Nowadays, we hear a lot and even we can see crime scenes (cases) that are not only involving material things but people’s life. In the course of tracing these cases, the police conduct an investigation till end up in the court. In process of investigate a people’s life normally an investigator request help from the professional such as a doctor called
The introduction words itself does not exist, what Pro Justisia said, doctors must realize that all letters are only valid in court if they are made on stamped paper and this will make it difficult for doctors if every
visum they did must use stamped paper. Guided by the postal regulations, so if the doctor writes pro-justisia at the top of the visum letter then it is already same with stamped paper. By writing Pro- Justisia on the upper left of the visum letter is more interpreted that the makers and users of the visum are initially aware that the report is for the sake of justice
The preliminary words in this section does not exist. This section contains 3 main components, namely doctors who examined the victims, investigators who ask to be examined and victims / suspects to be examined. This section contains about who is checking, place / agency to do the inspection, day, date and time of the inspection. why it was being examined, and whose request the visum was made. Name of investigator, agency, visum's letter number, & date of request.
This section is titled the results of the examination, and not the results of external examinations as often written by students. The most important part of the visum actually are in this section, because what doctors seen and found is recorded and as a substitute for evidence in the form of a report called Visum et Repertum. In this section, the doctor writes the type of injury , the area / region where the injury was found, the size of the injury, the distance of the injury from the midline of the body and / or from a specific anatomical point.
This section is titled of “conclusions”. For visum users, this is the most important part, because it is expected that doctors can conclude the abnormalities that occur in victims according to their expertise. The injured victims need to explain about the type of injury, the type of violence, the causal relationship of the disorder, about the degree of qualification of the injury, how long the victim need to be treated and the hope of recovery.
This section has no title and contains standard sentences. The closing section is marked with the sentence " Thus the Visum et Repertum I made was actually based on my knowledge and by remembering the oath in accordance with the Criminal Procedure Code. This section reminds doctors that the report is made honestly, not added or reduced and without being influenced by any party, this report is also based on the best knowledge and report the results of examinations related to the case, while those not related to the case will remain as a medical secret. This report is also made according to procedures in the criminal procedure code, for judicial purposes.
This study was an observational study with a descriptive analytic approach to Visum et Repertum data on the injuries of living victims in Porsea Regional Hospital from January 1, 2015 to December 31, 2018. This research was conducted at the Porsea Regional General Hospital, Toba Samosir Regency. starting from April to May 2019. The population in this study is the Visum et Repertum that needs a life victim which made by doctors in the Emergency unit of the Porsea Regional General Hospital from January 1, 2015 to December 31, 2018. The sample used in this study is the total from sampling population.
Data collected for the variable elements of the VeR were obtained from secondary data, which is the VeR document for the period of January 1, 2015 to December 31, 2018. The results of the study are presented in table form. The data analysis of the variables of the visum elements was carried out using the Herkutanto's scoring method for the 13 elements of the visum. The elements assessed were given a score of 0, 1, and 2 with the highest score of 2, while the descriptive analysis was performed on the data of injured victims, type of violence, degree of injury and the quality of VeR.
Based on the results of research conducted in April to May 2019 in Porsea Regional Hospital, Toba Samosir Regency, the number of forensic medical services for injuries with life victims as evidenced in the document visum et repertum during the period 1 January 2015 to 31 December 2018 there were 17 cases.
The quality of VeR needs the preliminary in the Porsea District Hospital from 1st January 2015 to 31st December 2018 which is presented in
December 31, 2018
| VeR Structure | Variable observed | Average Score |
| Preface | Place of examination | 2 |
| Time of examination | 2 | |
| Patients data | 2 | |
| Investigator | 2 | |
| Doctor examiner data | 2 | |
| Average total score | 2 |
The quality value of the preliminary part = (2.0 x ½) x 100% = 100% Based on the results of this study conducted on the VeR to the life victims in Porsea Regional Hospital from January 1, 2015 to December 31, 2018, the quality of the preliminary VeR was 100%, which means that the quality is good.
