lb 1 lap bungursari 2014

8/19/2019 LB 1 Lap Bungursari 2014

1/461

LB 1

KODE PUSKESMAS :

DESA /KELURAHAN : .…………………………………… Lembar 1 : Untuk Koord

PUSKESMAS : !UN"URSAR# Lembar $ : Untuk Koord

KE)AMA*AN : !UN"URSAR#

KA!UPA*EN/KO*A : *AS#KMALA+A !u,an :

PROP#NS# : -AA !ARA* *aun :

LAPORAN BULANAN PENYAKIT (LB1)

JENIS PENYAKIT

JUMLAH KASUS BARU MENURUT GOLONGAN UMURKAS

0-7 hr 8 - 28 hr 29hr-1th 1 - ! th "-9 th 10-1! th 1"-19 th 20-!! th !"-"! th ""-"9 th #0-#9 th $- 70 th

L P L P L P L P L P L P L P L P L P L P L P L P L1 2 % ! " # 7 8 9 10 11 12 1% 1! 1" 1# 17 18 19 20 21 22 2% 2! 2" 2# 27 28

I PENYAKIT IN&EKSI 'AN PARASIT TERTENTU

A00-A09 PENYAKIT IN&EKSI USUS

1 A00 Ko,era 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$ A010 Demam ti2oid 0 0 0 0 0 0 0 0 0 0 0 0 $ 1 0 0 0 0 0 0 0 0 0 1

A01! Demam 'arati2oid3 tidak S'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

4 A02 #n2ek%i %a,mone,a ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6 A0% Si7e,o%i%8 Di%entri !a%i,er tidak S'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9 A0! #n2ek%i u%u% karena bakteri ,ainn5a tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A0" Kera;unan makanan karena bakteri ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

< A0# Amubia%i%3 Di%entri Amuba 0 0 0 0 0 0 1 $ 0 0 $ 0 0 0 0 0 0 0 1

= A08 #n2ek%i >iru% dan #n2ek%i u%u% tertentu ,ainn5a 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? A09 Diare dan "a%troenteriti% 0 0 0 0 0 < < 0 0 $ $ 6 1 $ 1 4 1 0 0 $ 0 0 0 1

11 Pen5akit in2ek%i u%u% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A1"-A19 TUBERKULOSIS

1$ A1"0 *uberku,o%a Paru !*A &@( den7an/tan'a 'emerik%aan biakan. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1

1 A1#0 *uberku,o%i% 'aru k,ini% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14 A 1"1 - A 1#2 *uberku,o%i% 'aru ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16 A1#% -9 *uberku,o%i% a,at na2a% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

19 A170 Menin7iti% *uberku,o%a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

NOURUT

KO'E I*' -10

A02+ A0!+ A07-A08

2

0 1

02

0 1

0


2/461

JENIS PENYAKIT

JUMLAH KASUS BARU MENURUT GOLONGAN UMUR


L P L P L P L P L P L P L P L P L P L P L P L P1 2 % ! " # 7 8 9 10 11 12 1% 1! 1" 1# 17 18 19 20 21 22 2% 2! 2" 2# 27

NOURUT

KO'E I*' -10

1= A20 Pe%/Sam'ar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$? A22 Antrak% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$1 A27 Le'to%'iro%i% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A%0-A!9 IN&EKSI BAKTERI LAINNYA

$$ A%00 Ku%ta #/* &M!( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$ A%0" Ku%ta !/L &P!( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$4 A%% *etanu% Neonatorum 0 0 0 0

$6 A%" *etanu% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$9 A%# Di2teria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$ A%7 Pertu%i%/!atuk rean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$< A%9 #n2ek%i Menin7okok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$= A!0-A!1 Se'ti%emia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A"0-A#!

? A"0 Si2i,i% kon7enita,/baBaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 A"1 Si2i,i% dini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$ A"! #n2ek%i "onokok 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0

A#"-A## PENYAKIT SPIROKAETAL LAINNYA

A## Crambu%ia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A70-A7! PENYAKIT LAIN KARENA *HLAMY'IA

4 A71 *rakoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A80-A89 IN&EKSI ,IRUS PA'A SUSUNAN SARA& PUSAT

6 A80 Po,iomie,iti% akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9 A82 Rabie% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A87 Menin7iti% karena >iru% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A90-A99

< A90 Demam Den7ue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

= A91 Demam !erdara Den7ue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

PENYAKIT IN&EKSI YANG 'ITULARKAN MELALUIHUBUNGAN SEKSUAL

'EMAM BER'ARAH ,IRUS . 'EMAM ,IRUS

'ITULARKAN OLEH ARTROPO'A


3/461

JENIS PENYAKIT




NOURUT

KO'E I*' -10

41 B00 #n2ek%i er'e%>iru% &er'e% %im',e( 0 0 0 0 0 0 0 0 1 0 1 1 0 $ 0 0 $ 1 0 0 1 0 0

4$ B01 ari%e,a/)a;ar Air 0 0 0 0 0 1 1 $ 0 1 $ 1 0 0 0 0 0 0 0 0 0 0 0

4 B0" )am'ak 0 0 0 0 0 0 1 $ 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B1"-B19 HEPATITIS ,IRUS

44 B1" He'atiti% A akut &k,ini%( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

46 B1# He'atiti% ! akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

49 B17-B19 He'atiti% iru% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B20-B2!

4 B20-B2! Pen5akit H# /A#DS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B2"-B%! PENYAKIT ,IRUS LAINNYA

4< B2# Parotiti% &"ondon7( 0 0 0 0 0 0 0 0 1 $ $ 0 0 0 0 0 0 0 0 0 0 0 0

B"0-B#! PENYAKIT 'ISEBABKAN OLEH PROTOSOA

4= B"0 Ma,aria karena ',a%modium Ca,%i'arum &Ma,aria *ro'ika( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6? B"1 Ma,aria karena ',a%modium i>ak% &Ma,aria *ertiana( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

61 B"2 Ma,aria karena ',a%modium ma,aria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6$ B"%0 Ma,aria karena P,a%modium o>a,e 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6 B"%8 Ma,aria terbukti %e;ara 'ara%ito,o7ik tidak terk,a%i2ika%ikan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

64 B"! Ma,aria K,ini% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B#"-B8% PENYAKIT YANG 'ISEBABKAN OLEH *A*ING

66 B7! Ci,aria%i% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

69 B7# Pen5akit )a;in7 tamban7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6 B77 A%karia%i% &Pen5akit )a;in7 "e,an7( 0 0 0 0 0 $ 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6< B79 *rikuria%i% &Pen5akit )a;in7 )ambuk( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6= B80 Enterobia%i% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B8"-B89

PENYAKIT ,IRUS GANGGUAN 'E&ISIENSI IMUN PA'A

MANUSIA

PE'IKULOSIS+ AKARIASIS GANGGUAN OLEH KUTU

LAINNYA


4/461

JENIS PENYAKIT




NOURUT

KO'E I*' -10

9$ *1"-*2# *umor "ana% %a,uran 'en;ernaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9 *%0-*%9 *umor "ana% %i%tem 'erna2a%an dan a,at di da,am ron77a dada 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

94 *"0 *umor "ana% Pa5udara 0 0 0 0 0 0 0 0 0 0 0

*"1-*"8 TUMOR GANAS ALAT KELAMIN ANITA

96 *"%9 *umor "ana% Leer Raim 0 0 0 0 0 0 0 0 0 0 0

99 *"!9 *umor "ana% Kor'u% raim 0 0 0 0 0 0 0 0 0 0 0

9 *"# *umor 7ana% indun7 te,ur 0 0 0 0 0 0 0 0 0 0 0

*#0-*#% TUMOR GANAS ALAT KELAMIN PRIA

9< *#1 *umor "ana% Pro%tat 0 0 0 0 0 0 0 0 0 0 0

'10-'%# TUMOR JINAK

9= '%# *umor -inak Lainn5a dan t idak %'e%i2ik tem'atn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0

'%7-' !8 TUMOR TERTENTU ATAU TI'AK 'IKETAHUI PERILAKUNYA

? '!8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

III

1 '"0 Anemia De2i%ien%i !e%i 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0

$ '"%9 Anemia De2i%ien%i "iFi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1

