8.4.1.1 SK STANDARISASI KODE KLASIFIKASI DIAGNOSIS DAN TERMINOLOGI YANG DI GUNAKANn

PEMERINTAH KABUPATEN KONAWE UTARA
DINAS KESEHATAN
PUSKESMAS MATANDAHI
Jln. Trans Sulawesi, Kel. Bende Kec. Motui Kab. Konawe Utara
Email : puskesmasmatandahiofficial@gmail.com
KEPUTUSAN
KEPALA PUSKESMAS MATANDAHI
NOMOR : /SK/PKM-MT/I/2022
TENTANG
STANDARISASI KODE KLASIFIKASI DIAGNOSIS DAN TERMINOLOGI
YANG DI GUNAKAN PUSKESMAS MATANDAHI
DENGAN RAHMAT TUHAN YANG MAHA ESA
KEPALA PUSKESMAS MATANDAHI,
Menimbang : a. bahwa dalam upaya meningkatkan mutu pelayanan di Puskesmas, maka

diperlukan standarisasi kode klasifikasi diagnosis dan terminologi yang
di gunakan di Puskesmas Matandahi;
b. bahwa sesunguhnya dengan hal dimaksud huruf a, perlu diatur
standarisasi kode klasifikasi diagnosis dan terminologi yang di gunakan
sesuai yang ditetapkan dengan Keputusan Kepala Puskesmas
Matandahi.
Mengingat : 1. Undang-Undang Republik Indonesia Nomor 36 Tahun 2009 tentang
Kesehatan;
2. Peraturan Menteri Kesehatan RI Nomor 001 tahun 2012 Tentang Sistem
Rujukan Pelayanan Kesehatan Perorangan;
3. Peraturan Menteri Kesehatan Republik Indonesia Nomor 75 Tahun 2014
tentang Pusat Kesehatan Masyarakat;
4. Peraturan Menteri Kesehatan Republik Indonesia Nomor 46 tahun
2015,tentang Akreditasi Fasilitas Kesehatan Tingkat Pertama;
5. Peraturan Menteri Kesehatan RI Nomor 43 tahun 2016 tentang Standar
Pelayanan minimal Bidang Kesehatan;
6. Peraturan menteri kesehatan rebulik Indonesia nomor 44 tahun 2016
tentang pedoman manajemen puskesmas.
MEMUTUSKAN :
Menetapkan : KEPUTUSAN KEPALA PUSKESMAS MATANDAHI TENTANG

STANDARISASI KODE KLASIFIKASI DIAGNOSIS DAN
TERMINOLOGI YANG DIGUNAKAN.
KESATU : Menetapkan standarisasi dan klasifikasi diagnosis dan terminology yang
digunakan adalah ICD-X.
KEDUA : Standarisasi kode klasifikasi diagnosis dan terminologi yang digunakan

sebagaimana tersebut dalam lampiran Keputusan yang merupakan
bagian tak terpisahkan dari Keputusan ini.
KETIGA : Surat keputusan ini berlaku tanggal ditetapkan dengan ketentuan

apabila dikemudian hari terdapat kekeliruan akan diadakan perbaikan/
perubahan sebagaimana mestinya.
Di tetapkan di : Bende
Pada Tanggal : 3 Januari 2022
MUH. RAYUNG
LAMPIRAN : KEPUTUSAN KEPALA PUSKESMAS
MATANDAHI
NOMOR : /SK/PKM-MT/I/2022
TANGGAL : 3 JANUARI 2022
TENTANG : STANDARISASI KODE KLASIFIKASI
DIAGNOSIS DAN TERMINOLOGI
YANG DIGUNAKAN
STANDARISASI KODE KLASIFIKASI DIAGNOSIS DAN TERMINOLOGI

