KODE RISTI STATUS KESEHATAN CALON / JEMAAH HAJI BERDASARKAN ICD - X 0 00 , ,1
04
Sehat & Risti Sehat Sehat U#$a U#$a Lan. Lan.!t !t 10 Th O6e#$ta#
Penyakit ParuParu ! Dada
320
B'&n%h$t$# A%!t "ne!4&n$a 6a%te'$>t$+a% J(, +$%*a'$7$%a#$ te4)at *a$n J, A#th4a J1 Stat!# A#th4at$:!# "en5a%$t O6#t'!%#$ "a'! K'&n$% J 5an t$+a% #)e#$7$% J@ B'&n%$e%ta#$# J<( J<( "!*4 "!*4&n &na' a'5 5 Oe+e4 Oe+e4aa 0'
Penyakit (tot dan )ulang
M@8( M5 M5a*$a Ne!'a*$a +an Ne!'$t$# 5an t$+a% M@82 #)e#$7$% M01 Rhe4at&$+ A'tht'$t$# La$nn5a
01 F23
Penyakit Jiwa Gan!an "#$%&t$% A%!t T'an#$en Gan!an 4enta* &'an$% 5an t$+a% F0 #)e#$7$% ata! #$4)t&4at$% F(80 Gan!an "an$% E)$#&+$% an9$et5 )a'&%#$#4a* F20 S:h$;&)h'en$a F32 E)$#&+e De)'e##$7
0"
Penyakit Saluran Pen#ernaan
K2 Ga#t'$t$# +an +!&+en$t$# K30 D5#)e)#$a K2, Ga#t'$: U*#e' D$a'e a#t'&ent e' e'$ t$ t$# 5a n n +$+!a %a'ena A0 $n7e%#$ K280 He4ate4e#$# K28( Me Me*ena R1380 An&'e9$a
0*
Penyakit +enular
A380 Me M en$n$t$# 4en$n&%&%!# TB "a'! "a'! +en +enan an %&n7 %&n7$' $'4a 4a#$ #$ 6a% 6a%te' te'$&*& $&*&$ $ +an +an A(, h$#t&*&$ A0180 A%!t +$#ent'$ a4&e6a A0(80 De4a4 T5)h&$+ B(, B(, A%!t A%!t He)a He)at$t t$t$# $# A B(1 A%!t He)at$t$# B B,0 "*a#4&+ "*a#4&+$!4 $!4 7a*:$ 7a*:$)a' )a'!4 !4 4a*a' 4a*a'$a $a B,( "*a#4&+ "*a#4&+$!4 $!4 =$=a9 =$=a9 4a*a'$ 4a*a'$aa B,2 "*a#4&+ "*a#4&+$!4 $!4 4a*a'$ 4a*a'$ae ae 4a*a 4a*a'$a '$a J(2 "ne!4&n$a "ne!4&n$a =$'!#>t$+a% =$'!#>t$+a% +$%*a'$7$%a# +$%*a'$7$%a#$$ te4)at te4)at *a$n
02 ((0 (,0 (20 (2( (2,8( (< ( (1 (1 (, (, 0$
N00 N0 N(@ N0 N30 R33 N20
10
Penyakit Pembuluh Darah & Jantung H$)e'ten#$ e##en#$a* "a5ah .ant!n An$na "e%t&'$# In7a'% 4$&%a'+ a%!t "en5a%$t .ant!n athe'%*e'&t$% F$6$*a#$ +an at'$a* 7*ate' Ka'+$a% a'$t4$a *a$nn5a Ca'+ Ca'+$a $a:: a'' a''e# e#tt H$)&t $)&ten en#$ #$ Penyakit Saluran Seni
Ne7'$t$# #$n+'&4 a%!t Ne7'&t$% S$n+'&4 A%!t 'ena* 7a$*!'e "'tat h$)e')*a#$a C5 C5#t$t$# Reten#$& !'$ne Bat! $n.a* +an !'ete'
elainan ,eurologi
G82 Te Ten#$&n - t5)e hea+a:ha (1( (1( "e' "e'+a'a +a'aha han n $nt' $nt'a: a:e' e'e6 e6'a 'a** St'&%e 5an +$#)e#$7$%a#$ %a'ena (1 )e'+a'ahan ata! $n7a'% M,( Gan!an +$#%!# $nte'=ete6'a *a$nn5a Gan!an +a'$ %e$n$nan +an t$+!' G@80 5an 4eneta) $#&4n$a#
03 E(( E((
Penyakit Endokrin In#!*$n +e)en+ent DM N&n $n#!*$n +e)en+ent DM In#!*$n +e)en+ent DM +enan %&4)*$%a#$ #$'%!*a#$ E(08, )e'$7e' an!an +$a6et$% N&n $n#!*$n +e)e'ant DM +enan +enan %&4)*$%a#$ E((8, #$'%!*a#$ )e'$7e' an!an +$a6et$% E0, Th5'&t&9$:$# H$)e't$'&$+
0%
N2 O03
Penyakit ebidanan Dan andungan
E9:e##$=e> 7'e?!ent +an $''e!*a' 4en#t'!at$&n A6&'#$ #)&ntan
11
ekurangan -i.i
R1 Ca:he9$a
SES/ PE,-+), PE,/) & /+,/SS/ D/,S ESE), P)E, ),-ER,Jl5 Daan +ogot ,o5 4 ota )angerang )el6 ! 7a8 9 021 ""%*2232 021 ""2 333* e8t 111
KODE DIAGNOSA 00. SEHAT & RT SEHAT
01. NEURO PSIKIATRI
02. KARDIO VASKULER
001. Sehat
