KLASIFIKASI INTERNASIONAL PENYAKIT – REVISI KE 10 ( ICD 10 )
PUSAT KESEHATAN HAJI KEMENKES RI 2012
KEPMENKES RI
KEPMENKES RI NO: 50/MENKES/SK/1998
PEMBERLAKUAN KLASIFIKASI STATISTIK INTERNASIONAL MENGENAI PENYAKIT REVISI KESEPULUH
( ICD – 10 )
Ruang Lingkup
ICD-10 ( International Classification of Diseases ) adalah klasifikasi statistik penyakit yang digunakan secara international revisi ke - 10
Struktur
Volume 1 : Tabular lis Volume 2 : Petunjuk Penggunaan Volume 3 : Indeks Alfabet
MANFAAT 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
Pelaporan Diagnosis tenaga medis Memudahkan penyimpanan dan pengambilan data Menemukan bentuk pelayanan Pencatatan penyakit dan tindakan di sarana pelayanan kesehatan Pelaporan Nasional Morbiditas dan Mortalitas Klasifikasi Morbiditas dan Mortalitas untuk tujuan Statistik Data pelayanan kesehatan untuk Evaluasi Perencanaan Pelayanan Medik Untuk Penelitian Epidemiologi dan Klinis Sebagai dasar pengelompokan DRGs (diagnostic related groups) untuk pembayaran Analisis pembayaran pelayanan kesehatan
RINCIAN BAB ICD-10 Chapte r
ICD
I
Certain inf ectious and parasitic diseases
II
Neoplasmas
III
Diseases of the blood and blood-f orming organs and
Page
Firs t Code
1
A ,B
38
C ,D
131
D
certain disorders involving the immune mechanism IV
Endocrine,nutritional and metabolic diseases
150
E
V
Mental and behavioural disorders
185
F
VI
Diseases of nervous system
254
G
VII
Diseases of eye and adnexa
287
H
VIII
Diseases of ear and mastoid process
314
H
IX
Diseases of circulatory system
325
I
X
Diseases of respiratory system
364
J
XI
Diseases of digestive system
393
K
XII
Diseases of skin and subcutaneous tissue
437
L
XIII
Diseases of musculoskeletal system and conective tissue
465
M
XIV
Diseases of genitourinary system
513
N
XV
Pregnancy,childbirth and the puerperium
551
O
XVI
Certain condition originating in the perinatal period
586
P
XVII
Congenital malf ormations,def ormations and chromosomal
616
Q
XVIII
Symptoms,signs and abnormal clinical and laboratory f inding,
668
R
701
S,T
abnormalities not elsew here classif ied XIX
Injury,poisoning and certain other consequences of extrnal
XX
External causes of morbidity and mortality
810
V,W,X,Y
XXI
Factors inf luencing health status and contact w ith health
899
Z
causes
services
Penggunaan kode ICD-10 mengacu pada penyakit-penyakit yang ditemukan pada tahun sebelum pelaksanaan Operasional Haji di Indonesia dan di Arab Saudi. Bab I II III
IV V VI VII VIII IX X XI
XII XIII XIV
XV
XVI
XVII
ICD Penyakit parasit dan infeksi Neoplasma Penyakit darah dan organ pembentuk darah dan gangguan mekanisme immune Penyakit endokrin nutrisi dan metabolik Gangguan mental dan perilaku Penyakit sistem syaraf Penyakit mata dan adneksa Penyakit sistem sirkulasi Penyakit sistem pernafasan Penyakit sistem pencernaan Penyakit kulit dan jaringan subkutan Penyakit sistem otot tulang dan jaringan penunjang Penyakit sistem genitourinary Kehamilan, kelahiran, dan masa nifas Tanda, gejala, dan hasil pemeriksaan klinik & laboratorium yang tidak normal, tidak diklasifikasi tempat lain Trauma, keracunan dan akibat eksternal Faktor yang mempengaruhi keadaan kesehatan dan
Kode Awal A,B C,D D
Halaman 1 38 131
E
150
F
185
G H I J K
254 287 325 364 393
L
437
M
465
N
513
O
551
R
668
S, T
701
Z
899
DIAGNOSA ICD-10
