A
B
C
D
E
DATA 155 DIAGNOSA YANG HARUS SELESAI DI FKTP
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
17 18 19
B-6% A-$ T##
Ca,0i0iasis ),spe*i/e0 Leprs! Ot(er i,2este0 8parts 3 p&a,t8s99
L#6$
Ge,era&i:e0 s;i, er)pti, 0)e t 0r)2s a,0 +e0i*a+e,ts
FIXED DRUG ERUPTION
L#6$
Ge,era&i:e0 s;i, er)pti, 0)e t 0r)2s a,0 +e0i*a+e,ts
"A
1" 15 1
REAKSI ANAFILAKTIK SYOK ANEMIA
R56% D"%
S(*; ),spe*i/e0 A,ae+ia ),spe*i/e0 8a,e+ia 0e/sie,si esi"A a,e+ia (e+&iti;-A a,e+ia +a;rsiti;-A a,e+ia ap&asti;# a,e+ia +e2a&&asti;#9
16 17 1% #$ #1 ## ##"
HI.
=#1 B6$ K#1% K#%6
As!+pt+ati* HI. i,3e*ti, stat)s L!+p(a0e,itis A*)te Gastresp(a2ea& re>)? 0isease 'it()t esp(a2itis Gastritis ),spe*i/e0
A$1$ A
%$T!p(i0 3e4er Diarr(ea @ 2astre,teritis 3 pres)+e0 i,3e*ti, ri2i,
#5 # #6 #7 #% -$ -1 -# --" -5
DISENTRI BASILER DAN DISENTRI AMUBA APENDISITIS AKUT PERDARAHAN SALURAN MAKAN BAGIAN ATAS PERDARAHAN SALURAN MAKAN BAGIAN BAAH HEMOROID GRADE 1# HEPATITIS A HEPATITIS B PAROTITIS ASKARIASIS CUTANEUS LAR.A MIGRANS PENYAKIT CACING TAMBANG
K-5%
A*)te appe,0i*itis
-
SKISTOSOMIASIS
-6 -7 -% "$ "1 "# """
STRONGILOIDIASIS TAENIASIS PERITONISIS KOLESISTITIS MATA KERING
"5 " "6 "7 "% 5$ 51 5# 55"
BLEFARITIS PERDARAHAN SUBKONUNGTI.A BENDA ASING DI KONUNGTI.A ASTIGMATISM HIPERMETROPIA MIOPIA RINGAN PRESBIOPIA KATARAK PADA PASIEN DEASA GLAUKOMA AKUT OTITIS EKSTERNA
55 5 56 57 5% $
OTITIS MEDIA AKUT SERUMEN PROP BENDA ASING DI HIDUNG ANGINA PEKTORIS INFARK MIOKARD TAKIKARDIA
1
GAGAL ANTUNG AKUT DAN KRONIK
I5$%
Heart 3ai&)re
# " 5 6 7 % 6$ 61 6# 66"
CARDIORESPIRATORY ARREST HIPERTENSI ESENSIAL INFARK SEREBRAL
K7$ I1$ I-% T1" T1" M5-M5-M1%% D16% R5$ R"# F$5% A-5
Car0ia* arr(!t+ia Esse,tia& 8pri+ar!9 (!perte,si, Cerera& i,3ar*ti, Fra*t)re 3 ),spe*i/e0 0! Fra*t)re 3 ),spe*i/e0 0! P&!+!a&2ia r(e)+ati*a P&!+!a&2ia r(e)+ati*a Osteart(rsis t(er Be,i2, &ip+at)s ,ep&as+ Feri&e *,4)&si,s Di::i,ess a,0 2i00i,ess De&iri)+ Ot(erteta,)s
NAMA DIAGNOSA
1 # " 5 6 7 % 1$ 11 1#
TB PARU MO M ORBILI .ARISELA MALARIA DEMAM DENGUE DAN DEMAM BERDARAH DENGUE LEPTOSPIROSIS INFEKSI PADA UMBILIKUS KANDIDIASIS MULUT LEPRA KERACUNAN MAKANAN ALERGI MAKANAN EXANTHEMATOUS DRUG ERUPTION
1-
KODE A15 B$5% B$1% B5" A%$ A%1 A#6%
20
21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
40
41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64
