 1 2

F41.1 Generalized anxiety disorder 1 1 1


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

F41.2 Mixed anxiety and depressive d 1 1 1

F41.9 Anxiety disorder, unspecified 2 1 1 1 1 2 2 1 1 1 7

F42.9 Obsessive-compulsive disorder, 1 1 1

F52.2 Failure of genital response 1 1 1

F63.9 Habit and impulse disorder, un 1 1

F80.9 Developmental disorder of spee 1 1 1 1 2

G20 Parkinson's disease 1 1 1

G40 Epilepsy 3 2 2 2 2 1 5 4 2 1 12

G40.2 Localization-related (focal) ( 1 1 2 1 3

G40.7 Petit mal, unspecified, withou 1 1 1

G40.9 Epilepsy, unspecified 1 3 2 1 1 1 1 1 2 9 4 4 14 2 6 1 2 29

G43 Migraine 1 1 1

G43.1 Migraine with aura [classical 1 1

G44 Other headache syndromes 2 3 1 1 1 2 5 1 8

G44.0 Cluster headache syndrome 1 4 4 1 3 4 2 2 2 1 1 1 1 1 10 11 3 4 2 3 33

G44.2 Tension-type headache 1 1 2 2

G44.3 Chronic post-traumatic headach 1 1 1

G45.9 Transient cerebral ischaemic a 1 1 1

G47 Sleep disorders 2 1 3 3

G50.0 Trigeminal neuralgia 1 1 1

G51.9 Disorder of facial nerve, unsp 1 1 1

G54 Nerve root and plexus disorder 1 1 1

G54.2 Cervical root disorders, not e 2 2 4 4

G56 Mononeuropathies of upper limb 3 5 1 7 1 4 1 1 5 18 23

G56.0 Carpal tunnel syndrome 2 2 2

G56.9 Mononeuropathy of upper limb, 1 1 1

G57 Mononeuropathies of lower limb 1 1 1

G57.9 Mononeuropathy of lower limb, 1 1 1


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

G58 Other mononeuropathies 1 1 1

G62.9 Polyneuropathy, unspecified 1 1 1 1 1 2 1 4

G82.4 Spastic tetraplegia 2 2 2

G91 Hydrocephalus 1 1 1

G93 Other disorders of brain 1 1 1

G93.6 Cerebral oedema 1 1 1 1 2

H00 Hordeolum and chalazion 2 1 1 2 1 4 1 1 5 8 13

H00.0 Hordeolum and other deep infla 1 1 1 2 2 3 4 7

H01.9 Inflammation of eyelid, unspec 1 1 1

H05.1 Chronic inflammatory disorders 1 1 1

H10 Conjunctivitis 1 1 3 1 2 2 2 2 7 13 4 5 9 8 3 1 9 28 45 73

H10.0 Mucopurulent conjunctivitis 1 1 1 3 1 1 1 4 5 9

H10.1 Acute atopic conjunctivitis 2 1 1 3 1 4

H10.3 Acute conjunctivitis, unspecif 3 2 3 2 5

H10.5 Blepharoconjunctivitis 1 1 1

H10.9 Conjunctivitis, unspecified 1 1 3 1 1 3 1 2 8 1 2 2 3 10 19 29

H11 Other disorders of conjunctiva 1 1 1

H11.0 Pterygium 1 1 1 2 1 4 2 6

H11.3 Conjunctival haemorrhage 1 1 1 1 2

H16 Keratitis 2 1 2 1 3

H16.2 Keratoconjunctivitis 1 1 1

H16.8 Other keratitis 1 1 1

H20.0 Acute and subacute iridocyclit 1 1

H20.9 Iridocyclitis, unspecified 1 1 1

H21 Other disorders of iris and ci 1 1 1

H25 Senile cataract 1 1 1 1 2

H25.1 Senile nuclear cataract 1 1 1

H25.9 Senile cataract, unspecified 1 8 9 9


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

H26 Other cataract 1 1 1 1 2

H26.2 Complicated cataract 2 2 2

H26.9 Cataract, unspecified 2 1 3 2 1 1 4 4 1 1 10

H27 Other disorders of lens 1 1 1 1 1 3 4

H27.0 Aphakia 1 1 1

H28 Cataract and other disorders o 1 1 1

H33 Retinal detachments and breaks 1 1 1

H35 Other retinal disorders 1 1 2 4 1 5

H36 Retinal disorders in diseases 1 1 1

H36.0 Diabetic retinopathy 2 2 2

H40 Glaucoma 1 1 1 1 1 1 3

H40.1 Primary open-angle glaucoma 1 1 2 2

H40.2 Primary angle-closure glaucoma 1 1 1 1 2

H40.4 Glaucoma secondary to eye infl 2 2 2

H40.9 Glaucoma, unspecified 1 1 1 2 3 1 1 5 3 9

H43 Disorders of vitreous body 2 2 2

H44.0 Purulent endophthalmitis 1 1 1 2

H44.4 Hypotony of eye 1 1 1

H50 Other strabismus 1 1 1

H51 Other disorders of binocular m 1 1 1

H52 Disorders of refraction and ac 1 1 1 1 1 3 4

H52.7 Disorder of refraction, unspec 1 1 1 1 1 1 1 4 2 1 7

H53 Visual disturbances 1 1 1

H53.2 Diplopia 1 1 2 2

H54 Visual impairment including bl 1 1 1 1 1 1 3

H54.1 Blindness, one eye, low vision 1 1 1

H54.2 Low vision, both eyes 1 1 1 1 2 3

H54.3 Unqualified visual loss, both 1 1 1


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