KEMENTERIAN KESEHATAN REPUBLIK INDONESIA Pusat Kesehatan Haji (021-4224974)
I. PENYAKIT INFEKSI & PARASIT KODE JENIS PENYAKIT A39 Meningococcal infection A39.0† Meningococcal meningitis Respiratory tuberculosis, bacteriologically and A15 histologically confirmed A06 Amoebiasis A01 Typhoid and paratyphoid fevers A01.0 Typhoid fever Diarrhoea and gastroenteritis of presumed A09 infectious origin A05 Other bacterial foodborn intoxications A30 Leprosy [Hansen's disease] B15 Acute Hepatitis A B16 Acute Hepatitis B B50 Plasmodium falciparum malaria B51 Plasmodium vivax malaria B52 Plasmodium malariae malaria Human immunodeficiency virus [HIV] disease B20 Resulting in infectiousand parasitic diseases
II. NEOPLASMA KODE C20 C50 C53 C54 C61
JENIS PENYAKIT Malignant neoplasm of rectum Malignant neoplasm of breast Malignant neoplasm of cervix uteri Malignant neoplasm of corpus uteri Malignant neoplasm of prostate
III. PENY. DARAH & ORGAN PEMBENTUK DARAH & GANGGUAN MEKANISME IMMUNE KODE JENIS PENYAKIT D50 Iron deficiency anaemia
Kesehatan Haji Indonesia IV. PENY. ENDOKRIN NUTRISI & METABOLIK KODE JENIS PENYAKIT E10 Insulin Dependent Diabetes Mellitus E11 Non Insulin dependent Diabetes Mellitus Insulin Dependent DM with peripheral circulatory E10.5 complications (gangrene diabetic) Non Insulin Dependent DM with peripheral E11.5 circulatory complications (gangrene diabetic) E05 Thyrotoxicosis ( Hyperthyroidism) E66 Obesity
V. GANGGUAN MENTAL & PERILAKU
KODE F41 F41.0 F20 F32
JENIS PENYAKIT Other anxiety disorders Panic disorder Schizophrenia Episode Depressif
VIII. PENYAKIT SYSTEM SIRKULASI KODE I10 I50 I50.0 I51.7 I20 I21 I25.1 I48 I46 I84 I95 I61 I64 I69
JENIS PENYAKIT Essential (primary) hypertension Heart failure Congestive heart failure Cardiomegaly Angina pectoris Acute myocardial infarction Atheroclerotic heart desease Atrial fibrillation and flutter Cardiac arrest Haemorrhoids Hypotension Intracerebral haemorrhage Stroke, not spesified as haemorrhage or infarction Sequelae of cerebrovascular disease
IX. PENY. SYSTEM PERNAFASAN
VI. PENYAKIT SYSTEM SYARAF
KODE J00 KODE JENIS PENYAKIT J02 G44.2 Tension-type headache J04 Disorders of initiating and maintaining J10 G47.0 J12 sleep (insomnias)
JENIS PENYAKIT Acute nasopharyngitis (common cold) Acute pharyngitis Acute laryngitis and tracheitis Influenza due identified influenza virus Viral pneumonia, not elsewhere classified
G40
J15
Bacterial pneumonia,not elsewhere classified
J20 J30 J44 J45 J46 J47 J81
Acute bronchitis Vasomotor and Allergic rhinitis Other chronic obstructive pulmonary disease Asthma Status Asthmaticus Bronchiectasis Pulmonary Oedema
Epilepsy
VII. PENYAKIT MATA & ADNEKSA
KODE JENIS PENYAKIT H10 Conjunctivitis
X. PENY. SYSTEM PENCERNAAN KODE K29 K30 K25 K92.0 K92.1 K74 K80 K04 K04.0 K04.1 K04.7 K04.8 K02 K05 K05.2 K05.4 K12 K40
JENIS PENYAKIT Gastritis dan duodenitis Dyspepsia Gastric ulser Haematemesis Melaena Fibrosis and cirrhosis of liver Cholelithiasis Diseases of pulp and periapical tissues Pulpitis Necrosis of pulp Periapical abscess without sinus Radicular Cyst Dental caries Gingivitis and periondotal diseases Acute periodontitis Periodontosis Stomatitis and related lesions Inguinal Hernia
XI. PENY. KULIT & JARINGAN SUBKUTAN KODE JENIS PENYAKIT L20 Atopic dermatitis L23 Allergic contac dermatitis Cutaneous abscess, furuncle and L02 carbuncle L03 Cellulitis