DIAGNOSA ICD X NAMA DIAGNOSA
LE.EL KOMEPETNSI "A "A "A "A "A "A "A "A "A "A "A "A
NO
Respiratr! TB Meas&es 'it()t *+p&i*ati, .ari*e&&a 'it()t *+p&i*ati, U,spe*i/e0 +a&aria De,2)e 3e4er DHF
67 68 69 70 71 72 73 74 75 76 77 78
"A "A "A "A "A -A "A "A
K11# B66% B6% B6$ B61
Sia&a0e,itis As*ariaris ),spe*i/e0 H;'r+ 0isease ),spe*i/e0 A,;!&st+iasis Ne*atriasis
"A -B -B -A "A "A -A "A "A "A "A
B5% B5#
S;ists+iasis),spe*i/e0 S*(ist+iasis 0)e t S ap,i*)+
"A
Str,2!&i0iasis Tae,iasis Perit,itis ),spe*i/e0 C(&e*!stitis ),spe*i/e0 Ot(er 0isr0ers 3 &a*ri+a& 2&a,0 C&)r 4isi, 0e/*ie,*ies H H r0e&)+ a,0 t(er 0eep i,>a++ati, 3 e!e&i0 C,),*ti4itis ),spe*i/e0 A*)te atpi* *,),*ti4itis
"A "A -B -B "A "A "A "A
B&ep(aritis Ot(er spe*i/e0 0isr0ers 3 e!e a,0 a0,e?a Frei2, 0! , e?ter,a& e!e part ),spe*i/e0 Asti2+atis+ H!per+etrpia M!pia Pres!pia Catara*t ),spe*i/e0 Pri+ar! a,2&e*&s)re 2&a)*+a Otitis E?ter,a U,spe*i/e0
"A "A "A "A "A "A "A # "A "A
A*)te s)pp)rati4e titis +e0ia I+pa*te0 *er)+e, Frei2, 0! i, ,stri& A,2i,a pe*tris A*)te M!*ar0ia& I,3ar*ti, S)pra4e,ti*)&ar Ta*(i*ar0! .e,tri*)&ar Ta*(i*ar0!
"A "A "A -B -B -B
B67% B7% K5% K71% H$"1 H5-5 H$$$ H1$% H1$1 H$1$ H567 T15% H5## H5#$ H5#1 H5#" H#% H"$# H$% H$ H1# T161 I#$% I#1% I"61 I"6#
65
66
"A -B "A
Ga2a& a,t),2 a;)t 8-B9 Ga2a& a,t),2 ;r,i; 8-A9 -B "A -B -B -B -A -A -A "A "A "A -A "A
A 79 80 81 82 83 84 85
65 6 66 67 6% 7$ 71
B
C
D
E
RABIES EPILEPSI STATUS EPILEPTIKUS MIGREN BELLS PALSY TENSION HEADACHE INSOMNIA
A7#% G"$% G"1% G"-% G51$ G""# G"6$
Raies Epi&eps! Stat)s epi&epti*)s ),spe*i/e0 Mi2rai,e ),spe*i/e0 Be&&s pa&s! Te,si,t!pe (ea0a*(e Disr0ers 3 i,itiati,2 a,0 +ai,tai,i,2 s&eep 8i,s+,ias9
-B -A -B "A "A "A "A
7# 77" 75 7 76 77 7% %$ %1 %# %%" %5 % %6 %7 %% 1$$ 1$1 1$# 1$1$" 1$5 1$ 1$6 1$7 1$% 11$ 111 11# 1111" 115 11 116 117 11%
DEMENSIA GANGGUAN CAMPURAN ANXIETAS DAN DEPRESI GANGGUAN PSIKOTIK EPISTAKSIS FURUNKEL PADA HIDUNG FARINGITIS RHINITIS AKUT RHINITIS ALERGIK RHINITIS .ASOMOTOR TONSILITIS LARINGITIS BRONKITIS AKUT INFLUEN=A PNEUMONIA ASPIRASI PNEUMONIA DAN BRONKOPNEUMONIA PERTUSIS ASMA BRONKIAL MILIRIA .ERUKA .ULGARIS REAKSI GIGITAN SERANGGA HERPES =OSTER HERPES SIMPLEKS SKABIES PEDIKULOSIS KAPITIS DERMATOFITOSIS J TINEA KAPITIS DERMATOFITOSIS J TINEA BARBAE DERMATOFITOSIS J TINEA FASIALIS DERMATOFITOSIS J TINEA KORPORIS DERMATOFITOSIS J TINEA MANUM DERMATOFITOSIS J TINEA UNGUIUM DERMATOFITOSIS J TINEA KRURIS DERMATOFITOSIS J TINEA PEDIS PITIRIASIS .ERSIKOLOR
