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Tinjauan Aspek Keamanan Informasi Data Pasien dalam Penerapan RME di RSUP dr. Sitanala Sela abdiyana; Dina Sonia; Noerfitri Noerfitri; Bangga Agung Satrya
KOLONI Vol. 5 No. 2 (2026): JUNI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i2.841

Abstract

The implementation of EMR is part of the digital transformation of healthcare services aimed at improving service quality, efficiency, and accuracy of patient data management. However, this digitalization also poses challenges in maintaining the security of sensitive information, necessitating protection of data confidentiality, integrity, and availability. This study aims to review the implementation of patient data information security aspects in the Electronic Medical Records (EMR) system at Dr. Sitanala General Hospital. This research employed a descriptive method with a qualitative approach, collecting data through observation and in-depth interviews with eight informants, including the head of medical records, doctors, nurses, the head of IT, and IT staff. The analysis focused on six aspects of information security: privacy, integrity, authentication, availability, access control, and non-repudiation. The findings indicate that information security within the EMR system has generally been implemented adequately, with privacy and access control ensured through individual user accounts and role-based access restrictions, integrity maintained by limiting data modification authority, authentication conducted via username and password-based login mechanisms, availability supported by system reliability and data backup processes, and non-repudiation ensured through user activity logs. Nevertheless, weaknesses were identified in the automatic log-out feature, which has not yet functioned optimally and may pose potential security risks, highlighting the need for continuous evaluation and improvement to strengthen patient data protection and maintain public trust in healthcare services.
Keamanan Sistem Informasi Rekam Medis Elektronik Di Rumah Sakit Islam Jakarta Sukapura Endah Wardani; Daniel Happy Putra; Dina Sonia; Noor Yulia
Jurnal Rekam Medik & Manajemen Informasi Kesehatan Vol. 3 No. 2 (2024): Oktober
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/rmik.v3i2.1756

Abstract

The implementation of Electronic Medical Records (EMR) in all health service facilities is outlined in Minister of Health Regulation Number 24 of 2022, with a deadline of 31 December 2023. Ensuring the security of EMR is vital to protect patient data privacy, prevent unauthorized data access, and avoid breaches. This study evaluates the security practices of EMR systems at the Islamic Hospital Jakarta Sukapura using a descriptive qualitative research method with seven informants. The study focuses on six key aspects of EMR security: privacy, integrity, authentication, availability, access control, and non-repudiation. The results show that the hospital has established security procedures, such as using usernames and passwords, but there are significant areas for improvement. The study notes the need for automatic logout features to prevent unauthorized access when computer screens are left unattended and emphasizes the importance of regularly updating passwords to improve security, as well as hospitals using encryption and firewall technologies to protect data during transmission and storage. Apart from this, research shows that some staff members still use default passwords, posing a security risk. Overall, this study provides recommendations for strengthening RME security frameworks in hospitals.
Penerapan Standardisasi Variabel dan Metadata pada SIMRS Khanza Berbasis Elektronik di Indonesia: Implementation of Variable and Metadata Standardization in Elektronic-Based SIMRS Khanza in Indonesia Brigitha Dea Yuliseva; Daniel Happy Putra; Puteri Fannya; Dina Sonia
Jurnal Surya Medika (JSM) Vol. 12 No. 1 (2026): Jurnal Surya Medika (JSM)
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/jsm.v12i1.9462

Abstract

Penelitian ini bertujuan untuk menganalisis perbandingan standardisasi pengembangan variabel dan meta data pada SIMRS Khanza berbasis elektronik di Indonesia. Selain itu penelitian ini juga dilakukan untuk mengetahui standardisasi pengembangan variabel dan meta data sesuai dengan Kementerian Kesehatan, mengetahui standardisasi pengembangan variabel dan meta data pada SIMRS Khanza, dan mengetahui penerapan meta data pada SIMRS Khanza dengan standardisasi meta data Kementerian Kesehatan. Penelitian ini menggunakan pendekatan penelitian kualitatif deskriptif, dengan studi kasus yang dilakukan pada perbandingan SIMRS Khanza dengan Peraturan Menteri Kesehatan RI no. HK.01.07/MENKES/1423 Tahun 2022 tentang pedoman variabel dan meta data dalam penyelenggaraan Rekam Medis Elektronik. Teknik pengumpulan data yang digunakan adalah dengan observasu menggunakan tracing data digital. Sementara teknik analisis data yang digunakan pada penelitian ini adalah dengan data display kemudian menarik kesimpulan berdasarkan perbandingan data yang telah dilakukan. Penelitian ini menemukan hasil bahwa dari perbandingan yang dilakukan oleh peneliti menemukan perbedaan yang signifikan antara jumlah variabel tipe data dalam standar Kementerian Kesehatan dan SIMRS Khanza. Selain hasil temuan penelitian ini juga menjelaskan bahwa SIMRS Khanza belum sepenuhnya mengikuti peraturan Menteri Kesehatan Republik Indonesia No.HK.01.07/MENKES/1423 Tahun 2022.
Blockchain untuk Keamanan Data Kesehatan dalam Rekam Medis Elektronik Dina Sonia; Daniel Happy Putra; Mieke Nurmalasari
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 7 No 3 (2026): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v7i3.6830