Anemia ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

I, PENYAKIT KELAINAN EN'OKRIN+ GII 'AN METABOLIK

4 E1! Diabete% Me,,itu% tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1

6 E!0 KBa%iorkor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9 E!1 Mara%mu% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

E!2 Mara%mik0KBa%iorkor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

< E!% Kuran7 Ka,ori Protein !erat tidak S'%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

= E!! Kuran7 Ka,ori Protein Sedan7 dan Rin7an 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


5/461

JENIS PENYAKIT




NOURUT

KO'E I*' -10

a tidak %'e%i2ik 0 0 0 0 1 0 0 0 $ 0 1 0 1 0 1 $ 1 0 0 0 0 0 0

1?< H70 Ma%toiditi% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

"an77uan iBa dan 'eri,aku 5an7 di%ebabkan o,e 'en77unaan,ebi dari %atu eni% obat dan Fat '%ikoakti2 ,ainn5a


6/461

JENIS PENYAKIT




NOURUT

KO'E I*' -10

111 I10 Hi'erten%i Primer &e%en%ia,( 0 0 0 0 0 0 0 0 0 0 0 0 0 1 $? < 4 4 1$ 1 1? 14

11$ I1" Hi'erten%i %ekunder 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 I20 An7ina 'ektori% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

114 I21 #n2ark miokard Akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

116 I2%-I2" Pen5akit -antun7 #%kemik ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

119 I2# Embo,i 'aru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 I"0 Pen5akit "a7a, -antun7 &De;om'en%atio )ordi%( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11< I #% #n2ark %erebra, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11= I #! Stroke3 tidak men5ebut 'erdaraan atau in2ark. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0

1$? I #"-I#9 Pen5akit Serebro>a%ku,ar tidak %'e%i2ik 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 I 8! Hemoroid &a%ir( 0 0 0 0 0 0 0 0 0 0 0 0 0 1 $ $ 1 0 0 0 0 0 0

1$$ I 9" Hi'oten%i tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 $ 6 1 0 0 0 0 0 0 0

1$ I 99 Pen5akit Pembu,u dara ,ain tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

PENYAKIT SYSTEM PERNA&ASAN

J00-J0# PENYAKIT IN&EKSI SALURAN PERNA&ASAN ATAS AKUT

1$4 J00 Na%o2arin7iti% Akuta &)ommon )o,d( 0 0 0 0 11 $ 1$ $ 1= 1< = = $9 $$ 9 14 0 6 4 6 $

1$6 J01 Sinu%iti% Akuta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1$9 J02 Carin7iti% Akuta 0 0 0 0 1 $ 1 0 $ 1 1 1 0 0 $ = 0 0 0 0 0 0 0 1

1$ J0% *on%i,iti% Akuta - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1$< J0! Larin7iti% Akuta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1$= J0# Pen5akit #n2ek%i Sa,uran Perna2a%an Ata% Akut tidak %'e%i2ik 0 0 0 0 $ 1 $1 $$ 9 = 6 1 0 $ 9 $6 $ 0 1 4 4

J09-J18 IN&LUENA 'AN PNEUMONIA

1? J09 Su%'ek A>ian #n2,uenFa/ C,u !urun7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 J10-J11 #n2,uenFa 0 0 0 0 1 4 1$ 9 6 6 1 0 6 = 0 1 1 1 0 $ 1 0

1$ J180 !ron;o Pneumonia tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 J12-1#+ J189 Pneumonia 0 0 0 0 1 $ 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

J20-J22

14 J22 #n2ek% i %a, ran 'erna2a%an ba a ak t tidak %'e%i 2ik

PENYAKIT IN&EKSI SALURAN PERNA&ASAN BAAH AKUTLAINNYA


7/461

JENIS PENYAKIT




NOURUT

KO'E I*' -10

19 J %2 Sinu%iti% Kronik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 J%#-J%9 Pen5akit Sa,uran Perna2a%an !a7ian Ata% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1< J!0 !ron;iti% tidak ditentukan akut atau kronik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1= J!" A%ma 0 0 0 0 0 0 0 0 $ 0 0 0 0 $ 6 0 1 0 $ 1 $ 0

14? J!# Statu% A%tmatiku% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

141 J!7 !ronkiekta%i% dan !ronkio,ekta%i% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14$ J8!9 Pen5akit -arin7an #nter%titia, Paru ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 $ 1 1 0

I PENYAKIT SISTEM PEN*ERNAKAN

14 K02 Karie% 7i7i 0 0 0 0 0 0 0 $ $ 1 $ 0 $ 0 0 0 0 0 0 0 0

144 K0! Pen5akit Pu,'a dan arin7an Peria'ika, 0 0 0 0 0 0 0 $ $ $ 4 6 $ 1 0 $ 0 0 0 0 0

146 K0"-K0# Pen5akit "u%i3 arin7an Periodonta, dan tu,an7 a,>eo,ar 0 0 0 0 0 0 0 1 $ 0 1 $ 1 1 $ 4 0 0 0 0

149 K07 Ke,ainan dento2a%ia, terma%uk ma,ok,u%i 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14 K08 "an77uan "i7i dan arin7an 'enunan7 ,ainn5a 0 0 0 0 0 0 0 $ 0 $ 1 0 $ $ 1 0 0 0 0 0 0

14< K09 Pen5akit ron77a mu,ut3 ke,enar ,uda3 raan7 dan ,ainn5a. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14= K2" *ukak Lambun7 0 0 0 0 0 0 0 4 4 $ $ 1 9 $ 64 = 1 6 1? = 11 4 6

16? K299 "a%troduodeniti% tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

161 K %0 Di%'e'%ia 0 0 0 0 0 0 0 0 0 0 $ $ 4 $1 6 11 9 9 0 4

16$ K%" A'endi%iti% Akuta tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16 K%# A'endi%iti% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

164 K!0 Hernia #n7uina,i% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

166 K!1 Hernia Cemora,i% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

169 K!2 Hernia Umbi,ika,i% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16 K#% Pen5akit U%u% Ha,u% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16< K7# Pen5akit Hati ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16= K92 Pen5akit Si%tem Pen;ernaan tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

II PENYAKIT KULIT 'AN JARINGAN SUBKUTAN

19? L01 #m'eti7o 0 0 0 0 0 0 0 0 4 $ 0 0 1 0 0 0 0 0 0 0 0 0

191 L02 Ab%e%3 2urunke,3 karbunke, kutan 0 0 0 0 0 0 0 0 1 0 0 0 1 $ 4 1 0 0 0 0 0 0 1

19$ L2%-L2" Dermatiti% kontak 0 0 0 0 1 11 1 9 9 6 1? $1 1 1 1 0 1 4 1 $


8/461

JENIS PENYAKIT

JUMLAH KASUS BARU MENURUT GOLONGAN UMURK



NOURUT

KO'E I*' -10

196 M10 "out 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

199 M1% Artriti% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

19 M"!" LoB !a;k Pain &N5eri Pun77un7 !aBa( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $ 0 1 0 0 1 $ 0 0

19< M790 Remati%me3 tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 1 4 $1 6 11 4 4 1= 11 1

19= M791 M5a,7ia 0 0 0 0 0 0 0 $ 0 0 0 0 0 4 9 4 = $ 4 6 = 1 6

1? M792 Neura,7ia dan Neuriti%3 tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

I, PENYAKIT SISTEM SALURAN KEMIH 'AN KELAMIN

11 N0! Sindroma Ne2rotik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1$ N17 "a7a, "ina, Akuta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 N20-N21 !atu %i%tem kemi&7ina,3ureter3 %a,uran kemi baBa( 0 0 0 0 0 0 0 0 0 0 $ 0 0 0 6 0 0 0 0 0 1 0

14 N2% Ko,ik 7ina, tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16 N%0 Si%titi% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

19 N %! Uretriti% dan %indrom uretra, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 N!0-N!2 "an77uan 'ro%tat 0 0 0 0 0 0 0 0 0 0 0

