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1
1111
2
Formulir RL 4B
Formulir RL 4B
Formulir RL 4B
Formulir RL 4B
3
DATA KEADAAN MORBIDITAS PASIEN RAWAT JALAN
DATA KEADAAN MORBIDITAS PASIEN RAWAT JALAN
DATA KEADAAN MORBIDITAS PASIEN RAWAT JALAN
DATA KEADAAN MORBIDITAS PASIEN RAWAT JALAN
4
5
Kode RS
: 3302030
Kode RS
: 3302030
Kode RS
: 3302030
Kode RS
: 3302030
6
Nama RS
: Tk III 04.06.01/Wk
Nama RS
: Tk III 04.06.01/Wk
Nama RS
: Tk III 04.06.01/Wk
Nama RS
: Tk III 04.06.01/Wk
7
Tahun / Bulan
: 2016 / JANUARI
Ruang / Tahun
: Pol. Umum / 2017
Ruang / Tahun
: Pol. IGD / 2017
Ruang/ Tahun
: Pol. Bedah / 2017
8
9
No. UrutNo. DTDNo.Daftar terperinciGolongan sebab penyakitJumlah Pasien Kasus Menurut Golongan Umur & SexKasus Baru Menurut Jenis KelaminJumlah Kasus Baru (23+24)Jumlah Kunjungan No. UrutNo. DTDNo.Daftar terperinciGolongan sebab penyakitJumlah Pasien Kasus Menurut Golongan Umur & SexKasus Baru Menurut Jenis KelaminJumlah Kasus Baru (23+24)Jumlah Kunjungan No. UrutNo. DTDNo.Daftar terperinciGolongan sebab penyakitJumlah Pasien Kasus Menurut Golongan Umur & SexKasus Baru Menurut Jenis KelaminJumlah Kasus Baru (23+24)Jumlah Kunjungan No. UrutNo. DTDNo.Daftar terperinciGolongan sebab penyakitJumlah Pasien Kasus Menurut Golongan Umur & Sex
10
0-6 hr7-28hr28hr-<1th1-4th5-14th15-24th25-44th45-64th> 65LKPR0-6 hr7-28hr28hr-<1th1-4th5-14th15-24th25-44th45-64th> 65LKPR0-6 hr7-28hr28hr-<1th1-4th5-14th15-24th25-44th45-64th> 65LKPR0-6 hr7-28hr28hr-<1th1-4th5-14th15-24th25-44th45-64th
11
LPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPL
12
12345678910111213141516171819202122232425261234567891011121314151617181920212223242526123456789101112131415161718192021222324252612345678910111213141516171819
13
1001A00Kolera00000000000000000000001001A00Kolera00000000000000000000001001A00Kolera00000000000000000000001001A00Kolera000000000000000
14
2002A01Demam tifoid dan paratifoid00000021336921261200193756512002A01Demam tifoid dan paratifoid00000021336921261200193756512002A01Demam tifoid dan paratifoid00000000000000000000002002A01Demam tifoid dan paratifoid000000000000000
15
3003A03Sigelosis00000000000000000000003003A03Sigelosis00000000000000000000003003A03Sigelosis00000000000000000000003003A03Sigelosis000000000000000
16
4004'0A06.4Abses hati amuba00000000000000000000004004'0A06.4Abses hati amuba00000000000000000000004004'0A06.4Abses hati amuba00000000000000000000004004'0A06.4Abses hati amuba000000000000000
17
5004.9A06.0 – 3.5-9Amebiasis lainnya00000000000000000000005004.9A06.0 – 3.5-9Amebiasis lainnya00000000000000000000005004.9A06.0 – 3.5-9Amebiasis lainnya00000000000000000000005004.9A06.0 – 3.5-9Amebiasis lainnya000000000000000
18
6005A09Diare & gastroenteritis oleh penyebab Infeksi tertentu (kolitis infeksi)000010923200452101191130456005A09Diare & gastroenteritis oleh penyebab Infeksi tertentu (kolitis infeksi)00001071100013210112618286005A09Diare & gastroenteritis oleh penyebab Infeksi tertentu (kolitis infeksi)0000002122003200007512176005A09Diare & gastroenteritis oleh penyebab Infeksi tertentu (kolitis infeksi)000000000000000
19
7006A02. A04-A05. A07-A08Penyakit infeksi usus lainnya00000000000000000000007006A02. A04-A05. A07-A08Penyakit infeksi usus lainnya00000000000000000000007006A02. A04-A05. A07-A08Penyakit infeksi usus lainnya00000000000000000000007006A02. A04-A05. A07-A08Penyakit infeksi usus lainnya000000000000000
20
8007.0A15.0Tuberkulosis (TB) paru BTA (+) dengan/tanpa tindakan kuman TB0000011586421023421282149218007.0A15.0Tuberkulosis (TB) paru BTA (+) dengan/tanpa tindakan kuman TB0000011586421023421282149218007.0A15.0Tuberkulosis (TB) paru BTA (+) dengan/tanpa tindakan kuman TB00000000000000000000008007.0A15.0Tuberkulosis (TB) paru BTA (+) dengan/tanpa tindakan kuman TB000000000000000