YANG DI GUNAKAN
1. Tuberkulosis (TB) Paru

No ICPC II : A70 Tuberculosis
No ICD X : A15 Respiratory tuberculosis, bacteriologiccaly and histologically confirmed
Tingkat Kemampuan: 4A
2. Morbili
No. ICPC II : A71 Measles.
No. ICD X : B05.9 Measles without complication (Measles NOS).
3. Varisela
No. ICPC II : A72 Chickenpox
No. ICD X : B01.9Varicella without complication (Varicella NOS)
4. Malaria
No. ICPC II : A73 Malaria
No. ICD X : B54 Unspecified malaria
5. Demam Dengue dan Demam Berdarah Dengue
No. ICPC II : A77 Viral disease other/NOS
No. ICD X : A90 Dengue fever
A91 Dengue haemorrhagic fever
6. Leptospirosis
No. ICPC II : A78Infection disease other/ NOS
No. ICD X : A27.9
7. Infeksi Pada Umbilikus
No. ICPC II : A78 Infectious disease other
8. Kandidiasis Mulut
No. ICPC II : A 78 Infectious desease other
No. ICD X : B 37.9 Candidiasis unspecified
9. Lepra
No. ICPC II : A78 Infectious disease other/NOS
No. ICD X : A30 Leprosy [Hansen disease]
10. Keracunan Makanan
No. ICPC II : A86Toxic Effect Non Medical Substance
No. ICD X : T.62.2 Other Ingested (parts of plant(s))
11. Alergi Makanan
No. ICPC II : A92 Allergy/ allergic reaction NOS
No. ICD X :
12. Exanthematous Drug Eruption
No. ICPC II : S07 Rash generalized
No. ICD X : L27.0 Generalized skin eruption due to drugs and medicaments
13. Fixed Drug Eruption (FDE)
No. ICPC II : A85 Adverse effect medical agent
No. ICD X : L27.0 Generalized skin eruption due to drugs and medicaments
14. Reaksi Anafilaktik
No. ICPC II : A92 Allergy/allergic reaction NOS
No. ICD X :
15. Syok
No. ICPC II: K99 Cardiovascular disease other
No. ICD X: R57.9 Shock, unspecified
Tingkat Kemampuan: 3B
16. Anemia
No. ICPC II : B82 Anaemia other/unspecified
No. ICD X : D64.9 Anaemia, unspecified
17. HIV/AIDS tanpa Komplikasi
No. ICPC II : B90 HIV-infection/AIDS
No. ICD X : Z21 Asymptomatic human immunodeficiency virus (HIV) infection status
18. Limfadenitis
No ICPC II : L04.9
No ICD X : B70 Lymphadenitis Acute
19. Refluks Gastroesofageal
No ICPC II : D84 Oesphagus disease
No ICD X : K21.9 Gastro-oesophageal reflux disease without oesophagitis
20. Gastritis
No ICPC II : D07 Dyspepsia/indigestion
No ICD X : K29.7 Gastritis, unspecified
21. Intoleransi Makanan
No. ICPC II : D29 Digestive syndrome/complaint other
No. ICD X :
22. Malabsorbsi Makanan
No. ICPC II : D29 Digestive syndrome/complaint other
No. ICD X :
23. Demam Tifoid
No ICPC II : D70 Gastrointestinal infection
No ICD X : A01.0 Typhoid fever
24. Gastroenteritis (termasuk disentri, kolera dan giardiasis)
No. ICPC II : D73 Gastroenteritis presumed infection
No. ICD X : A09 Diarrhoea and gastroenteritis of presumed infection origin
25. Disentri Basiler dan Disentri Amuba
No. ICPC II : D70 Gastrointestinal infection
No. ICD X :
26. Apendisitis Akut
No. ICPC II : S87 (Appendicitis)
No. ICD X : K.35.9 (Acute appendicitis)
Tingkat Kemampuan:3B
27. Perdarahan Saluran Makan Bagian Atas
No. ICPC II : D14 Haematemesis/vomiting blood
D15 Melaena
No. ICD X :
Tingkat Kemampuan :
a. Ruptur esofagus 1
b. Varises esofagus 2