H54.4 Blindness, one eye 1 1 1

H54.5 Low vision, one eye 1 1 2 2

H57.1 Ocular pain 1 1 2 1 2 3 5

H60 Otitis externa 3 3 2 3 3 3 4 11 2 5 7 1 7 1 15 40 55

H60.0 Abscess of external ear 1 2 1 3 1 1 1 5 5 10

H60.4 Cholesteatoma of external ear 1 1 1

H60.5 Acute otitis externa, noninfec 2 2 2

H60.8 Other otitis externa 1 1 1

H60.9 Otitis externa, unspecified 1 1 1 2 1 1 1 2 6 4 10

H61 Other disorders of external ea 1 1 2 1 1 3 3 6

H61.2 Impacted cerumen 11 6 32 24 10 4 1 1 4 13 1 6 4 1 1 3 1 69 53 1 123

H62 Disorders of external ear in d 2 1 3 3

H62.1 Otitis externa in viral diseas 1 1 1

H62.2 Otitis externa in mycoses 1 1 2 2

H66 Suppurative and unspecified ot 1 1 1 3 1 1 3 6 7 2 5 1 1 12 21 33

H66.0 Acute suppurative otitis media 1 1 1

H66.3 Other chronic suppurative otit 1 1 1

H66.9 Otitis media, unspecified 2 4 2 1 1 2 3 1 3 3 1 1 10 13 1 24

H69 Other disorders of Eustachian 1 1 1

H72 Perforation of tympanic membra 1 1 1

H75.0 Mastoiditis in infectious and 1 1 1

H81 Disorders of vestibular functi 1 2 6 5 5 1 4 1 1 3 2 9 21 1 31

H81.1 Benign paroxysmal verti 1 1 2 1 4 23 14 21 6 9 11 13 3 8 41 76 3 120

H81.2 Vestibular neuronitis 1 2 1 4 4

H81.4 Verti of central origin 1 1 1 1 2

H81.8 Other disorders of vestibular 1 1 1

H81.9 Disorder of vestibular functio 1 1 1 1 2

H82 Vertiginous syndromes in disea 1 1 2 4 4


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

H90.3 Sensorineural hearing loss, bi 1 1 1

H90.5 Sensorineural hearing loss, un 1 1 2 2

H91.9 Hearing loss, unspecified 1 1 2 4 4

H92.0 Otalgia 1 1 2 2

H93 Other disorders of ear, not el 1 1 1

H93.1 Tinnitus 2 1 3 3

H93.2 Other abnormal auditory percep 1 1 1

I05.2 Mitral stenosis with insuffici 1 1 1

I08.9 Multiple valve disease, unspec 1 1 1

I10 Essential (primary) hypertensi 3 1 13 32 3 7 33 105 5 26 25 51 3 18 47 58 13 18 14 64 1 20 132 314 25 89 19 60 639

I11 Hypertensive heart disease 1 2 2 1 3

I11.0 Hypertensive heart disease wit 2 1 4 1 2 1 3 7 1 2 1 1 6 14 2 4 1 2 29

I11.9 Hypertensive heart disease wit 1 1 4 11 1 2 1 3 5 2 9 1 4 2 5 2 3 10 28 4 15 3 10 70

I20 Angina pectoris 1 1 2 2

I20.9 Angina pectoris, unspecified 1 3 1 1 1 3 3 1 7

I21 Acute myocardial infarction 1 2 1 2 2 4

I21.0 Acute transmural myocardial in 2 2

I21.1 Acute transmural myocardial in 1 1 1

I21.3 Acute transmural myocardial in 1 1 1 2

I21.4 Acute subendocardial myocardia 1 1 1

I21.9 Acute myocardial infarction, u 1 1 1

I25 Chronic ischaemic heart diseas 1 1 1 1 2

I25.0 Atherosclerotic cardiovascular 1 2 3 1 1 5 1 2 8

I25.2 Old myocardial infarction 1 1 6 1 1 8 1 1 10

I25.9 Chronic ischaemic heart diseas 2 2 2 1 2 1 4 2 1 10

I27.8 Other specified pulmonary hear 1 1 1 2

I44 Atrioventricular and left bund 1 1 1

I47 Paroxysmal tachycardia 1 1 1


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

I48 Atrial fibrillation and flutte 1 1 1 1 1 1 3 1 5

I49 Other cardiac arrhythmias 1 1 1

I49.9 Cardiac arrhythmia, unspecifie 1 1 1

I50 Heart failure 1 1 1 2 2 1 3 3 2 2 4 4 11 3 4 3 25

I50.0 Congestive heart failure 2 1 2 2 2 1 5

I50.9 Heart failure, unspecified 1 1 2 1 1 1 1 1 2 1 6 2 2 2 2 2 12 8 4 4 1 1 30

I51 Complications and ill-defined 1 1 1

I51.7 Cardiomegaly 1 1 1 1 1 3

I51.9 Heart disease, unspecified 1 1 1 1 1 3

I61 Intracerebral haemorrhage 1 2 1 2 3

I61.2 Intracerebral haemorrhage in h 1 1 1

I61.4 Intracerebral haemorrhage in c 1 1 1 1 2

I61.9 Intracerebral haemorrhage, uns 1 2 3 1 1 2 1 1 2 4 2 3 3 1 2 9 6 7 7 5 4 38

I63 Cerebral infarction 1 1 2 2 2 1 5

I63.0 Cerebral infarction due to thr 1 1 1 1 2

I63.4 Cerebral infarction due to emb 1 1 1

I63.9 Cerebral infarction, unspecifi 1 1 1 1 1 2 2 3 2 2 2 2 11

I64 Stroke, not specified as haemo 2 1 3 2 1 1 2 5 1 1 1 5 3 2 4 14 6 4 10 3 1 38

