Universitas Islam Sultan Agung - Indonesia
Program Pendidikan Dokter Gigi Fakultas Kedokteran Gigi Universitas Islam Sultan Agung
ELECTRONIC MEDICAL RECORD AT RSIGM SULTAN AGUNG SEMARANG REVIEWED FROM THE COMPLETENESS AND THE SAFETY FORMAT SYSTEM
Adam Reza Pahlevi
Erdianto Setya Wardhana
Universitas Islam Sultan Agung - Indonesia
Departemen Ilmu Kesehatan Gigi Masyarakat Fakultas Kedokteran Gigi Universitas Islam Sultan Agung
Erna Dwi Agustin
Universitas Islam Sultan Agung - Indonesia
Departemen Psikologi Fakultas Kedokteran Gigi Universitas Islam Sultan Agung
(*) Corresponding Author
Background: An electronic medical record is a medical system that can be used to store information about the track of a patient`s health. The completeness format of Electronic Medical Record used the format of Electronic Medical Record Guidance from Health Ministry Year 2015. The safety of electronic medical records has 6 aspects as follows privacy, integrity, authenticity, availability, access, control, non-rapadiatum.
Method: This research aimed to know the description of the completeness format and the safety of The Electronic Medical Record at RSIGM Sultan Agung Semarang. This research used descriptive observational using a cross-sectional method. The subject of this study was Electronic Medical Records in March 2020. The samples were selected according to the inclusion criteria obtained from RSIGM Sultan Agung Semarang
Result: The result of this research was used to know the description of the completeness of Electronic Medical Record Format and the safety of Electronic Medical Record at RSIGM Sultan Agung Semarang.
Conclusion: The conclusion of this research showed Electronic Medical Record had been applied at RSIGM Sultan Agung Semarang but there are still lack in the informed consent form and the informed refusal, the safety of the electronic medical record was still lack in the electronic signature format.
Keywords: Electronic Medical Record; The Completeness Useage of Electronic Medical Record; Electronic Medical Record Security System
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