PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR

DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+
NO KODE PENYAKIT
PENYAKIT B L B L B L B L B L B L B L B L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS
2 A82.9 RABIES (3B)
3 F03 DEMENSIA (3A)
4 F05.9 DELIRIUM (3A)
5 G40.9 EPILEPSI (3A)
6 G41.9 STATUS EPILEPTIKUS (3B)
7 G43.9 MIGREN
8 G44.2 TENSION HEADACHE
9 G51.0 BELL'S PALSY
R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM
12 Z21 HIV AIDS TANPA KOMPLIKASI
13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)
F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM
16 G47.0 INSOMNIA
17 INDERA H00.0 HORDEOLUM
18 H01.0 BLEFARITIS
19 H02.0 TRIKIASIS
20 H04.1 MATA KERING (DRY EYES)
21 H10.9 KONJUNGTIVITIS
22 H15.1 EPISKLERITIS
23 H26.9 KATARAK PASIEN DEWASA (2)
24 H40.2 GLAUKOMA AKUT (4A)
25 H52.0 HIPERMETROPIA RINGAN
26 H52.1 MIOPIA RINGAN
27 H52.2 ASTIGMATISMA RINGAN
28 H52.4 PRESBIOPIA
29 H53.5 BUTA SENJA
30 H57.8 PERDARAHAN SUBKONJUNGTIVA
31 H60.9 OTITIS EKSTERNA
32 H61.2 SERUMEN PROP
33 H66.0 OTITIS MEDIA AKUT
34 J00 RHINITIS AKUT
35 J30.0 RHINITIS VASOMOTOR
36 J30.4 RHINITIS ALERGIKA
37 J34.0 FURUNKEL PADA HIDUNG
38 R04.0 EPISTAKSIS
39 T15.9 BENDA ASING DI KONJUNGTIVA
40 T17.1 BENDA ASING PADA HIDUNG
T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
 J01 SINUSITIS
44 J02.9 FARINGITIS
45 J03.9 TONSILITIS
46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA
48 J18.9 PNEUMONIA , BRONKOPNEUMONIA
49 J20.9 BRONKITIS AKUT
50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)
53 I10 HIPERTENSI ESSENSIAL
54 I21.9 INFARK MIOKARD (3B)
I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)
57 R00.0 TACHICARDY (3B)
58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
60
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A
63 B16.9 HEPATITIS B (3A)
64 B37.9 KANDIDIASIS MULUT
65 B65.2 SKISTOSOMIASIS
66 B68.9 TAENIASIS
67 B76.0 PENYAKIT CACING TAMBANG
68 B77.9 ASKARIASIS
69 B78.9 STRONGILOIDIASIS
70 I84.9 HEMOROID GRADE 1-2
71 K11.2 PAROTITIS
72 K12.1 ULKUS MULUT (APTOSA, HERPES)
73 K21.9 REFLUKS GASTROESOFAGUS
74 K22.6 LESI KOROSIF ESOFAGUS
75 K29.7 GASTRITIS
76 K35.9 APENDISITIS AKUT (3B)
77 K65.9 PERITONITIS (3B)
78 K81.9 KOLESISTITIS (3B)
79 K90.4 INTOLERANSI MAKANAN
80 P38 INFEKSI PADA UMBILIKUS
81 T62.6 KERACUNAN MAKANAN
82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI
85 N39.0 INFEKSI SALURAN KEMIH
86 N47 FIMOSIS
87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS
91 N70.0 SALPINGITIS
92 N76.0 VAGINITIS
93 N76.2 VULVITIS
94 N76.8 VAGINOSIS BAKTERIALIS
N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2
98 O80.9 KEHAMILAN NORMAL
99 O92.0 INVERTED NIPPLE
100 O92.1 CRACKED NIPPLE
O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2
104 E16.2 HIPOGLIKEMIA RINGAN
105 E46 MALNUTRISI ENERGI-PROTEIN
106 E50 DEFISIENSI VITAMIN A
107 E53.9 DEFISIENSI VITAMIN B
108 E54 DEFISIENSI VITAMIN C
109 E55 DEFISIENSI VITAMIN D
110 E56 DEFISIENSI VITAMIN E
111 E63.9 DEFISIENSI MINERAL
112 E78.5 DISLIPIDEMIA
113 E79.0 HIPERURISEMIA
114 E66.9 OBESITAS
115 E05.9 TIROTOKSIKOSIS (3B)
R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF
119 B54 MALARIA
120 D50.9 ANEMIA DEFISIENSI BESI
121 L04.9 LIMFADENITIS
122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI
125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)
M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)
128 T14.21 FRAKTUR TERBUKA (3B)
129 SISTIM INTEGUMEN A30.0 LEPRA
130 A46 ERISIPELAS
131 A51.9 SIFILIS STADIUM 1 DAN 2
B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI
136 B07 VERUKA VULGARIS
137 B08.1 MOLUSKUM KONTAGIOSUM
138 B35.0 TINEA KAPITIS
139 B35.0 TINEA BARBE
140 B35.1 TINEA UNGUIUM
141 B35.2 TINEA MANUS
142 B35.3 TINEA PEDIS
143 B35.4 TINEA FASIALIS
144 B35.4 TINEA KORPORIS
145 B35.6 TINEA KRURIS
146 B36.0 PITIRIASIS VESIKOLOR
147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN
148 B74.9 FILARIASIS
149 B76.9 CUTANEUS LARVA MIGRAN
150 B85.0 PEDIKULOSIS KAPITIS
151 B85.1 PEDIKULOSIS PUBIS
152 B86 SKABIES
153 L01.0 IMPETIGO
154 L01.0 IMPETIGO ULSERATIF (EKTIMA)
155 L02.9 FURUNKEL, KARBUNKEL
156 L08.1 ERITRASMA
157 L20.8 DERMATITIS NUMULARIS
L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK
160 L22 NAPKIN ECZEMA (DIAPER RASH)
L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)
165 L42 PITIRIASIS ROSEA
166 L50.9 URTIKARIA AKUT
167 L66.2 FOLIKULITIS SUPERFISIALIS
168 L70.0 AKNE VULGARIS RINGAN
169 L71.0 DERMATITIS PERIORAL
170 L73.2 HIDRADENITIS SUPURATIF
171 L74.3 MILIARIA
172 T14.1 VULNUS LASERATUM, PUNCTUM
173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2
174 T63.4 REAKSI GIGITAN SERANGGA
175 ILMU FORENSIK W26.9 KEKERASAN TAJAM
176 Y29 KEKERASAN TUMPUL
GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS
179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS
B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN

192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH
194 K03.1 ABRASION OF TEETH
195 K03.2 EROSION OF TEETH
K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN
199 K04.00 INITIAL (HYPEREMIA) PULPITIS
K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP
202 K04.6 PERIAPICAL ABCESS WITH SINUS
K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS
207 K07.20 DISTO-OCCLUSION
208 K07.21 MESIO-OCCLUSION
K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER
228 K12.04 TRAUMATIC ULCER
229 K13.0 ANGULAR CHEILITIS
L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0 Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum : 0
(PR) : 0 (PR) : 0 2. Kunjungan Kasus Poli KIA : 0
Jumlah Kasus Baru : 0 Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi : 0
Jumlah Kunjungan Kasus Rawat Jalan : : 0

Mengetahui,
 Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional Pembuat Laporan
 Jumlah

B L
LK PR LK PR
0 0 0 0
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0 0 0 0
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0 0 0 0

0 0 0 0
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0 0 0 0

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0 0 0 0
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0 0 0 0
0 0 0 0
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 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
A37.8 PERTUSIS

43 J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS
69 B78.9 STRONGILOIDIASIS
70 I84.9 HEMOROID GRADE 1-2
71 K11.2 PAROTITIS

72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS

L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN
192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER

228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS
69 B78.9 STRONGILOIDIASIS
70 I84.9 HEMOROID GRADE 1-2
71 K11.2 PAROTITIS

72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS

L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN
192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER

228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS
69 B78.9 STRONGILOIDIASIS
70 I84.9 HEMOROID GRADE 1-2
71 K11.2 PAROTITIS

72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS

L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN
192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER

228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,

Kasi Pelayanan Kesehatan Primer

Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN
8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

H57.8 PERDARAHAN SUBKONJUNGTIVA
30
31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS
T15.9 BENDA ASING DI KONJUNGTIVA
39

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA
J18.9 PNEUMONIA, BRONKOPNEUMONIA
48

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS
69 B78.9 STRONGILOIDIASIS
70 I84.9 HEMOROID GRADE 1-2

71 K11.2 PAROTITIS
K12.1 ULKUS MULUT (APTOSA, HERPES)
72

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

B37.8 KANDIDOSIS MUKOKUTAN RINGAN
147

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS

L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

T14.1 VULNUS LASERATUM, PUNCTUM
172

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS
B00.2X HERPESVIRAL GINGIVO STOMATITIS
179

B08.4 ENTEROVIRAL VESICULAR

180 STOMATITIS WITH EXANTHEM

B26.9 ORAL MANIFESTTATION (MUMPS)

181

B37.00 ACUTE PSEUDOMEMBRANOUS

182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
 K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN

192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
 K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER

228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS
69 B78.9 STRONGILOIDIASIS
70 I84.9 HEMOROID GRADE 1-2
71 K11.2 PAROTITIS

72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS

L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN
192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER

228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS
69 B78.9 STRONGILOIDIASIS
70 I84.9 HEMOROID GRADE 1-2
71 K11.2 PAROTITIS

72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS

L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN
192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER

228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS
69 B78.9 STRONGILOIDIASIS
70 I84.9 HEMOROID GRADE 1-2
71 K11.2 PAROTITIS

72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS

L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN
192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER

228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS
69 B78.9 STRONGILOIDIASIS
70 I84.9 HEMOROID GRADE 1-2
71 K11.2 PAROTITIS

72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS

L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN
192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER

228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS
69 B78.9 STRONGILOIDIASIS
70 I84.9 HEMOROID GRADE 1-2
71 K11.2 PAROTITIS

72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS

L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN
192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER

228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS
69 B78.9 STRONGILOIDIASIS
70 I84.9 HEMOROID GRADE 1-2
71 K11.2 PAROTITIS

72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 PIELONEFRITIS TANPA KOMPLIKASI

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS

L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN
192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER

228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS
69 B78.9 STRONGILOIDIASIS
70 I84.9 HEMOROID GRADE 1-2
71 K11.2 PAROTITIS

72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS

L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN
192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER

228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS

69 B78.9 STRONGILOIDIASIS

70 I84.9 HEMOROID GRADE 1-2

71 K11.2 PAROTITIS
72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS
L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN

192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER
228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS

69 B78.9 STRONGILOIDIASIS

70 I84.9 HEMOROID GRADE 1-2

71 K11.2 PAROTITIS
72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS
L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN

192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER
228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS

69 B78.9 STRONGILOIDIASIS

70 I84.9 HEMOROID GRADE 1-2

71 K11.2 PAROTITIS
72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS
L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN

192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER
228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS

69 B78.9 STRONGILOIDIASIS

70 I84.9 HEMOROID GRADE 1-2

71 K11.2 PAROTITIS
72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS
L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN

192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER
228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS

69 B78.9 STRONGILOIDIASIS

70 I84.9 HEMOROID GRADE 1-2

71 K11.2 PAROTITIS
72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS
L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN

192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER
228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN
UPT.P
JL Lintas Timur Desa Keritang

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS

69 B78.9 STRONGILOIDIASIS

70 I84.9 HEMOROID GRADE 1-2

71 K11.2 PAROTITIS
72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS
L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN

192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER
228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 28

(PR) : 18
Jumlah Kasus Baru : 46

Mengetahui,

KEPALA UPT PUSKESMAS KERITANG HULU

GUSNANTO Amd Kep

NIP.19701106199101 1001
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
UPT.PUSKESMAS KERITANG HULU
imur Desa Keritang Kec.Kemuning,Kode Pos 29276,Email: puskesmaskeritanghulu@gmail.com

Bulan : SEPTEMBER 2023

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR

1 1 1

2 5 2 2 1

1
 1 1

3 1 1 1 4 1 1

1 2 1 1 1
1

1 2 2

2 1 2 1 1 3

1 1 3

2
1 2 1 1 3 2

1
 1 1

1 1 2 1 1 1 2
1 1

1
0 1 7 0 3 1 0 2 5 6 3 7 2 5 0 1 3 2 9 5 12 9 1 2

Kasus Lama (LK) : 52 1. Kunjungan Kasus Poli Umum

(PR) : 45 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 97 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

JUMAKIR, Am
NIP. 1978071020
mail.com

Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 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 0 1 1 2 3
0 0 0 0 0 0 0
0 0 0 0 0 0 0

1 0 0 0 1 0 1 1

0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 6 0 4 3 10 3 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
1 0 0 0 1 0 1
0 0 0 0 0 0 0
1 1 1 1 0 1 1 2 1 3 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

1 1 1 0 2 1 3 1 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

1 1 1 3 0 5 7 8 7 15

0 0 0 1 0 1 1
0 0 0 0 0 0 0
1 1 2 0 3 7 0 7 3 10
1 1 1 0 0 1 1 2
0 0 0 0 0 0 0
0 0 0 0 0 0 0
3 1 1 2 3 2 1 1 2 5 2 6 8 11 10 21
0 0 0 0 0 0 0

0 0 0 0 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 2 0 2 9 4 9 13

0 0 0 0 0 0 0

1 0 0 5 1 5 1 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 2 0 0 0 2 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
2 6 1 1 1 1 2 3 11 6 13 9 22
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
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 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
3 1 1 0 0 3 2 3 2 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 0
1 1 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

1 0 0 1 1 1 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
1 1 0 1 1 1 1 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 0 0
0 0 0 0 0 0 0
2 3 4 0 6 3 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

1 1 1 1 0 2 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
1 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 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 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 4 2 1 3 5 4 0 16 7 2 0 2 5 28 18 52 45

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

JUMAKIR, Amd.Kep
NIP. 19780710200604 1 013
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS

69 B78.9 STRONGILOIDIASIS

70 I84.9 HEMOROID GRADE 1-2

71 K11.2 PAROTITIS
72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS
L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN

192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER
228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS

69 B78.9 STRONGILOIDIASIS

70 I84.9 HEMOROID GRADE 1-2

71 K11.2 PAROTITIS
72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS
L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN

192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER
228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS

69 B78.9 STRONGILOIDIASIS

70 I84.9 HEMOROID GRADE 1-2

71 K11.2 PAROTITIS
72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS
L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN

192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER
228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS

69 B78.9 STRONGILOIDIASIS

70 I84.9 HEMOROID GRADE 1-2

71 K11.2 PAROTITIS
72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS
L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN

192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER
228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS

69 B78.9 STRONGILOIDIASIS

70 I84.9 HEMOROID GRADE 1-2

71 K11.2 PAROTITIS
72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS
L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN

192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER
228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS

69 B78.9 STRONGILOIDIASIS

70 I84.9 HEMOROID GRADE 1-2

71 K11.2 PAROTITIS
72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS
L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN

192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER
228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

LIZA WAHYUNI,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

LIZA WAHYUNI, S.Tr.Keb

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS

69 B78.9 STRONGILOIDIASIS

70 I84.9 HEMOROID GRADE 1-2

71 K11.2 PAROTITIS
72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS
L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN

192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER
228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS

69 B78.9 STRONGILOIDIASIS

70 I84.9 HEMOROID GRADE 1-2

71 K11.2 PAROTITIS
72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS
L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN

192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER
228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS

69 B78.9 STRONGILOIDIASIS

70 I84.9 HEMOROID GRADE 1-2

71 K11.2 PAROTITIS
72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS
L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN

192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER
228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS

69 B78.9 STRONGILOIDIASIS

70 I84.9 HEMOROID GRADE 1-2

71 K11.2 PAROTITIS
72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS
L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN

192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER
228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS

69 B78.9 STRONGILOIDIASIS

70 I84.9 HEMOROID GRADE 1-2

71 K11.2 PAROTITIS
72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS
L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN

192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER
228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS

2 A82.9 RABIES (3B)

3 F03 DEMENSIA (3A)

4 F05.9 DELIRIUM (3A)

5 G40.9 EPILEPSI (3A)

6 G41.9 STATUS EPILEPTIKUS (3B)

7 G43.9 MIGREN

8 G44.2 TENSION HEADACHE

9 G51.0 BELL'S PALSY

R42 VERTIGO (Benign Paroxysmal Positional
10 Vertigo)
11 R56.0 KEJANG DEMAM

12 Z21 HIV AIDS TANPA KOMPLIKASI

13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A)

F41.2 GANGGUAN CAMPURAN ANXIETAS
14 DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM

16 G47.0 INSOMNIA

17 INDERA H00.0 HORDEOLUM

18 H01.0 BLEFARITIS

19 H02.0 TRIKIASIS

20 H04.1 MATA KERING (DRY EYES)

21 H10.9 KONJUNGTIVITIS

22 H15.1 EPISKLERITIS

23 H26.9 KATARAK PASIEN DEWASA (2)

24 H40.2 GLAUKOMA AKUT (4A)

25 H52.0 HIPERMETROPIA RINGAN

26 H52.1 MIOPIA RINGAN

27 H52.2 ASTIGMATISMA RINGAN

28 H52.4 PRESBIOPIA

29 H53.5 BUTA SENJA

30 H57.8 PERDARAHAN SUBKONJUNGTIVA

31 H60.9 OTITIS EKSTERNA

32 H61.2 SERUMEN PROP

33 H66.0 OTITIS MEDIA AKUT

34 J00 RHINITIS AKUT

35 J30.0 RHINITIS VASOMOTOR

36 J30.4 RHINITIS ALERGIKA

37 J34.0 FURUNKEL PADA HIDUNG

38 R04.0 EPISTAKSIS

39 T15.9 BENDA ASING DI KONJUNGTIVA

40 T17.1 BENDA ASING PADA HIDUNG

T75.3 MABUK PERJALANAN (TRAVEL
41 SICKNESS)
SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA
42 KOMPLIKASI
43 A37.8 PERTUSIS
J01 SINUSITIS

44 J02.9 FARINGITIS

45 J03.9 TONSILITIS

46 J04.0 LARINGITIS
J05 - J06 INFEKSI SALURAN NAPAS BAGIAN
ATAS AKUT LAINNYA
47 J11.8 INFLUENZA

48 J18.9 PNEUMONIA , BRONKOPNEUMONIA

49 J20.9 BRONKITIS AKUT

50 J45.9 ASMA BRONKIAL

51 SISTIM 120.9 ANGINA PECTORIS (3B)

KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B)

53 I10 HIPERTENSI ESSENSIAL

54 I21.9 INFARK MIOKARD (3B)

I46.9 HENTI JANTUNG PARU (3B)
55 (CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B)

57 R00.0 TACHICARDY (3B)

58 R57.9 SYOK (3B)

59 SISTIM A01.0 DEMAM TIFOID

GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA
PANKREAS
A09 GASTROENTERITIS (TERMASUK
61 KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A

63 B16.9 HEPATITIS B (3A)

64 B37.9 KANDIDIASIS MULUT

65 B65.2 SKISTOSOMIASIS

66 B68.9 TAENIASIS

67 B76.0 PENYAKIT CACING TAMBANG

68 B77.9 ASKARIASIS

69 B78.9 STRONGILOIDIASIS

70 I84.9 HEMOROID GRADE 1-2

71 K11.2 PAROTITIS
72 K12.1 ULKUS MULUT (APTOSA, HERPES)

73 K21.9 REFLUKS GASTROESOFAGUS

74 K22.6 LESI KOROSIF ESOFAGUS

75 K29.7 GASTRITIS

76 K35.9 APENDISITIS AKUT (3B)

77 K65.9 PERITONITIS (3B)

78 K81.9 KOLESISTITIS (3B)

79 K90.4 INTOLERANSI MAKANAN

80 P38 INFEKSI PADA UMBILIKUS

81 T62.6 KERACUNAN MAKANAN

82 T78.4 ALERGI MAKANAN

83 SISTIM GINJAL & A54.9 GONORE

SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI

85 N39.0 INFEKSI SALURAN KEMIH

86 N47 FIMOSIS

87 N47.2 PARAFIMOSIS
SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU
88 KELENJAR SEBASEA
N39.0 INFEKSI SALURAN KEMIH BAGIAN
89 BAWAH
90 N61 MASTITIS

91 N70.0 SALPINGITIS

92 N76.0 VAGINITIS

93 N76.2 VULVITIS

94 N76.8 VAGINOSIS BAKTERIALIS

N98.9 SINDROM DUH (DISCHARGE)
95 GENITAL (GONORE DAN
NONGONORE)