, KEHAMILAN+ PERSALINAN 'AN NI&AS

1< O00 Keami,an ekto'ik &di ,uar kandun7an( 0 0 0 0 0 0 0 0

1= O0% Abortu% %'ontan 0 0 0 0 0 0 0 0

1


9/461

JENIS PENYAKIT




NOURUT

KO'E I*' -10

1= O2" Keami,an den7an ma,nutri%i 0 0 0 0 0 0 0 0

1=4 O!2 Ketuban Pe;a Dini 0 0 0 1 0 0 0 0

1=6 O!# Perdaraan Ante'artum 0 0 0 0 0 0 0 0

1=9 O#% Per%a,inan &Partu%( ,ama 0 0 0 0 0 0 0 0

1= O#8 Per%a,inan den7an 'en5u,it 7aBat anin 0 0 0 0 0 0 0 0

1=< O72 Perdaraan %ete,a 'er%a,inan 0 0 0 0 0 0 0 0

1== O80 Per%a,inan tun77a, %'ontan 0 0 $ = 0 0 0 0

,I

$?? P0" Pertumbuan anin ,ambat dan ma,nutri%i anin 0 0 0 0 0

$?1 P 07 0 0 0 0 0

$?$ P21 A%2ik%ia Baktu ,air 0 0 0 0 0

$? P22 Sindrome di%tre% %a,uran 'erna2a%an &RDS( 0 0 0 0 0

$?4 P29 0 0 0 0 0

$?6 P "0 Kei,an7an dara anin 0 0 0 0 0

$?9 P "" Pen5akit emo,itik 'ada anin dan ba5i baru ,air 0 0 0 0 0

$? P "8 -aundi% 'ada ba5i baru ,air di%ebabkan o,e emo,i%i% ber,ebian 0 0 0 0 0

$?< P "9 0 0 0 0 0

$?= P 9" Lair Mati 0 0 0 0 0

,II

$1? 3 %" )e,a 'a,atum &,an7it0,an7it( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$11 3 %# )e,a bibir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$1$ 3 %7 )e,a 'a,atum den7an ;e,a bibir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$1 3 %8 Ke,ainan baBaan ,ain 'ada ,ida3 mu,ut dan 2arin7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

,III

$14 R10 N5eri 'in77u, dan 'erut 0 0 0 0 0 0 0 0 0 0 0 0 $ 0 $ 0 0 0 0 0 0

$16 R 1" #nkontinen%ia 2e%e% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$19 R%% Reten%i urin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

KON'ISI TERTENTU YANG BERMULA PA'A MASAPERINATAL

an77uan 5an7 er u un7an en7an 'en e n5a ma%a 7e% a%&keami,an( dan berat badan ,air renda3 tidak terk,a%i2ika%ikandi tem at ,ainn a

"an77uan kardio>a%ku,er 5an7 berubun7an den7an ma%a'erinata,

-aundi% 'ada ba5i baru ,air 5an7 di%ebabkan o,e 'en5ebabtidak %'e%i2ik ,ainn5a

KELAINAN BAAAN+ KELAINAN PEMBENTUKAN 'ANKHROMOSOM

+ .LABORATORIUM YANG TI'AK 'IKLASI &IKASIKAN 'ITEMPAT LAIN


10/461

JENIS PENYAKIT




NOURUT

KO'E I*' -10

I *E'ERA+ KERA*UNAN 'AN PENYEBAB EKSTERNAL LAIN

$$? S00-S09 )edera 'ada ke'a,a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$$1 S10-S19 )edera 'ada ,eer 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$$$ S20-S29 )edera 'ada ron77a dada &torak%( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$$ S%0-S%9 )edera 'ada 'erut3 'un77un73 tu,an7 be,akan73 dan 'in77u, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$$4 0 0 0 0 0 0 0 1 1 0 0 0 0 $ 1 0 0 0 0 0 0 0 0

$$6 )edera 'ada 'aa3 ,utut3 kaki ba7ian baBa3 te,a'ak kaki 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 $ 1 0 0 0 1 0 0

$$9 Craktur tu,an7 an77ota 7erak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$$ T00-T07 )edera 'ada daera badan mu,ti'e, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$$< T20-T%2 Luka bakar dan koro%i 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$$= T%#-T"0 Kera;unan obat dan 're'arat bio,o7ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$? T#0 Kera;unan 'e%ti%ida 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

II

$1 U0! Se>ere a;ute re%'irator5 %5ndrome &SARS( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$$ P45.6t L.-L.5. 0 0 0 0 0 0 0 0 $ 0 0 $ $ 1 $ 1 0 0 0 0 $

*a%ikma,a5a3

MEN"E*AHU# : PE

KEPALA PUSKESMAS PELAKSA

#HSAN CUAD#3 S.#P.3 MM.Ke% +US# HAND

N#P. 1=9=?111 1=


11/461

ota

%ma% &ar%i'(

US LAMA

P JML%2 %% %! %"

0 0 0 0

0 0

0 0 0 0

0 0 0

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< $

0 0 0 0

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0 0 0 0

0 0 $ 2

0 0 0 0

0 0 0

0 0 0

0 0 0

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TOTALKASUS PESERTAGAKIN


12/461

SUS LAMA

P JML%2 %% %! %"

TOTALKASUS

PESERTAGAKIN

0 0 0 0

0 0 0

0 0 0

0 0 0 0

0 0 0

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0 0 0 0

0 0 0 0

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0 0 0

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13/461

SUS LAMA

P JML%2 %% %! %"

TOTALKASUS

PESERTAGAKIN

$ = 2

$ < 3

0 0 1

0 0 0 0

0 0 0

0 0 0

0 0 0 0

$ $ 6 1

0 0 0 0

0 0 0

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14/461

SUS LAMA

P JML%2 %% %! %"

TOTALKASUS

PESERTAGAKIN

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

0 0 0 0

$ $ 6 1

0 0 $ 1

0 0 0

6 6 9

0 0 0 0

0 0 0

0 0 0

0 0 0

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0 0 0

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15/461

US LAMA

P JML%2 %% %! %"

TOTALKASUS

PESERTAGAKIN

0 0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

$ $ $ 2

0 0 0 0

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$$ $ 91 1$

0 0 0 0

16 $? 64 1?

0 $ 1

0 0 0 0

0 0 0

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= $

0 0 0 0


16/461

US LAMA

P JML%2 %% %! %"

TOTALKASUS

PESERTAGAKIN

9<


17/461

US LAMA

P JML%2 %% %! %"

TOTALKASUS

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0 0 0 0

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= $$

0 0 0 0

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4 16 2

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= 19 $ 4

0 0 0 0

4 1? 19 2

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9 =1 141 20

0 0 0 0

? < 4 11

0 0 0 -

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4 9 1? 1

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41 6< 11$ 11


18/461

US LAMA

P JML%2 %% %! %"

TOTALKASUS

PESERTAGAKIN

0 0 0 0

0 0 0

1 1 9 1

41 61 =? 1

$ 61 =

0 0 0 0

0 0 0 0

0 0 0

$ 11 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

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19/461

US LAMA

P JML%2 %% %! %"

TOTALKASUS

PESERTAGAKIN

0 0 0 0

0 1 1

0 0 0 0

0 0 -

0 0 0 0

0 0 -

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0 0 0 0

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0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 -

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9 9 1? $

0 0 0 0

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20/461

SUS LAMA

P JML%2 %% %! %"

TOTALKASUS

PESERTAGAKIN

0 0 0 -

0 0 0 0

0 0 0

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0 0 6 4

0 0 6 6

0 0 0 -

0 0 0 0

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0 0 0 0

9 < $1 =


21/461

LB 1

KODE PUSKESMAS :

DESA /KELURAHAN : .…………………………………… Lembar 1 : Untuk Koo

PUSKESMAS : !UN"URSAR# Lembar $ : Untuk Koo

KE)AMA*AN : !UN"URSAR#KA!UPA*EN/KO*A : *AS#KMALA+A !u,an :



JENIS PENYAKIT






1 A00 Ko,era 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$ A010 Demam ti2oid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 $ 0 0 0 0 0 0

A01! Demam 'arati2oid3 tidak S'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

4 A02 #n2ek%i %a,mone,a ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6 A0% Si7e,o%i%8 Di%entri !a%i,er tidak S'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9 A0! #n2ek%i u%u% karena bakteri ,ainn5a tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A0" Kera;unan makanan karena bakteri ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

