Lb12019 Puskesmas MH Maret 2019

DINAS
JL. K
KODE PUSKESMAS :
PUSKESMAS : mulyaharja
KECAMATAN : bogor selatan
Pustu yang Ada 0 0 Yang Melapor 0 0
KABUPATEN / KOTA : kota bogor
PROVINSI : jawa barat
LAPORAN B
NO JENIS PENYAKIT
1 2 3 4 5 6
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th
P L P L P L P L
A33 Tetanus
0 0 0 0 0 0 0 0
neonatoru
J18.9 Pneumonia
m 0 0 0 0 0 0 0 0
A06.0 Disentri
0 0 0 0 0 0 0 5
amuba
A03.9 Disentri
0 0 0 0 0 0 0 0
Basiler
A00.9 Kolera
0 0 0 0 0 0 0 0
A09 Diare dan
0 0 0 0 0 12 21 32
Gastroente
P59.9 Ikterus
ritis 0 0 0 0 0 0 0 0
bayi baru
P58.9 Ikterus
lahir oleh 0 0 0 0 0 0 0 0
bayi
sebab baru
yang
Q66 Talipes
lahir Equinovarus
belum 0 0 0 0 0 0 0 0
B05.9 karena
jelas
Campak/M
hemolisis 0 0 0 0 0 0 0 0
orbili/Mea
A36.9 berlebihan
Diphtheria
sles 0 0 0 0 0 0 0 0
B54 Malaria
0 0 0 0 0 0 0 0
Klinis
B53.1 Malaria
0 0 0 0 0 0 0 0
Plasmodiu
B53.0 Malaria
m Simian 0 0 0 0 0 0 0 0
Plasmodiu
B52.9 Malaria
m Ovale 0 0 0 0 0 0 0 0
Plasmodiu
B51.9 Malaria
m 0 0 0 0 0 0 0 0
Plasmodiu
Malariae
B50.9 Malaria
m Vivax 0 0 0 0 0 0 0 0
Plasmodiu
A91 Demam
m 0 0 0 0 0 0 0 0
Berdarah
Falciparu
A01.0 Demam
Dengue
m 0 0 0 0 0 0 0 0
Typhoid
(Infeksi
DHF )
A04.9
0 0 0 0 0 0 0 0
usus
A05.0 Keracunan
karena 0 0 0 0 0 0 0 0
Makanan
bakteri
A05.9 Intoxikasi
lainnya 0 0 0 0 0 0 0 0
(keracunan
A08.4 Infeksi
) makanan 0 0 0 0 0 0 0 0
virus pada
usus 0 0 0 0 0 0 0 0
PENYAKIT TUBERC
0 0 0 0 0 0 0 0
A15.0 TB Paru,
0 0 0 0 0 0 0 0
BTA (+)
A16.0 TB
tanpaParu, 0 0 0 0 0 0 0 0
BTA
biakan(-)
A16 TB Paru
0 0 0 0 0 0 0 0
Klinis
A17.0† TB
0 0 0 0 0 0 0 0
Maningitis
A18 Tuberculos
0 0 0 0 0 0 0 0
is pada
A19 TB
organ 0 0 0 0 0 0 0 0
Miliary
lainnya
0 0 0 0 0 0 0 0
PENYAKIT BAKTERI
0 0 0 0 0 0 0 0
A30.0 Kusta i/T
0 0 0 0 0 0 0 0
(MB)
A30.5 Kusta B/L
0 0 0 0 0 0 0 0
(PB)
A35 Tetanus
0 0 0 0 0 0 0 0
lainnya
A37.9 Batuk
0 0 0 0 0 0 0 0
Rejan
A39.9 Infeksi
(Pertussis) 0 0 0 0 0 0 0 0
Meningok
ok 0 0 0 0 0 0 0 0
INFEKSI PENY. ME
0 0 0 0 0 0 0 0
A53.9 Syphilis
0 0 0 0 0 0 0 0
A54.1 Ganococca
0 0 0 0 0 0 0 0
l
A54.9 Infeksi
Bartholin`s 0 0 0 0 0 0 0 0
Gonokok
gland
(Gonorhoe
abscess 0 0 0 0 0 0 0 0
)PENYAKIT SPIROKA
0 0 0 0 0 0 0 0
A66.9 Frambusia
0 0 0 0 0 0 0 0
/ Patek
0 0 0 0 0 0 0 0
PENYAKIT VIRUS
0 0 0 0 0 0 0 0
A80 Poliomyeli
0 0 0 0 0 0 0 0
tis akut
A82 Rabies
0 0 0 0 0 0 0 0
A87 Meningitis
0 0 0 0 0 0 0 0
Virus
A92.0 Penyakit
0 0 0 0 0 0 0 0
virus
A95.9 Yellow
Chikungun 0 0 0 0 0 0 0 0
fever
ya /
demam 0 0 0 0 0 0 0 0
kuning
INF
0 0 0 0 0 0 0 0
VIRUS
B00.1 Infeksi
KULIT& 0 0 0 0 0 0 0 0
herpes
LESI
B01.9 Cacar
virus Air /
MEMBR 0 0 0 0 0 0 6 0
Varicella
[herpes
B02.9 AN
Zoster
[chickenpo
simplex]
MUKOSA 0 0 0 0 0 0 0 0
[herpes
x]
B06.9 Rubella
zoster] 0 0 0 0 0 1 0 0
[Campak
German] 0 0 0 0 0 0 0 0
HEPATITIS VIRUS
0 0 0 0 0 0 0 0
B15.9 Hepatitis A
0 0 0 0 0 0 0 0
akut
B16.9 Hepatitis
0 0 0 0 0 0 0 0
B akut
B17 Hepatitis
0 0 0 0 0 0 0 0
virus akut
B18.9 Hepatitis
lainnya 0 0 0 0 0 0 0 0
virus
kronik 0 0 0 0 0 0 0 0
PENYAKI
0 0 0 0 0 0 0 0
T VIRUS
B24 Human
LAINNY 0 0 0 0 0 0 0 0
Immunode
A
B26 Penyakit
ficiency 0 0 0 0 0 0 0 0
Gondok
Virus
(Mumps)
( HIV ) 0 0 0 0 0 0 0 0
MYCOSES
0 0 0 0 0 0 0 0
B35.9 Dermatoph
0 0 0 0 0 0 0 0
ytosis
B36.0 Pityriasis
0 0 0 0 0 0 0 0
versicolor
B37.0 Candidal
0 0 0 0 0 0 0 0
stomatitis
0 0 0 0 0 0 0 0
PENYAKIT PROTO
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
HELMINTHIASIS
0 0 0 0 0 0 0 0
B68.9 Taeniasis
0 0 0 0 0 0 0 0
B74.9 Filariasis
0 0 0 0 0 0 0 0
B77.9 Ascariasis
0 0 0 0 0 0 0 0
(Cacing
B79 Trichuriasi
Gelang) 0 0 0 0 0 0 0 0
s (Cacing
Cambuk) 0 0 0 0 0 0 0 0
Pedikulo
0 0 0 0 0 0 0 0
sis,Askar
B86 Scabies
is 0 0 0 0 0 0 0 0
B87.9 &Infeksi
Myiasis
Lainnya 0 0 0 0 0 0 0 0
B89 Penyakit
0 0 0 0 0 0 0 0
parasit
lainnya 0 0 0 0 0 0 0 0
NEOPLASMA
0 0 0 0 0 0 0 0
C18.9 Tumor
0 0 0 0 0 0 0 0
ganas pada
C50.9 Tumor
usus besar 0 0 0 0 0 0 0 0
ganas
(colon)
C51.9 Tumor
payudara 0 0 0 0 0 0 0 0
ganas pada
C52 Tumor
vulva 0 0 0 0 0 0 0 0
ganas pada
C53.9 Tumor
vagina 0 0 0 0 0 0 0 0
ganas leher
C60.9 Tumor
rahim 0 0 0 0 0 0 0 0
ganas pada
C61 Tumor
penis 0 0 0 0 0 0 0 0
ganas
prostat
C76 Tumor
0 0 0 0 0 0 0 0
ganas buli
C76.2 Tumor
- buli 0 0 0 0 0 0 0 0
pada
D17 Lipoma
abdomen 0 0 0 0 0 0 0 0
D50.9 Fibroaden
0 0 0 0 0 0 0 0
oma
D56.9 Thalassae
mammae 0 0 0 0 0 0 0 0
mia
(FAM)
0 0 0 0 0 0 0 0
ANEMIA
0 0 0 0 0 0 0 0
D50.9 Anemia
0 0 0 0 0 0 0 0
defisiensi
D56.9 Thalassae
besi 0 0 0 0 0 0 0 0
mia
D64.9 Anaemia
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
PENYAKIT ENDOKRI
0 0 0 0 0 0 0 0
E03.9 Hypotiroid
0 0 0 0 0 0 0 0
(Struma)
E05.9 Hypertiroi
0 0 0 0 0 0 0 0
d
E06.9 Thyroiditis
(Thyrotoxi 0 0 0 0 0 0 0 0
E10 cosis)
Diabetes
0 0 0 0 0 0 0 0
Mellitus
E11 Diabetes
Tergantung 0 0 0 0 0 0 0 0
Mellitus
Insulin
Tidak
(IDDM) 0 0 0 0 0 0 0 0
Tergantung
KURANG GIZI
Insulin 0 0 0 0 0 0 0 0
E40 (NIDDM)
Kwashiork
0 0 0 0 0 0 0 0
or
E41 Nutritional
0 0 0 0 0 0 0 0
marasmus
E42 Marasmus
0 0 0 0 0 0 0 0
Kwashiork
E44 Gizi Kurang
or 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
GANGGUAN METAB
0 0 0 0 0 0 0 0
F78.0 Hyperkole
0 0 0 0 0 0 0 0
sterol
0 0 0 0 0 0 0 0
GANGGUAN MENTA
0 0 0 0 0 0 0 0
F03 Dementia
0 0 0 0 0 0 0 0
F20.9 Penyakit
0 0 0 0 0 0 0 0
Jiwa
F23.9 Gangguian
(Schizophr 0 0 0 0 0 0 0 0
Psikotik
enia)
F41.9 Gangguan
0 0 0 0 0 0 0 0
cemas
F44.0 Amnesia
0 0 0 0 0 0 0 0
F44.2 Pingsan
0 0 0 0 0 0 0 0
(stupor)
F45.0 Psychoso
0 0 0 0 0 0 0 0
matic
F48.9 Gangguan
0 0 0 0 0 0 0 0
Neurotic
F60.0 Gangguan
0 0 0 0 0 0 0 0
paranoid
F79 Retardasi
0 0 0 0 0 0 0 0
Mental
F99 Gangguan
0 0 0 0 0 0 0 0
Mental
H93.1 Tinnitus
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
PENYAKIT SUSUNA
0 0 0 0 0 0 0 0
G03.9 Meningitis
0 0 0 0 0 0 0 0
G04.9 Encephalit
0 0 0 0 0 0 0 0
is, myelitis
G20 Penyakit
dan 0 0 0 0 0 0 0 0
Parkinson`
encephalo
G30.9 Penyakit
smyelitis 0 0 0 0 0 0 0 0
Alzheimer
G40.9 Epilepsi
`s 0 0 0 0 0 0 0 0
G43.9 Migraine
0 0 0 0 0 0 0 0
G44 Cephalgia
0 0 0 0 0 0 0 0
G47.0 Insomnia
0 0 0 0 0 0 0 0
G51.0 Bell`s
0 0 0 0 0 0 0 0
palsy
G81.9 Hemiplegi
0 0 0 0 0 0 0 0
a
G82.2 Paraplegia
0 0 0 0 0 0 0 0
G83.9 Paralytic
0 0 0 0 0 0 0 0
syndrome
G91.0 Hydroceph
0 0 0 0 0 0 0 0
alus
0 0 0 0 0 0 0 0
PENYAKIT MATA D
0 0 0 0 0 0 0 0
H00.0 Hordeolu
0 0 0 0 0 0 0 0
m
H10.9 Conjunctiv
0 0 0 0 0 1 6 0
itis
H11.0 Pterygium
0 0 0 0 0 0 0 0
H15.0 Scleritis
0 0 0 0 0 0 0 0
H16.9 Keratitis
0 0 0 0 0 0 0 0
H26.9 Katarak
0 0 0 0 0 0 0 0
H40.9 Glaukoma
0 0 0 0 0 0 0 0
H52 Kelainan
0 0 0 0 0 0 0 0
Refraksi
H52.0 Hypermetr
0 0 0 0 0 0 0 0
opia
H52.1 Myopia
0 0 0 0 0 0 0 0
H52.4 Presbyopia
0 0 0 0 0 0 0 0
H53.0 Buta
0 0 0 0 0 0 0 0
Warna
H53.2 Diplopia
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
PENYAKIT PD TELI
0 0 0 0 0 0 0 0
H60.9 Otitis
0 0 0 0 0 0 0 0
Externa
H83.0 Otitis
0 0 0 0 0 0 0 0
Interna
H61.2 Impacted
0 0 0 0 0 0 0 0
Serumen
H66.4 Otitis
0 0 0 0 0 0 0 0
Media
H66.9 Otitis
Purulen 0 0 0 0 0 0 0 0
Media
(OMP)
H70.0 Mastoiditis
Akut 0 0 0 0 0 0 0 0
Akut
(OMA)
H70.1 Mastoiditis
0 0 0 0 0 0 0 0
kronis
H81.9 Vertigo
0 0 0 0 0 0 0 0
H90 Gangguan
0 0 0 0 0 0 0 0
Pendengar
an 0 0 0 0 0 0 0 0
PENYAKIT SISTEM
0 0 0 0 0 0 0 0
I10 Hypertensi
0 0 0 0 0 0 0 0
I20.9 Angina
0 0 0 0 0 0 0 0
Pectoris
I21.9 Infark
0 0 0 0 0 0 0 0
miokard
I30.9 Pericarditi
0 0 0 0 0 0 0 0
s akut
I40.9 Miokarditi
0 0 0 0 0 0 0 0
s akut
I42.9 Cardiomyo
0 0 0 0 0 0 0 0
pathy
I46.9 Cardiac
0 0 0 0 0 0 0 0
Arrest
151.6 Decompen
0 0 0 0 0 0 0 0
sation
I64 Stroke
Cardiovasc 0 0 0 0 0 0 0 0
I84 uler (gagal
Haemorrh
jantung) 0 0 0 0 0 0 0 0
oids
195.9 Hypotensi
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
PENYAKIT SISTEM
0 0 0 0 0 0 0 0
Infeksi
0 0 0 0 0 0 0 0
Akut pd
J00 Nasophary
Saluran 0 0 0 0 0 35 47 50
ngitis Akut
Pernafas
J01.9 Sinusitis
(Common
an 0 0 0 0 0 0 0 0
akut
Cold)
J02.9 Bagian
Pharyngiti
0 0 0 0 0 0 0 0
sAtas
akut
J03.9 Tonsilitis
0 0 0 0 0 0 0 0
akut
J04.0 Laryngitis
0 0 0 0 0 0 0 0
akut
J04.1 Tracheitis
0 0 0 0 0 0 0 0
akut
J05.1 Epiglottitis
0 0 0 0 0 0 0 0
akut
0 0 0 0 0 0 0 0
Influenza dan Pneu
0 0 0 0 0 0 0 0
J11.8 Influenza
0 0 0 0 0 1 6 0
0 0 0 0 0 0 0 0
Inf Akut
0 0 0 0 0 0 0 0
lain
J20.9 Bronkhitis
Sal.Pern 0 0 0 0 0 0 0 0
akut
afasan
J21.9 Bronchioli
BagB 0 0 0 0 0 0 0 0
tis akut
awah
0 0 0 0 0 0 0 0
Penyakit Saluran Pe
0 0 0 0 0 0 0 0
J31.0 Rhinitis
0 0 0 0 0 0 0 0
kronis
J32.9 Sinusitis
0 0 0 0 0 0 0 0
kronis
J33.9 Nasal
0 0 0 0 0 0 0 0
polip
J35.0 Tonsilitis
0 0 0 0 0 0 0 0
kronis
J37.0 Laryngitis
0 0 0 0 0 0 0 0
kronis
0 0 0 0 0 0 0 0
Penyakit
0 0 0 0 0 0 0 0
Saluran
J42 Bronkhitis
Pernafas 0 0 0 0 0 0 0 0
kronis
an
J44 PPOK
Bawah 0 0 0 0 0 0 0 0
J45.9 Kronik
Asthma
0 0 0 0 0 0 0 0
Bronchiale
J46 Status
0 0 0 0 0 0 0 0
Asthmatic
us 0 0 0 0 0 0 0 0
PENYAKIT GIGI DA
0 0 0 0 0 0 0 0
K00 Gangguan
0 0 0 0 0 0 0 0
dan
K01.1 Impaksi
Perkemban 0 0 0 0 0 0 0 0
gigi
gan dan
K02.0 Karies
Erupsi gigi 0 0 0 0 0 0 0 0
email (IF)
K02.9 Karies
0 0 0 0 0 0 0 0
Gigi
K03 Atrisi
0 0 0 0 0 0 0 0
Gigi
K03.1 Abrasi
0 0 0 0 0 0 0 0
Gigi
K03.2 Erosi
0 0 0 0 0 0 0 0
Gigi
K03.4 Hiperseme
0 0 0 0 0 0 0 0
ntosis
K03.5 Ankylosis
0 0 0 0 0 0 0 0
gigi
K03.6 Kalkulus
0 0 0 0 0 0 0 0
gigi
K04.0 Pulpitis
0 0 0 0 0 0 0 0
K04.1 Nekrosis
0 0 0 0 0 0 0 0
pulpa
K04.4 Periodontit
0 0 0 0 0 0 0 0
is apikalis
K04.5 Periodontit
akut 0 0 0 0 0 0 0 0
is apikalis
K04.6 Perilpikal
kronis 0 0 0 0 0 0 0 0
abses
K04.7 Perilpikal
desimus 0 0 0 0 0 0 0 0
abses
K05.1 Gingintris
tanpa 0 0 0 0 0 0 0 0
Marginalis
keterlibata
K05.2 Periodnitis
kronis
nmarginalis
sinus 0 0 0 0 0 0 0 0
akut
K05.3 Periodnitis
0 0 0 0 0 0 0 0
marginalis
K06.0 Resesi
kronis 0 0 0 0 0 0 0 0
gusi
K06.1 Pembesara
0 0 0 0 0 0 0 0
n gusi /
K06.8 Epulis
gingival 0 0 0 0 0 0 0 0
giatcul
fibromatos
K07 Anomali
epulis
is 0 0 0 0 0 0 0 0
Dentofasia
K07.3 Crowding,
l 0 0 0 0 0 0 0 0
diatema,
K07.5 Kebiasaan
displaceme 0 0 0 0 0 0 0 0
buruk
n, /
rotasi,
K08.1 Kehilanga
oral habit
spaling, 0 0 0 0 0 0 0 0
n gigi
K.10.3 transposisi
Dry
akibatSocket
0 0 0 0 0 0 0 0
K.11 kecelakaan
Kelainan
/Kelenjar
avulasi 0 0 0 0 0 0 0 0
K12.1 gigi
Stomatitis
Lidah 0 0 0 0 0 0 0 0
K12.2 Abses
0 0 0 0 0 0 0 0
Mulut
K12.3 Penyakit Bibir (Agular
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
Peny.Eso
0 0 0 0 0 0 0 0
pagus,La
K25 Ulkus
mbung& /
0 0 0 0 0 0 0 0
Tukak
Duodenu
K29.7 Gastritis
lambung
m 0 0 0 0 0 0 0 0
K29.8 Duodenitis
0 0 0 0 0 0 0 0
K29.9 Gastroduo
0 0 0 0 0 0 0 0
denitis
K30 Dispepsia
0 0 0 0 0 0 0 0
(gangguan
K35.9 Apendiciti
fungsi 0 0 0 0 0 0 0 0
slambung)
akut
K37 Appendicit
0 0 0 0 0 0 0 0
is Lainnya
K40 Hernia
0 0 0 0 0 0 0 0
Inguinalis
K41 Hernia
0 0 0 0 0 0 0 0
Femoral
K42 Hernia
0 0 0 0 0 0 0 0
Umbilical
0 0 0 0 0 0 0 0
PENYAKI
0 0 0 0 0 0 0 0
T KULIT
L01 Impertigo
DAN 0 0 0 0 0 0 0 0
L02 JARINGA
Abses,
N 0 0 0 0 0 0 9 0
furunkel
L04 Limfedenti
dan 0 0 0 0 0 0 0 0
sSUBKUT
karbunkel
L20 Dermatitis
AN 0 0 0 0 0 0 0 0
atopic
L21 Dermatitis
0 0 0 0 0 0 0 0
seboroik
L23 Dermatitis
0 0 0 0 0 0 0 0
kontak
L30.0 Paronikia
0 0 0 0 0 2 22 0
0 0 0 0 0 0 0 0
PENYAKI
0 0 0 0 0 0 0 0
T
SISTEM
OTOT,
TULANG,
DAN
JARINGA
L50 Urtikaria
0 0 0 0 0 0 0 0
L91.0 Kelloid
0 0 0 0 0 0 0 0
M06.9 Rheumatoi
0 0 0 0 0 0 0 0
d Atritis
M67.4 Ganglion
0 0 0 0 0 0 0 0
M79.1 Mialgia
0 0 0 0 0 0 0 0
M79.2 Nuralgia
0 0 0 0 0 0 0 0
dan
Neuritis 0 0 0 0 0 0 0 0
PENYAKIT SISTEM
0 0 0 0 0 0 0 0
N00.9 Sindrom
0 0 0 0 0 0 0 0
nefritis
N02 Hematuria
akut 0 0 0 0 0 0 0 0
rekuren
N03 Sindrom
dan 0 0 0 0 0 0 0 0
nefritik
persisten
N04 Sindrom
kronik 0 0 0 0 0 0 0 0
nefrotik
N17 Gagal
0 0 0 0 0 0 0 0
ginjal akut
N18.9 Gagal
0 0 0 0 0 0 0 0
ginjal
N20 Batu
kronikginjal 0 0 0 0 0 0 0 0
dan ureter
N21.1 Batu
0 0 0 0 0 0 0 0
Saluran
N23 Kolik
Kencing 0 0 0 0 0 0 0 0
ginjal yang
N30 Sistitis
tak 0 0 0 0 0 0 0 0
N39.9 ditentukan
Gangguan
0 0 0 0 0 0 0 0
sistem
N40 Hipertrofi
kemih 0 0 0 0 0 0 0 0
prostat
lainnya
N41.0 Radang
0 0 0 0 0 0 0 0
Prostat
N41.1 Radang
akut 0 0 0 0 0 0 0 0
Prostat
N.50.9 Odema
kronik 0 0 0 0 0 0 0 0
unsepesific
N75.8 Bartholinti
0 0 0 0 0 0 0 0
s
N92.6 Haid
0 0 0 0 0 0 0 0
berlebih,
N94.6 Dismenore
sering dan 0 0 0 0 0 0 0 0
N95.2 teratur
Vaginitis
(Gangguan 0 0 0 0 0 0 0 0
haid)
0 0 0 0 0 0 0 0
KEHAMI
0 0 0 0 0 0 0 0
LAN,
O03.4 Abortus
KELAHIRSpontan Ink 0 0 0 0 0 0 0 0
O03.9 AN,
Abortus
MASA 0 0 0 0 0 0 0 0
Spontan
O07.9 NIFAS
Abortus
Komplit 0 0 0 0 0 0 0 0
percobaan
O15 Keracunan
yang gagal 0 0 0 0 0 0 0 0
kehamilan
O21.1 Hypereme
( Eklampsi 0 0 0 0 0 0 0 0
sis
a)
Gravidaru 0 0 0 0 0 0 0 0
m (HEG)
JARINGA
0 0 0 0 0 0 0 0
N
PENYAM
BUNG
O21.9 Muntah
0 0 0 0 0 0 0 0
yang
O24.9 Diabetes
berlebihan 0 0 0 0 0 0 0 0
Melitus
dalam
O30.9 Kehamilan
dalam
kehamilan 0 0 0 0 0 0 0 0
Ganda
kehamilan
O42.9 Ketuban
0 0 0 0 0 0 0 0
Pecah Dini
O44 Plasenta
0 0 0 0 0 0 0 0
Previa
O45.9 Solusio
0 0 0 0 0 0 0 0
Plasenta
O48 Kehamilan
0 0 0 0 0 0 0 0
lewat
waktu 0 0 0 0 0 0 0 0
PENYULIT KEHAMI
0 0 0 0 0 0 0 0
O60 Persalinan
0 0 0 0 0 0 0 0
Prematur
O63.9 Persalinan
0 0 0 0 0 0 0 0
Lama
O72 Perdarahan
0 0 0 0 0 0 0 0
Post
Partum 0 0 0 0 0 0 0 0
PERSALINAN
0 0 0 0 0 0 0 0
O80.9 Persalinan
0 0 0 0 0 0 0 0
Tunggal
O83.9 Persalinan
Spontan 0 0 0 0 0 0 0 0
Tunggal
O84.0 Persalinan
lainnya 0 0 0 0 0 0 0 0
Ganda
dengan
O91.2 Mastitis
Spontan
bantuan 0 0 0 0 0 0 0 0
P07.1 Bayi lahir
0 0 0 0 0 0 0 0
Prematur
0 0 0 0 0 0 0 0
KEL.SAL
0 0 0 0 0 0 0 0
.NAFAS&
P20.9 Hipoksia
KARDIO 0 0 0 0 0 0 0 0
Intrauterus
MASA
P21.9 Asfiksia
PNATAL 0 0 0 0 0 0 0 0
waktu
P22.9 Gawat
lahir 0 0 0 0 0 0 0 0
(Distres)
P24.9 Sindroma
nafas bayi 0 0 0 0 0 0 0 0
Aspirasi
baru lahir
P29 Kelainan
Bayi baru 0 0 0 0 0 0 0 0
Kardiovas
lahir
P80.9 Hipotermi
kuler 0 0 0 0 0 0 0 0
bayi baru
berhub.
lahir
dengan 0 0 0 0 0 0 0 0
masa
KELAINA
perinatal 0 0 0 0 0 0 0 0
N LAIN
P90 Kejang
PADA 0 0 0 0 0 0 0 0
pada
MASA bayi
P95 Kematian
baru lahir
PERINAT 0 0 0 0 0 0 0 0
janin tanpa
AL
sebab yang 0 0 0 0 0 0 0 0
jelas
LAIN/ bayi
- LAIN
lahir mati 0 0 0 0 0 0 0 0
R00.0 Tachycardi
0 0 0 0 0 0 0 0
a
R00.1 Bradicardi
0 0 0 0 0 0 0 0
R02 Gangrene
0 0 0 0 0 0 0 0
R04.0 Epistaksis
0 0 0 0 0 0 0 0
R06.1 Dyspnoea
0 0 0 0 0 0 0 0
R11 Nausea
0 0 0 0 0 0 0 0
and
R23.0 Sianosis
vomiting 0 0 0 0 0 0 0 0
R29.0 (Mual
Tetanusdan
muntah) 0 0 0 0 0 0 0 0
R33 Retensi
0 0 0 0 0 0 0 0
Urine
R34 Anuria
0 0 0 0 0 0 0 0
and
R50.9 Febris
oliguri / 0 0 0 0 0 1 12 0
Demam
R56 Convulsio
0 0 0 0 0 0 0 0
n (Kejang
R57.1 Syok
demam) 0 0 0 0 0 0 0 0
Hipovolem
R63.0 Anorexia
ik 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
CEDERA, KERACU
0 0 0 0 0 0 0 0
S02.9 Trauma
0 0 0 0 0 0 0 0
Kepala dan
S12.9 Fraktur
muka 0 0 0 0 0 0 0 0
Servikal
S42.0 Fraktur
0 0 0 0 0 0 0 0
Klavikula
S42.3 Fraktur
0 0 0 0 0 0 0 0
humerus
S62 Fraktur di
0 0 0 0 0 0 0 0
lengan
S63 Dislokasi
0 0 0 0 0 0 0 0
S72.9 Fraktur
0 0 0 0 0 0 0 0
femur
S82 Fraktur di
0 0 0 0 0 0 0 0
kaki
S00.9 Semua
0 0 0 0 0 0 0 0
fraktur
T08 Fraktur
selain di 0 0 0 0 0 0 0 0
Vetebra
atas
T20.9 Luka
0 0 0 0 0 0 0 0
Bakar
T14.0 Hematoma
0 0 0 0 0 0 0 0
T14.1 Luka
0 0 0 0 0 0 0 0
Terbuka
T63.0 Sengatan
0 0 0 0 0 0 0 0
(bisa) ular
T63.2 Sengatan
0 0 0 0 0 0 0 0
(bisa)
W53 Digigit
kalajengki 0 0 0 0 0 0 0 0
Tikus
ng
W54 Digigit
0 0 0 0 0 0 0 0
Anjing
W55 Digigit
0 0 0 0 0 0 0 0
kucing
W56 Digigit
(termasuk 0 0 0 0 0 0 0 0
binatang
binatang
W57 Digigit
laut
menyusui) 0 0 0 0 0 0 0 0
Serangga
X20 Digigit
0 0 0 0 0 0 0 0
Ular
Y10 Keracunan
0 0 0 0 0 0 0 0
Obat
0 0 0 0 0 54 130 86
Mengetahui
Kepala Puskesmas ..................................
nama kapus
NIP. .........................................................
DINAS KESEHATAN KOTA BOGOR
JL. Kesehatan No.3 Kota Bogor
LAPORAN BULANAN DATA KESAKITAN ICDX

