Makalah Manajemen Rekam Medik

OF@FJFE OFCFHBOBC WB@FO OBMN@  ]RLF[ MFC DRCL[N RCN] @BWHF WB@FO @B[BEF]FC

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Qrhn {~r`rw `befmnwf} ]refc ^fcl Ofef B{f ~fcl }bjfe obogbwn`fc jnoqfefc wfeof} mfc `fwrcnf#C~f {bencllf of`fjfe ncn mfqf} }bw{bjb{fn`fc # Of`fjfe ncn mn grf} rc}r` obobcren }rlf{ Ofcfhbobc Wb`fo Obmn` mbclfc hrmrj ]rlf{ mfc Drcl{n Rcn} @bwhf Wb`fo @b{bef}fc # @bgbwef{nj @bgbwef{njfc fc mfjfo qbcrjn{fc qbcrjn{fc of`fjfe of`fjfe ncn }nmf` jbqf{ mfwn mr`rclfc gbwgflfn qnef`# Rc}r` n}r   qbc qbcrj rjn{ n{ obcl obclrkf rkfq` q`fc fc }bwn }bwnof of `f{n `f{ne e `bqf `bqfmf mf {bor {borff qnef qnef` ` ~fcl ~fcl }bjf }bjfe e obog obogfc fc}r }r mfjf mfjfo o obclbwhf`fc of`fjfe ncn# Mbclfc Mbclfc `b}bwg `b}bwgf}f f}f{fc {fc ~fcl ~fcl mnonjn mnonjn`n* `n* qbcrjn qbcrjn{{ obc~fm obc~fmfwn fwn gfe|f gfe|f jfqiwf jfqiwfc c ncn of{ne of{ne hfre hfre mfwn mfwn `b{b `b{boq oqrw rwcff cffc# c# Gfn` Gfn` mfjfo mfjfo efj efj qbc~ qbc~r{ r{rcf rcfc c ofrqr ofrqrc c qbcrj qbcrjn{ n{fc fc## Ijbe Ijbe `fwb `fwbcf cf n}r n}r qbcr qbcrjn jn{{ obclefwfq`fc `wn}n` mfc {fwfc ~fcl obogfclrc mbon `b{boqrwcffc jfqiwfc ncn# F`enw F`enw `f}f `f}f qbcrjn qbcrjn{{ gbwefw gbwefwfq fq mbclfc mbclfc mn{r{rc mn{r{rcc~f c~f jfqiwf jfqiwfc c ncn mfqf} mfqf} gbwofc gbwofcdff dff}} gfln gfln {borf {borf  qbogfkf#

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MFD]FW N[N

Efjfofc Hrmrj ․․․․․․․․․․ ․․․․․․․․․․․․․․․․․․․․ ․․․․․․․․․․․․․․․․․․․# ․․․․․․․․․# n @f}f Qbclfc}fw ․․․․․․․․․․ ․․․․․․․․․․․․․․․․․․․․․ ․․․․․․․․․․․․․․․․․․․ ․․․․․․․․ nn Mfd}fw N{n ․․․․․․․․․․ ․․․․․․․․․․․․․․․․․․․․ ․․․․․․․․․․․․․․․․․․․․․ ․․․․․․․․․․․## nnn GFG N QBCMFERJRFC ․․․․․․․․․․․․․․․․․․․․․․․․ ․․․․․․․․․․․․․․․․․․․․․․․․## 6 GFG NN QBOGFEF[FC ․․․․․․․․․․․․․․․․․․․․․․․․### ․․․․․․․․․․․․․․․․․․․․․․․․### 7 GFG NNN QBCR]RQ ․․․․․․․․․․․․․․․․․․․․․․․․․․․ ․․․․․․․․․․․․․․․․․․․․․․․․․․․ = Mfd}fw Qr{}f`f ․․․․․․․․․․․ ․․․․․․․․․․․․․․․․․․․․․ ․․․․․․․․․․․․․․․․․․# ․․․․․․․․# 2

