Legal Aspects of Automatic Equipment in Medical Laboratories
DOI:
https://doi.org/10.15575/jis.v6i3.56012Keywords:
automatic equipment, health law, medical laboratoryAbstract
The advancement of technology in medical laboratory equipment has created legal challenges due to regulatory lag. Errors arising from the use of such technology may jeopardize patient safety, given the vital role of laboratory test results in diagnostic accuracy. According to ISO 15189:2022, laboratories are required to implement a series of procedures, ranging from equipment selection to the termination of its operation, as part of quality assurance efforts. Errors within these processes may lead to equipment malfunction and trigger medical disputes. Since the equipment itself is inanimate, legal responsibility lies with the individual or legal entity managing the laboratory. This retrospective normative legal study collects primary and secondary legal materials along with their legal subjects, analyzed through qualitative descriptive methods to assess the legal dimensions in reference to the principles of justice, the legal theories of lex naturalis and lex aeterna, as well as Montesquieu’s concept of law. In principle, the comparative analysis between the legal framework and these legal concepts reveals a consistent alignment. The legal perspective on automated laboratory equipment thus reflects the underlying principles, theories, and legal concepts applied.
References
Adekoya, A., Okezue, M. A., & Menon, K. (2025). Medical Laboratories in Healthcare Delivery: A Systematic Review of Their Roles and Impact. Laboratories, 2(1), 8. https://doi.org/10.3390/laboratories2010008
Ahern, D. (2025). The New Anticipatory Governance Culture for Innovation: Regulatory Foresight, Regulatory Experimentation and Regulatory Learning. European Business Organization Law Review, 26(2), 241–283. https://doi.org/10.1007/s40804-025-00348-7
Alharbi, T., Rababa, M., Alsuwayl, H., Alsubail, A., & Alenizi, W. (2025). Diagnostic Challenges and Patient Safety: The Critical Role of Accuracy – A Systematic Review. Journal of Multidisciplinary Healthcare, Volume 18, 3051–3064. https://doi.org/10.2147/JMDH.S512254
Alimi, T. (2024). Augustine on Temporal Law and Virtue. Political Theology, 25(1), 9–31. https://doi.org/10.1080/1462317X.2023.2207771
Andriawan, H., & Ali, M. (2024). Legal Issues Against the Enforcement of Court Determination Granting Objections of Parties in Good Faith. Jurnal Ius Constituendum, 9(3), 530–541. https://doi.org/10.26623/jic.v9i3.10414
Anggraeni, Y., & Moh. Saleh, M. S. (2024). The Use Of The Indonesian Language In International Contracts After The Circular Letter Of The Supreme Court Number 3 Of 2023 As Guidelines For The Implementation Of Duties For Courts. Eduvest - Journal of Universal Studies, 4(5), 3938–3947. https://doi.org/10.59188/eduvest.v4i5.1198
Badiger, M., Mathew, J. A., Nandyal, A. B., Vidya, D., C., M. F., & Shaikh, R. N. (2025). AI Revolution in Biomedicine and Biotechnology Transformative Trends and Emerging Applications (pp. 125–146). https://doi.org/10.4018/979-8-3693-8161-8.ch007
Baini, G. M. (2025). The Roman-Germanic Problems: In Search of the Fundamental Legal Conformation of the Right to Res Judicata (pp. 23–51). https://doi.org/10.1007/978-3-032-07485-0_3
Bartley, T. (2010). Transnational Private Regulation in Practice: The Limits of Forest and Labor Standards Certification in Indonesia. Business and Politics, 12(3), 1–34. https://doi.org/10.2202/1469-3569.1321
Bifarin, O., & Stonehouse, D. (2022). Beneficence and non-maleficence: collaborative practice and harm mitigation. British Journal of Healthcare Assistants, 16(2), 70–74. https://doi.org/10.12968/bjha.2022.16.2.70
Blondel, M. (2023). The Latent Resources in St. Augustine’s Thought. Communio: International Catholic Review, 50(3), 596–624. https://doi.org/10.1353/cmm.2023.a933265
Boas, G. (2012). Public International Law. Edward Elgar Publishing. https://doi.org/10.4337/9780857939562