JUMLAH PENDERITA
7 8 9 10 11 12
5 - 9 Th 10 - 14 Th 15 - 19 Th 20 - 44 Th 45 - 54 Th 55 - 59 Th
P L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
1 1 3 0 0 0 0 0 0 2 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
100 10 40 0 18 9 6 6 25 6 9
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 1 0 2 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 15 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 2 6 0 0 0 0 2 3 0 0
0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 9 0 13 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
2 2 9 1 3 8 9 6 0 2 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 10 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 2 0 3 3 11
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 15 0 0
0 0 0 0 0 3 19 4 18 1 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
2 6 46 5 3 0 25 7 9 2 6
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 2 0 2 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 57 40 58 63
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
111 39 53 37 81 44 176 127 145 91 184
0 0 26 0 0 0 0 0 8 0 21
0 0 0 8 3 6 16 1 22 9 0
0 0 6 0 0 1 0 0 3 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 6 0 0 0 3 2 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 3 2 3 0 0 2 0 2 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 3 1 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 6 15 1 25 27 22 143 81 43 34
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
3 10 34 8 31 1 0 9 9 2 3
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 5 0 0 0
2 7 40 3 2 3 19 28 19 10 19
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 6 0 1 3
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 2 0 110 56 68 43
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 5 0 1 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
5 16 34 8 25 7 9 13 34 5 9
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
227 102 323 77 194 114 306 557 508 326 407
Bogor, ...............................
Pelapor
LAPORAN BULANAN : LB. I
BULAN : april 2568 1691
TAHUN :
P L
4726 1120
1794.115 1129
TOTAL
12 13 14
15
55 - 59 Th 60 - 69 Th > 70 Th
L P L P L B L
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 4 8
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 5 3 5 2 230 81
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 5
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 17 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 15 5
0 0 0 0 0 0 0
0 0 0 0 0 0 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
1 0 1 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 23 20
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 10
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
3 9 5 6 2 32 14
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 15 0
1 0 0 0 0 37 9
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
1 0 2 0 1 98 25
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 0 0 0 0 6
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
42 53 69 62 35 218 260
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
23 53 36 12 7 862 487
0 16 0 0 0 71 0
1 0 3 0 0 40 29
0 0 0 0 0 9 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 28 0 43 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 6 7
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 8 0 6 0 17 2
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
15 15 16 15 3 208 254
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 9 1 0 0 99 32
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 5
2 19 6 12 5 153 67
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 3 7
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
22 9 52 6 9 115 265
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 6
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 4 0 0 128 55
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
114 196 199 154 65 2445 1668
Bogor, ......................................................
Pelapor
NO JENIS PENYAKIT JUMLAH PENDERITA
1 2 3 4 5 6 7 8 9 10
januari februari maret april mei juni juli agustus
P L P L P L P L P L P L P L P
A33 Tetanus neonatorum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J18.9 Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A06.0 Disentri amuba 8 6 23 2 8 2 5 8 0 0 0 0 0 0 0
A03.9 Disentri Basiler 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A00.9 Kolera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A09 Diare dan Gastroenteritis 52 53 150 21 82 88 282 81 0 0 0 1 0 0 0
P59.9 Ikterus bayi baru lahir oleh sebab yang belum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
jelas
P58.9 Ikterus bayi baru lahir karena hemolisis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
berlebihan
Q66 Talipes Equinovarus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B05.9 Campak/Morbili/Measles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A36.9 Diphtheria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B54 Malaria Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B53.1 Malaria Plasmodium Simian 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B53.0 Malaria Plasmodium Ovale 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B52.9 Malaria Plasmodium Malariae 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B51.9 Malaria Plasmodium Vivax 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B50.9 Malaria Plasmodium Falciparum 2 0 3 0 0 0 0 0 0 0 0 0 0 0 0
A91 Demam Berdarah Dengue ( DHF ) 3 1 14 0 5 0 0 5 0 0 0 0 0 0 0
A01.0 Demam Typhoid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A04.9 Infeksi usus karena bakteri lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A05.0 Keracunan Makanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A05.9 Intoxikasi (keracunan) makanan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A08.4 Infeksi virus pada usus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT TUBERCULOSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A15.0 TB Paru, BTA (+) tanpa biakan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A16.0 TB Paru, BTA (-) 3 5 3 5 0 7 21 0 0 0 0 0 0 0 0
A16 TB Paru Klinis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A17.0† TB Maningitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A18 Tuberculosis pada organ lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A19 TB Miliary 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT BAKTERI LAINNYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.0 Kusta i/T (MB) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A30.5 Kusta B/L (PB) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A35 Tetanus lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A37.9 Batuk Rejan (Pertussis) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A39.9 Infeksi Meningokok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
INFEKSI PENY. MENULAR KELAMIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A53.9 Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A54.1 Ganococcal Bartholin`s gland abscess 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A54.9 Infeksi Gonokok (Gonorhoe) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT SPIROKAETAL LAINNYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A66.9 Frambusia / Patek 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT VIRUS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A80 Poliomyelitis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A82 Rabies 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A87 Meningitis Virus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A92.0 Penyakit virus Chikungunya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A95.9 Yellow fever / demam kuning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
INF VIRUS KULIT& LESI MEMBRAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MUKOSA
B00.1 Infeksi herpes virus [herpes simplex] 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B01.9 Cacar Air / Varicella [chickenpox] 6 4 15 2 5 6 19 5 0 0 0 0 0 0 0
B02.9 Zoster [herpes zoster] 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B06.9 Rubella [Campak German] 3 1 9 0 3 0 0 3 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HEPATITIS VIRUS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B15.9 Hepatitis A akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B16.9 Hepatitis B akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B17 Hepatitis virus akut lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B18.9 Hepatitis virus kronik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT VIRUS LAINNYA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B24 Human Immunodeficiency Virus ( HIV ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B26 Penyakit Gondok (Mumps) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MYCOSES 0 0 64 0 26 0 0 0 0 0 0 0 0 0 0
B35.9 Dermatophytosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B36.0 Pityriasis versicolor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B37.0 Candidal stomatitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT PROTOZOA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
HELMINTHIASIS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B68.9 Taeniasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B74.9 Filariasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B77.9 Ascariasis (Cacing Gelang) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B79 Trichuriasis (Cacing Cambuk) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pedikulosis,Askaris &Infeksi Lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B86 Scabies 27 13 76 5 20 9 29 20 0 0 0 0 0 0 0
B87.9 Myiasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B89 Penyakit parasit lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NEOPLASMA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C18.9 Tumor ganas pada usus besar (colon) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C50.9 Tumor ganas payudara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C51.9 Tumor ganas pada vulva 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C52 Tumor ganas pada vagina 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C53.9 Tumor ganas leher rahim 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C60.9 Tumor ganas pada penis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C61 Tumor ganas prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C76 Tumor ganas buli - buli 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C76.2 Tumor pada abdomen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
D17 Lipoma 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
D50.9 Fibroadenoma mammae (FAM) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
D56.9 Thalassaemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ANEMIA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
D50.9 Anemia defisiensi besi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
D56.9 Thalassaemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
D64.9 Anaemia 4 0 13 0 10 0 0 10 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT ENDOKRIN & NUTRISI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E03.9 Hypotiroid (Struma) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E05.9 Hypertiroid (Thyrotoxicosis) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E06.9 Thyroiditis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E10 Diabetes Mellitus Tergantung Insulin (IDDM) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E11 Diabetes Mellitus Tidak Tergantung Insulin 12 15 35 5 14 14 39 14 0 0 0 0 0 0 0
(NIDDM)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KURANG GIZI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E40 Kwashiorkor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E41 Nutritional marasmus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E42 Marasmus Kwashiorkor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E44 Gizi Kurang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GANGGUAN METABOLISME 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F78.0 Hyperkolesterol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GANGGUAN MENTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F03 Dementia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F20.9 Penyakit Jiwa (Schizophrenia) 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0
F23.9 Gangguian Psikotik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F41.9 Gangguan cemas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F44.0 Amnesia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F44.2 Pingsan (stupor) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F45.0 Psychosomatic 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F48.9 Gangguan Neurotic 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F60.0 Gangguan paranoid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F79 Retardasi Mental 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F99 Gangguan Mental 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H93.1 Tinnitus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT SUSUNAN SYARAF 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G03.9 Meningitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G04.9 Encephalitis, myelitis dan encephalomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G20 Penyakit Parkinson`s 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G30.9 Penyakit Alzheimer`s 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G40.9 Epilepsi 0 2 0 2 0 6 19 0 0 0 0 0 0 0 0
G43.9 Migraine 4 8 11 4 9 14 45 9 0 0 0 0 0 0 0
G44 Cephalgia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G47.0 Insomnia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G51.0 Bell`s palsy 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G81.9 Hemiplegia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G82.2 Paraplegia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G83.9 Paralytic syndrome 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G91.0 Hydrocephalus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT MATA DAN ADNEKSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H00.0 Hordeolum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H10.9 Conjunctivitis 26 39 76 15 26 37 120 114 0 0 0 0 0 0 0
H11.0 Pterygium 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H15.0 Scleritis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H16.9 Keratitis 0 0 0 0 0 0 1 3 0 0 0 0 0 0 0
H26.9 Katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H40.9 Glaukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H52 Kelainan Refraksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H52.0 Hypermetropia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H52.1 Myopia 5 0 14 0 6 0 0 6 0 0 0 0 0 0 0
H52.4 Presbyopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H53.0 Buta Warna 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H53.2 Diplopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT PD TELINGA & MASTOID 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H60.9 Otitis Externa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H83.0 Otitis Interna 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H61.2 Impacted Serumen 0 2 3 0 0 0 0 0 0 0 0 0 0 0 0
H66.4 Otitis Media Purulen (OMP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H66.9 Otitis Media Akut (OMA) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H70.0 Mastoiditis Akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H70.1 Mastoiditis kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H81.9 Vertigo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H90 Gangguan Pendengaran 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT SISTEM SIRKULASI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I10 Hypertensi 226 69 638 25 262 98 268 260 0 0 0 23 0 0 0
I20.9 Angina Pectoris 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I21.9 Infark miokard 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I30.9 Pericarditis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I40.9 Miokarditis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I42.9 Cardiomyopathy 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I46.9 Cardiac Arrest 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
151.6 Decompensation Cardiovasculer (gagal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
jantung)
I64 Stroke 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I84 Haemorrhoids 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
195.9 Hypotensi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT SISTEM PERNAFASAN 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0
Infeksi Akut pd Saluran Pernafasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bagian Atas
J00 Nasopharyngitis Akut (Common Cold) 472 423 1365 172 491 330 491 330 0 0 0 1 0 0 0
J01.9 Sinusitis akut 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0
J02.9 Pharyngitis akut 26 13 73 5 29 15 49 29 0 0 0 0 0 0 0
J03.9 Tonsilitis akut 2 3 4 1 1 4 11 1 0 0 0 0 0 0 0
J04.0 Laryngitis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J04.1 Tracheitis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J05.1 Epiglottitis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Influenza dan Pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J11.8 Influenza 7 18 20 7 3 16 113 3 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Inf Akut lain Sal.Pernafasan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BagB awah
J20.9 Bronkhitis akut 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
J21.9 Bronchiolitis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit Saluran Pernafasan lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J31.0 Rhinitis kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J32.9 Sinusitis kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J33.9 Nasal polip 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J35.0 Tonsilitis kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J37.0 Laryngitis kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penyakit Saluran Pernafasan Bawah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kronik
J42 Bronkhitis kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J44 PPOK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J45.9 Asthma Bronchiale 9 3 21 2 7 5 8 7 0 0 0 0 0 0 0
J46 Status Asthmaticus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT GIGI DAN MULUT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K00 Gangguan dan Perkembangan dan Erupsi gigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K01.1 Impaksi gigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K02.0 Karies email (IF) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K02.9 Karies Gigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K03 Atrisi Gigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K03.1 Abrasi Gigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K03.2 Erosi Gigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K03.4 Hipersementosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K03.5 Ankylosis gigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K03.6 Kalkulus gigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K04.0 Pulpitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K04.1 Nekrosis pulpa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K04.4 Periodontitis apikalis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K04.5 Periodontitis apikalis kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K04.6 Perilpikal abses desimus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K04.7 Perilpikal abses tanpa keterlibatan sinus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K05.1 Gingintris Marginalis kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K05.2 Periodnitis marginalis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K05.3 Periodnitis marginalis kronis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K06.0 Resesi gusi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K06.1 Pembesaran gusi / gingival fibromatosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K06.8 Epulis giatcul epulis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K07 Anomali Dentofasial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K07.3 Crowding, diatema, displacemen, rotasi, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
spaling, transposisi
K07.5 Kebiasaan buruk / oral habit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K08.1 Kehilangan gigi akibat kecelakaan / avulasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
gigi
K.10.3 Dry Socket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K.11 Kelainan Kelenjar Lidah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K12.1 Stomatitis 6 10 6 3 2 9 21 2 0 0 0 0 0 0 0
K12.2 Abses Mulut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K12.3 Penyakit Bibir (Agular Cheilosis) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Peny.Esopagus,Lambung&Duodenum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K25 Ulkus / Tukak lambung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K29.7 Gastritis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K29.8 Duodenitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K29.9 Gastroduodenitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K30 Dispepsia (gangguan fungsi lambung) 227 69 638 28 257 80 255 254 0 0 0 0 0 0 0
K35.9 Apendicitis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K37 Appendicitis Lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K40 Hernia Inguinalis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K41 Hernia Femoral 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K42 Hernia Umbilical 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT KULIT DAN JARINGAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SUBKUTAN
L01 Impertigo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L02 Abses, furunkel dan karbunkel 44 41 127 17 33 37 121 32 0 0 0 0 0 0 0
L04 Limfedentis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L20 Dermatitis atopic 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
L21 Dermatitis seboroik 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0
L23 Dermatitis kontak 5 0 13 0 5 0 0 5 0 0 0 0 0 0 0
L30.0 Paronikia 67 59 194 24 68 59 188 67 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT SISTEM OTOT, TULANG, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DAN JARINGAN PENYAMBUNG
L50 Urtikaria 6 2 17 0 7 1 4 7 0 0 0 0 0 0 0
L91.0 Kelloid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M06.9 Rheumatoid Atritis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M67.4 Ganglion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M79.1 Mialgia 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0
M79.2 Nuralgia dan Neuritis 229 42 662 17 267 49 236 265 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYAKIT SISTEM PERKEMIHAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N00.9 Sindrom nefritis akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N02 Hematuria rekuren dan persisten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N03 Sindrom nefritik kronik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N04 Sindrom nefrotik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N17 Gagal ginjal akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N18.9 Gagal ginjal kronik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N20 Batu ginjal dan ureter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N21.1 Batu Saluran Kencing 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N23 Kolik ginjal yang tak ditentukan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N30 Sistitis 5 0 14 0 6 0 0 6 0 0 0 0 0 0 0
N39.9 Gangguan sistem kemih lainnya 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N40 Hipertrofi prostat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N41.0 Radang Prostat akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N41.1 Radang Prostat kronik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N.50.9 Odema unsepesific 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N75.8 Bartholintis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N92.6 Haid berlebih, sering dan teratur (Gangguan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
haid)
N94.6 Dismenore 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N95.2 Vaginitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KEHAMILAN, KELAHIRAN, MASA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NIFAS
O03.4 Abortus Spontan Inkomplit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O03.9 Abortus Spontan Komplit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O07.9 Abortus percobaan yang gagal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O15 Keracunan kehamilan ( Eklampsia ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O21.1 Hyperemesis Gravidarum (HEG) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JARINGAN PENYAMBUNG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O21.9 Muntah yang berlebihan dalam kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O24.9 Diabetes Melitus dalam kehamilan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O30.9 Kehamilan Ganda 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O42.9 Ketuban Pecah Dini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O44 Plasenta Previa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O45.9 Solusio Plasenta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O48 Kehamilan lewat waktu 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENYULIT KEHAMILAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O60 Persalinan Prematur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O63.9 Persalinan Lama 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O72 Perdarahan Post Partum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PERSALINAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O80.9 Persalinan Tunggal Spontan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O83.9 Persalinan Tunggal lainnya dengan bantuan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O84.0 Persalinan Ganda Spontan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
O91.2 Mastitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P07.1 Bayi lahir Prematur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KEL.SAL.NAFAS&KARDIO MASA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PNATAL
P20.9 Hipoksia Intrauterus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P21.9 Asfiksia waktu lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P22.9 Gawat (Distres) nafas bayi baru lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P24.9 Sindroma Aspirasi Bayi baru lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P29 Kelainan Kardiovaskuler berhub. dengan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
masa perinatal
P80.9 Hipotermi bayi baru lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
KELAINAN LAIN PADA MASA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PERINATAL
P90 Kejang pada bayi baru lahir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P95 Kematian janin tanpa sebab yang jelas / bayi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
lahir mati
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAIN - LAIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R00.0 Tachycardia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R00.1 Bradicardi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R02 Gangrene 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R04.0 Epistaksis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R06.1 Dyspnoea 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R11 Nausea and vomiting (Mual dan muntah) 0 1 0 3 1 0 0 1 0 0 0 0 0 0 0
R23.0 Sianosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R29.0 Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R33 Retensi Urine 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R34 Anuria and oliguri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R50.9 Febris / Demam 64 58 186 24 55 50 158 55 0 0 0 0 0 0 0
R56 Convulsion (Kejang demam) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R57.1 Syok Hipovolemik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
R63.0 Anorexia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
CEDERA, KERACUNAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S02.9 Trauma Kepala dan muka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S12.9 Fraktur Servikal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S42.0 Fraktur Klavikula 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S42.3 Fraktur humerus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S62 Fraktur di lengan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S63 Dislokasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S72.9 Fraktur femur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S82 Fraktur di kaki 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S00.9 Semua fraktur selain di atas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
T08 Fraktur Vetebra 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
T20.9 Luka Bakar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
T14.0 Hematoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
T14.1 Luka Terbuka 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
T63.0 Sengatan (bisa) ular 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
T63.2 Sengatan (bisa) kalajengking 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W53 Digigit Tikus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W54 Digigit Anjing 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W55 Digigit kucing (termasuk binatang menyusui) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W56 Digigit binatang laut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W57 Digigit Serangga 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
X20 Digigit Ular 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Y10 Keracunan Obat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1554 960 4490 390 1708 964 2504 1603 0 0 0 38 0 0 0
TOTAL
10 11 12 13 14
total
agustus september oktober november desember
L P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 45 18
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 567 245
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 5 0
0 0 0 0 0 0 0 0 0 22 6
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 27 17
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 45 17
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 15 4
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 151 47
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 27 10
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 100 48
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 2 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 19 10
0 0 0 0 0 0 0 0 0 70 35
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 248 205
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 3
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 25 6
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 3 2
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1394 475
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 4
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 2820 1255
0 0 0 0 0 0 0 0 0 0 27
0 0 0 0 0 0 0 0 0 177 62
0 0 0 0 0 0 0 0 0 18 9
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 144 45
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 44 17
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 35 25
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1377 431
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 325 128
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 2 0
0 0 0 0 0 0 0 0 0 22 5
0 0 0 0 0 0 0 0 0 516 209
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 34 11
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 8
0 0 0 0 0 0 0 0 0 1393 373
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 25 6
0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 4
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 463 186
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
KODE PUSKESMAS :
PUSKESMAS :
KECAMATAN :
KABUPATEN / KOTA :
PROVINSI :
NO JENIS PENYAKIT JUMLAH PENDERITA
1 2 3 4 5 6 7 8
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th 5 - 9 Th 10 - 14 Th
P L P L P L P L P L P L
A33 Tetanus neonatorum
J18.9 Pneumonia
A06.0 Disentri amuba 4 5 1 1
A03.9 Disentri Basiler
A00.9 Kolera
A09 Diare dan Gastroenteritis 5 9 26 19 6 6 3
P59.9 Ikterus bayi baru lahir oleh sebab yang belum jelas
P58.9 Ikterus bayi baru lahir karena hemolisis berlebihan
Q66 Talipes Equinovarus
B05.9 Campak/Morbili/Measles
A36.9 Diphtheria
B54 Malaria Klinis
B53.1 Malaria Plasmodium Simian
B53.0 Malaria Plasmodium Ovale
B52.9 Malaria Plasmodium Malariae
B51.9 Malaria Plasmodium Vivax
B50.9 Malaria Plasmodium Falciparum 1
A91 Demam Berdarah Dengue ( DHF ) 1 1
A01.0 Demam Typhoid
A04.9 Infeksi usus karena bakteri lainnya
A05.0 Keracunan Makanan
A05.9 Intoxikasi (keracunan) makanan
A08.4 Infeksi virus pada usus
PENYAKIT TUBERCULOSA 1 1
A15.0 TB Paru, BTA (+) tanpa biakan
A16.0 TB Paru, BTA (-) 3 1
A16 TB Paru Klinis
A17.0† TB Maningitis
A18 Tuberculosis pada organ lainnya
A19 TB Miliary
PENYAKIT BAKTERI LAINNYA

A30.0 Kusta i/T (MB)
A30.5 Kusta B/L (PB)
A35 Tetanus lainnya
A37.9 Batuk Rejan (Pertussis)
A39.9 Infeksi Meningokok
INFEKSI PENY. MENULAR KELAMIN

A53.9 Syphilis
A54.1 Ganococcal Bartholin`s gland abscess
A54.9 Infeksi Gonokok (Gonorhoe)
PENYAKIT SPIROKAETAL LAINNYA

A66.9 Frambusia / Patek
PENYAKIT VIRUS
A80 Poliomyelitis akut
A82 Rabies
A87 Meningitis Virus
A92.0 Penyakit virus Chikungunya
A95.9 Yellow fever / demam kuning
INF VIRUS KULIT& LESI MEMBRAN

B00.1 MUKOSA
Infeksi herpes virus [herpes simplex]
B01.9 Cacar Air / Varicella [chickenpox] 2 1 2
B02.9 Zoster [herpes zoster]
B06.9 Rubella [Campak German] 1 1 1
HEPATITIS VIRUS
B15.9 Hepatitis A akut
B16.9 Hepatitis B akut
B17 Hepatitis virus akut lainnya
B18.9 Hepatitis virus kronik
PENYAKIT VIRUS LAINNYA

B24 Human Immunodeficiency Virus ( HIV )
B26 Penyakit Gondok (Mumps)
MYCOSES
B35.9 Dermatophytosis
B36.0 Pityriasis versicolor
B37.0 Candidal stomatitis
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis (Cacing Gelang)
B79 Trichuriasis (Cacing Cambuk)
Pedikulosis,Askaris &Infeksi Lainnya

B86 Scabies 1 9 6 2 3 1 1
B87.9 Myiasis
B89 Penyakit parasit lainnya
NEOPLASMA
C18.9 Tumor ganas pada usus besar (colon)
C50.9 Tumor ganas payudara
C51.9 Tumor ganas pada vulva
C52 Tumor ganas pada vagina
C53.9 Tumor ganas leher rahim
C60.9 Tumor ganas pada penis
C61 Tumor ganas prostat
C76 Tumor ganas buli - buli
C76.2 Tumor pada abdomen
D17 Lipoma
D50.9 Fibroadenoma mammae (FAM)
D56.9 Thalassaemia
ANEMIA
D50.9 Anemia defisiensi besi
D56.9 Thalassaemia
D64.9 Anaemia 1
PENYAKIT ENDOKRIN & NUTRISI

E03.9 Hypotiroid (Struma)
E05.9 Hypertiroid (Thyrotoxicosis)
E06.9 Thyroiditis
E10 Diabetes Mellitus Tergantung Insulin (IDDM)
E11 Diabetes Mellitus Tidak Tergantung Insulin (NIDDM)
KURANG GIZI
E40 Kwashiorkor
E41 Nutritional marasmus
E42 Marasmus Kwashiorkor
E44 Gizi Kurang
GANGGUAN METABOLISME
F78.0 Hyperkolesterol
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit Jiwa (Schizophrenia)
F23.9 Gangguian Psikotik
F41.9 Gangguan cemas
F44.0 Amnesia
F44.2 Pingsan (stupor)
F45.0 Psychosomatic
F48.9 Gangguan Neurotic
F60.0 Gangguan paranoid
F79 Retardasi Mental
F99 Gangguan Mental
H93.1 Tinnitus
PENYAKIT SUSUNAN SYARAF

G03.9 Meningitis
G04.9 Encephalitis, myelitis dan encephalomyelitis
G20 Penyakit Parkinson`s
G30.9 Penyakit Alzheimer`s
G40.9 Epilepsi
G43.9 Migraine 1 1
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s palsy
G81.9 Hemiplegia
G82.2 Paraplegia
G83.9 Paralytic syndrome
G91.0 Hydrocephalus
PENYAKIT MATA DAN ADNEKSA

H00.0 Hordeolum
H10.9 Conjunctivitis 1 2 4 6 5 15 4 1
H11.0 Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52 Kelainan Refraksi
H52.0 Hypermetropia
H52.1 Myopia
H52.4 Presbyopia
H53.0 Buta Warna
H53.2 Diplopia
PENYAKIT PD TELINGA & MASTOID

H60.9 Otitis Externa
H83.0 Otitis Interna
H61.2 Impacted Serumen
H66.4 Otitis Media Purulen (OMP)
H66.9 Otitis Media Akut (OMA)
H70.0 Mastoiditis Akut
H70.1 Mastoiditis kronis
H81.9 Vertigo
H90 Gangguan Pendengaran
PENYAKIT SISTEM SIRKULASI

I10 Hypertensi
I20.9 Angina Pectoris
I21.9 Infark miokard
I30.9 Pericarditis akut
I40.9 Miokarditis akut
I42.9 Cardiomyopathy
I46.9 Cardiac Arrest
151.6 Decompensation Cardiovasculer (gagal jantung)
I64 Stroke
I84 Haemorrhoids
195.9 Hypotensi
PENYAKIT SISTEM PERNAFASAN

Infeksi Akut pd Saluran Pernafasan
J00 Bagian Atas Akut (Common Cold)
Nasopharyngitis 52 53 85 134 95 75 32 26
J01.9 Sinusitis akut
J02.9 Pharyngitis akut 7 1
J03.9 Tonsilitis akut 1 2
J04.0 Laryngitis akut
J04.1 Tracheitis akut
J05.1 Epiglottitis akut
Influenza dan Pneumonia

J11.8 Influenza 1 2 4 4 2
Inf Akut lain Sal.Pernafasan

J20.9 BagB awah
Bronkhitis akut
J21.9 Bronchiolitis akut
Penyakit Saluran Pernafasan lainnya
J31.0 Rhinitis kronis
J32.9 Sinusitis kronis
J33.9 Nasal polip
J35.0 Tonsilitis kronis
J37.0 Laryngitis kronis
Penyakit Saluran Pernafasan Bawah

J42 Kronik
Bronkhitis kronis
J44 PPOK
J45.9 Asthma Bronchiale 1 1 1 2 1
J46 Status Asthmaticus
PENYAKIT GIGI DAN MULUT

K00 Gangguan dan Perkembangan dan Erupsi gigi
K01.1 Impaksi gigi
K02.0 Karies email (IF)
K02.9 Karies Gigi
K03 Atrisi Gigi
K03.1 Abrasi Gigi
K03.2 Erosi Gigi
K03.4 Hipersementosis
K03.5 Ankylosis gigi
K03.6 Kalkulus gigi
K04.0 Pulpitis
K04.1 Nekrosis pulpa
K04.4 Periodontitis apikalis akut
K04.5 Periodontitis apikalis kronis
K04.6 Perilpikal abses desimus
K04.7 Perilpikal abses tanpa keterlibatan sinus
K05.1 Gingintris Marginalis kronis
K05.2 Periodnitis marginalis akut
K05.3 Periodnitis marginalis kronis
K06.0 Resesi gusi
K06.1 Pembesaran gusi / gingival fibromatosis
K06.8 Epulis giatcul epulis
K07 Anomali Dentofasial
K07.3 Crowding, diatema, displacemen, rotasi, spaling,
K07.5 transposisi
Kebiasaan buruk / oral habit
K08.1 Kehilangan gigi akibat kecelakaan / avulasi gigi
K.10.3 Dry Socket
K.11 Kelainan Kelenjar Lidah
K12.1 Stomatitis 2 1
K12.2 Abses Mulut
K12.3 Penyakit Bibir (Agular Cheilosis)
Peny.Esopagus,Lambung&Duodenum
K25 Ulkus / Tukak lambung
K29.7 Gastritis
K29.8 Duodenitis
K29.9 Gastroduodenitis
K30 Dispepsia (gangguan fungsi lambung) 1 1 5 5 7 8
K35.9 Apendicitis akut
K37 Appendicitis Lainnya
K40 Hernia Inguinalis
K41 Hernia Femoral
K42 Hernia Umbilical
PENYAKIT KULIT DAN JARINGAN

L01 SUBKUTAN
Impertigo
L02 Abses, furunkel dan karbunkel 3 16 10 9 11 7 10
L04 Limfedentis
L20 Dermatitis atopic
L21 Dermatitis seboroik 1
L23 Dermatitis kontak
1
L30.0 Paronikia 2 7 9 9 6 13 3 1
PENYAKIT SISTEM OTOT, TULANG, DAN

L50 JARINGAN
Urtikaria PENYAMBUNG 1
L91.0 Kelloid
M06.9 Rheumatoid Atritis
M67.4 Ganglion
M79.1 Mialgia
M79.2 Nuralgia dan Neuritis 1
PENYAKIT SISTEM PERKEMIHAN

N00.9 Sindrom nefritis akut
N02 Hematuria rekuren dan persisten
N03 Sindrom nefritik kronik
N04 Sindrom nefrotik
N17 Gagal ginjal akut
N18.9 Gagal ginjal kronik
N20 Batu ginjal dan ureter
N21.1 Batu Saluran Kencing
N23 Kolik ginjal yang tak ditentukan
N30 Sistitis
N39.9 Gangguan sistem kemih lainnya
N40 Hipertrofi prostat
N41.0 Radang Prostat akut
N41.1 Radang Prostat kronik
N.50.9 Odema unsepesific
N75.8 Bartholintis
N92.6 Haid berlebih, sering dan teratur (Gangguan haid)
N94.6 Dismenore
N95.2 Vaginitis
KEHAMILAN, KELAHIRAN, MASA NIFAS

O03.4 Abortus Spontan Inkomplit
O03.9 Abortus Spontan Komplit
O07.9 Abortus percobaan yang gagal
O15 Keracunan kehamilan ( Eklampsia )
O21.1 Hyperemesis Gravidarum (HEG)
JARINGAN PENYAMBUNG
O21.9 Muntah yang berlebihan dalam kehamilan
O24.9 Diabetes Melitus dalam kehamilan
O30.9 Kehamilan Ganda
O42.9 Ketuban Pecah Dini
O44 Plasenta Previa
O45.9 Solusio Plasenta
O48 Kehamilan lewat waktu
PENYULIT KEHAMILAN
O60 Persalinan Prematur
O63.9 Persalinan Lama
O72 Perdarahan Post Partum
PERSALINAN
O80.9 Persalinan Tunggal Spontan
O83.9 Persalinan Tunggal lainnya dengan bantuan
O84.0 Persalinan Ganda Spontan
O91.2 Mastitis
P07.1 Bayi lahir Prematur

KEL.SAL.NAFAS&KARDIO MASA PNATAL
P20.9 Hipoksia Intrauterus
P21.9 Asfiksia waktu lahir
P22.9 Gawat (Distres) nafas bayi baru lahir
P24.9 Sindroma Aspirasi Bayi baru lahir
P29 Kelainan Kardiovaskuler berhub. dengan masa perinatal
P80.9 Hipotermi bayi baru lahir
KELAINAN LAIN PADA MASA PERINATAL
P90 Kejang pada bayi baru lahir
P95 Kematian janin tanpa sebab yang jelas / bayi lahir mati
LAIN - LAIN
R00.0 Tachycardia
R00.1 Bradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
R11 Nausea and vomiting (Mual dan muntah) 1 1
R23.0 Sianosis
R29.0 Tetanus
R33 Retensi Urine
R34 Anuria and oliguri
R50.9 Febris / Demam 1 4 17 17 14 11 7 8
R56 Convulsion (Kejang demam)
R57.1 Syok Hipovolemik
R63.0 Anorexia
CEDERA, KERACUNAN
S02.9 Trauma Kepala dan muka
S12.9 Fraktur Servikal
S42.0 Fraktur Klavikula
S42.3 Fraktur humerus
S62 Fraktur di lengan
S63 Dislokasi
S72.9 Fraktur femur
S82 Fraktur di kaki
S00.9 Semua fraktur selain di atas
T08 Fraktur Vetebra
T20.9 Luka Bakar
T14.0 Hematoma
T14.1 Luka Terbuka
T63.0 Sengatan (bisa) ular
T63.2 Sengatan (bisa) kalajengking
W53 Digigit Tikus
W54 Digigit Anjing
W55 Digigit kucing (termasuk binatang menyusui)
W56 Digigit binatang laut
W57 Digigit Serangga
X20 Digigit Ular
Y10 Keracunan Obat
0 0 0 0 64 81 185 218 147 149 74 61
Mengetahui
nama kapus
NIP. .........................................................
A BOGOR
a Bogor