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GFG N QBCMFERJRFC

Wb`fo Wb`fo obmn{ obmn{ obwrqf obwrqf`fc `fc gflnfc gflnfc qbc}nc qbc}ncl l mfwn mfwn {bjrwr {bjrwre e qbjf~f qbjf~fcfc cfc `bqfmf `bqfmf qf{nbc qf{nbc** orjfn orjfn {ff} {ff} `rchrcl qbw}fof encllf `rchrclfc/`rchrclfc gbwn`r}c~f# [bgflfn ncdiwof{n }bw}rjn{ }bc}fcl   qbwf| qbwf|f}f f}fc c `b{bef} `b{bef}fc fc qf{nbc qf{nbc** wb`fo wb`fo obmn{ obmn{ mnlrcf mnlrcf`fc `fc mfjfo mfjfo qbclbj qbclbjijf ijffc fc mfc qbwbck qbwbckfcff fcffc c df{njn}f{ mfc qbjf~fcfc `b{bef}fc* hrlf mnlrcf`fc rc}r` qbcbjn}nfc obmn{ mfc rc}r` `blnf}fc {}f}n{}n` qbjf~fcfc `b{bef}fc# Qfwf mi`}bw* qbwf|f} mfc qwidb{n `b{bef}fc jfncc~f obckf}f} qfmf gbw`f{ wb`fo obmn{ {bencllf ncdiwof{nc~f mfqf} mnlrcf`fc {bkfwf gbwrjfcl/rjfcl ofcf`fjf qf{nbc mf}fcl `bogfjn `b }boqf}  qbjf~fcfc `b{bef}fc ~fcl gbw{fcl`r}fc# Wb`fo obmn{ efwr{ fmf }bw{bmnf {ff} mngr}re`fc ~fn}r {ff} qf{nbc mf}fcl gbw`rchrcl `bogfjn* mfc qbwnefj `b}bw{bmnffc ncn obchfmn }fcllrclhf|fg   qb}rlf{ wb`fo obmn{# Fqfgnjf gbw`f{ wb`fo obmn{ }nmf` mn}bor`fc ‛ }bwkbkbw* enjfcl* }nmf`  }bw}bjr{r }bw}bjr{rww ‛ of`f qf{nbc ~fcl gbw{fcl`r}fc gbw{fcl`r}fc f`fc obwrln* mfjfo fw}n ncdiwof{n ncdiwof{n }bc}fcl }bc}fcl wn|f~f} wn|f~f} ~fcl jfjr ~fcl {fclf} qbc}ncl rc}r` qbwf|f}fc `b{bef}fcc~f }nmf` }bw{bmnf* of`f ncdiwof{n rc}r` obclfognj obclfognj }ncmf`fc }ncmf`fc ~fcl mnqbwjr`fc mnqbwjr`fc f`fc gbw`rwfcl cnjfn `bjbcl`fqfcc~f# `bjbcl`fqfcc~f# Ijbe `fwbcf n}r* hn`f wb`fo obmn{ }nmf` fmf {ff} mnqbwjr`fc rc}r` obwf|f} qf{nbc* of`f {n{}bo wb`fo obmn{ }nmf` mfqf} gbwhfjfc jfckfw# Efj ncn }bc}r gbwqbclfwre }bwefmfq `b{bjrwrefc `bwhf qbjf~fcfc wb`fo obmn{# Rcn} Wb`fo Obmn{* mn {rf}r {fwfcf qbjf~fcfc `b{bef}fc* obwrqf`fc rcn} ~fcl {ngr` mfc {fclf} obobwjr`fc `ncbwhf }nclln mfwn qfwf qb}rlf{c~f# Ob{`nqrc qb}rlf{ wb`fo obmn{ }nmf` {bkfwf jfcl{rcl }bwjngf} mfjfo qbjf~fcfc `jncn{ qf{nbc* }fqn ncdiwof{n ~fcl }bwkf}f} qfmf wb`fo obmn{ obwrqf`fc gflnfc qbc}ncl mfjfo qbjf~fcfc `b{bef}fc# Ijbe `fwbcf n}r* {bgbcfwc~f qb}rlf{ Rcn} Wb`fo Obmn{ oboqrc~fn qbwfcfc qbc}ncl mfjfo qwi{b{ qbjf~fcfc mn wrofe {f`n}# Cforc `fmfcl qbc}nclc~f qbc}nclc~f qb`bwhffc qb`bwhffc ncn }nmf` mnqfefon ijbe qb}rlf{ qb}rlf{ obmn{* {}fd fmoncn{}wf{n fmoncn{}wf{n wrofe {f`n} mfc `fw~f|fc jfncc~f* {bencllf qb}rlf{ Rcn} Wb`fo Obmn{ {bwncl obwf{f oncmbw# Efj ncn jbgne mnqbwqfwfe jfln mbclfc of{fjfe mfcf ~fcl }bwgf}f{* {bencllf `rwfcl fmfc~f rqf~f mfjfo  qbcncl`f}fc `bofoqrfc {rogbwmf~f ~fcl qfmf f`enwc~f {rjn} obckfqfn qbjf~fcfc wb`fo obmn{ ~fcl bdb`}nd mfc bdn{nbc#

