• DEWI OKTAVIA, SKM, M.KES

Every health service facility is required to be able to maintain the confidentiality of medical records because the information in medical records is confidential. The purpose of releasing medical information is, among others, to maintain the confidentiality of the patient's medical history, to avoid releasing patient medical information to unauthorized parties, to avoid lawsuits for health workers who provide patient medical information and for hospitals. Based on the results of the initial survey at the Hospital Tk.III dr.Reksodiwiryo, it was found that the standard procedure for releasing patient medical record information exists but has not been carried out according to standards. The purpose of this study was to determine the procedure for releasing patient medical record information to insurance parties such as BPJS and Jasa Raharja. The research location is at Tk.III Hospital dr.Reksodiwiryo Padang. The implementation time starts from August to September 2021. The research method used is qualitative research with a case study approach. The informant determination technique used in this study was purposive sampling. Informants or respondents as research subjects are the head of the medical record, the medical record officer in the medical record document storage section, and the case mix section officer. The results of the study showed that the release of patient medical information from BPJS and Jasa Raharja had standard operating procedures, an approval form for the release of patient information, and a manual regarding the release of patient information. However, its implementation in the field was not carried out in accordance with SOPs and guidelines and the consent form for the release of patient information was not filled in. The suggestion is that it is hoped that medical record officers and parties involved in releasing patient medical information must carry out these activities in accordance with standard operating procedures and/or applicable manuals.

Release of Information, Procedures, Medical Records

"REVIEW OF PATIENT MEDICAL INFORMATION DISCLOSURE PROCEDURES TO GUARANTEE LEGAL ASPECTS OF CONFIDENTIALITY MEDICAL RECORD AT LEVEL THREE HOSPITAL DR. REKSODIWIRYO IN 2021", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.8, Issue 11, page no.d394-d398, November-2021, Available :http://www.jetir.org/papers/JETIR2111357.pdf

"REVIEW OF PATIENT MEDICAL INFORMATION DISCLOSURE PROCEDURES TO GUARANTEE LEGAL ASPECTS OF CONFIDENTIALITY MEDICAL RECORD AT LEVEL THREE HOSPITAL DR. REKSODIWIRYO IN 2021", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.8, Issue 11, page no. ppd394-d398, November-2021, Available at : http://www.jetir.org/papers/JETIR2111357.pdf