PENGENALAN ICD-10

STRUKTUR & ISI

Lily Kresnowati

The WHO Family of International

Classifications (WHO-FIC)
Related Classifications

International
Classification of Primary
Care (ICPC)

Reference Classifications

International
Classification of
Diseases (ICD)

ISO 9999 Technical aids

for persons with
disabilities Classification and
Terminology

International
Classification of
Diseases for Oncology,
Third Edition (ICD-O-3)
The ICD-10
Classification of Mental
and Behavioural
Disorders

International
Classi fication of External
Causes of Injury (ICECI)

The Anatomical,
Therapeutic, Chemical
(ATC) classification
system with Defined
Daily Doses (DDD)

Derived Classifications

International
Classification of
Functioning,
Disability and
Health (ICF)

International
Classification of
Health
Interventions
(ICHI)
under
development

Application of the
International
Classification of
Diseases to Dentistry
and Stomatology, Third
Edition
(ICD-DA)
Application of the
International
Classification of
Diseases to Neurology
(ICD-10-NA)
International
Classification of
Functioning, Disability
and Health, Children &
Youth Version (ICF-CY)

Schematic representation of the WHO-FIC[1]

Extracted from ICD-10 Second Edition, 2005, 2. Description of the International Statistical
Classification of Diseases and Related Health Problem.
[1]

KEBUTUHAN DATA /
INFORMASI KESEHATAN
Unit Pelay. Kes (RS)
-data morbiditas
-operasi/tindakan

Penelitian medis
Evaluasi mutu

Perencana Pelay.
Kes
-data morbiditas,
mortalitas, dll
Studi : statistik,
epidemiologi,
kebijakan

Sist. Klasifikasi rinci

ICD- Sist. Klasifikasi tdk

PEMANFAATAN INFORMASI
KESEHATAN
Epidemiologi perencanaan pencegahan
Manajemen Pelay. Kes evaluasi mutu,
perencanaan, administrasi/finansial
Riset klinik pendidikan, perkembangan
ilmu pengetahuan (sains)
Komparasi data kesehatan transfer
ilmu, teknologi, dll
Asuransi kesehatan

Note :
Koding untuk keperluan
reimbursement tidak selalu

=
Koding untuk keperluan
statistik

IMPLEMENTASI ICD-10
WHO dalam sidang World Health Assembly
ke-43 telah menetapkan ICD-10 sebagai
pedoman klasifikasi internasional tentang
penyakit edisi terbaru yang harus dipakai
oleh seluruh negara anggotanya.
Di Indonesia telah ditetapkan berlakunya
ICD-10 untuk pedoman klasifikasi penyakit
melalui Keputusan Menteri Kesehatan RI
No. 50/MENKES/SK/I/1998 tentang
Pemberlakuan Klasifikasi Statistik
Internasional Mengenai Penyakit Revisi keSepuluh tertanggal 13 Januari 1998.

ICD-10 :
International Statistical Classification
of Diseases and Related Health
Problems
10th Rev.
TUJUAN :
1. Mempermudah perekaman
sistematis, untuk analisis,
interpretasi, komparasi data
morbiditas/mortalitas
2. Menerjemahkan diagnosis penyakit
& masalah kesehatan lain kode
alfanumerik

VOLUME 1,2,3

DAFTAR
TABULASI

MANUAL
INSTRUKSI

Edisi terbaru ; 2016 Online

INDEKS
ALFABETIK

VOLUME 1
Bagian terbesar memuat klasifikasi utama,
terdiri dari kategori tiga-karakter dan
subkategori empat karakter dalam 22 Bab
Tanda Baca ; inclusion, exclusion, NOS,
NEC, dll
Morfologi neoplasma
Daftar tabulasi khusus (special tabulation
lists)
Definisi
Regulasi nomenklatur

VOLUME 2
deskripsi tentang sejarah ICD
struktur dan prinsip klasifikasi
aturan-aturan koding morbiditas dan
mortalitas
presentasi statistik
petunjuk praktis bagi pengguna ICD
agar dapat memanfaatkan klasifikasi
sebaik-baiknya.

VOLUME 3
Merupakan Indeks Alfabetik, tempat
memulainya pencarian kode
SUSUNAN : terdiri dari 3 bagian (section)
Sect I : Diseases & nature of injury
Sect II : External causes of injury
Sect III : Table of drugs & chemicals
STRUKTUR : berisikan daftar lead term,
modifiers, perkiraan kode ( cross-check dg
volume 1)
TANDA BACA : parentheses, NEC dan crossreferences (see dan see also)

22 BAB
I Certain infectious and parasitic

diseases
II Neoplasms
IIIDiseases of the blood and bloodforming organs and certain disorders
involving the immune mechanism
IV Endocrine, nutritional and metabolic
diseases
V Mental and behavioural disorders
VI Diseases of the nervous system
VII Diseases of the eye and adnexa
VIII Diseases of the ear and mastoid
process
IX Diseases of the circulatory system
X Diseases of the respiratory system
XI Diseases of the digestive system
XII Diseases of the skin and
subcutaneous tissue
XIII Diseases of the musculoskeletal
system and connective tissue

XIV Diseases of the genitourinary

system
XV Pregnancy, childbirth and the
puerperium
XVI Certain conditions originating in
the perinatal period
XVII Congenital malformations,
deformations and chromosomal
abnormalities
XVIII Symptoms, signs and abnormal
clinical and laboratory findings, not
elsewhere classified
XIX Injury, poisoning and certain other
consequences of external causes
XX External causes of morbidity and
mortality
XXI Factors influencing health status
and contact with health services
XXII Codes for special purposes

SUSUNAN BAB DLM ICD-10

Bab I

Bab II
Bab III
blok kategori
D50-D53
D55-D59
D60-D64
kategori 3-karakter
D50D51 D52
subkategori 4 karakter
D51.0
D51.1

D51.2

STRUKTUR DASAR ICD-10

Kode Alfanumerik

A37.1
Karakter 1
(Alfabetik)
subkategori

2 digit

titik

3 karakter kategori
4 karakter sub-kategori
Karakter ke-5 subklasifikasi (+notes)

KARAKTER KE-5 ATAU SUB LAIN

Bab XIII anatomical site
Bab XIX indikasi fraktur ;
terbuka/ttutup
- pada cedera intracranial,
intrathoracic dan intraabdominal
dengan/tanpa
Bab XX indikasi tipe aktivitas saat
peristiwa terjadi