BAB XVI Kondisi-kondisi tertentu yang Berasal dalam Periode Perinatal SESI 3 CHAPTER XVI CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD (P00-P96) BAB XVI Kondisi-kondisi tertentu yang Berasal dalam Periode Perinatal

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

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.

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

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)

BAB XVI CERTAIN CONDITIONS … (Lanjutan) Terklasifikasi dalam Blok: P00-P04 P05-P08 P10-P15 P20-P29 P35-P39 P50-P61 P70-P74 P75-P78 P80-P83 P90-P96 Hanaya ada satu kode ber-* P75* Meconium ileus

P00-P04 Fetus & Newborn affected by maternal factors & …. P00 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) P01 Janin/bayi terpengaruh komplikasi maternal akibat kehamilan P02 Janin/bayi terpengaruh komplikasi plasenta, tali pusat dan membranes. P03 Janin/bayi terpengaruh komplikasi lain-lain terkait persalinan dan kelahiran

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)

Disorders related to length of gestation & fetal growth (P05-P08) Gangguan berkaitan dengan masa/usia kehamilan dan pertumbuhan janin: P05 BBLR terhadap masa/usia kehamilan P06 - (kosong, tidak terisi) - P07 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: …

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

Birth Trauma (Trauma Lahir) (P10-P15) & Resp. & Cardiov. Disor 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

Birth Trauma (Trauma Lahir) (P10-P15) (Lanjutan) P22 Respiratory distress of newborn P23 Congenital pneumonia P24 Neonatal aspiration syndrome P25 Interstitial emphysema & related cond. … P26 pulmonary haemorrhage originating in … P27 Chronic respiratory disease originating … P28 Other respiratory conditio0ns … P29 Cardiovascular disorders originating …

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 Congenital viral diseases P36 Bacterial asepsis of newborn Includes: congenital septicaemia

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: …

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 (D55- D58) P50 Fetal blood loss Excludes: … P51 Umbilical haemorrhage of newborn Excludes: … P52 Intracranial nontraumatic haemorrhage of fetus & newborn) P53 Haemorrhage disease of fetus & newborn

Haemorrhage & Haematological (Lanjutan) P54 Other neonatal haemorrhage P55 Haemolytic disease of fetus & newborn P56 Hydrops fetalis due to haemorrhage disease Excludes:… P57 Kernicterus P58 Neonatal jaundice due to other excessive … Excludes: … P59 Neonatal jaundice from other & unspecified ... Excludes: P60 Disseminated intravascular coagulation of … P61 Other perinatal haemolytical disorders Excludes: …

Transitory Endocrine & Metabolic disorders Specific to Fetus & Newborn 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 T. disorders of C_H metabol. Specific to fetus & newborn P71 T. neonatal disorders of calcium & magnesium metabolism

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

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

Conditions involving the integument & temperature regulation of fetus & newborn (P80-P83) (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

Conditions involving the integument … (Lanjutan) P82 - (kosong tidak terisi) - P83 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

Other Disorders Originating In The Perinatal Period (P90-P96) (Hal 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: …

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

SOAL-2 LATIHAN MANDIRI 1. Intrauterine anoxia No: 2. Hyaline membrane disease No: 3. Congenital pneumonia No: 4. Sleep apnoe (newborn) No: 5. Congenital sepsis, streptococcal B No: 6. Hypovitamine K of newborn No: 7. Dehydration, newborn No: Conculsion, newborn No: Coma, age 3 days No: Nontraumatic intraventricular haemorrhage, grade 2, newborn No: 11. Fraktur clavicula akibat cedera lahir No: 12. Afgar score 3 No: 13. Aspirasi air ketuban (meconeum) No: 14. Bayi lahir, detak jantung disritmia No:

Soal-soal Gangguan Kongenital: 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 No: 20. Bayi lahir berkelamin ganda No: 21. Lubang dubur tidak terbentuk No: 22. Lahir dengan jantung letak kanan No: 23. Lahir dengan stenosis katub aorta No: 24. Lahir tanpa kepala No: 25. Lahir tanpa daun telinga No: