Lampiran 4

DAFTAR DIAGNOSA YANG TUNTAS DAN BELUM TUNTAS DI DOKTER PRAKTEK PERORANGAN KABUPATEN KULON PROGO

Kode ICD
No. Nama Diagnosa Nama ICD X KETERANGAN
X

1 Abortus spontan komplit Spontaneous abortion, incomple.. O03.0 TUNTAS DI FKTP

2 Alergi makanan Dermatitis due to ingested foo.. L27.2 TUNTAS DI FKTP
3 Anemia defisiensi besi pada kehamilan Iron deficiency anaemia second.. D50.0 TUNTAS DI FKTP
4 Askariasis Ascariasis with intestinal com.. B77.0 TUNTAS DI FKTP
5 Asma Bronkial Asthma, unspecified J45.9 TUNTAS DI FKTP
6 Benda asing di hidung Foreign body in nostril T17.1 TUNTAS DI FKTP
7 Benda asing di konjungtiva Foreign body in conjunctival s.. T15.1 TUNTAS DI FKTP
8 Blefaritis Blepharitis H01.0 TUNTAS DI FKTP
9 Bronkitis akut Bronchitis, not specified as a.. J40 TUNTAS DI FKTP
10 Buta senja Subjective visual disturbances H53.1 TUNTAS DI FKTP
11 Cutaneus larva migran Hookworm disease, unspecified B76.9 TUNTAS DI FKTP
12 Demam dengue, DHF Dengue haemorrhagic fever A91 TUNTAS DI FKTP
13 Demam tifoid Typhoid fever A01.0 TUNTAS DI FKTP
14 Dermatitis atopik (kecuali recalcitrant) Besnier's prurigo L20.0 TUNTAS DI FKTP
15 Dermatitis kontak iritan Irritant contact dermatitis du.. L24.0 TUNTAS DI FKTP
16 Dermatitis numularis Nummular dermatitis L30.0 TUNTAS DI FKTP
17 Dermatitis seboroik Seborrhoea capitis L21.0 TUNTAS DI FKTP
18 Tinea kapitis Tinea barbae and tinea capitis B35.0 TUNTAS DI FKTP
19 Tinea barbae Tinea barbae and tinea capitis B35.0 TUNTAS DI FKTP
20 Tinea Imbricate Dermatophytosis, unspecified B35.9 TUNTAS DI FKTP
21 Tinea korporis Tinea corporis B35.4 TUNTAS DI FKTP
22 Tinea manum Tinea manuum B35.2 TUNTAS DI FKTP
23 Tinea unguium Tinea unguium B35.1 TUNTAS DI FKTP
24 Tinea kruris Tinea cruris B35.6 TUNTAS DI FKTP
25 Tinea pedis Tinea pedis B35.3 TUNTAS DI FKTP
 Kode ICD
No. Nama Diagnosa Nama ICD X KETERANGAN
X