Abstract

The digital transformation of healthcare through Electronic Medical Records (EMRs) has improved the efficiency and continuity of clinical information management but has also raised significant concerns regarding data security and privacy. The increasing frequency of cyberattacks and the limitations of conventional data protection mechanisms, particularly in developing countries such as Indonesia, highlight the need for more reliable security solutions. This study explores the potential of blockchain technology to enhance EMR security through a Systematic Literature Review (SLR) following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework. A total of 13 peer-reviewed articles published within the last five years were systematically reviewed. The findings indicate that blockchain can serve as an additional security layer by improving data integrity and auditability through immutable ledgers, cryptographic hashing, and distributed consensus mechanisms. Data confidentiality is strengthened through patient-centered decentralized access control and advanced cryptographic techniques, while data availability is supported by hybrid architectures using off-chain storage. However, blockchain implementation still faces challenges, including scalability, cryptographic key management, system integration, and regulatory constraints. Overall, blockchain demonstrates strong potential to enhance security and trust within the EMR ecosystem, although it is better positioned as a complementary technology rather than a standalone solution.
Analisis Faktor Internal dan Eksternal yang Mempengaruhi Pending Klaim BPJS Kesehatan di Rumah Sakit Patria IKKT Ira Rizka Safia; Laela Indawati; Dina Sonia; Daniel Happy Putra
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 3 (2026): Agustus 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i3.8466

Abstract

Pending claims are a chronic problem with a direct impact on the cash flow and operational efficiency of hospitals partnering with BPJS Kesehatan. Previous studies generally mapped internal and external factors separately and rarely linked them to BPJS Kesehatan's automated verification mechanisms, namely ALGORITMA and Over Utilization Review (OTOVER), leaving the proportional contribution of each mechanism unexplored. This study aims to analyze the internal and external factors influencing pending BPJS Kesehatan claims at Patria IKKT Hospital and to identify the most dominant type of pending claim. A descriptive qualitative method with a case study approach was used, involving in-depth interviews with three Casemix unit informants, observation of the claim process, and documentation study of 76 pending claim files from August to October 2025, analyzed using the Miles and Huberman interactive model. Results show that the most influential internal factor is incomplete supporting documents and medical resumes (Material) and the absence of a written SOP (Method), while external factors are dominated by coding interpretation differences between BPJS verifiers and hospital staff and rapid BPJS policy changes. The most dominant type of pending claim is ALGORITMA, accounting for 66 cases (86.8%) of 76 cases, far exceeding OTOVER (13.2%). These findings confirm that pending claims at Patria IKKT Hospital are technical-medical in nature and require strengthened clinical documentation governance and standardized SOPs
ANALISIS MANAJEMEN RISIKO K3 DI RUANG FILING RS BUNDA SEJATI Ressa Yesika; Puteri Fannya; Daniel Happy Putra; Dina Sonia
SEHAT : Jurnal Kesehatan Terpadu Vol. 5 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/s-jkt.v5i3.60969

