Legal Review of the Use of Electronic Signatures by Patients in the Implementation of Electronic Medical Records (EMRs)
Keywords:
Electronic Medical Record, Electronic Signature, Health LawAbstract
Digital transformation in the healthcare sector has shifted the medical record system from physical to electronic format, as stipulated in Minister of Health Regulation Number 24 of 2022 concerning Medical Records. However, there is a legal issue stemming from this development: the validation of patients’ or families’ electronic signatures as a form of informed consent or informed refusal of medical procedures. Although Law Number 11 of 2008 concerning Electronic Information and Transactions has recognized the validity of E-Signatures, specific regulations in the healthcare context remain unclear. In implementing E-Signature, a problem arises from the high cost of certified E-Signature services, which remain prohibitive for all hospitals. This article uses a normative, legislative approach to examine legal certainty, implementation challenges, and policy recommendations for the use of Electronic Signatures in Electronic Medical Records (EMRs). The results of this study indicate the need for specific regulations related to E-Signatures for healthcare services. This is because E-Signatures in healthcare services will strengthen technical regulations, establish system-wide standardization, and provide financial support to ensure the legality and ease of implementation for patients and their families.
Downloads
References
Aini, R., Rosiandini, R., Angelica, P., Kusumadewi, A., Putri, N., Oviola, R., Cahyaningrum, H., & Herawati, D. (2024). Legalitas Tanda Tangan Elektronik pada Rekam Medis di RS PKU Muhammadiyah Gamping. Jurnal Manajemen Informasi Kesehatan Indonesia, 12 (1), 9–13. https://doi.org/10.33560/jmiki.v12i1.536
Ardianto, E., Sabran, & Nurjanah, L. (2024). Analisis Aspek Keamanan Data Pasien dalam Implementasi Rekam Medis Elektronik di Rumah Sakit X. Jurnal Rekam Medik & Manajemen Informasi Kesehatan, 3(2), 18–30. https://doi.org/10.47134/rmik.v3i2.54
Azzahra, N., & Sugiarti, I. (2025). Tinjauan Aspek Legalitas Penggunaan Tanda Tangan Elektronik Pada Rekam Medis Elektronik di RS. X Kab.Tasikmalaya. Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda, 10(1), 170–177. https://doi.org/10.52943/jipiki.v10i2.1911
Dana, G., Yuniari, N., Aryastana, P., Kumara I., Bhaskara, M., Darma, I., & Raharja, I. (2025). Pengabdian Kepada Masyarakat “Terasdigital Peguyangan Kaja” (Transformasi Era Layanan Administrasi Menuju Sistem Digital Desa Peguyangan Kaja Melalui Tanda Tangan Elektronik). PAMAS: Jurnal Pelayanan dan Pengabdian Masyarakat, 9(3), 295-304. https://doi.org/10.52643/pamas.v9i3.5189.
Fitriyah, Y., Riasetiawan, M., Lazuardi. L., & Sanjaya, G. (2022). Analisis Tingkat Kesiapan Implementasi Tanda Tangan Digital untuk Autentikasi Dokumen Rekam Medis Elektronik di Instalasi Rawat Jalan RSUD Kota Yogyakarta. Journal of Information Systems for Public Health, 7(2), 53-68. https://doi.org/10.22146/jisph.73666
Kesuma, S. (2023). Rekam Medis Elektronik pada Pelayanan Rumah Sakit di Indonesia: Aspek Hukum dan Implementasi. ALADALAH: Jurnal Politik, Sosial, Hukum dan Humaniora, 1(1), 195–205. https://doi.org/10.59246/aladalah.v1i1.188
Melisa, N., Sukmaningsih, W., & Licia, R. (2024). Analisis Rekam Medis Elektronik Rawat Jalan pada Aspek Keamanan Data Pasien di Rumah Sakit Umum Daerah Dr. Soediran Mangun Sumarso Wonogiri. JHIMI: Journal of Health Information Management Indonesian, 3(3), 160–168.
Sihombing, L. (2020). Keabsahan Tanda Tangan Elektronik dalam Akta Notaris. Jurnal Education and Development, 8(1), 134–134. https://doi.org/10.37081/ed.v8i1.1515
Sihombing, E. & Hadita, C. (2022). Penelitian Hukum. Setara Press, Malang.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Proceedings of International Conference of Graduate School on Sustainability

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish in this journal agree to the following terms: Proceeding of International Conference of Graduate School on Sustainability is licensed under Creative Commons Attribution-ShareAlike 4.0 International. Creative Commons Attribution-ShareAlike 4.0 International License (CC BY 4.0) is applied when mandated by research funders, such as those who have signed. Open Access articles in Jurnal Cakrawala Hukum are published under theCreative Commons Attribution-ShareAlike 4.0 International (CC BY 4.0) license. The copyright of the received article shall be assigned to the journal as the publisher of the journal. The intended copyright includes the right to publish the article in various forms (including reprints). The journal maintains the publishing rights to the published articles. Authors must agree to the copyright transfer agreement by checking the Copyright Notice column at the initial stage when submitting the article.



