Transcript BAB XVI CERTAIN CONDITIONS ORIGINATING IN THE

SESI 3
CHAPTER XVI
CERTAIN CONDITIONS ORIGINATING
IN THE PERINATAL PERIOD
(P00-P96)
BAB XVI
Kondisi-kondisi tertentu yang Berasal
dalam Periode Perinatal
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DESCRIPTION
Pembahasan materi meliput pengenalan istilah-istilah
gangguan yang timbul pada periode perinatal
cara menentukan kode diagnosis agar akurat, tepat
dan berhasilguna menunjang sistem informasi morbiditas
dan mortalitas perinatal yang dikembangkan
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TUJUAN INSTRUKSIONAL UMUM
Mampu menentukan kode diagnosis gangguan
yang muncul pada masa periode perinatal dengan
presisi, akurat dan tepat, berhasil mengumpulkan,
menyimpannya dan mengambil kembali bagi
kepentingan penyelesaian sistem pelaporan
rutin morbidtas dan mortalitas perinatal yang
diterapkan fasilitas asuhan pelayanan ataupun
yang suatu waktu diperlukan oleh manajemen
kesehatan maternal.
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TUJUAN INSTRUKSIONAL KHUSUS
Menjelaskan:
Definisi berbagai gangguan perinatal.
Kekhususan Bab XVI
Note, excludes, dan includes serta tanda baca
lain-lian yang menyertai nomor kode kategori
dan subkategori Bab XVI
Cara mencari dan memilih kode diagnosis gangguan
perinatal dengan presisi, akurat dan tepat
Latihan soal dengan bimbingan di kelas
Latihan soal mandiri
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BAB XVI CERTAIN CONDITIONS
ORIGINATING IN THE PERINATAL PERIOD
(P00 - P96)
Includes: kondisi yang bermula pada period perinatal
walau selanjutnya berakhir dengan kematian
bayi atau morbidita5s.
Excludes: Congenital malformation, deformation &
chromosomal abnormalities (Q00-Q99)
Endocrine, nutritional and metabolic diseases
(E00-E99)
Injury, poisoning and certain other
consequences of external causes
(S00-T98)
Neoplasms (C00-D48)
Tetanus neonatorium (A33)
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BAB XVI CERTAIN CONDITIONS … (Lanjutan)
Terklasifikasi dalam Blok:
P00-P04
P05-P08
P20-P29
P35-P39
P70-P74
P75-P78
P90-P96
P10-P15
P50-P61
P80-P83
Hanaya ada satu kode ber-*
P75* Meconium ileus
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P00-P04 Fetus & Newborn affected by
maternal factors & ….
P00
P01
P02
P03
Janin/bayi terpengaruh kondisi ibu yang
mungkin tidak ada kaitan dengan kehamilan
yang sedang berjalan.
Perhatikan kelompok kategori yang terliput pada
masing-masing kode P00.- (hal 1-766->767)
Janin/bayi terpengaruh komplikasi maternal
akibat kehamilan
Janin/bayi terpengaruh komplikasi plasenta,
tali pusat dan membranes.
Janin/bayi terpengaruh komplikasi lain-lain
terkait persalinan dan kelahiran
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P00-P04 Fetus & … (Lanjutan)
P04
Janin/bayi terpengaruh oleh zat berbahaya
yang masuk melalui plansenta atau ASI
Includes: non-teratogenic effects of substances
transmitted via placenta
Excludes:
Congenital malformation (Q00-Q99)
Neonatal jaundice from other excessive
haemolysis due to drugs or toxins
transmitted from mother (P58.4)
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Disorders related to length of gestation &
fetal growth (P05-P08)
Gangguan berkaitan dengan masa/usia kehamilan
dan pertumbuhan janin:
P05
P06
P07
BBLR terhadap masa/usia kehamilan
- (kosong, tidak terisi) Gangguan terkait masa kehamilan pendek dan
BBLR, NEC.
Note: Bila data BB dan adalah data BB.
Includes: kondisi dalam daftar yang tanpa
spesifikasi apakah usia kemahilan
terrekam, prioritas menjadi sebab
mortalitas, morbiditas atau perawatan
tambahan pada bayi baru lahir.
