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Analisis Kelengkapan Penulisan Soap, KIE, dan ICD X pada Rekam Medis di Poli Umum dan KIA-KB Puskesmas X Surabaya

Jurnal Administrasi Kesehatan Indonesia · Vol. 5 No. 2 (2018) · hlm. 139–144

DOI
10.20473/jaki.v5i2.2017.139-144
ISSN
2540-9301, 2303-3592
Terbit
2018-01-02
Penerbit
Universitas Airlangga
Bahasa
eng

Abstrak

Based on the standart that Public Health Center "X” completeness of SOAP, KIE, and ICD X must be 100%. The aim of research was to analyze how the completeness of writing SOAP, KIE, and ICD X inGeneral Poly and Health of Mother and Child Family Planning Public Health Center "X”. This study was descriptive research with 500 medical records that consist of 260 for January and 240 for February as sample and they taken by random sampling. The result showed that completeness of SOAP, KIE, and ICD X on January in General Poly were 48% and decrease on February became 45,8%.While Health Mother and Child Family Planning Poly showed that completeness on January were 97,8% and increase on February became 98,6%. The incompleteness of medical records can be influenced by several factors is compliance the health workers who responsible in filling the medical records and they have multi job in Public Health Center "X” also the patient was increase. To minimize the incompleteness of SOAP, KIE, and ICD X, medical staff needs to expose by socialization of medical record to remember their responsibilty of their job description.Keywords: Completeness, medical record, Public Health Center

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  • Universitas Airlangga
  • Universitas Muhammadiyah Malang
  • University of Brawijaya
  • National Research and Innovation Agency
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Rekan penulisOrganisasiArtikel bersama
Thinni Nurul RochmahUniversitas Airlangga2
Nuzulul Kusuma PutriUniversitas Airlangga1
Hario MegatsariUniversitas Airlangga1
Erlian Indah MustikawatiUniversitas Airlangga1
Stefanus SupriyantoUniversitas Airlangga1
Retno LestariUniversity of Brawijaya1
Febri Endra Budi SetyawanUniversitas Muhammadiyah Malang1
Alya HazfiariniUniversitas Airlangga1
Putri Ayu AnggraenyUniversitas Airlangga1
Agung Dwi LaksonoNational Research and Innovation Agency1
Ilham Akhsanu RidloUniversitas Airlangga1
Dewi SriUniversitas Airlangga1
Djazuly ChalidyantoUniversitas Airlangga1
Maznah DahluiUniversitas Airlangga1
Ni Made Mira Wahyu AstaniUniversitas Airlangga1
Ni Luh Putu Arum Puspitaning AtiUniversitas Airlangga1

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Sumber metadata: OAI-PMH (metadata jurnal) https://e-journal.unair.ac.id/JAKI/oai, pertama di-harvest 9 Nov 2026, terakhir terlihat 9 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en-US">Analisis Kelengkapan Penulisan Soap, KIE, dan ICD X pada Rekam Medis di Poli Umum dan KIA-KB Puskesmas X Surabaya</dc:title>
	<dc:creator>Gosanti, Ayunda Zilul</dc:creator>
	<dc:creator>Ernawaty, Ernawaty</dc:creator>
	<dc:description xml:lang="en-US">Based on the standart that Public Health Center "X” completeness of SOAP, KIE, and ICD X must be 100%. The aim of research was to analyze how the completeness of writing SOAP, KIE, and ICD X inGeneral Poly and Health of Mother and Child Family Planning Public Health Center "X”. This study was descriptive research with 500 medical records that consist of 260 for January and 240 for February as sample and they taken by random sampling. The result showed that completeness of SOAP, KIE, and ICD X on January in General Poly were 48% and decrease on February became 45,8%.While Health Mother and Child Family Planning Poly showed that completeness on January were 97,8% and increase on February became 98,6%. The incompleteness of medical records can be influenced by several factors is compliance the health workers who responsible in filling the medical records and they have multi job in Public Health Center "X” also the patient was increase. To minimize the incompleteness of SOAP, KIE, and ICD X, medical staff needs to expose by socialization of medical record to remember their responsibilty of their job description.Keywords : Completeness, medical record, Public Health Center</dc:description>
	<dc:publisher xml:lang="en-US">Universitas Airlangga</dc:publisher>
	<dc:date>2018-01-02</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en-US">Peer-Reviewed Article</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://e-journal.unair.ac.id/JAKI/article/view/4845</dc:identifier>
	<dc:identifier>10.20473/jaki.v5i2.2017.139-144</dc:identifier>
	<dc:source xml:lang="en-US">Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia); Vol. 5 No. 2 (2017); 139-144</dc:source>
	<dc:source>2540-9301</dc:source>
	<dc:source>2303-3592</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://e-journal.unair.ac.id/JAKI/article/view/4845/pdf</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2018 Jurnal Administrasi Kesehatan Indonesia</dc:rights>
</oai_dc:dc>