Department of Forensic Medicine and Medicolegal

Gatot S Lawrence

Chairperson of the Department

Lecturers• Prof. dr. Solihin Wirasugena, SpPA(K), SpF, DFM• Dr. Gunawan Arsyadi, SpPA(K), SpF

• Dr. Djumadi Achmad, SpPA(K), SpF• Dr. Berti Nelwan, SpPA, DFM• Prof. dr. Syarifuddin Wahid, PhD, SpPA(K), DFM, SpF• Prof. dr. Johanna Kandouw, SpPA(K), DFM, SpF• Drg. Peter Sahelangi, DFM• Dr. Cahyono Kaelan, PhD, SpPA(K), DFM• Dr. Truly D Dasril, SpPA(K), SpF• Dr. Rina Masadah, MSc, SpPA, DFM

Tutors

• Dr. Muh Husni, DFM• Dr. Muh Mauluddin, SH• Dr. Jerni Dase, SH• Dr. Muh. Basri (R.I.P) • Dr. Denny Mathius• Dr. Zainal Abidin• Dr. Ulfa Camelia Indiasari• Dr. Arkipus• Dr. Annisa• Dr. Nola• Dr. Willy

Definition

• Forensic Medicine & Medicolegal: a branch of medicine that applies the principles and knowledge of medical science to the problems in the field of law.

• Main objective: revealing the cause of death (COD), medicolegal issues

The major duties:

• 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• To provide expert testimony if the case goes to

trial

Visum et RepertumA New Perspective

Gatot S Lawrence

Department of Forensic Medicine and MedicolegalFaculty of Medicine, Hasanuddin University

Makassar

A Tale of Origin

VISUM ET REPERTUM

- To determine the cause and manner of death- To identify the decease if unknown, etc

Criminal Investigation

Investigator

Dokter Ahli Kedokteran Kehakiman(Kedokteran Forensik dan Medikolegal)

Visum et Repertum

Pasal 133 KUHAP : (1)Dalam hal penyidik untuk kepentingan peradilan

menangani seorang korban baik luka, keracunan ataupun mati yang diduga karena peristiwa yang merupakan tindak pidana, ia berwenang mengajukan permintaan keterangan ahli kepada ahli kedokteran kehakiman atau dokter dan atau ahli lainnya.

(2)Permintaan keterangan ahli sebagaimana dimaksud dalam ayat (1) dilakukan secara tertulis, yang dalam surat itu disebutkan dengan tegas untuk pemeriksaan luka atau pemeriksaan mayat dan atau pemeriksaan bedah mayat.

(3)Mayat yang dikirim kepada ahli kedokteran kehakiman atau dokter pada rumah sakit harus diperlakukan secara baik dengan penuh penghormatan terhadap mayat tersebut dan diberi label yang memuat identitas mayat, dilak dengan diberi cap jabatan yang dilekatkan pada ibu jari kaki atau bagian lain badan mayat.

PEJABAT PEMINTA VISUM ET REPERTUM

Authorities that have the right to request the expertise of Forensic & Medicolegal

1. Judges

2. Investigators

Format of Visum et Repertum (Generic)

1. Pembukaan:

• The phrase “Pro justitia” for the sake of justice

• Highly confidential

2. Bagian Pendahuluan (Introduction)

- The identity of requesting parties

- The identity and qualification of the physician conducted the examination

- The number, date, time of place of the examination

- The decease identity as stated by the formal postmortal letter of request.

- The decease identity should be double checked with label attached to the part of the decease

3. Bagian pemberitaan (Examination Part: External and Internal)

• Written down all what we have seen and discovered, using the simplest language possible for the layman (for those who have no medicatl background).

• The description should be as clear as possible (anatomical location, body coordinate, and measurement).

• For the death victims– External examination– Internal examination– Laboratory (tokxicologi, molecular biology,

etc.

• For the living vitims– Physical examination, laboratory and

other additional examination.– Management/ medication that has been

conducted and its medical indication– The last medical condition of the victim.

(4a) Ringkasan (Summary)

• Arrange the findings that have been seen and discovered in a pathobiologic and mechanistic order.

• Use simplest langguage possible

• Summary is a scientific subjectivity of the physician who conduct the examination

EVIDENCE FOUND

PRO JUSTITIAPRO JUSTITIA

I. PEMERIKSAAN LUARI. PEMERIKSAAN LUAR

I.1.a . . . I.1.a . . .

I.2.a . . .I.2.a . . .

PEMERIKSAAN LUARPEMERIKSAAN LUAR

I.5.a . . . I.5.a . . .

I.11.a . . .I.11.a . . .

I.3.a . . . I.3.a . . .

I.4.a . . .I.4.a . . .

I.11.b . . .I.11.b . . .

I.11.c . . .I.11.c . . .

I.11.d . . .I.11.d . . .

II. PEMERIKSAAN DALAMII. PEMERIKSAAN DALAM

II.15.a . . II.15.a . .

II.16.a . . .II.16.a . . .

II.13.a . . II.13.a . .

II.14.a . .II.14.a . .

II.16.b . . .II.16.b . . .

II.16.c . . .II.16.c . . .

II.16.d . . .II.16.d . . .

RINGKASANRINGKASAN

I. 4.a . . .I. 4.a . . .

I.11.b . .I.11.b . .

I.11.d . . I.11.d . .

II.14.a . .II.14.a . .

II.16.b . . II.16.b . .

II.16.d . .II.16.d . .

IV. KESIMPULANIV. KESIMPULAN

V. PENUTUPV. PENUTUP

The mechanism written as the cause of death

should be selected from

the current established understanding

in the medical field.

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.

5. Bagian Penutup (Closure)

- Stating that the postmortem report was written with the best knowledge, remembering the oath said at the time of taking office (according to KUHAP).

- Should be signed and stated the name of the examination doctor