s5 p2 Singkatan Rekam Medik Dan Daftar Kode Icd 10 [PDF]

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SINGKATAN - SINGKATAN YANG DIPERGUNAKAN DALAM REKAM MEDIK DI RS. NATAR MEDIKA No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 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



SINGKATAN AP 1 VD 2 VD 3 VD AB AD ad lib ADS AF aff - se AFP AGD AGDA AH AI AIDS Aiz am anti HBs Anti HCV Anti HIV AP APTT ARDS AS AS ASA ASD ASI ASTO AV Block AV fistula BBLR Bicnat BJ BMP BMV BNO / IVP BOH BOJL BOR BP BPH BPPV BSK BTA BTO CAP CA Ca Ca CABG Cathlab CC CCU CH CHD CHF CHL



KEPANJANGAN Angina Pektoris One Vessel Disease (Penyumbatan 1 a. koroner utama) Two Vessel Disease (Penyumbatan 2 a. koroner utama) Three Vessel Disease (Penyumbatan 3 a. koroner utama) Antibiotika Auric Dextra ad libitum Auric Dextra et Sinistra Atrial Fibrilasi / Flutter aff sementara Alfa Feto Protein Analisa Gas Darah Analisa Gas Darah Arteri Anak Hidup Aorta Insufisiensi Acquired Immune Defficiency Syndrome Alzheimer ante meridiem Antibodi Hepatitis B surface Antibodi Hepatitis C Virus Antibodi Human Immunodefficiency Virus Antero Posterior Activated Pro Trombin Time Acute Respiratory Distress Syndrome Aorta Stenosis Auric Sinistra American Society of Anasthesiologists Atrial Septal Defect Air Susu Ibu Anti Streptolysin Tipe O Atrio Ventricular Block Arterio - venous fistula Berat Badan Lahir Rendah Bicarbonas Natricus Berat Jenis Bone Marrow Puncture Balloning Mitral Valvuloplasty Bier Nicht Overzicht / Intra Venous Pyelography Bad Obstetric Hystory Berobat Jalan Bed Occupancy Rate Bronkopneumonia Benign Prostate Hyperthrophy/D29.1 Benign Positional Paroxysmal Vertigo Batu Saluran Kemih Basil Tahan Asam Bed Turn Over COMMUNITY AQUIRED PNEMONIA Corpus Alienum Calcium Carsinoma Coronary Artery Bypass Graft Catheterozation Laboratory Common Cold Cardiac Care Unit Cirrhosis Hepatitis Congenital Heart Disease Congestive Heart Failure Conductive Hearing Loss



KETERANGAN



59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120



CK CKB CKM CKR CI CM CMK CMV CO CO2 COPD CP CP CPC CPD CPZ Cr. CL CRP Cryo CSSD CTEV CTG CT - Scan CVP CWL D/ DBD dbn DC DD det DF DH DHF DIC Difftel DJ stent DK DK DM DNR DOA DRG DRG DS DSS DVT Dx ECG Echo ECT EEG EF EH EK EKG EMG ERCP ESWL ETH ETT EV



Creatinin Kinase Cedera Kepala Berat Cedera Kepala Moderat Cedera Kepala Ringan Chlorida Compos Mentis Cukup Masa Kehamilan Citomegalo Virus Cardiac Output Carbondioxide Chronic Obstructive Pulmonary Disease Cerebral Palsy Cerumen Prop Cor Pulmonal Chronicum Chlordiazepoxide Chlorpromazine Creatinin Clearance C- Reactive Protein Cryoprecipitate Central Sterilisation Supply Department Congenital Talipes Equino Varus Cardio Tocography Computed Tomography - scanning Central Venous Catheter Caldwell Luc Diagnosa Demam Berdarah Dengue dalam batas normal Decompensatio Cordis Diagnosa Banding detur Dengue Fever Diet Hati Dengue Haemorrhagic Fever Disseminated Intravascular Coaggulation Differential Taling Double J Stent Dermatitis Kontak Diagnosa Klinis Diabetes Melitus Do Not Resucitate Death On Arrival Diet Rendah Garam Diagnosis Related Group Diagnosa Sementara Dengue Shock Syndrome Deep Vein Thrombosis Diagnosa Electrocardiography Echocardiography Electro Convulsive Therapy Elektroensefalogram Ekstraksi Forsep Epidural Haemorrhage Eklampsia Elektrokardiografi Elektromiogram Endoscopic Retrograde Cholangio Pancreatography Extracorporeal Short Wave Lithotripsy Ethambutol Endotracheal Tube Ekstraksi Vakum



