Sheet1DATA 155 DIAGNOSA YANG HARUS SELESAI DI FKTPNONAMA DIAGNOSADIAGNOSA ICD XLEVEL KOMEPETNSIKODENAMA DIAGNOSA1TB PARUA15Respiratory TB4A2MORBILIB059Measles without complication4A3VARISELAB019Varicella without complication4A4MALARIAB54Unspecified malaria4A5DEMAM DENGUE DAN DEMAM BERDARAH DENGUEA90, A91Dengue fever, DHF4A6LEPTOSPIROSISA2794A7INFEKSI PADA UMBILIKUS4A8KANDIDIASIS MULUTB379Candidiasis unspecified4A9LEPRAA30Leprosy4A10KERACUNAN MAKANANT622Other ingested (parts of plant(s))4A11ALERGI MAKANAN4A12EXANTHEMATOUS DRUG ERUPTIONL270Generalized skin eruption due to drugs and medicaments4A13FIXED DRUG ERUPTIONL270Generalized skin eruption due to drugs and medicaments4A14REAKSI ANAFILAKTIK4A15SYOKR579Shock, unspecified3B16ANEMIAD649Anaemia, unspecified (anemia defisiensi besi-4A, anemia hemolitik-3A, anemia makrositik-3A, anemia aplastik-2, anemia megaloblastik-2)4A17HIV/AIDS TANPA KOMPLIKASIZ21Asymptomatic HIV infection status4A18LIMFADENITISB70Lymphadenitis Acute4A19REFLUKS GASTROESOFAGEALK219Gastrooesophageal reflux disease without oesophagitis4A20GASTRITISK297Gastritis, unspecified4A21INTOLERANSI MAKANAN4A22MALABSORBSI MAKANAN3A23DEMAM TIFOIDA010Typhoid fever4A24GASTROENTERITIS ( TERMASUK DISENTRI, KOLERA, GIARDIASIS)A09Diarrhoea & gastroenteritis of presumed infection origin4A25DISENTRI BASILER DAN DISENTRI AMUBA4A26APENDISITIS AKUTK359Acute appendicitis3B27PERDARAHAN SALURAN MAKAN BAGIAN ATAS3B28PERDARAHAN SALURAN MAKAN BAGIAN BAWAH3A29HEMOROID GRADE 1-24A30HEPATITIS A4A31HEPATITIS B3A32PAROTITISK11.2 Sialoadenitis 4A33ASKARIASISB77.9 Ascariaris unspecified 4A34CUTANEUS LARVA MIGRANSB76.9 Hookworm disease, unspecified4A35PENYAKIT CACING TAMBANGB76.0 B76.1 Ankylostomiasis ,Necatoriasis4A36SKISTOSOMIASISB65.9 B65.2 Skistosomiasisunspecified , Schistomiasis due to S. Japonicum4A37STRONGILOIDIASISB78.9 Strongyloidiasis4A38TAENIASISB68.9 Taeniasis4A39PERITONISISK65.9 Peritonitis, unspecified 3B40KOLESISTITISK81.9 Cholecystitis, unspecified 3B41MATA KERING/DRY EYEH04.1 Other disorders of lacrimal gland 4A42BUTA SENJAH53.5 Colour vision deficiencies 4A43HORDEOLUMH00.0 Hordeolum and other deep inflammation of eyelid 4A44KONJUNGTIVITISH10.9 H10.1 Conjunctivitis, unspecified,,, Acute atopic conjunctivitis 4A45BLEFARITISH01.0 Blepharitis 4A46PERDARAHAN SUBKONJUNGTIVAH57.8 Other specified disorders of eye and adnexa 4A47BENDA ASING DI KONJUNGTIVAT15.9 Foreign body on external eye, part unspecified 4A48ASTIGMATISMH52.2 Astigmatism 4A49HIPERMETROPIAH52.0 Hypermetropia4A50MIOPIA RINGANH52.1 Myopia4A51PRESBIOPIAH52.4 Presbyopia4A52KATARAK PADA PASIEN DEWASAH26.9 Cataract, unspecified 253GLAUKOMA AKUTH40.2 Primary angle-closure glaucoma 4A54OTITIS EKSTERNAH60.9 Otitis Externa, Unspecified 4A55OTITIS MEDIA AKUTH66.0 Acute suppurative otitis media4A56SERUMEN PROPH61.2 Impacted cerumen4A 57BENDA ASING DI HIDUNGT17.1 Foreign body in nostril 4A 58ANGINA PEKTORISI20.9 Angina pectoris3B59INFARK MIOKARDI21.9 Acute Myocardial Infarction3B60TAKIKARDIAI47.1 I47.2Supraventicular Tachicardy , Ventricular Tachicardy 3B61GAGAL JANTUNG AKUT DAN KRONIKI50.9 Heart failureGagal jantung akut (3B) Gagal jantung kronik (3A) 