FASILITAS KESEHATAN TINGKAT PERTAMA : _______________________

KABUPATEN / KOTA : KOTA TANGERANG

BULAN /TAHUN :______________________

No KODE 0-7hr 8-28hr 29hr-1thn

Urut ICD-10 Jenis Penyakit
Baru Lama Baru Lama Baru

L P L P L P L P L P
1 2 3 4 5 6 7 8 9 10 11 12 13
1 A01 Demam Tifoid dan Paratifoid
2 A01.0 Demam Tifoid
3 A04.7 Enterocolitis due to Clostridium difficile
4 A06 Amubiasis, Disentri amuba
5 A09 Diarrhoea and gastroenteritis of presumed infectious
origin
6 A15 Respiratory tuberculosis, bacteriologically and
histological
7 A15.0 Tuberculosis of lung, confirmed by sputum microscopy
with or
8 A15.8 Other respiratory tuberculosis, confirmed
bacteriologically
9 A16.0 TBC Klinis
10 A30 Kusta
11 A30.0 Kusta I/T (MB)
12 A30.9 Kusta, tidak spesifik
13 A59.9 Trichomoniasis, unspecified
14 A75 Typhus fever
15 A88.1 Epidemic vertigo
16 B01 Varicella / Cacar air
17 B01.9 Cacar tanpa komplikasi
18 B02 Herpes zoster
19 B02.8 Zoster with other complications
20 B02.9 Zoster without complication
21 B20 Human immunodeficiency virus [HIV] disease resulting in
infe

22 B20.0 HIV disease resulting in mycobacterial infection

23 B26.0 Mumps orchitis
24 B26.9 Mumps without complication
25 B35.4 Tinea corporis
26 B35.6 Tinea cruris
27 B35.9 Dermatophytosis, unspecified
28 B37.0 Candidal stomatitis
29 B86 Skabies
30 C07 Malignant neoplasm of parotid gland
31 C50 Tumor ganas pada payudara
32 C50.9 Tumor ganas pada payudara, tidak spesifik
33 C56 Tumor ganas pada indung telur
34 C73 Malignant neoplasm of thyroid gland
35 C76.2 Abdomen
36 C92.0 Acute myeloid leukaemia
37 C95.0 Acute leukaemia of unspecified cell type
38 D05 Carcinoma in situ of breast
39 D05.7 Other carcinoma in situ of breast
40 D05.9 Carcinoma in situ of breast, unspecified
41 D17 Benign lipomatous neoplasm
42 D17.0 Benign lipomatous neoplasm of skin and subcutaneous
tissue o

43 D17.7 Benign lipomatous neoplasm of other sites

44 D17.9 Benign lipomatous neoplasm, unspecified
45 D24 Benign neoplasm of breast
46 D32 Benign neoplasm of meninges
47 D38.1 Trachea, bronchus and lung
48 D61.0 Constitutional aplastic anaemia
49 D64.9 Anemia, tidak spesifik
50 E03.9 Hypothyroidism, unspecified
51 E05.2 Thyrotoxicosis with toxic multinodular goitre
52 E05.9 Thyrotoxicosis, unspecified
53 E07.9 Disorder of thyroid, unspecified
54 E10 Insulin-dependent diabetes mellitus
55 E10.2 Insulin-dependent diabetes mellitus with renal
complications

56 E10.4 Insulin-dependent diabetes mellitus with neurological

complications
57 E10.8 Insulin-dependent diabetes mellitus with unspecified
complications
58 E10.9 Insulin-dependent diabetes mellitus without
complications

59 E11 Non-insulin-dependent diabetes mellitus

60 E11.3 Non-insulin-dependent diabetes mellitus with
ophthalmic complications

61 E11.4 Non-insulin-dependent diabetes mellitus with

neurological complications
62 E11.5 Non-insulin-dependent diabetes mellitus with peripheral
circulatory complications

63 E11.6 Non-insulin-dependent diabetes mellitus with other

specified complications

64 E11.8 Non-insulin-dependent diabetes mellitus with

unspecified complications
65 E11.9 Non-insulin-dependent diabetes mellitus without
complications
66 E14 Diabetes melitus, tidak spesifik
67 E14.2 Unspecified diabetes mellitus with renal complications
68 E14.7 Unspecified diabetes mellitus with multiple
complications
69 E14.8 Unspecified diabetes mellitus with unspecified
complications