< A0# Amubia%i%3 Di%entri Amuba 0 0 0 0 0 0 1 0 1 0 0 0 0 $ 9 0 0 1 0 0 0 0

= A08 #n2ek%i >iru% dan #n2ek%i u%u% tertentu ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1? A09 Diare dan "a%troenteriti% 0 0 0 0 0 0 = 0 $ 1 0 1 $ 4 0 0 0 0 0 0

11 Pen5akit in2ek%i u%u% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


1$ A1"0 *uberku,o%a Paru !*A &@( den7an/tan'a 'emerik%aan biakan. 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0

1 A1#0 *uberku,o%i% 'aru k,ini% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14 A 1"1 - A 1#2 *uberku,o%i% 'aru ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16 A1#% -9 *uberku,o%i% a,at na2a% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

19 A170 Menin7iti% *uberku,o%a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

NOURUT

KO'E I*' -10

A02+ A0!+ A07-A08

2

0

2

0


22/461

JENIS PENYAKIT




NOURUT

KO'E I*' -10

1= A20 Pe%/Sam'ar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$? A22 Antrak% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$1 A27 Le'to%'iro%i% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


$$ A%00 Ku%ta #/* &M!( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$ A%0" Ku%ta !/L &P!( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


$6 A%" *etanu% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$9 A%# Di2teria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$ A%7 Pertu%i%/!atuk rean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$< A%9 #n2ek%i Menin7okok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$= A!0-A!1 Se'ti%emia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A"0-A#!

? A"0 Si2i,i% kon7enita,/baBaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 A"1 Si2i,i% dini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$ A"! #n2ek%i "onokok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


A## Crambu%ia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


4 A71 *rakoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


6 A80 Po,iomie,iti% akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9 A82 Rabie% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A87 Menin7iti% karena >iru% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A90-A99

< A90 Demam Den7ue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

= A91 Demam !erdara Den7ue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

PENYAKIT IN&EKSI YANG 'ITULARKAN MELALUI

HUBUNGAN SEKSUAL




23/461

JENIS PENYAKIT




NOURUT

KO'E I*' -10

41 B00 #n2ek%i er'e%>iru% &er'e% %im',e( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $ 1 0 0 1 0 0 0 0

4$ B01 ari%e,a/)a;ar Air 0 0 0 0 0 0 0 0 1 $ 1 1 0 0 0 0 0 0 0 0 0 0

4 B0" )am'ak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


44 B1" He'atiti% A akut &k,ini%( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

46 B1# He'atiti% ! akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

49 B17-B19 He'atiti% iru% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B20-B2!

4 B20-B2! Pen5akit H# /A#DS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


4< B2# Parotiti% &"ondon7( 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0


4= B"0 Ma,aria karena ',a%modium Ca,%i'arum &Ma,aria *ro'ika( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6? B"1 Ma,aria karena ',a%modium i>ak% &Ma,aria *ert iana( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

61 B"2 Ma,aria karena ',a%modium ma,aria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6$ B"%0 Ma,aria karena P,a%modium o>a,e 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6 B"%8 Ma,aria terbukti %e;ara 'ara%ito,o7ik tidak terk,a%i2ika%ikan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

64 B"! Ma,aria K,ini% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


66 B7! Ci,aria%i% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

69 B7# Pen5akit )a;in7 tamban7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6 B77 A%karia%i% &Pen5akit )a;in7 "e,an7( 0 0 0 0 0 0 $ 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6< B79 *rikuria%i% &Pen5akit )a;in7 )ambuk( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6= B80 Enterobia%i% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B8"-B89

PENYAKIT ,IRUS GANGGUAN 'E&ISIENSI IMUN PA'A

MANUSIA

PE'IKULOSIS+ AKARIASIS GANGGUAN OLEH KUTULAINNYA


24/461

JENIS PENYAKIT




NOURUT

KO'E I*' -10

9$ *1"-*2# *umor "ana% %a,uran 'en;ernaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9 *%0-*%9 *umor "ana% %i%tem 'erna2a%an dan a,at di da,am ron77a dada 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

94 *"0 *umor "ana% Pa5udara 0 0 0 0 0 0 1 0 0


96 *"%9 *umor "ana% Leer Raim 0 0 0 0 0 0 0 0 0

99 *"!9 *umor "ana% Kor'u% raim 0 0 0 0 0 0 0 0 0

9 *"# *umor 7ana% indun7 te,ur 0 0 0 0 0 0 0 0 0


9< *#1 *umor "ana% Pro%tat 0 0 0 0 0 0 0 0 0 0 0 0

'10-'%# TUMOR JINAK

9= '%# *umor -inak Lainn5a dan t idak %'e%i2ik tem'atn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0


? '!8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

III

1 '"0 Anemia De2i%ien%i !e%i 0 0 0 0 0 0 0 0 0 0 0 0 $ 1 6 0 0 0 0 0 1

$ '"%9 Anemia De2i%ien%i "iFi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Anemia ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


4 E1! Diabete% Me,,itu% tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $ 6 $ 1 0 $

6 E!0 KBa%iorkor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9 E!1 Mara%mu% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

E!2 Mara%mik0KBa%iorkor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

< E!% Kuran7 Ka,ori Protein !erat tidak S'%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

= E!! Kuran7 Ka,ori Protein Sedan7 dan Rin7an 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


25/461

JENIS PENYAKIT




NOURUT

KO'E I*' -10

a tidak %'e%i2ik 0 0 0 0 0 0 0 1 1 0 1 0 $ 0 0 0 $ 0 0 0 0 1

1?< H70 Ma%toiditi% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

"an77uan iBa dan 'eri,aku 5an7 di%ebabkan o,e 'en77unaan

,ebi dari %atu eni% obat dan Fat '%ikoakti2 ,ainn5a


26/461

JENIS PENYAKIT




NOURUT

KO'E I*' -10

111 I10 Hi'erten%i Primer &e%en%ia,( 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 $? 6 11 $ 14 1

11$ I1" Hi'erten%i %ekunder 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 I20 An7ina 'ektori% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

114 I21 #n2ark miokard Akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

116 I2%-I2" Pen5akit -antun7 #%kemik ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

119 I2# Embo,i 'aru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 I"0 Pen5akit "a7a, -antun7 &De;om'en%atio )ordi%( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11< I #% #n2ark %erebra, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11= I #! Stroke3 tidak men5ebut 'erdaraan atau in2ark. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0

1$? I #"-I#9 Pen5akit Serebro>a%ku,ar tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1$1 I 8! Hemoroid &a%ir( 0 0 0 0 0 0 0 0 0 0 0 0 0 $ 0 1 0 0 0 0 0

1$$ I 9" Hi'oten%i tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 0 0 0 0

1$ I 99 Pen5akit Pembu,u dara ,ain tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0



1$4 J00 Na%o2arin7iti% Akuta &)ommon )o,d( 0 0 0 0 = $= $1 1 1$ 14 11 $1 41 $$ $ 11 1 = 4 4

1$6 J01 Sinu%iti% Akuta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1$9 J02 Carin7iti% Akuta 0 0 0 0 0 1 4 4 $ 1 0 0 1 0 0 0 0 0 0 0 0 0

1$ J0% *on%i,iti% Akuta - 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1$< J0! Larin7iti% Akuta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1$= J0# Pen5akit #n2ek%i Sa,uran Perna2a%an Ata% Akut tidak %'e%i2ik 0 0 0 0 4 4 = $1 0 1 6 0 11 9 1< $9 6 = < 1 $ 6


1? J09 Su%'ek A>ian #n2,uenFa/ C,u !urun7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 J10-J11 #n2,uenFa 0 0 0 0 $ 1 9 = 1 0 0 4 6 $ 1 9 $ 6 $ 0

1$ J180 !ron;o Pneumonia tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 J12-1#+ J189 Pneumonia 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

J20 J22PENYAKIT IN&EKSI SALURAN PERNA&ASAN BAAH AKUT


27/461

JENIS PENYAKIT




NOURUT

KO'E I*' -10

16 J %0% A,er7i Riniti% akibat kera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

19 J %2 Sinu%iti% Kronik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 J%#-J%9 Pen5akit Sa,uran Perna2a%an !a7ian Ata% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1< J!0 !ron;iti% tidak ditentukan akut atau kronik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1= J!" A%ma 0 0 0 0 0 0 0 0 0 1 0 0 0 $ 0 0 1 0 0 1 1