121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182



Exit Exo FAM FESS flac fls FNB Fr FUO Fx G6PD GA GBS GCS GDR GE GFR GGA GGK GMP GNA GNK GO GTT gtt GV H/L/R Hb HbA1c HBeAg HBsAg HCC HD HDL Cholesterol HDU HHD HIL HIV HNP HP HPHT HR HSG Ht HT HVA IBP IBS IC IC ICH ICU Ig A Ig E Ig G Ig M IgM anti HAV IK IM IN INH Inj



Exitus Exodontie Fibro Adenoma Mammae Functional Endoscopic Sinus Surgery flacon fless Fine Needle Biopsy Fraktur Febris Of Unknown Origin Fraktur Glucose6 Phosphodiesterase General Anaethesia Guillain Barre Syndrome Glasgow Coma Scale Gross Death Rate Gastroenteritis Glomerular Filtration Test Gagal Ginjal Akut Gagal Ginjal Kronik Grande Multi Para Glomerulonephritis Acute Glomerulonefritis Kronik Gonnorrhoea Glucose Tolerance Test guttae Ganti Verband Hepar / Lien / Ren Hemoglobin Hemoglobin tipe A1c Hepatitis B envelope Antigen Hepatitis B surface Antigen Hepato Cellular Carcinoma Haemodyalysis High Density Lipoprotein Cholesterol High Dependency Unit Hypertensive Heart Disease Hernia Inguinalis Lateralis Human Immunodefficiency Virus Hernia Nucleus Pulposus Hechting Primer Hari Pertama Haid Terakhir Heart Rate Hystero Salphyngography Hematokrit Hipertensi Hepatitis Viral Akut Invasive Blood Pressure Irritable Bowel Syndrome Informed Consent Intra Cutan Intra Cerebral / Cranial Haemorrhage Intensive Care Unit Immunoglobulin A Immunoglobulin E Immunoglobulin G Immunoglobulin M Immunoglobulin M anti Hepatitis A Virus Intra Kutan Intra Muskular Infeksi Nosokomial Isoniazide Injeksi



183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240



IOL IR ISK ISPA ITP IUD IUFD IV IV Catheter IVFD K KB KDR KE KET KGB KGD KGD AD R KGD p / KGD n KJDK KKP KLB KLL KM KMK KP KPD KRT L Lab Lat LBBB LBP LC LDL Cholesterol LED Leuco LFT LLC LOS LP LSC M/H/T MB MCI MCU Mg MI MI MII MM MMR MOSF MR MR MRI MS Mt MOW 241 N 242 N2O 243 Na



Intra Ocular Lens Infra Red Infeksi Saluran Kemih Infeksi Saluran Pernafasan Atas Idiophatic Trombocytopenic Purpura Intra Uterine Device Intra Uterine Foetal Death Intra Vena Intra Venous Catheter Intra Venous Fluid Drips Kalium Keluarga Berencana Kehamilan Dalam Rahim Kehamilan Ektopik Kehamilan Ektopik Terganggu Kelenjar Getah Bening Kadar Gula Darah Kadar Gula Darah ad random Kadar Gula Darah puasa / nuchter Kematian Janin Dalam Kandungan Kurang Kalori Protein Kejadian Luar Biasa Kecelakaan Lalu Lintas Kaca Mata Kurang Masa Kehamilan Koch Pulmonum Ketuban Pecah Dini Kehamilan Resiko Tinggi Left Laboratorium Lateral Left Bundle Branch Block Low Back Pain Light Cure Low Density Lipoprotein Cholesterol Laju Endap Darah Leucocyte Liver Function Test Long Leg Cast Length Of Stay Lumbal Punctie Lichen Simplex Chronicus Mulut / Hidung / Tenggorokan Makanan Biasa Myocard Infarct Medical Check Up Magnesium Mitral Insufficiency Makanan Halus Makanan Lunak Multiple Myeloma Measles Mumps Rubella Multi Organ System Failure Mental Retardation Medical Record Magnetic Resonance Imaging Mitral Stenosis Mantoux test METODE OPERASI WANITA Normal Nitrous Oxide Natrium