F$F"1# F#$ R$"$ -"$ $#% $$ -$$ -$$ R6 $"$ #$% 11 %$ 17% A-67 "5 L6"B$6 T-" B$#% B$$% B7 B75$ B-5$ B-5$ B-5" B-5# B-51 B-5 B-5B-$ L$7$ L#1 L#$ L#$7 L#7$
U,spe*i/e0 0e+e,tia Mi?e0 A,?iet! a,0 Depressi, Disr0er C(r,i* Ps!*(ti* Disr0er Epista?is As*ess 3)r),*&e a,0 *ar),*&e 3 ,se A*)te p(ar!,2itis ),spe*i/e0 A*)te ,asp(ari,2itis 8*++, *&09 .as+tr r(i,itis .as+tr r(i,itis A*)te t,si&&itis ),spe*i/e0 A*)te &ar!,2itis A*)te r,*(itis ),spe*i/e0 I,>)e,:a P,e)+,itis 0)e t 30 a,0 4+it P,e)+,ia ),spe*i/e0 (pi,2 *)2( Ast(+a Mi&iaria .ira& 'arts .e,+ 3 t(er art(rp0s =ster 'it()t *+p&i*ati, Herpes4ira& i,3e*ti, ),spe*i/e0 S*aies Pe0i*)&sis 0)e t Pe0i*)&)s ()+a,)s *apitis Ti,ea arae a,0 ti,ea *apitis Ti,ea arae a,0 ti,ea *apitis TINEA FASIALIS Ti,ea *rpris Ti,ea +a,))+ TINEA UNGUIUM Ti,ea *r)ris Ti,ea pe0is Pit!riasis 4ersi*&r P!0er+a Serr(ei* 0er+atitis Atpi* 0er+atitis Ot(er atpi* 0er+atitis Li*(e, si+p&e? *(r,i*)s
-A -A -A "A "A "A "A "A "A "A "A "A "A -B "A "A "A "A "A "A "A "A "A "A "A "A "A "A "A "A "A "A "A "A "A "A "A -A
1#$ 1#1 1## 1#1#" 1#5 1# 1#6 1#7 1#% 1-$ 1-1
DERMATITIS KONTAK ALERGIK DERMATITIS KONTAK IRITAN NAPKIN EC=EMA %DERMATITIS POPOK9 PITIRIASIS ROSEA MOLUSKUM KONTAGIOSUM URTIKARIA FILARIASIS LUKA BAKAR DERAAT I DAN II OBESITAS TIROTOKSIKOSIS HIPERGLIKEMIA HIPEROSMOLAR NON KETOTIK HIPOGLIKEMIA
L#L#" L## L"# B$71 L5$ B6" S#" E% E$5% R6-% E1#
A&&er2i* *,ta*t 0er+atitis Irrita,t *,ta*t 0er+atiti Diaper8,ap;i,9 0er+atitis Pit!riasis rsea M&&)s*)+ *,ta2is)+ Urti*aria Fi&ariasis )r, esit! ),spe*i/e0 Tirt;si;sis ),spe*i/e0 H!per2&!*ae+ia ),spe*i/e0 (!p2&!*ae+ia ),spe*i/e0
1-# 1-1-" 1-5
DIABETES MELITUS 1 DIABETES MELITUS # MALNUTRISI ENERGI PROTEIN 8MEP9 HIPERURICEMIA GOUT ARTHRITIS
1- 1-6 1-7 1-% 1"$ 1"1 1"# 1"1"" 1"5 1" 1"6 1"7 1"% 15$ 151 15# 1515" 155
DISLIPIDEMIA INFEKSI SALURAN KEMIH HIPERMEMESIS GRA.IDARUM KEHAMILAN NORMAL PREEKLAMPSIA EKLAMSIA ABORTUS SPONTAN KOMPLIT ABORTUS MENGANCAM
86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160
E1$ E11 E" E6%$ M1$ E675 N-%$ O#1$ O7$% O1"% O15% O$-% O$O$" D5$ $"#% O-% $6#1 O6$$ N1 N%7% A51 A5"% N6$ N6$
