Gedung Telkom STO Gambir (Gedung C, Lt.3,4,5) Jl. Medan Merdeka Selatan No. ! Jakarta "u#at $$ Tl%. ($!) 34&3$$ ' a. ($!) 34&3!! *eb#ite + . admedika.-o.id
DAFTAR ISI
DARTAR ISI
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1. POLIKLINIK GIGI
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2. POLIKLINIK SPESIALIS MATA
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3. POLIKLINIK SPOG ( KANDUNGAN DAN KEBIDANAN )
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5. PO POLI LIKL KLIN INIK IK SPE SPESIAL SIALIS IS KULI KULIT T DAN DAN KELA KELAMI MIN N ………… ……………… ………… ………… ………… ………… ………… ………… ………… ………. ….
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6. PO POLI LIKL KLIN INIK IK SPE SPESIAL SIALIS IS ANAK ANAK ………… ……………… ………… ………… ………… ………… ………… ………… ………… ………… ………… ………… ………… ………… ……
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4. POL POLIKLINIK SPE SPESIALIS TH THT
7. POLIKLINIK SPESIALIS SARA!
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8. PO POLIKLINIK SP SPESIALIS "A "ANTUNG
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#. PO POLIKLINIK BE BEDAH$EMERGEN% &' &' TR TRAUMA
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1. POLIKL POLIKLINI INIK K UMUM UMUM * PEN PENAKIT AKIT DALAM DALAM ( INTERN INTERNIS IST T) 11. 11. PO POLI LIKL KLIN INIK IK ORTH ORTHOP OPAE AEDI DI
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1#
KODE ICD 10
KODE TERMINAL
NAMA DIAGNOSA
1. POLIKLINIK GIGI TOP DIAGNOSIS
K02 K03.6 K04.1 K05.0 K05 K05.1 K01.1 K08.1 K07.4 K04.7 K05.2 K05.3 K05.4 K04.0 Lainnya K04.3 K00.2 K03.1
Dental Caries Deposits (Accretions) of teeth (karang gigi) j06 Acute Gingivitis Gingivitis and Periodontal disease Chronic Gingivitis Impacted eeth !oss of teeth due to accident"e#traction or local periodontal disease $alocclusion" unsfecified Periapical a%scess &ithout sinus Acute Periodontitis Chronic Periodontitis Periodontosis Pulpitis A%normal hard tissue formation in pulp A%normalities of si'e and form of teeth A%ration of teeth
11043 11002 11031
K00.0
Anodontia" podontia" *ligodontia (idak ada gigi)
K07.2 K07.1 K07.3 K08.2 K07 K00.6 K00.4 K01 K01.0 K03.2 K03.0 K08.0
Anomalies of dental arch relationship Anomalies of ja&+cranial %ase relationship Anomalies of tooth position (cro&ding" displacement" spacing"transposition" Atroph of edentulous alveolar ridge Dentofacial Anomalies Distur%ances in tooth eruption Distur%ances in tooth formation ,m%edded and impacted teeth ,m%edded teeth ,rotion of teeth ,#cessive attrition of teeth ,#foliation of teeth due to sstemic causes
K06.2
Ginggival and edentulous alveolar ridge lesions associated &ith trauma
K06.1 K06.0
Ginggival enlargement Ginggival recession
K06.9
Disorder of gingiva and edentulous alveolar ridge" unspecified
K03
11000
11062 11061 11060
P'+, 3 - 23
11072 11071 11073 11082 1107 11006 11004 1101 11010 11032 11030 11080
*ther disease of hard tissues of teeth
1102 11036 11041 11050 1105 11051 11011 11081 11074 11047 11052 11053 11054 11040
11069 1103
K03.9 K03.4
Diseases of hard tissues of teeth" unsfecified percementosis (cementation hperplasia)
K07.0
$ajor anomalies of ja& si'e (hperplasia-hpoplasia of mandi%ular and ma#i
K09 K04.8 C03 K00.3 K03.3 Z01.2 K04.6 K04.4 K04.5
Csts of oral region" not else&here classified .adicular cst $alignant /eoplasm of gum $ottled teeth" dental fluorosis" mottling of enamel" non fluoride enamel opac Pathological resorption of teeth (internal granuloma of pulp" resorption of tee Dental ,#amination Periapical a%scess &ith sinus Acute apical periodontitis of pulpal origin Chronic apical periodontitis
K03.7
Posteruptive colour change of dental hard tissues
11039 11034
11070 1109 11048 0303 11003 11033 26012 11046 11044 11045
11037
K04.2 Pulp degeneration .etained dental root K08.3 Disorder of teeth and supporting structures" unspecified K08.9 *ther disorder of teeth and supporting structures K08 Disorder of tooth development and eruption K00 *ther disorder of tooth development (gangguan pertum%uhan gigi) K00.8 2. POLIKLINIK SPESIALIS MATA TOP DIAGNOSIS
11042 11083 11089 1108 1100 11008
53.1 52.2 10.5 26 25 00.1
Asthenopia (mata lelah)
11.3
Conjunctival haemorrhage (perdarahan conjunctiva)
10 !30 40 00 16 52.1 11.0 Lainnya 53.0 52.3 27.0
08531 08522 08105 0826 0825 08001
Astigmatism
lepharoconjunctivitis
*ther Cataract
1enile Catharact
Chala'ion (%intilan)
08113
Conjunctivitis (infeksi conjunctiva)
0810 0230 0840 0800 0816 08521 08110
2iral conjunctivitis
Glaucoma
ordeolum and Chala'ion 3eratitis (infeksi kornea)