I69.1 Sequelae of intracerebral haem 1 1

I84 Haemorrhoids 1 2 2 4 2 4 1 1 1 2 6 13 1 20

I84.0 Internal thrombosed haemorrhoi 1 1 2 1 3

I84.1 Internal haemorrhoids with oth 1 1 1

I84.2 Internal haemorrhoids without 1 1 1

I84.9 Unspecified haemorrhoids witho 1 1 1

I88 Nonspecific lymphadenitis 1 1 1

I89.1 Lymphangitis 1 1 1

I95.9 Hypotension, unspecified 1 1 2 2

J00 Acute nasopharyngitis [common 5 5 17 9 34 33 26 21 30 27 75 105 28 65 15 25 31 36 4 22 265 348 613


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

J02 Acute pharyngitis 1 5 3 2 1 2 4 3 15 1 4 3 3 17 30 47

J02.0 Streptococcal pharyngitis 1 1 1

J02.9 Acute pharyngitis, unspecified 5 3 4 1 2 6 12 12 1 2 2 1 1 1 1 27 27 54

J03 Acute tonsillitis 1 1 1

J03.9 Acute tonsillitis, unspecified 1 1 1 2 1 3

J04 Acute laryngitis and tracheiti 1 1 1

J06 Acute upper respiratory infect 3 2 29 25 43 33 16 19 14 23 47 62 16 25 8 7 15 17 3 10 194 223 417

J06.0 Acute larynpharyngitis 1 1 1 1 1 1 2 4 6

J06.8 Other acute upper respiratory 1 1 2 2

J06.9 Acute upper respiratory infect 2 2 8 3 26 19 37 44 1 23 25 19 14 58 84 25 51 2 1 12 34 1 25 34 6 22 241 332 2 3 578

J09 Influenza due to identified av 3 1 3 1 4

J15.9 Bacterial pneumonia, unspecifi 1 1 1

J18 Pneumonia, organism unspecifie 1 1 1

J18.9 Pneumonia, unspecified 6 1 1 1 7 2 1 10

J20 Acute bronchitis 1 1 1 10 5 8 5 6 3 10 13 1 6 1 1 1 1 39 35 74

J20.0 Acute bronchitis due to Mycopl 1 1 1

J20.9 Acute bronchitis, unspecified 1 1 1

J22 Unspecified acute lower respir 1 1 2 1 3

J30.4 Allergic rhinitis, unspecified 1 1 1

J31.0 Chronic rhinitis 1 1 1

J32 Chronic sinusitis 2 2 2

J32.9 Chronic sinusitis, unspecified 1 2 1 1 2 3 1 6

J33.9 Nasal polyp, unspecified 1 1 1

J35.3 Hypertrophy of tonsils with hy 1 1 1

J37 Chronic laryngitis and laryntr 1 1 1

J40 Bronchitis, not specified as a 1 3 1 1 6 6

J41 Simple and mucopurulent chroni 1 1 2 2

J42 Unspecified chronic bronchitis 2 1 2 1 1 3 4 7


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

J44 Other chronic obstructive pulm 3 1 4 4

J44.1 Chronic obstructive pulmonary 1 1 1

J44.9 Chronic obstructive pulmonary 1 1 1 2 4 3 2 2 2 1 11 5 4 3 2 4 1 23 12 10 4 4 2 55

J45 Asthma 1 1 1 7 3 1 3 1 4 16 5 8 2 4 4 3 1 2 2 30 38 1 69

J45.0 Predominantly allergic asthma 1 1 1 3 3

J45.8 Mixed asthma 1 1 1

J45.9 Asthma, unspecified 2 1 1 2 4 14 2 3 2 1 4 1 1 8 2 2 1 24 22 5 3 8 62

J47 Bronchiectasis 1 1 1

J90 Pleural effusion, not elsewher 1 1 1

J96.9 Respiratory failure, unspecifi 1 1 1

K00.0 Anodontia 2 3 7 4 1 2 1 3 7 16 23

K00.1 Supernumerary teeth 1 1 1

K00.3 Mottled teeth 1 1 1

K01.1 Impacted teeth 1 5 4 1 1 8 4 12

K02 Dental caries 1 1 5 5 1 2 11 13

K02.0 Caries limited to enamel 1 1 1

K02.1 Caries of dentine 4 5 5 4 4 6 10 20 57 1 1 5 6 1 3 4 1 41 94 1 1 137

K02.9 Dental caries, unspecified 2 1 1 3 1 4

K03.5 Ankylosis of teeth 1 1 1

K03.6 Deposits [accretions] on teeth 3 1 2 5 11 49 2 5 18 60 78

K04.0 Pulpitis 1 1 4 1 1 4 3 2 6 2 3 15 45 3 12 5 6 1 3 4 4 25 69 6 26 126

K04.1 Necrosis of pulp 1 2 2 2 3 2 2 7

K04.5 Chronic apical periodontitis 1 1 1

K04.7 Periapical abscess without sin 6 7 7 10 1 1 3 5 2 16 37 2 1 3 12 1 2 4 6 1 2 11 2 1 48 86 5 4 143

K05 Gingivitis and periodontal dis 1 1 1

K05.0 Acute gingivitis 1 1 1

K05.1 Chronic gingivitis 1 1 1

K05.2 Acute periodontitis 1 1 1


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

K05.3 Chronic periodontitis 1 4 5 1 28 18 2 1 8 14 1 2 16 9 2 3 54 143 12 27 26 57 2 7 11 17 1 14 16 2 3 5 9 1 166 289 23 44 522