96 O03.9 ABORSI SPONTAN KOMPLIT

97 O70.0 RUPTUR PERINEUM TINGKAT 1-2

98 O80.9 KEHAMILAN NORMAL

99 O92.0 INVERTED NIPPLE

100 O92.1 CRACKED NIPPLE

O99.0 ANEMIA DEFISIENSI BESI PADA
101 KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2

104 E16.2 HIPOGLIKEMIA RINGAN

105 E46 MALNUTRISI ENERGI-PROTEIN

106 E50 DEFISIENSI VITAMIN A

107 E53.9 DEFISIENSI VITAMIN B

108 E54 DEFISIENSI VITAMIN C

109 E55 DEFISIENSI VITAMIN D

110 E56 DEFISIENSI VITAMIN E

111 E63.9 DEFISIENSI MINERAL

112 E78.5 DISLIPIDEMIA

113 E79.0 HIPERURISEMIA

114 E66.9 OBESITAS

115 E05.9 TIROTOKSIKOSIS (3B)

R73.9 HIPERGLIKEMIA HIPEROSMOLAR
116 NON KETOTIK (3B)
SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA
117 & IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF

119 B54 MALARIA

120 D50.9 ANEMIA DEFISIENSI BESI

121 L04.9 LIMFADENITIS

122 T78.2 REAKSI ANAFILAKTIK

123 SISTIM D17.9 LIPOMA

MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI

125 M19.9 OSTEOARTRITIS/ARTRITIS (3A)

M35.3 POLIMIAGIA REUMATIK / ARTRITIS
126 REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B)

128 T14.21 FRAKTUR TERBUKA (3B)

129 SISTIM INTEGUMEN A30.0 LEPRA

130 A46 ERISIPELAS

131 A51.9 SIFILIS STADIUM 1 DAN 2

B00.9 HERPES SIMPLEKS TANPA
132 KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI
B02.9 HERPES ZOSTER TANPA
134 KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI

136 B07 VERUKA VULGARIS

137 B08.1 MOLUSKUM KONTAGIOSUM

138 B35.0 TINEA KAPITIS

139 B35.0 TINEA BARBE

140 B35.1 TINEA UNGUIUM

141 B35.2 TINEA MANUS

142 B35.3 TINEA PEDIS

143 B35.4 TINEA FASIALIS

144 B35.4 TINEA KORPORIS

145 B35.6 TINEA KRURIS

146 B36.0 PITIRIASIS VESIKOLOR

147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN

148 B74.9 FILARIASIS

149 B76.9 CUTANEUS LARVA MIGRAN

150 B85.0 PEDIKULOSIS KAPITIS

151 B85.1 PEDIKULOSIS PUBIS

152 B86 SKABIES

153 L01.0 IMPETIGO

154 L01.0 IMPETIGO ULSERATIF (EKTIMA)

155 L02.9 FURUNKEL, KARBUNKEL

156 L08.1 ERITRASMA

157 L20.8 DERMATITIS NUMULARIS
L20.9 DERMATITIS ATOPIK (KECUALI
158 RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK

160 L22 NAPKIN ECZEMA (DIAPER RASH)

L23.9 DERMATITIS KONTAK ALERGIK (3A)
161

162 L24.9 DERMATITIS KONTAK IRITAN

L27.0 EXANTHEMATOUS DRUG ERUPTION,
163 FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A)

165 L42 PITIRIASIS ROSEA

166 L50.9 URTIKARIA AKUT

167 L66.2 FOLIKULITIS SUPERFISIALIS

168 L70.0 AKNE VULGARIS RINGAN

169 L71.0 DERMATITIS PERIORAL

170 L73.2 HIDRADENITIS SUPURATIF

171 L74.3 MILIARIA

172 T14.1 VULNUS LASERATUM, PUNCTUM

173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2

174 T63.4 REAKSI GIGITAN SERANGGA

175 ILMU FORENSIK W26.9 KEKERASAN TAJAM

176 Y29 KEKERASAN TUMPUL

GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE
177 GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS

179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS

B08.4 ENTEROVIRAL VESICULAR
180 STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS)
B37.00 ACUTE PSEUDOMEMBRANOUS
182 CANDIDAL STOMATITIS
B37.03 DENTURE STOMATITIS DUE TO
183 CANDIDAL INFECTION
K00.63 RETAINED ( PERSISTENT) PRIMARY
184 TOOTH
K01.16 IMPACTED TEETH MAXILLARY
185 MOLAR
K01.17 IMPACTED TEETH MANDIBULAR
186 MOLAR
187 K02.3 ARRESTED CARIES
K02.51 DENTAL CARIES ON PIT AND
188 FISSURE SURFACE LIMITED TO
ENAMEL
K02.52 DENTAL CARIES ON PIT AND
189 FISSURE SURFACE PENETRATING
INTO DENTIN
K02.61 DENTAL CARIES ON SMOOTH
190 SURFACE LIMITED TO ENAMEL
K02.62 DENTAL CARIES ON SMOOTH
191 SURFACE PENETRATING INTO
DENTIN

192 K02.8 OTHER SPECIFIED DENTAL CARIES

193 K03.0 EXCESSIVE ATTRITION OF TEETH

194 K03.1 ABRASION OF TEETH

195 K03.2 EROSION OF TEETH

K03.6 DEPOSITS (ACCRETIONS) ON TEETH
196

K03.7 POSTERUPTIVE COLOUR CHANGES

197 OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN

199 K04.00 INITIAL (HYPEREMIA) PULPITIS

K04.01 ACUTE, REVERSIBLE AND
200 IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP

202 K04.6 PERIAPICAL ABCESS WITH SINUS

K04.7 PERIAPICAL ABCESS WITHOUT
203 SINUS
K05.0 ACUTE GINGIVITIS, PLAQUE
204 INDUCED
K05.21 AGGRESSIVE PERIODONTITIS
205 (PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS

207 K07.20 DISTO-OCCLUSION

208 K07.21 MESIO-OCCLUSION

K07.22 EXCESSIVE OVERJET (HORIZONTAL
209 OVERBITE)
K07.23 EXCESSIVE OVERBITE ( VERTICAL
210 OVERBITE)
211 K07.25 OPENBITE
K07.26 CROSSBITE (ANTERIOR,
212 POSTERIOR)
K07.27 POSTERIOR LINGUAL OCCLUSION
213 OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION
K07.51 MALOCCLUSION DUE TO ABNORMAL
215 SWALLOWING
K07.54 MALOCCLUSION DUE TO MOUTH
216 BREATHING
K07.55 MALOCCLUSION DUE TO TONGUE,
217 LIP OR FINGER HABITS
K08.10 COMPLETE LOSS OF TEETH,
218 UNSPECIFIED CAUSE
K08.11 COMPLETE LOSS OF TEETH, DUE TO
219 TRAUMA
K08.12 COMPLETE LOSS OF TEETH DUE TO
220 PERIODONTAL DISEASE
K08.13 COMPLETE LOSS OF TEETH DUE TO
221 CARIES
222 K08.3 RETAINED DENTAL ROOT
K08.40 PARTIAL LOSS OF TEETH,
223 UNSPECIFIED CAUSE
K08.41 PARTIAL LOSS OF TEETH DUE TO
224 TRAUMA
K08.42 PARTIAL LOSS OF TEETH DUE TO
225 PERIODONTAL DISEASES
K08.43 PARTIAL LOSS OF TEETH DUE TO
226 CARIES
227 K12.00 RECURRENT APHTOUS ULCER
228 K12.04 TRAUMATIC ULCER

229 K13.0 ANGULAR CHEILITIS

L.51.0X NON BULOUS ERITEMA MULTIFORME
230

231 L51.1X BULOUS ERITEMA MULTIFORME

R51 FACIAL PAIN NO OTHERWISE
232 SPECIFIED
S02.50 FRACTURE OF ENAMEL OF TOOTH
233 ONLY
S02.51 FRACTURE OF CROWN OF TOOTH
234 WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 0

(PR) : 0
Jumlah Kasus Baru : 0

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kasus Lama (LK) : 0 1. Kunjungan Kasus Poli Umum

(PR) : 0 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 0 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