c. Ulkus gaster 3A
d. Lesi korosif esofagus 3B
28. Perdarahan Saluran Makan Bagian Bawah
No. ICPC II : D70 Gastrointestinal infection
No. ICD X :
Tingkat Kemampuan:
Divertikulosis/ 3A
divertikulitis 3A
Hemoroid 1-2 4A
Hemoroid 3-4 3A
Kolitis 3A
Polip/adenoma dan 2
karsinoma kolon
Tingkat Kemampuan: Daftar Tingkat Kemampuan
Penyakit
Anemia defisiensi besi 4A
Anemia hemolitik 3A
Anemia makrositik 3A
Anemia aplastik 2
Anemia megaloblastik 2
29. Hemoroid Grade 1-2
No. ICPC II : D95 Anal fissure/perianal abscess
No. ICD X :
30. Hepatitis A
No. ICPC II : D72 Viral Hepatitis
No. ICD X :
31. Hepatitis B
No. ICPC II : D72 Viral Hepatitis
No. ICD X :
32. Parotitis
No. ICPC II : D83 Mouth/tounge/lip disease
No. ICD X : K11.2 Sialoadenitis
33. Askariasis
No. ICPC II : D96 Worms/ other parasites
No. ICD X : B77.9 Ascariaris unspecified
34. Cutaneus Larva Migrans
No. ICPC II : D96 Worms/other parasites
No. ICD X : B76.9 Hookworm disease, unspecified
35. Penyakit Cacing Tambang
No. ICD X : B76.0 Ankylostomiasis
B76.1 Necatoriasis
36. Skistosomiasis
No. ICPC II : D96 Worm/outer parasite
No. ICD X : B65.9 Skistosomiasisunspecified
B65.2 Schistomiasis due to S. japonicum
37. Strongiloidiasis
No. ICD X : B78.9 Strongyloidiasis
38. Taeniasis
No. ICD X : B68.9 Taeniasis
39. Peritonitis
No. ICPC II : D99 Disease digestive system, other
No. ICD X : K65.9 Peritonitis, unspecified
40. Kolesistitis
No. ICPC II : D98 Cholecystitis/cholelithiasis
No. ICD X : K81.9 Cholecystitis, unspecified
41. Mata Kering/Dry eye
No. ICPC II : F99 Eye/adnexa disease other
No. ICD X : H04.1 Other disorders of lacrimal gland
42. Buta Senja
No. ICPC II : F99 Eye/adnexa disease other
No. ICD X : H53.5 Colour vision deficiencies
43. Hordeolum
No. ICPC II : F72 Blepharitis/stye/chalazion
No. ICD X : H00.0 Hordeolum and other deep inflammation of eyelid
44. Konjungtivitis
Konjungtivitis infeksi
No. ICPC II : F70 Conjunctivitis infectious
No. ICD X : H10.9 Conjunctivitis, unspecified
Konjungtivitis alergi
No. ICPC II : F71 Conjunctivitis allergic
No ICD X : H10.1 Acute atopic conjunctivitis
45. Blefaritis
No. ICPC II : F72 Blepharitis/stye/chalazion
No. ICD X : H01.0 Blepharitis
46. Perdarahan Subkonjungtiva
No. ICPC II : F75 Contusion/ haemorrhage eye
No. ICD X : H57.8 Other specified disorders of eye and adnexa
47. Benda asing di konjungtiva
No. ICPC II : F76 Foreign body in eye
No. ICD X : T15.9 Foreign body on external eye, part unspecified
48. Astigmatism
No. ICPC II : F91 Refractive error
No. ICD X : H52.2 Astigmatism
Tingkat Kemampuan: Astigmatism ringan 4A
49. Hipermetropia
No. ICD X : H52.0 Hypermetropia
Tingkat Kemampuan: Hipermetropia ringan 4A
50.Miopia Ringan
No. ICD X : H52.1 Myopia
51. Presbiopia
No. ICD X : H52.4 Presbyopia
52. Katarak pada Pasien Dewasa
No. ICPC II : F92 Cataract
No. ICD X : H26.9 Cataract, unspecified
Tingkat Kemampuan: 2
53. Glaukoma Akut
No. ICPC II : F93 Glaucoma
No. ICD X : H40.2 Primary angle-closure glaucoma
54. Otitis Eksterna
No. ICPC II : H70 Otitis eksterna
No. ICD X : H60.9 Otitis Externa, Unspecified