K05.4 Periodontosis 1 1 1

K06.0 Gingival recession 1 1 1 1 2

K06.1 Gingival enlargement 1 1 1

K07.2 Anomalies of dental arch relat 1 1 1

K07.3 Anomalies of tooth position 1 1 85 94 15 22 1 3 2 102 122 224

K10 Other diseases of jaws 1 1 1

K11 Diseases of salivary glands 1 1 1

K11.9 Disease of salivary gland, uns 1 1 1

K12 Stomatitis and related lesions 1 2 1 1 3 2 1 1 1 1 5 2 3 3 4 3 12 22 34

K12.1 Other forms of stomatitis 1 1 1 1 2 2 2 1 2 9 11

K12.2 Cellulitis and abscess of mout 1 1 1

K14.9 Disease of tongue, unspecified 1 1 1

K21.9 Gastro-oesophageal reflux dise 1 1 1

K22.6 Gastro-oesophageal laceration- 1 1 1

K25 Gastric ulcer 2 2 2

K25.9 Gastric ulcer, unspecified as 1 1 1

K26.5 Duodenal ulcer, chronic or uns 1 1 1

K27.7 Peptic ulcer, chronic without 1 1 1

K29 Gastritis and duodenitis 1 1 4 2 3 3 3 6 3 5 10 17 4 7 3 1 3 4 2 3 36 49 85

K29.0 Acute haemorrhagic gastritis 1 1 1

K29.5 Chronic gastritis, unspecified 1 1 2 2 1 1 3 4 1 1 9

K29.6 Other gastritis 1 1 2 3 1 4

K29.7 Gastritis, unspecified 1 1 2 3 3 1 1 2 2 1 4 13 17

K29.9 Gastroduodenitis, unspecified 1 1 2 1 3 4

K30 Dyspepsia 2 3 6 19 13 21 14 16 38 60 146 39 93 11 49 52 51 12 45 238 452 5 695

K31.9 Disease of stomach and duodenu 1 1 1

K35 Acute appendicitis 1 1 1 1 2


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

K35.8 Acute appendicitis, other and 1 1 1

K35.9 Acute appendicitis, unspecifie 1 1 1 1 2

K36 Other appendicitis 1 1 1

K37 Unspecified appendicitis 2 2 2

K40 Inguinal hernia 1 1 1 1 2

K40.3 Unilateral or unspecified ingu 1 1 1

K40.9 Unilateral or unspecified ingu 1 1 2 2

K46.9 Unspecified abdominal hernia w 1 1 1

K50 Crohn disease [regional enteri 1 1 1

K50.8 Other Crohn's disease 1 1 1

K59 Other functional intestinal di 1 1 1

K59.0 Constipation 1 1 1 3 3

K60.2 Anal fissure, unspecified 1 1 1

K61 Abscess of anal and rectal reg 1 1 1

K62.5 Haemorrhage of anus and rectum 1 1 1 3 2 4 4 8

K63.5 Polyp of colon 1 1 1

K71 Toxic liver disease 1 1

K72.9 Hepatic failure, unspecified 1 1

K74 Fibrosis and cirrhosis of live 1 1 1

K74.6 Other and unspecified cirrhosi 1 1 1 1 2

K76 Other diseases of liver 1 1

K80 Cholelithiasis 2 2 2

K80.0 Calculus of gallbladder with a 1 1 1

K81 Cholecystitis 1 1 1 1 1 1 3

K81.0 Acute cholecystitis 1 1 1

K82.4 Cholesterolosis of gallbladder 1 1 1

K86.9 Disease of pancreas, unspecifi 1 1 1

K91.8 Other postprocedural disorders 1 1 1


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

K92 Other diseases of digestive sy 1 1 1 1 2

L02 Cutaneous abscess, furuncle an 1 1 1 1 1 1 2 1 1 4 6 10

L02.0 Cutaneous abscess, furuncle an 1 1 1 1 2 3

L02.2 Cutaneous abscess, furuncle an 2 1 1 1 1 1 1 5 1 7

L02.4 Cutaneous abscess, furuncle an 1 1 2 3 3 2 6 6 12

L02.8 Cutaneous abscess, furuncle an 1 2 3 3

L02.9 Cutaneous abscess, furuncle an 1 3 1 1 2 1 3 6 9

L03 Cellulitis 1 1 1

L04 Acute lymphadenitis 1 1 2 2

L04.2 Acute lymphadenitis of upper l 1 1 1 1 2

L04.8 Acute lymphadenitis of other s 1 1 1

L04.9 Acute lymphadenitis, unspecifi 1 1 2 2

L08.9 Local infection of skin and su 1 1 2 2

L20 Atopic dermatitis 6 5 1 7 6 4 4 3 12 8 3 13 1 4 2 4 36 47 83

L20.0 Besnier's pruri 1 1 1

L20.8 Other atopic dermatitis 1 1 1

L20.9 Atopic dermatitis, unspecified 1 1 3 4 12 5 5 9 1 12 17 28 1 9 22 1 2 2 6 11 1 8 57 102 1 1 1 1 163

L21.9 Seborrhoeic dermatitis, unspec 2 1 3 3

L23 Allergic contact dermatitis 1 6 3 1 7 4 11

L23.0 Allergic contact dermatitis du 1 1 1

L23.9 Allergic contact dermatitis, u 2 1 1 3 1 4

L25.9 Unspecified contact dermatitis 2 2 2

L27.1 Localized skin eruption due to 1 1 1

L29.9 Pruritus, unspecified 1 1 1

L30 Other dermatitis 1 2 1 6 4 6 6 2 4 6 13 3 13 1 4 4 3 1 3 32 51 83

L30.0 Nummular dermatitis 1 1 1

L30.3 Infective dermatitis 5 4 15 20 5 6 1 1 25 31 1 2 59

L30.8 Other specified dermatitis 1 1 1 2 1 3


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

L30.9 Dermatitis, unspecified 1 2 2 5 7 3 1 1 3 3 3 1 3 1 1 1 1 17 22 39

L40.0 Psoriasis vulgaris 1 1 1

L50 Urticaria 1 3 3 4 1 4 3 2 5 16 21

L50.1 Idiopathic urticaria 1 1 1

L50.9 Urticaria, unspecified 2 3 4 2 2 4 4 13 1 18

L70.9 Acne, unspecified 1 1 1

L74.3 Miliaria, unspecified 1 1 1 1 2

L80 Vitili 1 1 1

L84 Corns and callosities 2 2 2

L91.0 Keloid scar 2 2 2

L97 Ulcer of lower limb, not elsew 1 1 1

M08.25 Juvenile arthritis with system 1 1 1

M10 ut 1 1 1 1 1 3 3 5 8

M10.0 Idiopathic ut 1 1 1

M11 Other crystal arthropathies 1 1 1

M13 Other arthritis 3 1 3 1 2 1 2 9 11

M13.0 Polyarthritis, unspecified 1 1 1 1 2

M13.9 Arthritis, unspecified 1 1 21 46 1 26 101 10 48 1 1 23 52 12 32 94 279 1 2 2 4 382