26 Diabetes melitus tipe 2 Non-insulin-dependent diabetes.. E11.0 TUNTAS DI FKTP

27 Disentri basiler dan amuba Acute amoebic dysentery A06.0 TUNTAS DI FKTP
28 Dislipidemia Hyperlipidaemia, unspecified E78.5 TUNTAS DI FKTP
29 Epistaksis Epistaxis R04.0 TUNTAS DI FKTP
30 Exanthematous drug eruption Generalized skin eruption due .. L27.0 TUNTAS DI FKTP
31 Faringitis Streptococcal pharyngitis J02.0 TUNTAS DI FKTP
32 Furunkel pada hidung Abscess, furuncle and carbuncl.. J34.0 TUNTAS DI FKTP
33 Gastritis Other acute gastritis K29.1 TUNTAS DI FKTP
34 Gastroenteritis (termasuk kolera, giardiasis) Noninfective gastroenteritis a.. K52.9 TUNTAS DI FKTP
35 Gonore Gonococcal infection of lower .. A54.0 TUNTAS DI FKTP
36 Hemoroid grade 1-2 Internal thrombosed haemorrhoi.. I84.0 TUNTAS DI FKTP
37 Herpes simpleks tanpa komplikasi Herpesviral infection, unspeci.. B00.9 TUNTAS DI FKTP
38 Herpes zoster tanpa komplikasi Zoster without complication B02.9 TUNTAS DI FKTP
39 Hipertensi esensial Essential (primary) hypertensi.. I10 TUNTAS DI FKTP
40 Hiperuricemia (Gout) Hyperuricaemia without signs o.. E79.0 TUNTAS DI FKTP
41 Hipoglikemia ringan Hypoglycaemia, unspecified E16.2 TUNTAS DI FKTP
42 Hordeolum Hordeolum and other deep infla.. H00.0 TUNTAS DI FKTP
43 Infeksi pada umbilikus Omphalitis of newborn with or without P38 TUNTAS DI FKTP
44 Infeksi saluran kemih Urinary tract infection, site not specified N39.0 TUNTAS DI FKTP
45 Influenza Influenza with pneumonia, infl.. J10.0 TUNTAS DI FKTP
46 Insomnia Disorders of initiating and ma.. G47.0 TUNTAS DI FKTP
47 Intoleransi makanan Malabsorption due to intolerance K90.4 TUNTAS DI FKTP
48 Kandidiasis mulut Herpesviral vesicular dermatit.. B00.1 TUNTAS DI FKTP
49 Kehamilan normal Abdominal pregnancy O00.0 TUNTAS DI FKTP
50 Kejang demam Febrile convulsions R56.0 TUNTAS DI FKTP
51 Keracunan makanan Bacterial foodborne intoxicati.. A05.9 TUNTAS DI FKTP
52 Konjungtivitis Mucopurulent conjunctivitis H10.0 TUNTAS DI FKTP
53 Laringitis Acute laryngitis J04.0 TUNTAS DI FKTP
54 Limfadenitis Nonspecific mesenteric lymphad.. I88.0 TUNTAS DI FKTP
 Kode ICD
No. Nama Diagnosa Nama ICD X KETERANGAN
X

55 Lipoma Benign lipomatous neoplasm, un.. B17.9 TUNTAS DI FKTP

56 Luka bakar derajat 1 dan 2 Burn of first degree, body reg.. T30.1 TUNTAS DI FKTP
57 Malnutirisi energi-protein Unspecified protein-energy mal.. E46 TUNTAS DI FKTP
58 Mastitis Inflammatory disorders of brea.. N61 TUNTAS DI FKTP
59 Mata kering Keratoconjunctivitis H16.2 TUNTAS DI FKTP
60 Migren Migraine without aura [common .. G43.0 TUNTAS DI FKTP
61 Miliaria Miliaria, unspecified L74.3 TUNTAS DI FKTP
62 Morbili tanpa komplikasi Measles without complication B05.9 TUNTAS DI FKTP
63 Napkin eczema Dermatitis, unspecified L30.9 TUNTAS DI FKTP
64 Obesitas Obesity due to excess calories E66.0 TUNTAS DI FKTP
65 Otitis eksterna Otitis media, unspecified H66.9 TUNTAS DI FKTP
66 Otitis media akut Abscess of external ear H60.0 TUNTAS DI FKTP
67 Parotitis Mumps orchitis B26.0 TUNTAS DI FKTP
68 Pedikulosis kapitis Pediculosis due to Pediculus humanus B85.0 TUNTAS DI FKTP
69 Penyakit cacing tambang Ancylostomiasis B76.0 TUNTAS DI FKTP
70 Perdarahan subkonjungtiva Conjunctival haemorrhage H11.3 TUNTAS DI FKTP
71 Pertusis Whooping cough due to Bordetel.. A37.0 TUNTAS DI FKTP
72 Pitiriasis rosea Pityriasis rosea L42 TUNTAS DI FKTP
73 Pitiriasis versikolor Pityriasis versicolor B36.0 TUNTAS DI FKTP
74 Pneumonia, bronkopneumonia Adenoviral pneumonia J12.0 TUNTAS DI FKTP
75 Reaksi anafilaktik Anaphylactic shock, unspecifie.. T78.2 TUNTAS DI FKTP
76 Reaksi gigitan serangga Chikungunya virus disease A92 TUNTAS DI FKTP
77 Refluks gastroesofageal Gastro-oesophageal reflux dise.. K21.0 TUNTAS DI FKTP
78 Rhinitis akut Acute nasopharyngitis [common .. J00 TUNTAS DI FKTP
79 Rhinitis alergika Allergic rhinitis, unspecified J30.4 TUNTAS DI FKTP
80 Rhinitis vasomotor Vasomotor rhinitis J30.0 TUNTAS DI FKTP
81 Ruptur perineum tingkat 1-2 First degree perineal lacerati.. O70.0 TUNTAS DI FKTP
82 Serumen prop Impacted cerumen H61.2 TUNTAS DI FKTP
83 Skabies Scabies B86 TUNTAS DI FKTP
 Kode ICD
No. Nama Diagnosa Nama ICD X KETERANGAN
X

