NAMA : DHEA ALFIANA ISNAINI

NIM : 22032394
KELAS :D3 RMIK R1 A

1. Hamil dengan plasenta previa totalis dan perdarahan

Seksio kaisar emergensi
Bayi tunggal hidup, cyanosis

1 Diagnosa yang telah diterapkan DPJP Plasenta previa Delivery SC Outcome

2 Diagnosa yang akan dikode Hamil dengan plasenta Dengan SC Bayi tunggal hidup
previa totalis dan emergensi
pendarahan
3 Bahasa Termin placenta praevia with Delivery of section Outcome of delivery
hemorrhage cesarian emergency single liveborn
4 Lead Term Plcenta Delivery Outcome of delivery
5 Identasi/modifiers Previa (central) - cesarean (for) - single
(complete) (marginal) - - emergency - - liveborn
(partial) (total) (with
haemorrhage)
6 Kode ICD 10 Vol. 3 O44.1 O82.1 Z37.0
7 Kode ICD 10 Vol. 1 O69.4 O82.1 Z37.0
8 Kode ICD 10 Main Condition O69.4 - -
9 Kode ICD 10 Other Condition - O82.1 Z37.0

2. Partus normal spontan, letsu

Bayi tunggal hidup
Bayi cenggeng, kurang ASI

1 Diagnosa yang telah diterapkan DPJP Letak sungsang Delivery normal Outcome
2 Diagnosa yang akan dikode Sungsang Partus normal Bayi tunggal hidup
spontan
3 Bahasa Termin Maternal care for Normal spontaneous Outcome of delivery
breech presentation delivery single liveborn
4 Lead Term Presentation Delivery Outcome of delivery
5 Identasi/modifiers - breech (mother) -spontaneous - single
-- breech - - liveborn
6 Kode ICD 10 Vol. 3 O32.1 O80.1 Z37.0
7 Kode ICD 10 Vol. 1 O32.1 O80.1 Z37.0
8 Kode ICD 10 Main Condition O32.1 - -
9 Kode ICD 10 Other Condition - O80.1 Z37.0

3. Abortus spontan inkomplit

Infeksi post kuret

1 Diagnosa yang telah diterapkan DPJP Abortus spontan

inkomplit dengan
infeksi post kuret

2 Diagnosa yang akan dikode Abortus spontan

inkomplit dengan
infeksi post kuret

3 Bahasa Termin Abortus spontaneous

incomplete with previous
curettage infection

4 Lead Term Abortus (Complate)

(incomplete)
 5 Identasi/modifiers -
6 Kode ICD 10 Vol. 3 O06.-

7 Kode ICD 10 Vol. 1 O06.9

8 Kode ICD 10 Main Condition O06.8

9 Kode ICD 10 Other Condition O08.9

4. Hamil 71/2 bulan sakit febris typhoidea

Partus spontan
Bayi prematur
Isterus fisiologis

1 Diagnosa yang telah diterapkan DPJP Hamil dengan sakit Delivery normal Outcome
febris
2 Diagnosa yang akan dikode Hamil 71/2 bulan sakit Partus spontan Bayi tunggal hidup
febris typhoidea

3 Bahasa Termin Pregnancy with typhoid Spontaneous delivery Outcome of delivery

fever single liveborn
4 Lead Term Pregnancy Delivery Outcome of delivery
5 Identasi/modifiers - complicated by - spontaneous - single
- - condition in - - liveborn
- - - A00-A07

6 Kode ICD 10 Vol. 3 O98.8 O80.9 Z37.0

7 Kode ICD 10 Vol. 1 O98.8 O80.9 Z37.0
8 Kode ICD 10 Main Condition O98.8 - -
9 Kode ICD 10 Other Condition - O80.9 Z37.0

5. Partus kembar 2, spontan. I letkep, II letsu

bayi prematur (BB < 1.750)

1 Diagnosa yang telah Letak sungsang Letak kepala Delivery Outcome

diterapkan DPJP
2 Diagnosa yang akan Sungsang Letak kepala Partus kembar 2 Bayi kembar hidup
dikode
3 Bahasa Termin Maternal care for Maternal care Multiple delivery, Twins, both liveborn
breech presentation for high head at all spontaneous
term
4 Lead Term Presentation Maternal care Delivery Outcome of delivery
5 Identasi/modifiers breech (mother) high head at - multiple -twins
term - - all (by) - - both liveborn
(pregnancy) - - - spontaneous
6 Kode ICD 10 Vol. 3 O32.1 O32.4 O84.0 Z37.2
7 Kode ICD 10 Vol. 1 O32.1 O32.4 O84.0 Z37.2
8 Kode ICD 10 Main O32.1 O32.4 - -
Condition
9 Kode ICD 10 Other - - O84.0 Z37.2
Condition