M13.90 Arthritis, unspecified, multip 1 2 1 2 3

M13.92 Arthritis, unspecified, upper 1 1 1

M15.4 Erosive (osteo)arthrosis 1 1 1

M17 narthrosis [arthrosis of knee] 2 2 2

M17.5 Other secondary narthrosis 1 1 1

M17.9 narthrosis, unspecified 2 1 1 2 3 3 6

M18.9 Arthrosis of first carpometaca 1 1 1

M19 Other arthrosis 2 2 3 3 4 1 8

M19.05 Primary arthrosis of other joi 2 2 4 4

M19.9 Arthrosis, unspecified 1 1 1 1 1 2 3 5


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

M20 Acquired deformities of finger 1 1 1

M24 Other specific joint derangeme 1 1 1

M25 Other joint disorders, not els 1 1 1

M25.5 Pain in joint 1 1 1 1 2 3

M25.62 Stiffness of joint, not elsewh 1 1 1

M25.9 Joint disorder, unspecified 2 2

M32.9 Systemic lupus erythematosus, 2 2 2

M41.9 Scoliosis, unspecified 1 1 1

M47.8 Other spondylosis 3 3 3

M48.4 Fatigue fracture of vertebra 1 1 1

M51 Other intervertebral disc diso 1 2 1 1 2 1 2 6 8

M51.2 Other specified intervertebral 1 1 1 1 2 3

M53 Other dorsopathies, not elsewh 1 1 1

M54 Dorsalgia 1 1 3 1 1 6 3 2 1 1 8 10 1 1 20

M54.2 Cervicalgia 1 1 1 1 2

M54.3 Sciatica 1 3 2 1 2 1 5 5 10

M54.4 Lumba with sciatica 1 1 1 1 2

M54.5 Low back pain 3 3 2 11 1 1 4 1 15 9 4 3 1 14 37 5 2 1 3 62

M62.41 Contracture of muscle, shoulde 1 1 1

M66 Spontaneous rupture of synoviu 1 1 1

M67 Other disorders of synovium an 2 2 2

M70.09 Chronic crepitant synovitis of 1 1 1

M71.9 Bursopathy, unspecified 1 1 1

M75 Shoulder lesions 1 1 1

M75.0 Adhesive capsulitis of shoulde 1 1 1

M76.7 Peroneal tendinitis 1 1 1

M79 Other soft tissue disorders, n 1 1 1 1 1 4 1 5

M79.1 Myalgia 1 1 1 1 4 1 1 17 41 22 56 27 26 25 43 9 34 1 104 206 1 3 5 319


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

M79.10 Myalgia, multiple sites 1 1 1 1 2

M79.2 Neuralgia and neuritis, unspec 1 1 8 1 3 1 4 2 16 1 2 21

M79.8 Other specified soft tissue di 1 1 1

M79.9 Soft tissue disorder, unspecif 1 1 2 2

M81.9 Osteoporosis, unspecified 1 1 1 2

M86 Osteomyelitis 2 2 2

N04.9 Nephrotic syndrome, unspecifie 1 1 1 2

N13 Obstructive and reflux uropath 1 1 1

N13.9 Obstructive and reflux uropath 2 1 3 3

N17.9 Acute renal failure, unspecifi 1 1 1

N18 Chronic kidney disease 1 2 1 1 3 6 2 1 1 1 3 3 2 3 1 8 12 5 6 2 33

N18.0 End-stage renal disease 2 1 1 2 1 4

N18.4 Chronic kidney disease, stage 1 1 1

N18.9 Chronic renal failure, unspeci 1 3 3 1 1 4 1 1 2 5 4 14 3 1 1 23

N20 Calculus of kidney and ureter 1 1 1

N20.0 Calculus of kidney 1 1 1

N20.2 Calculus of kidney with calcul 1 1 1 1 2

N20.9 Urinary calculus, unspecified 2 2 2 2 4 4 1 9

N21.9 Calculus of lower urinary trac 1 1 1

N22.8 Calculus of urinary tract in o 1 1 1 1 2

N23 Unspecified renal colic 1 1 1

N25.9 Disorder resulting from impair 1 1 1 1 2

N30 Cystitis 2 2 2 1 1 1 1 1 4 6 1 11

N30.0 Acute cystitis 2 1 3 3

N30.9 Cystitis, unspecified 1 1 3 1 3 2 2 1 1 3 12 1 16

N34.1 Nonspecific urethritis 1 1 1

N35 Urethral stricture 1 1 1

N39 Other disorders of urinary sys 2 2 1 4 9 24 2 1 5 21 4 6 4 5 1 23 64 2 2 91


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

N39.0 Urinary tract infection, site 1 1 2 1 3 4 1 1 2 12 14

N39.1 Persistent proteinuria, unspec 1 1 1

N39.9 Disorder of urinary system, un 1 1 2 1 3

N40 Hyperplasia of prostate 2 1 4 7 2 9

N45 Orchitis and epididymitis 1 1 2 2

N45.0 Orchitis, epididymitis and epi 1 1 1

N48 Other disorders of penis 1 1 1

N61 Inflammatory disorders of brea 5 1 5 1 6

N76.0 Acute vaginitis 1 1 1

N77.1 Vaginitis, vulvitis and vulvov 1 1 1

N80.0 Endometriosis of uterus 1 1 1

N81.4 Uterovaginal prolapse, unspeci 1 1 1