$opia (ra%un jauh)
Ptergium
Am%lopia e# anopsia Anisometropia and aniseikonia Aphakia
08530 08523 08270
54
lindness and lo& vision (%uta dan penglihatan %erkurang)
C69 T26
$alignant neoplasm of ee and adne#a urn and corrosion confined to ee and adne#a
P'+, 4 - 23
0854 0369 2026
S05.1 Contusion of ee%all and or%ital tissues 18 *ther disorders of cornea 17 Corneal scars and opacities T15 4oreign %od on e#ternal ee (corpus alineum di mata) 33.2 1erous retinal detachment Diplopia (pandangan ganda) 53.2 ,ctropion of eelid 02.1 ,ntropion and trichiasis of eelid 02.0 *ther disorders of ee and adne#a 57 Disorder of eelid in diseases classified else&here 03 Disorder of refraction and accommodation (gangguan refraksi dan akomodas 52 40.0 Glaucoma suspect 52.0 permetropia (ra%un dekat) 21.0 phaema (hpema) S05.8 *ther injuries of ee and or%it 20 Iridocclitis 16.2 3eratoconjunctivitis Disorders of lacrimal sstem 04 *ther disorders of lens 27 $astenia gravis G70.0 53.6 /ight %lindness (ra%un malam) /stagmus and other irregular ee movement 55 *cular pain 57.1 ,#amination of ees and vision (test mata dan penglihatan) Z01.0 Pres%opia 52.4 Ptosis of eelid 02.4 *ther .etinal disorders 35 15 Disorders of sclera 15.0 1cleritis 50 *ther 1tra%ismus (mata juling) rachoma A71 enign neoplasm of ee and adne#a D31 Disorders of vitreous %od 43 5anthelasma of eelid 02.6 3. POLIKLINIK SPOG ( KANDUNGAN DAN KEBIDANAN ) TOP DIAGNOSIS N91.2 Z36 N75 O02.0 !37.3 O21 Z34 Z30 O04 Z39
Amenorrhoea"unspecified
Antenatal screening
Diseases of artholins gland
lighted ovum and nonhdatidiform mole Candidiasis of vulva and vagina ( "#$%& a#'$() ,#cessive vomiting in pregnanc- y)*&*+*(i( G&a,i-a&$+
1upervision of normal pregnanc (kontrol kehamilan normal)
Contraceptive management (kontrasepsi)
$edical A%ortion
Postpartum care and e#amination (pera&atan post melahirkan)
P'+, 5 - 23
19051 0818 0817 2015 08332 08532 08021 08020 0857 0803 0852 08400 08520 08210 19058 0820 08162 0804 0827 07700 08536 0855 08571 26010 08524 08024 0835 0815 08150 0850 0171 0431 0843 08026
14912 2636 1475 15020 02373 1521 2634 2630 1504 2639
N81.9 N70 D27 D24 Lainnya N75.1 O02 N93 O62 O03 N76.4 N61 N91.0 N91.1 O99.0 O46 C53 D06 C54 C56 C57 C52 C51 N72 O24
Prolapse uterus
14819 1470 0427 0424
1alpingitis and oophoritis enign neoplasm of ovar enign neoplasm of %reast
A%scess of artholins gland
*ther a%normal products of conception
*ther a%normal uterine and vaginal %leeding A%normalities of forces of la%our
1pontaneous a%ortion
A%scess of 2ulva Inflammator disorders of %reast ( A'(*(" Ma(ii()
Primar Amenorrhoea
1econdar Amenorrhoea
Anaemia complicating pregnanc" child%irth and the puerperium
Antepartum haemorrhage" not else&here classified
$alignant neoplasm of cervic uteri
Carcinoma in situ of cervic uter
$alignant neoplasm of corpus uteri
$alignant neoplasm of ovari
$alignant neoplasm of other unspecified female genital organs $alignant neoplasm of vagina
$alignant neoplasm of vulva
Inflammator disease of cervi# uteri Dia%etes $ellitus in pregnanc
N94.6
Dsmenorrhoea" unspecified (/eri se&aktu haid)
N94.1 N87 O15 N85.1 N80 N86 O47 N60.2 N83.0 O20 O72 O21.0 N62 N97 N76 N92.6 O00 O48 N83.1
Dspareunia (neri se&aktu %ersetu%uh)
14946
Dsplasia of cervi# uteri ,clampsia
,ndometrial adenomatous hperplasia ,ndometriosis
,rosion and ectropion of cervi# uteri 4alse la%our 4i%roadenosis of reast- "AM
4ollicular cst of ovar
aemorrhage in earl pregnanc
Postpartum haemorrhage (perdarahan post melahirkan)
$ild hperemesis gravidarum
pertroph of %reast
4emale Infertilit *ther inflammation of vagina and vulva
Irreguler $enstruation"unspecified- M*n%+*/&&%&/aia ,ctopic Pregnanc K*/a+i#an E%)i T*&an$ Prolonged Pregnanc
Corpus luteum cst
P'+, 6 - 23
14751 1502 1493 1562 1503 14764 1461 14910 14911 15990 1546 0353 0406 0354 0356 0357 0352 0351 1472 1524
14941 1487 1515 14851 1480 1486 1547 14602 14830 1520 1572 15210 1462 1497 1476 14926 1500 1548 14831
N75.0 N83 N90.7 O25 N85.4 N60 O91.1 O81 O80 N95 N95.1 N92.0 N92.1 O02.1 O01 O30 D25 O41.0 E28 O60 Z01.4 O70 O44 O40
Cst of artholins gland
14750 1483 14907 1525 14854 1460 15911
Cst *varium (kista ovarium)
2ulvar cst (kista vulva)
$alnutrition in pregnanc
$alposition of uterus
enign mammar dsplasia
A%scess of reast associated &ith child%irth
1ingle deliver % forceps and vacuum e#tractor
1581
1ingle spontaneous deliver (melahirkan normal spontan)
$enopausal and other perimenopausal disorders
$enopausal and female climacteric states