6. Partus seksio
Kembar dempet terhubung di abdomen
Berat badan kedua bayi di atas 2.250 kg.
Cengeng sulit menete ASI

1 Diagnosa yang telah diterapkan DPJP Delivery Outcome

 2 Diagnosa yang akan dikode Partus seksio akibat Bayi kembar hidup
bayi kembar dempet
terhubung di
abdomen
3 Bahasa Termin Multiple delivery, all Twins, both liveborn
by caesan section
4 Lead Term Delivery Outcome of delivery
5 Identasi/modifiers - multiple -twins
- - all (by) - - both liveborn
- - - caesarean section
6 Kode ICD 10 Vol. 3 O84.2 Z37.2
7 Kode ICD 10 Vol. 1 O84.2 Z37.2
8 Kode ICD 10 Main Condition - -
9 Kode ICD 10 Other Condition O84.2 Z37.2

7. Persalinan macet
Myoma uteri
Lahir vakum
Bayi cephalohematom

1 Diagnosa yang telah diterapkan Persalinan macet Lahir vakum Outcome

DPJP akibat myoma uteri
2 Diagnosa yang akan dikode Persalinan macet Lahir vakum Bayi tunggal hidup
akibat myoma uteri
3 Bahasa Termin Obstructed labour due Delivery of vacuum Outcome of delivery
to abnormality of extractor single liveborn
maternal pelvic organs
4 Lead Term Obstruction Delivery Outcome of delivery
5 Identasi/modifiers -labor - - single
- - due to - - liveborn
- - - soft tissues and
organs of pelvis
6 Kode ICD 10 Vol. 3 O65.5 O81.4 Z37.0
7 Kode ICD 10 Vol. 1 O65.5 O81.4 Z37.0
8 Kode ICD 10 Main Condition O65.5 - -
9 Kode ICD 10 Other Condition - O81.4 Z37.0

8. Partus spontan
Cukup bulan
Bayi sehat

1 Diagnosa yang telah diterapkan DPJP Delivery normal Outcome

2 Diagnosa yang akan dikode Partus spontan Bayi tunggal hidup

3 Bahasa Termin Spontaneous delivery Outcome of delivery

single liveborn
4 Lead Term Delivery Outcome of delivery
5 Identasi/modifiers - spontaneous - single
- - liveborn
6 Kode ICD 10 Vol. 3 O80.9 Z37.0
7 Kode ICD 10 Vol. 1 O80.9 Z37.0
8 Kode ICD 10 Main Condition O80.9 -
9 Kode ICD 10 Other Condition - Z37.0

9. Persalinan induksi gagal dengan gagal dengan suntikan oxytocin uterin inertia,akhirnya diseksio dengan
hysterectomy
Bayi hydrosefalus toksoplasmosis

1 Diagnosa yang telah diterapkan DPJP Persalinan induksi gagal Delivery Outcome
dengan suntikan
oxytocin
 2 Diagnosa yang akan dikode Partus spontan Seksio dengan Bayi tunggal hidup
hysterectomy
3 Bahasa Termin Failed medical Delivery by Outcome of delivery
induction of labour caesarean single liveborn
hysterectomy
4 Lead Term induction Delivery Outcome of delivery
5 Identasi/modifiers - normal - cesarean (for) - single
- - with hysterectomy - - liveborn
6 Kode ICD 10 Vol. 3 O61.0 O82.2 Z37.0
7 Kode ICD 10 Vol. 1 O61.0 O82.2 Z37.0

8 Kode ICD 10 Main Condition O61.0 - -

9 Kode ICD 10 Other Condition - Z37.0

10. Solutio Placentae, Sectio

Bayi premature BB 490 G

1 Diagnosa yang telah diterapkan DPJP SC akibat Solutio Outcome

Placentae
2 Diagnosa yang akan dikode SC akibat Solutio Bayi tunggal hidup
Placentae
3 Bahasa Termin Delivery of section Outcome of delivery
cesarian for abruptio single liveborn
placentae
4 Lead Term Delivery Outcome of delivery
5 Identasi/modifiers - cesarean (for) - single
- - abruptio placentae - - liveborn
6 Kode ICD 10 Vol. 3 O45.9 Z37.0
7 Kode ICD 10 Vol. 1 O45.9 Z37.0
8 Kode ICD 10 Main Condition O45.9 -
9 Kode ICD 10 Other Condition - Z37.0