N83.2 Other and unspecified ovarian 2 2 2

N85.8 Other specified noninflammator 1 1 1

N89 Other noninflammatory disorder 2 1 3 3

N89.8 Other specified noninflammator 1 1 3 1 4 5

N91.0 Primary amenorrhoea 1 1 1

N91.2 Amenorrhoea, unspecified 1 5 6 6

N91.5 Olimenorrhoea, unspecified 7 2 9 9

N92 Excessive, frequent and irregu 2 1 1 2 3

N92.1 Excessive and frequent menstru 2 2 4 4

N92.6 Irregular menstruation, unspec 2 2 2

N93 Other abnormal uterine and vag 1 1 2 2

N93.9 Abnormal uterine and vaginal b 1 1 1

N94 Pain and other conditions asso 1 1 1

N94.4 Primary dysmenorrhoea 1 1 1

N94.6 Dysmenorrhoea, unspecified 2 2 1 1 4 5

O02.0 Blighted ovum and nonhydatidif 1 1 1


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

O02.1 Missed abortion 1 1 1

O03.3 Spontaenous abortion, incomple 1 1 1

O05.3 Other abortion, incomplete, wi 1 1 1

O13 Gestational [pregnancy-induced 1 1 1

O16 Unspecified maternal hypertens 6 6 1 7

O20 Haemorrhage in early pregnancy 2 2 2

O20.9 Haemorrhage in early pregnancy 3 3 3

O22.4 Haemorrhoids in pregnancy 1 1 1

O28.0 Abnormal haematological findin 1 1 1

O28.3 Abnormal ultrasonic finding on 2 2 2

O28.9 Abnormal finding on antenatal 3 14 17 17

O32 Maternal care for known or sus 1 1 1

O32.1 Maternal care for breech prese 2 2 2

O32.9 Maternal care for malpresentat 1 1 1

O34.2 Maternal care due to uterine s 3 8 11 11

O34.9 Maternal care for abnormality 1 1 1

O36 Maternal care for other known 1 1 1

O48 Prolonged pregnancy 1 15 16 16

O91.1 Abscess of breast associated w 1 1 1 1 2

O92.7 Other and unspecified disorder 3 3 3

O94 Sequelae of complication of pr 1 1 1

O99.8 Other specified diseases and c 1 1 1

P01.9 Fetus and newborn affected by 1 1 1

P03.4 Fetus and newborn affected by 1 1 1

P03.9 Fetus and newborn affected by 1 1 1

P07.1 Other low birth weight 1 3 4 4

P21.9 Birth asphyxia, unspecified 1 1 1

P59.9 Neonatal jaundice, unspecified 2 2 2


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

Q02 Microcephaly 1 1 1

Q05.9 Spina bifida, unspecified 1 1 1

Q21 Congenital malformations of ca 1 2 1 2 1 1 4

Q21.1 Atrial septal defect 1 1

Q35.2 Cleft soft palate, bilateral* 1 1 1

Q35.3 Cleft soft palate 1 1 1

Q55.9 Congenital malformation of mal 1 1 1

Q66.0 Talipes equinovarus 1 1 1

Q66.9 Congenital deformity of feet, 1 1 1 1 2

Q83.9 Congenital malformation of bre 1 1 1

Q90.9 Down's syndrome, unspecified 1 1 1

R00 Abnormalities of heart beat 1 1 1 1 2

R00.0 Tachycardia, unspecified 1 1 1

R04.2 Haemoptysis 1 1 1

R05 Cough 1 44 27 109 77 19 22 2 1 5 6 16 3 10 4 6 5 8 9 194 180 2 376

R06.0 Dyspnoea 1 1 1

R07 Pain in throat and chest 1 1 1

R07.0 Pain in throat 1 1 1

R07.1 Chest pain on breathing 1 1 1

R07.3 Other chest pain 1 1 1

R07.4 Chest pain, unspecified 1 2 1 2 3

R10 Abdominal and pelvic pain 3 2 1 3 2 2 1 1 6 9 15

R10.4 Other and unspecified abdomina 2 1 3 2 1 4 2 11 13

R11 Nausea and vomiting 2 18 21 11 12 1 1 6 4 8 1 3 1 1 1 38 53 91

R13 Dysphagia 1 1 2 1 2 3 5

R16 Hepatomegaly and splenomegaly, 1 1 1

R18 Ascites 1 2 3 3

R19 Other symptoms and signs invol 2 2 2


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

R22.1 Localized swelling, mass and l 1 1 1 2 1 3

R22.2 Localized swelling, mass and l 1 1 1 1 2

R22.9 Localized swelling, mass and l 1 3 1 1 3 1 8 9

R30 Pain associated with micturiti 1 1 1

R31 Unspecified haematuria 1 1 1 1 2

R33 Retention of urine 1 2 1 2 3

R42 Dizziness and giddiness 1 1 1

R50 Fever of other and unknown ori 1 8 9 62 49 42 42 22 19 13 18 25 58 7 16 7 2 3 8 1 5 191 226 417