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

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS 0 0 0 0 0 0 0 0 0 0
2 A82.9 RABIES (3B) 0 0 0 0 0 0 0 0 0 0
3 F03 DEMENSIA (3A) 0 0 0 0 0 0 0 0 0 0
4 F05.9 DELIRIUM (3A) 0 0 0 0 0 0 0 0 0 0
5 G40.9 EPILEPSI (3A) 0 0 0 0 0 0 0 0 0 0
6 G41.9 STATUS EPILEPTIKUS (3B) 0 0 0 0 0 0 0 0 0 0
7 G43.9 MIGREN 0 0 0 0 0 0 0 0 0 0
8 G44.2 TENSION HEADACHE 0 0 0 0 0 0 0 0 0 0
9 G51.0 BELL'S PALSY 0 0 0 0 0 0 0 0 0 0
10 R42 VERTIGO (Benign Paroxysmal Positional 0 0 0 0 0 0 0 0 0 0
Vertigo)
11 R56.0 KEJANG DEMAM 0 0 0 0 0 0 0 0 0 0
12 Z21 HIV AIDS TANPA KOMPLIKASI 0 0 0 0 0 0 0 0 0 0
13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A) 0 0 0 0 0 0 0 0 0 0
14 F41.2 GANGGUAN CAMPURAN ANXIETAS 0 0 0 0 0 0 0 0 0 0
DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM 0 0 0 0 0 0 0 0 0 0
16 G47.0 INSOMNIA 0 0 0 0 0 0 0 0 0 0
17 INDERA H00.0 HORDEOLUM 0 0 0 0 0 0 0 0 0 0
18 H01.0 BLEFARITIS 0 0 0 0 0 0 0 0 0 0
19 H02.0 TRIKIASIS 0 0 0 0 0 0 0 0 0 0
20 H04.1 MATA KERING (DRY EYES) 0 0 0 0 0 0 0 0 0 0
21 H10.9 KONJUNGTIVITIS 0 0 0 0 0 0 0 0 0 0
22 H15.1 EPISKLERITIS 0 0 0 0 0 0 0 0 0 0
23 H26.9 KATARAK PASIEN DEWASA (2) 0 0 0 0 0 0 0 0 0 0
24 H40.2 GLAUKOMA AKUT (4A) 0 0 0 0 0 0 0 0 0 0
25 H52.0 HIPERMETROPIA RINGAN 0 0 0 0 0 0 0 0 0 0
26 H52.1 MIOPIA RINGAN 0 0 0 0 0 0 0 0 0 0
27 H52.2 ASTIGMATISMA RINGAN 0 0 0 0 0 0 0 0 0 0
28 H52.4 PRESBIOPIA 0 0 0 0 0 0 0 0 0 0
29 H53.5 BUTA SENJA 0 0 0 0 0 0 0 0 0 0
30 H57.8 PERDARAHAN SUBKONJUNGTIVA 0 0 0 0 0 0 0 0 0 0
31 H60.9 OTITIS EKSTERNA 0 0 0 0 0 0 0 0 0 0
32 H61.2 SERUMEN PROP 0 0 0 0 0 0 0 0 0 0
33 H66.0 OTITIS MEDIA AKUT 0 0 0 0 0 0 0 0 0 0
34 J00 RHINITIS AKUT 0 0 0 0 0 0 0 0 0 0
35 J30.0 RHINITIS VASOMOTOR 0 0 0 0 0 0 0 0 0 0
36 J30.4 RHINITIS ALERGIKA 0 0 0 0 0 0 0 0 0 0
37 J34.0 FURUNKEL PADA HIDUNG 0 0 0 0 0 0 0 0 0 0
38 R04.0 EPISTAKSIS 0 0 0 0 0 0 0 0 0 0
39 T15.9 BENDA ASING DI KONJUNGTIVA 0 0 0 0 0 0 0 0 0 0
40 T17.1 BENDA ASING PADA HIDUNG 0 0 0 0 0 0 0 0 0 0
41 T75.3 MABUK PERJALANAN (TRAVEL 0 0 0 0 0 0 0 0 0 0
SICKNESS)
42 SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA 0 0 0 0 0 0 0 0 0 0
KOMPLIKASI
43 A37.8 PERTUSIS 0 0 0 0 0 0 0 0 0 0
J01 SINUSITIS 0 0 0 0 0 0 0 0 0 0
44 J02.9 FARINGITIS 0 0 0 0 0 0 0 0 0 0
45 J03.9 TONSILITIS 0 0 0 0 0 0 0 0 0 0
46 J04.0 LARINGITIS 0 0 0 0 0 0 0 0 0 0
INFEKSI SALURAN NAPAS BAGIAN 0 0 0 0 0 0 0 0 0 0
J05 - J06 ATAS AKUT LAINNYA
47 J11.8 INFLUENZA 0 0 0 0 0 0 0 0 0 0
48 J18.9 PNEUMONIA , BRONKOPNEUMONIA 0 0 0 0 0 0 0 0 0 0
49 J20.9 BRONKITIS AKUT 0 0 0 0 0 0 0 0 0 0
50 J45.9 ASMA BRONKIAL 0 0 0 0 0 0 0 0 0 0
51 SISTIM 120.9 ANGINA PECTORIS (3B) 0 0 0 0 0 0 0 0 0 0
KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B) 0 0 0 0 0 0 0 0 0 0
53 I10 HIPERTENSI ESSENSIAL 0 0 0 0 0 0 0 0 0 0
54 I21.9 INFARK MIOKARD (3B) 0 0 0 0 0 0 0 0 0 0
55 I46.9 HENTI JANTUNG PARU (3B) 0 0 0 0 0 0 0 0 0 0
(CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B) 0 0 0 0 0 0 0 0 0 0
57 R00.0 TACHICARDY (3B) 0 0 0 0 0 0 0 0 0 0
58 R57.9 SYOK (3B) 0 0 0 0 0 0 0 0 0 0
59 SISTIM A01.0 DEMAM TIFOID 0 0 0 0 0 0 0 0 0 0
GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA 0 0 0 0 0 0 0 0 0 0
PANKREAS
61 A09 GASTROENTERITIS (TERMASUK 0 0 0 0 0 0 0 0 0 0
KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A 0 0 0 0 0 0 0 0 0 0
63 B16.9 HEPATITIS B (3A) 0 0 0 0 0 0 0 0 0 0
64 B37.9 KANDIDIASIS MULUT 0 0 0 0 0 0 0 0 0 0
65 B65.2 SKISTOSOMIASIS 0 0 0 0 0 0 0 0 0 0
66 B68.9 TAENIASIS 0 0 0 0 0 0 0 0 0 0
67 B76.0 PENYAKIT CACING TAMBANG 0 0 0 0 0 0 0 0 0 0
68 B77.9 ASKARIASIS 0 0 0 0 0 0 0 0 0 0
69 B78.9 STRONGILOIDIASIS 0 0 0 0 0 0 0 0 0 0
70 I84.9 HEMOROID GRADE 1-2 0 0 0 0 0 0 0 0 0 0
71 K11.2 PAROTITIS 0 0 0 0 0 0 0 0 0 0
72 K12.1 ULKUS MULUT (APTOSA, HERPES) 0 0 0 0 0 0 0 0 0 0
73 K21.9 REFLUKS GASTROESOFAGUS 0 0 0 0 0 0 0 0 0 0
74 K22.6 LESI KOROSIF ESOFAGUS 0 0 0 0 0 0 0 0 0 0
75 K29.7 GASTRITIS 0 0 0 0 0 0 0 0 0 0
76 K35.9 APENDISITIS AKUT (3B) 0 0 0 0 0 0 0 0 0 0
77 K65.9 PERITONITIS (3B) 0 0 0 0 0 0 0 0 0 0
78 K81.9 KOLESISTITIS (3B) 0 0 0 0 0 0 0 0 0 0
79 K90.4 INTOLERANSI MAKANAN 0 0 0 0 0 0 0 0 0 0
80 P38 INFEKSI PADA UMBILIKUS 0 0 0 0 0 0 0 0 0 0
81 T62.6 KERACUNAN MAKANAN 0 0 0 0 0 0 0 0 0 0
82 T78.4 ALERGI MAKANAN 0 0 0 0 0 0 0 0 0 0
83 SISTIM GINJAL & A54.9 GONORE 0 0 0 0 0 0 0 0 0 0
SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI 0 0 0 0 0 0 0 0 0 0
85 N39.0 INFEKSI SALURAN KEMIH 0 0 0 0 0 0 0 0 0 0
86 N47 FIMOSIS 0 0 0 0 0 0 0 0 0 0
87 N47.2 PARAFIMOSIS 0 0 0 0 0 0 0 0 0 0
88 SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU 0 0 0 0 0 0 0 0 0 0
KELENJAR SEBASEA
89 N39.0 INFEKSI SALURAN KEMIH BAGIAN 0 0 0 0 0 0 0 0 0 0
BAWAH
90 N61 MASTITIS 0 0 0 0 0 0 0 0 0 0
91 N70.0 SALPINGITIS 0 0 0 0 0 0 0 0 0 0
92 N76.0 VAGINITIS 0 0 0 0 0 0 0 0 0 0
93 N76.2 VULVITIS 0 0 0 0 0 0 0 0 0 0
94 N76.8 VAGINOSIS BAKTERIALIS 0 0 0 0 0 0 0 0 0 0
95 N98.9 SINDROM DUH (DISCHARGE) 0 0 0 0 0 0 0 0 0 0
GENITAL (GONORE DAN
NONGONORE)
96 O03.9 ABORSI SPONTAN KOMPLIT 0 0 0 0 0 0 0 0 0 0
97 O70.0 RUPTUR PERINEUM TINGKAT 1-2 0 0 0 0 0 0 0 0 0 0
98 O80.9 KEHAMILAN NORMAL 0 0 0 0 0 0 0 0 0 0
99 O92.0 INVERTED NIPPLE 0 0 0 0 0 0 0 0 0 0
100 O92.1 CRACKED NIPPLE 0 0 0 0 0 0 0 0 0 0
101 O99.0 ANEMIA DEFISIENSI BESI PADA 0 0 0 0 0 0 0 0 0 0
KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1 0 0 0 0 0 0 0 0 0 0
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2 0 0 0 0 0 0 0 0 0 0
104 E16.2 HIPOGLIKEMIA RINGAN 0 0 0 0 0 0 0 0 0 0
105 E46 MALNUTRISI ENERGI-PROTEIN 0 0 0 0 0 0 0 0 0 0
106 E50 DEFISIENSI VITAMIN A 0 0 0 0 0 0 0 0 0 0
107 E53.9 DEFISIENSI VITAMIN B 0 0 0 0 0 0 0 0 0 0
108 E54 DEFISIENSI VITAMIN C 0 0 0 0 0 0 0 0 0 0
109 E55 DEFISIENSI VITAMIN D 0 0 0 0 0 0 0 0 0 0
110 E56 DEFISIENSI VITAMIN E 0 0 0 0 0 0 0 0 0 0
111 E63.9 DEFISIENSI MINERAL 0 0 0 0 0 0 0 0 0 0
112 E78.5 DISLIPIDEMIA 0 0 0 0 0 0 0 0 0 0
113 E79.0 HIPERURISEMIA 0 0 0 0 0 0 0 0 0 0
114 E66.9 OBESITAS 0 0 0 0 0 0 0 0 0 0
115 E05.9 TIROTOKSIKOSIS (3B) 0 0 0 0 0 0 0 0 0 0
116 R73.9 HIPERGLIKEMIA HIPEROSMOLAR 0 0 0 0 0 0 0 0 0 0
NON KETOTIK (3B)
117 SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA 0 0 0 0 0 0 0 0 0 0
& IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF 0 0 0 0 0 0 0 0 0 0
119 B54 MALARIA 0 0 0 0 0 0 0 0 0 0
120 D50.9 ANEMIA DEFISIENSI BESI 0 0 0 0 0 0 0 0 0 0
121 L04.9 LIMFADENITIS 0 0 0 0 0 0 0 0 0 0
122 T78.2 REAKSI ANAFILAKTIK 0 0 0 0 0 0 0 0 0 0
123 SISTIM D17.9 LIPOMA 0 0 0 0 0 0 0 0 0 0
MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI 0 0 0 0 0 0 0 0 0 0
125 M19.9 OSTEOARTRITIS/ARTRITIS (3A) 0 0 0 0 0 0 0 0 0 0
126 M35.3 POLIMIAGIA REUMATIK / ARTRITIS 0 0 0 0 0 0 0 0 0 0
REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B) 0 0 0 0 0 0 0 0 0 0
128 T14.21 FRAKTUR TERBUKA (3B) 0 0 0 0 0 0 0 0 0 0
129 SISTIM INTEGUMEN A30.0 LEPRA 0 0 0 0 0 0 0 0 0 0
130 A46 ERISIPELAS 0 0 0 0 0 0 0 0 0 0
131 A51.9 SIFILIS STADIUM 1 DAN 2 0 0 0 0 0 0 0 0 0 0
132 B00.9 HERPES SIMPLEKS TANPA 0 0 0 0 0 0 0 0 0 0
KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI 0 0 0 0 0 0 0 0 0 0
134 B02.9 HERPES ZOSTER TANPA 0 0 0 0 0 0 0 0 0 0
KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI 0 0 0 0 0 0 0 0 0 0
136 B07 VERUKA VULGARIS 0 0 0 0 0 0 0 0 0 0
137 B08.1 MOLUSKUM KONTAGIOSUM 0 0 0 0 0 0 0 0 0 0
138 B35.0 TINEA KAPITIS 0 0 0 0 0 0 0 0 0 0
139 B35.0 TINEA BARBE 0 0 0 0 0 0 0 0 0 0
140 B35.1 TINEA UNGUIUM 0 0 0 0 0 0 0 0 0 0
141 B35.2 TINEA MANUS 0 0 0 0 0 0 0 0 0 0
142 B35.3 TINEA PEDIS 0 0 0 0 0 0 0 0 0 0
143 B35.4 TINEA FASIALIS 0 0 0 0 0 0 0 0 0 0
144 B35.4 TINEA KORPORIS 0 0 0 0 0 0 0 0 0 0
145 B35.6 TINEA KRURIS 0 0 0 0 0 0 0 0 0 0
146 B36.0 PITIRIASIS VESIKOLOR 0 0 0 0 0 0 0 0 0 0
147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN 0 0 0 0 0 0 0 0 0 0
148 B74.9 FILARIASIS 0 0 0 0 0 0 0 0 0 0
149 B76.9 CUTANEUS LARVA MIGRAN 0 0 0 0 0 0 0 0 0 0
150 B85.0 PEDIKULOSIS KAPITIS 0 0 0 0 0 0 0 0 0 0
151 B85.1 PEDIKULOSIS PUBIS 0 0 0 0 0 0 0 0 0 0
152 B86 SKABIES 0 0 0 0 0 0 0 0 0 0
153 L01.0 IMPETIGO 0 0 0 0 0 0 0 0 0 0
154 L01.0 IMPETIGO ULSERATIF (EKTIMA) 0 0 0 0 0 0 0 0 0 0
155 L02.9 FURUNKEL, KARBUNKEL 0 0 0 0 0 0 0 0 0 0
156 L08.1 ERITRASMA 0 0 0 0 0 0 0 0 0 0
157 L20.8 DERMATITIS NUMULARIS 0 0 0 0 0 0 0 0 0 0
158 L20.9 DERMATITIS ATOPIK (KECUALI 0 0 0 0 0 0 0 0 0 0
RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK 0 0 0 0 0 0 0 0 0 0
160 L22 NAPKIN ECZEMA (DIAPER RASH) 0 0 0 0 0 0 0 0 0 0
161 L23.9 DERMATITIS KONTAK ALERGIK (3A) 0 0 0 0 0 0 0 0 0 0