70 E14.9 Unspecified diabetes mellitus without complications

71 E44 Protein-energy malnutrition of moderate and mild
degree

72 E44.1 Mild protein-energy malnutrition

73 E46 Malnutrisi protein dan kalori tidak spesifik
74 E66 Obesity
75 E75.0 GM2 gangliosidosis
76 E75.1 Other gangliosidosis
77 E78 Disorders of lipoprotein metabolism and other
lipidaemias
78 E78.0 Pure hypercholesterolaemia
79 E78.5 Hyperlipidaemia, unspecified
80 E80.6 Other disorders of bilirubin metabolism
81 F20 Schizophrenia
82 F20.0 Paranoid schizophrenia
83 F32 Depressive episode
84 F32.9 Depressive episode, unspecified
85 F40 Phobic anxiety disorders
86 F40.9 Phobic anxiety disorder, unspecified
87 F41.2 Mixed anxiety and depressive disorder
88 F45.9 Somatoform disorder, unspecified
89 F48.0 Neurasthenia
90 F51 Nonorganic sleep disorders
91 F51.9 Nonorganic sleep disorder, unspecified
92 F63.2 Pathological stealing [kleptomania]
93 F80.9 Developmental disorder of speech and language,
unspecified

94 F84.9 Pervasive developmental disorder, unspecified

95 G40 Epilepsi
96 G43 Migraine
97 G44 Other headache syndromes
98 G50.0 Trigeminal neuralgia
99 G56.0 Carpal tunnel syndrome
100 G91 Hydrocephalus
101 H00 Hordeolum and chalazion
102 H10 Conjunctivitis
103 H10.1 Acute atopic conjunctivitis
104 H10.8 Other conjunctivitis
105 H10.9 Konjungtivitis, tidak spesifik
106 H11.0 Pterygium
107 H11.9 Disorder of conjunctiva, unspecified
108 H21.0 Hyphaema
109 H25 Senile cataract
110 H25.9 Katarak senilis
111 H26 katarak lainnya
112 H26.9 Katarak, tidak spesifik
113 H40 Glaucoma
114 H40.5 Glaucoma secondary to other eye disorders
115 H40.9 Glaukoma, tidak spesifik
116 H52 Gangguan refraksi dan akomodasi
117 H52.0 Hypermetropia
118 H52.1 Myopia
119 H52.2 Astigmatism
120 H52.4 Presbyopia
121 H52.7 Disorder of refraction, unspecified
122 H59 Postprocedural disorders of eye and adnexa, not
elsewhere cl

123 H59.0 Vitreous syndrome following cataract surgery

124 H59.9 Postprocedural disorder of eye and adnexa, unspecified
125 H61.2 Impacted cerumen
126 H65.0 Acute serous otitis media
127 H65.2 Chronic serous otitis media
128 H65.9 Otitis media nonsupuratif
129 H66 Suppurative and unspecified otitis media
130 H66.9 Otitis media, tidak spesifik
131 H71 Cholesteatoma of middle ear
132 H81.3 Other peripheral vertigo
133 H81.4 Vertigo of central origin
134 H81.9 Disorder of vestibular function, unspecified
135 H92.0 Otalgia
136 H93.1 Tinnitus
137 H93.9 Gangguan telinga lainnya tidak spesifik
138 I10 Hipertensi primer/essensial
139 I11 Hypertensive heart disease
140 I11.9 Hypertensive heart disease without (congestive) heart
failur

141 I20.9 Angina pectoris, unspecified

142 I21.1 Acute transmural myocardial infarction of inferior wall
143 I21.4 Acute subendocardial myocardial infarction
144 I25 Chronic ischaemic heart disease
145 I25.0 Atherosclerotic cardiovascular disease, so described
146 I25.1 Atherosclerotic heart disease
147 I25.4 Coronary artery aneurysm
148 I50.0 Congestive heart failure
149 I50.9 Penyakit gagal jantung (DC)
150 I63 Cerebral infarction
151 I63.9 Cerebral infarction, unspecified
152 I64 Stroke, not specified as haemorrhage or infarction
153 I69.3 Sequelae of cerebral infarction
154 I69.4 Sequelae of stroke, not specified as haemorrhage or
infarcti