Bouncken, R. B., Czakon, W., & Schmitt, F. (2025). Purposeful sampling and saturation in qualitative research methodologies: recommendations and review. Review of Managerial Science. https://doi.org/10.1007/s11846-025-00881-2
Bsisu, N., & Murdie, A. (2022). Interventions and repression following civil conflict. Journal of Peace Research, 59(2), 213–228. https://doi.org/10.1177/00223433211010857
Campbell, T. (2024). Prescriptive Legal Positivism. Routledge-Cavendish. https://doi.org/10.4324/9781003579533
Cardenas, D., Correia, M. I. T. D., Ochoa, J. B., Hardy, G., Rodriguez-Ventimilla, D., Bermúdez, C. E., Papapietro, K., Hankard, R., Briend, A., Ungpinitpong, W., Zakka, K. M., Pounds, T., Cuerda, C., & Barazzoni, R. (2021). Clinical nutrition and human rights. An international position paper. Clinical Nutrition, 40(6), 4029–4036. https://doi.org/10.1016/j.clnu.2021.02.039
Carlsson, V. (2025). Legal certainty in automated decision-making in welfare services. Public Policy and Administration, 40(2), 302–321. https://doi.org/10.1177/09520767231202334
Chan, C. W. (2025). Data analytics for error detection in clinical laboratories. Critical Reviews in Clinical Laboratory Sciences, 1–17. https://doi.org/10.1080/10408363.2025.2555261
Chandra, M. J. A., Febrian, F., & Anggono, B. D. (2022). The Urgency of Reharmonization in Construction of The Stage Formation of Law. Jurnal Penelitian Hukum De Jure, 22(3), 311–324. https://doi.org/10.30641/dejure.2022.V22.311-324
Chroust, A.-H. (2017). The Fundamental Ideas in St. Augustine’s Philosophy of Law. In Augustine and Modern Law (pp. 171–193). Routledge. https://doi.org/10.4324/9781315096735-9
Colcelli, V., Cippitani, R., Brochhausen-Delius, C., & Arnold, R. (Eds.). (2023). GDPR Requirements for Biobanking Activities Across Europe. Springer International Publishing. https://doi.org/10.1007/978-3-031-42944-6
Cragg, W. (2003). The Practice of Punishment. Routledge. https://doi.org/10.4324/9780203406823
Dai, X. (2025). Integrating interdisciplinary approaches in legal education: a study on enhancing problem-solving, innovation, and comprehensive legal understanding. Artificial Intelligence and Law. https://doi.org/10.1007/s10506-025-09445-x
Davies, S. E., & Wenham, C. (2020). Why the COVID-19 response needs International Relations. International Affairs, 96(5), 1227–1251. https://doi.org/10.1093/ia/iiaa135
de Sadeleer, N. (2021). The principles of prevention and precaution in international law: two sides of the same coin? In Research Handbook on International Environmental Law. Edward Elgar Publishing. https://doi.org/10.4337/9781786439710.00015
Dempsey, R. P., Brunet, J. R., & Dubljević, V. (2023). Exploring and Understanding Law Enforcement’s Relationship with Technology: A Qualitative Interview Study of Police Officers in North Carolina. Applied Sciences, 13(6), 3887. https://doi.org/10.3390/app13063887
Donato, A. (2023). The Origin of Laws and Utopia (pp. 51–89). https://doi.org/10.1007/978-3-030-97016-1_5
Drummond, M. F., Augustovski, F., Bhattacharyya, D., Campbell, J., Chaiyakunapruk, N., Chen, Y., Galindo-Suarez, R. M., Guerino, J., Mejía, A., Mujoomdar, M., Ollendorf, D., Ronquest, N., Torbica, A., Tsiao, E., Watkins, J., & Yeung, K. (2022). Challenges of Health Technology Assessment in Pluralistic Healthcare Systems: An ISPOR Council Report. Value in Health, 25(8), 1257–1267. https://doi.org/10.1016/j.jval.2022.02.006
Eberwein, W., & Badie, B. (2006). Prevention and sovereignty: A vision and a strategy for a new world order? Global Society, 20(1), 1–24. https://doi.org/10.1080/13600820500405368
Faisal, Yanto, A., Rahayu, D. P., Haryadi, D., Darmawan, A., & Manik, J. D. N. (2024). Genuine paradigm of criminal justice: rethinking penal reform within Indonesia New Criminal Code. Cogent Social Sciences, 10(1). https://doi.org/10.1080/23311886.2023.2301634
Festa, M. G. (2025). The Standard Precautions and Behavior About Transmission-Based Precautions Isolation Techniques and Room Placement (pp. 93–108). https://doi.org/10.1007/978-3-031-84469-0_8