BULAN : JANUARI
TAHUN :
SAKITAN ICDX
JUMLAH PENDERITA TOTAL
9 10 11 12 13 14
15
15 - 19 Th 20 - 44 Th 45 - 54 Th 55 - 59 Th 60 - 69 Th > 70 Th
P L P L P L P L P L P L B L
0 0
0 0
2 1 8 6
0 0
0 0
4 2 3 8 2 3 1 3 2 2 1 52 53
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 2 0
2 3 1
0 0
0 0
0 0
0 0
0 0
0 0
1 2 1 3 5
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 2 1 6 4
0 0
1 3 1
0 0
0 0
0 0
0 0
0 0
0 0
1 8 13 1 1 0
0 0
0 0
0 0
0 0
0 0
0
0 0
0 0
7 3 5 2 27 13
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1 0
0 0
0 0
0 0
0 0
3 4 0
0 0
0 0
0 0
0 0
1 1 3 6 3 3 4 2 2 2 12 15
0 0
0 0
0 0
0 0
0 0
0 0
1 1 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 0 2
3 6 1 4 8
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
8 6 3 2 2 1 1 2 1 1 26 39
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 2 1 5 0
0 0
0 0
0 0
0 0
0 0
1 1 0 2
0 0
0 0
0 0
0 0
0 0
0 0
49 13 50 12 32 4 61 20 34 20 226 69
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
24 26 125 77 23 17 11 9 17 4 8 2 472 423
0 0
5 5 1 7 8 1 3 1 26 13
1 1 2 3
0 0
0 0
0 0
1 2 9 7 18
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 2 1 1 9 3
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 1 1 6 2 1 6 10
0 0
0 0
0 0
0 0
0 0
0 0
23 7 124 26 37 11 13 5 14 5 3 1 227 69
0 0
0 0
0 0
0 0
0 0
0 0
1 8 3 2 1 3 1 44 41
0 0
0 0
1 0
4 5 0
3 6 24 6 9 6 2 6 5 4 4 1 67 59
0 0
5 1 1 6 2
0 0
0 0
0 0
0 0
2 95 18 59 14 19 3 45 2 8 5 229 42
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
4 1 5 0
1 1 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 1
0 0
0 0
0 0
0 0
6 3 11 11 5 3 3 1 64 58
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
87 69 488 181 226 76 87 40 159 51 63 35 1554 960
Bogor, ......................................................
Pelapor
DIN
JL
KODE PUSKESMAS :
PUSKESMAS :
KECAMATAN :
KABUPATEN / KOTA :
PROVINSI :
LAPORA
NO JENIS PENYAKIT
1 2 3 4 5 6
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th
P L P L P L P
A33 Tetanus
J18.9 neonatoru
Pneumonia
m
A06.0 Disentri 12
A03.9 amuba
Disentri
A00.9 Basiler
Kolera
A09 Diare dan 14 4 75
P59.9 Gastroente
Ikterus
ritis
bayi baru
P58.9 Ikterus
lahir
bayi oleh
baru
Q66 Talipes
sebab Equinovarus
lahir yang
B05.9 belum
Campak/M
karena
A36.9 jelas
orbili/Mea
hemolisis
Diphtheria
sles
berlebihan
B54 Malaria
B53.1 Klinis
Malaria
B53.0 Plasmodiu
Malaria
m Simian
Plasmodiu
B52.9 Malaria
m Ovale
Plasmodiu
B51.9 Malaria
m
Plasmodiu
B50.9 Malaria
Malariae
m Vivax
Plasmodiu
A91 Demam 3
m
Berdarah
A01.0 Demam
Falciparu
Dengue
Typhoid
A04.9 m
Infeksi
( DHF )
A05.0 usus
Keracunan
karena
Makanan
A05.9 Intoxikasi
bakteri
A08.4 (keracunan
lainnya
Infeksi
)virus
makanan
pada
usus
PENYAKIT TUBERCULOSA
A15.0 TB Paru,
A16.0 BTA (+)
TB Paru,
tanpa
BTA (-)
A16 TB Paru
biakan
Klinis
TB
A17.0†
A18 Maningitis
Tuberculos
A19 is
TBpada
organ
Miliary
lainnya
A30.0 Kusta i/T
(MB)
A30.5 Kusta B/L
A35 (PB)
Tetanus
A37.9 lainnya
Batuk
A39.9 Rejan
Infeksi
(Pertussis)
Meningok
ok
A53.9 Syphilis
A54.1 Ganococca
A54.9 l
Infeksi
Bartholin`s
Gonokok
gland
(Gonorhoe
abscess
PENYAKIT
) SPIROKAETAL LAINNYA
A66.9 Frambusia
/ Patek
PENYAKIT VIRUS
A80 Poliomyeli
A82 tis akut
Rabies
A87 Meningitis
A92.0 Virus
Penyakit
A95.9 virus
Yellow
Chikungun
fever /
ya
demam
INF
kuning
B00.1 VIRUS
Infeksi
KULIT&
herpes
B01.9 Cacar
LESI Air / 1 3
virus
Varicella
B02.9 MEMBR
Zoster
[herpes
[chickenpo
AN
[herpes
B06.9 simplex]
Rubella
x] 3 0
MUKOSA
zoster]
[Campak
German]
HEPATITIS VIRUS
B15.9 Hepatitis A
B16.9 akut
Hepatitis
B17 B akut
Hepatitis
B18.9 virus akut
Hepatitis
lainnya
virus
kronik
PENYAKI
B24 T VIRUS
Human
LAINNY
Immunode
B26 Penyakit
A
ficiency
Gondok
Virus
(Mumps)
(MYCOSES
HIV )
B35.9 Dermatoph
B36.0 ytosis
Pityriasis
B37.0 versicolor
Candidal
stomatitis
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis
B79 (Cacing
Trichuriasi
Gelang)
s (Cacing
Cambuk)
Pedikulo
B86 sis,Askar
Scabies 0 0 26
is
B87.9 Myiasis
&Infeksi
B89 Lainnya
Penyakit
parasit
lainnya
NEOPLASMA
C18.9 Tumor
C50.9 ganas pada
Tumor
usus
ganas besar
C51.9 Tumor
(colon)
payudara
ganas
C52 Tumorpada
vulva
ganas
C53.9 Tumorpada
vagina
ganas leher
C60.9 Tumor
rahim
ganas
C61 Tumorpada
penis
ganas
C76 Tumor
prostat
ganas
C76.2 Tumorbuli
- buli
pada
D17 Lipoma
abdomen
D50.9 Fibroaden
D56.9 oma
Thalassae
mammae
mia
(FAM)
ANEMIA
D50.9 Anemia
D56.9 defisiensi
Thalassae
besi
mia
D64.9 Anaemia

E03.9 Hypotiroid
E05.9 (Struma)
Hypertiroi
E06.9 dThyroiditis
(Thyrotoxi
E10 Diabetes
cosis)
E11 Mellitus
Diabetes
Tergantung
Mellitus
Insulin
Tidak
(IDDM)
KURANG
Tergantung GIZI
E40 Insulin
Kwashiork
E41 (NIDDM)
or
Nutritional
E42 marasmus
Marasmus
E44 Kwashiork
Gizi Kurang
or
F78.0 Hyperkole
sterol
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit
F23.9 Jiwa
Gangguian
(Schizophr
Psikotik
F41.9 Gangguan
enia)
F44.0 cemas
Amnesia
F44.2 Pingsan
(stupor)
F45.0 Psychoso
F48.9 matic
Gangguan
F60.0 Neurotic
Gangguan
F79 paranoid
Retardasi
F99 Mental
Gangguan
H93.1 Mental
Tinnitus

G03.9 Meningitis
G04.9 Encephalit
G20 is, myelitis
Penyakit
dan
Parkinson`
G30.9 Penyakit
encephalo
sAlzheimer
G40.9 myelitis
Epilepsi
`s
G43.9 Migraine
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s
G81.9 palsy
Hemiplegi
G82.2 aParaplegia
G83.9 Paralytic
G91.0 syndrome
Hydroceph
alus
H00.0 Hordeolu
H10.9 m
Conjunctiv 3 1 12
H11.0 itis
Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52 Kelainan
H52.0 Refraksi
Hypermetr
H52.1 opia
Myopia
H52.4 Presbyopia
H53.0 Buta
H53.2 Warna
Diplopia

H60.9 Otitis
H83.0 Externa
Otitis
H61.2 Interna
Impacted
H66.4 Serumen
Otitis
H66.9 Media
Otitis
Purulen
Media
H70.0 Mastoiditis
(OMP)
Akut
Akut
H70.1 Mastoiditis
(OMA)
H81.9 kronis
Vertigo
H90 Gangguan
Pendengar
an
I10 Hypertensi
I20.9 Angina
I21.9 Pectoris
Infark
I30.9 miokard
Pericarditi
I40.9 sMiokarditi
akut
I42.9 sCardiomyo
akut
I46.9 pathy
Cardiac
151.6 Arrest
Decompen
I64 sation
Stroke
Cardiovasc
I84 Haemorrh
uler (gagal
195.9 oids
jantung)
Hypotensi

Infeksi
J00 Akut pd
Nasophary 22 398
Saluran
ngitis Akut
J01.9 Sinusitis
Pernafas
(Common
akut
J02.9 an
Pharyngiti
Cold)
J03.9 Bagian
sTonsilitis
akut
1
Atas
akut
J04.0 Laryngitis
J04.1 akut
Tracheitis
J05.1 akut
Epiglottitis
akut
J11.8 Influenza 3 1 12
Inf Akut
J20.9 lain
Bronkhitis
Sal.Pern
akut
J21.9 Bronchioli
afasan
tis
BagBakut
awah
J31.0 Rhinitis
J32.9 kronis
Sinusitis
J33.9 kronis
Nasal
J35.0 polip
Tonsilitis
J37.0 kronis
Laryngitis
kronis
Penyakit
J42 Saluran
Bronkhitis
Pernafas
kronis
J44 PPOK
an
J45.9 Bawah
Asthma 3
J46 Kronik
Bronchiale
Status
Asthmatic
us
K00 Gangguan
K01.1 dan
Impaksi
Perkemban
gigi
K02.0 Karies
gan dan
K02.9 email
Erupsi(IF)
Karies gigi
Gigi
K03 Atrisi
K03.1 Gigi
Abrasi
K03.2 Gigi
Erosi
K03.4 Gigi
Hiperseme
K03.5 ntosis
Ankylosis
K03.6 gigi
Kalkulus
K04.0 gigi
Pulpitis
K04.1 Nekrosis
K04.4 pulpa
Periodontit
K04.5 is apikalis
Periodontit
akut
is apikalis
K04.6 Perilpikal
kronis
abses
K04.7 Perilpikal
desimus
abses
K05.1 Gingintris
tanpa
Marginalis
K05.2 Periodnitis
keterlibata
kronis
marginalis
K05.3 n sinus
Periodnitis
akut
marginalis
K06.0 Resesi
kronis
gusi
K06.1 Pembesara
K06.8 nEpulis
gusi /
gingival
giatcul
K07 Anomali
fibromatos
epulis
Dentofasia
K07.3 is
Crowding,
l
diatema,
K07.5 Kebiasaan
displaceme
buruk /
K08.1 Kehilanga
n, rotasi,
oral habit
nspaling,
gigi
K.10.3 Dry Socket
akibat
transposisi
K.11 Kelainan
kecelakaan
K12.1 Kelenjar
/Stomatitis
avulasi
Lidah
gigi
K12.2 Abses
K12.3 Mulut
Penyakit Bibir (Agular Cheilosis)
Peny.Eso
K25 pagus,La
Ulkus /
mbung&
Tukak
K29.7 Gastritis
Duodenu
lambung
K29.8 m
Duodenitis
K29.9 Gastroduo
K30 denitis
Dispepsia 3
K35.9 (gangguan
Apendiciti
fungsi
sAppendicit
akut
K37 lambung)
K40 is Lainnya
Hernia
K41 Inguinalis
Hernia
K42 Femoral
Hernia
Umbilical
PENYAKI
L01 T KULIT
Impertigo
DAN
L02 Abses,
JARINGA 1 46
L04 furunkel
N
Limfedenti
dan
sDermatitis
L20 karbunkel
SUBKUT
atopic
L21 Dermatitis
AN
L23 seboroik
Dermatitis 1
L30.0 kontak
Paronikia 6 3 26
PENYAKI
L50 T
Urtikaria
SISTEM
L91.0 Kelloid
OTOT,
M06.9 TULANG,
Rheumatoi
M67.4 dDAN Atritis
Ganglion
JARINGA
M79.1 Mialgia
N
M79.2 PENYAM
Nuralgia
BUNG
dan
Neuritis
N00.9 Sindrom
N02 nefritis
Hematuria
akut
rekuren
N03 Sindrom
dan
nefritik
N04 Sindrom
persisten
kronik
nefrotik
N17 Gagal
N18.9 ginjal
Gagal akut
N20 ginjal
Batu ginjal
kronik
dan
N21.1 Batuureter
N23 Saluran
Kolik
Kencing
ginjal
N30 Sistitisyang
tak
N39.9 Gangguan
ditentukan
N40 sistem
Hipertrofi
kemih
prostat
N41.0 Radang
lainnya
N41.1 Prostat
Radang
akut
Prostat
N.50.9 Odema
kronik
unsepesific
N75.8 Bartholinti
N92.6 sHaid
N94.6 berlebih,
Dismenore
sering dan
N95.2 Vaginitis
teratur
(Gangguan
haid)
KEHAMI
O03.4 LAN,
Abortus Spontan Inkomplit
KELAHIR
O03.9 Abortus
AN,
O07.9 Spontan
MASA
Abortus
Komplit
NIFAS
percobaan
O15 Keracunan
yang gagal
kehamilan
O21.1 Hypereme
( Eklampsi
sis
aGravidaru
)
JARINGA
m (HEG)
O21.9 N
Muntah
PENYAM
yang
O24.9 Diabetes
BUNG
berlebihan
Melitus
O30.9 Kehamilan
dalam
dalam
Ganda
O42.9 kehamilan
Ketuban
kehamilan
O44 Pecah Dini
Plasenta
O45.9 Previa
Solusio
O48 Plasenta
Kehamilan
lewat
waktu
PENYULIT KEHAMILAN
O60 Persalinan
Prematur
O63.9 Persalinan
O72 Lama
Perdarahan
Post
Partum
PERSALINAN
O80.9 Persalinan
O83.9 Tunggal
Persalinan
Spontan
Tunggal
O84.0 Persalinan
lainnya
Ganda
O91.2 Mastitis
dengan
Spontan
P07.1 bantuan
Bayi lahir
Prematur
KEL.SAL
P20.9 .NAFAS&
Hipoksia
KARDIO
Intrauterus
P21.9 Asfiksia
MASA
P22.9 waktu
PNATAL
Gawat
lahir
(Distres)
P24.9 Sindroma
nafas bayi
Aspirasi
P29 Kelainan
baru lahir
Bayi baru
Kardiovas
P80.9 Hipotermi
lahir
kuler
bayi baru
berhub.
lahir
dengan
KELAINA
P90 masa
N LAIN
Kejang
perinatal
PADA
pada bayi
P95 Kematian
MASA
baru
janin lahir
tanpa
PERINAT
sebab
AL yang
LAIN - LAIN
jelas / bayi
R00.0 lahir mati
Tachycardi
R00.1 aBradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
R11 Nausea 3
R23.0 and
Sianosis
vomiting
R29.0 Tetanus
(Mual dan
R33 muntah)
Retensi
R34 Urine
Anuria
R50.9 and
Febris / 3 2 49
oliguri
Demam
R56 Convulsio
R57.1 nSyok
(Kejang
demam)
Hipovolem
R63.0 Anorexia
ik
CEDERA, KERACUNAN
S02.9 Trauma
S12.9 Kepala
Fraktur dan
muka
Servikal
S42.0 Fraktur
S42.3 Klavikula
Fraktur
S62 humerus
Fraktur di
S63 lengan
Dislokasi
S72.9 Fraktur
S82 femur
Fraktur di
S00.9 kaki
Semua
fraktur
selain di
atas
T08 Fraktur
T20.9 Vetebra
Luka
T14.0 Bakar
Hematoma
T14.1 Luka
T63.0 Terbuka
Sengatan
T63.2 (bisa) ular
Sengatan
W53 (bisa)
Digigit
kalajengki
Tikus
W54 Digigit
ng
W55 Anjing
Digigit
W56 kucing
Digigit
(termasuk
binatang
W57 Digigit
binatang
laut
Serangga
X20 menyusui)
Digigit
Y10 Ular
Keracunan
Obat
0 0 0 0 32 33 671
Mengetahui
nama kapus
NIP. .........................................................

JUMLAH PENDERITA
6 7 8 9 10 11 12
1 - 4 Th 5 - 9 Th 10 - 14 Th 15 - 19 Th 20 - 44 Th 45 - 54 Th 55 - 59 Th
L P L P L P L P L P L P
2 3 0 6 0 3
8 17 2 1 12 1 9 3 6 1 3
3 3 6
3 1 1 2 1
0 6 1 1 6 0
3 0 3
3 0 23 0 33 0 3
2 6 1 3 0 20 1 14 0 6
1 12
0 0 0 9 2 9
1
2
0 1 9 2 1
2 14 6 12 0 1 3 17 1 6 1 3
6 0 6 0 3
1 1 1
142 5 144 5 92
54 274 30 92 11 69 11 361 31 66 7 32
20 0 14 2 3 3 23 0 3
1 0 0 3 0
2 1 0 6 0
0 0 0 6 0 6 0 6
3 0 0 3 0
0 14 2 3 3 66 3 358 11 107 4 38
4 26 4 20 4 3 23 1 6 0 0
0 1
12
4 17 5 9 0 9 2 69 2 26 2 6
0 14 0 3 0
3 0 6 0 274 7 170 6 55
12 0 3
3
7 40 4 20 3 17 1 32 4 13 1
90 426 60 195 24 238 27 1411 76 644 30 249
Bogor, ........................
Pelap
BULAN : Febuari
TAHUN :
TOTAL
12 13 14
15
55 - 59 Th 60 - 69 Th > 70 Th
L P L P L B L
0 0
0 0
23 2
0 0
0 0
0 9 1 6 0 150 21
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 0
14 0
0 0
0 0
0 0
0 0
0 0
0 0
3 5
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
15 2
0 0
9 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3 64 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
76 5
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
13 0
0 0
0 0
0 0
0 0
1 12 1 6 1 35 5
0 0
0 0
0 0
0 0
0 0
0 0
1 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 2
11 4
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6 0 3 76 15
0 0
0 0
0 0
0 0
0 0
0 0
0 0
14 0
0 0
0 0
0 0
0 0
0 0
3 0
0 0
0 0
0 0
0 0
0 0
0 0
2 171 8 88 5 638 25
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
4 49 2 23 1 1365 172
0 0
0 9 0 0 73 5
4 1
0 0
0 0
0 0
4 20 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 21 2
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1 1 6 3
0 0
0 0
0 0
0 0
0 0
0 0
2 40 2 9 0 638 28
0 0
0 0
0 0
0 0
0 0
0 0
1 3 127 17
0 0
0 0
1 0
13 0
2 14 2 12 0 194 24
0 0
17 0
0 0
0 0
0 0
0 0
1 130 1 23 2 662 17
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
14 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3
0 0
0 0
0 0
0 0
11 0 186 24
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
14 457 20 170 12 4490 390
Bogor, ......................................................
Pelapor
255
DIN
JL
KODE PUSKESMAS :
PUSKESMAS :
KECAMATAN :
KABUPATEN / KOTA :
PROVINSI :
LAPORA
NO JENIS PENYAKIT
1 2 3 4 5 6
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th
P L P L P L P
A33 Tetanus
J18.9 neonatoru
Pneumonia
m
A06.0 Disentri 5
A03.9 amuba
Disentri
A00.9 Basiler
Kolera
A09 Diare dan 12 8 32
P59.9 Gastroente
Ikterus
ritis
bayi baru
P58.9 Ikterus
lahir
bayi oleh
baru
Q66 Talipes
sebab Equinovarus
lahir yang
B05.9 belum
Campak/M
karena
A36.9 jelas
orbili/Mea
hemolisis
Diphtheria
sles
berlebihan
B54 Malaria
B53.1 Klinis
Malaria
B53.0 Plasmodiu
Malaria
m Simian
Plasmodiu
B52.9 Malaria
m Ovale
Plasmodiu
B51.9 Malaria
m
Plasmodiu
B50.9 Malaria
Malariae
m Vivax
Plasmodiu
A91 Demam
m
Berdarah
A01.0 Demam
Falciparu
Dengue
Typhoid
A04.9 m
Infeksi
( DHF )
A05.0 usus
Keracunan
karena
Makanan
A05.9 Intoxikasi
bakteri
A08.4 (keracunan
lainnya
Infeksi
)virus
makanan
pada
usus
A15.0 TB Paru,
A16.0 BTA (+)
TB Paru,
tanpa(-)
BTA
A16 TB Paru
biakan
Klinis
TB
A17.0†
A18 Maningitis
Tuberculos
A19 is
TBpada
organ
Miliary
lainnya
A30.0 Kusta i/T
(MB)
A30.5 Kusta B/L
A35 (PB)
Tetanus
A37.9 lainnya
Batuk
A39.9 Rejan
Infeksi
(Pertussis)
Meningok
ok
A53.9 Syphilis
A54.1 Ganococca
A54.9 l
Infeksi
Bartholin`s
Gonokok
gland
(Gonorhoe
abscess
PENYAKIT
A66.9 Frambusia
/ Patek
PENYAKIT VIRUS
A80 Poliomyeli
A82 tis akut
Rabies
A87 Meningitis
A92.0 Virus
Penyakit
A95.9 virus
Yellow
Chikungun
fever /
ya
demam
INF
kuning
B00.1 VIRUS
Infeksi
KULIT&
herpes
B01.9 Cacar
LESI Air / 2
virus
Varicella
B02.9 MEMBR
Zoster
[herpes
[chickenpo
AN
[herpes
B06.9 simplex]
Rubella
x] 1
MUKOSA
zoster]
[Campak
German]
HEPATITIS VIRUS
B15.9 Hepatitis A
B16.9 akut
Hepatitis
B17 B akut
Hepatitis
B18.9 virus akut
Hepatitis
lainnya
virus
kronik
PENYAKI
B24 T VIRUS
Human
LAINNY
Immunode
B26 Penyakit
A
ficiency
Gondok
Virus
(Mumps)
(MYCOSES
HIV )
B35.9 Dermatoph
B36.0 ytosis
Pityriasis
B37.0 versicolor
Candidal
stomatitis
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis
B79 (Cacing
Trichuriasi
Gelang)
s (Cacing
Cambuk)
Pedikulo
B86 sis,Askar
Scabies
is
B87.9 Myiasis
&Infeksi
B89 Lainnya
Penyakit
parasit
lainnya
NEOPLASMA
C18.9 Tumor
C50.9 ganas pada
Tumor
usus
ganas besar
C51.9 Tumor
(colon)
payudara
ganas
C52 Tumorpada
vulva
ganas
C53.9 Tumorpada
vagina
ganas leher
C60.9 Tumor
rahim
ganas
C61 Tumorpada
penis
ganas
C76 Tumor
prostat
ganas
C76.2 Tumorbuli
- buli
pada
D17 Lipoma
abdomen
D50.9 Fibroaden
D56.9 oma
Thalassae
mammae
mia
(FAM)
ANEMIA
D50.9 Anemia
D56.9 defisiensi
Thalassae
besi
mia
D64.9 Anaemia

E03.9 Hypotiroid
E05.9 (Struma)
Hypertiroi
E06.9 dThyroiditis
(Thyrotoxi
E10 Diabetes
cosis)
E11 Mellitus
Diabetes
Tergantung
Mellitus
Insulin
Tidak
(IDDM)
KURANG
Tergantung GIZI
E40 Insulin
Kwashiork
E41 (NIDDM)
or
Nutritional
E42 marasmus
Marasmus
E44 Kwashiork
Gizi Kurang
or
F78.0 Hyperkole
sterol
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit
F23.9 Jiwa
Gangguian
(Schizophr
Psikotik
F41.9 Gangguan
enia)
F44.0 cemas
Amnesia
F44.2 Pingsan
(stupor)
F45.0 Psychoso
F48.9 matic
Gangguan
F60.0 Neurotic
Gangguan
F79 paranoid
Retardasi
F99 Mental
Gangguan
H93.1 Mental
Tinnitus

G03.9 Meningitis
G04.9 Encephalit
G20 is, myelitis
Penyakit
dan
Parkinson`
G30.9 Penyakit
encephalo
sAlzheimer
G40.9 myelitis
Epilepsi
`s
G43.9 Migraine
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s
G81.9 palsy
Hemiplegi
G82.2 aParaplegia
G83.9 Paralytic
G91.0 syndrome
Hydroceph
alus
H00.0 Hordeolu
H10.9 m
Conjunctiv 1 2
H11.0 itis
Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52 Kelainan
H52.0 Refraksi
Hypermetr
H52.1 opia
Myopia
H52.4 Presbyopia
H53.0 Buta
H53.2 Warna
Diplopia

H60.9 Otitis
H83.0 Externa
Otitis
H61.2 Interna
Impacted
H66.4 Serumen
Otitis
H66.9 Media
Otitis
Purulen
Media
H70.0 Mastoiditis
(OMP)
Akut
Akut
H70.1 Mastoiditis
(OMA)
H81.9 kronis
Vertigo
H90 Gangguan
Pendengar
an
I10 Hypertensi
I20.9 Angina
I21.9 Pectoris
Infark
I30.9 miokard
Pericarditi
I40.9 sMiokarditi
akut
I42.9 sCardiomyo
akut
I46.9 pathy
Cardiac
151.6 Arrest
Decompen
I64 sation
Stroke
Cardiovasc
I84 Haemorrh
uler (gagal
195.9 oids
jantung)
Hypotensi

Infeksi
J00 Akut pd
Nasophary 35 18 50
Saluran
ngitis Akut
J01.9 Sinusitis
Pernafas
(Common
akut
J02.9 an
Pharyngiti
Cold)
J03.9 Bagian
sTonsilitis
akut
Atas
akut
J04.0 Laryngitis
J04.1 akut
Tracheitis
J05.1 akut
Epiglottitis
akut
J11.8 Influenza 1 2
Inf Akut
J20.9 lain
Bronkhitis
Sal.Pern
akut
J21.9 Bronchioli
afasan
tis
BagBakut
awah
J31.0 Rhinitis
J32.9 kronis
Sinusitis
J33.9 kronis
Nasal
J35.0 polip
Tonsilitis
J37.0 kronis
Laryngitis
kronis
Penyakit
J42 Saluran
Bronkhitis
Pernafas
kronis
J44 PPOK
an
J45.9 Bawah
Asthma
J46 Kronik
Bronchiale
Status
Asthmatic
us
K00 Gangguan
K01.1 dan
Impaksi
Perkemban
gigi
K02.0 Karies
gan dan
K02.9 email
Erupsi(IF)
Karies gigi
Gigi
K03 Atrisi
K03.1 Gigi
Abrasi
K03.2 Gigi
Erosi
K03.4 Gigi
Hiperseme
K03.5 ntosis
Ankylosis
K03.6 gigi
Kalkulus
K04.0 gigi
Pulpitis
K04.1 Nekrosis
K04.4 pulpa
Periodontit
K04.5 is apikalis
Periodontit
akut
is apikalis
K04.6 Perilpikal
kronis
abses
K04.7 Perilpikal
desimus
abses
K05.1 Gingintris
tanpa
Marginalis
K05.2 Periodnitis
keterlibata
kronis
marginalis
K05.3 n sinus
Periodnitis
akut
marginalis
K06.0 Resesi
kronis
gusi
K06.1 Pembesara
K06.8 nEpulis
gusi /
gingival
giatcul
K07 Anomali
fibromatos
epulis
Dentofasia
K07.3 is
Crowding,
l
diatema,
K07.5 Kebiasaan
displaceme
buruk /
K08.1 Kehilanga
n, rotasi,
oral habit
nspaling,
gigi
K.10.3 Dry Socket
akibat
transposisi
K.11 Kelainan
kecelakaan
K12.1 Kelenjar
/Stomatitis
avulasi
Lidah
gigi
K12.2 Abses
K12.3 Mulut
Peny.Eso
K25 pagus,La
Ulkus /
mbung&
Tukak
K29.7 Gastritis
Duodenu
lambung
K29.8 m
Duodenitis
K29.9 Gastroduo
K30 denitis
Dispepsia
K35.9 (gangguan
Apendiciti
fungsi
sAppendicit
akut
K37 lambung)
K40 is Lainnya
Hernia
K41 Inguinalis
Hernia
K42 Femoral
Hernia
Umbilical
PENYAKI
L01 T KULIT
Impertigo
DAN
L02 Abses,
JARINGA 4
L04 furunkel
N
Limfedenti
dan
sDermatitis
L20 karbunkel
SUBKUT
atopic
L21 Dermatitis
AN
L23 seboroik
Dermatitis
L30.0 kontak
Paronikia 2 8
PENYAKI
L50 T
Urtikaria
SISTEM
L91.0 Kelloid
OTOT,
M06.9 TULANG,
Rheumatoi
M67.4 dDAN Atritis
Ganglion
JARINGA
M79.1 Mialgia
N
M79.2 PENYAM
Nuralgia
BUNG
dan
Neuritis
N00.9 Sindrom
N02 nefritis
Hematuria
akut
rekuren
N03 Sindrom
dan
nefritik
N04 Sindrom
persisten
kronik
nefrotik
N17 Gagal
N18.9 ginjal
Gagal akut
N20 ginjal
Batu ginjal
kronik
dan
N21.1 Batuureter
N23 Saluran
Kolik
Kencing
ginjal
N30 Sistitisyang
tak
N39.9 Gangguan
ditentukan
N40 sistem
Hipertrofi
kemih
prostat
N41.0 Radang
lainnya
N41.1 Prostat
Radang
akut
Prostat
N.50.9 Odema
kronik
unsepesific
N75.8 Bartholinti
N92.6 sHaid
N94.6 berlebih,
Dismenore
sering dan
N95.2 Vaginitis
teratur
(Gangguan
haid)
KEHAMI
O03.4 LAN,
KELAHIR
O03.9 Abortus
AN,
O07.9 Spontan
MASA
Abortus
Komplit
NIFAS
percobaan
O15 Keracunan
yang gagal
kehamilan
O21.1 Hypereme
( Eklampsi
sis
aGravidaru
)
JARINGA
m (HEG)
O21.9 N
Muntah
PENYAM
yang
O24.9 Diabetes
BUNG
berlebihan
Melitus
O30.9 Kehamilan
dalam
dalam
Ganda
O42.9 kehamilan
Ketuban
kehamilan
O44 Pecah Dini
Plasenta
O45.9 Previa
Solusio
O48 Plasenta
Kehamilan
lewat
waktu
PENYULIT KEHAMILAN
O60 Persalinan
Prematur
O63.9 Persalinan
O72 Lama
Perdarahan
Post
Partum
PERSALINAN
O80.9 Persalinan
O83.9 Tunggal
Persalinan
Spontan
Tunggal
O84.0 Persalinan
lainnya
Ganda
O91.2 Mastitis
dengan
Spontan
P07.1 bantuan
Bayi lahir
Prematur
KEL.SAL
P20.9 .NAFAS&
Hipoksia
KARDIO
Intrauterus
P21.9 Asfiksia
MASA
P22.9 waktu
PNATAL
Gawat
lahir
(Distres)
P24.9 Sindroma
nafas bayi
Aspirasi
P29 Kelainan
baru lahir
Bayi baru
Kardiovas
P80.9 Hipotermi
lahir
kuler
bayi baru
berhub.
lahir
dengan
KELAINA
P90 masa
N LAIN
Kejang
perinatal
PADA
pada bayi
P95 Kematian
MASA
baru
janin lahir
tanpa
PERINAT
sebab
AL yang
LAIN - LAIN
jelas / bayi
R00.0 lahir mati
Tachycardi
R00.1 aBradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
R11 Nausea
R23.0 and
Sianosis
vomiting
R29.0 Tetanus
(Mual dan
R33 muntah)
Retensi
R34 Urine
Anuria
R50.9 and
Febris / 1 5
oliguri
Demam
R56 Convulsio
R57.1 nSyok
(Kejang
demam)
Hipovolem
R63.0 Anorexia
ik
CEDERA, KERACUNAN
S02.9 Trauma
S12.9 Kepala
Fraktur dan
muka
Servikal
S42.0 Fraktur
S42.3 Klavikula
Fraktur
S62 humerus
Fraktur di
S63 lengan
Dislokasi
S72.9 Fraktur
S82 femur
Fraktur di
S00.9 kaki
Semua
fraktur
selain di
atas
T08 Fraktur
T20.9 Vetebra
Luka
T14.0 Bakar
Hematoma
T14.1 Luka
T63.0 Terbuka
Sengatan
T63.2 (bisa) ular
Sengatan
W53 (bisa)
Digigit
kalajengki
Tikus
W54 Digigit
ng
W55 Anjing
Digigit
W56 kucing
Digigit
(termasuk
binatang
W57 Digigit
binatang
laut
Serangga
X20 menyusui)
Digigit
Y10 Ular
Keracunan
Obat
0 0 0 0 54 50 87
Mengetahui
nama kapus
NIP. .........................................................