,#cessive and fre8uent menstruation &ith regular ccle- M*n%&&/aia ,#cessive and fre8uent menstruation &ith irregular ccle- M*/&%&&/aia
$issed A%ortion
datidiform mole $ultiple gestation !eiomoma of 9terus- My%+a *&i
*ligohdramnions
*varian Dsfunction
Preterm deliver
Gnaecological ,#amination (general)(routine)
Perineal laceration during deliver
Placenta praevia
Polhdramnions (cairan ketu%an ang %erle%ihan)
Polp of female genital tract N84 Complications follo&ing a%ortion and ectopic and molar pregnanc O08 Pre+e#isting hpertension complicating pregnanc"child%irth 7 the puerperium O10 Preeclampsia" unspecified O14.9 4emale genital prolapse N81 Puerperal sepsis O85 Acute salpingitis and oophoritis N70.0 Chronis salpingitis and oophoritis N70.1 1ingle deliver % caesarean section (melahirkan secara 1C) O82 Pregnanc e#amination and test (test kehamilan) Z32 *ther o%stetric trauma O71 enign neoplasm of other and unspecified female genital organs D28 *ther %enign neoplasm of uterus D26 Acute 2aginitis (infeksi akut vagina) N76.0 Acute 2ulvitis (Infeksi akut vulva) N76.2 4. POLIKLINIK SPESIALIS THT TOP DIAGNOSIS
61.2 T16 91.9
1580 1495 14951 14920 14921 15021 1501 1530 0425 15410 0528 1560 26014 1570 1544
Impacted Cerumen (kotoran di telinga)
4oreign %od in ear
earing loss" unspecified
P'+, 7 - 23
1540
1484 1508 1510 15149 1481 1585 14700 14701 1582 2632 1571 0428 0426 14760 14762
08612 2016 08919
70 92.0 60 65 66 92.1 31
$astoiditis and related conditions
*talgia (neri telinga)
*titis ,#terna
/onsuppurative *titis $edia
1uppurative and unspecified otitis media
*torrhoea
1031
Chronic .hinitis" /asopharngitis and Pharngitis
Deviated nasal septum 34.2 Acute 1inusitis 01 innitus (telinga %erdengung) 93.1 Acute onsilitis 03 Chronic diseases of tonsils and adenoids 35 ,usthacian tu%e disorder" unspecified 69.9 Lainnya Peritonsilar a%scess 36 $alignant neoplasma of nasal cavit and middle ear C30 $alignant neoplasma of nasopharin# C11 $alignant neoplasm of accessor sinuses C31 $alignant neoplasma of tonsil C09 Cholesteatoma of middle ear 71 Conductive hearing loss" unspecified: 90.2 *ther disorder of ear in diseases classified else&here 94 pertroph of adenoids 35.2 perthrop of tonsils 35.1 *ther diseases of inner ear 83 Acute !arngitis and racheitis 04 Chronic larngitis 37.0 $astoiditis" unspecified 70.9 *ther disorders of tmpanic mem%ranes 73 *ther disorders of middle ear and mastoid 74 *ther disorders of nose and sinuses 34 Chroonic nasopharngitis 31.1 Perforation of tmpanic mem%rane 72 Chronic pharngitis 31.2 /asal polp 33 2asomotor and Allergic .hinitis 30 $a#illar 1inus C31.0 1phenoidal 1inus C31.3 ,thmoidal 1inus C31.1 Chronic 1inusitis 32 Conductive and sensorineural hearing loss 90 enign neoplasm of middle ear and respirator sstem D14 5. POLIKLINIK SPESIALIS KULIT DAN KELAMIN TOP DIAGNOSIS
L70
0870 08920 0860 0865 0866 08921
Acne (jera&at)
P'+, 8 - 23
10342 1001 08931 1003 1035 08699
1036 0330 0311 0331 0309 0871 08902 0894 10352 10351 0883 1004 10370 08709 0873 0874 1034 10311 0872 10312 1033 1030 03310 03313 03311 1032 0890 0414
1270
T78.4 !37 L03 L25 L23 L30 L02 L28 L10 !36.0 L29 L40 !00.0 L50 Lainnya L73.0 D69.0 L63 L90.9 D04 T30 T25 T20 T24 T29 T22 T23 L20 L30.3 L24 !35.9 L81.9 L30.1 A46 L51 L08.1 L72 R02 A54.9 L92.9 L92.0 A58 A60 !02 !00.9 !08.4
Allerg"unspecified
20784 0237 1203 1225 1223 1230 1202 1228 1210 02360 1229 1240 02000 1250
Candidiasis
Cellulitis
9nspecified Contact Dermatitis
Allergic Contact Dermatitis
*ther Dermatitis
Cutaneous A%scess" 4uruncle and Car%uncle
!ichen simple# chronicus and prurigo Pemphigus
Pitriasis 2ersicolor Pruritus (gatal gatal)
Psoriasis ,c'ema erpeticum - Poderma
9rticaria-Pruritus (gatal+gatal)
Acne keloid
Allergic Purpura Alopecia Aerata
Atrophic disorder of skin"unspecified
Carcinoma in situ of skin urn and corrosion" %od region unspecified
urn and corrosion of ankle and foot
urn and corrosion of head and neck
urn and corrosion of hip and lo&er lim% urn and corrosion of multiple %od regions
urn and corrosion of shoulder and upper lim%
urn and corrosion of &rist and hand
Atopic Dermatitis
Infective Dermatitis
Irritant contact dermatitis
Dermatophtosis" unspecified
Disorder of pigmentation" unspecified
Dshidrosis (Pomphol#) ,rsipelas
,rthema $ultiforme
,rthrasma 4ollicular cst of skin and su%cutaneous tissue
Gangrene"not else&here classified Gonococcal infection" unspecified
Granulamatous disorder of skin and su%cutaneus tissue" unspecified
Granuloma Annulare Granuloma Inguinale
Anogenital erpesviral (herpes simple#) infection
;oster (erpes 'oster)
erpesviral" unspecified