162 L24.9 DERMATITIS KONTAK IRITAN 0 0 0 0 0 0 0 0 0 0

163 L27.0 EXANTHEMATOUS DRUG ERUPTION, 0 0 0 0 0 0 0 0 0 0
FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A) 0 0 0 0 0 0 0 0 0 0
165 L42 PITIRIASIS ROSEA 0 0 0 0 0 0 0 0 0 0
166 L50.9 URTIKARIA AKUT 0 0 0 0 0 0 0 0 0 0
167 L66.2 FOLIKULITIS SUPERFISIALIS 0 0 0 0 0 0 0 0 0 0
168 L70.0 AKNE VULGARIS RINGAN 0 0 0 0 0 0 0 0 0 0
169 L71.0 DERMATITIS PERIORAL 0 0 0 0 0 0 0 0 0 0
170 L73.2 HIDRADENITIS SUPURATIF 0 0 0 0 0 0 0 0 0 0
171 L74.3 MILIARIA 0 0 0 0 0 0 0 0 0 0
172 T14.1 VULNUS LASERATUM, PUNCTUM 0 0 0 0 0 0 0 0 0 0
173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2 0 0 0 0 0 0 0 0 0 0
174 T63.4 REAKSI GIGITAN SERANGGA 0 0 0 0 0 0 0 0 0 0
175 ILMU FORENSIK W26.9 KEKERASAN TAJAM 0 0 0 0 0 0 0 0 0 0
176 Y29 KEKERASAN TUMPUL 0 0 0 0 0 0 0 0 0 0
177 GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE 0 0 0 0 0 0 0 0 0 0
GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS 0 0 0 0 0 0 0 0 0 0
179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS 0 0 0 0 0 0 0 0 0 0
180 B08.4 ENTEROVIRAL VESICULAR 0 0 0 0 0 0 0 0 0 0
STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS) 0 0 0 0 0 0 0 0 0 0
182 B37.00 ACUTE PSEUDOMEMBRANOUS 0 0 0 0 0 0 0 0 0 0
CANDIDAL STOMATITIS
183 B37.03 DENTURE STOMATITIS DUE TO 0 0 0 0 0 0 0 0 0 0
CANDIDAL INFECTION
184 K00.63 RETAINED ( PERSISTENT) PRIMARY 0 0 0 0 0 0 0 0 0 0
TOOTH
185 K01.16 IMPACTED TEETH MAXILLARY 0 0 0 0 0 0 0 0 0 0
MOLAR
186 K01.17 IMPACTED TEETH MANDIBULAR 0 0 0 0 0 0 0 0 0 0
MOLAR
187 K02.3 ARRESTED CARIES 0 0 0 0 0 0 0 0 0 0
188 K02.51 DENTAL CARIES ON PIT AND 0 0 0 0 0 0 0 0 0 0
FISSURE SURFACE LIMITED TO
ENAMEL
189 K02.52 DENTAL CARIES ON PIT AND 0 0 0 0 0 0 0 0 0 0
FISSURE SURFACE PENETRATING
INTO DENTIN
190 K02.61 DENTAL CARIES ON SMOOTH 0 0 0 0 0 0 0 0 0 0
SURFACE LIMITED TO ENAMEL
191 K02.62 DENTAL CARIES ON SMOOTH 0 0 0 0 0 0 0 0 0 0
SURFACE PENETRATING INTO
DENTIN
192 K02.8 OTHER SPECIFIED DENTAL CARIES 0 0 0 0 0 0 0 0 0 0
193 K03.0 EXCESSIVE ATTRITION OF TEETH 0 0 0 0 0 0 0 0 0 0
194 K03.1 ABRASION OF TEETH 0 0 0 0 0 0 0 0 0 0
195 K03.2 EROSION OF TEETH 0 0 0 0 0 0 0 0 0 0
196 K03.6 DEPOSITS (ACCRETIONS) ON TEETH 0 0 0 0 0 0 0 0 0 0

197 K03.7 POSTERUPTIVE COLOUR CHANGES 0 0 0 0 0 0 0 0 0 0

OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN 0 0 0 0 0 0 0 0 0 0
199 K04.00 INITIAL (HYPEREMIA) PULPITIS 0 0 0 0 0 0 0 0 0 0
200 K04.01 ACUTE, REVERSIBLE AND 0 0 0 0 0 0 0 0 0 0
IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP 0 0 0 0 0 0 0 0 0 0
202 K04.6 PERIAPICAL ABCESS WITH SINUS 0 0 0 0 0 0 0 0 0 0
203 K04.7 PERIAPICAL ABCESS WITHOUT 0 0 0 0 0 0 0 0 0 0
SINUS
204 K05.0 ACUTE GINGIVITIS, PLAQUE 0 0 0 0 0 0 0 0 0 0
INDUCED
205 K05.21 AGGRESSIVE PERIODONTITIS 0 0 0 0 0 0 0 0 0 0
(PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS 0 0 0 0 0 0 0 0 0 0
207 K07.20 DISTO-OCCLUSION 0 0 0 0 0 0 0 0 0 0
208 K07.21 MESIO-OCCLUSION 0 0 0 0 0 0 0 0 0 0
209 K07.22 EXCESSIVE OVERJET (HORIZONTAL 0 0 0 0 0 0 0 0 0 0
OVERBITE)
210 K07.23 EXCESSIVE OVERBITE ( VERTICAL 0 0 0 0 0 0 0 0 0 0
OVERBITE)
211 K07.25 OPENBITE 0 0 0 0 0 0 0 0 0 0
212 K07.26 CROSSBITE (ANTERIOR, 0 0 0 0 0 0 0 0 0 0
POSTERIOR)
213 K07.27 POSTERIOR LINGUAL OCCLUSION 0 0 0 0 0 0 0 0 0 0
OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION 0 0 0 0 0 0 0 0 0 0
215 K07.51 MALOCCLUSION DUE TO ABNORMAL 0 0 0 0 0 0 0 0 0 0
SWALLOWING
216 K07.54 MALOCCLUSION DUE TO MOUTH 0 0 0 0 0 0 0 0 0 0
BREATHING
217 K07.55 MALOCCLUSION DUE TO TONGUE, 0 0 0 0 0 0 0 0 0 0
LIP OR FINGER HABITS
218 K08.10 COMPLETE LOSS OF TEETH, 0 0 0 0 0 0 0 0 0 0
UNSPECIFIED CAUSE
219 K08.11 COMPLETE LOSS OF TEETH, DUE TO 0 0 0 0 0 0 0 0 0 0
TRAUMA
220 K08.12 COMPLETE LOSS OF TEETH DUE TO 0 0 0 0 0 0 0 0 0 0
PERIODONTAL DISEASE
221 K08.13 COMPLETE LOSS OF TEETH DUE TO 0 0 0 0 0 0 0 0 0 0
CARIES
222 K08.3 RETAINED DENTAL ROOT 0 0 0 0 0 0 0 0 0 0
223 K08.40 PARTIAL LOSS OF TEETH, 0 0 0 0 0 0 0 0 0 0
UNSPECIFIED CAUSE
224 K08.41 PARTIAL LOSS OF TEETH DUE TO 0 0 0 0 0 0 0 0 0 0
TRAUMA
225 K08.42 PARTIAL LOSS OF TEETH DUE TO 0 0 0 0 0 0 0 0 0 0
PERIODONTAL DISEASES
226 K08.43 PARTIAL LOSS OF TEETH DUE TO 0 0 0 0 0 0 0 0 0 0
CARIES
227 K12.00 RECURRENT APHTOUS ULCER 0 0 0 0 0 0 0 0 0 0
228 K12.04 TRAUMATIC ULCER 0 0 0 0 0 0 0 0 0 0
229 K13.0 ANGULAR CHEILITIS 0 0 0 0 0 0 0 0 0 0
230 L.51.0X NON BULOUS ERITEMA MULTIFORME 0 0 0 0 0 0 0 0 0 0