14? J!# Statu% A%tmatiku% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

141 J!7 !ronkiekta%i% dan !ronkio,ekta%i% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14$ J8!9 Pen5akit -arin7an #nter%titia, Paru ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 4


14 K02 Karie% 7i7i 0 0 0 0 0 0 0 1 1 1 $ 4 1 1 0 0 0 0 0 0 0

144 K0! Pen5akit Pu,'a dan arin7an Peria'ika, 0 0 0 0 0 0 0 $ 4 $ $ 6 4 1 1 0 $ 0 0 0 0

146 K0"-K0# Pen5akit "u%i3 arin7an Periodonta, dan tu,an7 a,>eo,ar 0 0 0 0 0 0 0 1 4 4 6 4 4 $ 0 0 0 0

149 K07 Ke,ainan dento2a%ia, terma%uk ma,ok,u%i 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14 K08 "an77uan "i7i dan arin7an 'enunan7 ,ainn5a 0 0 0 0 0 0 0 $ 0 $ $ 1 0 0 1 0 1 0 0 0 0 0

14< K09 Pen5akit ron77a mu,ut3 ke,enar ,uda3 raan7 dan ,ainn5a. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14= K2" *ukak Lambun7 0 0 0 0 0 0 0 $ 1 0 9 9 1 14 1 1 1 $ $

16? K299 "a%troduodeniti% tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

161 K %0 Di%'e'%ia 0 0 0 0 0 0 0 0 0 $ 4 6 1 4 6 0 4 $ 4 $

16$ K%" A'endi%iti% Akuta tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16 K%# A'endi%iti% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

164 K!0 Hernia #n7uina,i% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

166 K!1 Hernia Cemora,i% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

169 K!2 Hernia Umbi,ika,i% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16 K#% Pen5akit U%u% Ha,u% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16< K7# Pen5akit Hati ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16= K92 Pen5akit Si%tem Pen;ernaan tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


19? L01 #m'eti7o 0 0 0 0 0 0 $ 0 1 0 0 1 1 0 1 0 0 0 0 0 0

191 L02 Ab%e%3 2urunke,3 karbunke, kutan 0 0 0 0 0 0 0 0 0 1 0 $ 0 0 1 1 0 0 0 0 1


28/461

JENIS PENYAKIT




NOURUT

KO'E I*' -10

III

196 M10 "out 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

199 M1% Artriti% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

19 M"!" LoB !a;k Pain &N5eri Pun77un7 !aBa( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

19< M790 Remati%me3 tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 $9 $4 1= 1 $ 4 $ 6

19= M791 M5a,7ia 0 0 0 0 0 0 0 0 0 0 0 1 0 14 $1 9 1$ $ 1 $ 1 $

1? M792 Neura,7ia dan Neuriti%3 tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


11 N0! Sindroma Ne2rotik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1$ N17 "a7a, "ina, Akuta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 N20-N21 !atu %i%tem kemi&7ina,3ureter3 %a,uran kemi baBa( 0 0 0 0 0 0 0 0 0 0 1 0 0 $ 1 $ 0 1 0 0 0 0 0

14 N2% Ko,ik 7ina, tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16 N%0 Si%titi% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

19 N %! Uretriti% dan %indrom uretra, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 N!0-N!2 "an77uan 'ro%tat 0 0 0 0 0 0 0 0 0 0 0


1< O00 Keami,an ekto'ik &di ,uar kandun7an( 0 0 0 0 0 0 0

1= O0% Abortu% %'ontan 0 0 0 0 0 0 0

1


29/461

JENIS PENYAKIT




NOURUT

KO'E I*' -10

1=$ O2! Diabete% Me,,itu% &Pen5akit Ken;in7 Mani%( da,am keami,an 0 0 0 0 0 0 0

1= O2" Keami,an den7an ma,nutri%i 0 0 0 0 0 0 0

1=4 O!2 Ketuban Pe;a Dini 0 0 0 0 0

1=6 O!# Perdaraan Ante'artum 0 0 0 0 0 0 0

1=9 O#% Per%a,inan &Partu%( ,ama 0 0 0 0 0 0 0

1= O#8 Per%a,inan den7an 'en5u,it 7aBat anin 0 0 0 0 0 0 0

1=< O72 Perdaraan %ete,a 'er%a,inan 0 0 0 0 0 0 0

1== O80 Per%a,inan tun77a, %'ontan 0 0 1 14 0 0 0

,I

$?? P0" Pertumbuan anin ,ambat dan ma,nutri%i anin 0 0 0 0 0 0

$?1 P 07 0 0 0 0 0 0

$?$ P21 A%2ik%ia Baktu ,air 0 0 0 0 0 0

$? P22 Sindrome di%tre% %a,uran 'erna2a%an &RDS( 0 0 0 0 0 0

$?4 P29 0 0 0 0 0 0

$?6 P "0 Kei,an7an dara anin 0 0 0 0 0 0

$?9 P "" Pen5akit emo,itik 'ada anin dan ba5i baru ,air 0 0 0 0 0 0

$? P "8 -aundi% 'ada ba5i baru ,air di%ebabkan o,e emo,i%i% ber,ebian 0 0 0 0 0 0

$?< P "9 0 0 0 0 0 0

$?= P 9" Lair Mati 0 0 0 0 0 0

,II


$11 3 %# )e,a bibir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


$1 3 %8 Ke,ainan baBaan ,ain 'ada ,ida3 mu,ut dan 2arin7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

,III

$14 R10 N5eri 'in77u, dan 'erut 0 0 0 0 0 0 0 0 1 0 0 0 $ 0 1 $ 0 0 0 0 1 0

$16 R 1" #nkontinen%ia 2e%e% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


an77uan 5an7 er u un7an en7an 'en e n5a ma%a 7e% a%&keami,an( dan berat badan ,air renda3 tidak terk,a%i2ika%ikandi tem at ,ainn a

"an77uan kardio>a%ku,er 5an7 berubun7an den7an ma%a'erinata,

-aundi% 'ada ba5i baru ,air 5an7 di%ebabkan o,e 'en5ebab

tidak %'e%i2ik ,ainn5a


+ .LABORATORIUM YANG TI'AK 'IKLASI &IKASIKAN 'ITEMPAT LAIN


30/461

JENIS PENYAKIT




NOURUT

KO'E I*' -10

$1= R#8 "ea,a dan tanda umum ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


$$? S00-S09 )edera 'ada ke'a,a 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0

$$1 S10-S19 )edera 'ada ,eer 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$$$ S20-S29 )edera 'ada ron77a dada &torak%( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$$ S%0-S%9 )edera 'ada 'erut3 'un77un73 tu,an7 be,akan73 dan 'in77u, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$$4 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0

$$6 )edera 'ada 'aa3 ,utut3 kaki ba7ian baBa3 te,a'ak kaki 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0


$$ T00-T07 )edera 'ada daera badan mu,ti'e, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$$< T20-T%2 Luka bakar dan koro%i 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0

$$= T%#-T"0 Kera;unan obat dan 're'arat bio,o7ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$? T#0 Kera;unan 'e%ti%ida 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

II

$1 U0! Se>ere a;ute re%'irator5 %5ndrome &SARS( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$$ P45.6t L.-L.5. 0 0 0 0 0 0 0 1 0 1 0 0 1 $ $ 1 0 0 0 $ 1 1 0

*AS#KMA

MEN"E*AHU# :

KEPALA PUSKESMAS PEL

#HSAN CUAD#3 S.#P.3 MM.Ke% +US#

S!0-S!9+ S"0-S"9+ S#0-S#9

)edera 'ada bau3 ,en7an ata%3 %iku3 ,en7an baBa3'er7e,an7an dan te,a'ak tan7an

S70-S79+S80-S89+ S90-S99

S!2+ S"2+ S#2+S82+S92+

T10+T12

PENYAKIT BARU 'ENGAN ETIMOLOGI YANG BELUM

JELAS


31/461

Kota

e%ma% &ar%i'(

KASUS LAMA

L P JML%1 %2 %% %! %"

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

1 4 6 11

0 0 0 0

9 1 1 6

0 0 0 0

0 0 $ 2

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

TOTALKASUS

PESERTAGAKIN


32/461

KASUS LAMA

L P JML%1 %2 %% %! %"

TOTALKASUS

PESERTAGAKIN

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0


33/461

KASUS LAMA

L P JML%1 %2 %% %! %"

TOTALKASUS

PESERTAGAKIN

0 0 4 1

0 0 6 -

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 $ -

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0

0 0 0 0

0 0 0 0


34/461

KASUS LAMA

L P JML%1 %2 %% %! %"

TOTALKASUS

PESERTAGAKIN

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

0 0 0 0

0 = 2

0 0 1 0

0 0 0 0

6 1? $? 1?