21
9007.1A15.1-A16.2Tuberkulosis paru lainnya00000000000000000000009007.1A15.1-A16.2Tuberkulosis paru lainnya00000000000000000000009007.1A15.1-A16.2Tuberkulosis paru lainnya00000000000000000000009007.1A15.1-A16.2Tuberkulosis paru lainnya000000000000000
22
10007.9A16.3-9Tuberkulosis alat napas lainnya000000000000000000000010007.9A16.3-9Tuberkulosis alat napas lainnya000000000000000000000010007.9A16.3-9Tuberkulosis alat napas lainnya000000000000000000000010007.9A16.3-9Tuberkulosis alat napas lainnya000000000000000
23
11008.0A17.0Meningitis tuberkulosa000000000000000000000011008.0A17.0Meningitis tuberkulosa000000000000000000000011008.0A17.0Meningitis tuberkulosa000000000000000000000011008.0A17.0Meningitis tuberkulosa000000000000000
24
12008.1A17.1-7Tuberkulosis susunan saraf pusat lainnya00000000000002222246101212008.1A17.1-7Tuberkulosis susunan saraf pusat lainnya00000000000002222246101212008.1A17.1-7Tuberkulosis susunan saraf pusat lainnya000000000000000000000012008.1A17.1-7Tuberkulosis susunan saraf pusat lainnya000000000000000
25
13008.2A18.0Tuberkulosis tulang dan sensi000000000000000000000013008.2A18.0Tuberkulosis tulang dan sensi000000000000000000000013008.2A18.0Tuberkulosis tulang dan sensi000000000000000000000013008.2A18.0Tuberkulosis tulang dan sensi000000000000000
26
14008.3A18.2Limfadenitis tuberkulosa000000000000010000011214008.3A18.2Limfadenitis tuberkulosa000000000000010000011214008.3A18.2Limfadenitis tuberkulosa000000000000000000000014008.3A18.2Limfadenitis tuberkulosa000000000000000
27
15008.4A19Tuberkulosis milier000000000000000000000015008.4A19Tuberkulosis milier000000000000000000000015008.4A19Tuberkulosis milier000000000000000000000015008.4A19Tuberkulosis milier000000000000000
28
16008.9A18.1.3-8Tuberkulosis lainnya000000000000000000000016008.9A18.1.3-8Tuberkulosis lainnya000000000000000000000016008.9A18.1.3-8Tuberkulosis lainnya000000000000000000000016008.9A18.1.3-8Tuberkulosis lainnya000000000000000
29
17009A20Sampar/Pes000000000000000000000017009A20Sampar/Pes000000000000000000000017009A20Sampar/Pes000000000000000000000017009A20Sampar/Pes000000000000000
30
18010A23Bruselosis000000000000000000000018010A23Bruselosis000000000000000000000018010A23Bruselosis000000000000000000000018010A23Bruselosis000000000000000
31
19011A30Lepra/Kusta000000000000000000000019011A30Lepra/Kusta000000000000000000000019011A30Lepra/Kusta000000000000000000000019011A30Lepra/Kusta000000000000000
32
20012A33Tetanus neonatorum000000000000000000000020012A33Tetanus neonatorum000000000000000000000020012A33Tetanus neonatorum000000000000000000000020012A33Tetanus neonatorum000000000000000
33
21013A34-A35Tetanus lainnya000000000000000000000021013A34-A35Tetanus lainnya000000000000000000000021013A34-A35Tetanus lainnya000000000000000000000021013A34-A35Tetanus lainnya000000000000000
34
22014A36Difteria000000000000000000000022014A36Difteria000000000000000000000022014A36Difteria000000000000000000000022014A36Difteria000000000000000
35
23015A37Pertusis/Batuk rejan000000101100000000213423015A37Pertusis/Batuk rejan000000101100000000213423015A37Pertusis/Batuk rejan000000000000000000000023015A37Pertusis/Batuk rejan000000000000000
36
24016A39Infeksi meningokok000000000000000000000024016A39Infeksi meningokok000000000000000000000024016A39Infeksi meningokok000000000000000000000024016A39Infeksi meningokok000000000000000
37
25017A40-A41Septisemia000000000000000000000025017A40-A41Septisemia000000000000000000000025017A40-A41Septisemia000000000000000000000025017A40-A41Septisemia000000000000000
38
26018.0A22Antrak000000000000000000000026018.0A22Antrak000000000000000000000026018.0A22Antrak000000000000000000000026018.0A22Antrak000000000000000