62CARDIORESPIRATORY ARRESTK80 Cardiac arrhytmia 3B63HIPERTENSI ESENSIALI10 Essential (primary) hypertension4A 64INFARK SEREBRAL/STROKEI63.9 Cerebral infarction3B65FRAKTUR TERBUKAT14. Fracture of unspecified body3B66FRAKTUR TERTUTUPT14. Fracture of unspecified body 3B67POLIMIALGIA REUMATIKM53.3 Polymyalgia rheumatica3A68ARTRITIS REUMATOIDM53.3 Polymyalgia rheumatica3A69ARTRITIS, OSTEOARTRITISM19.9 Osteoarthrosis other 3A70LIPOMAD17.9 Benign lipomatous neoplasm 4A 71KEJANG DEMAMR56.0 Febrile convulsions4A 72VERTIGOR42 Dizziness and giddiness4A 73DELIRIUMF05.9 Delirium3A74TETANUSA35 Othertetanus 4A 75RABIESA82.9 Rabies3B76EPILEPSIG40.9 Epilepsy3A77STATUS EPILEPTIKUSG41.9 Status epilepticus, unspecified3B78MIGRENG43.9Migraine, unspecified4A 79BELLS' PALSYG51.0 Bells palsy4A 80TENSION HEADACHEG44.2 Tensiontype headache4A 81INSOMNIAG47.0Disorders of initiating and maintaining sleep (insomnias)4A

82DEMENSIAF03Unspecified dementia3A83GANGGUAN CAMPURAN ANXIETAS DAN DEPRESIF41.2Mixed Anxiety and Depression Disorder3A84GANGGUAN PSIKOTIKF20Chronic Psychotic Disorder3A85EPISTAKSISR04.0Epistaxis4A86FURUNKEL PADA HIDUNGJ34.0Abscess, furuncle and carbuncle of nose4A87FARINGITISJ02.9Acute pharyngitis, unspecified4A88RHINITIS AKUTJ00Acute nasopharingitis (common cold)4A89RHINITIS ALERGIKJ30.0Vasomotor rhinitis4A90RHINITIS VASOMOTORJ30.0Vasomotor rhinitis4A91TONSILITISR76Acute tonsillitis, unspecified4A92LARINGITISJ04.0Acute laryngitis4A93BRONKITIS AKUTJ20.9Acute bronchitis, unspecified4A94INFLUENZAJ11Influenza4A95PNEUMONIA ASPIRASIJ69.0Pneumonitis due to food and vomit3B96PNEUMONIA DAN BRONKOPNEUMONIAJ18.9Pneumonia, unspecified4A97PERTUSISA37.8Whooping cough4A98ASMA BRONKIALJ45Asthma4A99MILIRIAL74.3Miliaria4A100VERUKA VULGARISB07Viral warts4A101REAKSI GIGITAN SERANGGAT63.4Venom of other arthropods4A102HERPES ZOSTERB02.9Zoster without complication4A103HERPES SIMPLEKSB00.9Herpesviral infection, unspecified4A104SKABIESB86Scabies4A105PEDIKULOSIS KAPITISB85.0Pediculosis due to Pediculus humanus capitis4A106DERMATOFITOSIS : TINEA KAPITISB35.0Tinea barbae and tinea capitis4A107DERMATOFITOSIS : TINEA BARBAEB35.0Tinea barbae and tinea capitis4A108DERMATOFITOSIS : TINEA FASIALISTINEA FASIALIS4A109DERMATOFITOSIS : TINEA KORPORISB35.4Tinea corporis4A110DERMATOFITOSIS : TINEA MANUMB35.2 Tinea manuum4A111DERMATOFITOSIS : TINEA UNGUIUMB35.1TINEA UNGUIUM4A112DERMATOFITOSIS : TINEA KRURISB35.6 Tinea cruris4A113DERMATOFITOSIS : TINEA PEDIS B35.3 Tinea pedis4A114PITIRIASIS VERSIKOLOR/TINEA VERSIKOLORB36.0Pityriasis versicolor 4A115PIODERMA L08.0 Pyoderma 4A116DERMATITIS SEBOROIKL21 Seborrhoeic dermatitis4A117DERMATITIS ATOPIKL20 Atopic dermatitis4A118DERMATITIS NUMULARISL20.8 Other atopic dermatitis4A119LIKE SIMPLEKS KRONIK (NEURODERMATITIS SIRKUMKRIPTA)L28.0Lichen simplex chronicus3A120DERMATITIS KONTAK ALERGIKL23 Allergic contact dermatitis 3A121DERMATITIS KONTAK IRITANL24Irritant contact dermatiti4A122NAPKIN ECZEMA 9DERMATITIS POPOK)L22 Diaper(napkin) dermatitis4A123PITIRIASIS ROSEAL42 Pityriasis rosea4A124MOLUSKUM KONTAGIOSUMB08.1 Molluscum contagiosum4A125URTIKARIAL50 Urticaria4A126FILARIASISB74 Filariasis4A127LUKA BAKAR DERAJAT I DAN IIS24 