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 00 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0


35/461

KASUS LAMA

L P JML%1 %2 %% %! %"

TOTALKASUS

PESERTAGAKIN

0 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 1 1

0 0 0 0

0 0 0 0

0 0 0 0

1 $? 4? 11

0 0 0 0

< $1 $= 4 1?

0 0 0 0

0 0 1 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


36/461

KASUS LAMA

L P JML%1 %2 %% %! %"

TOTALKASUS

PESERTAGAKIN

11 4= 9?


37/461

KASUS LAMA

L P JML%1 %2 %% %! %"

TOTALKASUS

PESERTAGAKIN

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

$ 4 1? =

0 0 0 0

0 0 0 0

1 4 9

9 11 2

6 1$ $6 4

= 4 1 9 9

0 0 0 -

0 1 1 =1

0 0 0 -

< 94 $ 1?= 24

0 0 0 -

1? $$ $ 6$ 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

1 4 6 = 2

0 =

KASUS LAMA TOTAL PESERTA


38/461

KASUS LAMA

L P JML%1 %2 %% %! %"

TOTALKASUS

PESERTAGAKIN

0 0 0 -

0 0 0 0

0 0 0 0

$? $ 4 = $$

1$ $? $ 9$ 1

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 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



39/461

KASUS LAMA

L P JML%1 %2 %% %! %"

TOTALKASUS

PESERTAGAKIN

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 -

0 0 0 0

0 0 0 -

16 16 16 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0

0 0 0 0 0

0 0 0 0 0

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 1 $

0 0 0 0 0



40/461

L P JML%1 %2 %% %! %"

TOTALKASUS

PESERTAGAKIN

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 0 0 3

0 0 0 $

0 0 0 1 1

0 0 0 0 0

0 0 0 $ 1

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

6 < 16

LB 1


41/461

KODE PUSKESMAS :

DESA /KELURAHAN : .…………………………………… Lembar 1 : Untuk Koordin

PUSKESMAS : !UN"URSAR# Lembar $ : Untuk Koordin

KE)AMA*AN : !UN"URSAR#

KA!UPA*EN/KO*A : *AS#KMALA+A !u,an :



JENIS PENYAKIT

JUMLAH KASUS BARU MENURUT GOLONGAN UMURKASU

0-7 hr 8 - 28 hr 29hr-1th 1 - ! th "-9 th 10-1! th 1"-19 th 20-!! th !"-"! th ""-"9 th #0-#9 th $- 70 thL P L P L P L P L P L P L P L P L P L P L P L P L

1 2 % ! " # 7 8 9 10 11 12 1% 1! 1" 1# 17 18 19 20 21 22 2% 2! 2" 2# 27 28



1 A00 Ko,era 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$ A010 Demam ti2oid 0 0 0 0 0 0 0 0 0 1 0 0 $ 1 1 0 0 0 $ 0 0 0 0 $

A01! Demam 'arati2oid3 tidak S'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

4 A02 #n2ek%i %a,mone,a ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6 A0% Si7e,o%i%8 Di%entri !a%i,er tidak S'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9 A0! #n2ek%i u%u% karena bakteri ,ainn5a t idak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A0" Kera;unan makanan karena bakteri ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

< A0# Amubia%i%3 Di%entri Amuba 0 0 0 0 0 0 1 0 0 0 0 0 0 1 $ 0 0 0 0 0 0 0 0 1

= A08 #n2ek%i >iru% dan #n2ek%i u%u% tertentu ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1? A09 Diare dan "a%troenteri ti% 0 0 0 0 1 4 9 0 0 $ 1 1 4 9 0 $ 0 0 0 0 0 6

11 Pen5akit in2ek%i u%u% ,ainn5a 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$ A1"0 *uberku,o%a Paru !*A &@( den7an/tan'a 'emerik%aan biakan. 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 A1#0 *uberku,o%i% 'aru k,ini% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14 A 1"1 - A 1#2 *uberku,o%i% 'aru ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16 A1#% -9 *uberku,o%i% a,at na2a% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

19 A170 Menin7iti% *uberku,o%a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

b k , i , i

NO

URUT

KO'E I*' -

10

A02+ A0!+ A07-A08

2

0 3

02

0 3

02

0 3

0

JENIS PENYAKIT


0 7 hr 8 28 hr 29hr 1th 1 ! th " 9 th 10 1! th 1" 19 th 20 !! th !" "! th "" "9 th #0 #9 th $ 70 thNO KO'E I*' -


42/461

JENIS PENYAKIT 0-7 hr 8 - 28 hr 29hr-1th 1 - ! th "-9 th 10-1! th 1"-19 th 20-!! th !"-"! th ""-"9 th #0-#9 th $- 70 th


URUT 10

1= A20 Pe%/Sam'ar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$? A22 Antrak% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$1 A27 Le'to%'iro%i% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


$$ A%00 Ku%ta #/* &M!( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$ A%0" Ku%ta !/L &P!( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


$6 A%" *etanu% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$9 A%# Di2teria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$ A%7 Pertu%i%/!atuk rean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$< A%9 #n2ek%i Menin7okok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$= A!0-A!1 Se'ti%emia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A"0-A#!

? A"0 Si2i,i% kon7enita,/baBaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 A"1 Si2i,i% dini 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$ A"! #n2ek%i "onokok 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


A## Crambu%ia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


4 A71 *rakoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


6 A80 Po,iomie,iti% akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9 A82 Rabie% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A87 Menin7iti% karena >iru% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

A90-A99

< A90 Demam Den7ue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

= A91 Demam !erdara Den7ue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

PENYAKIT IN&EKSI YANG 'ITULARKAN MELALUI

HUBUNGAN SEKSUAL



JENIS PENYAKIT


0-7 hr 8 - 28 hr 29hr-1th 1 - ! th "-9 th 10-1! th 1"-19 th 20-!! th !"-"! th ""-"9 th #0-#9 th $- 70 thNO KO'E I*' -


43/461

JENIS PENYAKIT 0-7 hr 8 - 28 hr 29hr-1th 1 - ! th "-9 th 10-1! th 1"-19 th 20-!! th !"-"! th ""-"9 th #0-#9 th $- 70 th


URUT 10

41 B00 #n2ek%i er'e%>iru% &er'e% %im',e( 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0

4$ B01 ari%e,a/)a;ar Air 0 0 0 0 0 0 0 1 $ 0 1 0 0 0 0 0 0 0 0 0 0 0 0

4 B0" )am'ak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


44 B1" He'atiti% A akut &k,ini%( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

46 B1# He'atiti% ! akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

49 B17-B19 He'atiti% iru% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B20-B2!

4 B20-B2! Pen5akit H# /A#DS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


4< B2# Parotiti% &"ondon7( 0 0 0 0 0 0 0 0 6 1 0 0 0 0 0 0 0 0 0 0 0 0 0


4= B"0 Ma,aria karena ',a%modium Ca,%i'arum &Ma,aria *ro'ika( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6? B"1 Ma,aria karena ',a%modium i>ak% &Ma,aria *ert iana( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

61 B"2 Ma,aria karena ',a%modium ma,aria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6$ B"%0 Ma,aria karena P,a%modium o>a,e 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6 B"%8 Ma,aria terbukti %e;ara 'ara%ito,o7ik tidak terk,a%i2ika%ikan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