JUMLAH PENDERITA
6 7 8 9 10 11 12
1 - 4 Th 5 - 9 Th 10 - 14 Th 15 - 19 Th 20 - 44 Th 45 - 54 Th 55 - 59 Th
1 1 1 2
38 10 15 7 9 2 6 9 6 4 1
1 1 2
1 6
2 2 2 1
1 1
1 9 13 1
1 2 4 1 1 8 4 6 2
10
1 1 3 4 3
6
3 7 4 7 1 1
1 6 18 5 1 9 7 4 2 2 1
2 2 1
57 15 58 24 42
42 39 20 37 31 44 67 128 55 92 70 23
10 3 8
8 1 6 6 1 8 9 1
2 1 1
2 1 2
1 2 1 2 2
1 1 1
6 6 1 9 27 8 145 31 43 13 15
1 10 13 8 12 1 9 4 2 1
5
1 7 15 3 1 3 7 28 7 10 7 2
6 1 1
1 2 111 21 69 16 22
5 1
1
2 16 13 8 9 7 4 13 13 5 4
86 103 123 78 74 115 116 562 193 329 155 115
Bogor, ........................
Pelap
BULAN : Febuari
TAHUN :
TOTAL
12 13 14
15
55 - 59 Th 60 - 69 Th > 70 Th
L P L P L B L
0 0
0 0
8 2
0 0
0 0
2 3 2 2 1 82 88
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 6
0 0
3 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 26 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 9
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 0
0 0
0 0
0 0
0 0
0 0
0 0
4 5 2 2 2 14 14
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 6
9 14
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 1 26 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 69 24 36 15 262 98
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 89
20 36 5 7 2 491 330 62
6 0 27
3 29 15
1 4 198 333
0 0
0 0
0 0
0 0
0 0 0 0
11 3 16
0 0 p l
0 0 428 322
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 7 5
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 2 3 2 9
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6 16 6 3 1 257 80
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
4 1 33 37
0 0
0 0
0 0
5 0
7 6 5 5 1 68 59
0 0
0 0
7 1
0 0
0 0
0 0
0 0
4 52 2 9 6 267 49
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 0
0 0
0 0
0 0
0 0
4 1 55 50
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
74 201 58 66 36 1708 964
Bogor, ......................................................
Pelapor
2672
255
DINAS
JL. K
KODE PUSKESMAS :
LAPORAN B
NO JENIS PENYAKIT
1 2 3 4 5 6
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th
P L P L P L P L
A33 Tetanus
neonatoru
J18.9 Pneumonia
m
A06.0 Disentri
5
amuba
A03.9 Disentri
Basiler
A00.9 Kolera
A09 Diare dan
12 26 32
Gastroente
P59.9 Ikterus
ritis
bayi baru
P58.9 Ikterus
lahir oleh
bayi
sebab baru
yang
Q66 Talipes
lahir Equinovarus
belum
B05.9 karena
jelas
Campak/M
hemolisis
orbili/Mea
A36.9 berlebihan
Diphtheria
sles
B54 Malaria
Klinis
B53.1 Malaria
Plasmodiu
B53.0 Malaria
m Simian
Plasmodiu
B52.9 Malaria
m Ovale
Plasmodiu
B51.9 Malaria
m
Plasmodiu
Malariae
B50.9 Malaria
m Vivax
Plasmodiu
A91 Demam
m
Berdarah
Falciparu
A01.0 Demam
Dengue
m
Typhoid
A04.9 (Infeksi
DHF )
usus
A05.0 Keracunan
karena
Makanan
bakteri
A05.9 Intoxikasi
lainnya
(keracunan
A08.4 Infeksi
) makanan
virus pada
usus
A15.0 TB Paru,
BTA (+)
A16.0 TB
tanpaParu,
BTA
biakan(-)
A16 TB Paru
Klinis
A17.0† TB
Maningitis
A18 Tuberculos
is pada
A19 TB
organ
Miliary
lainnya

A30.0 Kusta i/T
(MB)
A30.5 Kusta B/L
(PB)
A35 Tetanus
lainnya
A37.9 Batuk
Rejan
A39.9 Infeksi
(Pertussis)
Meningok
ok
A53.9 Syphilis
A54.1 Ganococca
l
A54.9 Infeksi
Bartholin`s
Gonokok
gland
(Gonorhoe
abscess
)PENYAKIT SPIROKAETAL LAINNYA
A66.9 Frambusia
/ Patek
PENYAKIT VIRUS
A80 Poliomyeli
tis akut
A82 Rabies
A87 Meningitis
Virus
A92.0 Penyakit
virus
A95.9 Yellow
Chikungun
fever
ya /
demam
kuning
INF
VIRUS
B00.1 Infeksi
KULIT&
herpes
LESI
B01.9 Cacar
virus Air /
MEMBR 8 0
Varicella
[herpes
B02.9 AN
Zoster
[chickenpo
simplex]
MUKOSA
[herpes
B06.9 x]
Rubella
zoster] 1 0 0
[Campak
German]
HEPATITIS VIRUS
B15.9 Hepatitis A
akut
B16.9 Hepatitis
B akut
B17 Hepatitis
virus akut
B18.9 Hepatitis
lainnya
virus
kronik
PENYAKI
T VIRUS
B24 Human
LAINNY
Immunode
A
B26 Penyakit
ficiency
Gondok
Virus
(Mumps)
( HIV )
MYCOSES
B35.9 Dermatoph
ytosis
B36.0 Pityriasis
versicolor
B37.0 Candidal
stomatitis
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis
(Cacing
B79 Trichuriasi
Gelang)
s (Cacing
Cambuk)
Pedikulo
sis,Askar
B86 Scabies
is
B87.9 &Infeksi
Myiasis
Lainnya
B89 Penyakit
parasit
lainnya
NEOPLASMA
C18.9 Tumor
ganas pada
C50.9 Tumor
usus besar
ganas
(colon)
C51.9 Tumor
payudara
ganas pada
C52 Tumor
vulva
ganas pada
C53.9 Tumor
vagina
ganas leher
C60.9 Tumor
rahim
ganas pada
C61 Tumor
penis
ganas
C76 Tumor
prostat
ganas buli
- buli
C76.2 Tumor
pada
D17 Lipoma
abdomen
D50.9 Fibroaden
oma
D56.9 Thalassae
mammae
mia
(FAM)
ANEMIA
D50.9 Anemia
defisiensi
D56.9 Thalassae
besi
mia
D64.9 Anaemia

E03.9 Hypotiroid
(Struma)
E05.9 Hypertiroi
d
E06.9 Thyroiditis
(Thyrotoxi
E10 cosis)
Diabetes
Mellitus
E11 Diabetes
Tergantung
Mellitus
Insulin
Tidak
(IDDM)
Tergantung
KURANG GIZI
Insulin
E40 (NIDDM)
Kwashiork
or
E41 Nutritional
marasmus
E42 Marasmus
Kwashiork
E44 Gizi
or Kurang
F78.0 Hyperkole
sterol
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit
Jiwa
F23.9 Gangguian
(Schizophr
Psikotik
enia)
F41.9 Gangguan
cemas
F44.0 Amnesia
F44.2 Pingsan
(stupor)
F45.0 Psychoso
matic
F48.9 Gangguan
Neurotic
F60.0 Gangguan
paranoid
F79 Retardasi
Mental
F99 Gangguan
Mental
H93.1 Tinnitus

G03.9 Meningitis
G04.9 Encephalit
is, myelitis
G20 Penyakit
dan
Parkinson`
encephalo
G30.9 Penyakit
smyelitis
Alzheimer
G40.9 Epilepsi
`s
G43.9 Migraine
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s
palsy
G81.9 Hemiplegi
a
G82.2 Paraplegia
G83.9 Paralytic
syndrome
G91.0 Hydroceph
alus

H00.0 Hordeolu
m
H10.9 Conjunctiv
1 8 10
itis
H11.0 Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52 Kelainan
Refraksi
H52.0 Hypermetr
opia
H52.1 Myopia
H52.4 Presbyopia
H53.0 Buta
Warna
H53.2 Diplopia
H60.9 Otitis
Externa
H83.0 Otitis
Interna
H61.2 Impacted
Serumen
H66.4 Otitis
Media
H66.9 Otitis
Purulen
Media
(OMP)
H70.0 Mastoiditis
Akut
Akut
(OMA)
H70.1 Mastoiditis
kronis
H81.9 Vertigo
H90 Gangguan
Pendengar
an
I10 Hypertensi
I20.9 Angina
Pectoris
I21.9 Infark
miokard
I30.9 Pericarditi
s akut
I40.9 Miokarditi
s akut
I42.9 Cardiomyo
pathy
I46.9 Cardiac
Arrest
151.6 Decompen
sation
I64 Stroke
Cardiovasc
I84 uler (gagal
Haemorrh
jantung)
oids
195.9 Hypotensi

Infeksi
Akut pd
J00 Nasophary
Saluran 35 18 50 42
ngitis Akut
Pernafas
J01.9 Sinusitis
(Common
an
akut
J02.9 Cold)
Bagian
Pharyngiti
sAtas
akut
J03.9 Tonsilitis
akut
J04.0 Laryngitis
akut
J04.1 Tracheitis
akut
J05.1 Epiglottitis
akut
J11.8 Influenza
1 8 0
Inf Akut
lain
J20.9 Bronkhitis
Sal.Pern
akut
afasan
J21.9 Bronchioli
BagB
tis akut
awah
J31.0 Rhinitis
kronis
J32.9 Sinusitis
kronis
J33.9 Nasal
polip
J35.0 Tonsilitis
kronis
J37.0 Laryngitis
kronis
Penyakit
Saluran
J42 Bronkhitis
Pernafas
kronis
an
J44 PPOK
Bawah
J45.9 Kronik
Asthma
Bronchiale
J46 Status
Asthmatic
us
K00 Gangguan
dan
K01.1 Impaksi
Perkemban
gigi
gan dan
K02.0 Karies
Erupsi gigi
email (IF)
K02.9 Karies
Gigi
K03 Atrisi
Gigi
K03.1 Abrasi
Gigi
K03.2 Erosi
Gigi
K03.4 Hiperseme
ntosis
K03.5 Ankylosis
gigi
K03.6 Kalkulus
gigi
K04.0 Pulpitis
K04.1 Nekrosis
pulpa
K04.4 Periodontit
is apikalis
K04.5 Periodontit
akut
is apikalis
kronis
K04.6 Perilpikal
abses
K04.7 Perilpikal
desimus
abses
K05.1 Gingintris
tanpa
Marginalis
keterlibata
K05.2 Periodnitis
kronis
nmarginalis
sinus
K05.3 Periodnitis
akut
marginalis
K06.0 Resesi
kronis
gusi
K06.1 Pembesara
n gusi /
K06.8 Epulis
gingival
giatcul
fibromatos
K07 Anomali
epulis
is
Dentofasia
K07.3 Crowding,
l
diatema,
K07.5 Kebiasaan
displaceme
buruk
n, /
rotasi,
K08.1 Kehilanga
oral habit
spaling,
n gigi
K.10.3 transposisi
Dry
akibatSocket
K.11 kecelakaan
Kelainan
/Kelenjar
avulasi
K12.1 gigi
Stomatitis
Lidah
K12.2 Abses
Mulut
Peny.Eso
pagus,La
K25 Ulkus
mbung& /
Tukak
Duodenu
K29.7 Gastritis
lambung
m
K29.8 Duodenitis
K29.9 Gastroduo
denitis
K30 Dispepsia
(gangguan
K35.9 Apendiciti
fungsi
slambung)
akut
K37 Appendicit
is Lainnya
K40 Hernia
Inguinalis
K41 Hernia
Femoral
K42 Hernia
Umbilical
PENYAKI
T KULIT
L01 Impertigo
DAN
L02 JARINGA
Abses,
N 11 0
furunkel
L04 Limfedenti
dan
sSUBKUT
karbunkel
L20 Dermatitis
AN
atopic
L21 Dermatitis
seboroik
L23 Dermatitis
kontak
L30.0 Paronikia
2 27 0
PENYAKI
T
L50 Urtikaria
SISTEM
L91.0 OTOT,
Kelloid
TULANG,
M06.9 DAN
Rheumatoi
dJARINGA
Atritis
M67.4 Ganglion
N
M79.1 PENYAM
Mialgia
BUNG
M79.2 Nuralgia
dan
Neuritis
N00.9 Sindrom
nefritis
N02 Hematuria
akut
rekuren
N03 Sindrom
dan
nefritik
persisten
N04 Sindrom
kronik
nefrotik
N17 Gagal
ginjal akut
N18.9 Gagal
ginjal
N20 Batu
kronikginjal
dan ureter
N21.1 Batu
Saluran
N23 Kolik
Kencing
ginjal yang
N30 Sistitis
tak
N39.9 ditentukan
Gangguan
sistem
N40 Hipertrofi
kemih
prostat
lainnya
N41.0 Radang
Prostat
N41.1 Radang
akut
Prostat
N.50.9 Odema
kronik
unsepesific
N75.8 Bartholinti
s
N92.6 Haid
berlebih,
N94.6 Dismenore
sering dan
N95.2 teratur
Vaginitis
(Gangguan
haid)
KEHAMI
LAN,
O03.4 Abortus
KELAHIRSpontan Inkomplit
O03.9 AN,
Abortus
MASA
Spontan
O07.9 NIFAS
Abortus
Komplit
percobaan
yang gagal
O15 Keracunan
kehamilan
O21.1 Hypereme
( Eklampsi
sis
a)
Gravidaru
m (HEG)
JARINGA
N
O21.9 Muntah
PENYAM
yang
BUNG
O24.9 Diabetes
berlebihan
Melitus
dalam
O30.9 Kehamilan
dalam
kehamilan
Ganda
O42.9 kehamilan
Ketuban
Pecah Dini
O44 Plasenta
Previa
O45.9 Solusio
Plasenta
O48 Kehamilan
lewat
waktu
PENYULIT KEHAMILAN
O60 Persalinan
Prematur
O63.9 Persalinan
Lama
O72 Perdarahan
Post
Partum
PERSALINAN
O80.9 Persalinan
Tunggal
O83.9 Persalinan
Spontan
Tunggal
O84.0 Persalinan
lainnya
Ganda
dengan
O91.2 Mastitis
Spontan
bantuan
P07.1 Bayi lahir
Prematur
KEL.SAL
.NAFAS&
P20.9 Hipoksia
KARDIO
Intrauterus
MASA
P21.9 Asfiksia
PNATAL
waktu
P22.9 Gawat
lahir
(Distres)
P24.9 Sindroma
nafas bayi
Aspirasi
baru lahir
P29 Kelainan
Bayi baru
Kardiovas
lahir
P80.9 Hipotermi
kuler
bayi baru
berhub.
lahir
dengan
masa
KELAINA
perinatal
N LAIN
P90 Kejang
PADA
pada
MASA bayi
P95 Kematian
baru lahir
PERINAT
janin tanpa
AL
sebab yang
jelas / bayi
lahir mati
LAIN - LAIN
R00.0 Tachycardi
a
R00.1 Bradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
R11 Nausea
and
R23.0 Sianosis
vomiting
R29.0 (Mual
Tetanusdan
muntah)
R33 Retensi
Urine
R34 Anuria
and
R50.9 Febris
oliguri / 1 15 0
Demam
R56 Convulsio
n (Kejang
R57.1 Syok
demam)
Hipovolem
R63.0 Anorexia
ik
CEDERA, KERACUNAN
S02.9 Trauma
Kepala dan
S12.9 Fraktur
muka
Servikal
S42.0 Fraktur
Klavikula
S42.3 Fraktur
humerus
S62 Fraktur di
lengan
S63 Dislokasi
S72.9 Fraktur
femur
S82 Fraktur di
kaki
S00.9 Semua
fraktur
T08 Fraktur
selain di
Vetebra
atas
T20.9 Luka
Bakar
T14.0 Hematoma
T14.1 Luka
Terbuka
T63.0 Sengatan
(bisa) ular
T63.2 Sengatan
(bisa)
W53 Digigit
kalajengki
Tikus
ng
W54 Digigit
Anjing
W55 Digigit
kucing
W56 Digigit
(termasuk
binatang
binatang
laut
menyusui)
W57 Digigit
Serangga
X20 Digigit
Ular
Y10 Keracunan
Obat
0 0 0 0 35 37 152 88
Mengetahui
nama kapus
NIP. .........................................................

JUMLAH PENDERITA
7 8 9 10 11 12
5 - 9 Th 10 - 14 Th 15 - 19 Th 20 - 44 Th 45 - 54 Th 55 - 59 Th
2 1 4 0 0 0 0 0 0 2 0
123 10 49 0 23 9 8 6 30 6 11
1 0 1 0 2 0 0 0
2 0 0 0 0 0 0 0 19 0 0
0 2 8 0 0 0 0 2 4 0 0
0 1 0 0 0 0 0 1 0 0 0
1 0 9 0 13 0
2 2 11 1 4 8 11 6 0 2 0
10 0 0 0
2 0 4 3 14
19 0 0
3 23 4 23 1 0
2 6 57 52 4 0 30 7 11 10 8
2 0 2 0
57 49 58 78
39 20 37 31 44 67 128 55 92 70 23
8 4 6 19 1 27 9 0
8 0 0 1 0 0 4 0 0
0 0 8 0 0 0 4 2 0 0 0
4 2 4 0 0 2 0 2 0
1 0 0 0 0 4 1 0
6 19 1 30 27 27 143 99 43 42
3 10 42 8 38 1 0 9 11 2 4
5 0 0 0
3 7 49 3 2 3 23 28 23 10 23
6 0 1 4
5 1 0 2 90 110 68 68 53
5 0 1 0
1 0 0 0 0 0 0 0 0 0
6 16 42 8 30 7 11 13 42 5 11
182 83 342 118 183 137 376 485 529 312 271
Bogor, ...............................
Pelapor
BULAN : april
TAHUN :
TOTAL
12 13 14
15
55 - 59 Th 60 - 69 Th > 70 Th
L P L P L B L
0 0 0 0 0 5 8
1 6 3 6 2 282 81
0 0 0 0 0 0 5
0
0
0 0 0 0 0 21 0
0 0 0 0 0 19 5
0 0 0 0 0 0 3
1 0 1 0 0 0
0 0 0 0 0 29 20
0 0 0 0 0 0 10
3 11 5 8 2 39 14
0 0 0 0 0 19 0
1 0 0 0 0 45 9
25 0 2 0 1 120 114
0 0
0 0
1 3 1 3
1 0 0 0 0 0 6
42 65 69 76 35 268 260
20 36 5 7 2 491 330
1 0 3 0 0 49 29
0 0 0 0 0 11 1
0 60 0 34 0 113 3
0 0 0 0 0 8 7
0 9 0 8 0 21 2
15 19 16 19 3 255 254
0 11 1 0 0 121 32
0 0 0 0 0 0 5
2 23 6 15 5 188 67
0 0 0 0 0 4 7
22 11 52 8 9 236 265
0 0 0 0 0 0 6
0 0 0 0 0 0 1
0 0 4 0 0 158 55
135 254 171 181 61 2504 1603
Bogor, ......................................................
Pelapor
DINAS
JL. K
KODE PUSKESMAS :
LAPORAN B
NO JENIS PENYAKIT
1 2 3 4 5 6
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th
P L P L P L P L
A33 Tetanus
neonatoru
J18.9 Pneumonia
m
A06.0 Disentri
5
amuba
A03.9 Disentri
Basiler
A00.9 Kolera
A09 Diare dan
12 26 32
Gastroente
P59.9 Ikterus
ritis
bayi baru
P58.9 Ikterus
lahir oleh
bayi
sebab baru
yang
Q66 Talipes
lahir Equinovarus
belum
B05.9 karena
jelas
Campak/M
hemolisis
orbili/Mea
A36.9 berlebihan
Diphtheria
sles
B54 Malaria
Klinis
B53.1 Malaria
Plasmodiu
B53.0 Malaria
m Simian
Plasmodiu
B52.9 Malaria
m Ovale
Plasmodiu
B51.9 Malaria
m
Plasmodiu
Malariae
B50.9 Malaria
m Vivax
Plasmodiu
A91 Demam
m
Berdarah
Falciparu
A01.0 Demam
Dengue
m
Typhoid
A04.9 (Infeksi
DHF )
usus
A05.0 Keracunan
karena
Makanan
bakteri
A05.9 Intoxikasi
lainnya
(keracunan
A08.4 Infeksi
) makanan
virus pada
usus
A15.0 TB Paru,
BTA (+)
A16.0 TB
tanpaParu,
BTA
biakan(-)
A16 TB Paru
Klinis
A17.0† TB
Maningitis
A18 Tuberculos
is pada
A19 TB
organ
Miliary
lainnya

A30.0 Kusta i/T
(MB)
A30.5 Kusta B/L
(PB)
A35 Tetanus
lainnya
A37.9 Batuk
Rejan
A39.9 Infeksi
(Pertussis)
Meningok
ok
A53.9 Syphilis
A54.1 Ganococca
l
A54.9 Infeksi
Bartholin`s
Gonokok
gland
(Gonorhoe
abscess
A66.9 Frambusia
/ Patek
PENYAKIT VIRUS
A80 Poliomyeli
tis akut
A82 Rabies
A87 Meningitis
Virus
A92.0 Penyakit
virus
A95.9 Yellow
Chikungun
fever
ya /
demam
kuning
INF
VIRUS
B00.1 Infeksi
KULIT&
herpes
LESI
B01.9 Cacar
virus Air /
MEMBR 8 0
Varicella
[herpes
B02.9 AN
Zoster
[chickenpo
simplex]
MUKOSA
[herpes
B06.9 x]
Rubella
zoster] 1 0 0
[Campak
German]
HEPATITIS VIRUS
B15.9 Hepatitis A
akut
B16.9 Hepatitis
B akut
B17 Hepatitis
virus akut
B18.9 Hepatitis
lainnya
virus
kronik
PENYAKI
T VIRUS
B24 Human
LAINNY
Immunode
A
B26 Penyakit
ficiency
Gondok
Virus
(Mumps)
( HIV )
MYCOSES
B35.9 Dermatoph
ytosis
B36.0 Pityriasis
versicolor
B37.0 Candidal
stomatitis
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis
(Cacing
B79 Trichuriasi
Gelang)
s (Cacing
Cambuk)
Pedikulo
sis,Askar
B86 Scabies
is
B87.9 &Infeksi
Myiasis
Lainnya
B89 Penyakit
parasit
lainnya
NEOPLASMA
C18.9 Tumor
ganas pada
C50.9 Tumor
usus besar
ganas
(colon)
C51.9 Tumor
payudara
ganas pada
C52 Tumor
vulva
ganas pada
C53.9 Tumor
vagina
ganas leher
C60.9 Tumor
rahim
ganas pada
C61 Tumor
penis
ganas
prostat
C76 Tumor
ganas buli
C76.2 Tumor
- buli
pada
D17 Lipoma
abdomen
D50.9 Fibroaden
oma
D56.9 Thalassae
mammae
mia
(FAM)
ANEMIA
D50.9 Anemia
defisiensi
D56.9 Thalassae
besi
mia
D64.9 Anaemia

E03.9 Hypotiroid
(Struma)
E05.9 Hypertiroi
d
E06.9 Thyroiditis
(Thyrotoxi
E10 cosis)
Diabetes
Mellitus
E11 Diabetes
Tergantung
Mellitus
Insulin
Tidak
(IDDM)
Tergantung
KURANG GIZI
Insulin
E40 (NIDDM)
Kwashiork
or
E41 Nutritional
marasmus
E42 Marasmus
Kwashiork
E44 Gizi Kurang
or
F78.0 Hyperkole
sterol
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit
Jiwa
F23.9 Gangguian
(Schizophr
Psikotik
enia)
F41.9 Gangguan
cemas
F44.0 Amnesia
F44.2 Pingsan
(stupor)
F45.0 Psychoso
matic
F48.9 Gangguan
Neurotic
F60.0 Gangguan
paranoid
F79 Retardasi
Mental
F99 Gangguan
Mental
H93.1 Tinnitus

G03.9 Meningitis
G04.9 Encephalit
is, myelitis
G20 Penyakit
dan
Parkinson`
encephalo
G30.9 Penyakit
smyelitis
Alzheimer
G40.9 Epilepsi
`s
G43.9 Migraine
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s
palsy
G81.9 Hemiplegi
a
G82.2 Paraplegia
G83.9 Paralytic
syndrome
G91.0 Hydroceph
alus

H00.0 Hordeolu
m
H10.9 Conjunctiv
1 8 10
itis
H11.0 Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52 Kelainan
Refraksi
H52.0 Hypermetr
opia
H52.1 Myopia
H52.4 Presbyopia
H53.0 Buta
Warna
H53.2 Diplopia

H60.9 Otitis
Externa
H83.0 Otitis
Interna
H61.2 Impacted
Serumen
H66.4 Otitis
Media
H66.9 Otitis
Purulen
Media
(OMP)
H70.0 Mastoiditis
Akut
Akut
(OMA)
H70.1 Mastoiditis
kronis
H81.9 Vertigo
H90 Gangguan
Pendengar
an
I10 Hypertensi
I20.9 Angina
Pectoris
I21.9 Infark
miokard
I30.9 Pericarditi
s akut
I40.9 Miokarditi
s akut
I42.9 Cardiomyo
pathy
I46.9 Cardiac
Arrest
151.6 Decompen
sation
I64 Stroke
Cardiovasc
I84 uler (gagal
Haemorrh
jantung)
oids
195.9 Hypotensi

Infeksi
Akut pd
J00 Nasophary
Saluran 35 18 50 42
ngitis Akut
Pernafas
J01.9 Sinusitis
(Common
an
akut
J02.9 Cold)
Bagian
Pharyngiti
sAtas
akut
J03.9 Tonsilitis
akut
J04.0 Laryngitis
akut
J04.1 Tracheitis
akut
J05.1 Epiglottitis
akut

J11.8 Influenza
1 8 0
Inf Akut
lain
J20.9 Bronkhitis
Sal.Pern
akut
afasan
J21.9 Bronchioli
BagB
tis akut
awah
J31.0 Rhinitis
kronis
J32.9 Sinusitis
kronis
J33.9 Nasal
polip
J35.0 Tonsilitis
kronis
J37.0 Laryngitis
kronis
Penyakit
Saluran
J42 Bronkhitis
Pernafas
kronis
an
J44 PPOK
Bawah
J45.9 Kronik
Asthma
Bronchiale
J46 Status
Asthmatic
us
K00 Gangguan
dan
K01.1 Impaksi
Perkemban
gigi
gan dan
K02.0 Karies
Erupsi gigi
email (IF)
K02.9 Karies
Gigi
K03 Atrisi
Gigi
K03.1 Abrasi
Gigi
K03.2 Erosi
Gigi
K03.4 Hiperseme
ntosis
K03.5 Ankylosis
gigi
K03.6 Kalkulus
gigi
K04.0 Pulpitis
K04.1 Nekrosis
pulpa
K04.4 Periodontit
is apikalis
akut
K04.5 Periodontit
is apikalis
K04.6 Perilpikal
kronis
abses
K04.7 Perilpikal
desimus
abses
K05.1 Gingintris
tanpa
Marginalis
keterlibata
K05.2 Periodnitis
kronis
nmarginalis
sinus
K05.3 Periodnitis
akut
marginalis
K06.0 Resesi
kronis
gusi
K06.1 Pembesara
n gusi /
K06.8 Epulis
gingival
giatcul
fibromatos
K07 Anomali
epulis
is
Dentofasia
K07.3 Crowding,
l
diatema,
K07.5 Kebiasaan
displaceme
buruk
n, /
rotasi,
K08.1 Kehilanga
oral habit
spaling,
n gigi
K.10.3 transposisi
Dry
akibatSocket
K.11 kecelakaan
Kelainan
/Kelenjar
avulasi
K12.1 gigi
Stomatitis
Lidah
K12.2 Abses
Mulut
Peny.Eso
pagus,La
K25 Ulkus
mbung& /
Tukak
Duodenu
K29.7 Gastritis
lambung
m
K29.8 Duodenitis
K29.9 Gastroduo
denitis
K30 Dispepsia
(gangguan
K35.9 Apendiciti
fungsi
slambung)
akut
K37 Appendicit
is Lainnya
K40 Hernia
Inguinalis
K41 Hernia
Femoral
K42 Hernia
Umbilical
PENYAKI
T KULIT
L01 Impertigo
DAN
L02 JARINGA
Abses,
N 11 0
furunkel
L04 Limfedenti
dan
SUBKUT
skarbunkel
L20 Dermatitis
AN
atopic
L21 Dermatitis
seboroik
L23 Dermatitis
kontak
L30.0 Paronikia
2 27 0
PENYAKI
T
L50 Urtikaria
SISTEM
L91.0 OTOT,
Kelloid
TULANG,
M06.9 DAN
Rheumatoi
dJARINGA
Atritis
M67.4 Ganglion
N
M79.1 PENYAM
Mialgia
BUNG
M79.2 Nuralgia
dan
Neuritis
N00.9 Sindrom
nefritis
N02 Hematuria
akut
rekuren
N03 Sindrom
dan
nefritik
persisten
N04 Sindrom
kronik
nefrotik
N17 Gagal
ginjal akut
N18.9 Gagal
ginjal
N20 Batu
kronikginjal
dan ureter
N21.1 Batu
Saluran
N23 Kolik
Kencing
ginjal yang
N30 Sistitis
tak
N39.9 ditentukan
Gangguan
sistem
N40 Hipertrofi
kemih
prostat
lainnya
N41.0 Radang
Prostat
N41.1 Radang
akut
Prostat
N.50.9 Odema
kronik
unsepesific
N75.8 Bartholinti
s
N92.6 Haid
berlebih,
N94.6 Dismenore
sering dan
N95.2 teratur
Vaginitis
(Gangguan
haid)
KEHAMI
LAN,
O03.4 Abortus
O03.9 AN,
Abortus
MASA
Spontan
NIFAS
Komplit
O07.9 Abortus
percobaan
O15 Keracunan
yang gagal
kehamilan
O21.1 Hypereme
( Eklampsi
sis
a)
Gravidaru
m (HEG)
JARINGA
N
O21.9 Muntah
PENYAM
yang
BUNG
O24.9 Diabetes
berlebihan
Melitus
dalam
O30.9 Kehamilan
dalam
kehamilan
Ganda
O42.9 kehamilan
Ketuban
Pecah Dini
O44 Plasenta
Previa
O45.9 Solusio
Plasenta
O48 Kehamilan
lewat
waktu
PENYULIT KEHAMILAN
O60 Persalinan
Prematur
O63.9 Persalinan
Lama
O72 Perdarahan
Post
Partum
PERSALINAN
O80.9 Persalinan
Tunggal
O83.9 Persalinan
Spontan
Tunggal
O84.0 Persalinan
lainnya
Ganda
dengan
O91.2 Mastitis
Spontan
bantuan
P07.1 Bayi lahir
Prematur
KEL.SAL
.NAFAS&
P20.9 Hipoksia
KARDIO
Intrauterus
MASA
P21.9 Asfiksia
PNATAL
waktu
P22.9 Gawat
lahir
(Distres)
P24.9 Sindroma
nafas bayi
Aspirasi
baru lahir
P29 Kelainan
Bayi baru
Kardiovas
lahir
P80.9 Hipotermi
kuler
bayi baru
berhub.
lahir
dengan
masa
KELAINA
perinatal
N LAIN
P90 Kejang
PADA
pada
MASA bayi
P95 Kematian
baru lahir
PERINAT
janin tanpa
AL
sebab yang
jelas / bayi
lahir mati
LAIN - LAIN
R00.0 Tachycardi
a
R00.1 Bradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
R11 Nausea
and
R23.0 Sianosis
vomiting
R29.0 (Mual
Tetanusdan
muntah)
R33 Retensi
Urine
R34 Anuria
and
R50.9 Febris
oliguri / 1 15 0
Demam
R56 Convulsio
n (Kejang
R57.1 Syok
demam)
Hipovolem
R63.0 Anorexia
ik
CEDERA, KERACUNAN
S02.9 Trauma
Kepala dan
S12.9 Fraktur
muka
Servikal
S42.0 Fraktur
Klavikula
S42.3 Fraktur
humerus
S62 Fraktur di
lengan
S63 Dislokasi
S72.9 Fraktur
femur
S82 Fraktur di
kaki
S00.9 Semua
fraktur
T08 Fraktur
selain di
Vetebra
atas
T20.9 Luka
Bakar
T14.0 Hematoma
T14.1 Luka
Terbuka
T63.0 Sengatan
(bisa) ular
T63.2 Sengatan
(bisa)
W53 Digigit
kalajengki
Tikus
ng
W54 Digigit
Anjing
W55 Digigit
kucing
(termasuk
binatang
menyusui)
W56 Digigit
binatang
W57 Digigit
laut
Serangga
X20 Digigit
Ular
Y10 Keracunan
Obat
0 0 0 0 35 37 152 88
Mengetahui
nama kapus
NIP. .........................................................

