Legal Discovery on Artificial Intelligence Accountability in Medical Diagnostics within West Java Province

Authors

  • Asep Sapsudin Universitas Islam Nusantara, Indonesia
  • Hendri Abdul Qohar Universitas Islam Nusantara, Indonesia

DOI:

https://doi.org/10.54518/rh.6.4.2026.1426

Keywords:

Accountability, Artificial Intelligence, Legal Discovery, Medical Diagnostics

Abstract

The rapid development and integration of Artificial Intelligence (AI) within medical diagnostics present complex legal challenges that cannot be resolved merely by attributing absolute liability to either the physician or the machine. In Indonesia, regulations concerning health, health technology, electronic medical records, personal data protection, medical devices, and regional digital governance have evolved significantly. However, there remains a critical absence of a specific legal regime that explicitly delineates accountability when AI outputs contribute to misdiagnosis. This article investigates how legal discovery can reconstruct the accountability framework for diagnostic AI, specifically within the regional context of West Java Province. Utilizing a normative legal method supplemented by statutory, conceptual, philosophical, and limited comparative approaches, this study examines primary legal materials including Health Law Number 17 of 2023, Government Regulation Number 28 of 2024, Personal Data Protection Law Number 27 of 2022, and relevant West Java gubernatorial regulations. The analysis reveals that AI accountability currently exists within a fragmented legal regime. Consequently, legal discovery through systematic and teleological interpretation, legal analogy, and legal construction is imperative. This article proposes a multilayered accountability model that more clearly delineates the obligations of developers, healthcare facilities, medical personnel, central regulators, regional governments, and patients.

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References

Amann, J., Blasimme, A., Vayena, E., Frey, D., Madai, V. I., & Precise4Q Consortium. (2020). Explainability for artificial intelligence in healthcare: a multidisciplinary perspective. BMC Medical Informatics and Decision Making, 20(1), 310-322. https://doi.org/10.1186/s12911-020-01332-6.

Aravazhi, P. S., Gunasekaran, P., Benjamin, N. Z. Y., Thai, A., Chandrasekar, K. K., Kolanu, N. D., ... & Inban, P. (2025). The integration of artificial intelligence into clinical medicine: Trends, challenges, and future directions. Disease-a-Month, 71(6), 101-112. https://doi.org/10.1016/j.disamonth.2025.101882.

Benjamens, S., Dhunnoo, P., & Meskó, B. (2020). The state of artificial intelligence-based FDA-approved medical devices and algorithms: an online database. NPJ digital medicine, 3(1), 118-130. https://doi.org/10.1038/s41746-020-00324-0.

Benseghir, M., Bentria, M., Zerara, A., Bendriss, H., & Muhtar, M. H. (2025). Legal aspects of patient data governance in digital health: A comparative analytical study of UAE and Indonesian legislation. JILS, 10(3), 773-785. https://doi.org/10.15294/jils.v10i2.10025.

Cestonaro, C., Delicati, A., Marcante, B., Caenazzo, L., & Tozzo, P. (2023). Defining medical liability when artificial intelligence is applied on diagnostic algorithms: a systematic review. Frontiers in Medicine, 10(5), 130-146. https://doi.org/10.3389/fmed.2023.1305756.

Char, D. S., Shah, N. H., & Magnus, D. (2018). Implementing machine learning in health care addressing ethical challenges. The New England Journal of Medicine, 378(11), 981-994. https://doi.org/10.1056/NEJMp1714229.

Cross, J. L., Choma, M. A., & Onofrey, J. A. (2024). Bias in medical AI: Implications for clinical decision-making. PLOS Digital Health, 3(11), 651-666. https://doi.org/10.1371/journal.pdig.0000651.

Doležal, T., & Doležal, A. (2025). Artificial intelligence in healthcare: the duty to inform patients. Casopis Lekaru Ceskych, 164(7-8), 324-327.

Gerke, S., Minssen, T., & Cohen, G. (2020). Ethical and legal challenges of artificial intelligence-driven healthcare. In Artificial intelligence in healthcare (pp. 295-336). Paris: Academic Press. https://doi.org/10.1016/B978-0-12-818438-7.00012-5.

Government of Indonesia. (2024). Government Regulation of the Republic of Indonesia Number 28 of 2024 concerning the implementing regulation of Law Number 17 of 2023 concerning health

Habli, I., Lawton, T., & Porter, Z. (2020). Artificial intelligence in health care: Accountability and safety. Bulletin of the World Health Organization, 98(4), 251-264. https://doi.org/10.2471/BLT.19.237487.

Haryanto, G., Ambarwati, A., & Lany, A. (2025). legal protection for medical personnel in BPJS affiliated hospitals based on Law Number 17 of 2023. Research Horizon, 5(4), 1513–1522. https://doi.org/10.54518/rh.5.4.2025.705.

