PENGENALAN ICD-10

STRUKTUR & ISI

Lily Kresnowati
 The WHO Family of International
Classifications (WHO-FIC)
Related Classifications Reference Classifications Derived Classifications

International
International Classification of
International Diseases for Oncology,
Classification of Primary
Classification of Third Edition (ICD-O-3)
Care (ICPC)
Diseases (ICD)
The ICD-10
Classification of Mental
International and Behavioural
Classi fication of External Disorders
Causes of Injury (ICECI)
Application of the
International International
Classification of
Classification of
Diseases to Dentistry
Functioning, and Stomatology, Third
The Anatomical, Disability and Edition
Therapeutic, Chemical Health (ICF) (ICD-DA)
(ATC) classification
system with Defined
Application of the
Daily Doses (DDD)
International
Classification of
Diseases to Neurology
(ICD-10-NA)
International
ISO 9999 Technical aids
Classification of
International
for persons with Health
Classification of
disabilities - Interventions Functioning, Disability
Classification and (ICHI) and Health, Children &
Terminology under
Youth Version (ICF-CY)
development

Schematic representation of the WHO-FIC[1]

Extracted from ICD-10 Second Edition, 2005, 2. Description of the International Statistical
[1]

Classification of Diseases and Related Health Problem.

KEBUTUHAN DATA /
INFORMASI KESEHATAN
Unit Pelay. Kes (RS) Perencana Pelay.
-data morbiditas Kes
-operasi/tindakan -data morbiditas,
mortalitas, dll

Penelitian medis
Studi : statistik,
Evaluasi mutu
epidemiologi,
kebijakan
Sist. Klasifikasi rinci

ICD- Sist. Klasifikasi tdk

PEMANFAATAN INFORMASI
KESEHATAN

Epidemiologi perencanaan pencegahan

Manajemen Pelay. Kes evaluasi mutu,
perencanaan, administrasi/finansial
Riset klinik pendidikan, perkembangan
ilmu pengetahuan (sains)
Komparasi data kesehatan transfer
ilmu, teknologi, dll
Asuransi kesehatan
 Note :

Koding untuk keperluan

reimbursement tidak selalu
=
Koding untuk keperluan
statistik
IMPLEMENTASI ICD-10
WHO dalam sidang World Health Assembly
ke-43 telah menetapkan ICD-10 sebagai
pedoman klasifikasi internasional tentang
penyakit edisi terbaru yang harus dipakai
oleh seluruh negara anggotanya.
Di Indonesia telah ditetapkan berlakunya
ICD-10 untuk pedoman klasifikasi penyakit
melalui Keputusan Menteri Kesehatan RI
No. 50/MENKES/SK/I/1998 tentang
Pemberlakuan Klasifikasi Statistik
Internasional Mengenai Penyakit Revisi ke-
Sepuluh tertanggal 13 Januari 1998.
ICD-10 :
International Statistical Classification
of Diseases and Related Health
Problems
10th Rev.

TUJUAN :
1. Mempermudah perekaman
sistematis, untuk analisis,
interpretasi, komparasi data
morbiditas/mortalitas
2. Menerjemahkan diagnosis penyakit
& masalah kesehatan lain kode
alfanumerik
 VOLUME 1,2,3

DAFTAR MANUAL INDEKS

TABULASI INSTRUKSI ALFABETIK

Edisi terbaru ; 2016 Online

VOLUME 1
Bagian terbesar memuat klasifikasi utama,
terdiri dari kategori tiga-karakter dan
subkategori empat karakter dalam 22 Bab
Tanda Baca ; inclusion, exclusion, NOS,
NEC, dll
Morfologi neoplasma
Daftar tabulasi khusus (special tabulation
lists)
Definisi
Regulasi nomenklatur
VOLUME 2
deskripsi tentang sejarah ICD
struktur dan prinsip klasifikasi
aturan-aturan koding morbiditas dan
mortalitas
presentasi statistik
petunjuk praktis bagi pengguna ICD
agar dapat memanfaatkan klasifikasi
sebaik-baiknya.
VOLUME 3
Merupakan Indeks Alfabetik, tempat
memulainya pencarian kode

SUSUNAN : terdiri dari 3 bagian (section)

Sect I : Diseases & nature of injury
Sect II : External causes of injury
Sect III : Table of drugs & chemicals

STRUKTUR : berisikan daftar lead term,

modifiers, perkiraan kode ( cross-check dg
volume 1)

TANDA BACA : parentheses, NEC dan cross-

references (see dan see also)
 22 BAB
I Certain infectious and parasitic
diseases
II Neoplasms
IIIDiseases of the blood and blood-
forming organs and certain disorders
involving the immune mechanism
IV Endocrine, nutritional and metabolic
diseases
V Mental and behavioural disorders
VI Diseases of the nervous system
VII Diseases of the eye and adnexa
VIII Diseases of the ear and mastoid
process
IX Diseases of the circulatory system
X Diseases of the respiratory system
XI Diseases of the digestive system
XII Diseases of the skin and
subcutaneous tissue
XIII Diseases of the musculoskeletal
system and connective tissue
XIV Diseases of the genitourinary
system
XV Pregnancy, childbirth and the
puerperium
XVI Certain conditions originating in
the perinatal period
XVII Congenital malformations,
deformations and chromosomal
abnormalities
XVIII Symptoms, signs and abnormal
clinical and laboratory findings, not
elsewhere classified
XIX Injury, poisoning and certain other
consequences of external causes
XX External causes of morbidity and
mortality
XXI Factors influencing health status
and contact with health services
XXII Codes for special purposes
SUSUNAN BAB DLM ICD-10
Bab I Bab II Bab III
blok kategori
D50-D53 D55-D59
D60-D64
kategori 3-karakter
D50D51 D52

subkategori 4 karakter
D51.0 D51.1 D51.2
STRUKTUR DASAR ICD-10
Kode Alfanumerik
A37.1
Karakter 1
(Alfabetik) 2 digit titik
subkategori

3 karakter kategori
4 karakter sub-kategori
Karakter ke-5 subklasifikasi (+notes)
KARAKTER KE-5 ATAU SUB LAIN
Bab XIII anatomical site
Bab XIX indikasi fraktur ;
terbuka/ttutup
- pada cedera intracranial,
intrathoracic dan intraabdominal
dengan/tanpa
Bab XX indikasi tipe aktivitas saat
peristiwa terjadi