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GFG NN QBOGFEF[FC

F# RCN] RCN] @BWH @BWHF F WB@FO WB@FO OBMN[ OBMN[ Obclnclf} gb}fqf qbc}nclc~f qbclbjijffc wb`fo obmn{* of`f {fclf}jfe qbwjr mr`rclfc mfwn {bjrwre {}fd* gfn` {}fd obmn{ ofrqrc {}fd fmoncn{}wf{n mn wrofe {f`n}# Obwb`f efwr{ obc~fmfwn  gb}rj f`fc qbc}nclc~f qb`bwhffc mn rcn} wb`fo obmn{ mfc qbwof{fjfefc/qbwof{fjfefc ~fcl fmf mfjfo mfjfo qwi{b{ qwi{b{ qbckf} qbckf}f}f f}fc c mf}f mf}f qbjf~f qbjf~fcfc cfc qf{nbc qf{nbc## Wf{f Wf{f {fjncl {fjncl obofefo obofefonn qb`bwh qb`bwhffc ffc of{ncl of{ncl// of{ncl ncn mfqf} mnkfqfn objfjrn kfwf/kfwf gbwn`r}8 ‧

Obclnc}bc{nd`fc ergrclfc mbclfc {}fd `jncn{ mfc {}fd fmoncn{}wf{n wrofe {f`n} mfjfo efj  qbcln{nfc wb`fo obmn{ mfc qwi{bmrw ~fcl mnqbwjr`fc mfjfo ofcfhbobc qbjf~fcfc wb`fo obmn{0

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]bwkr`rqnc~f `bgr}refc qb`bwhffc {bqbw}n gbw`f{ wb`fo obmn{* dijmbw mfc qbwfjf}fc jfncc~f ~fcl obcmr`rcl qbjf`{fcffc drcl{n wb`fo obmn{0

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Obonjn`n Obonjn`n qb}rlf{ ~fcl kr`rq }bwjf}ne }bwjf}ne lrcf objf`{fcf`fc objf`{fcf`fc {borf {borf qwi{bmrw qwi{bmrw qi`i` wb`fo obmn{#

Rc}r` obchfjfc`fc obchfjfc`fc qbjf~fcfc qbjf~fcfc wb`fo obmn{ ~fcl bdb`}nd* qb}rlf{ wb`fo obmn{ obobwjr`fc obobwjr`fc mr`rclf mr`rclfc c mfwn mfwn Qfcn} Qfcn}nf nf Wb`fo Wb`fo Obmn{ Obmn{ f}fr f}fr gnf{fc gnf{fc~f ~f mn`bcf mn`bcfjj mbclfc mbclfc @ion}b @ion}b Wb`fo Wb`fo Obmn{# Obmn{# Obwb`f qbwjr obclrcl`fq`fc of{fjfe/of{fjfe ~fcl gbwergrclfc mbclfc qbjf~fcfc wb`fo obmn{ `bqfmf Qfcn}f }bw{bgr} rc}r` mngnkfwf`fc mngnkfwf`fc## Mfjfo efj ncn* obwb`f hrlf qbwjr obof{}n`fc obof{}n`fc   gfe|f of{fjfe/of{fjfe }bw{bgr} gbcfw/gbcfw mnkf}f} mfc mn{foqfn`fc `bqfmf Qfcn}f Wb`fo Obmn{ {bkfwf hbjf{ mfc ighb`}nd# Qfcn}nf ncn oboqrc~fn }rlf{ qi`i` rc}r` obclbtfjrf{n `bwhf wb`fo obmn{ mfjfo wfcl`f obchfonc or}r qbjf~fcfc wb`fo obmn{# G# DRCL[N DRCL[N RCN] RCN] WB@FO WB@FO OBMN[ OBMN[ [}fd Rcn} Wb`fo Obmn{ mn gf|fe `bqbononqncfc @bqfjf Rcn} Wb`fo Obmn{ gbw}fcllrclhf|fg f}f{ f}f{ qbjf`{ qbjf`{fcf fcffc fc wb`fo wb`fo obmn{ obmn{ mfc qbjf~f qbjf~fcfc cfc wb`fo wb`fo obmn{# obmn{# Ofcfhb Ofcfhbobc obc wrofe wrofe {f`n} {f`n} efwr{ efwr{ obc~bmnf`fc {n{}bo qbclfofcfc mfc wrfcl {noqfc ~fcl obckr`rqn rc}r` gbw`f{ wb`fo obmn{*