55. Otitis Media Akut
No. ICPC II : H71 Acute otitis media/myringitis
No. ICD X : H66.0 Acute suppurative otitis media
56. Serumen Prop
No. ICPC II : H81 Excessive ear wax
No. ICD X : H61.2 Impacted cerumen
57. Benda Asing di Hidung
No. ICPC II : R87 Foreign body nose/larynx/bronchus
No. ICD X : T17.1 Foreign body in nostril
58. Angina Pektoris
No. ICPC II : K74 Ischaemic herat disease with angina
No. ICD X : I20.9 Angina pectoris, unspecified
59. Infark Miokard
No. ICPC II : K75 Acute Myocardial Infarction
No. ICD X : I21.9 Acute Myocardial Infarction, Unspecified
60. Takikardia
No. ICPC II : K79 Paroxysmal Tachicardy
No. ICD X : R00.0 Tachicardy Unspecified
I47.1 Supraventicular Tachicardy
I47.2 Ventricular Tachicardy
61. Gagal Jantung Akut dan Kronik
No. ICPC II : K77 Heart failure
No. ICD X : I50.9
Tingkat Kemampuan:
a. Gagal jantung akut 3B
b. Gagal jantung kronik 3A
62. Cardiorespiratory Arrest
No. ICPC II : K80 cardiac arrhytmia NOS
No. ICD X :
63. Hipertensi Esensial
No ICPC II : K86 Hypertension uncomplicated
No ICD X : I10 Essential (primary) hypertension
64. Infark Serebral/Stroke
No. ICPC II : K90 Stroke/cerebrovascular accident
No. ICD X : I63.9 Cerebral infarction, unspecified
65. Fraktur Terbuka
No. ICPC II : L76 fracture other
No. ICD X : T14. Fracture of unspecified body
66. Fraktur Tertutup
No. ICPC II : L76 fracture other
No.ICD X : T14. Fracture of unspecified body
67. Polimialgia Reumatik
No. ICPC II : L99 Musculosceletal disease other
No. ICD X : M53.3 Polymyalgia rheumatica
68. No. ICPC II : S78 Lipoma
No.ICD Artritis Reumatoid
No. ICPC II : L99 Musculosceletal disease other
No. ICD X : M53.3 Polymyalgia rheumatica
69. Artritis, Osteoartritis
No. ICPC II : L91 Osteoarthrosis other
No. ICD X : M19.9 Osteoarthrosis other
70. Lipoma
X : D17.9 Benign lipomatous neoplasm
71. Kejang Demam
No. ICPC II : N07 Convulsion/Seizure
No. ICD X : R56.0 Febrile convulsions
72. Vertigo
No. ICPC II : N17 Vertigo/dizziness
No. ICD X : R42 Dizziness and giddiness
(Vertigo Vestibular/ Benign Paroxismal Positional Vertigo (BPPV))
73. Delirium
No. ICPC II : P71 Organic psychosis other
No. ICD X : F05.9 Delirium, unspecified
74. Tetanus
No. ICPC II : N72 Tetanus
No. ICD X : A35 Othertetanus
75. Rabies
No. ICPC II : A77 Viral disease other/NOS
No. ICD X : A82.9 Rabies, Unspecified
76. Epilepsi
No. ICPC II : N88 Epilepsy
No. ICD X : G40.9 Epilepsy, unspecified
77. Status Epileptikus
No. ICPC II : N88 Epilepsy
No. ICD X : G41.9 Status epilepticus, unspecified
78. Migren
No. ICPC II : N89 Migraine
No. ICD X : G43.9 Migraine, unspecified
79. Bells’ Palsy
No. ICPC II : N91 Facial paralysis/Bells’ palsy
No. ICD X : G51.0 Bells’ palsy
80. Tension Headache
No. ICPC II : N95 Tension Headache
No. ICD X : G44.2 Tension–type headache
81. Insomnia
No. ICPC II : P06 Sleep disturbance
No. ICD X : G47.0 Disorders of initiating and maintaining sleep (insomnias)
82. Demensia
No. ICPC II : P70 Dementia
No. ICD X : F03 Unspecified dementia
83. Gangguan Campuran Anxietas dan Depresi