burn4A128OBESITASE66.9 obesity unspecified4A129TIROTOKSIKOSISE05.9 Tirotoksikosis unspecified3B130HIPERGLIKEMIA HIPEROSMOLAR NON KETOTIKR73.9 Hyperglycaemia unspecified3B131HIPOGLIKEMIAE16.2hypoglycaemia unspecifiedringan 4A, berat 3B132DIABETES MELITUS 1 E10Insulin-dependent diabetes mellitus4A133DIABETES MELITUS 2E11Non-insulin-dependent diabetes mellitus4A134MALNUTRISI ENERGI PROTEIN (MEP)E46Unspecified protein-energy malnutrition4A135HIPERURICEMIA GOUT ARTHRITISE79.0 M10Hyperuricemia without signs of inflammatory arthritis and tophaceous disease4A136DISLIPIDEMIAE78.5Hiperlipidemia4A137INFEKSI SALURAN KEMIHN39.0Urinary tarct infection, site not specified4A138HIPERMEMESIS GRAVIDARUMO21.0Mild hyperemis gravidarum3B139KEHAMILAN NORMALO80.9Single spontaneus delivery, unspecified4A140PRE-EKLAMPSIAO14.9Pre-eclampsia, unspecified3B141EKLAMSIAO15.9Eclampsia, unspecified as to time periode3B142ABORTUS SPONTAN KOMPLITO03.9Unspecified abortion complete, without complication4A143ABORTUS MENGANCAM/INSIPIENSO06.3Unspecified abortion incomplete, without complication3B144ABORTUS SPONTAN INKOMPLITO06.4Unspecified abortion incomplete, without complication3B145ANEMIA DEFISIENSI BESI PADA KEHAMILAND50Iron deficiency anemia4A146KETUBAN PECAH DINI042.9Premature rupture of membrane, unspecified3A147PERSALINAN LAMAO63.9long labour3B148PERDARAHAN POST PARTUM072.1Other Immediate Postpartum haemorhage3B149RUPTUR PERINEUM TINGKAT 1-2O70.0First degree perineal laceration during delivery4A150MASTITISN61Inflammatory disorders of breast4A151FLUOR ALBUSN98.94A152SIFILISA51Early syphilis3A153GONOREA54.9Gonococcal infection, unspecified4A154VAGINITISN76.0Acute Vaginitis4A155VULVITISN76.0Acute Vaginitis4A

Sheet21SKABIESB86Scabies4A2OTITIS MEDIA AKUTH66.0 Acute suppurative otitis media4A3HIPERTENSI ESENSIALI10 Essential (primary) hypertension4A 4ARTRITIS REUMATOIDM53.3 Polymyalgia rheumatica3A5ARTRITIS, OSTEOARTRITISM19.9 Osteoarthrosis other 3A6LIPOMAD17.9 Benign lipomatous neoplasm 4A 7VERTIGOR42 Dizziness and giddiness4A 8MIGRENG43.9Migraine, unspecified4A 9FARINGITISJ02.9Acute pharyngitis, unspecified4A10RHINITIS AKUTJ00Acute nasopharingitis (common cold)4A11RHINITIS ALERGIKJ30.0Vasomotor rhinitis4A12INFLUENZAJ11Influenza4A13TONSILITISR76Acute tonsillitis, unspecified4A14INFLUENZAJ11Influenza4A15SKABIESB86Scabies4A16HERPES ZOSTERB02.9Zoster without complication4A17PAROTITISK11.2 Sialoadenitis 4A18URTIKARIAL50 Urticaria4A19DIABETES MELITUS 1 E10Insulin-dependent diabetes mellitus4A20DIABETES MELITUS 2E11Non-insulin-dependent diabetes mellitus4A21INFEKSI SALURAN KEMIHN39.0Urinary tarct infection, site not specified4A22KEHAMILAN NORMALO80.9Single spontaneus delivery, unspecified4A23GASTRITISK297Gastritis, unspecified4A24DEMAM TIFOIDA010Typhoid fever4A25GASTROENTERITIS ( TERMASUK DISENTRI, KOLERA, GIARDIASIS)A09Diarrhoea & gastroenteritis of presumed infection origin4A26APENDISITIS AKUTK359Acute appendicitis3B27PAROTITISK11.2 Sialoadenitis 4A28KONJUNGTIVITISH10.9 H10.1 Conjunctivitis, unspecified,,, Acute atopic conjunctivitis 4A29OTITIS EKSTERNAH60.9 Otitis Externa, Unspecified 4A

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