LEGAL ASPECTS OF DOCTORS' RESPONSIBILITIES IN FILLING IN MEDICAL RECORDS ON LEGAL CERTAINTY PERSPECTIVE

Abstract

Medical records have an important role in the world of health, besides that they can also be used as evidence in evidence in court. Medical records must be managed properly and filling in medical records must be in accordance with existing procedures, but sometimes the filling is not appropriate or the person writing is not at capacity. The medical records in it contain a legal relationship between hospitals and health workers. The problem is how the responsibility of doctors for writing the wrong diagnosis in filling out medical records and responsibility for delegating their duties to other health workers. The method used in this study, normative juridical, looks at the existing rules, on the work of doctors as the person responsible for filling in medical records. The data used is secondary data, Law No. 17 of 2023 concerning Health, Permenkes No. 24 of 2022 concerning Medical Records and other laws and regulations related to medical records. This study results that medical records must be made by the person in charge. medical records, doctors or other health workers. Filling in the wrong diagnosis and delegating the filling to other health workers, the doctor must be responsible for his actions on the patient if there is a lawsuit.  the filling is handed over to another person, becoming  a risk liability (risico aanspraklijkheid) based on Article 1367 paragraph (3) B.W. by the doctor. Since there is no lawsuit, this liability becomes an administrative liability.