RELATIONSHIP BETWEEN COMPLETENESS OF MEDICAL INFORMATION AND DIAGNOSIS ACCURACY CODES APPENDIX

Authors

  • IGusti Putu Savitri Politeknik Kesehatan Kartini Bali
  • Putu Chrisdayanti Suada Putri Politeknik Kesehatan Kartini Bali
  • Gede Wirabuana Putra Politeknik Kesehatan Kartini Bali
  • Luh Yulia Adiningsih Politeknik Kesehatan Kartini Bali
  • Putu Erma pradnyani Politeknik Kesehatan Kartini Bali

DOI:

https://doi.org/10.36049/maintekkes.v3i1.343

Keywords:

Medical information, accuracy of diagnosis codes, appendicitis

Abstract

Health information has an important role in patient medical records, where medical information can facilitate patient care and as information needed by management in managing health service facilities, especially hospitals.  Completeness of health information has an important role in assigning diagnosis codes to patient medical records, where complete medical information has a very important role in the accuracy of assigning patient diagnosis codes. Especially in the diagnosis of appendicitis in inpatients at RSU. Puri Raharja. This research was carried out by observing the forms in the patient's medical record, regarding the completeness of the patient's medical information and the accuracy of providing diagnosis codes in the patient's medical record. The results obtained are that there is a relationship between the completeness of medical information and the accuracy of the diagnosis code in the patient's medical record.

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Published

2025-06-16

How to Cite

IGusti Putu Savitri, Putri, P. C. S., Putra, G. W., Adiningsih, L. Y., & pradnyani, P. E. (2025). RELATIONSHIP BETWEEN COMPLETENESS OF MEDICAL INFORMATION AND DIAGNOSIS ACCURACY CODES APPENDIX. MAINTEKKES : The Journal of Management Information and Health Technology , 3(1), 28–34. https://doi.org/10.36049/maintekkes.v3i1.343

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