64 B"! Ma,aria K,ini% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


66 B7! Ci,aria%i% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

69 B7# Pen5akit )a;in7 tamban7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6 B77 A%karia%i% &Pen5akit )a;in7 "e,an7( 0 0 0 0 0 0 $ 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6< B79 *rikuria%i% &Pen5akit )a;in7 )ambuk( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6= B80 Enterobia%i% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

B8"-B89

PENYAKIT ,IRUS GANGGUAN 'E&ISIENSI IMUN PA'AMANUSIA

PE'IKULOSIS+ AKARIASIS GANGGUAN OLEH KUTULAINNYA

JENIS PENYAKIT


0-7 hr 8 - 28 hr 29hr-1th 1 - ! th "-9 th 10-1! th 1"-19 th 20-!! th !"-"! th ""-"9 th #0-#9 th $- 70 thNO

URUT

KO'E I*' -0


44/461

JENIS PENYAKIT 0 7 hr 8 28 hr 29hr 1th 1 ! th " 9 th 10 1! th 1" 19 th 20 !! th !" "! th "" "9 th #0 #9 th $ 70 th


URUT 10

9$ *1"-*2# *umor "ana% %a,uran 'en;ernaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0

9 *%0-*%9 *umor "ana% %i%tem 'erna2a%an dan a,at di da,am ron77a dada 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

94 *"0 *umor "ana% Pa5udara 0 0 0 0 0 0 0 1 0 0 0


96 *"%9 *umor "ana% Leer Raim 0 0 0 0 0 0 0 0 0 0 0

99 *"!9 *umor "ana% Kor'u% raim 0 0 0 0 0 0 0 0 0 0 0

9 *"# *umor 7ana% indun7 te,ur 0 0 0 0 0 0 0 0 0 0 0


9< *#1 *umor "ana% Pro%tat 0 0 0 0 0 0 0 0 0 0 0 0

'10-'%# TUMOR JINAK

9= '%# *umor -inak Lainn5a dan tidak %'e%i2ik tem'atn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


? '!8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

III

1 '"0 Anemia De2i%ien%i !e%i 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$ '"%9 Anemia De2i%ien%i "iFi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1

Anemia ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


4 E1! Diabete% Me,,itu% tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 1 1 1 0 0 $ $

6 E!0 KBa%iorkor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

9 E!1 Mara%mu% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

E!2 Mara%mik0KBa%iorkor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

< E!% Kuran7 Ka,ori Protein !erat tidak S'%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

= E!! Kuran7 Ka,ori Protein Sedan7 dan Rin7an 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


45/461


URUT 10

a tidak %'e%i2ik 0 0 0 0 0 0 1 1 0 $ 0 0 1 1 1 0 1 0 0 0 0

1?< H70 Ma%toiditi% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

"an77uan iBa dan 'eri,aku 5an7 di%ebabkan o,e 'en77unaan

,ebi dari %atu eni% obat dan Fat '%ikoakti2 ,ainn5a

JENIS PENYAKIT



URUT

KO'E I*' -10


46/461


URUT 10

111 I10 Hi'erten%i Primer &e%en%ia,( 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 4 1? 9 9 <

11$ I1" Hi'erten%i %ekunder 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 I20 An7ina 'ektori% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

114 I21 #n2ark miokard Akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

116 I2%-I2" Pen5akit -antun7 #%kemik ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

119 I2# Embo,i 'aru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 I"0 Pen5akit "a7a, -antun7 &De;om'en%atio )ordi%( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0

11< I #% #n2ark %erebra, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11= I #! Stroke3 tidak men5ebut 'erdaraan atau in2ark. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $ 1 0 0 0 0

1$? I #"-I#9 Pen5akit Serebro>a%ku,ar tidak %'e%i2ik 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 I 8! Hemoroid &a%ir( 0 0 0 0 0 0 0 0 0 0 0 0 0 1 $ 0 0 0 0 0 0 0 1

1$$ I 9" Hi'oten%i tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 1 $ 0 0 0 0 0 0 0 0

1$ I 99 Pen5akit Pembu,u dara ,ain tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0



1$4 J00 Na%o2arin7iti% Akuta &)ommon )o,d( 0 0 0 0 9 $< < $ 0 4 11 < $4 $= 0 < 0 0 4 0 0

1$6 J01 Sinu%iti% Akuta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1$9 J02 Carin7iti% Akuta 0 0 0 0 0 0 1 $ $ 0 $ $ 1 0 0 0 0 0 0 0 0 0 0 0

1$ J0% *on%i,iti% Akuta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0

1$< J0! Larin7iti% Akuta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1$= J0# Pen5akit #n2ek%i Sa,uran Perna2a%an Ata% Akut tidak %'e%i2ik 0 0 0 0 4 = 1< 6 1 11 16 $ $9 11 $ 0 < 6 1 $ 0 4


1? J09 Su%'ek A>ian #n2,uenFa/ C,u !urun7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

11 J10-J11 #n2,uenFa 0 0 0 0 11 1? 0 $ 6 9 < 1 0 $ 0 1 $ 0 0 0 0

1$ J180 !ron;o Pneumonia tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 J12-1#+ J189 Pneumonia 0 0 0 0 $ 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

J20 J22PENYAKIT IN&EKSI SALURAN PERNA&ASAN BAAH AKUT

JENIS PENYAKIT



URUTKO'E I*' -

10


47/461


URUT 10

16 J %0% A,er7i Riniti% akibat kera 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

19 J %2 Sinu%iti% Kronik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 J%#-J%9 Pen5akit Sa,uran Perna2a%an !a7ian Ata% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1< J!0 !ron;iti% tidak ditentukan akut atau kronik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1= J!" A%ma 0 0 0 0 1 0 0 $ 0 1 0 0 0 0 $ $ 0 0 4 4 $ 1

14? J!# Statu% A%tmatiku% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

141 J!7 !ronkiekta%i% dan !ronkio,ekta%i% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14$ J8!9 Pen5akit -arin7an #nter%titia, Paru ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $ 1


14 K02 Karie% 7i7i 0 0 0 0 0 0 1 0 0 $ $ 0 0 0 0 0 0 0 0 0 0 0 0

144 K0! Pen5akit Pu,'a dan arin7an Peria'ika, 0 0 0 0 0 0 1 $ 4 4 1 1 $ 1 0 0 0 0 0 0 0

146 K0"-K0# Pen5akit "u%i3 arin7an Periodonta, dan tu,an7 a,>eo,ar 0 0 0 0 0 0 6 4 4 6 4 0 $ 1 0 0 0 0 0

149 K07 Ke,ainan dento2a%ia, terma%uk ma,ok,u%i 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14 K08 "an77uan "i7i dan arin7an 'enunan7 ,ainn5a 0 0 0 0 0 0 $ $ 0 $ 1 0 1 0 0 0 0 0 0 0 0

14< K09 Pen5akit ron77a mu,ut3 ke,enar ,uda3 raan7 dan ,ainn5a. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14= K2" *ukak Lambun7 0 0 0 0 0 0 0 0 4 6 1 0 9? < 11 0 4 6 < 0

16? K299 "a%troduodeniti% tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

161 K %0 Di%'e'%ia 0 0 0 0 0 0 0 0 0 0 1 $ 11 $1 4 = 0 1 4 4 0 1

16$ K%" A'endi%iti% Akuta tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16 K%# A'endi%iti% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

164 K!0 Hernia #n7uina,i% 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0

166 K!1 Hernia Cemora,i% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

169 K!2 Hernia Umbi,ika,i% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16 K#% Pen5akit U%u% Ha,u% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16< K7# Pen5akit Hati ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

16= K92 Pen5akit Si%tem Pen;ernaan tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


19? L01 #m'eti7o 0 0 0 0 0 0 0 $ 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0

191 L02 Ab%e%3 2urunke,3 karbunke, kutan 0 0 0 0 0 0 $ 0 1 1 $ 1 0 $ 1 0 0 $ 0 0 0 0

JENIS PENYAKIT



URUT

KO'E I*' -10


48/461


10

III

196 M10 "out 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

199 M1% Artriti% ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

19 M"!" LoB !a;k Pain &N5eri Pun77un7 !aBa( 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0

19< M790 Remati%me3 tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 4 = $? = 1$ = 1 1 19

19= M791 M5a,7ia 0 0 0 0 0 0 0 0 0 0 0 0 1 16 1 6 $ 4 6 < 1?