39
27018.9A21.24-28. A31-32, 38-42-49Penyakit bakteri lainnya000000000000000000000027018.9A21.24-28. A31-32, 38-42-49Penyakit bakteri lainnya000000000000000000000027018.9A21.24-28. A31-32, 38-42-49Penyakit bakteri lainnya000000000000000000000027018.9A21.24-28. A31-32, 38-42-49Penyakit bakteri lainnya000000000000000
40
28019A50Sifilis bawaan000000000000000000000028019A50Sifilis bawaan000000000000000000000028019A50Sifilis bawaan000000000000000000000028019A50Sifilis bawaan000000000000000
41
29020A51Sifilis dini000000000000000000000029020A51Sifilis dini000000000000000000000029020A51Sifilis dini000000000000000000000029020A51Sifilis dini000000000000000
42
30021A52-A53Sifilis lainnya000000000000000000000030021A52-A53Sifilis lainnya000000000000000000000030021A52-A53Sifilis lainnya000000000000000000000030021A52-A53Sifilis lainnya000000000000000
43
31022A54Infeksi gonokok000000000000000000000031022A54Infeksi gonokok000000000000000000000031022A54Infeksi gonokok000000000000000000000031022A54Infeksi gonokok000000000000000
44
32023A55-A56Penyakit klamidia yg ditularkan melalui Hubungan seksual000000000000000000000032023A55-A56Penyakit klamidia yg ditularkan melalui Hubungan seksual000000000000000000000032023A55-A56Penyakit klamidia yg ditularkan melalui Hubungan seksual000000000000000000000032023A55-A56Penyakit klamidia yg ditularkan melalui Hubungan seksual000000000000000
45
33024A57-A64Infeksi lainnya yang terutama ditularkan Melalui hubungan seksual000000000000000000000033024A57-A64Infeksi lainnya yang terutama ditularkan Melalui hubungan seksual000000000000000000000033024A57-A64Infeksi lainnya yang terutama ditularkan Melalui hubungan seksual000000000000000000000033024A57-A64Infeksi lainnya yang terutama ditularkan Melalui hubungan seksual000000000000000
46
34025A68Demam bolak balik0000002228101865425029356410634025A68Demam bolak balik000000000000000000000034025A68Demam bolak balik0000002228101865425029356410634025A68Demam bolak balik000000000000000
47
35026A71Trakoma000000000000000000000035026A71Trakoma000000000000000000000035026A71Trakoma000000000000000000000035026A71Trakoma000000000000000
48
36027A75Demam tifus000000102100000000314436027A75Demam tifus000000102100000000314436027A75Demam tifus000000000000000000000036027A75Demam tifus000000000000000
49
37028A80Poliomielitis akut000000000000000000000037028A80Poliomielitis akut000000000000000000000037028A80Poliomielitis akut000000000000000000000037028A80Poliomielitis akut000000000000000
50
38029A82Rabies000000000000000000000038029A82Rabies000000000000000000000038029A82Rabies000000000000000000000038029A82Rabies000000000000000
51
39030A83-A86Ensefalitis virus000000000000000000000039030A83-A86Ensefalitis virus000000000000000000000039030A83-A86Ensefalitis virus000000000000000000000039030A83-A86Ensefalitis virus000000000000000
52
40031A95Demam kuning000000000000000000000040031A95Demam kuning000000000000000000000040031A95Demam kuning000000000000000000000040031A95Demam kuning000000000000000
53
41032.0A90Demam dengue000000000000000000000041032.0A90Demam dengue000000000000000000000041032.0A90Demam dengue000000000000000000000041032.0A90Demam dengue000000000000000
54
42032.1A91Demam berdarah dengue000000101113000000347442032.1A91Demam berdarah dengue000000101113000000347442032.1A91Demam berdarah dengue000000000000000000000042032.1A91Demam berdarah dengue000000000000000
55
43032.2A92.0Chikungunya000000000000000000000043032.2A92.0Chikungunya000000000000000000000043032.2A92.0Chikungunya000000000000000000000043032.2A92.0Chikungunya000000000000000
56
44032.3A92.1 – A92Demam virus tular nyamuk000000000000000000000044032.3A92.1 – A92Demam virus tular nyamuk000000000000000000000044032.3A92.1 – A92Demam virus tular nyamuk000000000000000000000044032.3A92.1 – A92Demam virus tular nyamuk000000000000000