R50.0 Fever with chills 1 1 1 1 1 1 2 2 6 4 10

R50.1 Persistent fever 1 1 1 1 2 3

R50.8 Other specified fever 1 1 2 2

R50.9 Fever, unspecified 1 5 1 4 1 1 1 1 1 5 2 2 12 13 25

R51 Headache 1 4 3 5 2 10 6 9 9 36 63 8 37 5 8 14 9 5 9 96 147 243

R52 Pain, not elsewhere classified 3 1 1 2 3 1 1 2 7 7 14

R52.2 Other chronic pain 1 1 1 1 2 3

R52.9 Pain, unspecified 1 1 1 1 3 3 4 1 5 10 15

R53 Malaise and fatigue 1 4 3 1 1 2 1 1 6 8 14

R55 Syncope and collapse 1 1 1 1 3 1 4

R56.8 Other and unspecified convulsi 1 1 1

R57 Shock, not elsewhere classifie 1 1 1

R59.9 Enlarged lymph nodes, unspecif 1 1 1

R60 Oedema, not elsewhere classifi 1 1 1

R60.9 Oedema, unspecified 1 1 1

R62.0 Delayed milestone 1 1 1 1 2

R63.0 Anorexia 1 1 1

R79 Other abnormal findings of blo 1 1 1

S00 Superficial injury of head 1 3 2 2 1 1 5 1 3 1 2 1 2 20 5 25

S00.7 Multiple superficial injuries 1 1 1 2 2 3 5


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

S00.8 Superficial injury of other pa 1 1 2 2

S00.9 Superficial injury of head, pa 7 5 1 4 3 7 10 13 5 7 1 2 5 5 2 1 42 36 1 79

S05 Injury of eye and orbit 1 1 1

S05.9 Injury of eye and orbit, part 1 1 1

S06 Intracranial injury 2 2 2

S06.0 Concussion 1 1 1

S06.1 Traumatic cerebral oedema 1 1 2 2

S06.3 Focal brain injury 1 1 1

S06.9 Intracranial injury, unspecifi 2 1 1 2 2 4

S09 Other and unspecified injuries 1 3 2 2 2 2 2 1 1 1 8 9 17

S09.9 Unspecified injury of head 1 1 2 7 2 1 1 1 1 13 4 17

S23.5 Sprain and strain of other and 1 1 1

S30 Superficial injury of abdomen, 1 1 1

S30.8 Other superficial injuries of 1 1 1 1 2

S30.9 Superficial injury of abdomen, 1 1 1

S32 Fracture of lumbar spine and p 1 1 2 2

S33.7 Sprain and strain of other and 1 1 1

S40.9 Superficial injury of shoulder 1 1 1

S42.0 Fracture of clavicle 1 1 2 2

S42.2 Fracture of upper end of humer 2 2 2

S42.4 Fracture of lower end of humer 1 1 1

S50.9 Superficial injury of forearm, 1 1 1

S52 Fracture of forearm 1 1 1 1 1 2 1 1 1 5

S52.30 Fracture of shaft of radius, c 2 2 2

S52.4 Fracture of shafts of both uln 1 1 1 2

S52.5 Fracture of lower end of radiu 1 1 1

S53 Dislocation, sprain and strain 1 1 1

S60 Superficial injury of wrist an 1 3 1 1 1 4 6 1 5 1 1 2 14 13 27


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

S60.0 Contusion of finger(s) without 1 1 2 1 4 1 5

S60.1 Contusion of finger(s) with da 1 1 1 1 2

S60.2 Contusion of other parts of wr 1 1 2 2

S60.7 Multiple superficial injuries 1 1 1 1 2 3

S60.8 Other superficial injuries of 1 1 1

S60.9 Superficial injury of wrist an 1 3 1 4 2 8 7 16 9 30 17 6 3 2 1 13 4 2 2 84 47 1 132

S61 Open wound of wrist and hand 1 1 1

S62 Fracture at wrist and hand lev 1 1 1 1 1 1 3

S62.8 Fracture of other and unspecif 1 1 2 2

S63 Dislocation, sprain and strain 1 1 1

S63.7 Sprain and strain of other and 1 1 1 1 2

S69.9 Unspecified injury of wrist an 1 1 1

S70.8 Other superficial injuries of 1 1 1

S70.9 Superficial injury of hip and 1 1 1 2 1 3

S72 Fracture of femur 1 1 1

S72.9 Fracture of femur, part unspec 1 1 1 1 1 1 2 2 5

S73 Dislocation, sprain and strain 1 1 1

S77 Crushing injury of hip and thi 1 1 1

S79.9 Unspecified injury of hip and 1 1 1

S80 Superficial injury of lower le 1 1 1 2 1 5 3 2 3 3 2 1 18 7 25

S80.0 Contusion of knee 1 1 1

S80.9 Superficial injury of lower le 1 1 2 2 4 3 6 9 1 1 2 1 3 1 2 22 17 39

S82 Fracture of lower leg, includi 3 1 2 1 5 1 1 7

S82.0 Fracture of patella 1 1 1

S82.9 Fracture of lower leg, part un 3 3 6 6

S89.9 Unspecified injury of lower le 1 1 2 2

S90 Superficial injury of ankle an 3 1 4 1 4 2 1 1 4 16 5 21

S90.1 Contusion of toe(s) without da 1 1 1


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

S90.2 Contusion of toe(s) with damag 1 1 1 1 2

S90.7 Multiple superficial injuries 1 1 1

S90.9 Superficial injury of ankle an 1 2 2 1 3 2 2 5 6 2 2 2 1 2 2 1 1 1 21 17 38

