Analysis of Electronic Medical Record Security Aspects in Maintaining Patient Data Confidentiality at Hospital X in Bandung City

Authors

  • Sri Rahayu Politeknik Piksi Ganesha, Jawa Barat, Indonesia
  • Sali Setiatin Politeknik Piksi Ganesha, Jawa Barat, Indonesia

DOI:

https://doi.org/10.38035/ijphs.v3i3.1064

Keywords:

Scurity aspects, Electronic Medical Record, Patient data confidentiality

Abstract

The implementation of the Electronic Medical Record (EMR) system at Hospital X is a strategic step to enhance the efficiency and quality of healthcare services. This study aims to evaluate data security aspects of the EMR system, focusing on access security, data integrity, and system availability. A descriptive qualitative method was used to explore patient data protection practices. The results indicate that the hospital has implemented role-based access control, audit trails, and user activity monitoring. However, several shortcomings were identified, such as the absence of a regular password change policy, lack of two-factor authentication, and infrequent system security testing. In terms of availability, the system is supported by 24-hour vendor services, although technical challenges such as network disruptions and hardware limitations remain. This study recommends strengthening security policies, conducting regular staff training, and improving technological infrastructure to ensure optimal patient data protection and service effectiveness.

References

Abdussamad, Z. (2021). Metode Penelitian Kualitatif. Syakir Media Press.

Ardianto, E. T., Sabran, & Nurjanah, L. (2024). Analisis Aspek Keamanan Data Pasien Dalam Implementasi Rekam Medis Elektronik Di Rumah Sakit X. RAMMIK?: Jurnal Rekam Medik Dan Manajemen Informasi Kesehatan, 3(2), 18–30.

Bozic, V. (2023). Confidentiality, Integrity and Availibility in hospital. Research Proposal.

Day, S. A. S., & Subekti, R. (2024). Pertanggungjawaban Penyedia Sistem Rekam Medis Elektronik Dari Partner System Terhadap Kebocoran Data. Demokrasi?: Jurnal Riset Ilmu Hukum, Sosial Dan Politik, 1(3), 92–101.

Harahap, N. (2020). Penelitian kualitatif. Wal Ashri Publishing.

Ikawati, F. R. (2024). Efektivitas Penggunaan Rekam Medis Elektronik Terhadap Peningkatan Kualitas Pelayanan Pasien di Rumah Sakit. Ranah Research?: Journal of Multidisciplinary Research and Development, 6(3), 288–298.

Kemenkes, R. I. (2022). Peraturan Menteri Kesehatan Nomor 24 Tahun 2022 tentang Rekam Medis. Kementerian Kesehatan Republik Indonesia .

Kuo, T.-T., Kim, H.-E., & Machado, L. O.-. (2017). Blockchain distributed ledger technologies for biomedical and health care applications. J Am Med Inform Assoc, 24(6), 1211–1220.

Latipah, T., Solihah, S., & Setiatin, S. (2021). Pengaruh Rekam Medis Elektronik Terhadap Peningkatan Efektivitas Pelayanan Rawat Jalan Di Rumah Sakit X. Cerdika: Jurnal Ilmiah Indonesia, 1(10), 1422–1434.

Liu, G., Xie, H., Wang, W., & Huang, H. (2024). A secure and efcient electronic medical record data sharing scheme based on blockchain and proxy re-encryption. Journal of Cloud Computing: Advances, Systems and Applications, 13(44), 1–13.

Murdiyanto, E. (2020). Penelitian kualitatif: Teori dan aplikasi disertai contoh proposal. Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Universitas Pembangunan Nasional “Veteran” Yogyakarta Press.

Nafiza, S. R., & Ulfah, A. (2024). Pengaruh Rekam Medis Elektronik Terhadap Efisiensi Pelayanan Kesehatan Poli Obgyn Di Rumah Sakit X. Jurnal Ilmiah Multidisipliner (JIM), 8(6).

Omidah, & Yunengsih, Y. (2025). ANALISIS DAMPAK KEAMANAN DATA PASIEN PADA SISTEM REKAM MEDIS ELEKTRONIK DI RUMAH SAKIT X. Journal of Medical Record Student (JMeRS), 3(1), 83–88.

Pradono, J., Soerachman, R., Kusumawardani, N., & Kasnodihardjo. (2018). Panduan Penelitian dan Pelaporan Penelitian Kualitatif. Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan.

Republik Indonesia. (2022). Undang-Undang Nomor 27 Tahun 2022 tentang Pelindungan Data Pribadi. Lembaran Negara Republik Indonesia Tahun 2022 Nomor 196.

Suhariyono, U. S., Ikawati, F. R., & Afifah, N. (2025). Analisis Aspek Keamanan Informasi Data Pasien pada Rekam Medis Elektronik di UPT Puskesmas Karangploso. Jurnal Manajemen Informasi Kesehatan Indonesia, 13(1), 72–78.

Tiorentap, D. R. A., & Hosizah. (2020). Aspek Keamanan Informasi dalam Penerapan Rekam Medis Elektronik di Klinik Medical Check-Up MP. Prosiding 4 SENWODIPA.

Turkstani, H. A., Almutawah, F. N., AlZamel, N. A., Alshammari, M. Z., Alhamadi, A. A., Algharbi, M. T., Alsuayri, A. M., Gong, M. B., Alqahtani, J. S., Alnemer, A. F., & Aljuwayed, N. H. (2025). Privacy and Confidentiality in Healthcare: Best Practices for Protecting Patient Information. Journal of Healthcare Sciences, 5(1), 49–54.

Wardani, E., Putra, D. H., Sonia, D., & Yulia, N. (2024). Keamanan Sistem Informasi Rekam Medis Elektronik di Rumah Sakit Islam Jakarta Sukapura. RAMMIK?: Jurnal Rekam Medik Dan Manajemen Informasi Kesehatan, 3(2), 31–38.

Zhang, J., Guo, R., Shi, Y., & Tang, W. (2024). An anti-impersonation attack electronic health record sharing scheme based on proxy re-encryption and blockchain. Mathematical Biosciences and Engineering, 21(6), 6167–6189

Published

2025-07-03