Excludes: …
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Disorders related to length … (Lanjutan)
P08
Gangguan terkait masa kehamilan panjang
dan BBL >> (normal)
Note: …
Includes: …
Perhatikan batas ukuran BB/jumlah hari masa
kehamilan yang tertera di masing-masing
kategori
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Birth Trauma (Trauma Lahir) (P10-P15)
& Resp. & Cardiov. Disor.Specific To…
(P20-P29)
(Hal. 774 – 780)
P10 Laserasi & perdarahan intrakranial akibat trauma lahir
Excludes: intracranial haemorrhage of fetus or
newborn:
. NOS (P52.9)
. Due to anoxia or hypoxia (P52.-)
P11 Cedera lahir susunan saraf sentral lain
P12 Cedera lahir tengkorak kepala
P13 Cedera lahir skelet
P14 Cedera lahir lain-lain
P20 Intrauterine hypoxia
P21 Birth asphyxia
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Birth Trauma (Trauma Lahir) (P10-P15) (Lanjutan)
P22
P23
P24
P25
P26
P27
P28
P29
Respiratory distress of newborn
Congenital pneumonia
Neonatal aspiration syndrome
Interstitial emphysema & related cond. …
pulmonary haemorrhage originating in …
Chronic respiratory disease originating …
Other respiratory conditio0ns …
Cardiovascular disorders originating …
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Infections Specific To The Perinatal Period
(P36-P39)
(Hal. 781-783)
Includes: Infections acquired in utero or during birth
Excludes: asymptomatic [HIV] infection status (Z21)
congenital:
. gonococcal infection (A54.-)
. pneumonia (P23.-)
. Syphilis (A50.-)
human … dst.
P35
P36
Congenital viral diseases
Bacterial asepsis of newborn
Includes: congenital septicaemia
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Infections Specific …. (Lanjutan)
P37
Other congenital infectious & parasitic diseases
Excludes: … (hal 1-782)
P38
Omphalitis of newborn with or without mild
haemorrhage
P39
Other infections specific to the perinatal period
Excludes: …
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Haemorrhage & Haematological Disorders Of
Fetus & Newborn (P50-P61) (Hal. 783-788)
Excludes: congenital stenosis & stricture of bile
ducts (O44.3)
Crigler-Najjar syndrome (E80.5)
Dubin-Johnson syndrome (E80.6)
Gilbert’s syndrome (E80.4)
hereditary haemolytic anaemias (D55D58)
P50
Fetal blood loss
Excludes: …
P51
Umbilical haemorrhage of newborn
Excludes: …
P52
Intracranial nontraumatic haemorrhage
of fetus & newborn)
P53
Haemorrhage disease of fetus &
newborn
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Haemorrhage & Haematological (Lanjutan)
P54
P55
P56
P58
P59
P60
P61
Other neonatal haemorrhage
Haemolytic disease of fetus & newborn
Hydrops fetalis due to haemorrhage
disease Excludes:… P57 Kernicterus
Neonatal jaundice due to other excessive
…
Excludes: …
Neonatal jaundice from other &
unspecified ... Excludes:
Disseminated intravascular coagulation
of …
Other perinatal haemolytical disorders
Excludes: …
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Transitory Endocrine & Metabolic disorders
Specific to Fetus & Newborn
(P70-P74)
Includes: transitory endocrine & metabolic
disturbances caused by the infant’s
response to maternal endocrine & metabolic
factor, or its adjustment to extrauterine
existence.
P70
P71
T. disorders of C_H metabol.
Specific to fetus & newborn
T. neonatal disorders of calcium &
magnesium metabolism
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Transitory Endocrine & Metabolic disorders (Lanjutan)
P72
Other T. neonatal endocrine disorders
Excludes: congenital hypothyroidism with
or without goitre (E13.0-E03.1)
dyshormogenic goitre (E07.1)
Pendred’s syndrome (E07.1)
P72.0, P72.1, P72.2 dan P72.8, P72.9
P73
- (kosong/tidak terisi) –
P74
Other T. neonatal electrolyte & metabolic
disturbances.
