Security and Accessibility Analysis of Electronic Medical Records at Katobengke Community Health Center in 2025

Abstract

This study aims to analyze the security and accessibility of electronic medical records (EMR) at Katobengke Public Health Center. The EMR system has been implemented since 2024 through the e-Puskesmas application to support digital documentation and healthcare services. This research employed a qualitative method with a descriptive approach. Data were collected through interviews with three informants—a medical records officer, a nurse, and a doctor—as well as direct system observation. The analysis was carried out using the CIA framework (Confidentiality, Integrity, Availability). The findings show that confidentiality is maintained through individual login accounts assigned according to staff roles, although two-factor authentication and data encryption have not yet been applied. Integrity is relatively strong with audit trails available in some units and routine daily and monthly backups, although change logging is not yet available in the registration unit. Regarding availability, the system is generally accessible when the network is stable, but often encounters disruptions during peak service hours and lacks an official downtime SOP. In terms of accessibility, EMR facilitates quick and real-time access to patient data and supports 24-hour services, although it still depends on internet stability and patients do not yet have direct access to their medical records. In conclusion, the implementation of EMR at Katobengke has improved efficiency in data management and information access, but further improvements in technology, infrastructure, and policy are needed to ensure optimal data security and availability.