155 I84 Haemorrhoids

156 I88.9 Nonspecific lymphadenitis, unspecified
157 J00 Nasofaringitis akut
158 J02 Acute pharyngitis
159 J02.9 Faringitis akut, tidak spesifik
160 J03 Acute tonsillitis
161 J03.9 Tonsilitis akut, tidak spesifik
162 J06 Acute upper respiratory infections of multiple and
unspecifi

163 J06.8 Other acute upper respiratory infections of multiple sites

164 J06.9 Infeksi saluran pernapasan atas (ISPA), tidak spesifik
165 J09 Influenza due to identified avian infliuenza virus
166 J10 Influenza due to identified influenza virus
167 J11 Influenza, virus not identified
168 J11.1 Influenza
169 J11.8 Influenza with other manifestations, virus not identified
170 J18 Pneumonia, organism unspecified
171 J18.0 Bronkopneumonia, tidak spesifik
172 J18.9 Pneumonia, tidak spesifik
173 J30.4 Allergic rhinitis, unspecified
174 J35.0 Chronic tonsillitis
175 J35.8 Other chronic diseases of tonsils and adenoids
176 J40 Bronkitis
177 J41.1 Mucopurulent chronic bronchitis
178 J44 Other chronic obstructive pulmonary disease
179 J44.1 Chronic obstructive pulmonary disease with acute
exacerbatio

180 J44.9 Chronic obstructive pulmonary disease, unspecified

181 J45 Asma
182 J45.0 Predominantly allergic asthma
183 J45.8 Mixed asthma
184 J45.9 Asma, tidak spesifik
185 J90 Pleural effusion, not elsewhere classified
186 J91 Pleural effusion in conditions classified elsewhere
187 K00.0 Anodontia
188 K00.4 Disturbances in tooth formation
189 K00.6 Disturbances in tooth eruption
190 K00.8 Other disorders of tooth development
191 K01.1 Impacted teeth
192 K02 karies gigi
193 K02.0 Caries limited to enamel
194 K02.1 Caries of dentine
195 K03.6 Deposits [accretions] on teeth
196 K04 Penyakit Pulpa dan jaringan periapikal
197 K04.0 Pulpitis
198 K04.1 Necrosis of pulp
199 K04.2 Pulp degeneration
200 K04.3 Abnormal hard tissue formation in pulp
201 K04.7 Periapical abscess without sinus
202 K05.3 Chronic periodontitis
203 K05.4 Periodontosis
204 K06.2 Gingival and edentulous alveolar ridge lesions associated
wi

205 K06.8 Other specified disorders of gingiva and edentulous

alveolar

206 K08 Gangguan gigi dan jaringan penunjang lainnya

207 K08.3 Retained dental root
208 K08.8 Other specified disorders of teeth and supporting
structures

209 K09.9 Cyst of oral region, unspecified

210 K12.0 Sariawan / Recurrent oral aphthae
211 K12.2 Cellulitis and abscess of mouth
212 K29 Gastritis and duodenitis
213 K29.1 Other acute gastritis
214 K29.6 Gastritis lainnya
215 K29.7 Gastritis, tidak spesifik
216 K30 Dispepsia
217 K35 Acute appendicitis
218 K37 Unspecified appendicitis
219 K40.9 Unilateral or unspecified inguinal hernia, without
obstructi