P74.0, P74.1, P74.2, P74.3, P74.4, P74.5, dan
P74.8, P74.9
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Digestive S. Disorders Of Fetus & Newborn
(P75-P78)
P75* Meconium ileus (E84.1!)
P76 Other intestinal obstruction of newborn
Excludes: intestinal obstruction classifiable to
K56.P76.0, P76.1 (ada Excludes: …) P76.2 dan
P76.8, P76.9
P77 Necrotizing enterocolitis of fetus or newborn
P78 Other perinatal digestive S. disorders
Excludes: neonatal gastointestinal haemorrhage
(P54.0-P54.3)
P78.0, P78.1, P78.2 , P78.3 (ada Excludes: …)
dan P78.8, P78.9
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Conditions involving the integument &
temperature regulation of fetus & newborn (P80P83) (Hal. 791-792)
P80 Hypothermia of newborn
P80.0 Cold injury syndrome dan Excludes: …
dan P80.8, P80.9
P81 Other disturbances of temperature of newborn
P81.0 Environmental hyperthermia of newborn
P81.8 Other specified disturbances of temperature
regulation of newborn.
P81.9 Disturbance of temperature regulation of
newborn, unspecified
Fever of newborn NOS
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Conditions involving the integument … (Lanjutan)
P82
P83
- (kosong tidak terisi) Other conditions of integumentum specific
to fetus & newborn
Excludes:
congenital malformation of skin and integument
(Q80-Q84)
cradle cap (L21.0)
diaper [napkin] dermatitis (L22)
hydrops fetalis due to haemolytic disease (P56.-)
neonatal skin infrction (P39.4)
staphylococcal scalded skin syndrome (L00)
P83.0, P83.1, P83.2, P83.3, P83.4, P83.5, P83.6
dan P83.8. P83.9
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Other Disorders Originating In The Perinatal
Period (P90-P96) (Hal. 792-794)
P90
Convulsions of newborn Excludes: …
P91
Other disturbances of cerebral status of newborn
P92
Feeding problems of newborn
P93
reactions and intoxications due to drugs
administered to fetus & newborn.
Grey syndrome from chloramphenicol
administration
in newborn.
Excludes: …
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Other Disorder … (Lanjutan)
P94
Disorders of muscle tone of newborn
P95
Fetal death of unspecified cause
Deadborn fetus NOS
Stillbirth NOS
P96
Other conditions originating in the perinatal
period.
P96.0 Congenital renal failure
Uremia of newborn
P96.1 Neonatal withdrawal symptoms from
maternal use of drugs of addiction
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SOAL-2 LATIHAN MANDIRI
1.
2.
3.
4.
5.
6.
7.
8.
9.
9.
11.
12.
13.
14.
Intrauterine anoxia
Hyaline membrane disease
Congenital pneumonia
Sleep apnoe (newborn)
Congenital sepsis, streptococcal B
Hypovitamine K of newborn
Dehydration, newborn
Conculsion, newborn
Coma, age 3 days
Nontraumatic intraventricular
haemorrhage, grade 2, newborn
Fraktur clavicula akibat cedera lahir
Afgar score 3
Aspirasi air ketuban (meconeum)
Bayi lahir, detak jantung disritmia
No:
No:
No:
No:
No:
No:
No:
No:
No:
No:
No:
No:
No:
No:
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Soal-soal (Lanjutan)
• 15. Bayi lahir dengan hepatitis B
No:
• 16. Bayi lahir dengan infeksi saluran kemih
No:
• 17. Bayi lahir kuning akibat gangguan feeding ASI
No:
• 18. Diare non infective, usia 7 hari
No:
Soal-soal Gangguan Kongenital:
•
•
•
•
•
•
•
19. Bayi lahir dengan ginjal tidak terbentuk
20. Bayi lahir berkelamin ganda
21. Lubang dubur tidak terbentuk
22. Lahir dengan jantung letak kanan
23. Lahir dengan stenosis katub aorta
24. Lahir tanpa kepala
25. Lahir tanpa daun telinga
No:
No:
No:
No:
No:
No:
No:
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