1? M792 Neura,7ia dan Neuriti%3 tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0


11 N0! Sindroma Ne2rotik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1$ N17 "a7a, "ina, Akuta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 N20-N21 !atu %i%tem kemi&7ina,3ureter3 %a,uran kemi baBa( 0 0 0 0 0 0 0 0 0 0 0 0 0 1 $ 0 1 0 0 0 0 0

14 N2% Ko,ik 7ina, tidak %'e%i2ik 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0

16 N%0 Si%titi% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

19 N %! Uretriti% dan %indrom uretra, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 N!0-N!2 "an77uan 'ro%tat 0 0 0 0 0 0 0 0 0 0 0 0


1< O00 Keami,an ekto'ik &di ,uar kandun7an( 0 0 0 0 0 0 0 0

1= O0% Abortu% %'ontan 0 0 0 $ 0 0 0 0

1


49/461


1=$ O2! Diabete% Me,,itu% &Pen5akit Ken;in7 Mani%( da,am keami,an 0 0 0 0 0 0 0 0

1= O2" Keami,an den7an ma,nutri%i 0 0 0 0 0 0 0 0

1=4 O!2 Ketuban Pe;a Dini 0 0 0 0 0 0 0 0

1=6 O!# Perdaraan Ante'artum 0 0 0 0 0 0 0 0

1=9 O#% Per%a,inan &Partu%( ,ama 0 0 0 1 0 0 0 0

1= O#8 Per%a,inan den7an 'en5u,it 7aBat anin 0 0 0 0 0 0 0 0

1=< O72 Perdaraan %ete,a 'er%a,inan 0 0 0 0 0 0 0 0

1== O80 Per%a,inan tun77a, %'ontan 0 0 $ 1$ 0 0 0 0

,I

$?? P0" Pertumbuan anin ,ambat dan ma,nutri%i anin 0 0 0 0 0 0

$?1 P 07 0 0 0 0 0 0

$?$ P21 A%2ik%ia Baktu ,air 0 0 0 0 0 0

$? P22 Sindrome di%tre% %a,uran 'erna2a%an &RDS( 0 0 0 0 0 0

$?4 P29 0 0 0 0 0 0

$?6 P "0 Kei,an7an dara anin 0 0 0 0 0 0

$?9 P "" Pen5akit emo,itik 'ada anin dan ba5i baru ,air 0 0 0 0 0 0

$? P "8 -aundi% 'ada ba5i baru ,air di%ebabkan o,e emo,i%i% ber,ebian 0 0 0 0 0 0

$?< P "9 0 0 0 0 0 0

$?= P 9" Lair Mati 0 0 0 0 0 0

,II


$11 3 %# )e,a bibir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


$1 3 %8 Ke,ainan baBaan ,ain 'ada ,ida3 mu,ut dan 2arin7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

,III

$14 R10 N5eri 'in77u, dan 'erut 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0

$16 R 1" #nkontinen%ia 2e%e% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


an77uan 5an7 er u un7an en7an 'en e n5a ma%a 7e% a%&keami,an( dan berat badan ,air renda3 tidak terk,a%i2ika%ikan

di tem at ,ainn a

"an77uan kardio>a%ku,er 5an7 berubun7an den7an ma%a

'erinata,

-aundi% 'ada ba5i baru ,air 5an7 di%ebabkan o,e 'en5ebab

tidak %'e%i2ik ,ainn5a


+ .LABORATORIUM YANG TI'AK 'IKLASI &IKASIKAN 'I

TEMPAT LAIN

JENIS PENYAKIT



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

NOURUT

KO'E I*' -10


50/461


$1= R#8 "ea,a dan tanda umum ,ainn5a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


$$? S00-S09 )edera 'ada ke'a,a 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0

$$1 S10-S19 )edera 'ada ,eer 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$$$ S20-S29 )edera 'ada ron77a dada &torak%( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$$ S%0-S%9 )edera 'ada 'erut3 'un77un73 tu,an7 be,akan73 dan 'in77u, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$$4 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0

$$6 )edera 'ada 'aa3 ,utut3 kaki ba7ian baBa3 te,a'ak kaki 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0


$$ T00-T07 )edera 'ada daera badan mu,ti'e, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$$< T20-T%2 Luka bakar dan koro%i 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0

$$= T%#-T"0 Kera;unan obat dan 're'arat bio,o7ik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$? T#0 Kera;unan 'e%ti%ida 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

II

$1 U0! Se>ere a;ute re%'irator5 %5ndrome &SARS( 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

$$ P45.6t L.-L.5. 0 0 0 0 0 0 0 1 1 $ 0 1 $ 1 1 0 0 0 $ 0 0

*a%ikma,a5a3

MEN"E*AHU# : PEL

KEPALA PUSKESMAS PELAKSAN

#HSAN CUAD#3 S.#P.3 MM.Ke% +US# HANDA

S!0-S!9+ S"0-S"9+ S#0-S#9 )edera 'ada bau3 ,en7an ata%3 %iku3 ,en7an baBa3'er7e,an7an dan te,a'ak tan7an

S70-S79+S80-S89+ S90-S99

S!2+ S"2+ S#2+S82+S92+T10+T12

PENYAKIT BARU 'ENGAN ETIMOLOGI YANG BELUM

JELAS


51/461

ota

%ma% &ar%i'(

US LAMA

P JML%2 %% %! %"

0 0 0 0

$ $ 4

0 0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 4 1

0 0 0 0

9 < ? <

0 0 0 0

0 0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

TOTAL

KASUS

PESERTA

GAKIN

SUS LAMA

P JML

TOTALKASUS

PESERTAGAKIN


52/461

P JML%2 %% %! %"

0 0 0 0

0 0 0

0 0 0

0 0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0 0

0 0 0

0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0

0 0 0

0 0 0 0

0 0 0

SUS LAMA

P JML

TOTALKASUS

PESERTAGAKIN


53/461

P JML%2 %% %! %"

1 1 4 1

0 0 4 1

0 0 0 0

0 0 0 0

0 0 0

0 0 0

0 0 0 0

$ $ 9 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

1

0 0 0 0

0 0 0

US LAMA

P JML

TOTALKASUS

PESERTAGAKIN


54/461

P JML%2 %% %! %"

0 0 1 1

0 0 0 0

0 1 1

0 0 0 0

0 0 0

0 0 0

0 0 0

0 0 0 0

0 0 0 0

4 4 = 6

0 0 1 0

0 0 0

4 1? 1$ 6

0 0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

US LAMA

P JML

TOTALKASUS

PESERTAGAKIN


55/461

%2 %% %! %"

0 0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

1 1 1

0 0 0 0

0 0 0 0

0 0 0

? < 6= =

0 0 0 0

1< $? 6$ 1?

0 0 0 0

0 0 1 1

0 0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0 0

0 0 0

$ 6 11

0 0 0 0

US LAMA

P JML

TOTALKASUS

PESERTAGAKIN


56/461

%2 %% %! %"

6 6 99 14

0 0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 1 1

0 0 0 0

1 $ 1

0 0 0 0

0 0 4 0

$ $ 9 1

0 0 0 0

4$


57/461

%2 %% %! %"

0 0 0 0

0 0 0

0 0 0

0 0 0

< 19 $$ <

0 0 0 0

0 0 0

1 = $

0 0 6 2

9 = $$ 2

1? 1 11

0 0 0 0

< < 14 4

0 0 0 -

9 116 25

0 0 0 0

$4 < 91 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

1 $ 6 -

9 1$ 0

US LAMA

P JML

TOTALKASUS

PESERTAGAKIN


58/461

%2 %% %! %"

0 0 0 0

0 0 0

1 1 4 0

$ 11= $1

$? 1 64 11

0 0 1 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

0 0 $ 0

0 0 0 0

0 1 1

0 0 0 0

0 0 0

0 0 0

0 1 0

0 0 0

0 0 0

0 1 0

US LAMA

P JML%2 %% %! %"

TOTALKASUS

PESERTAGAKIN


59/461

%2 %% %! %"

0 0 0 0

0 0 0

0 0 0

0 0 0

lb 1 lap bungursari 2014

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