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Documenti di Cultura
0-7 Hr 8-28 Hr 1Bl - <1Th 1-4Th 5-9Th 10-14Th 15-19Th 20-44Th 45-54Th 55-59Th 60-69Th >70Th Total
No Kode Penyakit Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama
JML
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P
1 A09 Diarrhoea and gastroenteritis 0 0 0 0 0 0 0 0 1 0 0 0 2 3 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 3 0 0 1 3 0 0 1 3 0 0 0 0 0 0 1 0 0 0 6 13 0 0 19
2 A15 Respiratory tuberculosis, bacteriologically 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 3
3 A16.0 TBC Klinis 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
4 A18.8+ Tuberculosis of other specified organs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
5 A19.9 Miliary tuberculosis, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
6 A30 Kusta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1
7 B02 Herpes zoster 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 2
8 B20 Human immunodeficiency virus [HIV] disease resulting in infe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
9 B34 Viral infection of unspecified site 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1
10 B35 Dermatophytosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1
11 B86 Skabies 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2 0 0 4 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 5 0 0 11
12 C69 Malignant neoplasm of eye and adnexa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1
13 D05 Carcinoma in situ of breast 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
14 D11.7 Other major salivary glands 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1
15 D21 Other benign neoplasms of connective 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
16 D24 Benign neoplasm of breast 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1
17 D25.9 Leiomyoma of uterus, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1
18 D56 Thalassaemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
19 E05.9 Thyrotoxicosis, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
20 E14 Diabetes melitus, tidak spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 1 1 0 1 0 1 0 1 1 2 0 4 7
21 E14.0 Diabetes melitus, tidak spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1
22 E14.9 Diabetes melitus, tidak spesifik without 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 1 0 0 0 0 0 1 1 3 5
23 E78 Disorders of lipoprotein metabolism 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 0 0 0 1 0 0 0 0 0 0 0 4 0 0 4
24 E78.5 Hyperlipidaemia, unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1
25 F20 Schizophrenia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 3
26 F32 Depressive episode 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1
27 F79 Retardasi mental, tidak spesifik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1
28 G44 Other headache syndromes 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 2 4 0 1 0 2 0 0 1 1 0 0 0 2 0 0 5 10 0 1 16
29 H00 Hordeolum and chalazion 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1
30 H10 Conjunctivitis 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 4 0 0 6
31 H11.3 Conjunctival haemorrhage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
32 H25 Senile cataract 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2 0 0 2