57
45032.9A93-A94. A96-A99Demam virus dan demam berdarah virus tular Serangga lainnya000000000000000000000045032.9A93-A94. A96-A99Demam virus dan demam berdarah virus tular Serangga lainnya000000000000000000000045032.9A93-A94. A96-A99Demam virus dan demam berdarah virus tular Serangga lainnya000000000000000000000045032.9A93-A94. A96-A99Demam virus dan demam berdarah virus tular Serangga lainnya000000000000000
58
000011271014109133201319447177148126000000434101018974250364076123000000000000000
59
14814876760
60
61
62
63
64
65
66
67
68
69
2222
70
No. UrutNo. DTDNo.Daftar terperinciGolongan sebab penyakitJumlah Pasien Kasus Menurut Golongan Umur & SexKasus Baru Menurut Jenis KelaminJumlah Kasus Baru (23+24)Jumlah Kunjungan No. UrutNo. DTDNo.Daftar terperinciGolongan sebab penyakitJumlah Pasien Kasus Menurut Golongan Umur & SexKasus Baru Menurut Jenis KelaminJumlah Kasus Baru (23+24)Jumlah Kunjungan No. UrutNo. DTDNo.Daftar terperinciGolongan sebab penyakitJumlah Pasien Kasus Menurut Golongan Umur & SexKasus Baru Menurut Jenis KelaminJumlah Kasus Baru (23+24)Jumlah Kunjungan No. UrutNo. DTDNo.Daftar terperinciGolongan sebab penyakitJumlah Pasien Kasus Menurut Golongan Umur & Sex
71
0-6 hr7-28hr28hr-<1th1-4th5-14th15-24th25-44th45-64th> 65LKPR0-6 hr7-28hr28hr-<1th1-4th5-14th15-24th25-44th45-64th> 65LKPR0-6 hr7-28hr28hr-<1th1-4th5-14th15-24th25-44th45-64th> 65LKPR0-6 hr7-28hr28hr-<1th1-4th5-14th15-24th25-44th45-64th
72
LPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPLPL
73
12345678910111213141516171819202122232425261234567891011121314151617181920212223242526123456789101112131415161718192021222324252612345678910111213141516171819
74
46033B00Infeksi herpesvirus (Herpes simpleks)000000000000000000000046033B00Infeksi herpesvirus (Herpes simpleks)000000000000000000000046033B00Infeksi herpesvirus (Herpes simpleks)000000000000000000000046033B00Infeksi herpesvirus (Herpes simpleks)000000000000000
75
47034B01-B02Varisela (cacar air) dan zoster (herpes zoster)000000000000000000000047034B01-B02Varisela (cacar air) dan zoster (herpes zoster)000000000000000000000047034B01-B02Varisela (cacar air) dan zoster (herpes zoster)000000000000000000000047034B01-B02Varisela (cacar air) dan zoster (herpes zoster)000000000000000
76
48035B05Campak000000000000000000000048035B05Campak000000000000000000000048035B05Campak000000000000000000000048035B05Campak000000000000000
77
49036B06Rubela000000000000000000000049036B06Rubela000000000000000000000049036B06Rubela000000000000000000000049036B06Rubela000000000000000
78
50037B16Hepatitis B akut000000000000100000101150037B16Hepatitis B akut000000000000100000101150037B16Hepatitis B akut000000000000000000000050037B16Hepatitis B akut000000000000000
79
51038.0B15Hepatitis A akut000000000000000000000051038.0B15Hepatitis A akut000000000000000000000051038.0B15Hepatitis A akut000000000000000000000051038.0B15Hepatitis A akut000000000000000
80
52038.1B17.1Hepatitis C akut000000000000000000000052038.1B17.1Hepatitis C akut000000000000000000000052038.1B17.1Hepatitis C akut000000000000000000000052038.1B17.1Hepatitis C akut000000000000000
81
53038.2B17.2Hepatitis E akut000000000000000000000053038.2B17.2Hepatitis E akut000000000000000000000053038.2B17.2Hepatitis E akut000000000000000000000053038.2B17.2Hepatitis E akut000000000000000
82
54038.9B17.0.8 B18-B19Hetitis virus lainnya000000000000001212246654038.9B17.0.8 B18-B19Hetitis virus lainnya000000000000001212246654038.9B17.0.8 B18-B19Hetitis virus lainnya000000000000000000000054038.9B17.0.8 B18-B19Hetitis virus lainnya000000000000000
83
