Following the publication of Minister of Health Regulation (PMK) number 24 of 2022 respecting Medical Records, patients’ health data have started to be kept electronically. This regulation mandates the use of an electronic patient medical history recording system in health service facilities (Fasyankes). The transition process lasts until 31 December 2023.
“The Ministry of Health is aware of the development of digital technology in society which has resulted in the transformation of the digitization of health services so that medical records need to be organized electronically with the principles of security and confidentiality of data and information,” says Setiaji, Chief of Digital Transformation Office at Ministry of Health.
The PMK is a regulatory framework that helps with the implementation of health technology transformation, which is the nation’s sixth pillar of Health Transformation. This policy is a renewal of the old rule, PMK number 269 of 2008, which was changed to reflect adjustments in science and technology, service needs, community policies, and laws.
This electronic medical record ought to be bolstered by numerous other guidelines such as telemedicine, biotechnology application, and other technologies that will be based on it.
The Indonesian Ministry of Health aims to change health services by continuously enhancing skills and preserving the integrity of health services to provide better assistance to the community, it is hoped that all health facilities would be able to adapt.
This year, the Digital Maturity Index will be used to map all healthcare organisations. The preparedness of medical facilities will be determined. In addition, the patient has the right to obtain a copy of his medical record and to consent to its release.
With the patient’s permission, referral health facilities may access the contents of a patient’s electronic medical record, while the Ministry of Health shall provide health facilities with an integrated platform for connecting to the SATUSEHAT database.
Regarding human resources, the Ministry of Health will assist health facilities that lack digital human resource capabilities. In future initiatives, the Ministry will add digital human resources to the Puskesmas (government-mandated community health centres) to facilitate the execution of digitisation.
For hospitals, there is no need to add many human resources because the doctors who will input medical records are the doctors who will review them and are helped by nurses. Patients can access this electronic medical record using the PeduliLindung application. In addition to COVID-19, this app can also be utilised to access any health services.
When a hospital or other party requests access to relevant medical data, a new version of PeduliLindungi that incorporates health care information will be made available. In addition, users who do not have a smartphone or the PeduliLindung application can access it directly at healthcare institutions if they do not have either. The confidentiality of patient information is ensured because it exists not only in the system administered by the Ministry of Health but also in health care institutions.
Several hospitals in Indonesia are now participating in a pilot programme and establishing guidelines on how to secure data and then create standardised electronic medical records that can be protected. Additionally, the Pharmacy and Medical Devices Dictionary (KFA) was formally created to standardise data on pharmaceutical items and medical devices for the pharmaceutical business.
KFA is a technological advancement that offers details on pharmaceutical products and medical equipment via a web browser tag known as the KFA Browser. The KFA Browser is now available for use by manufacturers, distributors, and the public to find standardised reference pharmaceuticals and medical equipment that can then be accessed online.
