M ED IC O LEG A L A S P EC TS O F

C LIN IC A L FO R EN S IC M ED IC IN E

Joko Prasetio
112012259
FK UKRIDA
Sherly Kulaleen
112012285
FK UKRIDA
Ade Christiani Wattimena 112012306
FK UKRIDA
Suhendri
112012307
FK UKRIDA
Jasreena Kaur Sandal 112013165
FK UKRIDA

Dosen Penguji
: dr. Arif R. Sadad, Sp.F, SH, Msi Med,
DHM
Residen Pembimbing
: dr. Julia Ike Haryanto

Introduction
KUHAP 133(1)
Penyidik dalam menangani kasus LUKA,
KERACUNAN, atau MATI, yang diduga
karena tindak pidana, dapat meminta
bantuan DOKTER AHLI KEHAKIMAN,
DOKTER atau ahli lainnya.

 Pasal 224 KUHP

Barang siapa yang dipanggil menurut undangundang untuk menjadi saksi, ahli atau juru
bahasa, dengan sengaja tidak melakukan
kewajiban yang menurut undang-undang ia harus
melakukannya:
1. Dalam perkara pidana dihukum dengan
hukuman penjara selama-lamanya sembilan
bulan.
2. Dalam perkara lain dihukum dengan hukuman
penjara selama-lamanya enam bulan.

PRO BLEM S
WHAT IS MEANT BY CLINICAL

FORENSICS ?
THE ROLE OF CLINICAL FORENSICS
IN LAW?
WHAT IS A MEDICAL RECORD ?
WHAT IS A VISUM ET REPERTUM ?

ClinicalForensic M edicine
Clinical forensic medicine is a part of

forensic medicine which involves the

assesment and interpretation of
forensic examination in an individual
involved in some form of alleged
criminal
action
(live
victim),
medicolegal
aspects,
and
its
psychopathologies.
In other words clinical forensics
discusses the role of the integration

UU KESEHATAN
No. 23 TAHUN
1992 Pasal 70
UU KESEHATAN
No. 36 TAHUN
2009 Pasal
28;121;122;124;
150 2

PERMENKES No:
269/MENKES/PER
/III/2008

THE ROLE
OF
CLINICAL
FORENSIC
MEDICINE
IN LAW
UU Praktek
kedokteran
pasal 46;47

UU Rumah
Sakit
UU No 44
Tahun 2009
Pasal 37,38

 According to PERMENKES

No.269/MENKES/PER/III/2008 different
data should be input for the Medical
records of the Inpatient,Outpatient and
Emergency cases.

O utpatient
-Patient Identity
-Time and Date
-Patient History
-Physical Examinations and Workup
-Diagnosis
-Treatment Plan
-Treatment and Theraphy
-Other treatments towards patient
-For odontology cases (odontogram)
-Informed Consent

Inpatient
-Patient Identity
-Time and Date
-Patient History
-Physical Examinations and Workup
-Diagnosis
-Treatment Plan
-Treatment and Theraphy
-Informed Consent
-Clinical observation and treatment respond records
-Discharged Summary (Resume)
-Name and signature of the doctor/dentist/healthcare
provider
-Other treatments given by other healthcare providers
-For odontology cases (odontogram)

Em ergency Cases
-Patient Identity
-Patient condition upon arrival
-Identity of the person who sent the patient
-Date and Time
-Patient History
-Physical Examinations and Workup
-Diagnosis
-Treatment and Theraphy
-Discharged Summary (when leaving ER) and treatment plan
-Name and signature of the doctor/dentist/healthcare
provider
-Transportation mode used for patient transfer (to other
health centers)
-Other treatments given by other healthcare providers

M edicalRecords
Definition
Undang undang Republik Indonesia Nomor 29
tahun 2004 tentang praktek kedokteran pasal
46 ayat (1)

Permenkes RI No. 749A/Menkes/Per/XII/1989

Permenkes RI No.269/Menkes/Per/III/2008

Basic Law s ofM edicalRecords

Undang undang Republik Indonesia No. 29
tahun 2004 tentang praktek kedokteran pasal 46

Permenkes No.269 tahun 2008 pasal 5

SK PB IDINo. 315/PB/A.4/88 dalam butir 3

A medical record should be made rightaway or
at most 48 hours after the discharge /death of
the patient.

The U se and Benefi

ts of
M edicalRecords
Permenkes No.269 Tahun
2008

As an evaluation guide
for the treatment and
health care of patient
thoroughout admission.

As evidence for law

enforcement
process,medical/dentis
t
discipline,enforcement
of medical/dentistry
ethics

An important material
for research and
education

As the basic budgeting

of the healthcare bills

As a material for health

statistics

Benefi
ts ofM edicalRecord
ALFRED
A-Administrative value
L- Legal value
F-Financial value
R-Research Value
ED-Education Value

Visum et
Repertum?
Written statement made by physicians based on a

formal request from investigators on the objects that are

examined,on both the victim alive or dead or suspected
human body parts by using as much knowledge and
based on the oath taken,in the interest of justice.

KUHAP pasal 184 one of the 5 legal

evidence

Parts of Visum et
Repertum
Opening

Closing

Introducti
on

Assesme
nt

Conclusion

Difference

Medical Record

Visum et Report

Purpose

Patient health
progress

Enforcement of
justice

Privacy

Patient are entitled to Only investigator and

know
court

Publishing of privacy

Patient permission
needed (+)

Patient permission
not needed(-)

Object status

Patient

Evidence

Injury/Incident/ha
rm done/attack

Temporary VeR

VeR

Police Rpeort
And SPV

Clinical forensic
medicine
Examination

The making of
VeR

Examination of
evidence

C onclusi
on
Medic
VeR

al
Recor
d