A16.1



66.22



244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304



NaCI Nd NDR NGT NHL NIBP NPC NPO NSHL NYHA NKB O2 OA OD ODS OE OK OMP OMSK ORIF Ortho OS Os OTT P. carinii P/V PA PA PAN PAPS Paps Smear PBJ pc PCI PCN PD PDA PE PE PEM PFR PG PICU PID PIS PJK PNA PNC PNC PO POT PPH PPM PPOK PPOM PRC Prosto PS PSA PSA PSMBA PSP



Natrium Chloride Nadi Nett Death Rate Naso Gastric Tube Non Hodgkin Lymphoma Non Invassive Blood Pressure Naso Pharynx Carcinoma Nuchter Per Os Neuro - Sensory Hearing Loss New york Heart Association NEONATUS KURANG BULAN Oksigen Osteoartritis Oculi Dextra Oculi Dextra et Sinistra Otitits Eksterna Operatie Kammer Otitis Media Perforata Otitis Media Supuratif Kronik Open Reduction Internal Fixation Orthodontie Oculi Sinistra Orang Sakit Orotracheal Tube Pneumocystis carinii Perdarahan per Vaginam Postero Anterior Patologi Anatomi Polyarteritis Nodosa Pulang Atas Permintaan Sendiri Papanicolau Smear Pulang Berobat Jalan post meridiem Percutaneous Coronary Intervention Percutaneous Nephroscope Peritoneal Dyalisis Patent Ductus Arteriosus Pre Eklampsia Pulmonal Edema Protein Energy Malnutrition Peak Flow Rate Primi Gravida Pediatric Intesive Care Unit Pelvic Inflammatory Disease Perdarahan Intra Serebral Penyakit Jantung Koroner Pyelonephritis Acute Penicilline Pyelonephritis Chronic Per Oral / Os Pentalogy Or Fallot Post Parfum Haemorrhage Permanent Pacemaker Penyakit Paru Obstruktif Kronik Penyakit Paru Obstruktif Menahun Packed Red Cells Prostodontie Pulmonal Stenosis Posterior Sagittal Anorectoplasty Prostat Specific Antigen Perdarahan Saluran Makanan Bagian Atas Partus Spontan



305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366



PT PTCA PTM PTM PTMC PUD PV PVD PZA R RA RA / RB RBBB RBC RC RDS Rh Rh Factor RHD RI RIF / R RJP RJTL RJTP RL RM RM RO RPG RPO RPT RR RT RUI SA SA SC SC SC SDH Sens SI SIBC SIDS SK SKD SKG SKM SLE SM SM SMK SNH SNNT SO SOL SOPT SP SPE SPN SSS SSSS



Prothrombin Time Percutaneous Transluminal Coronary Angioplasty Persetujuan Tindakan Medik Partus Tak Maju Percutaneous Transluminal Mitral Commissuroplasty Perdarahan Uterus Disfungsional Pytiriasis Versicolor Peripheral Vascular Disease Pyrazinamide Right Rheumatoid Arthritis Rahang Atas / Rahang Bawah Right Bundle Branch Block Red Block Cell Reflex Cahaya Respiratory Distress Syndrome Rhesus Rheumatoid Arthritis Factor Rheumatic Heart Disease Rawat Inap Rifampisin Resusitasi Jantung Paru Rawat Jalan Tingkat Lanjutan Rawat Jalan Tingkat Pertama Ringer Laktat Rekam Medik Rehabilitasi Medik Rontgen Retrograde Pyelography Riwayat Penggunaan Obat Riwayat Penyakit Terdahulu Recovery Room Rectal Toucher Ruptur Uteri Imminens Sulphas Atropin Sectio Alta Sectio Caesaria Sub Cutan Sandwich Sub Dural Haemorrhage Sensorium Serum Iron Serum Iron Binding Capacity Sudden Infant Death Syndrome Sub Kutan Surat Keterangan Dokter Skala Koma Glasgow Surat Keterangan Meninggal Systemic Lupus Erythematosus Sulfas Magnesicus Streptomycin Sedang Masa Kehamilan Stroke Non Hemoragik Struma Nodosa Non Toksik Salphyngo-oophorectomy Space Occupying Lesion Sindroma Obstruktif Pasca Tuberkulosis Suara Pernafasan Serum Protein Electrophoresis Sinus Para Nasal Sinus Sick Syndrome Staphyloccocal Scalded Skin Syndrome



