Page1HMIS Monthly Report HO2Hospital:.OD:Province:From 01 to the
last day of the month of .. Year .Outpation consultation sectionI.
Outpation consultation A. Volume of activitiesIn OD/provinceOutside
OD/provinceTotalMF# of new cases referred from health centers# of
new cases visiting hospitals by themselvesTotal new casesTotal
consultationsTotal patients access all services/units
B. Health Problems (new
cases)ICD100-28days29days-11months1-4years5-14years 15-24years
25-49years 50-64years 65years TotalReferred toUse
HEFMFMFMFMFMFMFMFMFMFMFMF1. General medicine1 A002 A00.93 A014
A065A096A09.17A09.28 A339 A3510A3611 A37.112 Sepsis, unspecified
organismA41.9 13 Acute poliomyelitisA8014 RabiesA8215 B0516
SchistosomiasisB6517 Anemia unspecifiedD64.918 Hypoglycemia
unspecifiedE16.219 Meningistis, unspecifiedG03.920 Epilepsy,
unspecifiedG40.9 21 Unspecified heart failureI50.922 Angina
pectorisI2023 Acute myocardial infarctionI2124 Cerebral
InfarctionI6325 Peptic Ulcer, site unspecifedK2726 Acute
gastritisK29.127 Unspecified chronic gastritisK29.5 28
Cirrhosisk74.629 CholecystitisK8130 Arthritis,
unspecifiedM13.9931M81.99 32Nephritic SyndromeN05.9 33N2334
Unspecified JaundiceR1735 AscitesR1836T5037 Food
intoxicationT6138T63.039T6540T60412. Communicable diseases42
(STD)A6443A9144 A91.145 A91.246 A91.347 A92.048 A92.149-- B08.450
AB1551 BB1652 CB17.153B2054 B5055B50.856J09.057 swine fluJ09.1583.
Tuberculosis59 Tuberculosis of lungA15.060 Tuberculous
pleurisyA15.661 Other respiratory tuberculosisA15.862 Respiratory
tuberculosis unspecifiedA15.963 Tuberculous meningitisA17.064 Other
tuberculosis of nervous systemA17.865 Tuberculosis of other
bonesA18.0366 Tuberculous peritonitisA18.3167A18.868 Miliary
TBA1969 Leprosy, unspecifiedA30.970 (MOTT= Mycobacterium other than
tuberculosis) Pulmonary mycobacterial infectionA31.071MDRTB
(multiple drug resistance TB) confirmed by Culture U50.04. Non
communicable diseases72 E1073E1174 SAM with nutritional oedema
E4075 SAM with clinical signs E4176 Severe acute malnutrition (SAM)
- weight for height Z score