,nteroviral vesicular stomatitis &ith e#anthem (and" 4oot and $outh Disease)
P'+, # - 23
12730 04690 1263 12909 0404 2030 2025 2020 2024 2029 2022 2023 1220 12303 1224 02359 12819 12301 0146 1251 12081 1272 1802 01549 12929 12920 0158 0160 0202 02009 02084
L01 L91.0 L11.0 L72.0 A30.9 L43 L93 C43 L74.0 A19 !08.1 !49 L60 L60.2 L60.1 !85.4 A64
Impetigo
3eloid scar
,pidermal cst (kista epidermal)
!epros" unspecified
!ichen Planus
!upus ,rthematosus
$alignant melanoma of skin $iliaria ru%ra (keringat %untet)
$illiar u%ercullosis
$oluscum Contangiosum
9nspecified $cosis
/ail disorders
*nchogrphosis
*ncholsis (infeksi kuku)
$i#ed Pediculosis and Phithriosis
9nspecified se#uall transmitted disease
Pitriasis al%a (Panu) L30.5 Pitriasis rosea L42 Prurigo nodularis L28.1 *ther Prurigo L28.2 Pruritus ani L29.0 Poderma L08.0 .osacea L71 .u%ella !06 1ca%ies !86 1e%orrhoic Dermatitis (ketom%e) L21 1mallfo# !03 1un%urn L55 ,arl sphillis A51 Congenital 1phillis A50 inea ar%ae and inea Capitis !35.0 inea Corporis !35.4 inea Cruris !35.6 inea Pedis !35.3 inea 9nguium !35.1 u%erculosis of skin and su%cutaneous tissue A18.4 *ther %enign neoplasm of skin D23 Decu%itus 9lcer L89 2aricella (chickenpo#) !01 2iral
T78.4
Ac8uired keratossis follicularis (3eratosis folicularis)
0164
Allerg" unspecified
P'+, 1 - 23
1201 12910 12110 12720 01309 1243 1293 0343 12740 0119 02081 0249 1260 12602 12601 02854
12305 1242 12281 12282 12290 12080 1271 0206 0286 1221 0203 1255 0151 0150 02350 02354 02356 02353 02351 01184 0423 1289 0201 0207 1280
20784
A06 20 K59.0 R05 A91 A09 K30 Z24.4 Z27.1 Z24.6 Z24.61 Z23.2 Z23.8 Z27.11 Z24.0 Lainnya A42 R10.0 35 A85.1 L23 !76.0 R63.0 "41 K35 !77.9 21 T71 24 45 42.3 21.1 21.2 "84.1 05 21 47 42 !37 A00.9 K59.1 A36 43.0 A06.0 G04 01
Amoe%iasis
Acute ronchitis
Constipation (susah %uang air %esar)
Cough (%atuk)
Dengue aemorrhagic 4ever (demam %erdarah dengue) Diarrhoea and Gastroenteritis of presumed infectious origin( GED)
Dspepsia /eed immuni'ation againts measles alone
/eed immuni'ation againts diphtheria+tetanus+pertussis" com%ined /eed immuni'ation againts viral hepatitis
/eed immuni'ation againts viral hepatitis *ther han epatitis
/eed immuni'ation againts tu%erculosis (immunisasi CG)
/eed immuni'ation againts other single %acterial diseases (vaksin I)
/eed immuni'ation againts diphtheria+tetanus+pertussis" com%ined (Infantri#)
/eed immuni'ation againts poliomelitis (immunisasi poli o)
Actinomcosis Acute A%domen
Chronic diseases of tonsils and adenoids ( A-*n%%n(i#ii()
Adenoviral ,nchephalitis Allergic Contact Dermatitis
Anclostomiasis
Anore#ia
*ther an#iet disorders Acute Appendicitis
Ascariasis"unspecified
irth asph#ia Asph#iation
/eonatal aspiration sndromes
Asthma
Congenital A%scence" Atresia and 1tenosis of Anus &ithout fistula
Atrial septal defect (A1D)
Atrioventricular septal defect Atpical autism
1lo& fetal gro&th and fetal malnutrition (erat ai !ahir .endah -!.)
Acute rochiolitis ronchiectasis
9nspecified Chronis ronchitis Candidiasis
Cholera" unspecified 4unctional Diarrhoea
Diptheria
$eckels diverticulum
Acute amoe%iatic dsentr
,ncephalitis $elitis and ,ncephalomelitis
,ncephalocele
P'+, 11 - 23
0106 1020 11590 1805 0191 0109 1130 26244 26271 26246 262461 26232 26238 262711 26240 0142 18100 1035 01851 1223 02760 18630 0641 1135 02779 1621 2071 1624 1045 17423 17211 17212 06841 1605 1021 1047 1042 0237 01009 11591 0136 17430 01060 0704 1701
A08.3 G40 R04.0 R56.0 92 R50.9 R14 T02 K31.9 K25 K29 K92.0 R04.2 R58 94.2 !16 K41 !02 59 43.1 N43 03 G91 35.2 35.1 54 T68 R57.1 Z24.3 Z25.1 Z25.0 Z24.5 Z24.1 Z27.4 Z24.2 Z23.5 Z23.1 Z25.8 10 57
*ther viral enteritis
,pileps
,pista#is (mimisan) 4e%rile Convulsions
4eeding pro%lems of ne&%orn
4ever"unspecified (demam" tidak specifik)
4latulence and related conditions
4ractures involving multiple %od regions Disease of stomach and duodenum" unspecified
Gastric 9lcer
Gastritis and Duodenitis
aematemesis (muntah darah )
aemoptsis (%atuk darah)
aemorrhage" not else&here classified
aemothora#
Acute epatitis
4emoral ernia
;oster (erpes ;oster) /eonatal jaundice from other and unspecified causes
irschprungs disease drocele and 1permatocele
Congenital hdrocephalus
drocephalus
perthrop of adenoids perthrop of tonsils
pospadias pothermia
povolaemic 1hock
/eed immuni'ation againts ello& fever
/eed immuni'ation againts influen'a /eed immuni'ation againts mumps alone /eed immuni'ation againts ru%ella alone
/eed immuni'ation againts arthropod+%orne viral encephalitis /eed for immunisation against measles+mumps+ru%ella ($$.)
