KEGIATAN PELAYANAN REKAM MEDIS DI RUMAH SAKIT UMUM FATMAWATI: SEBUAH PENGABDIAN KEPADA MASYARAKAT

Abstract

Hospitals are health care institutions that provide comprehensive individual health services that provide inpatient, outpatient, and emergency services. Medical records are documents containing data on patient identity, examination, treatment, actions, and other services that have been provided to patients. Meanwhile, electronic medical records are medical records made using an electronic system intended for the implementation of medical records. Hospitals have an obligation to carry out Medical Record services such as patient registration, asembling, alignment, coding, and retention. This Community Service (PKM) activity aims to assist medical record and health information officers at partner hospitals in carrying out medical record service activities, given the problems faced by partners such as the large number of patients which will have an impact on the number of medical record files that must be processed by medical record officers. This PKM activity is in the form of implementing medical record service activities carried out by lecturers, DIII students of the Medical Records & Health Information study programme of STIKes WDH Tangerang and hospital medical record officers. The results of this PKM activity recorded that the service team succeeded in assisting several medical record service implementations including coding activities, quantitative analysis of medical record files, and data and information exchange. This PKM is a manifestation of the academic community in carrying out the tridharma of higher education by implementing three roles, namely intellectual, social, and moral roles. This PKM is expected to be able to apply the latest science and can directly benefit the community, including in this case Fatmawati Hospital