NO NAMA PENYAKIT TINGKAT KEMAMPUAN

1 A. PENYAKIT UMUM
2 TUBERKULOSIS (TB) PARU 4A
3 MORBILI 4A
4 VARISELA 4A
5 MALARIA 4A
6 DEMAM DENGUE DAN DEMEM BERDARAH DENGUE 4A
7 LEPTOSPIROSIS 4A
8 INFEKSI PADA UMBILICUS 4A
9 KANDIDIASIS MULUT 4A
10 LEPRA 4A
11 KERACUNAN MAKANAN 4A
12 ALERGI MAKANAN 4A
13 EXANTHEMATOUS DRUG ERUPTION 4A
14 FIXED DRUG ERUPTION (FDE) 4A
15 REAKSI ANAFILAKTIK 4A
16 SYOK 4A
17 B. DARAH, PEMBEKUAN DARAH DAN SISTEM IMUN
18 ANEMIA DEFISIENSI BESI 4A
HIV/AIDS TANPA KOMPLIKASI 4A
19
20 LIMFADENITIS 4A
21 C. DIGESTIVE
22 REFLUKS GASTROESOFAGEAL 4A
23 GASTRITIS 4A
24 INTOLERANSI MAKANAN 4A
25 MALABSORBSI MAKANAN 3A
26 DEMAM TIFOID 4A
GASTROENTENTIS (TERMASUK DISENTRI, KOLERA, DAN 4A
27 GLARDIASIS
28 DISENTRI BASILER DAN DISENTRI AMOEBA 4A
29 APENDISITIS AKUT 3B
30 PERDARAHAN SALURAN MAKANAN BAGIAN ATAS 1-3 B
31 PERDARAHAN SALURAN MAKANAN BAGIAN BAWAH 2-4 A
32 HEMOROID GRADE 1-2 4A
33 HEPATITIS A 4A
34 HEPATITIS B 3A
35 PAROTITIS 4A
36 ASKARIASIS 4A
37 CUTANEUS LARVA MIGRANS 4A
38 PENYAKIT CACING TAMBANG 4A
SKISTOSOMIASIS 4A
39
40 SFRONGILOIDIASIS 4A
41 TAENIASIS 4A
42 PECITONITIS 3B
43 KOLESISTITIS 3B
44 D. MATA
45 MATA KERING/DRY EYE 4A
46 BUTA SENJA 4A
47 HORDEOLUM 4A
48 KONJUNGTIVITIS INFEKSI, 4A
49 KONJUNGTIVITIS ALERGI 4A
50 BLEFARITIS 4A
51 PERDARAHAN SUBKONJUNGTIVA 4A
52 BENDA ASING DI KONJUNGTIVA 4A
53 ASTIGMATISM 4A
54 HIPERMETROPIA 4A
55 MIOPIA RINGAN 4A
56 PRESBIOPIA 4A
57 KATARAK PADA PASIEN DEWASA 2
58 GLAUKOMA AKUT 4A
59 E. TELINGA
60 OTITIS EKSTERNA 4A
61 OTITIS MEDIA AKUT 4A
62 SERUMEN PROP 4A
63 F. HIDUNG
64 BENDA ASING DI HIDUNG 4A
65 G. KARDIOVASKULAR
66 ANGINA PEKTORIS 3B
67 INFAK MIOKARD 3B
68 TAKKIKARDIA 3B

