[01]
Written warning
The first step for healthcare facilities that have not completed EMR submission to SATUSEHAT.
[Regulatory Guide] SATUSEHAT Obligations
SATUSEHAT Obligations.
The obligation to connect to SATUSEHAT is no longer just talk — in 2026, around 1,306 hospitals were already hit with administrative penalties. This is the map of the obligations, tiered penalties, and readiness steps, explained without fear-mongering.
Legal basis
Mandatory, and now genuinely enforced.
The obligation for health-data interoperability through SATUSEHAT rests on Permenkes 24/2022 (the medical records regulation) and is reinforced by Permenkes 6/2026 (the hospital regulation), which requires every hospital to connect to SATUSEHAT with real-time submission of electronic medical records (EMR).
The big difference in 2026: enforcement is already underway. The Ministry of Health imposed administrative penalties on around 1,306 hospitals (± 44%) that had not completed EMR integration with SATUSEHAT — most of them government-owned hospitals.
Understand the HMS obligations in Permenkes 6/2026Tiered penalties
what's at risk if you delay.
The penalties are administrative and tiered — based on Permenkes 24/2022 and the Minister of Health's circular letter. We map them so hospitals can weigh the risk reasonably, not to fear-monger.
[02]
Restriction of certain services
Some services may be restricted until compliance status is restored.
[03]
Accreditation downgrade
For accredited hospitals, the penalty can be a one-level downgrade of accreditation status.
[04]
Recommended license suspension
For hospitals that are not yet accredited and have operated for more than two years, suspension of the business license may be recommended.
Readiness steps
from installed to actually sending data.
Many hospitals "already have a system" but their data isn't really flowing to SATUSEHAT yet. These four steps are what determine real compliance.
[01]
Real-time EMR as the source
Submission to SATUSEHAT relies on an EMR that records data in real time — not separate manual entry.
[02]
Organization registration & credentials
The hospital registers its organization in SATUSEHAT and obtains platform access credentials.
[03]
FHIR R4 bridging
Clinical data is mapped to FHIR R4 resources and sent through the SATUSEHAT platform.
[04]
Test, then production activation
Submission is tested in the sandbox before being activated in production, with monitoring so data flows consistently.
Adievia's SATUSEHAT bridging module is ready; production activation still follows each hospital's registration & certification. We provide guidance — we don't claim a status that hasn't been issued.
FAQ
Questions about SATUSEHAT obligations.
Yes. The interoperability obligation through SATUSEHAT is based on Permenkes 24/2022 (the medical records regulation) and reinforced by Permenkes 6/2026 (the hospital regulation), which requires every hospital to connect to the SATUSEHAT platform with real-time submission of electronic medical records.
Real and already enforced. In early 2026, the Ministry of Health imposed administrative penalties on roughly 1,306 hospitals (about 44%) that had not completed EMR integration with SATUSEHAT — most of them government-owned hospitals. The Ministry also set a remediation window of 30 March–30 June 2026 to restore status without a re-survey.
Class A and B hospitals were expected to integrate earlier (2023–2024), while Class C and D had more flexible deadlines. But since enforcement is now underway, every class needs to make sure its data is actually being submitted, not just installed.
We'll be honest: Adievia provides a ready EMR and FHIR R4 bridging module, and supports the onboarding. But SATUSEHAT certification and production activation rest with each individual hospital (organization registration, credentials, data readiness). We provide the tools and guidance — we don't sell instant compliance status.
Next step