JUMLAH PENDERITA
7 8 9 10 11 12
5 - 9 Th 10 - 14 Th 15 - 19 Th 20 - 44 Th 45 - 54 Th 55 - 59 Th
2 1 4 0 0 0 0 0 0 2 0
123 10 49 0 23 9 8 6 30 6 11
1 0 1 0 2 0 0 0
2 0 0 0 0 0 0 0 19 0 0
0 2 8 0 0 0 0 2 4 0 0
0 1 0 0 0 0 0 1 0 0 0
1 0 9 0 13 0
2 2 11 1 4 8 11 6 0 2 0
10 0 0 0
2 0 4 3 14
19 0 0
3 23 4 23 1 0
2 6 57 52 4 0 30 7 11 10 8
2 0 2 0
57 49 58 78
39 20 37 31 44 67 128 55 92 70 23
8 4 6 19 1 27 9 0
8 0 0 1 0 0 4 0 0
0 0 8 0 0 0 4 2 0 0 0
4 2 4 0 0 2 0 2 0
1 0 0 0 0 4 1 0
6 19 1 30 27 27 143 99 43 42
3 10 42 8 38 1 0 9 11 2 4
5 0 0 0
3 7 49 3 2 3 23 28 23 10 23
6 0 1 4
5 1 0 2 90 110 68 68 53
5 0 1 0
1 0 0 0 0 0 0 0 0 0
6 16 42 8 30 7 11 13 42 5 11
182 83 342 118 183 137 376 485 529 312 271
Bogor, ...............................
Pelapor
BULAN : april 2568 1691
TAHUN :
P L
5802 1120
1794.115 1129
TOTAL
12 13 14
15
55 - 59 Th 60 - 69 Th > 70 Th
L P L P L B L
0 0 0 0 0 5 8
1 6 3 6 2 282 81
0 0 0 0 0 0 5
0
0
0 0 0 0 0 21 0
0 0 0 0 0 19 5
0 0 0 0 0 0 3
1 0 1 0 0 0
0 0 0 0 0 29 20
0 0 0 0 0 0 10
3 11 5 8 2 39 14
0 0 0 0 0 19 0
1 0 0 0 0 45 9
25 0 2 0 1 120 114
0 0
0 0
1 3 1 3
1 0 0 0 0 0 6
42 65 69 76 35 268 260
20 36 5 7 2 491 330
1 0 3 0 0 49 29
0 0 0 0 0 11 1
0 60 0 34 0 113 3
0 0 0 0 0 8 7
0 9 0 8 0 21 2
15 19 16 19 3 255 254
0 11 1 0 0 121 32
0 0 0 0 0 0 5
2 23 6 15 5 188 67
0 0 0 0 0 4 7
22 11 52 8 9 236 265
0 0 0 0 0 0 6
0 0 0 0 0 0 1
0 0 4 0 0 158 55
135 254 171 181 61 2504 1603
Bogor, ......................................................
Pelapor
DINAS KES
JL. Keseh
KODE PUSKESMAS :
LAPORAN BULA
NO JENIS PENYAKIT
1 2 3 4 5 6 7
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th 5 - 9 Th
P L P L P L P L P
A33 Tetanus
J18.9 neonatoru
Pneumonia
A06.0 m
Disentri
A03.9 amuba
Disentri
A00.9 Basiler
Kolera
A09 Diare dan
P59.9 Gastroente
Ikterus
P58.9 ritis
bayi baru
Ikterus
Q66 lahir
bayi oleh
baru
Talipes Equinovarus
sebab yang
lahir
B05.9 Campak/M
belum
karena
orbili/Mea
A36.9 Diphtheria
jelas
hemolisis
B54 sles
Malaria
berlebihan
B53.1 Klinis
Malaria
B53.0 Plasmodiu
Malaria
B52.9 m Simian
Plasmodiu
Malaria
B51.9 m Ovale
Plasmodiu
Malaria
B50.9 m
Plasmodiu
Malaria
Malariae
m Vivax
Plasmodiu
A91 Demam
A01.0 m
Berdarah
Demam
Falciparu
Dengue
Typhoid
A04.9 Infeksi
m
(usus
DHF )
A05.0 Keracunan
A05.9 karena
Makanan
Intoxikasi
bakteri
(keracunan
A08.4 Infeksi
lainnya
) makanan
virus pada
usus
A15.0 TB Paru,
A16.0 BTA (+)
TB Paru,
A16 tanpa
BTAParu
TB (-)
biakan
Klinis
A17.0† TB
A18 Maningitis
Tuberculos
A19 is
TBpada
organ
Miliary
lainnya
A30.0 Kusta i/T
A30.5 (MB)
Kusta B/L
(PB)
A35 Tetanus
A37.9 lainnya
Batuk
A39.9 Rejan
Infeksi
(Pertussis)
Meningok
ok
A53.9 Syphilis
A54.1 Ganococca
A54.9 l
Infeksi
Bartholin`s
Gonokok
gland
(Gonorhoe
)abscess
A66.9 Frambusia
/ Patek
PENYAKIT VIRUS
A80 Poliomyeli
A82 tis akut
Rabies
A87 Meningitis
A92.0 Virus
Penyakit
A95.9 virus
Yellow
Chikungun
fever /
ya
demam
INF
kuning
VIRUS
B00.1 Infeksi
B01.9 KULIT&
herpesAir /
Cacar
LESI
virus
Varicella
B02.9 Zoster
MEMBR
[herpes
[chickenpo
[herpes
B06.9 Rubella
AN
simplex]
x]
zoster]
[Campak
MUKOSA
German]
HEPATITIS VIRUS
B15.9 Hepatitis A
B16.9 akut
Hepatitis
B17 B akut
Hepatitis
B18.9 virus akut
Hepatitis
lainnya
virus
kronik
PENYAKI
B24 T VIRUS
Human
B26 LAINNY
Immunode
Penyakit
A
ficiency
Gondok
Virus
(Mumps)
MYCOSES
( HIV )
B35.9 Dermatoph
B36.0 ytosis
Pityriasis
B37.0 versicolor
Candidal
stomatitis
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis
B79 (Cacing
Trichuriasi
sGelang)
(Cacing
Cambuk)
Pedikulo
B86 sis,Askar
Scabies
is
&Infeksi
Lainnya
B87.9 Myiasis
B89 Penyakit
parasit
lainnya
NEOPLASMA
C18.9 Tumor
C50.9 ganas pada
Tumor
C51.9 usus
ganas
Tumor besar
(colon)
payudara
ganas pada
C52 Tumor
C53.9 vulva
ganas pada
Tumor
C60.9 vagina
ganas
Tumorleher
C61 rahim
ganas pada
Tumor
C76 penis
ganas
Tumor
C76.2 prostat
ganas
Tumorbuli
D17 -pada
buli
Lipoma
D50.9 abdomen
Fibroaden
D56.9 oma
Thalassae
mammae
mia
(FAM)
ANEMIA
D50.9 Anemia
D56.9 defisiensi
Thalassae
D64.9 besi
mia
Anaemia

E03.9 Hypotiroid
E05.9 (Struma)
Hypertiroi
E06.9 dThyroiditis
E10 (Thyrotoxi
Diabetes
cosis)
Mellitus
E11 Diabetes
Tergantung
Mellitus
Insulin
Tidak
KURANG
(IDDM) GIZI
Tergantung
E40 Kwashiork
Insulin
E41 or
Nutritional
(NIDDM)
E42 marasmus
Marasmus
E44 Kwashiork
Gizi Kurang
or
F78.0 Hyperkole
sterol
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit
F23.9 Jiwa
Gangguian
F41.9 (Schizophr
Psikotik
Gangguan
enia)
cemas
F44.0 Amnesia
F44.2 Pingsan
F45.0 (stupor)
Psychoso
F48.9 matic
Gangguan
F60.0 Neurotic
Gangguan
F79 paranoid
Retardasi
F99 Mental
Gangguan
Mental
H93.1 Tinnitus

G03.9 Meningitis
G04.9 Encephalit
G20 is, myelitis
Penyakit
G30.9 dan
Parkinson`
Penyakit
encephalo
sAlzheimer
G40.9 Epilepsi
myelitis
G43.9 `s
Migraine
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s
G81.9 palsy
Hemiplegi
G82.2 aParaplegia
G83.9 Paralytic
G91.0 syndrome
Hydroceph
alus
H00.0 Hordeolu
H10.9 m
Conjunctiv
H11.0 itis
Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52 Kelainan
H52.0 Refraksi
Hypermetr
H52.1 opia
Myopia
H52.4 Presbyopia
H53.0 Buta
H53.2 Warna
Diplopia

H60.9 Otitis
H83.0 Externa
Otitis
H61.2 Interna
Impacted
H66.4 Serumen
Otitis
H66.9 Media
Otitis
H70.0 Purulen
Media
Mastoiditis
(OMP)
Akut
Akut
H70.1 Mastoiditis
(OMA)
kronis
H81.9 Vertigo
H90 Gangguan
Pendengar
an
I10 Hypertensi
I20.9 Angina
I21.9 Pectoris
Infark
I30.9 miokard
Pericarditi
I40.9 s akut
Miokarditi
I42.9 sCardiomyo
akut
pathy
I46.9 Cardiac
151.6 Arrest
Decompen
I64 sation
Stroke
I84 Cardiovasc
Haemorrh
uler
oids (gagal
195.9 Hypotensi
jantung)

Infeksi
J00 Akut pd
Nasophary
J01.9 Saluran
ngitis Akut
Sinusitis
Pernafas
(Common
akut
J02.9 Pharyngiti
an
Cold)
sTonsilitis
akut
J03.9 Bagian
J04.0 akut
Atas
Laryngitis
J04.1 akut
Tracheitis
J05.1 akut
Epiglottitis
akut
J11.8 Influenza
Inf Akut
J20.9 lain
Bronkhitis
J21.9 Sal.Pern
akut
Bronchioli
afasan
tis akut
BagB
Penyakit
awah Saluran Pernafasan lainnya
J31.0 Rhinitis
J32.9 kronis
Sinusitis
J33.9 kronis
Nasal
J35.0 polip
Tonsilitis
J37.0 kronis
Laryngitis
kronis
Penyakit
J42 Saluran
Bronkhitis
J44 Pernafas
kronis
PPOK
an
J45.9 Asthma
Bawah
J46 Bronchiale
Status
Kronik
Asthmatic
us
K00 Gangguan
K01.1 dan
Impaksi
K02.0 Perkemban
gigi
Karies
gan
emaildan
(IF)
K02.9 Karies
Erupsi gigi
K03 Gigi
Atrisi
K03.1 Gigi
Abrasi
K03.2 Gigi
Erosi
K03.4 Gigi
Hiperseme
K03.5 ntosis
Ankylosis
K03.6 gigi
Kalkulus
K04.0 gigi
Pulpitis
K04.1 Nekrosis
K04.4 pulpa
Periodontit
is apikalis
akut
K04.5 Periodontit
K04.6 is apikalis
Perilpikal
K04.7 kronis
abses
Perilpikal
K05.1 desimus
abses
Gingintris
K05.2 tanpa
Marginalis
Periodnitis
keterlibata
kronis
marginalis
K05.3 Periodnitis
nakut sinus
K06.0 marginalis
Resesi
K06.1 kronis
gusi
Pembesara
K06.8 n gusi /
Epulis
K07 gingival
giatcul
Anomali
fibromatos
epulis
Dentofasia
K07.3 Crowding,
is
K07.5 ldiatema,
Kebiasaan
K08.1 displaceme
buruk
Kehilanga/
n,
oral
nDry rotasi,
habit
gigi
K.10.3 Socket
spaling,
K.11 akibat
Kelainan
transposisi
kecelakaan
K12.1 Kelenjar
Stomatitis
/Lidah
avulasi
K12.2 Abses
gigi
K12.3 Mulut
Peny.Eso
K25 pagus,La
Ulkus /
K29.7 mbung&
Tukak
Gastritis
Duodenu
lambung
K29.8 Duodenitis
m
K29.9 Gastroduo
K30 denitis
Dispepsia
K35.9 (gangguan
Apendiciti
K37 fungsi
s akut
Appendicit
lambung)
is Lainnya
K40 Hernia
K41 Inguinalis
Hernia
K42 Femoral
Hernia
Umbilical
PENYAKI
L01 T KULIT
Impertigo
L02 DAN
Abses,
JARINGA
furunkel
L04 Limfedenti
N
L20 dan
sDermatitis
karbunkel
atopic
L21 SUBKUT
Dermatitis
L23 AN
seboroik
Dermatitis
L30.0 kontak
Paronikia
PENYAKI
L50 T
Urtikaria
L91.0 SISTEM
Kelloid
OTOT,
M06.9 Rheumatoi
TULANG,
M67.4 dGanglion
Atritis
DAN
M79.1 JARINGA
Mialgia
M79.2 N
Nuralgia
PENYAM
dan
BUNG
Neuritis
N00.9 Sindrom
nefritis
akut
N02 Hematuria
N03 rekuren
Sindrom
N04 dan
nefritik
Sindrom
persisten
kronik
nefrotik
N17 Gagal
N18.9 ginjal
Gagal akut
N20 ginjal
Batu ginjal
N21.1 kronik
dan
Batuureter
N23 Saluran
Kolik
N30 Kencing
ginjal yang
Sistitis
N39.9 tak
Gangguan
ditentukan
sistem
N40 Hipertrofi
N41.0 kemih
prostat
Radang
lainnya
Prostat
N41.1 Radang
N.50.9 akut
Prostat
Odema
N75.8 kronik
unsepesific
Bartholinti
N92.6 sHaid
N94.6 berlebih,
Dismenore
N95.2 sering dan
Vaginitis
teratur
(Gangguan
KEHAMI
haid)
O03.4 LAN,
O03.9 KELAHIR
Abortus
AN,
Spontan
O07.9 Abortus
MASA
O15 Komplit
percobaan
Keracunan
NIFAS
O21.1 yang gagal
kehamilan
Hypereme
( Eklampsi
sis
aGravidaru
)
JARINGA
m (HEG)
O21.9 N
Muntah
O24.9 PENYAM
yang
Diabetes
BUNG
berlebihan
Melitus
O30.9 Kehamilan
dalam
dalam
Ganda
O42.9 Ketuban
kehamilan
kehamilan
Pecah Dini
O44 Plasenta
O45.9 Previa
Solusio
O48 Plasenta
Kehamilan
lewat
waktu
PENYULIT KEHAMILAN
O60 Persalinan
O63.9 Prematur
Persalinan
O72 Lama
Perdarahan
Post
Partum
PERSALINAN
O80.9 Persalinan
O83.9 Tunggal
Persalinan
O84.0 Spontan
Tunggal
Persalinan
O91.2 lainnya
Ganda
Mastitis
dengan
Spontan
P07.1 Bayi lahir
bantuan
Prematur
KEL.SAL
P20.9 .NAFAS&
Hipoksia
P21.9 KARDIO
Intrauterus
Asfiksia
MASA
waktu
PNATAL
lahir
P22.9 Gawat
P24.9 (Distres)
Sindroma
P29 nafas
Aspirasi
Kelainanbayi
baru
Bayi lahir
baru
Kardiovas
P80.9 Hipotermi
lahir
kulerbaru
bayi
berhub.
lahir
KELAINA
dengan
P90 N LAIN
Kejang
masa
P95 PADA
pada bayi
perinatal
Kematian
MASA
baru
janinlahir
tanpa
PERINAT
sebab
LAIN yang
AL - LAIN
jelas / bayi
R00.0 Tachycardi
lahir mati
R00.1 aBradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
R11 Nausea
R23.0 and
Sianosis
R29.0 vomiting
Tetanus
(Mual dan
R33 Retensi
muntah)
R34 Urine
Anuria
R50.9 and
Febris /
R56 oliguri
Demam
Convulsio
R57.1 nSyok
(Kejang
R63.0 demam)
Hipovolem
Anorexia
ik
CEDERA, KERACUNAN
S02.9 Trauma
S12.9 Kepala
Fraktur dan
S42.0 muka
Servikal
Fraktur
S42.3 Klavikula
Fraktur
S62 humerus
Fraktur di
S63 lengan
Dislokasi
S72.9 Fraktur
S82 femur
Fraktur di
S00.9 kaki
Semua
T08 fraktur
Fraktur
T20.9 selain
Luka di
Vetebra
atas
Bakar
T14.0 Hematoma
T14.1 Luka
T63.0 Terbuka
Sengatan
T63.2 (bisa) ular
Sengatan
W53 (bisa)
Digigit
W54 kalajengki
Tikus
Digigit
ng
Anjing
W55 Digigit
W56 kucing
Digigit
W57 (termasuk
binatang
Digigit
binatang
laut
Serangga
X20 Digigit
menyusui)
Y10 Ular
Keracunan
Obat 0 0 0 0 0 0 0 0 0
Mengetahui
nama kapus
NIP. .........................................................
LAPORAN BULANAN :
BULAN :
TAHUN :

JUMLAH PENDERITA
7 8 9 10 11 12 13
5 - 9 Th 10 - 14 Th 15 - 19 Th 20 - 44 Th 45 - 54 Th 55 - 59 Th 60 - 69 Th
0 0 0 0 0 0 0 0 0 0 0 0
Bogor, ......................................................
Pelapor
RAN BULANAN : LB. I
N : april
N :
TOTAL
13 14
15
60 - 69 Th > 70 Th April
L P L P L 2503.582 1602.582
0 0 Mei
0 0 2675 1661
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0 0
0 0
0 0
0 0
0 0
0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0
............................................
Pelapor
DINAS KESE
JL. Keseha
KODE PUSKESMAS :
LAPORAN BULAN
NO JENIS PENYAKIT
1 2 3 4 5 6 7
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th 5 - 9 Th
P L P L P L P L P
A33 Tetanus
J18.9 neonatoru
Pneumonia
m
A06.0 Disentri
A03.9 amuba
Disentri
A00.9 Basiler
Kolera
A09 Diare dan
P59.9 Gastroente
Ikterus
ritis
bayi baru
P58.9 Ikterus
lahir
bayi oleh
baru
Q66 Talipes
sebab Equinovarus
lahir yang
B05.9 belum
Campak/M
karena
jelas
orbili/Mea
hemolisis
A36.9 Diphtheria
sles
berlebihan
B54 Malaria
B53.1 Klinis
Malaria
B53.0 Plasmodiu
Malaria
m Simian
Plasmodiu
B52.9 Malaria
m Ovale
Plasmodiu
B51.9 Malaria
m
Plasmodiu
B50.9 Malaria
Malariae
m Vivax
Plasmodiu
A91 Demam
m
Berdarah
A01.0 Demam
Falciparu
Dengue
Typhoid
A04.9 m
Infeksi
( DHF )
A05.0 usus
Keracunan
karena
Makanan
A05.9 Intoxikasi
bakteri
A08.4 (keracunan
lainnya
Infeksi
)virus
makanan
pada
usus
A15.0 TB Paru,
A16.0 BTA (+)
TB Paru,
tanpa
BTA (-)
A16 TB Paru
biakan
Klinis
TB
A17.0†
A18 Maningitis
Tuberculos
is pada
organ
lainnya
A19 TB
Miliary

A30.0 Kusta i/T
A30.5 (MB)
Kusta B/L
A35 (PB)
Tetanus
A37.9 lainnya
Batuk
A39.9 Rejan
Infeksi
(Pertussis)
Meningok
ok
A53.9 Syphilis
A54.1 Ganococca
A54.9 lInfeksi
Bartholin`s
Gonokok
gland
(Gonorhoe
abscess
PENYAKIT
A66.9 Frambusia
/ Patek
PENYAKIT VIRUS
A80 Poliomyeli
A82 tis akut
Rabies
A87 Meningitis
A92.0 Virus
Penyakit
A95.9 virus
Yellow
Chikungun
fever /
ya
demam
INF
kuning
B00.1 VIRUS
Infeksi
KULIT&
herpes
B01.9 Cacar
LESI Air /
virus
Varicella
B02.9 MEMBR
Zoster
[herpes
[chickenpo
AN
[herpes
B06.9 simplex]
Rubella
x]
MUKOSA
zoster]
[Campak
German]
HEPATITIS VIRUS
B15.9 Hepatitis A
B16.9 akut
Hepatitis
B17 B akut
Hepatitis
B18.9 virus akut
Hepatitis
lainnya
virus
kronik
PENYAKI
B24 T VIRUS
Human
LAINNY
Immunode
B26 Penyakit
A
ficiency
Gondok
Virus
(Mumps)
(MYCOSES
HIV )
B35.9 Dermatoph
B36.0 ytosis
Pityriasis
versicolor
B37.0 Candidal
stomatitis
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis
B79 (Cacing
Trichuriasi
Gelang)
s (Cacing
Cambuk)
Pedikulo
B86 sis,Askar
Scabies
is
B87.9 Myiasis
&Infeksi
B89 Lainnya
Penyakit
parasit
lainnya
NEOPLASMA
C18.9 Tumor
C50.9 ganas
Tumorpada
usus
ganas besar
C51.9 Tumor
(colon)
payudara
ganas
C52 Tumorpada
vulva
ganas
C53.9 Tumorpada
vagina
ganas
C60.9 Tumorleher
rahim
ganas
C61 Tumorpada
penis
ganas
C76 Tumor
prostat
ganas
C76.2 Tumorbuli
-pada
buli
D17 Lipoma
abdomen
D50.9 Fibroaden
D56.9 oma
Thalassae
mammae
mia
(FAM)
ANEMIA
D50.9 Anemia
D56.9 defisiensi
Thalassae
besi
mia
D64.9 Anaemia

E03.9 Hypotiroid
E05.9 (Struma)
Hypertiroi
E06.9 dThyroiditis
(Thyrotoxi
E10 Diabetes
cosis)
E11 Mellitus
Diabetes
Tergantung
Mellitus
Insulin
Tidak
(IDDM)
KURANG
Tergantung GIZI
E40 Insulin
Kwashiork
(NIDDM)
or
E41 Nutritional
E42 marasmus
Marasmus
E44 Kwashiork
Gizi Kurang
or
F78.0 Hyperkole
sterol
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit
F23.9 Jiwa
Gangguian
(Schizophr
Psikotik
F41.9 Gangguan
enia)
F44.0 cemas
Amnesia
F44.2 Pingsan
F45.0 (stupor)
Psychoso
F48.9 matic
Gangguan
F60.0 Neurotic
Gangguan
F79 paranoid
Retardasi
F99 Mental
Gangguan
H93.1 Mental
Tinnitus

G03.9 Meningitis
G04.9 Encephalit
G20 is, myelitis
Penyakit
dan
Parkinson`
G30.9 Penyakit
encephalo
sAlzheimer
G40.9 myelitis
Epilepsi
`s
G43.9 Migraine
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s
G81.9 palsy
Hemiplegi
G82.2 aParaplegia
G83.9 Paralytic
G91.0 syndrome
Hydroceph
alus

H00.0 Hordeolu
H10.9 m
Conjunctiv
H11.0 itis
Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52 Kelainan
H52.0 Refraksi
Hypermetr
H52.1 opia
Myopia
H52.4 Presbyopia
H53.0 Buta
H53.2 Warna
Diplopia

H60.9 Otitis
H83.0 Externa
Otitis
H61.2 Interna
Impacted
H66.4 Serumen
Otitis
H66.9 Media
Otitis
Purulen
Media
H70.0 Mastoiditis
(OMP)
Akut
Akut
H70.1 Mastoiditis
(OMA)
H81.9 kronis
Vertigo
H90 Gangguan
Pendengar
an
I10 Hypertensi
I20.9 Angina
I21.9 Pectoris
Infark
I30.9 miokard
Pericarditi
I40.9 sMiokarditi
akut
I42.9 sCardiomyo
akut
I46.9 pathy
Cardiac
151.6 Arrest
Decompen
I64 sation
Stroke
Cardiovasc
I84 Haemorrh
uler (gagal
195.9 oids
jantung)
Hypotensi

Infeksi
J00 Akut pd
Nasophary
Saluran
ngitis Akut
J01.9 Sinusitis
Pernafas
(Common
akut
J02.9 an
Pharyngiti
Cold)
Bagian
sTonsilitis
akut
J03.9 Atas
J04.0 akut
Laryngitis
J04.1 akut
Tracheitis
J05.1 akut
Epiglottitis
akut

J11.8 Influenza
Inf Akut
J20.9 lain
Bronkhitis
Sal.Pern
akut
J21.9 Bronchioli
afasan
tis
BagBakut
awah
J31.0 Rhinitis
J32.9 kronis
Sinusitis
J33.9 kronis
Nasal
J35.0 polip
Tonsilitis
J37.0 kronis
Laryngitis
kronis
Penyakit
J42 Saluran
Bronkhitis
Pernafas
kronis
J44 PPOK
an
J45.9 Bawah
Asthma
Kronik
Bronchiale
J46 Status
Asthmatic
us
K00 Gangguan
K01.1 dan
Impaksi
Perkemban
gigi
K02.0 Karies
gan dan
K02.9 email
Karies(IF)
Erupsi gigi
K03 Gigi
Atrisi
K03.1 Gigi
Abrasi
K03.2 Gigi
Erosi
K03.4 Gigi
Hiperseme
K03.5 ntosis
Ankylosis
K03.6 gigi
Kalkulus
K04.0 gigi
Pulpitis
K04.1 Nekrosis
K04.4 pulpa
Periodontit
K04.5 is apikalis
Periodontit
akut
is apikalis
K04.6 Perilpikal
kronis
abses
K04.7 Perilpikal
desimus
abses
K05.1 Gingintris
tanpa
Marginalis
K05.2 Periodnitis
keterlibata
kronis
marginalis
K05.3 nPeriodnitis
sinus
akut
marginalis
K06.0 Resesi
kronis
gusi
K06.1 Pembesara
K06.8 nEpulis
gusi /
gingival
giatcul
K07 Anomali
fibromatos
epulis
Dentofasia
is
l
K07.3 Crowding,
K07.5 diatema,
Kebiasaan
displaceme
buruk /
K08.1 Kehilanga
n, rotasi,
oral habit
nspaling,
gigi
K.10.3 Dry Socket
akibat
transposisi
K.11 Kelainan
kecelakaan
K12.1 Kelenjar
/Stomatitis
avulasi
Lidah
gigi
K12.2 Abses
K12.3 Mulut
Peny.Eso
K25 pagus,La
Ulkus /
mbung&
Tukak
K29.7 Gastritis
Duodenu
lambung
K29.8 m
Duodenitis
K29.9 Gastroduo
K30 denitis
Dispepsia
K35.9 (gangguan
Apendiciti
fungsi
sAppendicit
akut
K37 lambung)
K40 is Lainnya
Hernia
K41 Inguinalis
Hernia
K42 Femoral
Hernia
Umbilical
PENYAKI
L01 T KULIT
Impertigo
DAN
L02 Abses,
JARINGA
L04 furunkel
N
Limfedenti
dan
sDermatitis
L20 karbunkel
SUBKUT
L21 atopic
AN
Dermatitis
L23 seboroik
Dermatitis
L30.0 kontak
Paronikia
PENYAKI
L50 T
Urtikaria
SISTEM
L91.0 Kelloid
OTOT,
M06.9 TULANG,
Rheumatoi
M67.4 dDAN
Atritis
Ganglion
JARINGA
M79.1 N
Mialgia
M79.2 PENYAM
Nuralgia
BUNG
dan
Neuritis
N00.9 Sindrom
N02 nefritis
Hematuria
akut
rekuren
N03 Sindrom
dan
nefritik
N04 Sindrom
persisten
kronik
nefrotik
N17 Gagal
N18.9 ginjal
Gagal akut
N20 ginjal
Batu ginjal
kronik
dan
N21.1 Batuureter
N23 Saluran
Kolik
Kencing
ginjal
N30 Sistitisyang
tak
N39.9 Gangguan
ditentukan
N40 sistem
Hipertrofi
kemih
prostat
N41.0 Radang
lainnya
N41.1 Prostat
Radang
akut
Prostat
N.50.9 Odema
kronik
unsepesific
N75.8 Bartholinti
N92.6 sHaid
N94.6 berlebih,
Dismenore
sering dan
N95.2 Vaginitis
teratur
(Gangguan
haid)
KEHAMI
O03.4 LAN,
KELAHIR
O03.9 Abortus
AN,
O07.9 Spontan
MASA
Abortus
Komplit
NIFAS
percobaan
O15 Keracunan
yang gagal
kehamilan
O21.1 Hypereme
(sisEklampsi
aGravidaru
)
JARINGA
m (HEG)
O21.9 N
Muntah
PENYAM
yang
O24.9 Diabetes
BUNG
berlebihan
Melitus
O30.9 Kehamilan
dalam
dalam
Ganda
O42.9 kehamilan
Ketuban
kehamilan
O44 Pecah Dini
Plasenta
O45.9 Previa
Solusio
O48 Plasenta
Kehamilan
lewat
waktu
PENYULIT KEHAMILAN
O60 Persalinan
O63.9 Prematur
Persalinan
O72 Lama
Perdarahan
Post
Partum
PERSALINAN
O80.9 Persalinan
O83.9 Tunggal
Persalinan
Spontan
Tunggal
O84.0 Persalinan
lainnya
Ganda
O91.2 Mastitis
dengan
Spontan
P07.1 bantuan
Bayi lahir
Prematur
KEL.SAL
P20.9 .NAFAS&
Hipoksia
KARDIO
Intrauterus
P21.9 Asfiksia
MASA
P22.9 waktu
PNATAL
Gawat
lahir
(Distres)
P24.9 Sindroma
nafas bayi
Aspirasi
P29 Kelainan
baru lahir
Bayi baru
Kardiovas
P80.9 Hipotermi
lahir
kuler
bayi baru
berhub.
lahir
dengan
KELAINA
masa
N LAIN
P90 Kejang
perinatal
PADA
pada bayi
P95 Kematian
MASA
baru
janin lahir
tanpa
PERINAT
sebab
AL yang
LAIN/ bayi
jelas - LAIN
R00.0 lahir mati
Tachycardi
R00.1 aBradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
R11 Nausea
R23.0 and
Sianosis
vomiting
R29.0 Tetanus
(Mual dan
R33 muntah)
Retensi
R34 Urine
Anuria
R50.9 and
Febris /
oliguri
Demam
R56 Convulsio
R57.1 nSyok
(Kejang
demam)
Hipovolem
R63.0 Anorexia
ik
CEDERA, KERACUNAN
S02.9 Trauma
S12.9 Kepala
Fraktur dan
muka
Servikal
S42.0 Fraktur
S42.3 Klavikula
Fraktur
S62 humerus
Fraktur di
S63 lengan
Dislokasi
S72.9 Fraktur
S82 femur
Fraktur di
S00.9 kaki
Semua
T08 fraktur
Fraktur
selain
Vetebradi
T20.9 Luka
atas
T14.0 Bakar
Hematoma
T14.1 Luka
Terbuka
T63.0 Sengatan
T63.2 (bisa) ular
Sengatan
W53 (bisa)
Digigit
kalajengki
Tikus
W54 Digigit
ng
W55 Anjing
Digigit
W56 kucing
Digigit
(termasuk
binatang
W57 Digigit
binatang
laut
Serangga
X20 menyusui)
Digigit
Y10 Ular
Keracunan
Obat
0 0 0 0 0 0 0 0 0
Mengetahui
LAPORAN BULANAN :
BULAN :
TAHUN :
APORAN BULANAN DATA KESAKITAN ICDX