55039B20-B24Penyakit virus gangguan defisiensi imun Pada manusia (HIV)000000000000000000000055039B20-B24Penyakit virus gangguan defisiensi imun Pada manusia (HIV)000000000000000000000055039B20-B24Penyakit virus gangguan defisiensi imun Pada manusia (HIV)000000000000000000000055039B20-B24Penyakit virus gangguan defisiensi imun Pada manusia (HIV)000000000000000
84
56040B26Gondong000000000000000000000056040B26Gondong000000000000000000000056040B26Gondong000000000000000000000056040B26Gondong000000000000000
85
57041A81. A87-A89. B03-B04. B07-B09. B25. B27-B34Penyakit virus lainnya000000010200000000033357041A81. A87-A89. B03-B04. B07-B09. B25. B27-B34Penyakit virus lainnya000000010200000000033357041A81. A87-A89. B03-B04. B07-B09. B25. B27-B34Penyakit virus lainnya000000000000000000000057041A81. A87-A89. B03-B04. B07-B09. B25. B27-B34Penyakit virus lainnya000000000000000
86
58042B35-B49Mikosis000000000000000000000058042B35-B49Mikosis000000000000000000000058042B35-B49Mikosis000000000000000000000058042B35-B49Mikosis000000000000000
87
59043B50.0Malaria cerebral NOS000000000000000000000059043B50.0Malaria cerebral NOS000000000000000000000059043B50.0Malaria cerebral NOS000000000000000000000059043B50.0Malaria cerebral NOS000000000000000
88
60043.0B50.8-9Malaria falciparum000000000000000000000060043.0B50.8-9Malaria falciparum000000000000000000000060043.0B50.8-9Malaria falciparum000000000000000000000060043.0B50.8-9Malaria falciparum000000000000000
89
61043.1B51.0Malaria vivax000000000000200000202261043.1B51.0Malaria vivax000000000000200000202261043.1B51.0Malaria vivax000000000000000000000061043.1B51.0Malaria vivax000000000000000
90
62043.2B51.8-9Malaria vivax lainnya000000000000000000000062043.2B51.8-9Malaria vivax lainnya000000000000000000000062043.2B51.8-9Malaria vivax lainnya000000000000000000000062043.2B51.8-9Malaria vivax lainnya000000000000000
91
63043.3B52.0Malaria malariae000000000000000000000063043.3B52.0Malaria malariae000000000000000000000063043.3B52.0Malaria malariae000000000000000000000063043.3B52.0Malaria malariae000000000000000
92
64043.4B52.8-9Malaria malariae lainnya000000000000000000000064043.4B52.8-9Malaria malariae lainnya000000000000000000000064043.4B52.8-9Malaria malariae lainnya000000000000000000000064043.4B52.8-9Malaria malariae lainnya000000000000000
93
65043.5B53Malaria ovale000000000000000000000065043.5B53Malaria ovale000000000000000000000065043.5B53Malaria ovale000000000000000000000065043.5B53Malaria ovale000000000000000
94
66043.9B54Malaria YTT000000000000000000000066043.9B54Malaria YTT000000000000000000000066043.9B54Malaria YTT000000000000000000000066043.9B54Malaria YTT000000000000000
95
67044B55Lesmaniasis000000000000000000000067044B55Lesmaniasis000000000000000000000067044B55Lesmaniasis000000000000000000000067044B55Lesmaniasis000000000000000
96
68045B56-B57Tripanosomiasis000000000000000000000068045B56-B57Tripanosomiasis000000000000000000000068045B56-B57Tripanosomiasis000000000000000000000068045B56-B57Tripanosomiasis000000000000000
97
69046B65Skistosomiasis (Bilharziasis)000000000000000000000069046B65Skistosomiasis (Bilharziasis)000000000000000000000069046B65Skistosomiasis (Bilharziasis)000000000000000000000069046B65Skistosomiasis (Bilharziasis)000000000000000
98
70047B66Infeksi trematoda lainnya000000000000000000000070047B66Infeksi trematoda lainnya000000000000000000000070047B66Infeksi trematoda lainnya000000000000000000000070047B66Infeksi trematoda lainnya000000000000000
99
71048B67Ekinokokosis000000000000000000000071048B67Ekinokokosis000000000000000000000071048B67Ekinokokosis000000000000000000000071048B67Ekinokokosis000000000000000
100
72049B72Drakunkuliasis000000000000000000000072049B72Drakunkuliasis000000000000000000000072049B72Drakunkuliasis000000000000000000000072049B72Drakunkuliasis000000000000000