84 Skistosomiasis Schistosomiasis due to Schisto.. B65.0 TUNTAS DI FKTP

85 Taeniasis Taenia solium taeniasis B68.0 TUNTAS DI FKTP
86 Tension headache Tension-type headache G44.2 TUNTAS DI FKTP
87 Tonsilitis Streptococcal tonsillitis J03.0 TUNTAS DI FKTP
88 Tuberkulosis paru tanpa komplikasi Tuberculosis of lung, confirme.. A15.0 TUNTAS DI FKTP
89 Urtikaria (akut & kronis) Allergic urticaria L50.0 TUNTAS DI FKTP
90 Vaginitis Acute vaginitis N76.0 TUNTAS DI FKTP
91 Varisela tanpa komplikasi Varicella without complication B01.9 TUNTAS DI FKTP
92 Vertigo (Benign paroxysmal positional vertigo) Meniere's disease H81.0 TUNTAS DI FKTP
93 Veruka vulgaris Viral warts B07 TUNTAS DI FKTP
94 Vulvitis Acute vaginitis N76.0 TUNTAS DI FKTP
95 Gangguan somatoform Somatization disorder F45.0 TUNTAS DI FKTP
96 Trikiasis Entropion and trichiasis of ey.. H02.0 TUNTAS DI FKTP
97 Episkleritis Episcleritis H15.1 TUNTAS DI FKTP
98 Mabuk perjalanan Motion sickness T75.3 TUNTAS DI FKTP
99 Ulkus mulut (aptosa, herpes) Stomatitis and related lesions K12 TUNTAS DI FKTP
100 Sindrom duh (discharge) genital (gonore dan Cardiovascular syphilis A52.0 TUNTAS DI FKTP
101 Infeksi saluran kemih bagian bawah Urinary tract infection, site .. N39.0 TUNTAS DI FKTP
102 Vaginosis bakterialis Acute vulvitis N76.2 TUNTAS DI FKTP
103 Salpingitis Acute salpingitis and oophorit.. N70.0 TUNTAS DI FKTP
104 Abses folikel rambut atau kelenjar sebasea *tidak ditemukan Panduan Klinis di KMK TUNTAS DI FKTP
105 Cracked nipple Cracked nipple associated with.. O92.1 TUNTAS DI FKTP
106 Defisiensi vitamin Vitamin deficiency, unspecifie.. E56.9 TUNTAS DI FKTP
107 Anemia defisiensi besi Anaemia, unspecified D64.9 TUNTAS DI FKTP
108 Ulkus pada tungkai Varicose veins of lower extrem.. I83.9 TUNTAS DI FKTP
109 Sifilis stadium 1 dan 2 Primary genital syphilis A51.0 TUNTAS DI FKTP
110 Impetigo Impetigo [any organism] [any s.. L01.0 TUNTAS DI FKTP
111 Impetigo ulseratif (ektima) Impetigo L02 TUNTAS DI FKTP
112 Folikulitis superfisialis Pyoderma L08.0 TUNTAS DI FKTP
 Kode ICD
No. Nama Diagnosa Nama ICD X KETERANGAN
X