S91.3 Open wound of other parts of f 2 2 2

S92 Fracture of foot, except ankle 1 1 1 1 2

S92.30 Fracture of metatarsal bone, c 1 1 1

S92.9 Fracture of foot, unspecified 1 1 1 1 2

S99 Other and unspecified injuries 1 1 1

T14 Injury of unspecified body reg 1 2 1 3 1 2 3 8 5 13

T14.9 Injury, unspecified 1 1 1

T15 Foreign body on external eye 1 1 1

T15.9 Foreign body on external eye, 1 1 1

T16 Foreign body in ear 1 1 1

T17 Foreign body in respiratory tr 1 1 1

T18.3 Foreign body in small intestin 1 1 1

T23 Burn and corrosion of wrist an 1 1 1

T23.0 Burn of unspecified degree of 1 1 1

T30 Burn and corrosion, body regio 1 1 1 3 1 1 2 6 8

T30.1 Burn of first degree, body reg 1 1 2 2

T31.0 Burns involving less than 10% 1 1 1

T60.2 Toxic effect of other insectic 1 1 1

T63.0 Toxic effect of snake venom 1 1 1

T63.9 Toxic effect of contact with u 1 1 1

T70 Effects of air pressure and wa 1 1 1

T74 Maltreatment syndromes 1 1 1

W57 Bitten or stung by nonvenomous 1 1 1 1 1 2 2 5 7

W57.0 Bitten or stung by nonvenomous 1 1 1 1 2

W57.7 Bitten or stung by nonvenomous 1 1 1


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

W57.9 Bitten or stung by nonvenomous 1 1 1

Z00 General examination and invest 1 1 1 3 2 19 19 128 148 156 172 18 13 7 2 7 3 1 2 341 362 703

Z00.0 General medical examination 1 1 1

Z00.8 Other general examinations 1 1 1

Z01.0 Examination of eyes and vision 1 1 1

Z01.3 Examination of blood pressure 1 1 1

Z09 Follow-up examination after tr 1 2 1 1 5 2 1 1 8 6 14

Z09.0 Follow-up examination after su 1 1 1

Z09.4 Follow-up examination after tr 1 1 1

Z09.8 Follow-up examination after ot 1 1 1 1 2

Z10.0 Occupational health examinatio 1 1 1

Z13.9 Special screening examination, 1 1 1

Z21 Asymptomatic human immunodefic 1 1 1

Z23.2 Need for immunization against 1 8 3 8 4 12

Z23.3 Need for immunization against 1 1 1

Z23.5 Need for immunization against 5 1 60 1 1 1 66 1 68

Z24.0 Need for immunization against 15 16 2 1 1 18 17 35

Z24.4 Need for immunization against 7 12 7 6 14 18 32

Z27.8 Need for immunization against 11 13 1 9 7 1 21 20 1 42

Z30.0 General counselling and advice 1 3 3 1 6 7

Z30.1 Insertion of (intrauterine) co 1 1 1

Z30.4 Surveillance of contraceptive 4 2 6 6

Z30.5 Surveillance of (intrauterine) 1 1 1

Z30.8 Other contraceptive management 1 1 55 2 13 70 2 72

Z34 Supervision of normal pregnanc 1 1 1

Z34.8 Supervision of other normal pr 1 1 1

Z34.9 Supervision of normal pregnanc 1 1 1 28 2 371 19 5 4 405 19 19 447

Z35 Supervision of high-risk pregn 1 1 1


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

Z35.9 Supervision of high-risk pregn 1 11 12 12

Z36 Antenatal screening 1 1 1

Z36.8 Other antenatal screening 6 6 6

Z36.9 Antenatal screening, unspecifi 4 1 2 177 1 2 2 183 2 187

Z39 Postpartum care and examinatio 1 1 1

Z39.1 Care and examination of lactat 1 1 1

Z39.2 Routine postpartum follow-up 3 3 3

Z41.2 Routine and ritual circumcisio 1 1 1

Z41.3 Ear piercing 3 2 5 5

Z47 Other orthopaedic follow-up ca 2 1 1 1 3 4

Z47.0 Follow-up care involving remov 1 1 1 1 2 3

Z47.9 Orthopaedic follow-up care, un 1 1 5 4 1 1 1 1 3 1 1 9 8 2 1 3 1 24

Z48 Other surgical follow-up care 1 1 2 1 3 3 2 1 4 1 4 2 17 4 3 1 2 2 29

Z48.0 Attention to surgical dressing 1 1 1

Z48.8 Other specified surgical follo 1 1 1 1 2

Z48.9 Surgical follow-up care, unspe 1 1 1 1 9 20 1 1 2 14 22 1 37

Z51 Other medical care 1 1 1

Z52.9 Donor of unspecified organ or 1 1 1

Z71 Persons encountering health se 1 1 1

Z71.0 Person consulting on behalf of 1 1 2 2

Z71.6 Tobacco abuse counselling 1 1 1

Z71.9 Counselling, unspecified 2 4 2 2 4 5 4 1 3 4 3 6 5 8 49 47 4 6 3 3 1 4 3 2 82 92 1 175

Z82.5 Family history of asthma and o 2 1 1 3 1 4

Z90 Acquired absence of organs, no 2 2 2

Z90.1 Acquired absence of breast(s) 2 2 2

Z91 Personal history of risk-facto 1 1 1

Z95.5 Presence of coronary angioplas 1 1 1

Z96.1 Presence of intraocular lens 1 1 1 1 2


JUMLAH PASIEN / GOLONGAN UMUR

KODE NAMA PENYAKIT 0-7 Hr 8-30 Hr <1 Th 1-4 Th 5-9 Th 10-14 Th 15-19 Th 20-44 Th 45-54 Th 55-59 Th 60-69 Th >=70 Th TOTAL TOTAL

B L B L B L B L B L B L B L B L B L B L B L B L B L KK

L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P

Z97.1 Presence of artificial limb (c 1 1 1

Z97.5 Presence of (intrauterine) con 1 1 1

Z99.2 Dependence on renal dialysis 1 1 1

16 22 0 0 9 6 0 0 151 122 0 1 506 358 2 1 549 499 12 5 309 287 3 8 385 574 5 81.1502.741 61 129 5501.266 51 136 285 527 38 76 525 679 53 83 195 433 24 544.6307.514 249 501 121 239 13.254

JATINOM, 20-07-2020

MENGETAHUI PELAPORAN

KEPALA PUSKESMAS PELAKSANA PROGRAM

dr. Bekti Wahyuni Tri Mulyanto


196306071989102002 199205242019031003

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