No. ICPC II : P74 Anxiety Disorder (anxiety state)
No. ICD X : F41.2 Mixed Anxiety and Depression Disorder
84. Gangguan Psikotik
No. ICPC II : P98 Psychosis NOS/other
No. ICD X PC : F20# Chronic Psychotic Disorder
85. Epistaksis
No. ICPC II : R06 Nose bleed/epistaxis
No. ICD X : R04.0 Epistaxis
86. Furunkel Pada Hidung
No. ICPC II : R73 Boil/abscess nose
No. ICD X : J34.0 Abscess, furuncle and carbuncle of nose
87. Faringitis
No. ICPC II : R74 Upper respiratory infection acute
No. ICD X : J02.9 Acute pharyngitis, unspecified
88. Rhinitis Akut
No. ICPC II : R74 Upper respiratory infection acute
No. ICD X : J00 Acute nasopharingitis (common cold)
89. Rhinitis Alergik
No. ICPC II : R97 Allergic rhinitis
No. ICD X : J30.0 Vasomotor rhinitis
90. Tonsilitis
No. ICPC II : R76 Tonsillitis acute
No. ICD X : Acute tonsillitis, unspecified
91. Laringitis
No. ICPC II : R77 Laryngitis/tracheitis acute
No. ICD X : J04.0 Acute laryngitis
92. Bronkitis Akut
No. ICPC II : R78 Acute bronckitis /bronchiolitis
No. ICD X : J20.9 Acute bronchitis, unspecified
93. Influenza
No. ICPC II : R80 Influenza
No. ICD X : J11 Influenza, virus not identified
94. Pneumonia Aspirasi
No. ICPC II : R99 Respiratory disease other
No. ICD X : J69.0 Pneumonitis due to food and vomit
95. Pneumonia dan Bronkopneumonia
No. ICPC II : R81 Pneumonia
No. ICD X : J18.9 Pneumonia, unspecified
96. Pertusis
No. ICPC II : R71 Whooping cough
No. ICD X : A37.8 Whooping cough, Bordetella bronchiseptica
97. Asma Bronkial
No. ICPC II : R96 Asthma
No. ICD X : J45 Asthma
98. Miliaria
No. ICPC II : S02 S92 Sweat gland disease
No. ICD X : L74.3 Miliaria, unspecified
99. Veruka Vulgaris
No. ICPC II : S03 Warts
No. ICD X : B07 Viral warts
100. Reaksi Gigitan Serangga
No. ICPC II : S12 Insect bite/sting
No. ICD X : T63.4 Venom of other arthropods
101. Herpes Zoster
No. ICPC II : S70 Herpes Zoster
No. ICD X : B02.9Zoster without complication
Tingkat Kemampuan: Herpes Zoster tanpa komplikasi 4A
102. Herpes Simpleks
No. ICPC II : S71 Herpes Simplex
No. ICD X : B00.9Herpesviral infection, unspecified
Tingkat Kemampuan: Herpes simpleks tanpa komplikasi 4A
103. Skabies
No. ICPC II : S72 Scabies/other acariasis
No. ICD X : B86 Scabies
104. Pedikulosis Kapitis
No. ICPC II : S73Pediculosis/skin infestation other
No. ICD X : B85.0Pediculosis due to Pediculus humanus capitis
105. Dermatofitosis
No. ICPC II : S74 Dermatophytosis
No. ICD X : B35 Dermatophytosis
B35.0 Tinea barbae and tinea capitis
B35.1 Tinea unguium
B35.2 Tinea manuum
B35.3 Tinea pedis
B35.4 Tinea corporis
B35.5 Tinea imbricate
B35.6 Tinea cruris
B35.8 Other dermatophytoses
106. Pitiriasis versikolor/ Tinea versikolor
No. ICPC II : S76 Skin infection other
No. ICD X : B36.0 Pityriasis versicolor
107. Pioderma
No. ICPC II : S84 Impetigo
S76 Skin infection other
No. ICD X : L01 Impetigo
L02 Cutaneous abscess, furuncle and carbuncle
L08.0 Pyoderma
Tingkat Kemampuan:
a. Folikulitis superfisialis 4A
b. Furunkel, Furunkulosis dan Karbunkel 4A
c. Impetigo krustosa (impetigo contagiosa) dan Impetigo bulosa 4A
