Visut et Repertum

Korban Hidup [ Kompetensi S1 Dokter ]

Gatot S Lawrence

Dept of Pathology, Forensic-Medicolegal Faculty of Medicine

Hasanuddin Universtiy
2018
• Reconstruction
• Available Tools
• Standard Measurement
 Pengetahuan Dasar

1. Basic Principles of Bioethics

2. Proximus Mortis
3. Multiple Cause of Disease
4. Multiple Cause of Death
5. Visum et Repertum
a. Korban Hidup
b. Korban Mati
Visum et Repertum (VeR)
Korban Hidup

Gatot S Lawrence

Department of Forensic Medicine and Medicolegal

Faculty of Medicine, Hasanuddin University
Makassar
 Persyaratan Administrative
• STR Dokter (UUP Praktek Kedokteran No. 29 / 2004)
• SIP Dokter (UUP Praktek Kedokteran No. 29 / 2004)
 Gatot S Lawrence 2011
Birth

No-SPV

Dr. UGD Medical Summary

Medical Record

Incidence
Disease
Treatment
Complication
Damage
 Gatot S Lawrence 2011
Birth
VeR Report (Living victim)

SPV (1)

Dr. UGD
Medical Record Damage (1) Medical Summary VeR

Incidence
Disease
Treatment
Complication
Damage
 Gatot S Lawrence 2011
Birth
VeR Report (Living victim)

SPV-1

VeR Report (Living victim)

Dr. UGD
Medical Record Damage-1 SPV-2

Dr. SpB
VeR Report (Living Victim)
Medical Record
Damage-2 SPV-3

VeR Report (Dead Victim)

SPV-4
Dr. SpB, SpB Plastik

Medical Record
Damage-3
Incidence
Disease
Treatment
Complication
Damage
Format Generik

I. Pembukaan
II. Pendahuluan
III. Pemberitaan
1. Pemeriksaan Dalam
2. Pemeriksaan Luar
3. Pemeriksaan Penunjang
IV. Ringkasan
V. Kesimpulan
 RINGKASAN

I. 4.a . . .

I.11.b . .

II.14.a . .

II.16.b . .

I.11.d . .

II.16.d . .
 IV. KESIMPULAN

II

I-d
I-a I-b I-c

The mechanism written as the cause

of death should be selected from the
current established understanding in
the medical field.
(Proximus Mortis Approach)
V. PENUTUP
 Multiple Cause of Death (COD)

• The internationally accepted format is that adopted by

the World Health Organization (WHO), which originated
from devised by the Registrar-General of Birth and
Deaths (Registrasi Kelahiran dan Kematian).

• It is divided into two main parts (part I and II), the first of
which is further subdivided into three sub-sections (I-a, I-
b, I-c).
 Multiple Cause Of Death (WHO)
I-a : Disease or condition directly leading to death (due to or
as a consequence of b)
I-b : Antecedent causes. (due to or as a consequence of c)
I-c : Antecedent causes. (due to or as a consequence of d)
I-d : Morbid condition that cause the above condition
(the major underlying cause / condition)

II : Other pathobiologically significant conditions, contributing

to the death, but not directly related to the disease or
condition causing it (I).
 Format Surat Keterangan Visum et Repertum
I. Surat Permintaan VeR
a) Nomor Surat Keterangan VeR 1
b) Tanggal dan Waktu SPV
2
c) Pihak yang membuat SPV (penyidik)
3
II. Laporan Visum et Repertum
a)Tanggal dan Waktu Pembuatan VeR 4
b)Identitas pasien / korban : KTP / Pasport/ SPV
1. Nama Korban 5
2. Tanggal Lahir/ Umur 6
3. Alamat 7
4. Bukti Identitfa 8
5. No Bukti Identitas
9
c)Hasil Pemeriksaan:
1. Anamnesis, Pemeriksaan Fisik 10
2. Pemeriksaan Penunjang: 11
3. Diagnosis Kerja (ICD Coding) 12
4. Pengobatan dan Tindakan 13
5. Prognosis dari penyakit / damage 14
6. Odontogram (kasus gigi) 15
 Format Surat Keterangan Visum et Repertum

III. Kompetensi Dr/ Drg/ Tenaga Kesehatan

a) Tanda tangan dr/ drg/ tenaga kesehatan yg diberi 16
wewenang pelayanan kesehatan

b) Jabatan dan kompetensi dari (a) 17

IV. Lampiran Pemeriksaan

18
a) Lampiran Hasil Pemeriksaan Klinis
b) Lampiran Hasil Pemeriksaan Toksikologi
c) Lampiran Hasil Pemeriksaan Histopatologi
d) Lampiran Foto
e) Lampiran Video
4. Bagian Kesimpulan (Conclusion)

– To determine the cause and manner of death

– To identify the deceased if unknown
– To determine the time of death and injury
– To collect evidence from the body that can be used to
prove or disprove a case
– To document any natural disease present
– To determine or exclude other contributory or causative
factors to the death
– The mechanism written as the cause of death (COD)
should be selected from the current established
understanding in the medical field (Proximus Mortis
Approach=PMA).
5. Bagian Penutup (Closure)

- Stating that the postmortem report was written with the

best knowledge, remembering the oath declared at
the time of taking office (according to KUHAP).

- Should be signed and stated the name of doctor who

conduct examination (may be co-signed by related
physician)
 ACKNOWLEDGEMENTS
• Prof. dr. Solihin Wirasugena, SpPA(K), SpF, DFM
• Prof. Dr. John MF Adam, SpPD-KEMD
• Prof. dr. A. Husni Tanra, PhD
• Prof. dr. Syarifuddin Wahid, PhD
• Prof. Prof. Dr. Nur Nasry Noor, MPH
• dr. Gunawan Arsyadi, SpPA(K), SpF
• Prof. dr. Irawan Y usuf, PhD
• Prof. Dr. dr. Suryani As’ad, MSc
• Drs. Andi Wijaya, PhD
• Prof. dr. Peter Kabo, MD, PhD, SpJP
• Dr. dr. Anwar Santoso, SpJP, FIHA
• Colleagues in European Society of Cardiology (ESC)
• Colleagues in European Association for Cardiovascular Prevention
and Rehabilitation (EACPR)
• Colleagues in Vascular Biology Working Group (VBWG)
Walaupun keindahan alam ini tidak terdapat di Indonesia
Namun, kita bertanggung jawab menjaga dan merawatnya
Sebab, kita semua adalah bagian dari dunia ini
TERIMA KASIH