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Emerging Technologies for Secure and Privacy-Preserving Electronic Medical Records: A Systematic Review Putra, Muhammad Ifantara; Roziqin, Mochammad Choirur; Alfiansyah, Gamasiano
ILKOMNIKA Vol 7 No 3 (2025): Volume 7, Number 3, December 2025
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28926/ilkomnika.v7i3.803

Abstract

The rapid digitalization of healthcare has led to widespread adoption of Electronic Medical Records (EMR), driving improvements in data management, clinical efficiency, and patient-centered care. However, this transformation also presents critical challenges related to data security, privacy protection, and intelligent data utilization. This study conducts a Systematic Literature Review (SLR) of 30 peer-reviewed journal articles published between 2022 and 2025, focusing on three key research domains: EMR systems, smart data processing, and blockchain-based security. The review identifies that EMR serves as the foundation for healthcare data standardization and interoperability, while smart data processing—through artificial intelligence and machine learning—enables predictive analytics and clinical decision support. Concurrently, blockchain technology strengthens data integrity, transparency, and access control in distributed medical environments. Despite these advances, persistent challenges remain, including scalability limitations, interoperability gaps, and ethical concerns in data governance. The study concludes that integrating blockchain with intelligent data processing represents a promising path toward developing secure, interoperable, and intelligent EMR systems capable of supporting the next generation of digital healthcare.
Analisis Faktor Penyebab Keterlambatan Pengembalian Rekam Medis Rawat Inap di Rumah Sakit X Sabran, Sabran; Angelina, Alvia Irin; Alfiansyah, Gamasiano; Mudiono, Demiawan Rachmatta Putro; Deharja, Atma
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 7 No 1 (2025): December
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v7i1.5909

Abstract

Delays in the return of inpatient medical records at Hospital X reached 25.01%, which is far below the required standard of 100% completion within 2×24 hours. This study aims to analyze the factors contributing to these delays using a qualitative approach. The main informants were medical record officers, and data were collected through interviews, observations, and documentation, with validity ensured through source and method triangulation. The findings show that predisposing factors include mismatched educational background, limited knowledge, and staff attitudes related to the completeness of signatures from attending physicians and nurses. Enabling factors involve the long distance between inpatient wards and the medical record unit, as well as the absence of elevator facilities for transporting records. Reinforcing factors include the lack of penalties for delayed returns and insufficient understanding of the physical form and standard operating procedures for medical record return. Improvement efforts include staff training, socialization of medical record completeness requirements, procurement of dedicated transport facilities for records, and regular revision and dissemination of standard operating procedures. The hospital is advised to strengthen monitoring, improve inter-unit coordination, provide efficient record transportation systems, and implement a reward and punishment mechanism to enhance the timeliness of inpatient medical record returns.
Analisis Faktor Penyebab Ketidaklengkapan Pengisian Resume Medis Rawat Inap Di RSU Bahagia Makassar AT Tabrani, Zahratul Jannah; Sabran, Sabran; Putra, Dony Setiawan Hendyca; Alfiansyah, Gamasiano
ARTERI : Jurnal Ilmu Kesehatan Vol 7 No 1 (2025): November
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/arteri.v7i1.716

Abstract

Incomplete medical resume documentation remains a persistent issue, including at Bahagia General Hospital Makassar. In the Cempaka inpatient ward, the percentage of incomplete medical resumes in November, December, and January reached an average of 8.00 and showed an increasing trend. This study aims to analyze the factors contributing to the incompleteness of medical resume documentation based on Armstrong and Baron’s (1998) performance theory. The study employed a qualitative approach through interviews, observations, documentation review, and brainstorming. Research subjects consisted of physicians, nurses, and medical record staff. The findings indicate several contributing factors. Individual factors include the suitability of staff educational backgrounds, the absence of training related to medical resume completion, and limited knowledge regarding completeness standards (SPM). Leadership factors involve the lack of motivational strategies such as rewards for staff who consistently complete medical resumes, as well as insufficient involvement of all staff in completeness evaluations. System factors include suboptimal use of checklist forms, the absence of standardized operating procedures (SOP) for completing and assessing medical resumes, and the lack of SOP socialization. Situational factors are related to workload issues, particularly staff performing multiple roles (double jobs). Meanwhile, group factors were found to function well through effective teamwork among staff. In conclusion, incompleteness in medical resume documentation is influenced by individual, leadership, system, and situational factors. It is recommended to provide training for involved staff, develop and implement SOPs, and conduct SOP socialization to improve medical resume completeness.
Pengembangan Sistem Pendukung Keputusan Berbasis e-Health untuk Skrining Risiko Diabetes Tipe 2 Putro Mudiono, Demiawan Rachmatta; pratama, Mudafiq Riyan; Alfiansyah, Gamasiano; Swari, Selvia Juwita
BIOS : Jurnal Teknologi Informasi dan Rekayasa Komputer Vol 7 No 1 (2026): March
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/bios.v7i1.193

Abstract

Type 2 diabetes mellitus is a growing global health problem that requires effective early screening strategies. This study aimed to develop an e-Health-based Clinical Decision Support System (CDSS) for assessing type 2 diabetes risk using a rule-based scoring method. The system was developed using a prototype-based system development approach, involving requirement analysis, system design, prototype development, and system evaluation. Risk determination was performed using six major factors including age, sex, body mass index, family history of diabetes, hypertension, and history of gestational diabetes based on ADA and PERKENI guidelines. System evaluation was conducted using black box testing to assess functional performance and usability evaluation using System Usability Scale (SUS) involving end users. The developed system successfully generated risk scores, categorized risk levels, and provided follow-up recommendations aligned with clinical guidelines. Evaluation results indicated that the system functions properly and demonstrates good usability performance. Therefore, the proposed CDSS shows potential as a practical e-Health screening tool to support early diabetes detection in primary healthcare settings.
Pemberdayaan Masyarakat melalui Transformasi Limbah Dapur Menjadi Produk Bernilai Guna: Pembuatan Deterjen Cair berbasis Eco Enzym Kartika, Ria Chandra; Alfiansyah, Gamasiano; Swari, Selvia Juwita; Pratama, Mudafiq Ryan; Abrori, Imam
Jurnal Pengabdian Masyarakat (ABDIRA) Vol 6, No 2 (2026): Abdira
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/abdira.v6i2.1320

Abstract

Household organic waste such as fruit and vegetable scraps can be utilized as the main ingredient for eco enzyme, which serves as a natural and environmentally friendly base for liquid detergent production. This community service activity aims to empower local residents to transform kitchen waste into useful products that contribute to pollution reduction. The methods included education sessions, eco enzyme production training, liquid detergent formulation, and hands-on practice. The target group was the PKK women’s organization of Puger Kulon Village, Puger District, Jember Regency, who play an essential role in household waste management. The results showed an increase in participants’ knowledge and skills in independently producing liquid detergent. The product proved effective for household cleaning and has the potential to develop into a small-scale business opportunity. This program is expected to encourage the adoption of a green lifestyle and raise community awareness of sustainable waste management practices.