367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421



ST suc sue supp SVT SWD T TAH Tb TBC TD TE TEE TG Th/ THT TI TIBC TIK TMT TOF TORCH Toy TPHA TPM TS TSH TTP tts / m TU TUR-P TV TV TVH TVJ U/C UGD URS USG UT UTI UV V..... VC VDRL VE VER VF VK VP - Shunt VSD VT WB WSD WT



Suara Tambahan signa usum cognitus signa usum externus suppositoria Supra Ventricular Tachycardia Short Wave Diathermi Temperatur Trans Abdominal Hysterectomy Tuberkulosis Tuberkulosis Tekanan Darah Tonsilectomy Trans Esophageal Echocardiography Trigliserida Terapi Telinga Hidung Tenggorokan Tricuspidal Insufficiency Total Iron Binding Capacity Tekanan Intra Kranial Treadmill Test Tetralogy Of Fallot Toxoplasmosis Rubella Cytomegalovirus Turn Over Interval Treponema Pallidum HaemAgglutination Temporer Pacemaker Tricuspidal Stenosis Thyroid Stimulating Hormon Taksiran Tanggal Persalinan tetes per menit Tinggi Fundus Uteri Trans Urethral Resection - Prostate Tinea Versicolor Tidal Volume Trans Vaginal Hysterectomy Tekanan Vena Jugularis Ureum / Creatinin Unit Gawat Darurat Uretero Renoscope Ultrasonography Udara Tekan Urinary Tract Infection Ultra Violet Vulnus . . . Frozen Section Venereal Disease Research Laboratory Versi Ekstraksi Visum Et Repertum Ventricular Fibrillation Verloos Kammer Verticulo Peritoneal Shunt Ventricle Septal Defect Vaginal Toucher Whole Blood Water Sealed Drainage Wound Toilet



O86.2



TUBERKULOSIS PADA SISTEM GENITOURINARIUS TUBERKULOSIS PADA TELINGA TUBERKULOSIS PADA TULANG DAN SENDI TUBERKULOSIS PADA URETER TUBERKULOSIS PARU, BTA POSITIF TUBERKULOSIS PARU,BTA (-)/KULTUR (-), PA (-) TUBERKULOSIS PARU,KULTUR SPUTUM POSITIF TUBERKULOSIS PARU,PEMERIKSAAN BTA,KULTUR ELUM AD TUBERKULOSIS PDA INTESTINUM (USUS HALUS) TUBERKULOSIS PLEURISY,BTA (+)/KULTUR (=) TUBERKULOSIS PLEURISY/PLEURITIS, BTA(-),KULTUR (-),PA (-) TUBERKULOSIS PRIMER, BTA (-)/KULTUR (-),PA(-) TUBERKULOSIS SAL NAFAS LAIN,BTA (-),KULTUR(-),PA(-) TUBERKULOSIS SAL NAFAS TIDAK SPESIFIK,BTA (+),KULTUR(=) TUBERKULOSISPADA KELENJAR TIROID TUBULO INTERSTITIAL NEPHRITIS TUNNER'S SYNDROME TYPHOID FEVER TYPHUS ABDOMINALIS UDEM LARING UDEMA CEREBRI TRAUMATIK UJI FUNGSI GINJAL ABNORMAL ULCUS CORNEA ULCUS DIABETICUM ULKUS DECUBITUS ULKUS DUODENUM ULKUS KRONIK PADA KULIT ULKUS LAMBUNG/GASTRIC ULCER ULKUS MOLE ULKUS PADA ANUS DAN RETRUM ULKUS PADA EKSTEREMITAS BAWAH ULKUS PADA USUS HALUS/INTESTINUM ULKUS PENIS ULKUS PEPTIKUM ULKUS/EROSI ESOFAGUS ULSERASI VAGINA ULSERASI VULVA ULTICARIA IDIOPATIK ULTICARIA KONTAK ULTICARIA SOLAR UNDERFEEDING PADA NEONATUS UNDESCEND TESTIS UNDESCENSUS TESTICORUM, BILATERAL UNDESCENSUS TESTICORUM, UNILATERAL UNSTABLE ANGINA UREMIA URTICARIA UREMIA EKSTRA RENAL/PRE RENAL URETEROLITHIASIS URETHROKEL, PADA LAKI-LAKI URETHROKEL, PADA WANITA URETHROLITHIASIS URETHRORHOEA/URETHRAL DISCHARGE URETRITIS URETRITIS GONORRHOE URETRITIS NON SPESIFIK URINARY TRACT OBSTRUKTION/UTI UROPATI OBSTRUKTIF DAN REFLUKS URTICARIA URTICARIA AKIBAT DINGIN DAN PANAS URTICARIA ALERGIK UVEITIS VACUM EXTRAKSI VAGINISMUS VAGINITIS VAGINITIS AKUT VAGINITIS ATROFIK POST MENOPAUSE VAGINITIS SUBAGUT DAN KRONIK VALGUS VARICELLA VARICELLA DENGAN KOMPLIKASI LAIN VARICELLA ENCEPHALITIS VARICELLA MENINGITIS VARICELLA PNEUMONIA VARISES ESOFAGUS DENGAN PERDARAHAN VARISES ESOFAGUS TANPA PERDARAHAN VARISES PADA KAKI DALAM KEHAMILAN VARISES PADA PERINEUM / VAGINA / VULVA DALAM MASA KEHAMILAN