231 L51.1X BULOUS ERITEMA MULTIFORME 0 0 0 0 0 0 0 0 0 0

232 R51 FACIAL PAIN NO OTHERWISE 0 0 0 0 0 0 0 0 0 0
SPECIFIED
233 S02.50 FRACTURE OF ENAMEL OF TOOTH 0 0 0 0 0 0 0 0 0 0
ONLY
234 S02.51 FRACTURE OF CROWN OF TOOTH 0 0 0 0 0 0 0 0 0 0
WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 28

(PR) : 18
Jumlah Kasus Baru : 46

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
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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
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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 0 0 0 0 0 0

0 1 7 0 3 1 0 2 5 6 3 7 2 5 0 1 3 2 9 5 12 9 1 2

Kasus Lama (LK) : 52 1. Kunjungan Kasus Poli Umum

(PR) : 45 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 97 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
L B L B L B L B L
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
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 1 0 0 0 0 0 0 0 0 6 0 4 3 10 3 13
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1
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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
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 6 1 1 0 1 1 2 3 11 6 13 9 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 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 3 1 0 0 0 1 0 0 3 2 3 2 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 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 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 1 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 1 0 0 1 1 1 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 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 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 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 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 3 4 0 6 3 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 1 0 0 0 0 0 1 1 1 0 2 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 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 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 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 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4 2 1 3 5 4 0 16 7 2 0 2 5 28 18 52 45

Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
 PEMERIN

JALAN M

KELOMPOK 0 -7 Hari 8 - 28 Hari 29 Hr - < 1 Thn

NO KODE PENYAKIT
PENYAKIT B L B L B
LK PR LK PR LK PR LK PR LK PR
1 SARAF A35 TETANUS 0 0 0 0 0 0 0 0 0 0
2 A82.9 RABIES (3B) 0 0 0 0 0 0 0 0 0 0
3 F03 DEMENSIA (3A) 0 0 0 0 0 0 0 0 0 0
4 F05.9 DELIRIUM (3A) 0 0 0 0 0 0 0 0 0 0
5 G40.9 EPILEPSI (3A) 0 0 0 0 0 0 0 0 0 0
6 G41.9 STATUS EPILEPTIKUS (3B) 0 0 0 0 0 0 0 0 0 0
7 G43.9 MIGREN 0 0 0 0 0 0 0 0 0 0
8 G44.2 TENSION HEADACHE 0 0 0 0 0 0 0 0 0 0
9 G51.0 BELL'S PALSY 0 0 0 0 0 0 0 0 0 0
10 R42 VERTIGO (Benign Paroxysmal Positional 0 0 0 0 0 0 0 0 0 0
Vertigo)
11 R56.0 KEJANG DEMAM 0 0 0 0 0 0 0 0 0 0
12 Z21 HIV AIDS TANPA KOMPLIKASI 0 0 0 0 0 0 0 0 0 0
13 PSIKIATRI F20.9 GANGGUAN PSIKOTIK (3A) 0 0 0 0 0 0 0 0 0 0
14 F41.2 GANGGUAN CAMPURAN ANXIETAS 0 0 0 0 0 0 0 0 0 0
DAN DEPRESI (3A)
15 F45.9 GANGGUAN SOMATOFORM 0 0 0 0 0 0 0 0 0 0
16 G47.0 INSOMNIA 0 0 0 0 0 0 0 0 0 0
17 INDERA H00.0 HORDEOLUM 0 0 0 0 0 0 0 0 0 0
18 H01.0 BLEFARITIS 0 0 0 0 0 0 0 0 0 0
19 H02.0 TRIKIASIS 0 0 0 0 0 0 0 0 0 0
20 H04.1 MATA KERING (DRY EYES) 0 0 0 0 0 0 0 0 0 0
21 H10.9 KONJUNGTIVITIS 0 0 0 0 0 0 0 0 0 0
22 H15.1 EPISKLERITIS 0 0 0 0 0 0 0 0 0 0
23 H26.9 KATARAK PASIEN DEWASA (2) 0 0 0 0 0 0 0 0 0 0
24 H40.2 GLAUKOMA AKUT (4A) 0 0 0 0 0 0 0 0 0 0
25 H52.0 HIPERMETROPIA RINGAN 0 0 0 0 0 0 0 0 0 0
26 H52.1 MIOPIA RINGAN 0 0 0 0 0 0 0 0 0 0
27 H52.2 ASTIGMATISMA RINGAN 0 0 0 0 0 0 0 0 0 0
28 H52.4 PRESBIOPIA 0 0 0 0 0 0 0 0 0 0
29 H53.5 BUTA SENJA 0 0 0 0 0 0 0 0 0 0
30 H57.8 PERDARAHAN SUBKONJUNGTIVA 0 0 0 0 0 0 0 0 0 0
31 H60.9 OTITIS EKSTERNA 0 0 0 0 0 0 0 0 0 0
32 H61.2 SERUMEN PROP 0 0 0 0 0 0 0 0 0 0
33 H66.0 OTITIS MEDIA AKUT 0 0 0 0 0 0 0 0 0 0
34 J00 RHINITIS AKUT 0 0 0 0 0 0 0 0 0 0
35 J30.0 RHINITIS VASOMOTOR 0 0 0 0 0 0 0 0 0 0
36 J30.4 RHINITIS ALERGIKA 0 0 0 0 0 0 0 0 0 0
37 J34.0 FURUNKEL PADA HIDUNG 0 0 0 0 0 0 0 0 0 0
38 R04.0 EPISTAKSIS 0 0 0 0 0 0 0 0 0 0
39 T15.9 BENDA ASING DI KONJUNGTIVA 0 0 0 0 0 0 0 0 0 0
40 T17.1 BENDA ASING PADA HIDUNG 0 0 0 0 0 0 0 0 0 0
41 T75.3 MABUK PERJALANAN (TRAVEL 0 0 0 0 0 0 0 0 0 0
SICKNESS)
42 SISTIM RESPIRASI A15.0 TUBERKULOSIS PARU TANPA 0 0 0 0 0 0 0 0 0 0
KOMPLIKASI
43 A37.8 PERTUSIS 0 0 0 0 0 0 0 0 0 0
J01 SINUSITIS 0 0 0 0 0 0 0 0 0 0
44 J02.9 FARINGITIS 0 0 0 0 0 0 0 0 0 0
45 J03.9 TONSILITIS 0 0 0 0 0 0 0 0 0 0
46 J04.0 LARINGITIS 0 0 0 0 0 0 0 0 0 0
INFEKSI SALURAN NAPAS BAGIAN 0 0 0 0 0 0 0 0 0 0
J05 - J06 ATAS AKUT LAINNYA
47 J11.8 INFLUENZA 0 0 0 0 0 0 0 0 0 0
48 J18.9 PNEUMONIA , BRONKOPNEUMONIA 0 0 0 0 0 0 0 0 0 0
49 J20.9 BRONKITIS AKUT 0 0 0 0 0 0 0 0 0 0
50 J45.9 ASMA BRONKIAL 0 0 0 0 0 0 0 0 0 0
51 SISTIM 120.9 ANGINA PECTORIS (3B) 0 0 0 0 0 0 0 0 0 0
KARDIOVASKULER
52 150.9 GAGAL JANTUNG (3B) 0 0 0 0 0 0 0 0 0 0
53 I10 HIPERTENSI ESSENSIAL 0 0 0 0 0 0 0 0 0 0
54 I21.9 INFARK MIOKARD (3B) 0 0 0 0 0 0 0 0 0 0
55 I46.9 HENTI JANTUNG PARU (3B) 0 0 0 0 0 0 0 0 0 0
(CARDIORESPIRATORY ARREST)
56 I63.9 STROKE INFARK (3B) 0 0 0 0 0 0 0 0 0 0
57 R00.0 TACHICARDY (3B) 0 0 0 0 0 0 0 0 0 0
58 R57.9 SYOK (3B) 0 0 0 0 0 0 0 0 0 0
59 SISTIM A01.0 DEMAM TIFOID 0 0 0 0 0 0 0 0 0 0
GASTROINTESTINAL,
60 HEPATOBILIAR DAN A06.9 DISENTRI BASILER, DISENTRI AMUBA 0 0 0 0 0 0 0 0 0 0
PANKREAS
61 A09 GASTROENTERITIS (TERMASUK 0 0 0 0 0 0 0 0 0 0
KOLERA, GIARDIASIS)
62 B15.9 HEPATITIS A 0 0 0 0 0 0 0 0 0 0
63 B16.9 HEPATITIS B (3A) 0 0 0 0 0 0 0 0 0 0
64 B37.9 KANDIDIASIS MULUT 0 0 0 0 0 0 0 0 0 0
65 B65.2 SKISTOSOMIASIS 0 0 0 0 0 0 0 0 0 0
66 B68.9 TAENIASIS 0 0 0 0 0 0 0 0 0 0
67 B76.0 PENYAKIT CACING TAMBANG 0 0 0 0 0 0 0 0 0 0
68 B77.9 ASKARIASIS 0 0 0 0 0 0 0 0 0 0
69 B78.9 STRONGILOIDIASIS 0 0 0 0 0 0 0 0 0 0
70 I84.9 HEMOROID GRADE 1-2 0 0 0 0 0 0 0 0 0 0
71 K11.2 PAROTITIS 0 0 0 0 0 0 0 0 0 0
72 K12.1 ULKUS MULUT (APTOSA, HERPES) 0 0 0 0 0 0 0 0 0 0
73 K21.9 REFLUKS GASTROESOFAGUS 0 0 0 0 0 0 0 0 0 0
74 K22.6 LESI KOROSIF ESOFAGUS 0 0 0 0 0 0 0 0 0 0
75 K29.7 GASTRITIS 0 0 0 0 0 0 0 0 0 0
76 K35.9 APENDISITIS AKUT (3B) 0 0 0 0 0 0 0 0 0 0
77 K65.9 PERITONITIS (3B) 0 0 0 0 0 0 0 0 0 0
78 K81.9 KOLESISTITIS (3B) 0 0 0 0 0 0 0 0 0 0
79 K90.4 INTOLERANSI MAKANAN 0 0 0 0 0 0 0 0 0 0
80 P38 INFEKSI PADA UMBILIKUS 0 0 0 0 0 0 0 0 0 0
81 T62.6 KERACUNAN MAKANAN 0 0 0 0 0 0 0 0 0 0
82 T78.4 ALERGI MAKANAN 0 0 0 0 0 0 0 0 0 0
83 SISTIM GINJAL & A54.9 GONORE 0 0 0 0 0 0 0 0 0 0
SALURAN KEMIH
84 N10 PIELONEFRITIS TANPA KOMPLIKASI 0 0 0 0 0 0 0 0 0 0
85 N39.0 INFEKSI SALURAN KEMIH 0 0 0 0 0 0 0 0 0 0
86 N47 FIMOSIS 0 0 0 0 0 0 0 0 0 0
87 N47.2 PARAFIMOSIS 0 0 0 0 0 0 0 0 0 0
88 SISTIM REPRODUKSI L02 ABSES FOLIKEL RAMBUT ATAU 0 0 0 0 0 0 0 0 0 0
KELENJAR SEBASEA
89 N39.0 INFEKSI SALURAN KEMIH BAGIAN 0 0 0 0 0 0 0 0 0 0
BAWAH
90 N61 MASTITIS 0 0 0 0 0 0 0 0 0 0
91 N70.0 SALPINGITIS 0 0 0 0 0 0 0 0 0 0
92 N76.0 VAGINITIS 0 0 0 0 0 0 0 0 0 0
93 N76.2 VULVITIS 0 0 0 0 0 0 0 0 0 0
94 N76.8 VAGINOSIS BAKTERIALIS 0 0 0 0 0 0 0 0 0 0
95 N98.9 SINDROM DUH (DISCHARGE) 0 0 0 0 0 0 0 0 0 0
GENITAL (GONORE DAN
NONGONORE)
96 O03.9 ABORSI SPONTAN KOMPLIT 0 0 0 0 0 0 0 0 0 0
97 O70.0 RUPTUR PERINEUM TINGKAT 1-2 0 0 0 0 0 0 0 0 0 0
98 O80.9 KEHAMILAN NORMAL 0 0 0 0 0 0 0 0 0 0
99 O92.0 INVERTED NIPPLE 0 0 0 0 0 0 0 0 0 0
100 O92.1 CRACKED NIPPLE 0 0 0 0 0 0 0 0 0 0
101 O99.0 ANEMIA DEFISIENSI BESI PADA 0 0 0 0 0 0 0 0 0 0
KEHAMILAN
102 SISTIM ENDOKRIN, E10 DIABETES MELITUS TIPE 1 0 0 0 0 0 0 0 0 0 0
METBOLIK & NUTRISI
103 E11 DIABETES MELITUS TIPE 2 0 0 0 0 0 0 0 0 0 0
104 E16.2 HIPOGLIKEMIA RINGAN 0 0 0 0 0 0 0 0 0 0
105 E46 MALNUTRISI ENERGI-PROTEIN 0 0 0 0 0 0 0 0 0 0
106 E50 DEFISIENSI VITAMIN A 0 0 0 0 0 0 0 0 0 0
107 E53.9 DEFISIENSI VITAMIN B 0 0 0 0 0 0 0 0 0 0
108 E54 DEFISIENSI VITAMIN C 0 0 0 0 0 0 0 0 0 0
109 E55 DEFISIENSI VITAMIN D 0 0 0 0 0 0 0 0 0 0
110 E56 DEFISIENSI VITAMIN E 0 0 0 0 0 0 0 0 0 0
111 E63.9 DEFISIENSI MINERAL 0 0 0 0 0 0 0 0 0 0
112 E78.5 DISLIPIDEMIA 0 0 0 0 0 0 0 0 0 0
113 E79.0 HIPERURISEMIA 0 0 0 0 0 0 0 0 0 0
114 E66.9 OBESITAS 0 0 0 0 0 0 0 0 0 0
115 E05.9 TIROTOKSIKOSIS (3B) 0 0 0 0 0 0 0 0 0 0
116 R73.9 HIPERGLIKEMIA HIPEROSMOLAR 0 0 0 0 0 0 0 0 0 0
NON KETOTIK (3B)
117 SISTIM HEMATOLOGI A27.9 LEPTOSPIROSIS (TANPA 0 0 0 0 0 0 0 0 0 0
& IMUNOLOGI KOMPLIKASI)
118 A90/A91 DEMAM DENGUE, DHF 0 0 0 0 0 0 0 0 0 0
119 B54 MALARIA 0 0 0 0 0 0 0 0 0 0
120 D50.9 ANEMIA DEFISIENSI BESI 0 0 0 0 0 0 0 0 0 0
121 L04.9 LIMFADENITIS 0 0 0 0 0 0 0 0 0 0
122 T78.2 REAKSI ANAFILAKTIK 0 0 0 0 0 0 0 0 0 0
123 SISTIM D17.9 LIPOMA 0 0 0 0 0 0 0 0 0 0
MUSKULOSKELETAL
124 L97 ULKUS PADA TUNGKAI 0 0 0 0 0 0 0 0 0 0
125 M19.9 OSTEOARTRITIS/ARTRITIS (3A) 0 0 0 0 0 0 0 0 0 0
126 M35.3 POLIMIAGIA REUMATIK / ARTRITIS 0 0 0 0 0 0 0 0 0 0
REUMATOID (3A)
127 T14.20 FRAKTUR TERTUTUP (3B) 0 0 0 0 0 0 0 0 0 0
128 T14.21 FRAKTUR TERBUKA (3B) 0 0 0 0 0 0 0 0 0 0
129 SISTIM INTEGUMEN A30.0 LEPRA 0 0 0 0 0 0 0 0 0 0
130 A46 ERISIPELAS 0 0 0 0 0 0 0 0 0 0
131 A51.9 SIFILIS STADIUM 1 DAN 2 0 0 0 0 0 0 0 0 0 0
132 B00.9 HERPES SIMPLEKS TANPA 0 0 0 0 0 0 0 0 0 0
KOMPLIKASI
133 B01.9 VARISELA TANPA KOMPLIKASI 0 0 0 0 0 0 0 0 0 0
134 B02.9 HERPES ZOSTER TANPA 0 0 0 0 0 0 0 0 0 0
KOMPLIKASI
135 B05.9 MORBILI TANPA KOMPLIKASI 0 0 0 0 0 0 0 0 0 0
136 B07 VERUKA VULGARIS 0 0 0 0 0 0 0 0 0 0
137 B08.1 MOLUSKUM KONTAGIOSUM 0 0 0 0 0 0 0 0 0 0
138 B35.0 TINEA KAPITIS 0 0 0 0 0 0 0 0 0 0
139 B35.0 TINEA BARBE 0 0 0 0 0 0 0 0 0 0
140 B35.1 TINEA UNGUIUM 0 0 0 0 0 0 0 0 0 0
141 B35.2 TINEA MANUS 0 0 0 0 0 0 0 0 0 0
142 B35.3 TINEA PEDIS 0 0 0 0 0 0 0 0 0 0
143 B35.4 TINEA FASIALIS 0 0 0 0 0 0 0 0 0 0
144 B35.4 TINEA KORPORIS 0 0 0 0 0 0 0 0 0 0
145 B35.6 TINEA KRURIS 0 0 0 0 0 0 0 0 0 0
146 B36.0 PITIRIASIS VESIKOLOR 0 0 0 0 0 0 0 0 0 0
147 B37.8 KANDIDOSIS MUKOKUTAN RINGAN 0 0 0 0 0 0 0 0 0 0
148 B74.9 FILARIASIS 0 0 0 0 0 0 0 0 0 0
149 B76.9 CUTANEUS LARVA MIGRAN 0 0 0 0 0 0 0 0 0 0
150 B85.0 PEDIKULOSIS KAPITIS 0 0 0 0 0 0 0 0 0 0
151 B85.1 PEDIKULOSIS PUBIS 0 0 0 0 0 0 0 0 0 0
152 B86 SKABIES 0 0 0 0 0 0 0 0 0 0
153 L01.0 IMPETIGO 0 0 0 0 0 0 0 0 0 0
154 L01.0 IMPETIGO ULSERATIF (EKTIMA) 0 0 0 0 0 0 0 0 0 0
155 L02.9 FURUNKEL, KARBUNKEL 0 0 0 0 0 0 0 0 0 0
156 L08.1 ERITRASMA 0 0 0 0 0 0 0 0 0 0
157 L20.8 DERMATITIS NUMULARIS 0 0 0 0 0 0 0 0 0 0
158 L20.9 DERMATITIS ATOPIK (KECUALI 0 0 0 0 0 0 0 0 0 0
RECALCITRANT)
159 L21.9 DERMATITIS SEBOROIK 0 0 0 0 0 0 0 0 0 0
160 L22 NAPKIN ECZEMA (DIAPER RASH) 0 0 0 0 0 0 0 0 0 0
161 L23.9 DERMATITIS KONTAK ALERGIK (3A) 0 0 0 0 0 0 0 0 0 0