XII. PENY. SYSTEM OTOT TULANG & JARINGAN PENYAMBUNG KODE M79.1 M79.2 M06 M15 M51
JENIS PENYAKIT Myalgia Neuralgia and neuritis, unspesified Other Rheumatoid Arthritis Polyarthrosis Other intervertebral disc disorders
XIII. PENY. SYSTEM GENITOURINARY
KODE N00 N04 N17 N18 N40 N30 N20 N92
JENIS PENYAKIT Acute nephritic syndrome Nephrotic syndrome Acute renal failure Chronic renal failure Hyperplasia of prostate Cystitis Calculus of kidney and ureter Excessive, frequent dan irregular Menstruation
XVI. TRAUMA, KERACUNAN & AKIBAT EKSTERNAL KODE S02 S12 S22 S32 S42 S52 S62 S72 S82 S92 S13 S23 S33
XIV. KEHAMILAN, KELAHIRAN MASA NIFAS
KODE JENIS PENYAKIT O03 Spontaneus abortion
S43 S53 S63 S73 S83 S93
XV. TANDA, GEJALA & HASIL PEMERIKSAAN KLINIK LAB. YANG TIDAK NORMAL, TIDAK DIKLASIFIKASI TEMPAT LAIN
KODE JENIS PENYAKIT R57.1 Hypofolaemic Shock R64 Cachexia Haemorrhage from respiratory R04 passages R04.0 Epistaxis R63.0 Anorexia R33 Retention of urine R54 Senility ( LANSIA > 60 TH )
T31 T58 T60.0 T75.3 T67.0 T67.2 T67.3 T33 T34 T68
JENIS PENYAKIT Fracture of skull and facial bones Fracture of neck Fracture of rib(s), sternum and thoracic spine Fracture of lumbar spine and pelvis Fracture of shoulder and upper arm Fracture of forearm Fracture at wrist and hand level Fracture of femur Fracture of lower leg, including ankle Fracture of foot, except ankle Dislocation, sprain and strain of joints and ligaments neck level Dislocation, sprain and strain of joints and ligaments thorax Dislocation, sprain and strain of joints and ligaments lumbar spine and pelvis Dislocation, sprain and strain of joints and ligaments shouldergirdle Dislocation, sprain and strain of joints and ligaments elbow Dislocation, sprain and strain of joints and ligaments wrist andhand level
at of of of of at
Dislocation, sprain and strain of joints and ligaments of hip Dislocation, sprain and strain of joints and ligaments of knee Dislocation, sprain and strain of joints and ligaments at ankle and foot level Burn classified according to extent of body surface involved Toxic Effect of carbon monoxide Organophosphate and carbamate insectisides Motion sickness Heatstroke dan sunstroke Heat cramp Heat exhaustion, anhydrotic Superfisial frostbite Frosbite with tissue necrosis Hypothermia
XVII. Faktor Yg Mempengaruhi Keadaan Kes. & Kontak Dgn Yankes KODE Z00
JENIS PENYAKIT General examination and investigation of persons without complaintor reported diagnosis (SEHAT )
Catatan : Diagnosa ini untuk pengisian data pada surat keterangan kesehatan
Di Buku Kesehatan Jemaah Haji (BKJH) dan entry data SISKOHAT Bid. Kes.
PETUNJUK PRAKTIS PENGGUNAAN TABEL EXCEL ICD-10 A. PETUNJUK UMUM B. CARA PENGGUNAAN ------ lampiran
Penggunaan ICD-10……… 1. 2. 3.
4.
5. 6. 7. 8. 9. 10. 11.
Jendela RISTI pada BKJH Diagnosa pada Format Bantu pemeriksaan di Puskesmas Surat Keterangan Pemeriksaan Kesehatan Pertama(kemenag,JCH,Arsip PKM) Diagnosa pada Pemeriksaan pertama BKJH(ICD-X) di Puskesmas Surat Rujukan Pemeriksaan Kesehatan Surat Rujukan Balik pemeriksaan Kesehatan Diagnosa pada Pemeriksaan Rujukan(kasus spesialistik) Surat Keterangan Pengobatan CJH Diagnosa pada Status Card di BKJH Surat Keterangan Pendamping Jamaah Haji Rekapitulasi Hasil Pemeriksaan Kesehatan pada BKJH
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