113 Furunkel, karbunkel Cutaneous abscess, furuncle an.. L02.0 TUNTAS DI FKTP
114 Erisipelas Erysipelas A46 TUNTAS DI FKTP
115 Kandidosis mukokutan ringan Candidiasis unspecified B37.9 TUNTAS DI FKTP
116 Pedikulosis pubis Pediculosis due to Pediculus h.. B85.0 TUNTAS DI FKTP
117 Akne vulgaris ringan Acne vulgaris L70.0 TUNTAS DI FKTP
118 Hidradenitis supuratif Hidradenitis suppurativa L73.2 TUNTAS DI FKTP
119 Dermatitis perioral Perioral dermatitis L71.0 TUNTAS DI FKTP
120 Vulnus laseratum, punctum Accidental puncture and lacera.. T81.2 TUNTAS DI FKTP
121 Kekerasan tumpul *tidak ditemukan Panduan Klinis di KMK TUNTAS DI FKTP
122 Kekerasan tajam *tidak ditemukan Panduan Klinis di KMK TUNTAS DI FKTP
123 Hepatitis A Hepatitis A with hepatic coma B15.0 TUNTAS DI FKTP
124 Leptospirosis (tanpa komplikasi) Leptospirosis icterohaemorrhag.. A27.0 TUNTAS DI FKTP
125 Malaria Unspecified malaria B54 TUNTAS DI FKTP
126 Moluskum kontagiosum Molluscum contagiosum B08.1 TUNTAS DI FKTP
127 Pielonefritis tanpa komplikasi Acute tubulo-interstitial nephritis N10 TUNTAS DI FKTP
128 Parafimosis Paraphimosis N47.2 TUNTAS DI FKTP
129 Skrofuloderma Tuberculosis of skin and subcu.. A18.4 TUNTAS DI FKTP
130 Lepra Indeterminate leprosy A30.0 TUNTAS DI FKTP
131 Eritrasma Erythrasma L08.1 TUNTAS DI FKTP
132 Inverted nipple Retracted nipple associated with the O92.02; TUNTAS DI FKTP
133 Defisiensi mineral Glycogen storage disease E74.0 TUNTAS DI FKTP
134 Strongiloidiasis Intestinal strongyloidiasis B78.0 TUNTAS DI FKTP
135 Astigmatism ringan Astigmatism H52.2 BELUM TUNTAS DI FKTP, RUJUK
136 Bell's Palsy Bell's palsy G51.0 BELUM TUNTAS DI FKTP, RUJUK
137 Diabetes melitus tipe 1 Insulin-dependent diabetes mel.. E10.0 BELUM TUNTAS DI FKTP, RUJUK
138 Filariasis Filariasis due to Wuchereria b.. B74.0 BELUM TUNTAS DI FKTP, RUJUK
139 Hipermetropia ringan Hypermetropia H52.0 BELUM TUNTAS DI FKTP, RUJUK
140 HIV AIDS tanpa komplikasi Unspecified human immunodefici.. B24 BELUM TUNTAS DI FKTP, RUJUK
141 Miopia ringan Tubulo-interstitial nephritis .. N12 BELUM TUNTAS DI FKTP, RUJUK
 Kode ICD
No. Nama Diagnosa Nama ICD X KETERANGAN
X

142 Presbiopia Presbyopia H52.4 BELUM TUNTAS DI FKTP, RUJUK

143 Tetanus Other tetanus A35 BELUM TUNTAS DI FKTP, RUJUK
144 Fimosis Redundant prepuce, phimosis an.. N47 BELUM TUNTAS DI FKTP, RUJUK