Review of Medical Record InformationRelease: A case study of Law Aspects in Dr. Hasan Sadikin General Hospital (RSHS) Bandung
Review of Medical Record InformationRelease: A case study of Law Aspects
Security, privacy, secrecy and safety is a device covering the health record data/information, all
parties involved in health care should maintain the security of patient’s data/information. Preliminary
studies in RSHS showed that there were some problems related those data security such as, the release
of medical record information without the written permission or authorization letter from the patient,
as much as 660 medical record documents were not returned to the medical records.The purpose of
this study are knowing the release of medical record information to the 3rd parties according to the
legal regulation in RSUP Dr. Hasan Sadikin Bandung. The research design is qualitative case study.
The sampling technique is snowball sampling when the choice of informant based on information from
previous informant. Data analysis focused to important findings, classified in decided themes and
patterns. The results found that: there was patients's ignorance about the value of medical resumes,
users was late to restore the file and brought the file out of the hospital, and insurance was not
explaine about informant’s medical record, utilization procedures were not followed, and not used the
patient's written consent according to education, research and insurance of BPJS. It was suggested
that users should respect to the patient's privacy right, such as obey hospital procedures for patient’s
confidentiality and attach patient’s written consent, and sanctions against the obidient users.
Keywords: the release of information, medical record, procedure, user information.