Indonesia. (2022). Law Number 27 of 2022 concerning Personal Data Protection.

Indonesia. (2023). Law Number 17 of 2023 concerning Health.

Karimian, G., Petelos, E., & Evers, S. M. (2022). The ethical issues of the application of artificial intelligence in healthcare: A systematic scoping review. AI and Ethics, 2(4), 539–551. https://doi.org/10.1007/s43681-021-00131-7.

Kharisma, N. (2023). Recent advances in structural health monitoring technologies for sustainable civil infrastructure management. Journal of Advanced Engineering and Innovation, 1(2), 59–68. https://doi.org/10.54518/jaei.1.2.2023.1235.

Lekadir, K., Frangi, A. F., Porras, A. R., Glocker, B., Cintas, C., Langlotz, C. P., & Starmans, M. P. (2025). FUTURE-AI: International consensus guideline for trustworthy and deployable artificial intelligence in healthcare. BMJ, 6(4), 388-398. https://doi.org/10.1136/bmj-2024-081554.

Leslie, D. (2019). Understanding artificial intelligence ethics and safety: A guide for the responsible design and implementation of AI systems in the public sector. The Alan Turing Institute. Retrieved on January 24, 2026, from https://doi.org/10.5281/zenodo.3240529.

Mello, M. M., & Guha, N. (2024). Understanding liability risk from using health care artificial intelligence tools. New England Journal of Medicine, 390(3), 271–278. https://doi.org/10.1056/NEJMhle2308901.

Mertokusumo, S. (2007). Penemuan hukum: Sebuah pengantar. Yogyakarta: Liberty.

Ministry of Health of the Republic of Indonesia. (2022). Regulation of the Minister of Health Number 24 of 2022 concerning Medical Records.

Morley, J., Machado, C. C., Burr, C., Cowls, J., Joshi, I., Taddeo, M., & Floridi, L. (2020). The ethics of AI in health care: a mapping review. Social Science & Medicine, 26(10), 113-12. https://doi.org/10.1016/j.socscimed.2020.113172.

Nogaroli, R. (2025). Artificial intelligence and medical liability in hypothetical cases. In Medical Liability and Artificial Intelligence: Brazilian and European Legal Approaches (pp. 207-246). Cham: Springer Nature Switzerland. https://doi.org/10.1007/978-3-031-94306-5_5.

OECD. (2019). Recommendation of the council on artificial intelligence. Retrieved on January 25, 2026, from https://legalinstruments.oecd.org/en/instruments/oecd-legal-0449.

Ploug, T., & Holm, S. (2020). The four dimensions of contestable AI diagnostics-A patient-centric approach to explainable AI. Artificial Intelligence in Medicine, 10(7), 101-112. https://doi.org/10.1016/j.artmed.2020.101901.

Reddy, S., Allan, S., Coghlan, S., & Cooper, P. (2020). A governance model for the application of AI in health care. Journal of the American Medical Informatics Association, 27(3), 491-497. https://doi.org/10.1093/jamia/ocz192.

UNESCO. (2021). Recommendation on the ethics of artificial intelligence. Retrieved on January 26, 2026, from https://www.unesco.org/en/legal-affairs/recommendation-ethics-artificial-intelligence.

Vokinger, K. N., Feuerriegel, S., & Kesselheim, A. S. (2021). Mitigating bias in machine learning for medicine. Communications Medicine, 1(1), 25-38. https://doi.org/10.1038/s43856-021-00028-w.

West Java Provincial Government. (2019). West Java Provincial Regulation Number 14 of 2019 concerning Healthcare Provision.

West Java Provincial Government. (2022a). West Java Governor Regulation Number 47 of 2022 concerning the Implementation of One Data in West Java.

West Java Provincial Government. (2022b). West Java Governor Regulation Number 161 of 2022 concerning the Implementation of Electronic-Based Government Systems within the West Java Provincial Government.

World Health Organization. (2021). Ethics and governance of artificial intelligence for health. Retrieved on January 29, 2026, from https://www.who.int/publications/i/item/9789240029200.

World Health Organization. (2025). Ethics and governance of artificial intelligence for health: Guidance on large multi-modal models. Retrieved on February 1, 2026, from https://www.who.int/publications/i/item/9789240084759.

Zhang, J., & Zhang, Z. M. (2023). Ethics and governance of trustworthy medical artificial intelligence. BMC Medical Informatics and Decision Making, 23(1), 7-19. https://doi.org/10.1186/s12911-023-02103-9.

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Published

2026-08-25

How to Cite

Sapsudin, A., & Qohar, H. A. (2026). Legal Discovery on Artificial Intelligence Accountability in Medical Diagnostics within West Java Province. Research Horizon, 6(4), 1687–1698. https://doi.org/10.54518/rh.6.4.2026.1426

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