011. Pasca Stroke
021. Hipertensi
002. Usia Lanjut
012. Epilepsi
022. Hipotensi
003. Obesitas
013. Psikosis
023. Peny. Jantun !oroner
00". !aheksia
01#. Peny. $euro Psikiatri
02". Peny. Jantun %a&aan
00#. Selain tsb 'iatas
Lainnya
02(. Peny. Jantun !atub 02#. Peny. !ar'io )askuler Lain
03. ENDOKRIN
04. SAL. PERNAPASAN
05. SAL. PENCERNAAN
031. *iabetes +ellitus
0"1. ,% Paru
0(1. ,ukak La-bun
032. ,yrotoycosis
0"2. /sth-a %ronchiale
0(2. Peny. Sal. Pencernaan
03#. Peny. En'okrin Lainnya
0"3. Peny. Paru Obstruksi +enahun PPO+
Lainnya
!e-enterian !esehatan
n'onesia Pusat !esehatan Haji
*>/$OS/ >6*?@ !esehatan haji >n'onesia
>. PE$A/!>, >$4E!S> = P/, !O*E / 3# /3#.0 /1( /0 /01 /01.0 /0# /0( /30 %1( %1 %(0 %(1 %(2 %20
JE$>S PE$A/!>, +eninococcal in9ection +eninococcal -eninitis ) 'isease
>>. $EOPL/S+/ !O*E 620 6(0 6(3 6(" 61
JE$>S PE$A/!>, +alinant neoplas- o9 rectu+alinant neoplas- o9 breast +alinant neoplas- o9 cer;i uteri +alinant neoplas- o corpus uteri +alinant neoplas- o9 prostate
>>> PE$A. */S+E >++U$E !O*E *(0
JE$>S PE$A/!>, >ron 'e9iciency ane-ia
>). PE$A. E$*O!<>$ $U,<>S> = +E,/%OL>! !O*E E10
JE$>S PE$A/!>, >nsulin *epen'ent *iabetes +elitus
E11 E10.( E11.( E0( E
$on >nsulinn 'epen'ent *iabetes +elitus >nsulin *epen'ent *+ peripheral circulatory co-plications anrene 'iabetic $on >nsulinn *epen'ent *+ peripheral circulatory co-plications anrene 'iabetic ,hyrotoicosi s Hyperthyroi'i s- Obesity
). /$U/$ +E$ /L = P<>L/!U !O*E 4"1 4"1.0 420 432
JE$>S PE$A/!>, Other aniety 'isor'er Panic 'isor'er ShchiFophrenia Episo'e *epressi9
)>. PE$A/!>, SAS,E+ SA/4 !O*E "".2 "5.0 "0
JE$>S PE$A/!>, ,ensions?type hea'ha ache *isor'ers o9 initiatin an' -aintainin sleep inso-nias Epilepsy
)>>. PE$A/!>, +/,/ = /*$E!S/ !O*E H10
JE$>S PE$A/!>, 6onjuncti;itis
)>>>. PE$A/!>, SAS,E+ S> !O*E >10
JE$>S PE$A/!>, Essential pri-ary hypertension
>(0.0 >(0.0 >(1.5 >20 >21 >2(.1 >"7 >" >7" >#( >1 >" >#
Heart 9ailure 6onesti;e heart 9ai lure 6ar'io-ealy /nina pectoris /cute -yocar'ial in9arction /theroclerotic heart 'eseace /trial 9ibrillation an' 9lutter 6ar'iac arrest Hae-orrhoi's Hypotension >ntracerebral hae-orrhae StrokeB not spesi9ie' as hae-orrhae or in9arction SeGuelae o9 cerebro;ascul ar 'isease
>@. PE$A. SAS,E+ PE<$/4/S/$ J00 J02 J0" J10 J12 J1( J20 J30 J"" J"( J" J"5 J71
/cute nasopharyni ti s co--on col' /cute pharynitis /cute larynitis an' tracheitis >n9luenFa 'ue i'enti9ie'in9luenFa ;irus )iral pneu-oniaB not else&here classi9ie' %acterial pneu-oniaB not else&here classi9ie' /cute bronchitis )aso-otor an' /lleric rhintis Other chronic obstructi;e pul-onary 'isease /sth-a Status /sth-aticus %ronchlectasis Pul-onary Oe'e-a
@. PE$A. SAS,E+ PE$6E<$//$ !O*E !2# !30 !2( !#2.0 !#2.1 !5" !0
JE$>S PE$A/!>, astritis 'an 'uo'enitis *yspepsia astric ulser Hae-ate-esis +elaena 4ibrosis an' cirrhosis 6holelithiasis
