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All Journal Jurnal Masyarakat Indonesia Benih : Journal of Midwifery
Abdul Malik Ritonga
Universitas Imelda, Medan, Indonesia
Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Education Health Professions Medicine & Pharmacology Nursing Public Health

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Implementation of Medical Record Security and Confidentiality Aspects Based on Accreditation Standards at Imelda Pekerja Indonesia General Hospital, Medan Abdul Malik Ritonga; Zulham Andi Ritonga; Geovani Arta sihite; Mei Sryendang Sitorus; Rasnita Suryanti Laia
Benih : Journal of Midwifery Vol. 5 No. 02 (2026): Benih : Journal of Midwifery
Publisher : Cattleya Darmaya Fortuna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/benih.v5i02.633

Abstract

The security and confidentiality of medical records are essential aspects of protecting patients’ health information. This study aimed to describe the implementation of medical record security and confidentiality aspects based on accreditation standards at Imelda Pekerja Indonesia General Hospital, Medan. This study employed a qualitative research method. The informants consisted of four individuals: one head of the medical records unit, one medical records officer, and two information technology (IT) officers. Data were collected using an interview guide to obtain relevant information from the informants. The results showed that the implementation of medical record security and confidentiality at Imelda Pekerja Indonesia General Hospital, Medan, was generally well implemented, supported by established procedures related to data security and confidentiality, including Standard Operating Procedures (SOPs) for data backup, Hospital Information Management System (SIMRS) data protection, user account management, and access rights to medical records. It is expected that all personnel directly involved in maintaining the security and confidentiality of medical records will consistently safeguard such records to ensure that patients’ data are protected from unauthorized third parties.
Edukasi Hukum dan Pendampingan Standardisasi Sistem Pelepasan Informasi Rekam Medis Guna Menjamin Kerahasiaan Data Pasien di RSU Imelda Pekerja Indonesia Abdul Malik Ritonga; Geovani Arta sihite; Zulham Andi Ritonga; Mei Sryendang Sitorus; Sarida Surya Manurung
Jurnal Masyarakat Indonesia (Jumas) Vol. 5 No. 01 (2026): Jurnal Masyarakat Indonesia (Jumas)
Publisher : Cattleya Darmaya Fortuna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/jumas.v5i01.415

Abstract

The release of medical record information to third parties carries significant legal risks regarding patient data confidentiality if not managed through rigorous verification procedures. This community service program (Pengabdian kepada Masyarakat) aimed to address legal vulnerabilities in the medical record release system at the Medical Record Unit of RSU Imelda Pekerja Indonesia. Using a Participatory Action Research (PAR) approach, the program engaged four medical record personnel through four main stages: situation analysis, solution development, legal education with practical coaching, and program evaluation. The interventions included legal socialization regarding Law No. 27 of 2022 on Personal Data Protection and Minister of Health Regulation No. 24 of 2022, as well as the implementation of a new verification tool, the Check-List for Verification of Medical Information Release Legitimacy (CV-PIM), along with an updated Standard Operating Procedure (SOP). The results demonstrated a 67.6% increase in personnel's legal literacy, with average test scores rising from 52.5 to 88.0. Furthermore, compliance with verification checklists reached 100%, and the application of data minimization principles increased by 375%. In conclusion, the implementation of a standardized release system effectively mitigates legal risks for healthcare personnel while ensuring sustainable protection of patient health data privacy at RSU Imelda Pekerja Indonesia.
Co-Authors Geovani Arta sihite Mei Sryendang Sitorus Rasnita Suryanti Laia Sarida Surya Manurung Zulham Andi Ritonga