Abstract

Manajemen risiko keselamatan dan kesehatan kerja (K3) merupakan upaya sistematis untuk mengidentifikasi, menilai, dan mengendalikan potensi bahaya guna mengurangi risiko kecelakaan kerja serta mencegah penyakit akibat kerja. Ruang filing rekam medis di rumah sakit memiliki berbagai potensi bahaya yang dapat memengaruhi keselamatan dan kesehatan petugas dalam melaksanakan pekerjaannya. Oleh karena itu, penerapan manajemen risiko K3 di ruang filing perlu dilakukan untuk meminimalkan risiko yang dapat mengganggu keselamatan kerja petugas. Penelitian ini bertujuan untuk menganalisis manajemen risiko K3 di ruang filing RS Bunda Sejati. Penelitian ini menggunakan metode deskriptif dengan pendekatan kualitatif. Penilaian tingkat risiko dilakukan menggunakan matriks risiko berdasarkan tingkat kemungkinan (likelihood) dan tingkat keparahan (severity). Data dikumpulkan melalui observasi dan wawancara terhadap tiga petugas filing serta kepala unit rekam medis. Hasil penelitian menunjukkan bahwa terdapat empat risiko K3 yang dikelompokkan ke dalam kategori risiko fisik dan risiko ergonomis. Risiko dengan prioritas tertinggi adalah sakit pinggang dan kelelahan otot akibat postur kerja yang kurang ergonomis. Prioritas berikutnya adalah risiko tergores saat mengambil atau mengembalikan berkas rekam medis ke rak, sedangkan risiko lainnya meliputi tertimpa berkas rekam medis akibat rak yang penuh serta terjatuh dari tangga saat mengambil berkas pada rak yang tinggi. Berdasarkan hasil penelitian, masih terdapat risiko K3 di ruang filing RS Bunda Sejati yang memerlukan pengendalian sesuai dengan hierarki pengendalian risiko agar keselamatan dan kesehatan kerja petugas dapat ditingkatkan.
Co-Authors Agustin, Rosalia Ahmad Bukhori Ahmad Rizky Ai Ainun Nur’aeni Aini Nuroctaviani Aldo Rizky Mahendra Aldo Rizky Mahendra Alfiah Nurripdah Anisa Nurjulaeni Annisa Azzahra, Annisa Bangga Agung Satrya Brigitha Dea Yuliseva Budiantono Budiantono Budiantono, Budiantono Chika Putri Nur Adila Danang Nugroho Dang Kusnandi Daniel Happy Putra Daniel Happy Putra Dea Restika Derry Jamaludin Devi Permatasari Devina Lulu Nursilmi Dewi, Puja Sintia Dina Nur Haliza Dyah Melisa Setianingrum Eka Rahmasari Elis Putri Mulyani Elta Miliana Emy Wardatunisa Endah Wardani Eresha, Widya Ervina Permata Satia Fanny Nuraininabilah Fannya, Puteri Fannya, Putery Farid, Zaki Much Fatimatuzzahra, Joevancha Livancha Febriyani, Madinah Fernando, Nauvaldy Rayhan Firly Oktavia Lestari Firmansyah, Muhamad Ruslan Fitria, Lailatul Fitrianingsih, Wulandari Fitriyanti , Nuriyah Gita Sugiarti Gita, Elsa Chandra Halimah, Sitti Haliza, Dina Nur Hasni Nurul Tazkiyah I made Dharma Farellio Indawati, Laela Intan Nurhadiyati Nugraha Intan Suciani Iqbal, Muhammad Fuad Ira Rizka Safia Ismi Suci Oktavia Az Ivonia Kenahin Bahi Januar Agung Saputera Karolina, Caren Kusnandi, Dang Kusuma, Muhammad Akmal Lailia, Siti Afkarina Lestari, Firly Oktavia Lilis Nurindah Sari Magdalena, Selvy Manullang, Febe Cristiani Maria Catherina Palar Maufirah, Fitria Nur Maulana, Panji Maulanasari, Devi Maulinabila, Ayulia Melani Aulia Mufida Mia Assariyanti Miliana, Elta Mochamad Ladi Maulana Muhamad Ruslan Firmansyah Muhammad Rifki Aulia Ramadan Nauvaldy Rayhan Fernando Noerfitri, Noerfitri Nugraha, Intan Nurhadiyati Nuraininabilah, Fanny Nur’aeni, Ai Ainun Nur’aini, Nur’aini Nurfadila, Riski Aisah Nurhadi, Muhammad Nurhayatun , Susi Nurindah Sari, Lilis Nurmalasari, Mieke Nurmeryalvika Nurmeryalvika Nuroctaviani, Aini Nurripdah, Alfiah Nursilmi, Devina Lulu Nuryani, Sinta Nur’aeni, Ai Ainun Nur’aini Nur’aini Nur’aini, Nur’aini Palar, Maria Catherina Pangesti, Wulan Aprilia Panji Maulana Permata Satia, Ervina Prasetyo, Muhammad Jefri Puja Sintia Dewi PUTRI WAHYUNI Putri, Antonia Venta Nathaniela Rani Wulandari Rani Wulandari Rani Yulistianingsih Ressa Yesika Rezal, Muhammad Rifki Aulia Ramadan, Muhammad Rizal Fauzi Rizal Fauzi Rosita, Annida Ulfiar Sabina, Diva Salomo, Titus Satriyo Satriyo Satriyo Satriyo Sela abdiyana Septiani, Sundari Shabita Safhira Sinta Nuryani Siswati Siswati Siswati Siswati Siswati Siswati Suciani, Intan Sundari Septiani Susanti, Dhina Ayu Syach, Choirul Anam Tarisa Maharani Viatiningsih, Wiwik Widjaja, Lily Wilda Indriyani Yulia, Noor Yuniar, Ananda Eka Alya Zaki Much Farid