!0" !0".0 !0".1 !0".5 !0".7 !02 !0( !0(.2 !0(." !12 !"0
*iseases o9 pulp an' periapical tissues Pulpitis $ecrosis o9 pulp Periapical abscess &ithout sinus nuinal Hernia
@>. PE$A. !UL>, = J/<>$/$ SU%!U,/$ !O*E L20 L23 L02 L03
JE$>S PE$A/!>, /topic 'er-atitis /lleric contac 'er-atitis 6utaneous abscessB 9uruncle an' carbuncle 6ellulitis
@>>. PE$A. SAS,E+ O,O, ,UL/$ = J/<>$/$ PE$A/+%U$ !O*E +5#.1 +5#.2 +0 +1( +1(
JE$>S PE$A/!>, +yalia $euralia an' neuritisB unspesi9ie' Other rheu-atoi' /rthritis Polyarthrosis Other >nter;ertebral 'isc 'isor'ers
@>>>. PE$A. SAS,E+ E$>,OU<>$/
JE$>S PE$A/!>, /cute nephritic syn'ro-e $ephrotic syn'ro-e /cute renal 9ailure 6hronic renal 9ailure Hyperplasia o9 prostate 6ystitis 6alculus o9 ki'ney an' ureter Ecessi;eB 9reGuent 'an irreular -enstruation
@>). !EH/+>L/$B !EL/H>$ +/S/ $>4/S !O*E O03
JE$>S PE$A/!>, Spontaneus abortion
@). ,/$*/B EJ/L/ = H/S>L PE+E<>!S//$ !L>$>! L/%. A/$ ,>*/! $O<+/LB ,>*/! *>!L/S>4>!/S> ,E+P/, L/>$ !O*E <(5.1 <" <0" <0".0 <3.0 <33 <("
JE$>S PE$A/!>, Hypo9olae-ic shock 6acheia Hae-orrhae 9ro- respiratory passae Epistais /noreia
@)>. ,%/, E!S,E<$/L !O*E S02 S12 S22 S32 S"2 S(2 S2 S52
JE$>S PE$A/!>, 4racture o9 skul l an' 9aci al bones 4racture o9 neck 4racture o9 ribs sB sternu- an' thoracic spine 4racture o9 lu-bar spi ne an' pel ;is 4racture o9 shoul'er an' upper ar4racture o9 9orear4racture at &ri st an' han' le;el 4racture o9 9e-ur
S72 S#2 S13 S23 S33 S"3 S(3 S3 S53 S73 S#3 ,31 ,(7 ,0.0 ,5(.3 ,5.0 ,55.2 ,5.3 ,33 ,3" ,7
4racture o9 lo&er le. >nclu'in ankle 4racture o9 9ootB ecept ankle *islocationB sprain an' strain o9 joints an' lia-ents at neck le;el *islocationB sprain an' strain o9 joints an' lia-ents o9 thora *islocationB sprain an' strain o9 joints an' lia-ents o9 lu-bar spine an' pel;is *islocationB sprain an' strain o9 joints an' lia-ents o9 shoul'erir'le *islocationB sprain an' strain o9 joints an' lia-ents o9 elbo& *islocationB sprain an' strain o9 joints an' lia-ents at &rist an' han' le;el *islocationB sprain an' strain o9 joints an' lia-ents o9 hip *islocationB sprain an' strain o9 joints an' lia-ents o9 knee *islocationB sprain an' strain o9 joints an' lia-ents at ankle an' 9oot le;el %urn classi9ie' accor'i to etent o9 bo'y sur9ace in;ol;e' ,oic e99ect o9 carbon -onoi 'e Oranophosphate an' carba-ate insectisi'es +otion sickness Heatstroke an' sunstroke Heat cra-p Heat ehaustionB anhy'rotic Super9isial 9rostbite 4rosbite &ith tissue necrosis Hypother-ia
@)>>. 4aktor yan -e-penaruhi kea'aan kes. = kontak 'enan Aankes !O*E 00
JE$>S PE$A/!>, eneral ea-ination an' in;estiation o9 persons &ithout co-plaintor reporte' 'ianosis #SEHAT%
CATATAN D'()*+,( '*' -*-/ *)','(* (( (( ,-( /(*)(* /,((* ' -/- K,((* (( H(' #KH% (* * (( SISKOHAT :'. K,