Fitra, T. R., Yusof, N. B., & M. Radiamoda, A. (2025). Sanctions and Legal Compliance in Marriage Registration: A Comparative Implementation of Islamic Family Law in Indonesia and Malaysia. Islamic Law and Social Issues in Society, 1(1), 47–61. https://doi.org/10.64929/ilsiis.v1i1.10
Gudalov, N. (2024). Political Geographies of Spirit: Augustine and International Relations (pp. 197–209). https://doi.org/10.1007/978-3-031-50407-5_16
Haas, J. (2008). Occupational Licensing Versus Company-Led Training. European Societies, 10(4), 597–617. https://doi.org/10.1080/14616690701871795
Hacker, P., Engel, A., & Mauer, M. (2023). Regulating ChatGPT and other Large Generative AI Models. 2023 ACM Conference on Fairness Accountability and Transparency, 1112–1123. https://doi.org/10.1145/3593013.3594067
Hamid, S. (2023). Rationalization of technological criminology in the era of disruption. International Journal on Social Science, Economics and Art, 12(4), 221–232. https://doi.org/10.35335/ijosea.v12i4.159
Hejnowicz, A., & Rudd, M. (2017). The Value Landscape in Ecosystem Services: Value, Value Wherefore Art Thou Value? Sustainability, 9(5), 850. https://doi.org/10.3390/su9050850
Hertawaty Sijabat, H., & Widjaja, G. (2025). Nurses’ Responsibility for Independent Practice in Providing Nursing Care; A Study of Law Number 17 Of 2023 Concerning Health. International Journal of Health and Pharmaceutical (IJHP), 5(3), 541–548. https://doi.org/10.51601/ijhp.v5i3.441
Hösle, V. (2025). Aquinas’ doctrine of natural law in the context of the history of the discipline. In Aquinas, Natural Law, and Social Ontology (pp. 151–182). Routledge. https://doi.org/10.4324/9781003539520-13
Jakovljevic, M., Wu, W., Merrick, J., Cerda, A., Varjacic, M., & Sugahara, T. (2021). Asian innovation in pharmaceutical and medical device industry – beyond tomorrow. Journal of Medical Economics, 24(sup1), 42–50. https://doi.org/10.1080/13696998.2021.2013675
Joseph, A., Rao, I., & Singh, N. (2025). Enhancing forensic DNA quality: a comprehensive review of the integrated ISO centric standards from the crime scene to the courtroom. Problems of Forensic Sciences, 140, 281. https://doi.org/10.4467/12307483PFS.24.017.21383
Karapetian, G. (2023). St. Augustine and the Court of Justice of the European Union on Citizenship (pp. 111–132). https://doi.org/10.1007/978-94-6265-595-9_6
Kury, H., & Redo, S. (Eds.). (2021). Crime Prevention and Justice in 2030. Springer International Publishing. https://doi.org/10.1007/978-3-030-56227-4
Lal, A. (2025). Towards a coherent global health architecture: perspectives on integrating global health security and universal health coverage through diplomacy and governance reforms. Health Policy and Planning. https://doi.org/10.1093/heapol/czaf086
Lemmens, T., & Telfer, C. (2012). Access to Information and the Right to Health: The Human Rights Case for Clinical Trials Transparency. American Journal of Law & Medicine, 38(1), 63–112. https://doi.org/10.1017/S0098858800011576
Maiti, M., Vukovic, D. B., & Frömmel, M. (2023). Quantifying the asymmetric information flow between Bitcoin prices and electricity consumption. Finance Research Letters, 57, 104163. https://doi.org/10.1016/j.frl.2023.104163
Mang, B., Oh, Y., Bonilla, C., & Orth, J. (2023). A Medical Equipment Lifecycle Framework to Improve Healthcare Policy and Sustainability. Challenges, 14(2), 21. https://doi.org/10.3390/challe14020021
Masum, H., Lackman, R., & Bartleson, K. (2013). Developing global health technology standards: what can other industries teach us? Globalization and Health, 9(1), 49. https://doi.org/10.1186/1744-8603-9-49
Monteil, C., Foulquier, P., Defossez, S., Péroche, M., & Vinet, F. (2022). Rethinking the share of responsibilities in disaster preparedness to encourage individual preparedness for flash floods in urban areas. International Journal of Disaster Risk Reduction, 67, 102663. https://doi.org/10.1016/j.ijdrr.2021.102663
Muljono, W. (2023). Pengantar Teori Kriminologi.
