In practice most of them are in accordance with the procedures and theories of health law, while not yet appropriate is the recording and the use of book of expedition and the absence of deadline for the use of written permission from patients. Dan profesi yang mengatur memanajemen rekam medis disebut perekam medis. Rekam Medis adalah berkas yang berisikan catatan dokumen tentang identitas pasien, pemeriksaan, pengobatan, tindakan dan pelayanan lain yang telah diberikan kepada pasien. 73.7% of Medical Record Officers understand the importance of SPO (standard operational procedures) made and adhered to. Jurusan Rekam Medis di Perguruan Tinggi Negeri dan Swasta. Rekam Medis ialah suatu berkas berisi catatan dan dokumen tentang pasien yang berisi identitas, pemeriksaan, pengobatan, tindakan medis lain pada sarana pelayanan kesehatan untuk rawat jalan, rawat inap baik dikelola pemerintah maupun swasta. However, there is no specific regulatory policy regarding the release of medical information. Pengertian Rekam Medis Menurut Para Ahli.
This research was conducted by using descriptive design.Ĭonclusion, Setia Mitra Hospital already has a policy on the release of medical information in the form of standard operational procedures and general consent form.
The purpose of this research is to know the process of releasing medical information to third party at Setia Mitra Hospital. Keywords: Pelepasan Informasi Medis, Rekam Medis.
Di zaman Babylon, pengobat di Mesir, Yunani dan Roma menulis pengobatan dan pembedahan yang penting pada dinding-dinding gua, batang kayu dan bagan tabel yang. The health ministry`s regulation number 269 2008 on Medical Record, stating that Information about identity, diagnosis, history of disease, history of examination and history of treatment can be opened in accordance with the provisions.īased on the observations made, there is no official who handles the release of medical information and there is no specific responsibility for handling it, so the problem is: how the implementation of the release of medical information to the third party at Setia Mitra Hospital Jakarta ?. Lidia Kanaf APIKES Bhumi Husada Jakarta Hudiyati Agustini APIKES Bhumi Husada Jakarta Tite Kabul. Rekam medis sebagai catatan dan ingatan tentang praktik kedokteran telah dikenal orang sejak zaman palaelolitikum ± 25.000 Sebelum Masehi (SM) yang ditemukan di gua batu di Spanyol.
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