-A "A "A "A "A "A "A "A "A -B -B ri,2a, "A erat -B
I,s)&i,0epe,0e,t 0iaetes +e&&it)s N,i,s)&i,0epe,0e,t 0iaetes +e&&it)s U,spe*i/e0 prtei,e,er2! +a&,)triti, H!per)ri*e+ia 'it()t si2,s 3 i,>a++atr! art(ritis a,0 tp(a*e)s 0isease
"A "A "A "A
Hiper&ipi0e+ia Uri,ar! tar*t i,3e*ti, site ,t spe*i/e0 Mi&0 (!pere+is 2ra4i0ar)+ Si,2&e sp,ta,e)s 0e&i4er! ),spe*i/e0 Pree*&a+psia ),spe*i/e0 E*&a+psia ),spe*i/e0 as t ti+e peri0e U,spe*i/e0 arti, *+p&ete 'it()t *+p&i*ati, U,spe*i/e0 arti, i,*+p&ete 'it()t *+p&i*ati, U,spe*i/e0 arti, i,*+p&ete 'it()t *+p&i*ati, Ir, 0e/*ie,*! a,e+ia Pre+at)re r)pt)re 3 +e+ra,e ),spe*i/e0 &,2 &a)r Ot(er I++e0iate Pstpart)+ (ae+r(a2e First 0e2ree peri,ea& &a*erati, 0)ri,2 0e&i4er! I,>a++atr! 0isr0ers 3 reast
"A "A -B "A -B -B "A -B -B "A -A -B -B "A "A "A -A "A "A "A
Ear&! s!p(i&is G,***a& i,3e*ti, ),spe*i/e0 A*)te .a2i,itis A*)te .a2i,itis
1 #
SKABIES OTITIS MEDIA AKUT
-
HIPERTENSI ESENSIAL
" 5 6 7 %
ARTRITIS REUMATOID ARTRITIS OSTEOARTRITIS LIPOMA .ERTIGO MIGREN FARINGITIS
1$ RHINITIS AKUT
11 1# 11" 15 1 16 17 1%
RHINITIS ALERGIK INFLUEN=A TONSILITIS INFLUEN=A SKABIES HERPES =OSTER PAROTITIS URTIKARIA DIABETES MELITUS 1
#$ DIABETES MELITUS #
B7 H$ I1$ M5-M1%% D16% R"# G"-% $#% $$
-$$ 11 R6 11 B7 B$#% K11# L5$ E1$ E11
#1 INFEKSI SALURAN KEMIH
N-%$
## KEHAMILAN NORMAL
O7$%
#- GASTRITIS #" DEMAM TIFOID #5 GASTROENTERITIS 8 TERMASUK DISENTRI KOLERA GIARDIASIS9
K#%6 A$1$ A
%$# APENDISITIS AKUT #6 PAROTITIS #7 KONUNGTI.ITIS
K-5% K11# H1$% H1$1
#% OTITIS EKSTERNA
H$%
S*aies A*)te s)pp)rati4e titis +e0ia
"A "A
Esse,tia& 8pri+ar!9 (!perte,si,
"A
P&!+!a&2ia r(e)+ati*a Osteart(rsis t(er Be,i2, &ip+at)s ,ep& Di::i,ess a,0 2i00i,ess Mi2rai,e ),spe*i/e0 A*)te p(ar!,2itis ),spe*i/e0
-A -A "A "A "A "A
A*)te ,asp(ari,2itis 8*++, *&09
"A
.as+tr r(i,itis I,>)e,:a A*)te t,si&&itis ),spe*i/ I,>)e,:a S*aies =ster 'it()t *+p&i*ati Sia&a0e,itis Urti*aria I,s)&i,0epe,0e,t 0iaetes +e&&it)s
"A "A "A "A "A "A "A "A "A
N,i,s)&i,0epe,0e,t 0iaetes +e&&it)s
"A
Uri,ar! tar*t i,3e*ti, site ,t spe*i/e0
"A
Si,2&e sp,ta,e)s 0e&i4er! ),spe*i/e0
"A
Gastritis ),spe*i/e0 T!p(i0 3e4er Diarr(ea @ 2astre,teritis 3 pres)+e0 i,3e*ti, ri2i,
"A "A "A
A*)te appe,0i*itis Sia&a0e,itis C,),*ti4itis ),spe*i/e0 A*)te atpi* *,),*ti4itis
-B "A "A
Otitis E?ter,a U,spe*i/e
"A