33 H25.9 Katarak senilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1
34 H31 Other disorders of choroid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1
35 H35 Other retinal disorders 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 2
36 H52 Gangguan refraksi dan akomodasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1
37 H52.1 Myopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1
38 H54.2 Low vision, both eyes 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
39 H61.2 Impacted cerumen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1
40 H65 Nonsuppurative otitis media 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 2 0 0 2
41 H66 Suppurative and unspecified otitis media 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2
42 H81 Disorders of vestibular function 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 2 0 0 3
43 H95 Postprocedural disorders of ear 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
44 I10 Hipertensi primer/essensial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 6 0 0 4 17 0 2 0 6 1 3 1 8 0 3 2 4 1 10 9 41 61
45 I11 Hypertensive heart disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 2
46 I25 Chronic ischaemic heart disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1
47 I50 Heart failure 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 1 0 3 2 2 7
0-7 Hr 8-28 Hr 1Bl - <1Th 1-4Th 5-9Th 10-14Th 15-19Th 20-44Th 45-54Th 55-59Th 60-69Th >70Th Total
No Kode Penyakit Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama Baru Lama
JML
No Kode Penyakit
JML
L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P L P
6
2
1
1
1
0
0
0
0
1
0
0
1
1
0
0
1
1
0
3
0
2
2
1
2
1
0
3
1
2
0
1
1
0
0
1
0
1
0
0
1
1
0
25
0
0
2
Gakin
Gakin
1
1
1
0
0
13
1
2
1
1
14
2
0
1
1
1
1
2
12
0
1
0
1
0
1
0
8
1
0
3
0
1
0
0
1
1
7
0
0
0
0
0
0
3
1
1
0
0
0
0
1
0
0
0
0
1
0
Gakin
1
0
0
5
3
0
0
3
0
0
2
0
0
5
172
LAPORAN BULANAN PENGOBATAN DAN PEMULIHAN KESEHATAN
20 PENYAKIT YANG DIRUJUK
SEKSI PELAYANAN KESEHATAN DASAR (Yandas) DINAS KESEHATAN KOTA BANDUNG
UMUM/BAYAR BPJS/JKN/ASKES
JML YG JML YG
KOD KODE KODE
NO DI DI
E ICD 20 PENY. TERBANYAK YANG DIRUJUK ICD 20 PENY. TERBANYAK YANG DIRUJUK ICD
RUJUK RUJUK
TOTAL TOTAL
1 H66 Suppurative and unspecified otitis media 1 H25 Senile cataract 4 K04.1
2 I50 Heart failure 3 I69
3 E14.9 Diabetes melitus, tidak spesifik without complications 5 F20
4 K11.6 Mucocele of salivary gland 2 D21.0
5 M13 Artritis lainnya 2 K01.1
6 L23 Allergic contact dermatitis 2 D23
7 K02.1 Caries of dentine 2 J44
8 I69 Sequelae of cerebrovascular disease 2 T16
9 I11 Hypertensive heart disease 2 H54.2
10 K01.1 Impacted teeth 1 H25
11 M54.5 Low back pain 1 I21
12 N62 Hypertrophy of breast 1 F32
13 H93.9 Gangguan telinga lainnya tidak spesifik 1 H54
14 M13.0 Polyarthritis, unspecified 1 H54.0
15 J44 Other chronic obstructive pulmonary disease 1
16 F20 Schizophrenia 1
17 H52 Gangguan refraksi dan akomodasi 1
18 H11.0 Pterygium 1
19 M54.1 Radiculopathy 1
20 R41.3 Other amnesia 1
∑ Penyakit Lainnya ∑ Penyakit Lainnya 35
TOTAL YANG DI RUJUK 1 TOTAL YANG DI RUJUK 35
Mengetahui,
Ka. UPT Puskesmas Pamulang
BANDUNG
BULAN : September
TAHUN : 2019
JAMKESMAS/PBI
JML YG
DI
21 PENY. TERBANYAK YANG DIRUJUK RUJUK
TOTAL
Necrosis of pulp 2
Sequelae of cerebrovascular disease 2
Schizophrenia 1
Connective and other soft tissue of head, face and neck 1