Mulla, S. J., & Patel, M. (2025). Global Regulatory Perspectives on Sensor-Enabled and Biomaterial-Integrated Medical Devices: A Focus on India, Canada, and Australia. Biomedical Materials & Devices. https://doi.org/10.1007/s44174-025-00327-z
Munoz, G., Vidal-Gomel, C., & Bourmaud, G. (2015). The Operators’ System of Instruments: A Risk Management Tool (pp. 229–247). https://doi.org/10.1007/978-3-662-45704-7_9
Nampewo, Z., Mike, J. H., & Wolff, J. (2022). Respecting, protecting and fulfilling the human right to health. International Journal for Equity in Health, 21(1), 36. https://doi.org/10.1186/s12939-022-01634-3
Nasrullah, N. M., & Rahim, M. M. (2014). CSR Practices in the Private Enterprises of Bangladesh (pp. 75–115). https://doi.org/10.1007/978-3-319-02350-2_4
Negara, T. A. S. (2023). Normative Legal Research in Indonesia: Its Originis and Approaches. Audito Comparative Law Journal (ACLJ), 4(1), 1–9. https://doi.org/10.22219/aclj.v4i1.24855
Nicolaides, A. (2024). Waging a Just and Ethical War – Contemplating Saint Augustine, ‘Just War’ theory, Gaza, and other Philosophical Notions. Pharos Journal of Theology, 105(3). https://doi.org/10.46222/pharosjot.105.321
Parise, A. (2021). José Manuel Estrada (Argentina, 1842–94). In Law and Christianity in Latin America (pp. 304–324). Routledge. https://doi.org/10.4324/9781003020257-23
Petersen, F. (2023). Montesquieu and the Concept of the Non-Arbitrary State. The European Legacy, 28(1), 25–43. https://doi.org/10.1080/10848770.2022.2106638
Phalen, R. F. (2017). Core Ethics for Health Professionals. Springer International Publishing. https://doi.org/10.1007/978-3-319-56090-8
Porter, J. (2015). Justice, Equality, And Natural Rights Claims: A Reconsideration Of Aquinas’s Conception Of Right. Journal of Law and Religion, 30(3), 446–460. https://doi.org/10.1017/jlr.2015.27
Prasetyo, T., & Purnomosidi, A. (2019). Membangun Hukum Berdasarkan Pancasila. Penerbit Nusa Media.
Prieto López, L. J., & Cendejas Bueno, J. L. (2023). Projections of Spanish Jesuit Scholasticism on British Thought. BRILL. https://doi.org/10.1163/9789004516731
Putri, A. K., Ilyas Syafiq Darul Ridzuan, Emma Ismawatie, Yulita Maulani, & Basuko Agus Wibowo. (2024). The Role of Understanding the Medicolegal Implications of Occupational Safety and Health (OSH): An Observational Study of Compliance with the Use of Personal Protective Equipment (PPE) among Single Center Laboratory Staff at Indriati Boyolali Hospital, In. Sriwijaya Journal of Forensic and Medicolegal, 2(2), 79–86. https://doi.org/10.59345/sjfm.v2i2.139
Qolbi, R. S. (2024). Pengaruh Hukum Normatif dalam Peningkatan Mutu Pelayanan dan Perlindungan Hukum Tenaga ATLM. Jurnal Hukum Legalita, 6(1), 40–49. https://doi.org/10.47637/legalita.v6i1.1308
Rahmania, Y. L., Kuntjoro, T., & Suroto, V. (2019). Pembuktian Akurasi dan Pertanggungjawaban Hukum Hasil Pemeriksaan Laboratorium Klinik... SOEPRA Jurnal Hukum Kesehatan, 5(2). https://doi.org/10.24167/shk.v5i2.XXXX
Ramanathan, T. (2014). Law as a tool to promote healthcare safety. Clinical Governance: An International Journal, 19(2), 172–180. https://doi.org/10.1108/CGIJ-03-2014-0015
Salim, H. S., & Nurbani, E. S. (2019). Pengantar Ilmu Hukum (Introduction to Legal Service). Rajawali Pers.