2

{bw}f }boqf} `bwhf ~fcl obofmfn rc}r` qfwf qb}rlf{c~f# Qb}rlf{ wb`fo obmn{ efwr{ objncmrcln wb`fo obmn{ mfwn `bwr{f`fc* `benjfclfc mfc `bwfef{nffc f}fr qbcllrcffc ~fcl }nmf` gbcfw# Obwb`f gbw}fcllrclhf|fg f`fc efj n}r* obclnclf} gfe|f ef` qwntf{n qf{nbc mfc `bwfef{nffc ncdiwof{n mn{noqfc mn {ncn# Mfjfo efj ncn @bqfjf Rcn} Wb`fo Obmn{ gbw}fcllrclhf|fg f}f{  qbc~r{rcfc mfc qbjf`{fcffc `bgnhf`fc {bw}f qwi{bmrw qbjf~fcfc wb`fo obmn{ mn wrofe {f`n}# Drcl{n r}fof Rcn} Wb`fo Obmn{ fmfjfe8 ‧

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obogrf} mfc objf`{fcf`fc ncmb` r}fof qf{nbc %NRQ. lrcf nmbc}ndn`f{n qf{nbc0  qbc~bmnffc wb`fo obmn{ rc}r` qbjf~fcfc qf{nbc mfc qbcllrcffc jfncc~f0 objf`{fcf`fc qwi{bmrw qf{nbc/qrjfcl %mn{kefwlb %mn{kefwlb.. mfc `bjbcl`fqfc wb`fo obmn{ {b}bjfe  qf{nbc `bjrfw f}fr obcncllfj0

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obogrf} obogrf} `imb qbc~f`n qbc~f`n}} mfc `imb iqbwf{n iqbwf{n mfwn qf{nbc qf{nbc ~fcl {rmfe {rmfe `bjrfw `bjrfw f}fr f}fr ~fcl ~fcl obcncllfj0

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objf`r`fc qbclfw{nqfc %d njncl  njncl . f}fr qbc~noqfcfc wb`fo obmn{0

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obclbtfjrf{n qbjf~fcfc wb`fo obmn{0

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objf`r` objf`r`fc fc qbwen} qbwen}rclf rclfc/qb c/qbwen wen}rc }rclfc lfc mfjfo mfjfo wfcl`f wfcl`f qbjfqi qbjfqiwfc wfc {}f}n {}f}n{}n {}n` ` grjfcfc grjfcfc mfc }fercfc0

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obchflf of{fjfe obmn`i/jblfj ~fcl gbwergrclfc mbclfc qbjbqf{fc ncdiwof{n qf{nbc mfc of{fjfe er`ro jfncc~f#

Objnef} drcl{n }bw{bgr} mn f}f{* of`f fmf efj/efj qbc}ncl mfjfo qwi{bmrw qi`i` wb`fo obmn{ ~fcl efwr{ mnjf`r`fc ijbe qb}rlf{ qb}rlf{ Rcn} Wb`fo Obmn{# Obmn{# @b{fjfefc @b{fjfefc mfjfo qbjf`{fcffc qbjf`{fcffc qwi{bmrw  }bw{bgr} mfqf} gbwqbclfwre }bwefmfq qbjf~fcfc wb`fo obmn{ {bkfwf `b{bjrwrefc#

4

GFG NNN QBCR]RQ

[NOQRJFC ‧

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obogrf} mfc objf`{fcf`fc ncmb` r}fof qf{nbc %NRQ. lrcf nmbc}ndn`f{n qf{nbc0  qbc~bmnffc wb`fo obmn{ rc}r` qbjf~fcfc qf{nbc mfc qbcllrcffc jfncc~f0 objf`{fcf`fc qwi{bmrw qf{nbc/qrjfcl %mn{kefwlb %mn{kefwlb.. mfc `bjbcl`fqfc wb`fo obmn{ {b}bjfe  qf{nbc `bjrfw f}fr obcncllfj0

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obogrf} obogrf} `imb qbc~f`n qbc~f`n}} mfc `imb iqbwf{n iqbwf{n mfwn qf{nbc qf{nbc ~fcl {rmfe {rmfe `bjrfw `bjrfw f}fr f}fr ~fcl ~fcl obcncllfj0

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objf`r`fc qbclfw{nqfc %d njncl  njncl . f}fr qbc~noqfcfc wb`fo obmn{0

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obclbtfjrf{n qbjf~fcfc wb`fo obmn{0

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objf`r` objf`r`fc fc qbwen} qbwen}rclf rclfc/qb c/qbwen wen}rc }rclfc lfc mfjfo mfjfo wfcl`f wfcl`f qbjfqi qbjfqiwfc wfc {}f}n {}f}n{}n {}n` ` grjfcfc grjfcfc mfc }fercfc0

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obchflf of{fjfe obmn`i/jblfj ~fcl gbwergrclfc mbclfc qbjbqf{fc ncdiwof{n qf{nbc mfc of{fjfe er`ro jfncc~f#

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