Professional Ethics and Health Law in the Digital Era and the Challenges of Patient Medical Data Protection In Electronic Medical Record System
Keywords:
Electronic Medical Records, Medical Professional Ethics, Patient Data Protection.Abstract
In the digital era, technological developments have brought major changes in the world of health, one of which is through the application of Electronic Medical Records (RME). This system allows for more efficient recording, storage, and access of patient medical data than conventional paper-based medical records. However, despite the benefits, the digitization of medical records poses new challenges, especially in the protection of patient data. The security of medical information is crucial because patient data is sensitive and must be protected from leaks, hacks, and misuse. In this context, medical professional ethics play an important role in ensuring that health workers comply with the principle of confidentiality, in accordance with bioethical standards such as autonomy, beneficence, nonmaleficence, and justice. On the other hand, health law has a fundamental role in regulating the protection of patient data in the RME system. Various regulations have been implemented globally, such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States, the General Data Protection Regulation (GDPR) in the European Union, and the Personal Data Protection Law (PDP Law) in Indonesia. This regulation aims to ensure that patient information is not misused and remains safe from cyber threats. However, challenges arise when the implementation of health laws is not balanced with the awareness of medical personnel and health facilities on the importance of regulatory compliance. The lack of cybersecurity infrastructure and weak internal policies in various health institutions further increase the risk of medical data breaches. As a solution, a comprehensive approach is needed to overcome this challenge, ranging from improving data protection policies, strengthening legal regulations, to developing information security technology in the RME system. Healthcare institutions must implement data encryption, multi-factor authentication, as well as strong firewalls to secure patient medical information. In addition, training for medical personnel on cybersecurity awareness and compliance with health laws is essential to prevent data leaks due to human negligence. With the synergy between professional ethics, health law, and more sophisticated security technology, patient data protection in the digital era can be significantly improved, thereby maintaining public trust in digital-based health services.
References
1. World Health Organization. (2021). Global Strategy on Digital Health 2020–2025. Geneva: WHO.
2. Ponemon Institute. (2022). The Impact of Cybersecurity Threats on the Healthcare Sector. Michigan: Ponemon Institute Research Report.
3. Rimmer, A. (2019). Cybersecurity in Healthcare: The Role of Human Factors. BMJ, 366, l5043.
4. Beauchamp, T. L., & Childress, J. F. (2019). Principles of Biomedical Ethics (8th ed.). Oxford University Press.
5. European Commission. (2018). General Data Protection Regulation (GDPR). Brussels: EU Publications.
6. Beauchamp, T. L., & Childress, J. F. (2019). Principles of Biomedical Ethics (8th ed.). Oxford University Press.
7. Beauchamp, T. L., & Childress, J. F. (2013). Ethical Issues in Modern Medicine: Contemporary Readings in Bioethics. McGraw-Hill Education.
8. Siplawfirm (2025, Februari 26). Pentingnya Perlindungan Data Kesehatan Pribadi. https://siplawfirm.id/pentingnya-perlindungan-data-kesehatan-pribadi/?lang=id
9. https://setjen.kemkes.go.id/berita/detail/menavigasi-privasi-data-kesehatan-melalui-pia
10. SSL (2025, Januari 1). Serangan Kesehatan Healthcare Sedang Berkembang - Sertifikat Digital Dapat Membantu. https://www.ssl.com/id/artikel/serangan-siber-di-bidang-kesehatan-semakin-meningkat-sertifikat-digital-dapat-membantu/
11. https://en.wikipedia.org/wiki/Medical_data_breach
12. Rini Kustiasih (2022, Januari 7) Data Rekam Medis Pasien Covid-19 Diduga Bocor, Segera Tuntaskan RUU Perlindungan Data Pribadi https://www.kompas.id/baca/polhuk/2022/01/07/data-rekam-medis-pasien-covid-19-diduga-bocor-segera-tuntaskan-ruu-perlindungan-data-pribadi
13. Kesia (2024, Januari 24) Tips Menjaga Keamanan Rekam Medis Elektronik Pasien https://www.kesia.id/?p=711
14. Rita Puspita Sari (2025, Februari 02). Kepatuhan dan Tata Kelola Data dalam Layanan Kesehatan https://cyberhub.id/berita/tata-kelola-data-layanan-kesehatan?
15. Aqilla Dwi Febrianti (2025, Januari 9). Peran Perawat dalam Melindungi Privasi Pasien: Solusi Kebocoran Data Rekam Medis https://kumparan.com/aqilla-dwi/peran-perawat-dalam-melindungi-privasi-pasien-solusi-kebocoran-data-rekam-medis-24GkZWG4KAQ?