69 GAGAL JANTUNG AKUT DAN KRONIK 3B-3A

70 CARDIORESPIRATORY ARREST 3B
71 HIPERTENSI ESSENSIAL 4A
72 INFARK SEREBRAL/STROKE 3B
73 FRAKTUR TERBUKA 3B
74 FRAKTUR TERTUTUP 3B
75 POLIMIALGIA REUMATIK 3A
76 ARTRITIS REUMATOID 3A
77 ARTRITIS OSTEOARTRITIS 3A
78 LIPOMA 3A
79 I. NEUROLOGI
80 KEJANG DEMAM 4A
81 VERTIGO 4A
82 DELIRIUM 3A
83 TETANUS 4A
84 RABIES 3B
85 EPILEPSI 3A
86 STATUS EPILEPTIKUS 3B
87 MIGREN 4A
88 BELL'S PALSY 4A
89 TENSION HEADACHE 4A
90 INSOMNIA 4A
91 DEMENSIA 3A
92 GANGGUAN CAMPURAN ANXLETOS DAN DEPRESI 3A
93 GANGGUAN PSIKOTIK 3A
94 K. RESPIRASI
95 EPISTAKSIS 4A
96 FURUNKEL PADA HIDUNG 4A
97 FARINGITIS 4A
98 RHINITIS AKUT 4A
99 RHINITIS ALERGIK 4A
100 RHINITIS VASOMOTOR 4A
101 TONSILITIS 4A
102 LARINGITIS 4A
103 BRONKITIS AKUT 4A
104 INFLUENZA 4A
105 PNEUMONIA ASPIRASI 3B
106 PNEUMONIA DAN BRONKOPNEUMONIA 4A
107 PERTOSIS 4A
108 ASMA BRONKIAL 4A
109 L. KULIT
110 MILIARIA 4A
111 VERLIKA VULGARIS 4A
112 REAKSI GIGITAN SERANGGA 4A
113 HERPES ZOSTER 4A
114 HERPES SIMPLEKS 4A
115 SKABIES 4A
116 PEDIKULOSIS KAPITIS 4A
DERMATOFITOSIS 4A
117
118 PITIRIASIS VERSIKOLOR/TINEA VERSIKOLOR 4A
IMPETIGO, PLODERMA DAN CUSTANEUS,ABSES,TURUNKELA 4A
119 KARBUNKEL
120 DERMATITIS SEBOROIK 4A
121 DERMATITIS ATOPIK 4A
122 DERMATITIS NUMULARIS 4A
123 LIKEN SIMPLEKS KRONIK (NEUDERMATITIS SIRKUM KRIPTA) 3A
124 DERMATITIS KONTAK ALERGIK 3A
125 DERMATITIS KONTAK IRITAN 4A
126 NAPKIN ECZEMA (DERMATITIS POPOK) 4A
127 PITIRIASIS ROSEA 4A
128 MOLISKUM KONTAGIOSUM 4A
129 URTIKARIA 4A
130 FILARIASIS 4A

131 LUKA BAKAR DERAJAT I DAN II 4A

132 M. METABOLIK ENDOKRIN DAN NUTRISI
133 OBESITAS -
134 TIROTOKSIKOSIS 3B
135 HIPERGLIKEMIA HIPEROS MOLAR NON KETOTIK 3B
136 HIPOGLIKEMIA RINGAN 4A
DIABETES MELITUS 1-2 4A
137
138 MALNUTRISI ENERGI PROTEIN (MEP) 4A
HIPERURICEMIA-GOUT ARTHRITIS 4A
139
140 DISLIPIDEMIA 4A
141 N. SALURAN KEMIH
142 INFEKSI SALURAN KEMIH 4A
143 O. KESEHATAN WANITA
144 HIPEREMESIS GRAVIDARUM 3B
145 KEHAMILAN NORMAL 4A
146 PRE EKLAMPSIA 3B
147 EKLAMPSI 3B
148 ABORTUS KOMPLIT 4A

149 ANEMIA DEFISIENSI BESI PADA KEHAMILAN 4A

150 KETUBAN PECAH DINI (KPD) 3A
151 PERSALINAN LAMA 3B
152 PERDARAHAN POST PARTUM 3B
153 RUPTUR PERINEUM TINGKAT 1-2 4A
154 MASTITIS 4A
155 P. PENYAKIT KELAMIN
156 FLOUR ALBUS/VAGINAL DISCHARGE NON GONORE 4A

SIFILIS 3A
157
158 GONORE 4A
159 VIGINITIS 4A
160 VULVITIS 4A
 DATA KESAKITAN 145 PENYAKIT

KODE
ICPC II

A 70(tuberculosis)
A 71(measles)
A 72(Chickenpox)
A 73 (malaria)
a 77(viral disease other/NOS)
A 78 infection disease other /NOS
A 78(infection disease other)
A 78 (infectious desease other)
A 78 (infectious desease other)/NOS
A 86 Toxic effect non medical substance
A 92 allergy/ Allergic reaction NOS
SO7 Rash generalized
A 85 Adverse effect medical agent
A 92 allergy/allergic reaction NOS)
K 99 Cardiovascular disease other