162 L24.9 DERMATITIS KONTAK IRITAN 0 0 0 0 0 0 0 0 0 0

163 L27.0 EXANTHEMATOUS DRUG ERUPTION, 0 0 0 0 0 0 0 0 0 0
FIXED DRUG ERUPTION
164 L28.0 LIKEN SIMPLEKS KRONIS (3A) 0 0 0 0 0 0 0 0 0 0
165 L42 PITIRIASIS ROSEA 0 0 0 0 0 0 0 0 0 0
166 L50.9 URTIKARIA AKUT 0 0 0 0 0 0 0 0 0 0
167 L66.2 FOLIKULITIS SUPERFISIALIS 0 0 0 0 0 0 0 0 0 0
168 L70.0 AKNE VULGARIS RINGAN 0 0 0 0 0 0 0 0 0 0
169 L71.0 DERMATITIS PERIORAL 0 0 0 0 0 0 0 0 0 0
170 L73.2 HIDRADENITIS SUPURATIF 0 0 0 0 0 0 0 0 0 0
171 L74.3 MILIARIA 0 0 0 0 0 0 0 0 0 0
172 T14.1 VULNUS LASERATUM, PUNCTUM 0 0 0 0 0 0 0 0 0 0
173 T30.0 LUKA BAKAR DERAJAT 1 DAN 2 0 0 0 0 0 0 0 0 0 0
174 T63.4 REAKSI GIGITAN SERANGGA 0 0 0 0 0 0 0 0 0 0
175 ILMU FORENSIK W26.9 KEKERASAN TAJAM 0 0 0 0 0 0 0 0 0 0
176 Y29 KEKERASAN TUMPUL 0 0 0 0 0 0 0 0 0 0
177 GIGI DAN MULUT A69.10 ACUTE NECROTIZING ULCERATIVE 0 0 0 0 0 0 0 0 0 0
GINGIVITIS
178 B00.11 HERPES SIMPLEX LABIALIS 0 0 0 0 0 0 0 0 0 0
179 B00.2X HERPESVIRAL GINGIVOSTOMATITIS 0 0 0 0 0 0 0 0 0 0
180 B08.4 ENTEROVIRAL VESICULAR 0 0 0 0 0 0 0 0 0 0
STOMATITIS WITH EXANTHEM
181 B26.9 ORAL MANIFESTTATION (MUMPS) 0 0 0 0 0 0 0 0 0 0
182 B37.00 ACUTE PSEUDOMEMBRANOUS 0 0 0 0 0 0 0 0 0 0
CANDIDAL STOMATITIS
183 B37.03 DENTURE STOMATITIS DUE TO 0 0 0 0 0 0 0 0 0 0
CANDIDAL INFECTION
184 K00.63 RETAINED ( PERSISTENT) PRIMARY 0 0 0 0 0 0 0 0 0 0
TOOTH
185 K01.16 IMPACTED TEETH MAXILLARY 0 0 0 0 0 0 0 0 0 0
MOLAR
186 K01.17 IMPACTED TEETH MANDIBULAR 0 0 0 0 0 0 0 0 0 0
MOLAR
187 K02.3 ARRESTED CARIES 0 0 0 0 0 0 0 0 0 0
188 K02.51 DENTAL CARIES ON PIT AND 0 0 0 0 0 0 0 0 0 0
FISSURE SURFACE LIMITED TO
ENAMEL
189 K02.52 DENTAL CARIES ON PIT AND 0 0 0 0 0 0 0 0 0 0
FISSURE SURFACE PENETRATING
INTO DENTIN
190 K02.61 DENTAL CARIES ON SMOOTH 0 0 0 0 0 0 0 0 0 0
SURFACE LIMITED TO ENAMEL
191 K02.62 DENTAL CARIES ON SMOOTH 0 0 0 0 0 0 0 0 0 0
SURFACE PENETRATING INTO
DENTIN
192 K02.8 OTHER SPECIFIED DENTAL CARIES 0 0 0 0 0 0 0 0 0 0
193 K03.0 EXCESSIVE ATTRITION OF TEETH 0 0 0 0 0 0 0 0 0 0
194 K03.1 ABRASION OF TEETH 0 0 0 0 0 0 0 0 0 0
195 K03.2 EROSION OF TEETH 0 0 0 0 0 0 0 0 0 0
196 K03.6 DEPOSITS (ACCRETIONS) ON TEETH 0 0 0 0 0 0 0 0 0 0

197 K03.7 POSTERUPTIVE COLOUR CHANGES 0 0 0 0 0 0 0 0 0 0

OF DENTAL HARD TISSUES
198 K03.80 SENSITIVE DENTIN 0 0 0 0 0 0 0 0 0 0
199 K04.00 INITIAL (HYPEREMIA) PULPITIS 0 0 0 0 0 0 0 0 0 0
200 K04.01 ACUTE, REVERSIBLE AND 0 0 0 0 0 0 0 0 0 0
IRRVERSIBLE PULPITIS
201 KO4.1 NECROSIS OF PULP 0 0 0 0 0 0 0 0 0 0
202 K04.6 PERIAPICAL ABCESS WITH SINUS 0 0 0 0 0 0 0 0 0 0
203 K04.7 PERIAPICAL ABCESS WITHOUT 0 0 0 0 0 0 0 0 0 0
SINUS
204 K05.0 ACUTE GINGIVITIS, PLAQUE 0 0 0 0 0 0 0 0 0 0
INDUCED
205 K05.21 AGGRESSIVE PERIODONTITIS 0 0 0 0 0 0 0 0 0 0
(PERIODONTAL ABCESS)
206 K05.30 CHRONIC PERIODONTITIS 0 0 0 0 0 0 0 0 0 0
207 K07.20 DISTO-OCCLUSION 0 0 0 0 0 0 0 0 0 0
208 K07.21 MESIO-OCCLUSION 0 0 0 0 0 0 0 0 0 0
209 K07.22 EXCESSIVE OVERJET (HORIZONTAL 0 0 0 0 0 0 0 0 0 0
OVERBITE)
210 K07.23 EXCESSIVE OVERBITE ( VERTICAL 0 0 0 0 0 0 0 0 0 0
OVERBITE)
211 K07.25 OPENBITE 0 0 0 0 0 0 0 0 0 0
212 K07.26 CROSSBITE (ANTERIOR, 0 0 0 0 0 0 0 0 0 0
POSTERIOR)
213 K07.27 POSTERIOR LINGUAL OCCLUSION 0 0 0 0 0 0 0 0 0 0
OF MANDIBULAR TEETH
214 K07.3 ANOMALIES OF TOOTH POSITION 0 0 0 0 0 0 0 0 0 0
215 K07.51 MALOCCLUSION DUE TO ABNORMAL 0 0 0 0 0 0 0 0 0 0
SWALLOWING
216 K07.54 MALOCCLUSION DUE TO MOUTH 0 0 0 0 0 0 0 0 0 0
BREATHING
217 K07.55 MALOCCLUSION DUE TO TONGUE, 0 0 0 0 0 0 0 0 0 0
LIP OR FINGER HABITS
218 K08.10 COMPLETE LOSS OF TEETH, 0 0 0 0 0 0 0 0 0 0
UNSPECIFIED CAUSE
219 K08.11 COMPLETE LOSS OF TEETH, DUE TO 0 0 0 0 0 0 0 0 0 0
TRAUMA
220 K08.12 COMPLETE LOSS OF TEETH DUE TO 0 0 0 0 0 0 0 0 0 0
PERIODONTAL DISEASE
221 K08.13 COMPLETE LOSS OF TEETH DUE TO 0 0 0 0 0 0 0 0 0 0
CARIES
222 K08.3 RETAINED DENTAL ROOT 0 0 0 0 0 0 0 0 0 0
223 K08.40 PARTIAL LOSS OF TEETH, 0 0 0 0 0 0 0 0 0 0
UNSPECIFIED CAUSE
224 K08.41 PARTIAL LOSS OF TEETH DUE TO 0 0 0 0 0 0 0 0 0 0
TRAUMA
225 K08.42 PARTIAL LOSS OF TEETH DUE TO 0 0 0 0 0 0 0 0 0 0
PERIODONTAL DISEASES
226 K08.43 PARTIAL LOSS OF TEETH DUE TO 0 0 0 0 0 0 0 0 0 0
CARIES
227 K12.00 RECURRENT APHTOUS ULCER 0 0 0 0 0 0 0 0 0 0
228 K12.04 TRAUMATIC ULCER 0 0 0 0 0 0 0 0 0 0
229 K13.0 ANGULAR CHEILITIS 0 0 0 0 0 0 0 0 0 0
230 L.51.0X NON BULOUS ERITEMA MULTIFORME 0 0 0 0 0 0 0 0 0 0

231 L51.1X BULOUS ERITEMA MULTIFORME 0 0 0 0 0 0 0 0 0 0

232 R51 FACIAL PAIN NO OTHERWISE 0 0 0 0 0 0 0 0 0 0
SPECIFIED
233 S02.50 FRACTURE OF ENAMEL OF TOOTH 0 0 0 0 0 0 0 0 0 0
ONLY
234 S02.51 FRACTURE OF CROWN OF TOOTH 0 0 0 0 0 0 0 0 0 0
WITHOUT PULPAL INVOLVEMENT

TOTAL 0 0 0 0 0 0 0 0 0 0

Kasus Baru (LK) : 28

(PR) : 18
Jumlah Kasus Baru : 46

Mengetahui,
Sub. Koordinator
Seksi Pelayanan Kesehatan Primer dan Tradisional

SUHARIANI, SKM, M.K.M

NIP.
 PEMERINTAH KABUPATEN KABUPATEN INDRAGIRI HILIR
DINAS KESEHATAN
JALAN M. BOYA NO. 67 TELP. (0768) - 21255 FAX (0768) - 22015
TEMBILAHAN

LAPORAN LB 1 BERDASARKAN ICD - 10

Bulan : JANUARI

KELOMPOK UMUR
29 Hr - < 1 Thn 1 - 4 Thn 5 - 9 Thn 10 - 14 Thn 15 - 19 Thn 20 - 44 Thn 45 - 54 Thn
L B L B L B L B L B L B
LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR LK PR
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 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 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 2 0 5 0 2 2 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 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 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 0 0 0 0 0 0
0 0 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 1 1 0 0 1 4 0 0 1 0 0 0 0 0 0 0 0 1 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 1 2 0 0 0 0 0 0 1 0 0 0 1 1 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 1 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 2 0 0 0 0 0 1 2 0 0 0 0 0 0 1 1 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 1 0 0 1 0 0 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 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 2 0 0 0 0 1 1 3 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 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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

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

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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 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
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0 1 7 0 3 1 0 2 5 6 3 7 2 5 0 1 3 2 9 5 12 9 1 2

Kasus Lama (LK) : 52 1. Kunjungan Kasus Poli Umum

(PR) : 45 2. Kunjungan Kasus Poli KIA
Jumlah Kasus Baru : 97 3. Kunjungan Kasus Poli Gigi
Jumlah Kunjungan Kasus Rawat Jala

Pembuat La

MISLANA ZAIN,
NIP.
 Jumlah
45 - 54 Thn 55 - 59 Thn 60 - 69 Thn 70+ Jumlah
Total
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Kunjungan Kasus Poli Umum : 0

Kunjungan Kasus Poli KIA : 0
Kunjungan Kasus Poli Gigi : 0
mlah Kunjungan Kasus Rawat Jalan : : 0

Pembuat Laporan

MISLANA ZAIN, Amd.Kep

NIP.
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0
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3
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0
0
13
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0
0
0
0
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1
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4
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0
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0
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15

1
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10
2
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21
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13
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0
0
0
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0
0
0
2
0
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0
0
22
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0
0
0
0
0
0
0
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1
0
0
0

0
0
0
0
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0
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0
0
0

0
5
0
0
0
0
0
0
0
0
0
1
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0
0

0
0
0
0
0
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0
0
0
0
0
0

0
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0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
9
0
0
0
0
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0

0
0
3

0
0

0
0
1
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
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0
0

0
0