d. Ektima (impetigo ulseratif) 4A
108. Dermatitis Seboroik
No. ICPC II : S86 Dermatitis seborrhoeic
No. ICD X : L21 Seborrhoeic dermatitis
109. Dermatitis Atopik
No. ICPC II : S87 Dermatitis/atopic eczema
No. ICD X : L20 Atopic dermatitis
Tingkat Kemampuan: Dermatitis atopik (kecuali recalcitrant) 4A
110. Dermatitis Numularis
No. ICD X : L20.8 Other atopic dermatitis
111. Liken simpleks kronik (neurodermatitis sirkumkripta)
No. ICD X : L28.0Lichen simplex chronicus
112. Dermatitis Kontak Alergik (DKA)
No. ICPC II : S88 Dermatitis contact/allergic
No. ICD X : L23 Allergic contact dermatitis
113. Dermatitis Kontak Iritan
No. ICPC II : S88 Dermatitis contact/allergic
No. ICD X : L24 Irritant contact dermatitis
114. Napkin Eczema (dermatitis popok)
No. ICPC II : S89 Diaper rash
No. ICD X : L22 Diaper(napkin) dermatitis
115. Pitiriasis Rosea
No. ICPC II : S90 Pityriasis rosea
No. ICD X : L42 Pityriasis rosea
116.Moluskum Kontagiosum
No. ICPC II : S95 Molluscum contagiosum
No. ICD X : B08.1 Molluscum contagiosum
117. Urtikaria
No. ICPC II : S98 Urticaria
No. ICD X : L50 Urticaria
L50.9 Urticaria, unspecified
Tingkat Kemampuan:
Urtikaria akut 4A
Urtikaria kronis 3A
118. Filariasis
No. ICPC II : S99 Skin infection other
No. ICD X : B74 Filariasis
B74.0 Filariasis due to Wuchereria bancrofti
B74.1 Filariasis due to Brugia malayi
B74.2 Filariasis due to Brugia timori
119. Luka Bakar Derajat I dan II
No. ICPC II : S24 burn/scald
No. ICD X :
120. Obesitas
No. ICPC II : T82 obesity, T83 overweight
No. ICD X : E66.9 obesity unspecified
121. Tirotoksikosis
No. ICPC II : T85 Hipertiroidisme/tirotoksikosis
No. ICD X : E05.9 Tirotoksikosis unspecified
122. Hiperglikemia Hiperosmolar Non Ketotik
No. ICPC II : A91 Abnormal result invetigation NOS
No. ICD X : R73.9 Hyperglycaemia unspecified
123. Hipoglikemia
No. ICPC II : T87 hypoglycaemia
No. ICD X : E16.2 hypoglycaemia unspecified
Tingkat Kemampuan:
a. Hipoglikemia ringan 4A
b. Hipoglikemia berat 3B
124. Diabetes Melitus
ICPC II : T89 Diabetes insulin dependent
T90 Diabetes non-insulin dependent
ICD X : E10 Insulin-dependent diabetes mellitus
E11 Non-insulin-dependent diabetes mellitus
Tingkat Kemampuan:
a. Diabetes Melitus tipe 1 = 4A
b. Diabetes Melitus tipe 2 = 4A
c. Diabetes melitus tipe lain (intoleransi glukosa akibat penyakit lain atau obat-obatan) = 3A
125. Malnutrisi Energi Protein (MEP)
No. ICPC II : T91 Vitamin/nutritional deficiency
No. ICD X : E46 Unspecified protein-energy malnutrition
126. Hiperuricemia-Gout Arthritis
No. ICPC II : T99 Endocrine/metabolic/nutritional disease other
T92 Gout
No. ICD X : E79.0 Hyperuricemia without signs of inflammatory arthritis and tophaceous disease
M10 Gout
127. Dislipidemia
No. ICPC II : T93 Lipid disorder
No. ICD X : E78.5 Hiperlipidemia
128. Infeksi Saluran Kemih
No. ICPC II : U71 Cystitis/urinary infection others
No. ICD X : N39.0 Urinary tract infection, site not specified
129. Hiperemesis Gravidarum
No. ICPC II : W05 Pregnancy vomiting/nausea
No ICD X : O21.0 Mild hyperemis gravidarum