/eed immuni'ation againts ra%ies (immunisasi ra%ies)
/eed immuni'ation againts tetanus alone (immunisasi tetanus) /eed immuni'ation againts tphoid+paratphoid alone /eed immuni'ation againts other single 2iral diseases (Imunisasi Cacar)
Influen'a due to identified influen'a virus
itten-stung % nonvenommous insect 7 other nonvenomous arthropods- In(* !i
P76
*ther intestinal o%struction of ne&%orn
K59 E73 06 90 57
*ther functional intestinal disorders
!actose intolerance
Acute upper respirator infections of multiple and unspecified sites- RTI: ISA
Convulsions of ne&%orn
3ernicterus (icterus)
P'+, 12 - 23
01083 0740 18040 18560 1692 18509 1814 2002 11319 1125 1129 11920 18042 1858 10942 0216 1141 0202 1659 17431 1443 1703 0791 10352 10351 1754 2068 18571 26243 26251 26250 26245 26241 26274 26242 26235 26231 26258 1010 2357 1676
1159 0573 1006 1690 1657
Z00.1 E40 !54 E64 E42 !05 K92.1 G03 G00 A39.0 !26 !26.8 00 R11 E63 E63.9 E66 38 R52 25.0 36 02 18 15 23 33 !00.0 28.5 22 30 31 !06 A02.9 I86.1 36 A40 A41.9 T78.2 01 32 25.3 25.6 !37.0 A15.0 A33
.outine child health e#amination
26001 0540 0254 0564 0542 0205 11921 0703 0700 01390 0226 02268 1000 1811 0563 05639 0566 1638 1852 17250 1036 1002 1018 1015 1623 1033 02000 16285 1622 1030
3&ashiorkor
9nspecified $alaria
1e8uelae *f malnutrition and other nutritional deficiencies
$arasmic 3&ashiorkor
$easles (campak)
$elaena (melena" %a% %erdarah)
$eningitis due to other and unspecified causes acterial meningitis ot else&here classified
$eningococcal $eningitis
$ump (gondok)
$ump &ith other complications Acute /asopharngitis ( %++%n %#-)
/ausea and 2omiting (mual dan muntah)
*ther nutritional deficiencies
/utritional deficienc" unspecified *%esit
*mphalitis of ne&%orn &ith or &ithout mild haemorrhage
Pain" not else&here classified
Patent ductus arteriosus Peritonsilar a%scess
Acute Pharngitis
Pneumonia" organism unspecified
acterial pneumonia" not else&here classified Congenital pneumonia
/asal Polp ,c'ema erpeticum - Poderma
.espirator failure of ne&%orn
.espirator distress of ne&%orn 2asomotor and Allergic .hinitis
Chronic .hinitis" /asopharngitis and Pharngitis .u%ella
1031
1almonella infection" unspecified
1crotal varices (varicocele)
acterial sepsis of ne&%orn (sepsis)
1treptococcal septicaemia
1epticaemia" unspecified
Anaphlactic shock" unspecified Acute 1inusitis
Chronic 1inusitis
1tenosis of aorta 1tenosis of pulmonar arter
Candida stomatitis
u%erculosis of lung"confirmed % sputum microscop &ith-&ithout culture etanus /eonatorum
P'+, 13 - 23
0206 01029 09861 1636 0140 01419 20782 1001 1032 17253 17256 02370 01150 0133
21.3 03 T14 P15
etralog of 4allot
Acute onsilitis Injur of 9nspecified %od region
*ther %irth injuries
phoid 4ever A01.0 2aricella (chicken po#) !01 2entricular septal defect 21.0 2iral Infection *f 9nspecified sites !34
M54.2 I67 G40 R51 M54.5 G03 G43 M79.1 M79.2 G62.9 I64 R30.1 G44.2 G44.1 82 Lainnya R29.2 G30 M45 R27.0 G51.0 G93.9 C47 G56.0 I63 G80 M53.0 04 R25.2
17213 1003 2014 1615
01010 0201 17210 0234 0137
Cervicalgia
13542 0967 0740 1851 13545 0703 0743 13791 13792 07629
*ther cere%rovascular diseases
,pileps eadache C*)/a#ia
!o& %ack pain (/eri punggung)
$eningitis due to other and unspecified causes
$igraine (neri kepala se%elah) $algia (neri otot"pegal pegal)
/euralgia and /euritis" unspecified Polneuropath" unspecified
1troke not specified as haemorrhage or infarction
0964
2esical tenesmus
18301 07442 07441 0882
ension tpe headache
2ascular headache" not else&here classified
2ertiginous sndromes in diseases classified else&here
A%normal refle# Al'heimers disease
18292 0730 1345 18270 07510 07939
Anklosing spondlitis
Ata#ia" unspecified
ells Pals
Disorder of %rain" unspecified
$alignant neoplasm of peripheral nerves and automatic nervous sstem
Carpal tunnel sndrome Cere%ral Infarction
Cervicocranial sndrome
*ther congenital malformation of %rain
Cramp and spasm
"02
Dementia in other diseases classified else&here
A86 G25
9nspecified viral enchephalitis
0602
0186 0725
*ther e#trapramidal and movement disorders
P'+, 14 - 23
0347 07560 0963 0780 13530 1704 18252
Infantile cere%ral pals
G61.0 I61 G44 G81 I67.4 G91 "51 M51.2 M40 M40.5 M54.3 R29.1 G00 A17.0 A87 G71.0 G70.9 G72.9 A17 G83 G82 G20 "40 G62 M54.1 M41 G47 M47 G41 I60 G45.9
Guillain+%arre sndrome
Intracere%ral haemorrhage (Perdarahan intracere%ral)
*ther headache sndromes (sindrom sakit kepala)
emiplegia
pertensive encephalopath
drocephalus
/onorganic sleep disorders-Insomnia
*ther 1pecified Interverte%ral Disc Displacement 3posis and lordosis
!ordosis" unspecified !um%ago &ith sciatica
$eningismus
acterial meningitis ot else&here classified
u%erculosis meningitis
2iral meningitis
$uscular dstroph
$astenia gravis
$opath" unspecified
u%erculosis of nervous sstem
*ther paraltic sndromes Paraplegia and tetraplegia Parkinsons disease
Phoe%ic an#iet disorders
*ther polneuropathies .adiculopath
1coliosis
1leep disorders (gangguan tidur)
1pondlosis
1tatus epilepticus
1u%arachnoid haemorrhage
ransient cere%ral ischaemic attack" unspecified
Injur of cranial nerves S04 Injur of nerves and spinal cord at neck level S14 ,ssential tremor G25.0 remor" unspecified R25.1 enign neoplasm of %rain and other parts of central nervous sstem D33 ,pidemic 2ertigo A88.1 9nspecified viral infection of central nervous sstem A89 8. POLIKLINIK SPESIALIS ANTUNG TOP DIAGNOSIS
I20 I46 I51.7 E78.5 I25
07610 0961 0744 0781 09674 0791 0651 13512 1340 13405 13543 18291 0700 01170 0187 07710 07709 07729 0117 0783 0782 0720 0640 0762 13541 1341 0747 1347 0741 0960
Angina Pectoris
Cardiac Arrest
Cardiomegal (pem%esaran jantung) perlipidaemia" unspecified
Chronic Ischaemic eart Disease
P'+, 15 - 23
07459
1904 1914 07250 18251 0433 01881 0189
0920 0946 09517 05785 0925
I25.2 I21 I47 I30 I27 Lainnya R00 T78.3 I48 21.1 21.2 I49 I49.9 I51.0 R57.0 I42 !33.2
*ld $ocardial Infarction
Acute $ocardial Infarction
Paro#imal achcardia
Acute Pericarditis
*ther pulmonar heart diseases
A%normalities of heart%eat Atrial fi%rillation and flutter
Atrial septal defect
Atrioventricular septal defect
*ther Cardiac Arhthmias
Cardiac arrhthmia" unspecified Cardiac septal defect" ac8uired
Cardiogenic 1hock
Cardiomopath
2iral carditis Chest Pain" unspecified (neri dada" tidak spesifik)
24 R06.0 G24 I33 I50.0 I51.9 I50 I50.1
*ther congenital malformations of heart
18074
1724 18060 0724 0933 09500 09519 0950 09501
Dspnoe Dstonia
Acute and 1u%acute ,ndocarditis
Congestive heart failure (gagal jantung kongestif)
eart disease" unspecified
eart 4ailure (gagal jantung)
!eft ventricular failure
$alignant neoplasm of heart+mediastrum and pleura
$itral stenosis I05.0 Acute $ocarditis I40 $ocarditis" unspecified I51.4 Acute rheumatic pericarditis I01.0 1tenosis $itral Disease I08.0 1tenosis of Aorta 25.3 1tenosis of pulmonar arter 25.6 1tenosis rikuspid I08.2 etalog of 4allot 21.3 9nsta%le angina I20.0 2entricular septal defect 21.0 !. POLIKLINIK BEDAH"EMERGEN#Y $%& TRAUMA TOP DIAGNOSIS
R10.0 K.60.3 K35 K81
1800 20783 0948 17211 17212 0949 09499 09510 18570 0942 02332
Angioneurotic *edema
R07.4
C38
09252 0921 0947 0930 0927
Acute A%domen (neri akut a%domen) Anal 4istula Acute Appendicitis Cholecstitis
P'+, 16 - 23
09050 0940 09514 09010 09080 17253 17256 09082 17213 09200 17210
0338
18100 11603 1135 1181
K80 N23
Cholelithiasis .enal Colic
S00
Injuries to the head (contusion" open &ound" laceration" fracture" etc)
T02 N60 M66 R55 T00 S30 S40 S70 Lainnya N61 K62 K37 T71 M71.3 M71.5 M71.1 N42.0 T30 M24.5 R56 T15 N30 S33 R42 Z52 T40 T41 T36 T42 K60 L02 R02 M67.4 I84 K40 K44 K41 K42 N43 N40 N62
1180 1423
1900
4ractures Involving $ultiple od .egions enign mammar dsplasia .upture of endon 1ncope And Collapse Injuries involving multiple %od regions Injuries to the a%domen" lo&er %ack" lum%ar spine and pelvis Injuries to the shoulder and upper arm (contusion" open &ound" fracture" disl Injuries to the hip and thigh (contusion" open &ound" laceration" fracture" etc)
2002 1460 1366 1855 2000 1930 1940 1970
Inflammator disorders of %reast
1461 1162 1137 2071 13713 13715 13711 14420 2030 13245 1856 2015 1430 1933 1842 2652 2040 2041
*ther disease of Anus and .ectum (polp" haemorrhage" prolaps)
*ther Appendicitis (chronic" recurrent)
Asph#iation
*ther %ursal cst
ursitis (not else&here classified)
*ther infective %ursitis Calculus of prostate
urn and corrosion"%od region unspecified ( COM!STIO )
Contracture of $uscle Convulsions" not else&here classified (3ejang)
,ffects of foreign %od entering throught natural orifice ( C%&)$( A#in*$+)
Cstitis
Dislocation" sprain and strain of joints and ligaments of lum%ar spine and pelvis
Di''iness and giddiness
Donors of organs and tissues
Poisoning % narcotics and pschodsleptics (hallucinogens)
Poisoning % anasthetics and therapeutic gases
Poisoning % anti%iotics" anti+invective" hormone" nonopioid analgetics"antipretics Poisoning % antiepileptic" sedative+hpnotic and antiparkinsonism drugs
4issure and fistula of anal and rectal regions Cutaneous A%cess" 4uruncle and Car%uncle
Ganggrene" not else&here classified Ganglion
aemorrhoids (am%ein)
Inguinal ernia Diaphragmatic ernia
4emoral ernia
9m%ilical ernia
drocele and spermatocele perplasia of prostate
pertroph of %reast
P'+, 17 - 23
2036 2042 1160 1202 1802 13674 0984 1140 1144 1141 1142 1443 1440 1462
