Background: The impact of improving health status can only be achieved, if the inpatient medical record administration service system is in accordance with the principal elements which must be passed and based on the implementation design which has been developed. Purpose: To find out the optimization of medical record services when preparing Operational Standards at hospital. Methods: This was a qualitative descriptive research with some data collection techniques, such as interviews, observations, and supporting data. The data analysis consisted of 3 stages; they were data reduction, data presentation, and conclusion drawing/verification. Result: Good management of medical record services was ont only for being able to provide appropriate services to patient expectations, but also for providing a service information system based on certainty, accuracy and speed. Dr. Hoediyono Airforce Hospital is still using manual systems to record, number and store medical records and having an impact on tracing documents. To find out the optimization of medical record services when preparing Operational Standards at Air Force Hospital Dr. Hoediyono. Keywords: Service Optimization, Medical Record, Standard Operating Procedure (SOP)