JUMLAH PENDERITA
7 8 9 10 11 12 13
5 - 9 Th 10 - 14 Th 15 - 19 Th 20 - 44 Th 45 - 54 Th 55 - 59 Th 60 - 69 Th
0 0 0 0 0 0 0 0 0 0 0 0
Bogor, ......................................................
Pelapor
RAN BULANAN : LB. I
N : april
N :
TOTAL
13 14
15
60 - 69 Th > 70 Th
L P L B L
0 0
0 0
0 0
0 0
0 0
1 0 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
23 0 23
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
4 0 4
0 0
1 0 1
0 0
0 0
0 0
0 0
0 0
0 0
5
0 0
1 0 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
8 0 8
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 43 0 38
............................................
Pelapor
DINAS
JL. K
KODE PUSKESMAS :
PUSKESMAS :
KECAMATAN :
KABUPATEN / KOTA :
PROVINSI :
LAPORAN B
NO JENIS PENYAKIT
1 2 3 4 5 6
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th
P L P L P L P L
A33 Tetanus
J18.9 neonatoru
Pneumonia
A06.0 m
Disentri
A03.9 amuba
Disentri
A00.9 Basiler
Kolera
A09 Diare dan
P59.9 Gastroente
Ikterus
P58.9 ritis
bayi baru
Ikterus
Q66 lahir
bayi oleh
baru
Talipes Equinovarus
sebab yang
lahir
B05.9 Campak/M
belum
karena
orbili/Mea
A36.9 Diphtheria
jelas
hemolisis
B54 sles
Malaria
berlebihan
B53.1 Klinis
Malaria
B53.0 Plasmodiu
Malaria
B52.9 m Simian
Plasmodiu
Malaria
B51.9 m Ovale
Plasmodiu
Malaria
B50.9 m
Plasmodiu
Malaria
Malariae
m Vivax
Plasmodiu
A91 Demam
A01.0 m
Berdarah
Demam
Falciparu
Dengue
Typhoid
A04.9 Infeksi
m
(usus
DHF )
A05.0 Keracunan
A05.9 karena
Makanan
Intoxikasi
bakteri
(keracunan
A08.4 Infeksi
lainnya
) makanan
virus pada
usus
A15.0 TB Paru,
A16.0 BTA (+)
TB Paru,
A16 tanpa
BTAParu
TB (-)
biakan
Klinis
A17.0† TB
A18 Maningitis
Tuberculos
A19 is
TBpada
organ
Miliary
lainnya
A30.0 Kusta i/T
A30.5 (MB)
Kusta B/L
(PB)
A35 Tetanus
A37.9 lainnya
Batuk
A39.9 Rejan
Infeksi
(Pertussis)
Meningok
ok
A53.9 Syphilis
A54.1 Ganococca
A54.9 l
Infeksi
Bartholin`s
Gonokok
gland
(Gonorhoe
)abscess
A66.9 Frambusia
/ Patek
PENYAKIT VIRUS
A80 Poliomyeli
A82 tis akut
Rabies
A87 Meningitis
A92.0 Virus
Penyakit
A95.9 virus
Yellow
Chikungun
fever /
ya
demam
INF
kuning
VIRUS
B00.1 Infeksi
B01.9 KULIT&
herpesAir /
Cacar
LESI
virus
Varicella
B02.9 Zoster
MEMBR
[herpes
[chickenpo
[herpes
B06.9 Rubella
AN
simplex]
x]
zoster]
[Campak
MUKOSA
German]
HEPATITIS VIRUS
B15.9 Hepatitis A
B16.9 akut
Hepatitis
B17 B akut
Hepatitis
B18.9 virus akut
Hepatitis
lainnya
virus
kronik
PENYAKI
B24 T VIRUS
Human
B26 LAINNY
Immunode
Penyakit
A
ficiency
Gondok
Virus
(Mumps)
MYCOSES
( HIV )
B35.9 Dermatoph
B36.0 ytosis
Pityriasis
B37.0 versicolor
Candidal
stomatitis
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis
B79 (Cacing
Trichuriasi
sGelang)
(Cacing
Cambuk)
Pedikulo
B86 sis,Askar
Scabies
is
&Infeksi
Lainnya
B87.9 Myiasis
B89 Penyakit
parasit
lainnya
NEOPLASMA
C18.9 Tumor
C50.9 ganas pada
Tumor
C51.9 usus
ganas
Tumor besar
(colon)
payudara
ganas pada
C52 Tumor
C53.9 vulva
ganas pada
Tumor
C60.9 vagina
ganas
Tumorleher
C61 rahim
ganas pada
Tumor
C76 penis
ganas
Tumor
C76.2 prostat
ganas
Tumorbuli
D17 -pada
buli
Lipoma
D50.9 abdomen
Fibroaden
D56.9 oma
Thalassae
mammae
mia
(FAM)
ANEMIA
D50.9 Anemia
D56.9 defisiensi
Thalassae
D64.9 besi
mia
Anaemia

E03.9 Hypotiroid
E05.9 (Struma)
Hypertiroi
E06.9 dThyroiditis
E10 (Thyrotoxi
Diabetes
cosis)
Mellitus
E11 Diabetes
Tergantung
Mellitus
Insulin
Tidak
KURANG
(IDDM) GIZI
Tergantung
E40 Kwashiork
Insulin
E41 or
Nutritional
(NIDDM)
E42 marasmus
Marasmus
E44 Kwashiork
Gizi Kurang
or
F78.0 Hyperkole
sterol
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit
F23.9 Jiwa
Gangguian
F41.9 (Schizophr
Psikotik
Gangguan
enia)
cemas
F44.0 Amnesia
F44.2 Pingsan
F45.0 (stupor)
Psychoso
F48.9 matic
Gangguan
F60.0 Neurotic
Gangguan
F79 paranoid
Retardasi
F99 Mental
Gangguan
Mental
H93.1 Tinnitus

G03.9 Meningitis
G04.9 Encephalit
G20 is, myelitis
Penyakit
G30.9 dan
Parkinson`
Penyakit
encephalo
sAlzheimer
G40.9 Epilepsi
myelitis
G43.9 `s
Migraine
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s
G81.9 palsy
Hemiplegi
G82.2 aParaplegia
G83.9 Paralytic
G91.0 syndrome
Hydroceph
alus
H00.0 Hordeolu
H10.9 m
Conjunctiv
H11.0 itis
Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52 Kelainan
H52.0 Refraksi
Hypermetr
H52.1 opia
Myopia
H52.4 Presbyopia
H53.0 Buta
H53.2 Warna
Diplopia

H60.9 Otitis
H83.0 Externa
Otitis
H61.2 Interna
Impacted
H66.4 Serumen
Otitis
H66.9 Media
Otitis
H70.0 Purulen
Media
Mastoiditis
(OMP)
Akut
Akut
H70.1 Mastoiditis
(OMA)
kronis
H81.9 Vertigo
H90 Gangguan
Pendengar
an
I10 Hypertensi
I20.9 Angina
I21.9 Pectoris
Infark
I30.9 miokard
Pericarditi
I40.9 s akut
Miokarditi
I42.9 sCardiomyo
akut
pathy
I46.9 Cardiac
151.6 Arrest
Decompen
I64 sation
Stroke
I84 Cardiovasc
Haemorrh
uler
oids (gagal
195.9 Hypotensi
jantung)

Infeksi
J00 Akut pd
Nasophary
J01.9 Saluran
ngitis Akut
Sinusitis
Pernafas
(Common
akut
J02.9 Pharyngiti
an
Cold)
sTonsilitis
akut
J03.9 Bagian
J04.0 akut
Atas
Laryngitis
J04.1 akut
Tracheitis
J05.1 akut
Epiglottitis
akut
J11.8 Influenza
Inf Akut
J20.9 lain
Bronkhitis
J21.9 Sal.Pern
akut
Bronchioli
afasan
tis akut
BagB
Penyakit
awah Saluran Pernafasan lainnya
J31.0 Rhinitis
J32.9 kronis
Sinusitis
J33.9 kronis
Nasal
J35.0 polip
Tonsilitis
J37.0 kronis
Laryngitis
kronis
Penyakit
J42 Saluran
Bronkhitis
J44 Pernafas
kronis
PPOK
an
J45.9 Asthma
Bawah
J46 Bronchiale
Status
Kronik
Asthmatic
us
K00 Gangguan
K01.1 dan
Impaksi
K02.0 Perkemban
gigi
Karies
gan
emaildan
(IF)
K02.9 Karies
Erupsi gigi
K03 Gigi
Atrisi
K03.1 Gigi
Abrasi
K03.2 Gigi
Erosi
K03.4 Gigi
Hiperseme
K03.5 ntosis
Ankylosis
K03.6 gigi
Kalkulus
K04.0 gigi
Pulpitis
K04.1 Nekrosis
K04.4 pulpa
Periodontit
is apikalis
akut
K04.5 Periodontit
K04.6 is apikalis
Perilpikal
K04.7 kronis
abses
Perilpikal
K05.1 desimus
abses
Gingintris
K05.2 tanpa
Marginalis
Periodnitis
keterlibata
kronis
marginalis
K05.3 Periodnitis
nakut sinus
K06.0 marginalis
Resesi
K06.1 kronis
gusi
Pembesara
K06.8 n gusi /
Epulis
K07 gingival
giatcul
Anomali
fibromatos
epulis
Dentofasia
K07.3 Crowding,
is
K07.5 ldiatema,
Kebiasaan
K08.1 displaceme
buruk
Kehilanga/
n,
oral
nDry rotasi,
habit
gigi
K.10.3 Socket
spaling,
K.11 akibat
Kelainan
transposisi
kecelakaan
K12.1 Kelenjar
Stomatitis
/Lidah
avulasi
K12.2 Abses
gigi
K12.3 Mulut
Peny.Eso
K25 pagus,La
Ulkus /
K29.7 mbung&
Tukak
Gastritis
Duodenu
lambung
K29.8 Duodenitis
m
K29.9 Gastroduo
K30 denitis
Dispepsia
K35.9 (gangguan
Apendiciti
K37 fungsi
s akut
Appendicit
lambung)
is Lainnya
K40 Hernia
K41 Inguinalis
Hernia
K42 Femoral
Hernia
Umbilical
PENYAKI
L01 T KULIT
Impertigo
L02 DAN
Abses,
JARINGA
furunkel
L04 Limfedenti
N
L20 dan
sDermatitis
karbunkel
atopic
L21 SUBKUT
Dermatitis
L23 AN
seboroik
Dermatitis
L30.0 kontak
Paronikia
PENYAKI
L50 T
Urtikaria
L91.0 SISTEM
Kelloid
OTOT,
M06.9 Rheumatoi
TULANG,
M67.4 dGanglion
Atritis
DAN
M79.1 JARINGA
Mialgia
M79.2 N
Nuralgia
PENYAM
dan
BUNG
Neuritis
N00.9 Sindrom
nefritis
akut
N02 Hematuria
N03 rekuren
Sindrom
N04 dan
nefritik
Sindrom
persisten
kronik
nefrotik
N17 Gagal
N18.9 ginjal
Gagal akut
N20 ginjal
Batu ginjal
N21.1 kronik
dan
Batuureter
N23 Saluran
Kolik
N30 Kencing
ginjal yang
Sistitis
N39.9 tak
Gangguan
ditentukan
sistem
N40 Hipertrofi
N41.0 kemih
prostat
Radang
lainnya
Prostat
N41.1 Radang
N.50.9 akut
Prostat
Odema
N75.8 kronik
unsepesific
Bartholinti
N92.6 sHaid
N94.6 berlebih,
Dismenore
N95.2 sering dan
Vaginitis
teratur
(Gangguan
KEHAMI
haid)
O03.4 LAN,
O03.9 KELAHIR
Abortus
AN,
Spontan
O07.9 Abortus
MASA
O15 Komplit
percobaan
Keracunan
NIFAS
O21.1 yang gagal
kehamilan
Hypereme
( Eklampsi
sis
aGravidaru
)
JARINGA
m (HEG)
O21.9 N
Muntah
O24.9 PENYAM
yang
Diabetes
BUNG
berlebihan
Melitus
O30.9 Kehamilan
dalam
dalam
Ganda
O42.9 Ketuban
kehamilan
kehamilan
Pecah Dini
O44 Plasenta
O45.9 Previa
Solusio
O48 Plasenta
Kehamilan
lewat
waktu
PENYULIT KEHAMILAN
O60 Persalinan
O63.9 Prematur
Persalinan
O72 Lama
Perdarahan
Post
Partum
PERSALINAN
O80.9 Persalinan
O83.9 Tunggal
Persalinan
O84.0 Spontan
Tunggal
Persalinan
O91.2 lainnya
Ganda
Mastitis
dengan
Spontan
P07.1 Bayi lahir
bantuan
Prematur
KEL.SAL
P20.9 .NAFAS&
Hipoksia
P21.9 KARDIO
Intrauterus
Asfiksia
MASA
waktu
PNATAL
lahir
P22.9 Gawat
P24.9 (Distres)
Sindroma
P29 nafas
Aspirasi
Kelainanbayi
baru
Bayi lahir
baru
Kardiovas
P80.9 Hipotermi
lahir
kulerbaru
bayi
berhub.
lahir
KELAINA
dengan
P90 N LAIN
Kejang
masa
P95 PADA
pada bayi
perinatal
Kematian
MASA
baru
janinlahir
tanpa
PERINAT
sebab
LAIN yang
AL - LAIN
jelas / bayi
R00.0 Tachycardi
lahir mati
R00.1 aBradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
R11 Nausea
R23.0 and
Sianosis
R29.0 vomiting
Tetanus
(Mual dan
R33 Retensi
muntah)
R34 Urine
Anuria
R50.9 and
Febris /
R56 oliguri
Demam
Convulsio
R57.1 nSyok
(Kejang
R63.0 demam)
Hipovolem
Anorexia
ik
CEDERA, KERACUNAN
S02.9 Trauma
S12.9 Kepala
Fraktur dan
S42.0 muka
Servikal
Fraktur
S42.3 Klavikula
Fraktur
S62 humerus
Fraktur di
S63 lengan
Dislokasi
S72.9 Fraktur
S82 femur
Fraktur di
S00.9 kaki
Semua
T08 fraktur
Fraktur
T20.9 selain
Luka di
Vetebra
atas
Bakar
T14.0 Hematoma
T14.1 Luka
T63.0 Terbuka
Sengatan
T63.2 (bisa) ular
Sengatan
W53 (bisa)
Digigit
W54 kalajengki
Tikus
Digigit
ng
Anjing
W55 Digigit
W56 kucing
Digigit
W57 (termasuk
binatang
Digigit
binatang
laut
Serangga
X20 Digigit
menyusui)
Y10 Ular
Keracunan
Obat 0 0 0 0 0 0 0 0
Mengetahui
NIP. .........................................................

JUMLAH PENDERITA
7 8 9 10 11 12
5 - 9 Th 10 - 14 Th 15 - 19 Th 20 - 44 Th 45 - 54 Th 55 - 59 Th
0 0 0 0 0 0 0 0 0 0 0
Bogor, ............................
Pelapor
BULAN : JULI
TAHUN : 2017
TOTAL
12 13 14
15
55 - 59 Th 60 - 69 Th > 70 Th
L P L P L B L
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0 0
0 0
0 0
0 0
0 0
0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0
Bogor, ......................................................
Pelapor
KODE PUSKESMAS :
LAPO
NO JENIS PENYAKIT
1 2 3 4 5 6
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th
P L P L P L P L
A33 Tetanus
J18.9 neonatoru
Pneumonia
m
A06.0 Disentri
A03.9 amuba
Disentri
A00.9 Basiler
Kolera
A09 Diare dan
P59.9 Gastroente
Ikterus
ritis
bayi baru
P58.9 Ikterus
lahir
bayi oleh
baru
Q66 Talipes
sebab Equinovarus
lahir yang
B05.9 belum
Campak/M
karena
jelas
orbili/Mea
hemolisis
A36.9 Diphtheria
sles
berlebihan
B54 Malaria
B53.1 Klinis
Malaria
B53.0 Plasmodiu
Malaria
m Simian
Plasmodiu
B52.9 Malaria
m Ovale
Plasmodiu
B51.9 Malaria
m
Plasmodiu
B50.9 Malaria
Malariae
m Vivax
Plasmodiu
A91 Demam
m
Berdarah
A01.0 Demam
Falciparu
Dengue
Typhoid
A04.9 m
Infeksi
( DHF )
A05.0 usus
Keracunan
karena
Makanan
A05.9 Intoxikasi
bakteri
A08.4 (keracunan
lainnya
Infeksi
)virus
makanan
pada
usus
A15.0 TB Paru,
A16.0 BTA (+)
TB Paru,
tanpa
BTA (-)
A16 TB Paru
biakan
Klinis
TB
A17.0†
A18 Maningitis
Tuberculos
is pada
organ
lainnya
A19 TB
Miliary

A30.0 Kusta i/T
A30.5 (MB)
Kusta B/L
A35 (PB)
Tetanus
A37.9 lainnya
Batuk
A39.9 Rejan
Infeksi
(Pertussis)
Meningok
ok
A53.9 Syphilis
A54.1 Ganococca
A54.9 lInfeksi
Bartholin`s
Gonokok
gland
(Gonorhoe
abscess
PENYAKIT
A66.9 Frambusia
/ Patek
PENYAKIT VIRUS
A80 Poliomyeli
A82 tis akut
Rabies
A87 Meningitis
A92.0 Virus
Penyakit
A95.9 virus
Yellow
Chikungun
fever /
ya
demam
INF
kuning
B00.1 VIRUS
Infeksi
KULIT&
herpes
B01.9 Cacar
LESI Air /
virus
Varicella
B02.9 MEMBR
Zoster
[herpes
[chickenpo
AN
[herpes
B06.9 simplex]
Rubella
x]
MUKOSA
zoster]
[Campak
German]
HEPATITIS VIRUS
B15.9 Hepatitis A
B16.9 akut
Hepatitis
B17 B akut
Hepatitis
B18.9 virus akut
Hepatitis
lainnya
virus
kronik
PENYAKI
B24 T VIRUS
Human
LAINNY
Immunode
B26 Penyakit
A
ficiency
Gondok
Virus
(Mumps)
(MYCOSES
HIV )
B35.9 Dermatoph
B36.0 ytosis
Pityriasis
versicolor
B37.0 Candidal
stomatitis
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis
B79 (Cacing
Trichuriasi
Gelang)
s (Cacing
Cambuk)
Pedikulo
B86 sis,Askar
Scabies
is
B87.9 Myiasis
&Infeksi
B89 Lainnya
Penyakit
parasit
lainnya
NEOPLASMA
C18.9 Tumor
C50.9 ganas
Tumorpada
usus
ganas besar
C51.9 Tumor
(colon)
payudara
ganas
C52 Tumorpada
vulva
ganas
C53.9 Tumorpada
vagina
ganas
C60.9 Tumorleher
rahim
ganas
C61 Tumorpada
penis
ganas
C76 Tumor
prostat
ganas
C76.2 Tumorbuli
-pada
buli
D17 Lipoma
abdomen
D50.9 Fibroaden
D56.9 oma
Thalassae
mammae
mia
(FAM)
ANEMIA
D50.9 Anemia
D56.9 defisiensi
Thalassae
besi
mia
D64.9 Anaemia

E03.9 Hypotiroid
E05.9 (Struma)
Hypertiroi
E06.9 dThyroiditis
(Thyrotoxi
E10 Diabetes
cosis)
E11 Mellitus
Diabetes
Tergantung
Mellitus
Insulin
Tidak
(IDDM)
KURANG
Tergantung GIZI
E40 Insulin
Kwashiork
(NIDDM)
or
E41 Nutritional
E42 marasmus
Marasmus
E44 Kwashiork
Gizi Kurang
or
F78.0 Hyperkole
sterol
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit
F23.9 Jiwa
Gangguian
(Schizophr
Psikotik
F41.9 Gangguan
enia)
F44.0 cemas
Amnesia
F44.2 Pingsan
F45.0 (stupor)
Psychoso
F48.9 matic
Gangguan
F60.0 Neurotic
Gangguan
F79 paranoid
Retardasi
F99 Mental
Gangguan
H93.1 Mental
Tinnitus

G03.9 Meningitis
G04.9 Encephalit
G20 is, myelitis
Penyakit
dan
Parkinson`
G30.9 Penyakit
encephalo
sAlzheimer
G40.9 myelitis
Epilepsi
`s
G43.9 Migraine
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s
G81.9 palsy
Hemiplegi
G82.2 aParaplegia
G83.9 Paralytic
G91.0 syndrome
Hydroceph
alus

H00.0 Hordeolu
H10.9 m
Conjunctiv
H11.0 itis
Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52 Kelainan
H52.0 Refraksi
Hypermetr
H52.1 opia
Myopia
H52.4 Presbyopia
H53.0 Buta
H53.2 Warna
Diplopia

H60.9 Otitis
H83.0 Externa
Otitis
H61.2 Interna
Impacted
H66.4 Serumen
Otitis
H66.9 Media
Otitis
Purulen
Media
H70.0 Mastoiditis
(OMP)
Akut
Akut
H70.1 Mastoiditis
(OMA)
H81.9 kronis
Vertigo
H90 Gangguan
Pendengar
an
I10 Hypertensi
I20.9 Angina
I21.9 Pectoris
Infark
I30.9 miokard
Pericarditi
I40.9 sMiokarditi
akut
I42.9 sCardiomyo
akut
I46.9 pathy
Cardiac
151.6 Arrest
Decompen
I64 sation
Stroke
Cardiovasc
I84 Haemorrh
uler (gagal
195.9 oids
jantung)
Hypotensi

Infeksi
J00 Akut pd
Nasophary
Saluran
ngitis Akut
J01.9 Sinusitis
Pernafas
(Common
akut
J02.9 an
Pharyngiti
Cold)
Bagian
sTonsilitis
akut
J03.9 Atas
J04.0 akut
Laryngitis
J04.1 akut
Tracheitis
J05.1 akut
Epiglottitis
akut

J11.8 Influenza
Inf Akut
J20.9 lain
Bronkhitis
Sal.Pern
akut
J21.9 Bronchioli
afasan
tis
BagBakut
awah
J31.0 Rhinitis
J32.9 kronis
Sinusitis
J33.9 kronis
Nasal
J35.0 polip
Tonsilitis
J37.0 kronis
Laryngitis
kronis
Penyakit
J42 Saluran
Bronkhitis
Pernafas
kronis
J44 PPOK
an
J45.9 Bawah
Asthma
Kronik
Bronchiale
J46 Status
Asthmatic
us
K00 Gangguan
K01.1 dan
Impaksi
Perkemban
gigi
K02.0 Karies
gan dan
K02.9 email
Karies(IF)
Erupsi gigi
K03 Gigi
Atrisi
K03.1 Gigi
Abrasi
K03.2 Gigi
Erosi
K03.4 Gigi
Hiperseme
K03.5 ntosis
Ankylosis
K03.6 gigi
Kalkulus
K04.0 gigi
Pulpitis
K04.1 Nekrosis
K04.4 pulpa
Periodontit
K04.5 is apikalis
Periodontit
akut
is apikalis
K04.6 Perilpikal
kronis
abses
K04.7 Perilpikal
desimus
abses
K05.1 Gingintris
tanpa
Marginalis
K05.2 Periodnitis
keterlibata
kronis
marginalis
K05.3 nPeriodnitis
sinus
akut
marginalis
K06.0 Resesi
kronis
gusi
K06.1 Pembesara
K06.8 nEpulis
gusi /
gingival
giatcul
K07 Anomali
fibromatos
epulis
Dentofasia
is
l
K07.3 Crowding,
K07.5 diatema,
Kebiasaan
displaceme
buruk /
K08.1 Kehilanga
n, rotasi,
oral habit
nspaling,
gigi
K.10.3 Dry Socket
akibat
transposisi
K.11 Kelainan
kecelakaan
K12.1 Kelenjar
/Stomatitis
avulasi
Lidah
gigi
K12.2 Abses
K12.3 Mulut
Peny.Eso
K25 pagus,La
Ulkus /
mbung&
Tukak
K29.7 Gastritis
Duodenu
lambung
K29.8 m
Duodenitis
K29.9 Gastroduo
K30 denitis
Dispepsia
K35.9 (gangguan
Apendiciti
fungsi
sAppendicit
akut
K37 lambung)
K40 is Lainnya
Hernia
K41 Inguinalis
Hernia
K42 Femoral
Hernia
Umbilical
PENYAKI
L01 T KULIT
Impertigo
DAN
L02 Abses,
JARINGA
L04 furunkel
N
Limfedenti
dan
sDermatitis
L20 karbunkel
SUBKUT
L21 atopic
AN
Dermatitis
L23 seboroik
Dermatitis
L30.0 kontak
Paronikia
PENYAKI
L50 T
Urtikaria
SISTEM
L91.0 Kelloid
OTOT,
M06.9 TULANG,
Rheumatoi
M67.4 dDAN
Atritis
Ganglion
JARINGA
M79.1 N
Mialgia
M79.2 PENYAM
Nuralgia
BUNG
dan
Neuritis
N00.9 Sindrom
N02 nefritis
Hematuria
akut
rekuren
N03 Sindrom
dan
nefritik
N04 Sindrom
persisten
kronik
nefrotik
N17 Gagal
N18.9 ginjal
Gagal akut
N20 ginjal
Batu ginjal
kronik
dan
N21.1 Batuureter
N23 Saluran
Kolik
Kencing
ginjal
N30 Sistitisyang
tak
N39.9 Gangguan
ditentukan
N40 sistem
Hipertrofi
kemih
prostat
N41.0 Radang
lainnya
N41.1 Prostat
Radang
akut
Prostat
N.50.9 Odema
kronik
unsepesific
N75.8 Bartholinti
N92.6 sHaid
N94.6 berlebih,
Dismenore
sering dan
N95.2 Vaginitis
teratur
(Gangguan
haid)
KEHAMI
O03.4 LAN,
KELAHIR
O03.9 Abortus
AN,
O07.9 Spontan
MASA
Abortus
Komplit
NIFAS
percobaan
O15 Keracunan
yang gagal
kehamilan
O21.1 Hypereme
(sisEklampsi
aGravidaru
)
JARINGA
m (HEG)
O21.9 N
Muntah
PENYAM
yang
O24.9 Diabetes
BUNG
berlebihan
Melitus
O30.9 Kehamilan
dalam
dalam
Ganda
O42.9 kehamilan
Ketuban
kehamilan
O44 Pecah Dini
Plasenta
O45.9 Previa
Solusio
O48 Plasenta
Kehamilan
lewat
waktu
PENYULIT KEHAMILAN
O60 Persalinan
O63.9 Prematur
Persalinan
O72 Lama
Perdarahan
Post
Partum
PERSALINAN
O80.9 Persalinan
O83.9 Tunggal
Persalinan
Spontan
Tunggal
O84.0 Persalinan
lainnya
Ganda
O91.2 Mastitis
dengan
Spontan
P07.1 bantuan
Bayi lahir
Prematur
KEL.SAL
P20.9 .NAFAS&
Hipoksia
KARDIO
Intrauterus
P21.9 Asfiksia
MASA
P22.9 waktu
PNATAL
Gawat
lahir
(Distres)
P24.9 Sindroma
nafas bayi
Aspirasi
P29 Kelainan
baru lahir
Bayi baru
Kardiovas
P80.9 Hipotermi
lahir
kuler
bayi baru
berhub.
lahir
dengan
KELAINA
masa
N LAIN
P90 Kejang
perinatal
PADA
pada bayi
P95 Kematian
MASA
baru
janin lahir
tanpa
PERINAT
sebab
AL yang
LAIN/ bayi
jelas - LAIN
R00.0 lahir mati
Tachycardi
R00.1 aBradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
R11 Nausea
R23.0 and
Sianosis
vomiting
R29.0 Tetanus
(Mual dan
R33 muntah)
Retensi
R34 Urine
Anuria
R50.9 and
Febris /
oliguri
Demam
R56 Convulsio
R57.1 nSyok
(Kejang
demam)
Hipovolem
R63.0 Anorexia
ik
CEDERA, KERACUNAN
S02.9 Trauma
S12.9 Kepala
Fraktur dan
muka
Servikal
S42.0 Fraktur
S42.3 Klavikula
Fraktur
S62 humerus
Fraktur di
S63 lengan
Dislokasi
S72.9 Fraktur
S82 femur
Fraktur di
S00.9 kaki
Semua
T08 fraktur
Fraktur
selain
Vetebradi
T20.9 Luka
atas
T14.0 Bakar
Hematoma
T14.1 Luka
Terbuka
T63.0 Sengatan
T63.2 (bisa) ular
Sengatan
W53 (bisa)
Digigit
kalajengki
Tikus
W54 Digigit
ng
W55 Anjing
Digigit
W56 kucing
Digigit
(termasuk
binatang
W57 Digigit
binatang
laut
Serangga
X20 menyusui)
Digigit
Y10 Ular
Keracunan
Obat
0 0 0 0 0 0 0 0
Mengetahui