220 K52 Other noninfective gastroenteritis and colitis

221 K58.9 Irritable bowel syndrome without diarrhoea
222 K59.0 Constipation
223 K60.0 Acute anal fissure
224 K60.2 Anal fissure, unspecified
225 K60.3 Anal fistula
226 K64 Hemorrhoids and perianal venous thrombosis
227 K64.0 First degree hemorrhoids
228 K80 Cholelithiasis
229 K92 Penyakit sistem pencernaan tidak spesifik
230 K92.9 Disease of digestive system, unspecified
231 L02.4 Cutaneous abscess, furuncle and carbuncle of limb
232 L02.9 Abses, Furunkel, Karbunkel Kutan
233 L03 Cellulitis
234 L03.8 Cellulitis of other sites
235 L03.9 Cellulitis, unspecified
236 L04 Acute lymphadenitis
237 L05 Pilonidal cyst
238 L20.8 Other atopic dermatitis
239 L20.9 Atopic dermatitis, unspecified
240 L21.9 Seborrhoeic dermatitis, unspecified
241 L23 Allergic contact dermatitis
242 L30 Other dermatitis
243 L30.8 Other specified dermatitis
244 L30.9 Dermanitis lain tidak spesifik
245 L40.9 Psoriasis / Penyakit kulit menahun, tidak spesifik
246 L50 Biduran / Kaligata / Urtikaria
247 L60.9 Nail disorder, unspecified
248 L70.0 Acne vulgaris
249 L74.3 Miliaria, unspecified
250 L84 Corns and callosities
251 L91 Hypertrophic disorders of skin
252 L91.0 Keloid scar
253 L98 Gangguan lain pada kulit dan jaringan sub kutan
254 M10 Gout
255 M13 Artritis lainnya
256 M17 Gonarthrosis [arthrosis of knee]
257 M17.0 Primary gonarthrosis, bilateral
258 M17.9 Gonarthrosis, unspecified
259 M19.06 Primary arthrosis of other joints, lower leg
260 M19.07 Primary arthrosis of other joints, ankle and foot
261 M25.57 Pain in joint, ankle and foot
262 M32.9 Systemic lupus erythematosus, unspecified
263 M41 Scoliosis
264 M51.0 Lumbar and other intervertebral disc disorders with
myelopathy

265 M51.9 Intervertebral disc disorder, unspecified

266 M54.02 Panniculitis affecting regions of neck and back, cervical
region
267 M54.03 Panniculitis affecting regions of neck and back,
cervicothoracic region

268 M54.05 Panniculitis affecting regions of neck and back,

thoracolumbar region

269 M54.5 Low back pain

270 M54.9 Dorsalgia, unspecified
271 M62.8 Other specified disorders of muscle
272 M62.86 Other specified disorders of muscle, lower leg
273 M62.87 Other specified disorders of muscle, ankle and foot
274 M65 Synovitis and tenosynovitis
275 M65.4 Radial styloid tenosynovitis [de Quervain]
276 M67.4 Ganglion
277 M70 Soft tissue disorders related to use, overuse and pressure

278 M73.03 Gonococcal bursitis, forearm

279 M79 Other soft tissue disorders, not elsewhere classified
280 M79.0 Rematisme
281 M79.01 Rheumatism, unspecified, shoulder region
282 M79.04 Rheumatism, unspecified, hand
283 M79.1 Myalgia
284 M79.10 Myalgia, multiple sites
285 M79.2 Neuralgia dan Neuritis, tidak spesifik
286 M86.0 Acute haematogenous osteomyelitis
287 N18 Chronic renal failure
288 N18.0 End-stage renal disease
289 N18.8 Other chronic renal failure
290 N18.9 Chronic renal failure, unspecified
291 N20 Calculus of kidney and ureter
292 N20.0 Calculus of kidney
293 N20.1 Calculus of ureter
294 N20.9 Sistitis
295 N21 Calculus of lower urinary tract
296 N21.0 Calculus in bladder
297 N21.8 Other lower urinary tract calculus
298 N23 Unspecified renal colic
299 N30.9 Cystitis, unspecified
300 N39.9 Disorder of urinary system, unspecified
301 N40 Hyperplasia of prostate
302 N45 Orchitis and epididymitis
303 N60.2 Fibroadenosis of breast
304 N61 Inflammatory disorders of breast
305 N80.9 Endometriosis, unspecified
306 N83.0 Follicular cyst of ovary
307 N83.2 Other and unspecified ovarian cysts
308 N86 Erosion and ectropion of cervix uteri
309 N89.8 Other specified noninflammatory disorders of vagina
310 N89.9 Noninflammatory disorder of vagina, unspecified
311 N92.1 Excessive and frequent menstruation with irregular cycle
312 N98 Complications associated with artificial fertilization
313 O02.0 Blighted ovum and nonhydatidiform mole
314 O03 Abortus Spontan
315 O06.3 Unspecified abortion, incomplete, with other and
unspecified complications