potermia T68 Ileus Paraltic K56.0 Ileus" unspecified K56.7 *thers and unspecified intestinal o%struction (stenosis"ileus o%struksi"stricture"occl K56.6 Intussusception or invagination of %o&el" colon" intestine" rectum K56.1 4ollo& up e#amination after surger for other conditi ons Z09.0 4ollo& up e#amination after treatment of fracture (kontrol seha%is pengo%atan fract Z09.4 4ollo& up care involving removal of fracture plate and other internal fi#ation devic Z47.0 4racture of one follo&ing insertion of orthopaedic implant" joint prosthesis" %one M96.6 *ther surgical follo&+up care Z48 3posis and !ordosis M40 Cleft !ip 36 $otion sickness T75.3 $uscle 1train M62.6 Poisoning % pschotropic drugs" not else&here classified T43 o#ic effect of Alcohol T51 *edema" not else&here classified R60 *nchia and Paronchia L03.0 *rchitis and ,pididmitis N45 *steomelitis M86 Pain" not else&here classified R52 Cleft Palate 35 ,#amination and o%servation follo&ing other accident Z04.3 ,#amination and o%servation follo&ing &ork accident Z04.2 Peritonitis K65 Phle%itis and hrom%ophle%itis I80 .etention of 9rine R33 Deviated /asal 1eptum 34.2 1pondlosis M47 9rethral 1tricture N35 1un%urn L55 1novitis and enosnovitis M65 1hock + not else&here classified R57 raumatic shock T79.4 orsion of testis N44 ransplanted organ and tissue status Z94 Injuries to the el%o& and forearm (contusion" open &ound" fracture" dislocation" etc S50 Injuries to the &rist and hand (contusion" open &ound" laceration" fracture" etc ) S60 Injuries to the knee and lo&er leg (contusion"open &ound" laceration" dislocation"fr S80 Injuries to the ankle and foot (contusion" open &ound" laceration" fracture" dislocati S90 Injuries to the neck (open &ound" fracture" dislocation" etc) S10 Injuries to the thora# (contusion" open &ound" laceration" fracture" etc) S20 Calculus in urethra - &*/&%#i/ia(i( N21.1 9rolithiasis N20 1crotal varices (varicocele) I86.1 1'. POLIKLINIK UMUM PENYAKIT DALAM ( INTERNIST )
P'+, 18 - 23
2168 11560 11567 11566 11561 26090 26094 2647 14966 2648 1340 1736 20753 13626 2043 2051 1860 12030 1445 1386 1852 1735 26043 26042 1165 0980 1833 10342 1347 1435 1255 1365 1857 20794 1444 2694 1950 1960 1980 1990 1910 1920 14211 1420 09861
TOP DIAGNOSIS
T78.4 45 20 00 K30 R50 R50.9 L02 K25 K29 11 02 A15.0 T14
Allerg " unspecified
N39.0
9rinar tract infections " site not specified
Lainnya K75.0 R10 R10.0 R52.0 K70 D64 R63.0 "50.0 I71 K35 I74 !77.9 R09.0 "48.0 I70 A49 M89.9 G94 47 21 42 "50.2 !37 D09 R07.4 R07.1 K83.0 K81
Asthma Acute ronchitis
Acute /asopharingitis (common cold) Dspepsia 4ever of 9nkno&n origin 4ever " 9nspecified Cutaneous A%scess" 4uruncle and Car%uncle Gastric 9lcer Gastritis and Duodenitis
Influen'a virus not identified Acute Pharngitis
u%erculosis of lung"confirmed % sputum microscop &ith or &ithout culture
Injur of 9nspecified %od region
14390
A%cess of liver A%dominal and pelvic pain Acute A%domen Acute Pain
Alcoholic liver disease *ther Anaemias Anore#ia
Anore#ia nervosa
Aortic aneursm and dissection Acute Appendicitis Arterial em%olism and throm%osis
Ascariasis " unspecified Asph#ia
/eurasthenia
Atherosclerosis acterial infection of unspecified site Disorder of %one " unspecified
*ther disorders of %rain in diseases clasified else&here ronchiectasis Acute ronchiolitis 9nspecified chronic %ronchitis
ulimia nervosa Candidiasis Carcinoma in situ of other and unspecified sites
Chest pain " unspecified
Chest pain on %reathing
Cholangitis
Cholecstitis
P'+, 1# - 23
20784 1045 1020 1000 1130 1850 18509 1202 1125 1129 1011 1002 01150 2014
11750 1810 18100 18520 1170 0464 18630 06500 0971 1135 0974 02779 18090 06480 0970 0149 13899 0794 1047 1021 1042 06502 0237 0409 18074 18071 11830 1181
K80 A00.9 K51 T30 K59.0 R05 R25.2 N30 A91 E13 A09 T03 R06.0 R30.0 A88.1 R04.0 N18 R02 K29.0 M10.9 R04.2 D69.9 I84 R51 R31 K40 K72.9 !15 !16 !17.1 K73.9 E78.0 K76.6 I15 R06.4 I95 K56.7 K76.3 57 "51 K59 K58 06 L91.0 N28.9 K83.5
Cholelithiasis Cholera " 9nspecified
9lcerative colitis
urn and corrosion " %od region unspecified ( %+'$(i% ) Constipation - *%stipation Cough Cramp and spasm
Cstitis Dengue aemorrhagic 4ever *ther specified Dia%etes $ellitus
Diarrhoe and Gastroenteritis of presumed infections origin - GED
Dislocation " sprain and strains involving multiple %od region
Dspnoe (sesak nafas )
Dsuria ,pidemic 2ertigo
,pista#is (perdarahan hidung) Chronic .enal 4ailure
Ganggrene" not else&here classified Acute haemorrhagic Gastritis Gout " 9nspecified aemoptsis (%atuk darah-haemaptoe)
aemorrhagic Condition " 9nspecified aemorrhoids
eadache (sakit kepala) 9nspecified haematuria (kencing %erdarah)
Inguinal ernia
epatic failure" unspecified Acute epatitis A Acute epatitis Acute epatitis C