JUMLAH PENDERITA
7 8 9 10 11 12
5 - 9 Th 10 - 14 Th 15 - 19 Th 20 - 44 Th 45 - 54 Th 55 - 59 Th
0 0 0 0 0 0 0 0 0 0 0
Bogor, ..................
Pe
BULAN : april
TAHUN :
TOTAL
12 13 14
15
55 - 59 Th 60 - 69 Th > 70 Th
L P L P L B L
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0 0
0 0
0 0
0 0
0 0
0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0
Bogor, ......................................................
Pelapor
DINAS KES
JL. Keseh
KODE PUSKESMAS :
LAPORAN BULA
NO JENIS PENYAKIT
1 2 3 4 5 6
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th
P L P L P L P L
A33 Tetanus
neonatoru
J18.9 Pneumonia
m
A06.0 Disentri
amuba
A03.9 Disentri
Basiler
A00.9 Kolera
A09 Diare dan
Gastroente
P59.9 Ikterus
ritis
bayi baru
P58.9 Ikterus
lahir oleh
bayi
sebabbaru
yang
Q66 Talipes
lahir Equinovarus
belum
B05.9 karena
Campak/M
jelas
hemolisis
orbili/Mea
A36.9 Diphtheria
berlebihan
sles
B54 Malaria
Klinis
B53.1 Malaria
Plasmodiu
B53.0 Malaria
m Simian
Plasmodiu
B52.9 Malaria
m Ovale
Plasmodiu
B51.9 Malaria
m
Plasmodiu
Malariae
B50.9 Malaria
m Vivax
Plasmodiu
A91 Demam
m
Berdarah
Falciparu
A01.0 Demam
Dengue
m
Typhoid
A04.9 (Infeksi
DHF )
usus
A05.0 Keracunan
karena
Makanan
bakteri
A05.9 Intoxikasi
lainnya
(keracunan
A08.4 Infeksi
) makanan
virus pada
usus
A15.0 TB Paru,
BTA (+)
tanpa
biakan
A16.0 TB Paru,
BTA (-)
A16 TB Paru
Klinis
A17.0† TB
Maningitis
A18 Tuberculos
is pada
A19 TB
organ
Miliary
lainnya

A30.0 Kusta i/T
(MB)
A30.5 Kusta B/L
(PB)
A35 Tetanus
lainnya
A37.9 Batuk
Rejan
A39.9 Infeksi
(Pertussis)
Meningok
ok
A53.9 Syphilis
A54.1 Ganococca
l
A54.9 Infeksi
Bartholin`s
Gonokok
gland
(Gonorhoe
abscess
A66.9 Frambusia
/ Patek
PENYAKIT VIRUS
A80 Poliomyeli
tis akut
A82 Rabies
A87 Meningitis
Virus
A92.0 Penyakit
virus
A95.9 Yellow
Chikungun
fever
ya /
demam
kuning
INF
VIRUS
B00.1 Infeksi
KULIT&
herpes
LESI Air /
B01.9 Cacar
virus
MEMBR
Varicella
B02.9 [herpes
Zoster
AN
[chickenpo
simplex]
[herpes
MUKOSA
x]
B06.9 Rubella
zoster]
[Campak
German]
HEPATITIS VIRUS
B15.9 Hepatitis A
akut
B16.9 Hepatitis
B akut
B17 Hepatitis
virus akut
lainnya
B18.9 Hepatitis
virus
kronik
PENYAKI
T VIRUS
B24 Human
LAINNY
Immunode
A
B26 Penyakit
ficiency
Gondok
Virus
(Mumps)
( HIV )
MYCOSES
B35.9 Dermatoph
ytosis
B36.0 Pityriasis
versicolor
B37.0 Candidal
stomatitis
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis
(Cacing
B79 Trichuriasi
Gelang)
s (Cacing
Cambuk)
Pedikulo
sis,Askar
B86 Scabies
is
B87.9 &Infeksi
Myiasis
Lainnya
B89 Penyakit
parasit
lainnya
NEOPLASMA
C18.9 Tumor
ganas pada
C50.9 Tumor
usus besar
ganas
(colon)
C51.9 Tumor
payudara
ganas pada
C52 Tumor
vulva
ganas pada
C53.9 Tumor
vagina
ganas leher
C60.9 Tumor
rahim
ganas pada
C61 Tumor
penis
ganas
C76 Tumor
prostat
ganas buli
C76.2 Tumor
- buli
pada
D17 Lipoma
abdomen
D50.9 Fibroaden
oma
D56.9 Thalassae
mammae
mia
(FAM)
ANEMIA
D50.9 Anemia
defisiensi
D56.9 Thalassae
besi
mia
D64.9 Anaemia

E03.9 Hypotiroid
(Struma)
E05.9 Hypertiroi
d
E06.9 Thyroiditis
(Thyrotoxi
E10 cosis)
Diabetes
Mellitus
E11 Diabetes
Tergantung
Mellitus
Insulin
Tidak
(IDDM)
Tergantung
KURANG GIZI
Insulin
E40 Kwashiork
(NIDDM)
or
E41 Nutritional
marasmus
E42 Marasmus
Kwashiork
E44 Gizi
or Kurang
F78.0 Hyperkole
sterol
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit
Jiwa
F23.9 Gangguian
(Schizophr
Psikotik
enia)
F41.9 Gangguan
cemas
F44.0 Amnesia
F44.2 Pingsan
(stupor)
F45.0 Psychoso
matic
F48.9 Gangguan
Neurotic
F60.0 Gangguan
paranoid
F79 Retardasi
Mental
F99 Gangguan
Mental
H93.1 Tinnitus

G03.9 Meningitis
G04.9 Encephalit
is, myelitis
dan
encephalo
myelitis
G20 Penyakit
Parkinson`
G30.9 Penyakit
s
Alzheimer
G40.9 Epilepsi
`s
G43.9 Migraine
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s
palsy
G81.9 Hemiplegi
a
G82.2 Paraplegia
G83.9 Paralytic
syndrome
G91.0 Hydroceph
alus

H00.0 Hordeolu
m
H10.9 Conjunctiv
itis
H11.0 Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52 Kelainan
Refraksi
H52.0 Hypermetr
opia
H52.1 Myopia
H52.4 Presbyopia
H53.0 Buta
Warna
H53.2 Diplopia

H60.9 Otitis
Externa
H83.0 Otitis
Interna
H61.2 Impacted
Serumen
H66.4 Otitis
Media
H66.9 Otitis
Purulen
Media
(OMP)
H70.0 Mastoiditis
Akut
Akut
(OMA)
H70.1 Mastoiditis
kronis
H81.9 Vertigo
H90 Gangguan
Pendengar
an
I10 Hypertensi
I20.9 Angina
Pectoris
I21.9 Infark
miokard
I30.9 Pericarditi
s akut
I40.9 Miokarditi
s akut
I42.9 Cardiomyo
pathy
I46.9 Cardiac
Arrest
151.6 Decompen
sation
I64 Stroke
Cardiovasc
I84 uler (gagal
Haemorrh
jantung)
oids
195.9 Hypotensi

Infeksi
Akut pd
J00 Nasophary
Saluran
ngitis Akut
Pernafas
J01.9 Sinusitis
(Common
anakut
J02.9 Cold)
Pharyngiti
Bagian
sAtas
akut
J03.9 Tonsilitis
akut
J04.0 Laryngitis
akut
J04.1 Tracheitis
akut
J05.1 Epiglottitis
akut

J11.8 Influenza
Inf Akut
lain
J20.9 Bronkhitis
Sal.Pern
akut
afasan
J21.9 Bronchioli
BagB
tis akut
awah
J31.0 Rhinitis
kronis
J32.9 Sinusitis
kronis
J33.9 Nasal
polip
J35.0 Tonsilitis
kronis
J37.0 Laryngitis
kronis
Penyakit
Saluran
Pernafas
an
Bawah
Kronik
J42 Bronkhitis
kronis
J44 PPOK
J45.9 Asthma
Bronchiale
J46 Status
Asthmatic
us
K00 Gangguan
dan
K01.1 Impaksi
Perkemban
gigi
gan dan
K02.0 Karies
Erupsi(IF)
email gigi
K02.9 Karies
Gigi
K03 Atrisi
Gigi
K03.1 Abrasi
Gigi
K03.2 Erosi
Gigi
K03.4 Hiperseme
ntosis
K03.5 Ankylosis
gigi
K03.6 Kalkulus
gigi
K04.0 Pulpitis
K04.1 Nekrosis
pulpa
K04.4 Periodontit
is apikalis
K04.5 Periodontit
akut
is apikalis
K04.6 Perilpikal
kronis
abses
K04.7 Perilpikal
desimus
abses
K05.1 Gingintris
tanpa
Marginalis
keterlibata
K05.2 Periodnitis
kronis
nmarginalis
sinus
K05.3 Periodnitis
akut
marginalis
K06.0 Resesi
kronis
gusi
K06.1 Pembesara
n gusi /
K06.8 Epulis
gingival
giatcul
fibromatos
K07 Anomali
epulis
is
Dentofasia
K07.3 Crowding,
l
diatema,
K07.5 Kebiasaan
displaceme
buruk
n, /
rotasi,
K08.1 Kehilanga
oral habit
spaling,
n gigi
K.10.3 Dry Socket
transposisi
akibat
K.11 kecelakaan
Kelainan
/Kelenjar
avulasi
K12.1 Stomatitis
gigi
Lidah
K12.2 Abses
Mulut
Peny.Eso
pagus,La
K25 Ulkus
mbung& /
Tukak
Duodenu
K29.7 Gastritis
lambung
m
K29.8 Duodenitis
K29.9 Gastroduo
denitis
K30 Dispepsia
(gangguan
K35.9 Apendiciti
fungsi
slambung)
akut
K37 Appendicit
is Lainnya
K40 Hernia
Inguinalis
K41 Hernia
Femoral
K42 Hernia
Umbilical
PENYAKI
T KULIT
L01 Impertigo
DAN
L02 JARINGA
Abses,
N
furunkel
L04 Limfedenti
dan
sSUBKUT
karbunkel
L20 Dermatitis
AN
atopic
L21 Dermatitis
seboroik
L23 Dermatitis
kontak
L30.0 Paronikia
PENYAKI
T
L50 Urtikaria
SISTEM
L91.0 OTOT,
Kelloid
TULANG,
M06.9 Rheumatoi
DAN
dJARINGA
Atritis
M67.4 Ganglion
N
M79.1 PENYAM
Mialgia
BUNG
M79.2 Nuralgia
dan
Neuritis
N00.9 Sindrom
nefritis
N02 Hematuria
akut
rekuren
N03 Sindrom
dan
nefritik
persisten
N04 Sindrom
kronik
nefrotik
N17 Gagal
ginjal akut
N18.9 Gagal
ginjal
N20 Batu
kronikginjal
dan ureter
N21.1 Batu
Saluran
Kencing
N23 Kolik
ginjal yang
N30 Sistitis
tak
N39.9 ditentukan
Gangguan
sistem
N40 Hipertrofi
kemih
prostat
lainnya
N41.0 Radang
Prostat
N41.1 Radang
akut
Prostat
N.50.9 Odema
kronik
unsepesific
N75.8 Bartholinti
s
N92.6 Haid
berlebih,
N94.6 Dismenore
sering dan
N95.2 teratur
Vaginitis
(Gangguan
haid)
KEHAMI
LAN,
O03.4 Abortus
O03.9 AN,
Abortus
MASA
Spontan
O07.9 Abortus
NIFAS
Komplit
percobaan
O15 Keracunan
yang gagal
kehamilan
O21.1 Hypereme
( Eklampsi
sis
a)
Gravidaru
m (HEG)
JARINGA
N
O21.9 Muntah
PENYAM
yang
BUNG
O24.9 Diabetes
berlebihan
Melitus
dalam
O30.9 Kehamilan
dalam
kehamilan
Ganda
O42.9 kehamilan
Ketuban
Pecah Dini
O44 Plasenta
Previa
O45.9 Solusio
Plasenta
O48 Kehamilan
lewat
waktu
PENYULIT KEHAMILAN
O60 Persalinan
Prematur
O63.9 Persalinan
Lama
O72 Perdarahan
Post
Partum
PERSALINAN
O80.9 Persalinan
Tunggal
O83.9 Persalinan
Spontan
Tunggal
O84.0 Persalinan
lainnya
Ganda
dengan
O91.2 Mastitis
Spontan
bantuan
P07.1 Bayi lahir
Prematur
KEL.SAL
.NAFAS&
P20.9 Hipoksia
KARDIO
Intrauterus
MASA
P21.9 Asfiksia
PNATAL
waktu
P22.9 Gawat
lahir
(Distres)
P24.9 Sindroma
nafas bayi
Aspirasi
baru lahir
P29 Kelainan
Bayi baru
Kardiovas
lahir
P80.9 Hipotermi
kuler
bayi baru
berhub.
lahir
dengan
KELAINA
masa
N LAIN
perinatal
P90 Kejang
PADA
pada
MASA bayi
P95 Kematian
baru lahir
PERINAT
janin tanpa
AL yang
sebab
jelas
LAIN/ bayi
- LAIN
lahir mati
R00.0 Tachycardi
a
R00.1 Bradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
R11 Nausea
and
R23.0 Sianosis
vomiting
R29.0 (Mual
Tetanusdan
muntah)
R33 Retensi
Urine
R34 Anuria
and
R50.9 Febris
oliguri /
Demam
R56 Convulsio
n (Kejang
R57.1 Syok
demam)
Hipovolem
R63.0 Anorexia
ik
CEDERA, KERACUNAN
S02.9 Trauma
Kepala dan
S12.9 Fraktur
muka
Servikal
S42.0 Fraktur
Klavikula
S42.3 Fraktur
humerus
S62 Fraktur di
lengan
S63 Dislokasi
S72.9 Fraktur
femur
S82 Fraktur di
kaki
S00.9 Semua
fraktur
T08 Fraktur
selain di
Vetebra
atas
T20.9 Luka
Bakar
T14.0 Hematoma
T14.1 Luka
Terbuka
T63.0 Sengatan
(bisa) ular
T63.2 Sengatan
(bisa)
W53 Digigit
kalajengki
Tikus
ng
W54 Digigit
Anjing
W55 Digigit
kucing
W56 Digigit
(termasuk
binatang
binatang
W57 Digigit
laut
menyusui)
Serangga
X20 Digigit
Ular
Y10 Keracunan
Obat
0 0 0 0 0 0 0 0
Mengetahui
LAPORAN BULANAN
BULAN
TAHUN

JUMLAH PENDERITA
7 8 9 10 11 12
5 - 9 Th 10 - 14 Th 15 - 19 Th 20 - 44 Th 45 - 54 Th 55 - 59 Th
P L P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0 0 0
Bogor, ......................................
Pelapor
BULAN : april
TAHUN :
TOTAL
13 14
15
60 - 69 Th > 70 Th
P L P L B L
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0 0
0 0
0 0
0 0
0 0
0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0
or, ......................................................
Pelapor
KODE PUSKESMAS :
LAPO
NO JENIS PENYAKIT
1 2 3 4 5 6
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th
P L P L P L P
A33 Tetanus
J18.9 neonatoru
Pneumonia
m
A06.0 Disentri
A03.9 amuba
Disentri
A00.9 Basiler
Kolera
A09 Diare dan
P59.9 Gastroente
Ikterus
ritis
bayi baru
P58.9 Ikterus
lahir
bayi oleh
baru
Q66 Talipes
sebab Equinovarus
lahir yang
B05.9 belum
Campak/M
karena
A36.9 jelas
orbili/Mea
hemolisis
Diphtheria
sles
berlebihan
B54 Malaria
B53.1 Klinis
Malaria
B53.0 Plasmodiu
Malaria
m Simian
Plasmodiu
B52.9 Malaria
m Ovale
Plasmodiu
B51.9 Malaria
m
Plasmodiu
B50.9 Malaria
Malariae
m Vivax
Plasmodiu
A91 Demam
m
Berdarah
A01.0 Demam
Falciparu
Dengue
Typhoid
A04.9 m
Infeksi
( DHF )
A05.0 usus
Keracunan
karena
Makanan
A05.9 Intoxikasi
bakteri
A08.4 (keracunan
lainnya
Infeksi
)virus
makanan
pada
usus
A15.0 TB Paru,
A16.0 BTA (+)
TB Paru,
tanpa
BTA (-)
A16 TB Paru
biakan
Klinis
TB
A17.0†
A18 Maningitis
Tuberculos
A19 is
TBpada
organ
Miliary
lainnya
A30.0 Kusta i/T
A30.5 (MB)
Kusta B/L
A35 (PB)
Tetanus
A37.9 lainnya
Batuk
A39.9 Rejan
Infeksi
(Pertussis)
Meningok
ok
A53.9 Syphilis
A54.1 Ganococca
A54.9 lInfeksi
Bartholin`s
Gonokok
gland
(Gonorhoe
abscess
PENYAKIT
A66.9 Frambusia
/ Patek
PENYAKIT VIRUS
A80 Poliomyeli
A82 tis akut
Rabies
A87 Meningitis
A92.0 Virus
Penyakit
A95.9 virus
Yellow
Chikungun
fever /
ya
demam
INF
kuning
B00.1 VIRUS
Infeksi
KULIT&
herpes
B01.9 Cacar
LESI Air /
virus
Varicella
B02.9 MEMBR
Zoster
[herpes
[chickenpo
AN
[herpes
B06.9 simplex]
Rubella
x]
MUKOSA
zoster]
[Campak
German]
HEPATITIS VIRUS
B15.9 Hepatitis A
B16.9 akut
Hepatitis
B17 B akut
Hepatitis
B18.9 virus akut
Hepatitis
lainnya
virus
kronik
PENYAKI
B24 T VIRUS
Human
LAINNY
Immunode
B26 Penyakit
A
ficiency
Gondok
Virus
(Mumps)
(MYCOSES
HIV )
B35.9 Dermatoph
B36.0 ytosis
Pityriasis
B37.0 versicolor
Candidal
stomatitis
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis
B79 (Cacing
Trichuriasi
Gelang)
s (Cacing
Cambuk)
Pedikulo
B86 sis,Askar
Scabies
is
B87.9 Myiasis
&Infeksi
B89 Lainnya
Penyakit
parasit
lainnya
NEOPLASMA
C18.9 Tumor
C50.9 ganas
Tumorpada
usus
ganas besar
C51.9 Tumor
(colon)
payudara
ganas
C52 Tumorpada
vulva
ganas
C53.9 Tumorpada
vagina
ganas
C60.9 Tumorleher
rahim
ganas
C61 Tumorpada
penis
ganas
C76 Tumor
prostat
ganas
C76.2 Tumorbuli
-pada
buli
D17 Lipoma
abdomen
D50.9 Fibroaden
D56.9 oma
Thalassae
mammae
mia
(FAM)
ANEMIA
D50.9 Anemia
D56.9 defisiensi
Thalassae
besi
mia
D64.9 Anaemia

E03.9 Hypotiroid
E05.9 (Struma)
Hypertiroi
E06.9 dThyroiditis
(Thyrotoxi
E10 Diabetes
cosis)
E11 Mellitus
Diabetes
Tergantung
Mellitus
Insulin
Tidak
(IDDM)
KURANG
Tergantung GIZI
E40 Insulin
Kwashiork
E41 (NIDDM)
or
Nutritional
E42 marasmus
Marasmus
E44 Kwashiork
Gizi Kurang
or
F78.0 Hyperkole
sterol
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit
F23.9 Jiwa
Gangguian
(Schizophr
Psikotik
F41.9 Gangguan
enia)
F44.0 cemas
Amnesia
F44.2 Pingsan
F45.0 (stupor)
Psychoso
F48.9 matic
Gangguan
F60.0 Neurotic
Gangguan
F79 paranoid
Retardasi
F99 Mental
Gangguan
H93.1 Mental
Tinnitus

G03.9 Meningitis
G04.9 Encephalit
G20 is, myelitis
Penyakit
dan
Parkinson`
G30.9 Penyakit
encephalo
sAlzheimer
G40.9 myelitis
Epilepsi
`s
G43.9 Migraine
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s
G81.9 palsy
Hemiplegi
G82.2 aParaplegia
G83.9 Paralytic
G91.0 syndrome
Hydroceph
alus
H00.0 Hordeolu
H10.9 m
Conjunctiv
H11.0 itis
Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52 Kelainan
H52.0 Refraksi
Hypermetr
H52.1 opia
Myopia
H52.4 Presbyopia
H53.0 Buta
H53.2 Warna
Diplopia
H60.9 Otitis
H83.0 Externa
Otitis
H61.2 Interna
Impacted
H66.4 Serumen
Otitis
H66.9 Media
Otitis
Purulen
Media
H70.0 Mastoiditis
(OMP)
Akut
Akut
H70.1 Mastoiditis
(OMA)
H81.9 kronis
Vertigo
H90 Gangguan
Pendengar
an
I10 Hypertensi
I20.9 Angina
I21.9 Pectoris
Infark
I30.9 miokard
Pericarditi
I40.9 sMiokarditi
akut
I42.9 sCardiomyo
akut
I46.9 pathy
Cardiac
151.6 Arrest
Decompen
I64 sation
Stroke
Cardiovasc
I84 Haemorrh
uler (gagal
195.9 oids
jantung)
Hypotensi

Infeksi
J00 Akut pd
Nasophary
Saluran
ngitis Akut
J01.9 Sinusitis
Pernafas
(Common
akut
J02.9 an
Pharyngiti
Cold)
J03.9 Bagian
sTonsilitis
akut
Atas
akut
J04.0 Laryngitis
J04.1 akut
Tracheitis
J05.1 akut
Epiglottitis
akut
J11.8 Influenza
Inf Akut
J20.9 lain
Bronkhitis
Sal.Pern
akut
J21.9 Bronchioli
afasan
tis
BagBakut
awah
J31.0 Rhinitis
J32.9 kronis
Sinusitis
kronis
J33.9 Nasal
J35.0 polip
Tonsilitis
J37.0 kronis
Laryngitis
kronis
Penyakit
J42 Saluran
Bronkhitis
Pernafas
kronis
J44 PPOK
an
J45.9 Bawah
Asthma
J46 Kronik
Bronchiale
Status
Asthmatic
us
K00 Gangguan
K01.1 dan
Impaksi
Perkemban
gigi
K02.0 Karies
gan dan
K02.9 email
Erupsi(IF)
Karies gigi
K03 Gigi
Atrisi
K03.1 Gigi
Abrasi
K03.2 Gigi
Erosi
K03.4 Gigi
Hiperseme
K03.5 ntosis
Ankylosis
K03.6 gigi
Kalkulus
K04.0 gigi
Pulpitis
K04.1 Nekrosis
K04.4 pulpa
Periodontit
K04.5 is apikalis
Periodontit
akut
is apikalis
K04.6 Perilpikal
kronis
abses
K04.7 Perilpikal
desimus
abses
K05.1 Gingintris
tanpa
Marginalis
K05.2 Periodnitis
keterlibata
kronis
marginalis
K05.3 n sinus
Periodnitis
akut
marginalis
K06.0 Resesi
kronis
gusi
K06.1 Pembesara
K06.8 nEpulis
gusi /
gingival
giatcul
K07 Anomali
fibromatos
epulis
Dentofasia
K07.3 is
Crowding,
ldiatema,
K07.5 Kebiasaan
displaceme
buruk /
K08.1 Kehilanga
n, rotasi,
oral habit
nspaling,
gigi
K.10.3 Dry Socket
akibat
transposisi
K.11 Kelainan
kecelakaan
K12.1 Kelenjar
/Stomatitis
avulasi
Lidah
gigi
K12.2 Abses
K12.3 Mulut
Peny.Eso
K25 pagus,La
Ulkus /
mbung&
Tukak
Duodenu
lambung
m
K29.7 Gastritis
K29.8 Duodenitis
K29.9 Gastroduo
K30 denitis
Dispepsia
K35.9 (gangguan
Apendiciti
fungsi
sAppendicit
akut
K37 lambung)
K40 is Lainnya
Hernia
K41 Inguinalis
Hernia
K42 Femoral
Hernia
Umbilical
PENYAKI
L01 T KULIT
Impertigo
DAN
L02 Abses,
JARINGA
L04 furunkel
N
Limfedenti
dan
sDermatitis
L20 karbunkel
SUBKUT
atopic
L21 Dermatitis
AN
L23 seboroik
Dermatitis
L30.0 kontak
Paronikia
PENYAKI
L50 T
Urtikaria
SISTEM
L91.0 Kelloid
OTOT,
M06.9 TULANG,
Rheumatoi
M67.4 dDAN Atritis
Ganglion
JARINGA
M79.1 Mialgia
N
M79.2 PENYAM
Nuralgia
BUNG
dan
Neuritis
N00.9 Sindrom
N02 nefritis
Hematuria
akut
rekuren
N03 Sindrom
dan
nefritik
N04 Sindrom
persisten
kronik
nefrotik
N17 Gagal
N18.9 ginjal
Gagal akut
N20 ginjal
Batu ginjal
kronik
dan
N21.1 Batuureter
N23 Saluran
Kolik
Kencing
ginjal
N30 Sistitisyang
tak
N39.9 Gangguan
ditentukan
N40 sistem
Hipertrofi
kemih
prostat
N41.0 Radang
lainnya
N41.1 Prostat
Radang
akut
Prostat
N.50.9 Odema
kronik
unsepesific
N75.8 Bartholinti
N92.6 sHaid
berlebih,
sering dan
teratur
(Gangguan
haid)
N94.6 Dismenore
N95.2 Vaginitis
KEHAMI
O03.4 LAN,
KELAHIR
O03.9 Abortus
AN,
O07.9 Spontan
MASA
Abortus
Komplit
NIFAS
percobaan
O15 Keracunan
yang gagal
kehamilan
O21.1 Hypereme
(sisEklampsi
aGravidaru
)
JARINGA
m (HEG)
O21.9 N
Muntah
PENYAM
yang
O24.9 Diabetes
BUNG
berlebihan
Melitus
O30.9 Kehamilan
dalam
dalam
Ganda
O42.9 kehamilan
Ketuban
kehamilan
O44 Pecah Dini
Plasenta
O45.9 Previa
Solusio
O48 Plasenta
Kehamilan
lewat
waktu
PENYULIT KEHAMILAN
O60 Persalinan
O63.9 Prematur
Persalinan
O72 Lama
Perdarahan
Post
Partum
PERSALINAN
O80.9 Persalinan
O83.9 Tunggal
Persalinan
Spontan
Tunggal
O84.0 Persalinan
lainnya
Ganda
O91.2 Mastitis
dengan
Spontan
P07.1 bantuan
Bayi lahir
Prematur
KEL.SAL
P20.9 .NAFAS&
Hipoksia
KARDIO
Intrauterus
P21.9 Asfiksia
MASA
P22.9 waktu
PNATAL
Gawat
lahir
(Distres)
P24.9 Sindroma
nafas bayi
Aspirasi
P29 Kelainan
baru lahir
Bayi baru
Kardiovas
P80.9 Hipotermi
lahir
kuler
bayi baru
berhub.
lahir
dengan
KELAINA
P90 masa
N LAIN
Kejang
perinatal
PADA
pada bayi
P95 Kematian
MASA
baru
janin lahir
tanpa
PERINAT
sebab
AL yang
LAIN - LAIN
jelas / bayi
R00.0 lahir mati
Tachycardi
a
R00.1 Bradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
R11 Nausea
R23.0 and
Sianosis
vomiting
R29.0 Tetanus
(Mual dan
R33 muntah)
Retensi
R34 Urine
Anuria
R50.9 and
Febris /
oliguri
Demam
R56 Convulsio
R57.1 nSyok
(Kejang
demam)
Hipovolem
R63.0 Anorexia
ik
CEDERA, KERACUNAN
S02.9 Trauma
S12.9 Kepala
Fraktur dan
muka
Servikal
S42.0 Fraktur
S42.3 Klavikula
Fraktur
S62 humerus
Fraktur di
S63 lengan
Dislokasi
S72.9 Fraktur
S82 femur
Fraktur di
S00.9 kaki
Semua
T08 fraktur
Fraktur
selain
Vetebradi
T20.9 Luka
atas
T14.0 Bakar
Hematoma
T14.1 Luka
T63.0 Terbuka
Sengatan
T63.2 (bisa)
Sengatanular
W53 (bisa)
Digigit
kalajengki
Tikus
W54 Digigit
ng
W55 Anjing
Digigit
W56 kucing
Digigit
(termasuk
binatang
W57 Digigit
binatang
laut
Serangga
X20 menyusui)
Digigit
Y10 Ular
Keracunan
Obat
0 0 0 0 0 0 0
Mengetahui

