Open AccessELECTRONIC MEDICAL RECORD AT RSIGM SULTAN AGUNG SEMARANG REVIEWED FROM THE COMPLETENESS AND THE SAFETY FORMAT SYSTEM
Author(s) -
Adam Reza Pahlevi,
Erdianto Setya Wardhana,
Erna Dwi Agustin
Publication year - 2021
Publication title -
medali jurnal
Language(s) - English
Resource type - Journals
ISSN - 2460-4151
DOI - 10.30659/medali.v3i1.16892
Subject(s) - completeness (order theory) , christian ministry , medical record , electronic health record , medical emergency , electronic medical record , observational study , medicine , computer science , political science , mathematics , health care , surgery , pathology , mathematical analysis , law
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 SemarangResult: 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.