130. Kehamilan Normal
No. ICPC II : W90 Uncomplicated labour/delivery livebirth
No. ICD X : O80.9 Single spontaneous delivery, unspecified
131. Pre-eklampsia
No. ICPC II : W81 Toxaemia of pregnancy
No. ICD X : O14.9 Pre-eclampsia, unspecified
Tingkat Kemampuan : 3B
132. Eklampsi
No. ICPC II : W81 Toxaemia of pregnancy
No. ICD X : O15.9 Eclampsia, unspecified as to time period
133. Abortus
No. ICPC II : W82 Abortion spontaneous
No. ICD X : O03.9 Unspecified abortion, complete, without complication
No. ICPC II : W82 Abortion spontaneous
No. ICD X : O06.4 Unspecified abortion, incomplete, without complication
Tingkat Kemampuan
a. Abortus komplit : 4A
b. Abortus inkomplit:3B
c. Abortus insipiens : 3B
134. Anemia Defisiensi Besi pada Kehamilan
No. ICPC II : B80 Irondeficiency anaemia
No. ICD X : D50 Iron deficiency anaemia
135. Ketuban Pecah Dini (KPD)
No. ICPC II : W92 Complicated labour/delivery livebirth
No. ICD X : 042.9 Premature rupture of membrane, unspecified
136. Persalinan Lama
No. ICPC II : W92 life birth W93 still birth
No. ICD X : O63.9 long labour
Tingkat Kemampuan : 3B
137. Perdarahan Post Partum
ICPC : W17 Post partum bleeding
ICD X : 072.1 Other Immediate Postpartum haemorrhage
138. Ruptur Perineum Tingkat 1-2
No. ICPC II : W92 Complicated labour/delivery livebirth
No. ICD X : O70.0 First degree perineal laceration during delivery
139.Mastitis
No. ICPC II : X21 Breast symptom/complaint female other
No. ICD X : N61 Inflammatory disorders of breast
140. Fluor Albus / Vaginal discharge Non Gonore
No. ICPC II : X14 vaginal discharge
X71 gonore pada perempuan
X72 urogenital candidiasis pada perempuan
X73 tikomoniasis urogenital pda perempuan
X92 klamidia genital pada perempuan.
No. ICD X : N98.9
141. Sifilis
No. ICPC II : Y70 Syphilis male
X70 Syphilis female
No. ICD X : A51Early syphilis
A51.0 Primary genital syphilis
A52 Late syphilis
A53.9 Syphilis, unspecified
142. Gonore
No. ICPC II : X71 Gonorrhoea female, Y71 Gonorrhoea male
No. ICD X : A54.9 Gonococcal infection, unspecified
143. Vaginitis
No. ICPC II : X84 Vaginitis
No. ICD X : N76.0 Acute Vaginitis
144. Vulvitis
No. ICPC II : X84 Vaginitis/Vulvitis
No. ICD X : N76.0 Acute Vaginitis
MUH. RAYUNG

8.4.1.1 SK STANDARISASI KODE KLASIFIKASI DIAGNOSIS DAN TERMINOLOGI YANG DI GUNAKANn

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8.4.1.1 SK STANDARISASI KODE KLASIFIKASI DIAGNOSIS DAN TERMINOLOGI YANG DI GUNAKANn

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PEMERINTAH KABUPATEN KONAWE UTARA

DENGAN RAHMAT TUHAN YANG MAHA ESA

KEPALA PUSKESMAS MATANDAHI,

Menimbang : a. bahwa dalam upaya meningkatkan mutu pelayanan di Puskesmas, maka

Menetapkan : KEPUTUSAN KEPALA PUSKESMAS MATANDAHI TENTANG

KEDUA : Standarisasi kode klasifikasi diagnosis dan terminologi yang digunakan

KETIGA : Surat keputusan ini berlaku tanggal ditetapkan dengan ketentuan

STANDARISASI KODE KLASIFIKASI DIAGNOSIS DAN TERMINOLOGI

1. Tuberkulosis (TB) Paru

KEPALA PUSKESMAS MATANDAHI,

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