DHEALTH — HOSPITAL INFORMATION SYSTEM
Electronic Medical Records (RME) Compliant with Permenkes 24/2022 for Hospitals
dhealth helps hospitals run electronic medical records that are integrated with clinical workflows, connected to Indonesia's SatuSehat platform, and managed under security standards aligned with regulation. From patient registration to discharge summaries and reporting, every clinical record lives in one auditable system.
Electronic medical records (RME) are no longer optional for healthcare facilities in Indonesia. Under Minister of Health Regulation No. 24 of 2022 on Medical Records, all healthcare facilities — including hospitals, clinics, and community health centers — are required to maintain medical records electronically, with implementation mandated no later than 31 December 2023. Facilities that fail to comply may face administrative sanctions, ranging from written warnings to recommendations affecting accreditation status.
The obligation goes well beyond digitizing paper files. Permenkes 24/2022 regulates the full chain of RME activities — patient registration, data distribution, clinical documentation, information processing, data entry for reimbursement claims, storage, quality assurance, and transfer of medical record contents — and requires connectivity with the Ministry of Health's SatuSehat platform, which uses the HL7 FHIR interoperability standard. Scanning paper documents into PDFs does not satisfy the regulation; hospitals need a system that genuinely structures clinical data.
At the same time, medical records contain specific personal data subject to strict protection under Law No. 27 of 2022 on Personal Data Protection, as well as electronic system requirements under the Electronic Information and Transactions Law (UU ITE) and Government Regulation 71/2019. dhealth is built to address all three dimensions at once: regulatory compliance, national interoperability, and patient data security — without slowing down care delivery on the ground.
Why the Transition to RME Often Stalls
Paper records and fragmented systems
Physical files and standalone applications in each unit fragment patient data, making records hard to trace and prone to loss or duplication across visits.
Regulatory pressure with real consequences
Permenkes 24/2022 establishes the RME mandate along with administrative sanctions for non-compliant facilities, turning delayed implementation into a compliance and accreditation risk.
SatuSehat integration is technical and specific
Data exchange with SatuSehat relies on the HL7 FHIR standard with its own terminology mapping — difficult for internal hospital teams to build without interoperability experience.
Security and patient data protection risks
Health data is classified as specific personal data under Indonesia's Personal Data Protection Law; uncontrolled access and weak audit trails create legal and reputational exposure for hospitals.
dhealth RME: Integrated, Interoperable, and Regulation-Ready
RME modules embedded in the care workflow
Registration, initial assessments, integrated progress notes, e-prescriptions, laboratory and radiology orders, and discharge summaries are captured as structured data in one flow, aligned with the RME activities defined in Permenkes 24/2022.
SatuSehat interoperability built on HL7 FHIR
dhealth submits care data to the SatuSehat platform using the HL7 FHIR standard, so hospitals meet the connectivity mandate without building the integration from scratch.
Access security and audit trails
Role-based access control, user authentication, and audit trails over record creation and changes support medical record confidentiality and the accountability required by the Personal Data Protection Law.
Claims and reporting support
Structured clinical data feeds reimbursement claim entry and routine hospital reporting, reducing re-keying and discrepancies between care units and the casemix team.
Storage and retention per regulation
RME data is managed within Indonesia, with support for the minimum 25-year retention from the patient's last visit as stipulated by Permenkes 24/2022.
dhealth is used by hospitals and healthcare facilities across Indonesia to run daily care operations and electronic medical record management.
RME Implementation Steps with dhealth
Assessment and gap analysis
The dhealth team maps your care workflows, existing systems, and gaps against Permenkes 24/2022 requirements — including infrastructure, staffing, and data governance readiness — then builds a realistic implementation plan for your hospital.
System configuration and data migration
RME modules are configured to match your service units, clinical forms, and internal policies. Patient data and master data from legacy systems are migrated in a controlled manner so continuity of care history is preserved.
SatuSehat integration and testing
SatuSehat submissions are configured and tested in a development environment before production, covering the mapping of clinical data to HL7 FHIR resources and joint verification with the hospital team.
Training, go-live, and ongoing support
Clinicians, medical record officers, and IT staff are trained by role. After go-live, dhealth supports early operations, monitors system stability, and follows up on user feedback until adoption is fully established.
Frequently Asked Questions about RME
Are electronic medical records truly mandatory for hospitals?
Yes. Permenkes 24/2022 requires all healthcare facilities to maintain electronic medical records, with implementation mandated no later than 31 December 2023. Non-compliant facilities may face administrative sanctions, from written warnings up to recommendations affecting accreditation status.
What activities must an RME system cover under Permenkes 24/2022?
The regulation lists RME activities that at minimum include patient registration, data distribution, clinical documentation, information processing, data entry for reimbursement claims, storage, quality assurance, and transfer of medical record contents. dhealth is designed to cover this full chain in one integrated system.
How does an RME system connect to SatuSehat?
SatuSehat is the Ministry of Health's health data interoperability platform, built on the HL7 FHIR standard. dhealth maps care data — such as encounters, diagnoses, and procedures — into that format and submits it through SatuSehat's official interfaces, so hospitals meet the connectivity mandate without separate integration development.
How long must electronic medical record data be retained?
Permenkes 24/2022 requires electronic medical record documents to be retained for at least 25 years from the patient's last visit. dhealth supports this retention with secure storage that remains accessible for clinical and legal needs.
Are electronic signatures on medical records legally valid?
Permenkes 24/2022 provides that electronic medical record entries are closed with an electronic signature, and Indonesia's Electronic Information and Transactions Law recognizes electronic signatures as valid legal evidence. Using certified electronic signatures from an accredited certification authority provides stronger evidentiary weight.
Our hospital already runs a legacy HIS — do we have to replace everything?
Not necessarily. Implementation can be phased: dhealth can fully replace the legacy system or integrate with components still fit for use, with controlled data migration. The initial assessment determines the most efficient approach in terms of cost, timeline, and operational risk.
DHEALTH — HOSPITAL INFORMATION SYSTEM
Build RME That Complies with Permenkes 24/2022 and Connects to SatuSehat
Discuss your hospital's needs with the dhealth team. We support you from readiness assessment through go-live and post-implementation assistance.