Sharma, S., & Sony A.L., R. (2021). eLegalls: Enriching a Legal Justice System in the Emerging Legal Informatics and Legal Tech Era. International Journal of Legal Information, 49(1), 16–31. https://doi.org/10.1017/jli.2021.9
Ssenyonjo, M. (2017). The Influence of the International Covenant on Economic, Social and Cultural Rights in Africa. Netherlands International Law Review, 64(2), 259–289. https://doi.org/10.1007/s40802-017-0091-4
Szalavitz, M., Rigg, K. K., & Wakeman, S. E. (2021). Drug dependence is not addiction—and it matters. Annals of Medicine, 53(1), 1989–1992. https://doi.org/10.1080/07853890.2021.1995623
Tan, E., Mahula, S., & Crompvoets, J. (2022). Blockchain governance in the public sector: A conceptual framework for public management. Government Information Quarterly, 39(1), 101625. https://doi.org/10.1016/j.giq.2021.101625
Tarzian, A. J., Wocial, L. D., & The ASBH Clinical Ethics Consultati. (2015). A Code of Ethics for Health Care Ethics Consultants: Journey to the Present and Implications for the Field. The American Journal of Bioethics, 15(5), 38–51. https://doi.org/10.1080/15265161.2015.1021966
Thorburn, M. (2024). The rise of utilitarianism in criminal justice. In Research Handbook on Law and Utilitarianism (pp. 82–96). Edward Elgar Publishing. https://doi.org/10.4337/9781789901726.00009
Tziakou, E., Fragkaki, A. G., & Platis, A. Ν. (2023). Identifying risk management challenges in laboratories. Accreditation and Quality Assurance, 28(4), 167–179. https://doi.org/10.1007/s00769-023-01540-3
van Baarle, E., Hartman, L., Rooijakkers, S., Wallenburg, I., Weenink, J.-W., Bal, R., & Widdershoven, G. (2022). Fostering a just culture in healthcare organizations: experiences in practice. BMC Health Services Research, 22(1), 1035. https://doi.org/10.1186/s12913-022-08418-z
Vassiliou, C. C. (2024). Montesquieu. In Research Handbook on the History of Political Thought (pp. 381–393). Edward Elgar Publishing. https://doi.org/10.4337/9781800373808.00045
Vellela, S. S., & Balamanigandan, R. (2024). An efficient attack detection and prevention approach for secure WSN mobile cloud environment. Soft Computing, 28(19), 11279–11293. https://doi.org/10.1007/s00500-024-09891-w
Vujadinović, D., & Zaharijević, A. (2024). Gender Justice: Reassessing Theories of Justice from Feminist Perspectives (pp. 77–105). https://doi.org/10.1007/978-3-031-75423-4_4
Wardhani, L. T. A. L., Noho, M. D. H., & Natalis, A. (2022). The adoption of various legal systems in Indonesia: an effort to initiate the prismatic Mixed Legal Systems. Cogent Social Sciences, 8(1). https://doi.org/10.1080/23311886.2022.2104710
Wenham, C., Eccleston-Turner, M., & Voss, M. (2022). The futility of the pandemic treaty: caught between globalism and statism. International Affairs, 98(3), 837–852. https://doi.org/10.1093/ia/iiac023
White, T. E., Wong, W. B., Janowiak, D., & Hilborne, L. H. (2021). Strategies for laboratory professionals to drive laboratory stewardship. Practical Laboratory Medicine, 26, e00249. https://doi.org/10.1016/j.plabm.2021.e00249
Wilson, S., Steele, S., & Adeli, K. (2022). Innovative technological advancements in laboratory medicine: Predicting the lab of the future. Biotechnology & Biotechnological Equipment, 36(sup1), S9–S21. https://doi.org/10.1080/13102818.2021.2011413
Wiradirja, I. R., Hadi Purnomo, Yulianto, A. W., Tejo, E. S., Sari, S. I., Gunawan, V., & Muhamad Rivaldi. (2024). Reviewing the Ruling of the Constitutional Court Number 90/PUU-XXI/2023 Concerning the Requirements for President and Vice President Candidates in the Perspective of Progressive Law. International Journal of Scientific Research and Management (IJSRM), 12(07), 521–531. https://doi.org/10.18535/ijsrm/v12i07.lla01
Zebarjad, Z. (2024). Elucidating the Necessity of Drafting a Legal Provision for Corruption Prevention in the Law Establishing the General Inspection Organization. Interdisciplinary Studies in Society, Law, and Politics, 3(4), 166–176. https://doi.org/10.61838/kman.isslp.3.4.15
zerbo, stefania, Malta, G., & Argo, A. (2020). Guidelines and Current Assessment of Health Care Responsibility in Italy. Risk Management and Healthcare Policy, Volume 13, 183–189. https://doi.org/10.2147/RMHP.S238353
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