The quality of the VeR needs the reporting section the Porsea District Hospital for the period of January 1, 2015 to December 31, 2018 is presented in
December 31, 2018.
| VeR Structure | Variable observed | Average Score |
| Report | Anamnesis | 0.0 |
| Vital Sign | 1.0 | |
| Wound Location | 2.0 | |
| Wound charateristics | 1.18 | |
| Wound size | 2.0 | |
| Therapy and medication | 0.0 | |
| Average total score | 1.03 |
The quality of reporting coverage = (1.03 x 5/10) x 100% = 51.56%
Based on the results of this study conducted on the VeR for life victim in Porsea Regional Hospital from January 1, 2015 to December 31, 2018 it was found that the quality of reporting coverage VeR was 51.56% which means the quality was moderate.
Thequalityofthe VeR injured in the Conclusion part at the Porsea District Hospital for the period of January 1, 2015 to December 31, 2018 is presented in
| VeR Structure | Average score | Quality | Average Score |
| Preface | 2.00 | 1 | 2.00 |
| Report | 1.03 | 5 | 5.15 |
| Conclusion | 0.91 | 8 | 7.28 |
| Total | 14.43 |
The value of the quality of Conclusion part = (0.91 x 8/16) x 100% = 45.5% Based on the results of this study conducted on the VeR of injured life victims in Porsea Regional Hospital from January 1, 2015 to December 31, 2018 it was found that the conclusion of the quality of VeR was 45.5%, which means that the quality was not good enough.
The quality of injured VeR in Porsea District Hospital from January 1, 2015 to December 31, 2018 is presented in
| VeR Structure | Variable observed | Average Score |
| Conclusion | Wound Charateristic and violence Classification | 1.82 |
| Wound qualification | 00 | |
| Average Total score | 0.91 |
Quality value of VeR= (14.43 / 28) x 100% = 51.54%. Based on the results of this study conducted on VeRs of injured life victim in Porsea Regional Hospital from January 1, 2015 to December 31, 2018, the quality of injured VeRs was 51.54%, which means that the quality of injured visum was moderate. From the results of this study, that the writing of injured visum et repertum in moderate quality at Porsea Regional Hospital, these results are relatively the same as what is stated in the Indonesian Medical Council regulation no. 11 of 2012 about the Standard Competency Doctor Indonesia (SKDI) on page 29 point 28 which states that doctors have not been able to make visum et repertum in accordance with scientific standards that should be done (standard 4-A), and are relatively similar to the results of previous studies by Herkutanto, Fadlan Tri Ramadhan, Dedi Afandi, Laode Burhanuddin Mursali, but are the conditions of visum et repertum in Porsea Regional Hospital is sufficient to represent the real Indonesia and conditions for all Indonesia. certainly requires the same research at other health institution.
Based on research results obtained from Visum et Repertum data in Porsea Regional Hospital January 1, 2015 until December 31, 2018, it can be concluded:
a. The number of injury cases with life victims that has been examined by doctors as evidenced by Visum et Repertum letter in the Porsea Regional Hospital from January 1, 2015 to December 31, 2018 were 17 cases.
b. The quality of the Visum et Repertum injury for life victims in Porsea Regional Hospital from January 1, 2015 to December 31, 2018, obtained the quality of the preliminary injury of VeR at 100%, which means that the quality is good.
c. The quality of the injured in VeR of life victims in Porsea Regional Hospital from January 1, 2015 to December 31, 2018 showed that the quality of injured report coverage of VeR was 51.56%, which means that the quality was moderate.
d. The quality of injured VeR for life victims in Porsea Regional Hospital from January 1 2015 to 31 December 2018 showed that the quality of injured VeR
Based on the results of the study above, the authors suggest a number of things as a contribution to hospital leaders so that in the future the quality of the Visum et Repertum can be issued better, which is:
1. Hospital leaders must be aware that Visum et Repertum is a document of legal evidence that is a substitute for goods evidence, which must provide information explaining an event (the process of proving a criminal case) that helps investigators and court judges in making decisions of court. The role of visum et repertum thus its only found in visum et repertum with good quality.
2. To be able to make a good visum et repertum, the authors suggest that training / workshops to be given for Emergency Unit at Porsea Regional Hospital regards on the making of a Visum et Repertum especially regarding the injury VeR.
3. To make suggestions to be carried out for training / workshops to emergency unit doctors in Porsea Regional Hospital regarding the preparation of the Visun et Repertum, the writer is ready to help as a guest speaker/informant.