B 82 Anaemia other/unspecified
B 90 HIV INFECTION/AIDS

D84 Oesphagus disease

DO7 Dyspepsia/indigestion
D 29 digestive syndrome/complaint other
D 29 digestive syndrome/complaint other
D 70 Gatrointestinal infection
D73 Gastroenteritis presumed infection

D 70 gastointestinal infection
S87 APPENDICITIS
D 14 haematemesisi/vomiting blood, D 15 melaena
D 70 gastrointestinal infection
D 95 anal fissure/perianal abscess
D 72 viral hepatitis
D 72 viral hepatitis
D83 Mouth/tounge/lip disease
D96 worms/other parasites
D96 worms/other parasites
D96 worms/other parasites
D96 worms/other parasites

D96 worms/other parasites

D96 worms/other parasites
D99 disease digestive system,other
D98 Cholecystitis/cholelithiasis

F99 Eye/adnexa disease other

F99 Eye/adnexa disease other
F72 Blepharitis/stye/chalazion
F70 conjucntivitis infectious
F71 Conjunctivitis allergic
F72 Blepharitis/stye/chalazion
F75 contusion/haemorrhage eye
F76 Foreign body in eye
F91 refractive error
F91 refractive error
F91 refractive error
F91 refractive error
F92 Cataract
F93 Glaucoma

H70 otitis eksterna

H71 acute otitis media/myringitis
H81 Excessive ear wax

R 87 foreign body nose/larynx/bronchus

K74 Ischaemic herat disease with angina

K75 acute myocardial infarction
K79 Paroxysmal tachicardy

K77 heart failure

K 80 cardiac arrhytmia NOS
K86 Hypertension uncomplicated
K90 stroke/cerebrovascular accident
L76 fracture other
L76 fracture other
L99 musculosceletal disease other
L99 musculosceletal disease other
L91 Osteoartrosis other
S78 LIPOMA

NO7 convulsion/seizure
N17 Vertigo/dizziness
P71 organic psychosis other
N72 TETANUS
A77 viral disease other/NOS
N88 epilepsy
N88 epilepsy
N89 Migrain
N91 facial paralysis/bell's palsy
N95 Tension headache
PO6 sleep disturbance
P70 DEMENTIA
P74 anxiety disorder (anxiety state)
P98 psychosis NOS/other

R06 nose bleed/epistaxis

R73 boil/abscess nose
R74 upper respiratory infection acute
R74 upper respiratory infection acute
R76 allergic rhinitis
-
R 76 tonsillitis acute
R77 laryngitis/tracheitis acute
R78 acute bronckitis/bronchiolitis
R80 Influenza
R99 respiratory disease other
R81 Pneumonia
R71 whooping cough
R96 ASTHMA

SO2 S92 swat gland disease

SO3 WARTS
S12 insect bite/sting
S70 herpes zoster
S71 herpes simplex
S72 SCABIES/other acariasis
S73 pediculosis/skin infestation other
S74 dermatophytosis

S76 skin infection other

S84 IMPETIGO, S76 Skin infection other

S86 dermatitis seborrhoeic

S 87 DERMATITIS/ATOPIC ECZEMA
S 87 DERMATITIS/ATOPIC ECZEMA
S 87 DERMATITIS/ATOPIC ECZEMA
S 88 Dermatitis contact/allergic
S 88 Dermatitis contact/allergic
S 89 diaper rush
S 90 pityriasis rosea
S 95 molluscum contagiosum
S 98 urticaria
S 99 skin infection other

S 24 burn/scald

T 82 Obesity, T83 overweight

T 85 hipertiroidisme/tirotoksikosis
A 91 abnormal result invetigation NOS
T 87 Hypoglycemia
T 89 diabetes insulin dependet, T 90 Diabetes non - insulin
dependent
T 91 vitamin/nutritional deficiency
T 99 endocrine/metabolic/nutritional disease other, T 92 gout

T 93 lipid disorder

U 71 cystitits/urinary infection others

WO 5 Pregnancy vomiting/nausea
W 90 uncomplicated labour/delivery livebirth
W 81 toxaemia of pregnancy
W 81 toxaemia of pregnancy
W82 abortion spontaneous, W 82 abortion spontaneous

