LB1 Junii
LB1 Junii
135 O34.2 Maternal care due to uterine scar from previous surgery 2 2
136 O48 Prolonged pregnancy 9 9
137 O86.0 Infection of obstetric surgical wound 1 1
Syphilis complicating pregnancy, childbirth and the
138 O98.1 7 7
puerperium
Anaemia complicating pregnancy, childbirth and the
139 O99.0 2 1 1
puerperium
Fetus and newborn affected by other and unspecified
140 P02.6 1 1 1
conditions of umbilical cord
141 P59.0 Neonatal jaundice associated with preterm delivery 1 1 1
142 P59.9 Neonatal jaundice, unspecified 8 2 1 3 2 2 1 2 2 1
143 R04.2 Haemoptysis 1 1
144 R04.9 Haemorrhage from respiratory passages, unspecified 1 1
145 R05 Cough 2 1 1
146 R07.4 Chest pain, unspecified 3 1 2
147 R11 Nausea and vomiting 8 3 5 2 1 1
148 R16.0 Hepatomegaly, not elsewhere classified 1 1
149 R33 Retention of urine 15 1 14
150 R50.8 Other specified fever 1 1 1
151 R50.9 Fever, unspecified 16 9 6 1 1 1
152 S01.8 Open wound of other parts of head 2 2
153 S60.8 Other superficial injuries of wrist and hand 2 1 1
154 S60.9 Superficial injury of wrist and hand, unspecified 4 2 2
155 S61.0 Open wound of finger(s) without damage to nail 1 1
156 S64.4 Injury of digital nerve of other finger 1 1
157 S73.0 Dislocation of hip 1 1
158 S90.8 Other superficial injuries of ankle and foot 3 2 1
159 S90.9 Superficial injury of ankle and foot, unspecified 2 2
160 S91.3 Open wound of other parts of foot 2 1 1
161 T63.0 Toxic effect: Snake venom 1 1
162 W54 Bitten or struck by dog 38 17 7 13 1 3 4 3 6 1 4
Contact with centipedes and venomous millipedes
163 X24 1 1
(tropical)
164 Z00.0 General medical examination 32 16 2 14 1
165 Z00.1 Routine child health examination 9 5 1 2 1 2 1 1 3 1 1
166 Z00.8 Other general examinations 1 1
167 Z02.7 Issue of medical certificate 59 32 27
168 Z09.0 Follow-up examination after surgery for other conditions 11 1 8 1 1
Follow-up examination after other treatment for other
169 Z09.8 8 2 1 5
conditions
Follow-up examination after unspecified treatment for
170 Z09.9 7 1 1 4 1
other conditions
171 Z12.4 Special screening examination for neoplasm of cervix 1 1
172 Z30.0 General counselling and advice on contraception 1 1
173 Z30.1 Insertion of (intrauterine) contraceptive device 1 1
174 Z30.4 Surveillance of contraceptive drugs 2 2
175 Z30.5 Surveillance of (intrauterine) contraceptive device 1 1
176 Z30.8 Other contraceptive management 18 18
177 Z30.9 Contraceptive management, unspecified 7 2 5
178 Z34.0 Supervision of normal first pregnancy 6 2 4
179 Z34.8 Supervision of other normal pregnancy 27 3 24
180 Z34.9 Supervision of normal pregnancy, unspecified 122 27 95
181 Z35.8 Supervision of other high-risk pregnancies 6 6
182 Z35.9 Supervision of high-risk pregnancy, unspecified 4 4
183 Z39.2 Routine postpartum follow-up 34 11 23 1
184 Z48.0 Attention to surgical dressings and sutures 2 2
185 Z48.8 Other specified surgical follow-up care 3 1 1 1
186 Z48.9 Surgical follow-up care, unspecified 3 1 2
187 Z70.0 Counselling related to sexual attitude 1 1
188 Z70.9 Sex counselling, unspecified 19 7 2 10
6 - 9 TH 10 - 11 TH 12 - 14 TH 15 - 17 TH 18 - 19 TH 20 - 24 TH 25 - 34 TH 35 - 44 TH 45 - 54 TH 55 - 59 TH 60 - 64 TH 65 - 69 TH
Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr
L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B
32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
1 1
1
2 1 1 1 2 1 1 1
1 1 2 1 1 1
3 1 3 1 1 1 2 1
1
1
1
2 1
1
1
1
1
1 1 1
1
1
1
1
1 1
1
1
1 1
3 1 1
1
2 3 2 1 2 3 1 3 1
2 1 4 1
1 1 1
1
1 1
1
1 1
1
1
1
1 1 1
1
1
1
1
1
1
1 1
1
1 2 3 1 1 6 1 1 2 1 2 4 1
1 1
1
1
1
1
1 1
1 1
1
1
3 1 1 1 1
1 4 1 1 1
2 1 1 1 1 1 3 1 1 1
1 1 1 1 1 3 3 1
1
3
1 1 1 2 2 1 1
1
1
1 1 1
1
1
1 1
1 1 1 1 1 2 1 1 1 1
2 1 1 1 1 1 1 3 3 1 1 1 1
2 1 2 2 1 1
1
1
1
1
1 5 1 3 1 1 1 1 1
1 1
1
1
1 1
1 1
1
1
1
1
1 1 5 1 1 1 1
1 4 2 1 1 4 1
1 2
1
2
1
1 1
1
1 1
1
1
1 1 1
1
1 2 2 5 1 1 1 1 2
1
1
1
1
1
1 1 1
1
1
1
1 1 1
3 2
2
1
1
1
1
1 5 1
1 7
1
4 1 2
1
2
2 3 4
1
7
1 1
1
1
1
1 1
1 2 1
2 1 4 1 5
2 1 2 2 1 2 1 1 1 1
2
1 1
1 1
1
1
1 1
2
1
1
4 1 2 1 2 1 2 2 1 1
1
4 1 4 6 3 1 3 3 2 1 1 1 1
1
1 1 1 2 2 3 3 5 6 11 9 8 2 1 3 1
2 1 1 3 1 1 1 1
2 1 3 1 1
1 3 1 1 1
1
1
1
1 1
1
4 12 2
1 1 2 1 1 1
1 1 2 2
6 3 12 6
1 6 7 16 15 46 4 27
1 3 2
2 2
1 5 5 10 5 7
2
1 1 1
1 2
1
2 2 1 4 5 1 4
Penanggung Jawab,
_______________
65 - 69 TH >= 70 TH
Pr Lk Pr
L B L B L
78 79 80 81 82
1 1
2 2
1 1
1
1
1 1
2
1
1
1
2
1
1
1
Penanggung Jawab,
_______________