MODULE 3 Mort 13
MODULE 3 Mort 13
MORTALITAS
PORMIKI
Medan, 7Juli 2015
1
Perlu Menjadi Perhatian
Para Coder (Pengkode)
Bahwa:
Putusan para praktisi dokter
tidak boleh diubah
di
luar izin/sepengetahuan
dari
yang bersangkutan !
2
Latihan: Kesalahan yang terjadi bila tidak
menggunakan ICD-10 Vol. 1 & 2
1. Polyneuritis akibat kekurangan vitamin B12
[293; 275; 265] E53.8. (Def. Vit. B12)
(448; 488; 522) E56.9 G63.4* (Polyneuritis due
to lack of vitamin NEC)
(Vol. 2, 26; 29) G63*.
Maka E53.8 G63.4*
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Latihan (Lanjutan-2)
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Latihan (Lanjutan-2)
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International Form of Medical
Certification of Cause od Death (MCCD)
WHO, dalam ICD-10 menetapan format isian pelaporan
data diagnose sebab suatu Mortalitas sebagai berikut: (Vol.2
halaman 31, 1992, 32, 2010)
Cause of death
I Approximate
Disease or condition (a) .... interval between
directly leading to due to (or as a onset of death
to death consequence of) ....
II
Other significant .... ....
conditions contributing
to the death, but not
related to the disease
or condition causing
it .... ....
GENERAL PRINCIPLE:
Aturan umum menentukan, bahwa apabila ada lebih
dari satu kondisi direkam pada butir (I) sertifikat
kematian, maka kondisi yang direkam di baris paling
bawah ditentukan sebagai penyakit penyebab
kematian (UCOD).
Contoh: I. (a) Gagal hati
(b) Obstruksi saluran empedu
(c) Icteric
(d) Kanker pankreas
1. Laki, 4 tahun
I: - Sinus tachydardia
- Anomalous pulmonary venous drainage
- Postoperrative subacute bacterial endocarditis
II: Kondisi lain-2: -
2. Wanita, 15 tahun
I: - Gagal nafas
- Abses paru
- Lobar Pneumonia
II: Kondisi lain-2: -
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RULE 1
If there is a reported sequence terminating in the
condition first entered on the Certificate, select the
underlying cause of this sequence.
If there is more >1 such sequence, select the
underlying cause of the first mentioned sequence.
1. Wanita, 71 tahun
I. (a) Cerebral infraction & hypostatic penumonia
(b) Hypertension & DM
(c) Atherosclerosis
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CONTOH
2. Wanita, 65 tahun
I. (a) Pericarditis
(b) Uremia dan pneumonia
II. -
Pilih: Uremia
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Rule 2
If there is no reported sequence terminating in the
condition first entered on the certificate, select the
first mention
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CONTOH
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RULE 3
If the condition selected by General Principle,
Rule 1 or 2
is obviously a direct consequence of another
reported condition, whether In Part I or II,
select this primary condition
1. I (a) Tuberculosis
II AIDS
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CONTOH: Rule 3 (Lanjutan-2)
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CONTOH Rule 3 (Lanjutan-3)
4. I (a) Pneumonia
(b) Virus infection
II -
Reseleksi: Viral pneumonia.
5. I (a) Nephrectomy
II Clear cell carcinoma ginjal
Reseleksi: Clear cell carcinoma of kidney.
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Perhatikan keterangan di
hal. 29-45, ICD-10 Vol. 2, 2010
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(Lanjutan)
I certify .....
......
Signature and qualification
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CODING RULES (120-122)
Rules P1
Mode of death or prematurity entered in
section (a)
Rules P2
Two or more conditions entered in section (a)
or (c)
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(Lanjutan)
Rules P3
No entry in sections (a) or (c)
Rules P4
Conditions entered in wrong section.
Keterangan:
- masih belum jelas apakah akan diberlaku-
kan lagi.
- sampai saat ini belum ada penataran.
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