Background: Medical records are files that contain identity, history, physical, laboratory, diagnosis and medical treatment of a patient recorded both in writing and electronically. The system for administering medical records starts from recording as long as patients get medical services, followed by organizing, storing and issuing medical record files from storage to serve requests / loans by patients or for other purposes. Currently health facilities are trying to replace manual medical record management into electronics. Klinik Pratama Romana Deli Serdang is one of the clinics in the Deli Serdang area that has management planning to change the implementation of a manual medical record unit that has been running into an electronic medical record. The research objective was to design an electronic medical record concept for the Pratama Romana Clinic. This type of qualitative descriptive researched with informants as many as 5 people. Data were collectioned through observation and interviews. The results of the study showed that the management of medical records required qualifications of officers with a background in D4 management of health information, make procedures from registration to reporting and coding according to the ICD and establishing record access rights. The conclusion was that the management of Pratama Romana Clinic already had high support in the implementation of electronic medical records until the application of the concept can be carried out in stages in accordance with the standards and needs.

Hepatitis B is a liver disease caused by hepatitis B virus (VHB), a family member of Hepadnavirus that can cause chronic liver inflammation and may progress to liver cirrhosis. The prevalence of hepatitis B in Indonesia is still high due to transmission of hepatitis B disease from mother to childbirth. Goals : The purpose of this research is to know the factors influencing the midwife in giving Hepatitis B immunization to newborn in Pancur Batu Puskesmas Working Area. Methods : The type of research is survey with cross sectional data measurement method. The population is all mothers in the working area of Pancur Batu Community Health Center September 2015 assisted by 102 midwives, the entire population is sampled. Data analysis was done by univariate test, Chi Square and multiple logistic regression. Result : The results showed that motivation (p = 0.046, 95% CI 1.016-5,882), ability (p = 0,019, 95% CI 1,195-7,034) and midwife perception (p = 0,044; 95% CI 1,025-5,949) influence immunization Hepatitis B. The most influential variable is the ability with the value Exp B = 2.899 means that midwives who have good ability have an opportunity to provide hepatitis B immunization 2,899 times greater than the midwife with poor ability. The low coverage of immunization is due to approximately 64.7% of mothers saying the midwife did not explain to the mother that all newborns should be given this hepatitis B immunization, 59.2% of mothers said they did not get an explanation from the midwife about the benefits of hepatitis B immunization in infants, and 59.8% of mothers said they did not know that the first hepatitis B immunization given to infants should not pass from seven days after the baby was born so they thought hepatitis B immunization could be given when the baby was more than 1 month old. Conclution : It is advisable to Pancur Batu Puskesmas to further increase the coverage of hepatitis B immunization by increasing the role of mothers to bring their children immunization, and conduct training for all health workers. Give awards for midwives to motivate themselves more in carrying out their duties.