Impacted teeth 1
Other benign neoplasms of skin 1
Other chronic obstructive pulmonary disease 1
Foreign body in ear 1
Low vision, both eyes 1
Senile cataract 1
Acute myocardial infarction 1
Depressive episode 1
Blindness and low vision 1
Blindness, both eyes 1
∑ Penyakit Lainnya 16
TOTAL YANG DI RUJUK 16
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Ka. UPT Puskesmas Pamulang
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r NIP. 19751003 200604 2 009
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7
5
1
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3
2
0
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6
0
4
0
0
9
2
0
0
9
Tahun : 2019
RUJUKAN
DIKEMBALIKAN KE
PUSKESMAS
JUMLAH
NAMA RS
UHC UMUM
Bandung, 1 Juli 2019
Pelapor
TOTAL
NAMA
NO JUMLAH
PUSKESMAS
JENIS
NAMA RS UHC
PELAYANAN
ASKES PBI MANDIRI UHC
I POLI UMUM
Klinik Medika Antapani
Hermina Arcamanik
Santo Yusuf
Borromeus
Habibie
Al Islam
II POLI KIA/KB
RSUD Ujung Berung
Hermina Arcamanik
Santo Yusuf
III POLI GIGI
RSKGM
Hermina Arcamanik
Total
Total
NO KASUS KASUS KASUS KASUS KASUS KASUS
ICD DAN KODE PENYAKIT ICD DAN KODE PENYAKIT ICD DAN KODE PENYAKIT
BARU LAMA BARU LAMA BARU LAMA
L P L P L P L P L P L P total
1 K04.1 Nekrosis Pulpa 23 37 62 96 218 I10 Hipertensi 1 3 4 22 30 I10 Hipertensi 0 1 5 32 38
2 J00 Nasofaringitis akut 53 71 18 20 162 K04.1 Nekrosis Pulpa 2 3 10 9 24 J00 Nasofaringitis akut 9 19 2 4 34
3 I10 Hipertensi 2 2 17 55 76 J00 Nasofaringitis akut 10 7 2 0 19 K04.1 Nekrosis Pulpa 0 2 9 20 31
4 J02 Faringitis Akut 19 42 3 2 66 M79.1 Myalgia 4 10 0 0 14 K30 Dispepsia 4 12 1 0 17
5 K30 Dispepsia 8 47 0 2 57 K30 Dispepsia 3 7 1 0 11 M79.1 Myalgia 4 8 0 0 12
Pemeriksaan
6 M79.1 Myalgia 13 28 4 4 49 E14.9 Diabetes melitus 0 1 1 8 10 Z36 0 3 0 8 11
Antenatal
Retained dental
7 K08.3 7 12 8 14 41 J02 Faringitis Akut 5 3 1 0 9 R51 Cephalgia 1 7 0 2 10
root
Pemeriksaan
8 K02.1 Karies Gigi 1 9 2 15 27 Z36 0 2 0 6 8 J02 Faringitis Akut 2 8 0 0 10
Antenatal
Hypertensive Heart
9 A09 Diare 16 9 2 0 27 I11.9 3 2 0 1 6 A15.0 TB 0 0 2 5 7
Disease
Hypertensive heart
10 K04.0 Pulpitis 9 5 1 8 23 L30 Other dermatitis 0 5 0 1 6 I11.9 1 2 1 2 6
disease
11 L30 Other dermatitis 7 12 0 1 20 J03 Tonsilitis Akut 3 3 0 0 6 K02.1 Karies Gigi 1 0 1 3 5
Gangguan lain pada
12 R51 Cephalgia 10 8 0 1 19 K02.1 Karies Gigi 1 0 2 3 6 L98 kulit dan jaringan 0 4 0 1 5
sub kutan
Pemeriksaan
13 Z36 0 7 0 8 15 M54.5 Low back pain 1 1 0 3 5 A09 Diare 2 2 0 0 4
Antenatal
Retained dental
14 M79.2 Neuralgia 3 10 0 0 13 K08.3 0 2 1 2 5 Z71 Konseling 2 2 0 0 4
root
Superficial injury
15 J03 Tonsilitis Akut 3 5 0 2 10 Z71 Konseling 1 3 1 0 5 S40 of shoulder and 0 2 0 2 4
upper arm
16 G43 Migraine 5 4 0 0 9 I50 Heart failure 0 0 2 2 4 M79.2 Neuralgia 0 4 0 0 4
Chronic
17 M13 Artritis lainnya 2 6 0 0 8 R51 Cephalgia 1 3 0 0 4 K05.3 0 0 0 3 3
periodontitis
Gangguan lain pada
Retained dental
18 L98 kulit dan jaringan 0 7 0 0 7 J44 PPOK 2 0 1 1 4 K08.3 0 2 0 1 3
root
sub kutan
Pengelolaan
19 Z30 0 1 0 5 6 M13 Artritis lainnya 2 1 0 1 4 M13 Artritis lainnya 0 2 0 0 2
Kontrasepsi
20 K01.1 Impacted teeth 4 1 0 1 6 M79.2 Neuralgia 2 2 0 0 4 M54.5 Low back pain 0 1 0 0 1
∑ Penyakit Lainnya 39 53 4 17 113 ∑ Penyakit Lainnya 18 37 15 17 87 ∑ Penyakit Lainnya 9 20 7 23 59
KUNJUNGAN TOTAL 224 376 121 251 972 KUNJUNGAN TOTAL 59 95 41 76 271 KUNJUNGAN TOTAL 35 101 28 106 270