316 O10.9 Hipertensi kehamilan

317 O14.1 Pre-Eklamasi berat
318 O15.9 Eklamsia tidak spesifik ( selama kehamilan atau
persalinan )

319 O21.0 Mild hyperemesis gravidarum

320 O24.4 Diabetes mellitus arising in pregnancy
321 O32.1 Maternal care for breech presentation
322 O32.5 Maternal care for multiple gestation with
malpresentation of

323 O36.4 Maternal care for intrauterine death

324 O41.0 Oligohydramnios
325 O42.0 Premature rupture of membranes, onset of labour within

326 O44 Placenta praevia

327 O63.0 Prolonged first stage (of labour)
328 O80.9 Single spontaneous delivery, unspecified
329 O82.9 Delivery by caesarean section, unspecified
330 O86.0 Infection of obstetric surgical wound
331 Q02 Microcephaly
332 Q18.4 Macrostomia
333 Q37.5 Cleft hard and soft palate with cleft lip, unilateral
334 R04.0 Epistaxis
335 R04.2 Haemoptysis
336 R05 Batuk
337 R06.0 Dyspnoea
338 R07.4 Chest pain, unspecified
339 R10.1 Pain localized to upper abdomen
340 R11 Nausea and vomiting
341 R33 Retensi Urine
342 R50 Demam yang tidak diketahui sebabnya
343 R50.8 Other specified fever
344 R50.9 Fever, unspecified
345 R51 Sakit kepala
346 R53 Malaise and fatigue
347 R56.0 Febrile convulsions
348 R60.9 Oedema, unspecified
349 R68 Gejala dan tanda umum lainnya
350 R68.8 Other specified general symptoms and signs
351 R74.9 Abnormal level of unspecified serum enzyme
352 S29.9 Unspecified injury of thorax
353 S42.0 Fracture of clavicle
354 S53 Dislocation, sprain and strain of joints and ligaments of el
355 S81 Open wound of lower leg
356 S81.0 Open wound of knee
357 S81.7 Multiple open wounds of lower leg
358 S81.8 Open wound of other parts of lower leg
359 S81.9 Open wound of lower leg, part unspecified
360 T00.9 Multiple superficial injuries, unspecified
361 T14.0 Superficial injury of unspecified body region
362 T30 Burn and corrosion, body region unspecified
363 T78.4 Allergy, unspecified
364 V99 Unspecified transport accident
365 X11 Contact with hot tap-water
366 Z00.0 Pemeriksaan Medis Umum
367 Z00.1 Pemeriksaan Rutin Kesehatan Anak
368 Z03.0 Observation for suspected tuberculosis
369 Z30.0 Konseling umum mengenain Kontrasepsi
370 Z30.1 Pemasangan alat kontrasepsi
371 Z30.4 Pengawasan penggunaan obat kontrasepsi
372 Z30.5 Pengawasan Pemakaian alat kontrasepsi
373 Z30.8 Pengelolaan kontrasepsi, lainnya
374 Z33 Pregnant state, incidental
375 Z34 Pengawasan terhadap kehamilan normal
376 Z34.0 Pengawasan terhadap kehamilan pertama normal
377 Z34.8 Supervision of other normal pregnancy
378 Z34.9 Pengawasan terhadap kehamilan normal, tidak spesifik
379 Z36 Pemeriksaan Antenatal
380 Z39 Perawatan dan Pemeriksaan pasca persalinan
381 Z39.2 Pemeriksaan rutin pasca persalinan
382 Z47 Other orthopaedic follow-up care
383 Z48 Other surgical follow-up care
384 Z95.5 Presence of coronary angioplasty implant and graft
385 Z96.1 Presence of intraocular lens
386 Z98 Other postsurgical states
387 Z98.8 Other specified postsurgical states
 LAPORAN BULANAN DATA KESAKITAN

Jumlah Penderita
29hr-1thn 1-4thn 5-9thn 10-14thn 15-19thn 20-44thn 45-54thn

Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama

L P L P L P L P L P L P L P L P L P L P L P L P L
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
ta
4thn 55-59 60-64thn 65-69thn >70thn JUMLAH
Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Total
P L P L P L P L P L P L P L P L P L P L P L P
39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61
AH
Total Berdasarkan Gender
L&P
62