Form Self Assessment Review 144 Diagnosa Layanan Primer Yang Tidak Boleh Dirujuk

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FORM SELF ASSESSMENT

REVIEW 144 DIAGNOSA LAYANAN PRIMER


YANG TIDAK BOLEH DIRUJUK
NO Nama Diagnosa Nama ICD X Kode No Nama Diagnosa Nama ICD Kode
ICD X X ICD X
1 Abortus spontan Unspecified abortion, O03.9 30 Disentri basiler Acute A06.0
komplit complete, without dan amuba amoebic
complication dysentery
2 Alergi makanan Dermatitis due to L27.2 31 dislipidemia hiperlipidem E78.5
ingested food ia
3 Anemia defisiensi Iron deficiency D50 32 epistaksis epistaxis R04.0
besi pada anaemia
kehamilan
4 Askariasis Ascariaris unspecified B77.9 33 Exanthematous Generalized L27.0
drug eruption skin eruption
due to drugs
and
medicament
5 Asma Bronkial Asthma J45 34 faringitis Acute J02.9
pharyngitis,
unspecified
6 Astigmatism Astigmatisme H52.2 35 Filariasis Filariasis B74
ringan
7 Bells Palsy Bells Palsy G51.0 36 Furunkul pada Abscess, J34.0
hidung furuncle and
carbuncle of
nose
8 Benda asing Foreign body in nostril T17.1 37 gastritis Gastristis, K29.7
dihidung unspecified
9 Benda asing di Foreign body on T15.9 38 Gastroenteristis Diarrhoea AC9
konjungtiva external eye, part (termasuk and
unspecified kolera, gastroenteriti
glardiasis) s of
presumed
infection
origin
10 Blefaritis Blepharitis H01.0 39 gonore Gonocuccal A54.9
infection,
unspeciefied
11 Bronkitis akut Acute Bronchitis, J20.9 40 Hemoroid grade haemorrhoid I84
unspecified 1-2 s
12 Buta senja Night blindness H53.6 41 Hepatitis A Acute B15
hepatitis A
13 Cutaneus larva Hookworm disease, B76.9 42 Herpes sim
migram unspecified
14 Demam dengue, Dengue haemorrhagic A91
DHF fever
15 Demam typhoid Typhoid fever A01.0
16 Dermatitis atopik Atopic dermatitis L20
(kecuali
recalcitrant)
17 Dermatitis kontak Irritant contact L24
iritan dermatitis
18 Dermatitis Other atopic dermatitis L20.8
numularis
19 Dermatitis Seborrhoeic dermatitis L21
seboroik
20 Tinea kapitis Tinea barbae and tinea B35.0
capitis
21 Tinea barbae Tinea barbae and tinea B35.0
capitis
22 Tinea Imbricate Other dermatophytoses B35.8
23 Tinea korporis Tinea corporis B35.4
24 Tinea manum Tinea manuum B35.2
25 Tinea unguium Tinea unguium B35.1
26 Tinea kruris Tinea cruris B35.6
27 Tinea pedis Tinea pedis B35.3
28 Diabetes melitus Diabetes insulin T89
tipe 1 depedent
29 Diabetes melitus Non-insulin-dependent E11
tipe 2 diabetes mellitus

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