JUMLAH PENDERITA
6 7 8 9 10 11
1 - 4 Th 5 - 9 Th 10 - 14 Th 15 - 19 Th 20 - 44 Th 45 - 54 Th
L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0
Bog
BULAN : april
TAHUN :
TOTAL
11 12 13 14
15
45 - 54 Th 55 - 59 Th 60 - 69 Th > 70 Th
L P L P L P L B L
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0 0
0 0
0 0
0 0
0 0
0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0 0 0
Bogor, ......................................................
Pelapor
DINAS KESEHAT
JL. Kesehatan N
KODE PUSKESMAS :
LAPORAN BULANAN D
NO JENIS PENYAKIT JU
1 2 3 4 5 6 7
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th 5 - 9 Th
P L P L P L P L P
A33 Tetanus
J18.9 neonatoru
Pneumonia
m
A06.0 Disentri
A03.9 amuba
Disentri
A00.9 Basiler
Kolera
A09 Diare dan
P59.9 Gastroente
Ikterus
ritis
bayi baru
P58.9 Ikterus
lahir
bayi oleh
baru
Q66 Talipes
sebab Equinovarus
lahir yang
B05.9 belum
Campak/M
karena
A36.9 jelas
orbili/Mea
hemolisis
Diphtheria
sles
berlebihan
B54 Malaria
B53.1 Klinis
Malaria
B53.0 Plasmodiu
Malaria
m Simian
Plasmodiu
B52.9 Malaria
m Ovale
Plasmodiu
B51.9 Malaria
m
Plasmodiu
B50.9 Malaria
Malariae
m Vivax
Plasmodiu
A91 Demam
m
Berdarah
A01.0 Demam
Falciparu
Dengue
Typhoid
A04.9 m
Infeksi
( DHF )
A05.0 usus
Keracunan
karena
Makanan
A05.9 Intoxikasi
bakteri
A08.4 (keracunan
lainnya
Infeksi
)virus
makanan
pada
usus
A15.0 TB Paru,
A16.0 BTA (+)
TB Paru,
tanpa
BTA (-)
A16 TB Paru
biakan
Klinis
TB
A17.0†
A18 Maningitis
Tuberculos
A19 is
TBpada
organ
Miliary
lainnya
A30.0 Kusta i/T
A30.5 (MB)
Kusta B/L
A35 (PB)
Tetanus
A37.9 lainnya
Batuk
A39.9 Rejan
Infeksi
(Pertussis)
Meningok
ok
A53.9 Syphilis
A54.1 Ganococca
A54.9 lInfeksi
Bartholin`s
Gonokok
gland
(Gonorhoe
abscess
PENYAKIT
A66.9 Frambusia
/ Patek
PENYAKIT VIRUS
A80 Poliomyeli
A82 tis akut
Rabies
A87 Meningitis
A92.0 Virus
Penyakit
A95.9 virus
Yellow
Chikungun
fever /
ya
demam
INF
kuning
B00.1 VIRUS
Infeksi
KULIT&
herpes
B01.9 Cacar
LESI Air /
virus
Varicella
B02.9 MEMBR
Zoster
[herpes
[chickenpo
AN
[herpes
B06.9 simplex]
Rubella
x]
MUKOSA
zoster]
[Campak
German]
HEPATITIS VIRUS
B15.9 Hepatitis A
B16.9 akut
Hepatitis
B17 B akut
Hepatitis
B18.9 virus akut
Hepatitis
lainnya
virus
kronik
PENYAKI
B24 T VIRUS
Human
LAINNY
Immunode
B26 Penyakit
A
ficiency
Gondok
Virus
(Mumps)
(MYCOSES
HIV )
B35.9 Dermatoph
B36.0 ytosis
Pityriasis
B37.0 versicolor
Candidal
stomatitis
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis
B79 (Cacing
Trichuriasi
Gelang)
s (Cacing
Cambuk)
Pedikulo
B86 sis,Askar
Scabies
is
B87.9 Myiasis
&Infeksi
B89 Lainnya
Penyakit
parasit
lainnya
NEOPLASMA
C18.9 Tumor
C50.9 ganas
Tumorpada
usus
ganas besar
C51.9 Tumor
(colon)
payudara
ganas
C52 Tumorpada
vulva
ganas
C53.9 Tumorpada
vagina
ganas
C60.9 Tumorleher
rahim
ganas
C61 Tumorpada
penis
ganas
C76 Tumor
prostat
ganas
C76.2 Tumorbuli
-pada
buli
D17 Lipoma
abdomen
D50.9 Fibroaden
D56.9 oma
Thalassae
mammae
mia
(FAM)
ANEMIA
D50.9 Anemia
D56.9 defisiensi
Thalassae
besi
mia
D64.9 Anaemia

E03.9 Hypotiroid
E05.9 (Struma)
Hypertiroi
E06.9 dThyroiditis
(Thyrotoxi
E10 Diabetes
cosis)
E11 Mellitus
Diabetes
Tergantung
Mellitus
Insulin
Tidak
(IDDM)
KURANG
Tergantung GIZI
E40 Insulin
Kwashiork
E41 (NIDDM)
or
Nutritional
E42 marasmus
Marasmus
E44 Kwashiork
Gizi Kurang
or
F78.0 Hyperkole
sterol
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit
F23.9 Jiwa
Gangguian
(Schizophr
Psikotik
F41.9 Gangguan
enia)
F44.0 cemas
Amnesia
F44.2 Pingsan
F45.0 (stupor)
Psychoso
F48.9 matic
Gangguan
F60.0 Neurotic
Gangguan
F79 paranoid
Retardasi
F99 Mental
Gangguan
H93.1 Mental
Tinnitus

G03.9 Meningitis
G04.9 Encephalit
G20 is, myelitis
Penyakit
dan
Parkinson`
G30.9 Penyakit
encephalo
sAlzheimer
G40.9 myelitis
Epilepsi
`s
G43.9 Migraine
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s
G81.9 palsy
Hemiplegi
G82.2 aParaplegia
G83.9 Paralytic
G91.0 syndrome
Hydroceph
alus
H00.0 Hordeolu
H10.9 m
Conjunctiv
H11.0 itis
Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52 Kelainan
H52.0 Refraksi
Hypermetr
H52.1 opia
Myopia
H52.4 Presbyopia
H53.0 Buta
H53.2 Warna
Diplopia
H60.9 Otitis
H83.0 Externa
Otitis
H61.2 Interna
Impacted
H66.4 Serumen
Otitis
H66.9 Media
Otitis
Purulen
Media
H70.0 Mastoiditis
(OMP)
Akut
Akut
H70.1 Mastoiditis
(OMA)
H81.9 kronis
Vertigo
H90 Gangguan
Pendengar
an
I10 Hypertensi
I20.9 Angina
I21.9 Pectoris
Infark
I30.9 miokard
Pericarditi
I40.9 sMiokarditi
akut
I42.9 sCardiomyo
akut
I46.9 pathy
Cardiac
151.6 Arrest
Decompen
I64 sation
Stroke
Cardiovasc
I84 Haemorrh
uler (gagal
195.9 oids
jantung)
Hypotensi

Infeksi
J00 Akut pd
Nasophary
Saluran
ngitis Akut
J01.9 Sinusitis
Pernafas
(Common
akut
J02.9 an
Pharyngiti
Cold)
J03.9 Bagian
sTonsilitis
akut
Atas
akut
J04.0 Laryngitis
J04.1 akut
Tracheitis
J05.1 akut
Epiglottitis
akut
J11.8 Influenza
Inf Akut
J20.9 lain
Bronkhitis
Sal.Pern
akut
J21.9 Bronchioli
afasan
tis
BagBakut
awah
J31.0 Rhinitis
J32.9 kronis
Sinusitis
kronis
J33.9 Nasal
J35.0 polip
Tonsilitis
J37.0 kronis
Laryngitis
kronis
Penyakit
J42 Saluran
Bronkhitis
Pernafas
kronis
J44 PPOK
an
J45.9 Bawah
Asthma
J46 Kronik
Bronchiale
Status
Asthmatic
us
K00 Gangguan
K01.1 dan
Impaksi
Perkemban
gigi
K02.0 Karies
gan dan
K02.9 email
Erupsi(IF)
Karies gigi
K03 Gigi
Atrisi
K03.1 Gigi
Abrasi
K03.2 Gigi
Erosi
K03.4 Gigi
Hiperseme
K03.5 ntosis
Ankylosis
K03.6 gigi
Kalkulus
K04.0 gigi
Pulpitis
K04.1 Nekrosis
K04.4 pulpa
Periodontit
K04.5 is apikalis
Periodontit
akut
is apikalis
K04.6 Perilpikal
kronis
abses
K04.7 Perilpikal
desimus
abses
K05.1 Gingintris
tanpa
Marginalis
K05.2 Periodnitis
keterlibata
kronis
marginalis
K05.3 n sinus
Periodnitis
akut
marginalis
K06.0 Resesi
kronis
gusi
K06.1 Pembesara
K06.8 nEpulis
gusi /
gingival
giatcul
K07 Anomali
fibromatos
epulis
Dentofasia
K07.3 is
Crowding,
ldiatema,
K07.5 Kebiasaan
displaceme
buruk /
K08.1 Kehilanga
n, rotasi,
oral habit
nspaling,
gigi
K.10.3 Dry Socket
akibat
transposisi
K.11 Kelainan
kecelakaan
K12.1 Kelenjar
/Stomatitis
avulasi
Lidah
gigi
K12.2 Abses
K12.3 Mulut
Peny.Eso
K25 pagus,La
Ulkus /
mbung&
Tukak
Duodenu
lambung
m
K29.7 Gastritis
K29.8 Duodenitis
K29.9 Gastroduo
K30 denitis
Dispepsia
K35.9 (gangguan
Apendiciti
fungsi
sAppendicit
akut
K37 lambung)
K40 is Lainnya
Hernia
K41 Inguinalis
Hernia
K42 Femoral
Hernia
Umbilical
PENYAKI
L01 T KULIT
Impertigo
DAN
L02 Abses,
JARINGA
L04 furunkel
N
Limfedenti
dan
sDermatitis
L20 karbunkel
SUBKUT
atopic
L21 Dermatitis
AN
L23 seboroik
Dermatitis
L30.0 kontak
Paronikia
PENYAKI
L50 T
Urtikaria
SISTEM
L91.0 Kelloid
OTOT,
M06.9 TULANG,
Rheumatoi
M67.4 dDAN Atritis
Ganglion
JARINGA
M79.1 Mialgia
N
M79.2 PENYAM
Nuralgia
BUNG
dan
Neuritis
N00.9 Sindrom
N02 nefritis
Hematuria
akut
rekuren
N03 Sindrom
dan
nefritik
N04 Sindrom
persisten
kronik
nefrotik
N17 Gagal
N18.9 ginjal
Gagal akut
N20 ginjal
Batu ginjal
kronik
dan
N21.1 Batuureter
N23 Saluran
Kolik
Kencing
ginjal
N30 Sistitisyang
tak
N39.9 Gangguan
ditentukan
N40 sistem
Hipertrofi
kemih
prostat
N41.0 Radang
lainnya
N41.1 Prostat
Radang
akut
Prostat
N.50.9 Odema
kronik
unsepesific
N75.8 Bartholinti
N92.6 sHaid
berlebih,
sering dan
teratur
(Gangguan
haid)
N94.6 Dismenore
N95.2 Vaginitis
KEHAMI
O03.4 LAN,
KELAHIR
O03.9 Abortus
AN,
O07.9 Spontan
MASA
Abortus
Komplit
NIFAS
percobaan
O15 Keracunan
yang gagal
kehamilan
O21.1 Hypereme
(sisEklampsi
aGravidaru
)
JARINGA
m (HEG)
O21.9 N
Muntah
PENYAM
yang
O24.9 Diabetes
BUNG
berlebihan
Melitus
O30.9 Kehamilan
dalam
dalam
Ganda
O42.9 kehamilan
Ketuban
kehamilan
O44 Pecah Dini
Plasenta
O45.9 Previa
Solusio
O48 Plasenta
Kehamilan
lewat
waktu
PENYULIT KEHAMILAN
O60 Persalinan
O63.9 Prematur
Persalinan
O72 Lama
Perdarahan
Post
Partum
PERSALINAN
O80.9 Persalinan
O83.9 Tunggal
Persalinan
Spontan
Tunggal
O84.0 Persalinan
lainnya
Ganda
O91.2 Mastitis
dengan
Spontan
P07.1 bantuan
Bayi lahir
Prematur
KEL.SAL
P20.9 .NAFAS&
Hipoksia
KARDIO
Intrauterus
P21.9 Asfiksia
MASA
P22.9 waktu
PNATAL
Gawat
lahir
(Distres)
P24.9 Sindroma
nafas bayi
Aspirasi
P29 Kelainan
baru lahir
Bayi baru
Kardiovas
P80.9 Hipotermi
lahir
kuler
bayi baru
berhub.
lahir
dengan
KELAINA
P90 masa
N LAIN
Kejang
perinatal
PADA
pada bayi
P95 Kematian
MASA
baru
janin lahir
tanpa
PERINAT
sebab
AL yang
LAIN - LAIN
jelas / bayi
R00.0 lahir mati
Tachycardi
a
R00.1 Bradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
R11 Nausea
R23.0 and
Sianosis
vomiting
R29.0 Tetanus
(Mual dan
R33 muntah)
Retensi
R34 Urine
Anuria
R50.9 and
Febris /
oliguri
Demam
R56 Convulsio
R57.1 nSyok
(Kejang
demam)
Hipovolem
R63.0 Anorexia
ik
CEDERA, KERACUNAN
S02.9 Trauma
S12.9 Kepala
Fraktur dan
muka
Servikal
S42.0 Fraktur
S42.3 Klavikula
Fraktur
S62 humerus
Fraktur di
S63 lengan
Dislokasi
S72.9 Fraktur
S82 femur
Fraktur di
S00.9 kaki
Semua
T08 fraktur
Fraktur
selain
Vetebradi
T20.9 Luka
atas
T14.0 Bakar
Hematoma
T14.1 Luka
T63.0 Terbuka
Sengatan
T63.2 (bisa)
Sengatanular
W53 (bisa)
Digigit
kalajengki
Tikus
W54 Digigit
ng
W55 Anjing
Digigit
W56 kucing
Digigit
(termasuk
binatang
W57 Digigit
binatang
laut
Serangga
X20 menyusui)
Digigit
Y10 Ular
Keracunan
Obat
0 0 0 0 0 0 0 0 0
Mengetahui
LAPORAN BULANAN :
BULAN :
TAHUN :
PORAN BULANAN DATA KESAKITAN ICDX

JUMLAH PENDERITA
7 8 9 10 11 12 13
5 - 9 Th 10 - 14 Th 15 - 19 Th 20 - 44 Th 45 - 54 Th 55 - 59 Th 60 - 69 Th
L P L P L P L P L P L P L
0 0 0 0 0 0 0 0 0 0 0 0 0
Bogor, ......................................................
Pelapor
ULANAN : LB. I
: april
:
TOTAL
14
15
> 70 Th
P L B L
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0
...............................
por
DINAS
JL. K
KODE PUSKESMAS :
LAPORAN B
NO JENIS PENYAKIT
1 2 3 4 5 6
0 - 7 Hr 8 - 28 Hr 1 bl - < 1 Th 1 - 4 Th
P L P L P L P L
A33 Tetanus
J18.9 neonatoru
Pneumonia
m
A06.0 Disentri
A03.9 amuba
Disentri
A00.9 Basiler
Kolera
A09 Diare dan
P59.9 Gastroente
Ikterus
ritis
bayi baru
P58.9 Ikterus
lahir
bayi oleh
baru
Q66 Talipes
sebab Equinovarus
lahir yang
B05.9 belum
Campak/M
karena
A36.9 jelas
orbili/Mea
hemolisis
Diphtheria
sles
berlebihan
B54 Malaria
B53.1 Klinis
Malaria
B53.0 Plasmodiu
Malaria
m Simian
Plasmodiu
B52.9 Malaria
m Ovale
Plasmodiu
B51.9 Malaria
m
Plasmodiu
B50.9 Malaria
Malariae
m Vivax
Plasmodiu
A91 Demam
m
Berdarah
A01.0 Demam
Falciparu
Dengue
Typhoid
A04.9 m
Infeksi
( DHF )
A05.0 usus
Keracunan
karena
Makanan
A05.9 Intoxikasi
bakteri
A08.4 (keracunan
lainnya
Infeksi
)virus
makanan
pada
usus
A15.0 TB Paru,
A16.0 BTA (+)
TB Paru,
tanpa
BTA (-)
A16 TB Paru
biakan
Klinis
TB
A17.0†
A18 Maningitis
Tuberculos
A19 is
TBpada
organ
Miliary
lainnya
A30.0 Kusta i/T
A30.5 (MB)
Kusta B/L
A35 (PB)
Tetanus
A37.9 lainnya
Batuk
A39.9 Rejan
Infeksi
(Pertussis)
Meningok
ok
A53.9 Syphilis
A54.1 Ganococca
A54.9 lInfeksi
Bartholin`s
Gonokok
gland
(Gonorhoe
abscess
PENYAKIT
A66.9 Frambusia
/ Patek
PENYAKIT VIRUS
A80 Poliomyeli
A82 tis akut
Rabies
A87 Meningitis
A92.0 Virus
Penyakit
A95.9 virus
Yellow
Chikungun
fever /
ya
demam
INF
kuning
B00.1 VIRUS
Infeksi
KULIT&
herpes
B01.9 Cacar
LESI Air /
virus
Varicella
B02.9 MEMBR
Zoster
[herpes
[chickenpo
AN
[herpes
B06.9 simplex]
Rubella
x]
MUKOSA
zoster]
[Campak
German]
HEPATITIS VIRUS
B15.9 Hepatitis A
B16.9 akut
Hepatitis
B17 B akut
Hepatitis
B18.9 virus akut
Hepatitis
lainnya
virus
kronik
PENYAKI
B24 T VIRUS
Human
LAINNY
Immunode
B26 Penyakit
A
ficiency
Gondok
Virus
(Mumps)
(MYCOSES
HIV )
B35.9 Dermatoph
B36.0 ytosis
Pityriasis
B37.0 versicolor
Candidal
stomatitis
PENYAKIT PROTOZOA
HELMINTHIASIS
B68.9 Taeniasis
B74.9 Filariasis
B77.9 Ascariasis
B79 (Cacing
Trichuriasi
Gelang)
s (Cacing
Cambuk)
Pedikulo
B86 sis,Askar
Scabies
is
B87.9 Myiasis
&Infeksi
B89 Lainnya
Penyakit
parasit
lainnya
NEOPLASMA
C18.9 Tumor
C50.9 ganas
Tumorpada
usus
ganas besar
C51.9 Tumor
(colon)
payudara
ganas
C52 Tumorpada
vulva
ganas
C53.9 Tumorpada
vagina
ganas
C60.9 Tumorleher
rahim
ganas
C61 Tumorpada
penis
ganas
C76 Tumor
prostat
ganas
C76.2 Tumorbuli
-pada
buli
D17 Lipoma
abdomen
D50.9 Fibroaden
D56.9 oma
Thalassae
mammae
mia
(FAM)
ANEMIA
D50.9 Anemia
D56.9 defisiensi
Thalassae
besi
mia
D64.9 Anaemia

E03.9 Hypotiroid
E05.9 (Struma)
Hypertiroi
E06.9 dThyroiditis
(Thyrotoxi
E10 Diabetes
cosis)
E11 Mellitus
Diabetes
Tergantung
Mellitus
Insulin
Tidak
(IDDM)
KURANG
Tergantung GIZI
E40 Insulin
Kwashiork
E41 (NIDDM)
or
Nutritional
E42 marasmus
Marasmus
E44 Kwashiork
Gizi Kurang
or
F78.0 Hyperkole
sterol
GANGGUAN MENTAL
F03 Dementia
F20.9 Penyakit
F23.9 Jiwa
Gangguian
(Schizophr
Psikotik
F41.9 Gangguan
enia)
F44.0 cemas
Amnesia
F44.2 Pingsan
F45.0 (stupor)
Psychoso
F48.9 matic
Gangguan
F60.0 Neurotic
Gangguan
F79 paranoid
Retardasi
F99 Mental
Gangguan
H93.1 Mental
Tinnitus

G03.9 Meningitis
G04.9 Encephalit
G20 is, myelitis
Penyakit
dan
Parkinson`
G30.9 Penyakit
encephalo
sAlzheimer
G40.9 myelitis
Epilepsi
`s
G43.9 Migraine
G44 Cephalgia
G47.0 Insomnia
G51.0 Bell`s
G81.9 palsy
Hemiplegi
G82.2 aParaplegia
G83.9 Paralytic
G91.0 syndrome
Hydroceph
alus
H00.0 Hordeolu
H10.9 m
Conjunctiv
H11.0 itis
Pterygium
H15.0 Scleritis
H16.9 Keratitis
H26.9 Katarak
H40.9 Glaukoma
H52 Kelainan
H52.0 Refraksi
Hypermetr
H52.1 opia
Myopia
H52.4 Presbyopia
H53.0 Buta
H53.2 Warna
Diplopia
H60.9 Otitis
H83.0 Externa
Otitis
H61.2 Interna
Impacted
H66.4 Serumen
Otitis
H66.9 Media
Otitis
Purulen
Media
H70.0 Mastoiditis
(OMP)
Akut
Akut
H70.1 Mastoiditis
(OMA)
H81.9 kronis
Vertigo
H90 Gangguan
Pendengar
an
I10 Hypertensi
I20.9 Angina
I21.9 Pectoris
Infark
I30.9 miokard
Pericarditi
I40.9 sMiokarditi
akut
I42.9 sCardiomyo
akut
I46.9 pathy
Cardiac
151.6 Arrest
Decompen
I64 sation
Stroke
Cardiovasc
I84 Haemorrh
uler (gagal
195.9 oids
jantung)
Hypotensi

Infeksi
J00 Akut pd
Nasophary
Saluran
ngitis Akut
J01.9 Sinusitis
Pernafas
(Common
akut
J02.9 an
Pharyngiti
Cold)
J03.9 Bagian
sTonsilitis
akut
Atas
akut
J04.0 Laryngitis
J04.1 akut
Tracheitis
J05.1 akut
Epiglottitis
akut
J11.8 Influenza
Inf Akut
J20.9 lain
Bronkhitis
Sal.Pern
akut
J21.9 Bronchioli
afasan
tis
BagBakut
awah
J31.0 Rhinitis
J32.9 kronis
Sinusitis
kronis
J33.9 Nasal
J35.0 polip
Tonsilitis
J37.0 kronis
Laryngitis
kronis
Penyakit
J42 Saluran
Bronkhitis
Pernafas
kronis
J44 PPOK
an
J45.9 Bawah
Asthma
J46 Kronik
Bronchiale
Status
Asthmatic
us
K00 Gangguan
K01.1 dan
Impaksi
Perkemban
gigi
K02.0 Karies
gan dan
K02.9 email
Erupsi(IF)
Karies gigi
K03 Gigi
Atrisi
K03.1 Gigi
Abrasi
K03.2 Gigi
Erosi
K03.4 Gigi
Hiperseme
K03.5 ntosis
Ankylosis
K03.6 gigi
Kalkulus
K04.0 gigi
Pulpitis
K04.1 Nekrosis
K04.4 pulpa
Periodontit
K04.5 is apikalis
Periodontit
akut
is apikalis
K04.6 Perilpikal
kronis
abses
K04.7 Perilpikal
desimus
abses
K05.1 Gingintris
tanpa
Marginalis
K05.2 Periodnitis
keterlibata
kronis
marginalis
K05.3 n sinus
Periodnitis
akut
marginalis
K06.0 Resesi
kronis
gusi
K06.1 Pembesara
K06.8 nEpulis
gusi /
gingival
giatcul
K07 Anomali
fibromatos
epulis
Dentofasia
K07.3 is
Crowding,
ldiatema,
K07.5 Kebiasaan
displaceme
buruk /
K08.1 Kehilanga
n, rotasi,
oral habit
nspaling,
gigi
K.10.3 Dry Socket
akibat
transposisi
K.11 Kelainan
kecelakaan
K12.1 Kelenjar
/Stomatitis
avulasi
Lidah
gigi
K12.2 Abses
K12.3 Mulut
Peny.Eso
K25 pagus,La
Ulkus /
mbung&
Tukak
Duodenu
lambung
m
K29.7 Gastritis
K29.8 Duodenitis
K29.9 Gastroduo
K30 denitis
Dispepsia
K35.9 (gangguan
Apendiciti
fungsi
sAppendicit
akut
K37 lambung)
K40 is Lainnya
Hernia
K41 Inguinalis
Hernia
K42 Femoral
Hernia
Umbilical
PENYAKI
L01 T KULIT
Impertigo
DAN
L02 Abses,
JARINGA
L04 furunkel
N
Limfedenti
dan
sDermatitis
L20 karbunkel
SUBKUT
atopic
L21 Dermatitis
AN
L23 seboroik
Dermatitis
L30.0 kontak
Paronikia
PENYAKI
L50 T
Urtikaria
SISTEM
L91.0 Kelloid
OTOT,
M06.9 TULANG,
Rheumatoi
M67.4 dDAN Atritis
Ganglion
JARINGA
M79.1 Mialgia
N
M79.2 PENYAM
Nuralgia
BUNG
dan
Neuritis
N00.9 Sindrom
N02 nefritis
Hematuria
akut
rekuren
N03 Sindrom
dan
nefritik
N04 Sindrom
persisten
kronik
nefrotik
N17 Gagal
N18.9 ginjal
Gagal akut
N20 ginjal
Batu ginjal
kronik
dan
N21.1 Batuureter
N23 Saluran
Kolik
Kencing
ginjal
N30 Sistitisyang
tak
N39.9 Gangguan
ditentukan
N40 sistem
Hipertrofi
kemih
prostat
N41.0 Radang
lainnya
N41.1 Prostat
Radang
akut
Prostat
N.50.9 Odema
kronik
unsepesific
N75.8 Bartholinti
N92.6 sHaid
berlebih,
sering dan
teratur
(Gangguan
haid)
N94.6 Dismenore
N95.2 Vaginitis
KEHAMI
O03.4 LAN,
KELAHIR
O03.9 Abortus
AN,
O07.9 Spontan
MASA
Abortus
Komplit
NIFAS
percobaan
O15 Keracunan
yang gagal
kehamilan
O21.1 Hypereme
(sisEklampsi
aGravidaru
)
JARINGA
m (HEG)
O21.9 N
Muntah
PENYAM
yang
O24.9 Diabetes
BUNG
berlebihan
Melitus
O30.9 Kehamilan
dalam
dalam
Ganda
O42.9 kehamilan
Ketuban
kehamilan
O44 Pecah Dini
Plasenta
O45.9 Previa
Solusio
O48 Plasenta
Kehamilan
lewat
waktu
PENYULIT KEHAMILAN
O60 Persalinan
O63.9 Prematur
Persalinan
O72 Lama
Perdarahan
Post
Partum
PERSALINAN
O80.9 Persalinan
O83.9 Tunggal
Persalinan
Spontan
Tunggal
O84.0 Persalinan
lainnya
Ganda
O91.2 Mastitis
dengan
Spontan
P07.1 bantuan
Bayi lahir
Prematur
KEL.SAL
P20.9 .NAFAS&
Hipoksia
KARDIO
Intrauterus
P21.9 Asfiksia
MASA
P22.9 waktu
PNATAL
Gawat
lahir
(Distres)
P24.9 Sindroma
nafas bayi
Aspirasi
P29 Kelainan
baru lahir
Bayi baru
Kardiovas
P80.9 Hipotermi
lahir
kuler
bayi baru
berhub.
lahir
dengan
KELAINA
P90 masa
N LAIN
Kejang
perinatal
PADA
pada bayi
P95 Kematian
MASA
baru
janin lahir
tanpa
PERINAT
sebab
AL yang
LAIN - LAIN
jelas / bayi
R00.0 lahir mati
Tachycardi
a
R00.1 Bradicardi
R02 Gangrene
R04.0 Epistaksis
R06.1 Dyspnoea
R11 Nausea
R23.0 and
Sianosis
vomiting
R29.0 Tetanus
(Mual dan
R33 muntah)
Retensi
R34 Urine
Anuria
R50.9 and
Febris /
oliguri
Demam
R56 Convulsio
R57.1 nSyok
(Kejang
demam)
Hipovolem
R63.0 Anorexia
ik
CEDERA, KERACUNAN
S02.9 Trauma
S12.9 Kepala
Fraktur dan
muka
Servikal
S42.0 Fraktur
S42.3 Klavikula
Fraktur
S62 humerus
Fraktur di
S63 lengan
Dislokasi
S72.9 Fraktur
S82 femur
Fraktur di
S00.9 kaki
Semua
T08 fraktur
Fraktur
selain
Vetebradi
T20.9 Luka
atas
T14.0 Bakar
Hematoma
T14.1 Luka
T63.0 Terbuka
Sengatan
T63.2 (bisa)
Sengatanular
W53 (bisa)
Digigit
kalajengki
Tikus
W54 Digigit
ng
W55 Anjing
Digigit
W56 kucing
Digigit
(termasuk
binatang
W57 Digigit
binatang
laut
Serangga
X20 menyusui)
Digigit
Y10 Ular
Keracunan
Obat
0 0 0 0 0 0 0 0
Mengetahui

JUMLAH PENDERITA
7 8 9 10 11 12
5 - 9 Th 10 - 14 Th 15 - 19 Th 20 - 44 Th 45 - 54 Th 55 - 59 Th
0 0 0 0 0 0 0 0 0 0 0
Bogor, ............................
Pelapor
BULAN : april
TAHUN :
TOTAL
12 13 14
15
55 - 59 Th 60 - 69 Th > 70 Th
L P L P L B L
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0 0 0 0
Bogor, ......................................................
Pelapor
no usia alamat diagnosa
1 MH
2 PMY
3 MH
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
MH
PMY
KOTA
LUAR KOTA
MH 65
65

Lb12019 Puskesmas MH Maret 2019

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DINAS

LAPORAN BULANAN DATA KESAKITAN ICDX

PENYAKIT BAKTERI LAINNYA

INFEKSI PENY. MENULAR KELAMIN

PENYAKIT SPIROKAETAL LAINNYA

INF VIRUS KULIT& LESI MEMBRAN

PENYAKIT VIRUS LAINNYA

Pedikulosis,Askaris &Infeksi Lainnya

PENYAKIT ENDOKRIN & NUTRISI

PENYAKIT SUSUNAN SYARAF

PENYAKIT MATA DAN ADNEKSA

PENYAKIT PD TELINGA & MASTOID

PENYAKIT SISTEM SIRKULASI

PENYAKIT SISTEM PERNAFASAN

Influenza dan Pneumonia

Inf Akut lain Sal.Pernafasan

Penyakit Saluran Pernafasan Bawah

PENYAKIT GIGI DAN MULUT

K42 Hernia Umbilical

PENYAKIT KULIT DAN JARINGAN

PENYAKIT SISTEM OTOT, TULANG, DAN

PENYAKIT SISTEM PERKEMIHAN

KEHAMILAN, KELAHIRAN, MASA NIFAS

P07.1 Bayi lahir Prematur

LAPORAN BULANAN : LB. I

PENYAKIT ENDOKRIN & NUTRISI

PENYAKIT SUSUNAN SYARAF

PENYAKIT PD TELINGA & MASTOID

PENYAKIT SISTEM PERNAFASAN

LAPORAN BULANAN DATA KESAKITAN ICDX

PENYAKIT ENDOKRIN & NUTRISI

PENYAKIT SUSUNAN SYARAF

PENYAKIT PD TELINGA & MASTOID

PENYAKIT SISTEM PERNAFASAN

LAPORAN BULANAN DATA KESAKITAN ICDX

PENYAKIT BAKTERI LAINNYA

PENYAKIT ENDOKRIN & NUTRISI

PENYAKIT SUSUNAN SYARAF

PENYAKIT MATA DAN ADNEKSA

PENYAKIT SISTEM PERNAFASAN

LAPORAN BULANAN DATA KESAKITAN ICDX

PENYAKIT BAKTERI LAINNYA

PENYAKIT ENDOKRIN & NUTRISI

PENYAKIT SUSUNAN SYARAF

PENYAKIT MATA DAN ADNEKSA

PENYAKIT PD TELINGA & MASTOID

PENYAKIT SISTEM PERNAFASAN

Influenza dan Pneumonia

LAPORAN BULANAN DATA KESAKITAN ICDX

PENYAKIT ENDOKRIN & NUTRISI

PENYAKIT SUSUNAN SYARAF

PENYAKIT PD TELINGA & MASTOID

PENYAKIT SISTEM PERNAFASAN

LAPORAN BULANAN DATA KESAKITAN ICDX

PENYAKIT BAKTERI LAINNYA

PENYAKIT ENDOKRIN & NUTRISI

PENYAKIT SUSUNAN SYARAF

PENYAKIT MATA DAN ADNEKSA

PENYAKIT PD TELINGA & MASTOID

PENYAKIT SISTEM PERNAFASAN

Influenza dan Pneumonia

APORAN BULANAN DATA KESAKITAN ICDX

PENYAKIT ENDOKRIN & NUTRISI