B 80 irondeficiency anaemia
W92 complicated labour/delivery livebirth
W92 life birth, W93 still birth
W17 post partum bleeding
W92 complicated labour/delivery livebirth
X21 breats symptom/complaint female other

X14 vaginal discharge,X71 gonore pada perempuan,X72 urogenital

candidiasis pada perempuan, X73 tikomoniasis urogenesis pd
perempuan, X 92 klamidia genital pada perempuan

Y 70 syphilis male,X70 syphilis female

X71 gonorrhoea female,Y71 gonorrhoe male

X84 Vaginitis
X84 vaginitis/vulvitis
AN 145 PENYAKIT

ICD X 0-7 HR 8-28 HR

L P L P
Baru Lama Baru Lama Baru Lama Baru

A 15 (respiratory,bacteriologicaly and histologically confirmed)

B.05.9(measles without complication(measles NOS))
B 01,9(varicella without complication (varicella NOS))
B 54 ( unspecified malaria)
A 90( dengue fever) DAN A 91 ( dengue haemorrhagic fever)
A 27.9
-
B 37.9( candidiasis unspecified)
A 30 LEPROSY( hansen disease)
T 62.2 other ingested (parts of plants)
-
L 27.0 generalized skin eruption due to drugs and medicaments
L 27.0 generalized skin eruption due to drugs and medicaments
-
R 57.9 shock,unspecified

D 64.9 anaemia, unspecified

Z 21 asymptomatic human immunodeficiency virus(HIV) infection status

B 70 Lymphadenitis acute

K 21.9 gastro-oesophageal reflux disease without oesophagitis

K.29.7 gastritis, unspecified

A 01.0 typhoid fever

A 09 diarrhoe and gastroenteritis of presumed infection origin

K 35.9 Acute appendicitis

K 11,2 sialoadenitis
B 77.9 ascariaris unspecified
B 76.9 hookworm disease,unspecified
D 76.0 Ankylostomiasis, B 76-1 necatoriasis
B 65.9 skistosomiasisunspecified, 65.2 schistomiasis due to
s.japonicum
B 78.9 strongyloidiasis
B68.9 taeniasis
K65.9 peritonitis,unspecified
K 81.9 cholecystitis,unspecified

H 04.1 other disorders of lacrimal gland

H 53.5 colour vision deficiencies
H 00.0 hordeolum and other deep inflammation of eyelid
H 10.9 conjunctivitis,unspecified
H 10.1 acute atopic conjunctivitis
H01,0 Blepharitis
H57,8 other specified disorders of eye and adnexa
T 15,9 foreign body on external eye,part unspecified
H 52.2 astigmatism
H 52,0 hypermetropia
H 52,1 myopia
H52.4 presbyopia
26.9 cataract,unspecified
H 40.2 primary angle-closure glaucoma

H 60.9 otitis externa,unspecified

H 66.0 acute suppurative otitis media
H 61.2 impacted cerumen

T 17.1 foreign body in nostril

I.20,9 angina pectoris,unspecified

I.21.9 acute myocardial infarction,unspecified
R. 00.0 tachicardy unspecified,I 47.1 supraventicular tachicardy,I 47.2
ventricular tachicardy
I 50.9

I 10 essential (primary)hypertension
I 63.9 cerebral infarction unspecified
T 14 fracture of unspecified body
T 14 fracture of unspecified body
M 53.3 polymyalgia rheumatica
M 53.3 polymyalgia rheumatica
M 19,9 osteoarthosis other
D 17,9 benign lipomatous neoplasm

R.56,0 febrile convulsions

R 42 dizziness and giddiness
F 05,9 delirium,unspecified
A 35 Othertetanus
A 82,9 RABIES,Unspecified
G 40,9 epilepsy,unspecified
G 41,9 Status epilepticus,unspecified
G.43,9 migraine,unspecified
G 51,0 bell's palsy
G 44,2 tension-type headache
G 47,0 disorders of initiating and maintaining sleep (insomnia)
F 03 unspecified dementhia
F 41,2 mixed anxiety and depression disorder
F 20# chronic psychotic disorder

