IMPLEMENTASI UNDANG-UNDANG NEGARA REPUBLIK INDONESIA NOMOR 11 TAHUN 2008 TENTANG INFORMASI & TRANSAKSI ELEKTRONIK (UU ITE) TERHADAP REKAM MEDIS ELEKTRONIK (EMR)

Eriawan Agung Nugroho

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ABSTRAK 

Kemajuan teknologi informasi dimanfaatkan oleh manajemen rumah sakit untuk pengembangan Sistem Informasi Manajemen Rumah Sakit (SIMRS) yang terintegrasi. Tujuan utama SIMRS adalah efisiensi dan kecepatan pelayanan serta untuk pengambilan keputusan direksi, baik menyangkut keputusan terhadap masalah logistik, administrasi dan keuangan. Kemajuan ini telah melahirkan paradigma baru dalam manajemen informasi kesehatan termasuk didalamnya manajemen rekam medis elektronik (digital) yang telah merubah pola pikir dan pola tindak para praktisi profesi rekam medis, para ahli manajemen informasi kesehatan, para praktisi hukum dan para arsiparis (profesi kearsipan). 

Perubahan tersebut juga telah diikuti dengan penyesuaian dalam peraturan perundang-undangan, dimana Peraturan Menteri Kesehatan RI No. 749a tahun 1989 tentang rekam medis belum menyinggung mengenai rekam medis elektronik, sedangkan peraturan tentang rekam medis yang baru yaitu Peraturan Menteri Kesehatan RI No. 269/MENKES/PER/III/2008 telah terdapat aturan rekam medis elektronik. Dengan demikian Peraturan Menteri Kesehatan RI No. 269 Tahun 2008 tentang rekam medis ini menjadi dasar hukum penerapan rekam medis elektronik di Indonesia. 

Rekam medis elektronik adalah setiap catatan, pernyataan, maupun interpretasi yang dibuat oleh dokter atau petugas kesehatan lain dalam rangka diagnosis dan penanganan pasien yang dimasukkan dan disimpan dalam bentuk penyimpanan elektronik (digital) melalui sistem komputer. “Electronic Medical Record (EMR): an electronic sistem automate paper-base medical record


ABSTRACT 

Advancements in technology relating to the medical field has been a boon to medical professionals and hospital management alike in order to develop an integrated 
hospital information system (SIMRS). The goal of an integrated hospital management system (SIMRS) is to increase the speed and efficiency in which a hospital is able to provide medical care and in order for hospital management to be able to react faster to operational needs such as logistical issues, administrative needs, and financial actions. The advancement mentioned above has given way to the creation of a new paradigm in the field of information management which includes electronic medical bookkeeping (digital records) that have thus changed the viewpoints of medical practitioners, medical data analysts, legal practitioners, and archivists.Advancements in the field has also given rise to the need for the relevant laws to be adjusted. This is apparent in the ministry of health regulation No. 749a of the year 1989 regarding medical bookkeeping, which within its contents does not regulate about electronic medical bookkeeping and as such has been renewed into the ministry of health regulation No. 269/MENKES/PER/III/2008 which unlike its previous incarnation, has regulated the topic of electronic medical bookkeeping. This new law has become the principle rule in which all maters relating to electronic based medical bookkeeping is based upon The definition of an electronic medical record is the recording of any and all action relating to medical monitoring of a patient that ranges from notes taken of a patients current medical condition, statements given by doctors or ay other medical professional to a patient in order to diagnose and administer medical action, which is then stored in digital/electronic format with the use a computer. “Electronic Medical Record (EMR): an automated electronic system based medical record”

Kata Kunci


Kata Kunci : rekam medis elektronik, rekam medis rumah sakit, rumah sakit

Teks Lengkap:

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Referensi


DAFTAR PUSTAKA

Buku :

Departemen Kesehatan Republik Indonesia. (1997). Pedoman Rekam Medis Rumah Sakit di Indonesia, Revisi 1, Jakarta : Dirjen Pelayanan Medik

Departemen Kesehatan Republik Indonesia. (2008). Profil Kesehatan Indonesia, Jakarta : Dirjen Pelayanan Medik

Dinevski D, Bele U, Sarenac T. (2013). Clinical Decision Support Systems, Studies in Health Technology and Informatics

Potter AP, Anne PG. (2009). Fundamental Keperawatan Buku 1, Ed. 7, Jakarta : Salemba Medika

Vitri Tundjungsari. (2008). Aplikasi Klinik Kesehatan Online Berbasis Web, Jakarta : Konferensi dan Temu Nasional Teknologi Informasi di Indonesia

Peraturan Perundangan :

Undang-Undang Negara Republik Indonesia Nomor 11 Tahun 2008 tentang Informasi dan Transaksi Elektronik

Peraturan Menteri Kesehatan Republik Indonesia Nomor 269/MENKES/PER/III/2008 tentang Rekam Medis

Jurnal :

Chnipper JELS. 2008. “Smart Forms” in An Electronic Medical Record : Documentation-based Clinical Decision Support to Improve Disease Management, Journal of The American Medical Informatics Association, Juli 2008, Vol 15(4), hlm. 513-523

Internet :

Wilcox L, Using The Electronic Medical Record to Keep Hospital patients Informed, Sciences-New York (online) diunduh dari https://techhouse.brown,edu/~dmorris/publications/WishPatientDisplaysCHI 2010.pdf pada tanggal 12 November 2020

USF Health, Federal Mandates for Healthcare : Digital Record-Keeping Requirements for Public and Private Healthcare Providers (online) diunduh dari https://www.usfhealthonline.com/resources/healthcare/electronic-medical-records-mandate/, pada tanggal 13 November 2020


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