VARISES VULVA VARUS VASCULAR DEMENTIA



VASCULAR HEADACHE



Venom of other arthropods Venom of other reptiles Venom of scorpion Venom of spider venom snake VENTRICULAR FIBRILLATION (VF) DAN FLUTTER VERRUCA SIMPLEX / VULGARIS VERSI EKSTRAKSI VERTIGO VESICOLITHIASIS VESICOURETERAL - REFLUX DENGAN UROPATHY VISCERAL LARVA MIGRANS VISUAL LOSS, TIDAK SPESIFIK VITILIGO VOLVULUS OBS VOMITUS VOMITING / MUNTAH PADA KEHAMILAN, TIDAK SPESIFIK VOMITING / MUNTAH PASCA OPERASI VSD ( VENTRICULAR SEPTAL DEFECT ) VT ( VENTRICULAR TACHYCARDIA ) VULNUS LASERATUM, PUNCTUM PADA TUBUH VULVITIS AKUT VULVITIS SUBAKUT DAN KRONIK VULVOVAGINITIS AKUT VULVOVAGINITIS SUBAKUT DAN KRONIK WATERHOUSE - FRIDERICHSEN SYNDROME WEGENER'S GRANULOMATOSIS WHEEZING WHOOPING COUGH KARENA BORDETELLA PARAPERTUSSIS WHOOPING COUGH KARENA BORDETELLA PERTUSSIS WHOOPING COUGH, TIDAK SPESIFIK WRIST DROP XANTHELASMA XERODERMA PIGMENTOSUM XEROSIS CUTIS



A18,1 A18,6 A 18,0 A 18,1 A 15,0 A 16,0 A 15,1 A 16,2 A 15,6 A 16,5 A 15,7 A 15,8 A 15,9 A18,8 N12 Q96,9 A01.0 A75,9



H16.0 E14.5



K62,6 K63,3 N48,5 K22,1 N76,5 N76,6



N92,3 C62,0 Q53,2 Q53,1 I20,0 L50.9



N21.1 N21.1 A54,0 O86.2 L50.9 L50,2 H20.9 O 81,4 N94,2 N70,0



I86.1 B01,8 GO5.1 G02.0 J17.1



O22,0



F01,9



G44,1



T634 T631 T632 T633 T630 I49,0



R42 N21.1 N13,7 B83,0 L80 R11 O21,9 K91,0 Q21,0 I47,2 N76,2



A39,1 M31,3 R06,2 A37,1 A37,0 A37,9 M21,3 H02,0 L85,3