R 04,0 epistaxis
J 34,0 abscess,furuncle and carbuncle of nose
J 02,9 acute pharyngitis,unspecified
J.00 acute nasopharingitis(commond cold)
J 30,0 vasomotor rhinitis
-
acute tonsillitis,unspecified
J 04,0 acute laryngitis
J 20,9 acute bronchitis,unspecified
J 11 influenza,virus not identified
J 69,0 pneumonitis due to food and vomit
J 18,9 pneumonia ,unspecified
A 37,8 whooping cough,bordetella bronchiseptica
J 45 ASTHMA

L 74,3 miliaria,unspecified
B,07 VIRAL WARTS
T 63,4 venom of other arthropods
B 02,9 zoster without complication
B 00.9 herpesviral infection,unspecified
B 86 scabies
B 85,0 pediculosis due to pediculus humanus capitis
B 35dermatophytosis(B 35 dermatophytosis s/d 0-35,8 other
dermatophytosis)
B 36,0 pityriasis versicolor
L 01 Impetigo,L 02 cutaneous abscess, furuncle and carbuncle ,L08.0
pyoderma
L 21 seborrhoeic dermatitis
L 20 atopic dermatitis
L 20,8 other atopic dermatitis
L 28 olichen simplex chronicus
L 23 allergic contact dermatitis
L 24 IRRITANT contact dermatitis
L22 diaper (napkin) dermatitis
L 42 pityriasis rosea
B 08,1 molluscum contagiosum
L 50 urticaria,L 50,9 urticaria, unspecified
B 74 filariasis (B74.0 fillariasis due to wuchereria bancrofti-B74,2
filariasis due to Brugia Timori)

E 66.9 obesity unspecified

E05.9 tirotoksikosis unspecified
R 73.9 hyperglycaemia unspecified
E 16.2 hypoglycemia unpecified
E 10 insulin dependent diabetes melitus-E 11 non insulin dependent
diabetes mellitus
E 46 unspecified protein-energy malnutrition
E 79.0 hyperuricemia without signs of inflammatory arthritis and
tophaceous disease, M 10 Gout
E 78.5 hiperlipidemia

N 39.0 urinary tract infection,site not specified

O 21.0 mild hyperemesis gravidarum

O 80.9 single spontaneus delivery,unspecified
O 14.9 pre eclampsia,unspecified
O 15.9 eclampsia,usnpecified as to time period
003.9 unspecified abortion,complete,without complication - O 06.4
unspecified abortion,incomplete,without complication
D 50 iron deficiency anaemia
O 42.9 premature rupture of membrane,unspecified
O 63.9 long labour
O 72.1 other immediate postpartum haemorrhage
O 70.0 first degree perineal laceration during delivery
N 61 inflammatory disorders of breast

N 98.9
A 51 early syphilis, A 51.0 primary genital syphilis A 52 late syphilis,
A53 syphilis, unspecified
A 54.9 gonococcal infection unspecified
N 76.0 acute vaginitis
N 76.0 acute vaginitis
 JUMLAH KASUS ( UMUR DAN JENIS KELAMIN)
8-28 HR 1-11 BLN 1-4 THN 5-9 THN 10-14 THN
P L P L P L P L P
Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru
ENIS KELAMIN)
10-14 THN 15-19 THN 20-44 THN 45-59 THN 60-69 THN THN
P L P L P L P L P
Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru
 JML KASUS
JML KASUS
-69 THN THN >70 THN LAMA
JUMLAH RUJUKAN JUMLAH RUJUKAN
P L P BALIK
L P JML L P JML
Lama Baru Lama Baru Lama

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0
0 0 0 0 0 0

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0 0 0 0 0
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0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
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0 0 0 0 0 0
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0 0 0 0 0 0
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0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0 0 0 0 0
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0 0 0 0 0 0
0 0 0 0 0 0

0 0 0 0 0 0
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0 0 0 0 0 0

0 0 0 0 0 0
0 0 0 0 0 0

0 0 0 0 0 0
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0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
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0 0 0 0 0 0

0 0 0 0 0 0
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0 0 0 0 0 0
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0 0 0 0 0 0
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0 0 0 0 0 0
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0 0 0 0 0 0
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0 0 0 0 0 0
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0 0 0 0 0 0
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0 0 0 0 0 0

0 0 0 0 0 0
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0 0 0 0 0 0
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0 0 0 0 0 0
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0 0 0 0 0 0
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0 0 0 0 0 0

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0 0 0 0 0 0
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