16. Administrator (2024, Februari 12). Kebijakan Privasi Data Pasien: Melindungi Informasi Pribadi dengan Cermat https://praktekdokter.info/kebijakan-privasi-data-pasien/
17. Media Penerbit Indonesia.com https://repository.mediapenerbitindonesia.com/374/1/
18. Jadi Nakes (2024) Kode Etik Tenaga Kesehatan yang Mengatur Privasi Pasien, Fakta Mengejutkan yang Wajib Dipahami! https://jadinakes.id/kode-etik-tenaga-kesehatan-yang-mengatur-privasi-pasien/
19. Annisa Yolanda (2024, Desember 11) Etika dalam Pengelolaan Integritas Data Pasien dalam Rekam Medis Elektronik https://klikmedika.id/etika-dalam-pengelolaan-integritas-data-pasien-dalam-rekam-medis-elektronik/
20. Irma Yani Sitompul (2024, Oktober 6) Peran Hukum dalam Menjamin Hak atas Pelayanan Kesehatan di Indonesia https://pelitaharian.id/peran-hukum-dalam-menjamin-hak-atas-pelayanan-kesehatan-di-indonesia/
21. World Health Organization (2024 Januari 11) Memperkuat Keamanan Kesehatan: Pakar Internasional Mengkaji Kapasitas Inti International Health Regulation Indonesia https://www.who.int/indonesia/id/news/detail/
22. Annisa Yolanda (2025, Februari 6). Standar Keamanan Data dalam RME yang Terhubung dengan SATUSEHAT. https://klikmedika.id/standar-keamanan-data-dalam-rme-yang-terhubung-dengan-satusehat/
23. Annisa Yolanda (2024, Desember 10). Kepentingan Kepatuhan terhadap Standar Integritas Data dalam Pengelolaan Rekam Medis Elektronik https://klikmedika.id/kepentingan-kepatuhan-terhadap-standar-integritas-data-dalam-pengelolaan-rekam-medis-elektronik/
24. Admin (2024, Juli 8) Inovasi Teknologi Informasi dalam Meningkatkan Keamanan Data Pasien di Industri Kesehatan https://ilmusisteminfo.com/2024/07/08/inovasi-teknologi-informasi-dalam-meningkatkan-keamanan-data-pasien-di-industri-kesehatan/
25. https://www.persi.or.id/wp-content/uploads/2024/11/
26. Annisa Yolanda (2024, Desember 24). Rekam Medis Elektronik: Meningkatkan Keamanan Data Pasien https://klikmedika.id/rekam-medis-elektronik-meningkatkan-keamanan-data-pasien/
27. Guswan Hakim, Jabalnur, Oheo Kaimuddin Haris, Ruliah, Sukring, Muthaharry Mohammad, (2023). Analisis Perbandingan Hukum Mengenai Regulasi Perlindungan Data Pribadi Antara Uni Eropa dan Indonesia. Halu Oleo Legal Research Vol.5, No.2, 443-453.
28. Bates, D. W., & Sheikh, A. (2018). Improving the Safety and Efficiency of Electronic Health Records. New England Journal of Medicine, 379(16), 1589–1591.
29. Kruse, C. S., Smith, B., Vanderlinden, H., & Nealand, A. (2017). Security Techniques for the Electronic Health Records. Journal of Medical Systems, 41(8), 127.
30. Appari, A., & Johnson, M. E. (2010). Information Security and Privacy in Healthcare: Current State of Research. International Journal of Internet and Enterprise Management, 6(1), 4-17.
31. Gillon, R. (1994). Medical Ethics: Four Principles Plus Attention to Scope. BMJ, 309(6948), 184-188.
32. Menachemi, N., & Collum, T. H. (2011). Benefits and Drawbacks of Electronic Health Record Systems. Risk Management and Healthcare Policy, 4, 47–55.
33. Hastin Atas Asih, Indrayadi, Soraya, Khairunnisa (2024). Evaluasi Keamanan Data Pasien Pada Rekam Medis Elektronik Dengan Systematic Literature Review Jurnal ilmiah fifo, 16(2), 104-110.
34. World Health Organization. (2019). Health Data Privacy and Security. WHO.
35. National Institute of Standards and Technology (NIST). (2020). Cybersecurity Framework for Healthcare. NIST.
36. D. C. L. P. Lee et al., Cybersecurity and Privacy Issues in Healthcare: A Survey of Current and Future Challenges, Journal of Medical Internet Research, 2020.
37. R. K. Gupta, Privacy and Security in Health Information Systems, Health Information Management Journal, 2021.
38. Rani Tiyas Budiyanti, Penggalih Mahardika Herlambang, Nurhasmadiar Nandini, (2019). Tantangan Etika dan Hukum Penggunaan Rekam Medis Elektronik dalam Era Personalized Medicine. Jurnal Kesehatan Vokasional, 4 (1), 49-54.
39. Ruli Agustin, Taufiqurrohman Syahuri (2024). Implementasi Undang-Undang Kesehatan: Implikasi Terhadap Kesejahteraan Masyarakat Dan Perspektif Tenaga Kesehatan Di Indonesia. BACARITALaw Journal , 4(2), 65-76.
40. Dani Habibi, (2020). Rekonstruksi Sistem Hukum Kesehatan Di Indonesia Dengan Pendekatan
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