Chronic hepatitis" unspecified Pure percholesterolemia
Portal hpertension 1econdar pertension
perventilation potension Ileus " 9nspecified
Infarction of liver
itten-stung % nonvenommous insect 7 other nonvenommous arthropods
/onorganic sleep disorders (insomnia)
*ther 4unctional intestinal disorder (aematoche'ia)
Irrita%le %o&el sndrome
Acute upper respirator infections of multiple and unspecified sites ( RTI:ISA 3eloid 1car Disorder of kidne and ureter " 9nspecified
illiar cst
P'+, 2 - 23
1180 01009 1151 2030 11590 1805 18252 1430 0191 0513 0109 2003 18060 18300 01881 18040 1418 1802 11290 13109 18042 04699 0984 1851 1831 1140 11729 0215 0216 02171 11739 05780 11766 0915 18064 0995 11567 11763 2357 0651 1159 1158 1006 12910 14289 11835
K86.2 M54.5 L04 I88 R53 N51 "99 R14 R06.5 M62.9 M79.1 L62 R11 M79.2 "48 E66 "52.3 M86 R52 K85 I73.9 I80 18 T37 "52.4 "88 I26 I73.0 M06.9 E64 "52 K74 R06.7 K12 R06.1 M65 E07 K71 D36 A01.0 L89 N21.1 !01 I86
Cst of pancreas !o& ack Pain
11862 13545 1204 0988 1853 1451 0999 1814 18065 13629 13791 1262 1811 13792 0648 0566 06523 1386 1852 1185 09739 0980 1018
Acute !mphadenitis
/onspecific lmphadenitis $alaise And 4ati8ue
Disorder of male genital organs in diseases classified else&here
$ental disorder" not other&ise specified
4latulence and related conditions ($eteorismus) $outh %reathing
Disorder of muscle "umspecified $algia /ail disorders in diseases classified else&here /ausea And 2omiting
/euralgia and /euritis" unspecified
*ther neurotic disorders
*%esit (kegemukan) *rgasmic dsfunction
*steomelitis Pain" /ot else&here classified Acute Pancreatitis Peripheral vascular disease" unspecified
Phle%itis and throm%ophle%itis
Pneumonia " organism unspecified
2037
Poisoning % sistemic anti invective and antiparatics
Premature ejaculation
06524 0688 0926 09730 13069
*ther disorders of pschological development
Pulmonar em%olism .anauds sndrome .heumathoid arthritis " 9nspecified
0564
1e8uelae of malnutrition and other nutritional deficiencies
1e#ual dsfunction" not caused % organic disorder or di sease
4i%rosis and cirrhosis of liver (cirrhosis hepatis)
1nee'ing (%ersin)
1tomatitis and related lesions (1aria&an)
1tridor (/gorok) 1novitis and enosnovitis
*ther disorders of throid
o#ic liver disease enign neoplasm of other and unspecified sites
phoid 4ever (Demam tphoid)
Decu%itus ulcer Calculus in urethra - $&*/&%#i/ia(i( 2aricella ( Chicken Po# ) 2aricose veins of other sites (2arices)
P'+, 21 - 23
0652 1174 18067 1112 18061 1365 0507 1171 0436 01010 1289 14211 0201 0986
S42.7
$ultiple fractures of clavicle" scapula and humerus
S62.7 S92.7 S52.7 S82.7
$ultiple fractures of fingers
S52 Lainnya S92.0 S42.0 S32.2 S72 S82.4 S62.6 S63.1 S92 S92.4 S73.0 S42.3 S42.2 S32.3 S83.1 S82 S32 S32.0 S33.1 S02.4 S82.6 S82.5 S02.6 S92.3 T02 S02.2 S12 S83.0 S82.0 S52.5 S52.3
18062 04729
1962 19930 19531 19424
19627 19927 19527 19827
$ultiple fractures of foot
$ultiple fractures of forearm
$ultiple fractures of lo&er leg
19427
4racture of forearm
1952
4racture of calcaneus
19920 19420 19322 1972 19824 19626 19631 1992 19924 19730 19423 19422 19323 19831 1982 1932 19320 19331 19024 19827 19825 19026 19923 2002 19022 1912 19830 19820 19525 19523
4racture of clavicle 4racture of cocc# 4racture of femur
4racture of fi%ula alone 4racture of other finger
Dislocation of fingers
4racture of foot
4racture of great toe Dislocation of hip
4racture of shaft of humerus
4racture of upper end of humerus 4racture of ilium
Dislocation of knee
4racture of lo&er leg" including ankle
4racture of lum%ar spine and pelvis
4racture of lum%ar verte%ra
Dislocation of lum%ar verte%ra
4racture of malar and ma#illar %ones
4racture of lateral malleolus 4racture of medial malleolus
4racture of mandi%le (mandi%ula)
4racture of metatarsal %one
4ractures involving multiple %od regions 4racture of nasal %ones
4racture of neck
Dislocation of patella
4racture of patella
4racture of lo&er end of radius
4racture of shaft of radius
P'+, 22 - 23
S52.1 S32.1 S42.1 S43.0 S02 S92.1 S92.2 S82.3 S82.2 S82.1 S92.5 S93.1 S52.0 S52.6 S52.4 S52.2 S63.0
4racture of upper end of radius
4racture of sacrum 4racture of scapula
Dislocation of shoulder joint
4racture of skull and facial %ones
4racture of talus
4racture of other tarsal %one(s)
4racture of lo&er end of ti%ia 4racture of shaft of ti%ia
4racture of upper end of ti%ia
4racture of other toe Dislocation of toe(s)
4racture of upper end of ulna
4racture of lo&er end of %oth ulna and radius
4racture of shaft of %oth ulna and radius
4racture of shaft of ulna
Dislocation of &rist
P'+, 23 - 23
19521 19321 19421 19430 1902 19921 19922 19823 19822 19821 19925 19931 19520 19526 19524 19522 19630
