PENGATURAN REKAM MEDIK SETELAH BERLAKUNYA UNDANG-UNDANG RUMAH SAKIT DAN ASAS PERLINDUNGAN PASIEN

Abstract

Medical record is a file containing records and documents relating to the
identification of the patient, examination, treatment, action, and other services
given to the patient. Medical record serves as a means of clinical information,
communication between health personnel, planning services, study materials,
research and as a legal document, and provide information to third parties. The
problem of implementing medical history are health and medical facilities are
unaware of the benefits and usefulness of medical records, therefore, medical
records necessary guidelines relating to the legal aspects applicable to doctors,
hospitals and other health services.
This thesis studies using normative law prevailing in the 1945
Constitution, Hospital Law, Health Law, Medical Practices Act, government
regulation and some other laws related to search for relationships with patient
protection.
The results showed that medical records are confidential documents about
the patient's health record, which is useful both for the benefit of the patient,
guarantor of patients and health care facilities. Medical records are the
responsibility of doctors and health facilities in the manufacture and ownership is
also a document that can be used as valid evidence in court in cases of medical
disputes. Liabilities doctors, health workers and health facilities in the
administration of medical records to make the rights of patients are met so that
security and protection of patients can be realized
The provision of the medical record that has been approved by the law on
the application provided for in the regulation of the Ministry of health as a guide to
understand the value of the principle of protection of patients. Hospitals Act No. 44
of 2009 aims to provide protection and legal certainty for patients. The proposition
that the sanctions for the doctor in charge of caring for the patient has no medical
background needed to enforce strict and have to do in the special rules governing
the manufacturing system of electronic medical records to provide legal protection
for patients.