Infokes: Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan
Journal Title : Infokes: Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan Journal Initials : infokes ISSN (Print) : 2086-2628 ISSN (Online) : 2745-5629 DOI Prefix : 10.47701 Type of Peer-Review : Single-Blind Frequency : Semi Annually (February and August) Editor in Chief : Riska Rosita (SINTA) Publisher : Universitas Duta Bangsa Abstracting & Indexing : Indexing
Design of A Smartphone-Based Self-Service Patient Kiosk Application at Bhayangkara Hospital Bengkulu
Background: The manual outpatient registration process at Bhayangkara Level III Hospital Bengkulu leads to long queues and high waiting times, thus necessitating a technological solution. Objective: This study aims to design a smartphone-based Self-Service Patient Kiosk (APM) for outpatient polyclinics using Waterfall. Methods: This descriptive qualitative research with a software engineering approach applies Waterfall stages: requirements analysis, system design, interface design, and prototyping. Data were collected through observation, interviews, checklists from 11 officers, and system validation using UAT on 7 features, generating 77 responses. Results: Results showed 66 responses (85%) needed, and 11 (15%) not needed. The resulting APM prototype includes features for self-patient data input, polyclinic and doctor selection, appointment scheduling, digital queue printing, and real-time queue monitoring. The prototype has a user-friendly interface and integrates with patient registration digitalization. Conclusion: In conclusion, the smartphone-based APM effectively accelerates and decentralizes the registration process. Suggestion: Future researchers should proceed to coding, SIMRS integration, and direct field testing.
Copyright (c) 2026 Reka Dwi Syaputra, Nofri Heltiani, Agusianita Agusianita https://creativecommons.org/licenses/by/4.0
Requirements for an EMR-Based Virtual Reality Application for PROLANIS Education: A Literature and Process-Mapping Synthesis
Background: PROLANIS participants require repeatable chronic-disease education, while electronic medical records (EMRs) and virtual reality (VR) offer opportunities for personalized and interactive delivery. Before prototype development, requirements must reflect health literacy, workflow, privacy, and VR safety. Methods: This descriptive initial Research and Development stage used a literature- and document-informed requirements synthesis, a proposed PROLANIS process map, and minimum EMR data-element mapping for Sidorejo Lor and Sidorejo Kidul Community Health Centers, Salatiga City. No interviews, focus-group discussions, participant surveys, direct observations, or patient-level EMR extraction were conducted at this stage. Candidate requirements were organized into domains and provisionally prioritized using MoSCoW as design input requiring later stakeholder validation. Results: Five preliminary requirement groups were identified: concise chronic-disease education, EMR-based personalization, adult- and older-user accessibility, data security and confidentiality, and operational support for health workers. Proposed must-have functions include a patient education profile, simple visualization of examination results, and hypertension and diabetes modules. Non-functional requirements include simple navigation, large text, audio narration, seated mode, short sessions, stop/pause options, and role-based data access. Conclusion: The study provides an initial, literature- and process-mapping-based requirements model rather than empirically validated local user needs. Participatory co-design, stakeholder validation, usability testing, VR-safety assessment, data-governance review, and evaluation of patient understanding are required before implementation claims can be made
Copyright (c) 2026 Mochammad Arief Darmawan, Setya Wijayanta, Adhani Windari, Sylvia Anjani, Faik Agiwahyuanto https://creativecommons.org/licenses/by/4.0
Development of a Web-Based Medical Terminology Learning Application Integrating Medical Term Components and Definitions
Background: Medical terminology is an essential competency for Medical Records and Health Information students because it supports accurate clinical documentation and diagnosis coding. However, students often experience difficulties in understanding medical terms and identifying their constituent elements, including prefixes, roots, and suffixes. Currently, few web-based medical terminology applications integrate medical term definitions together with prefix, root, suffix, and meaning information stored in a database into a single platform. This study aimed to develop a web-based medical terminology application as a learning medium. Methods: This study employed a Research and Development (R&D) approach using the Waterfall software development model. The application was developed using PHP and MySQL. User-entered medical terms were searched against a relational database containing predefined medical terms and prefix, root, suffix, and meaning information stored in the database. Matching records were retrieved and displayed, whereas unavailable terms generated search suggestions. The application was evaluated for functionality, interface design, and usability using black-box testing, interface design assessment, and the System Usability Scale (SUS) by two media experts and nine Medical Records and Health Information students. Results: The application achieved an average black-box testing score of 98%, indicating very valid functionality. Black-box testing confirmed that the application functioned as intended by retrieving and displaying predefined medical terminology records (e.g., bronchitis and rhinoplasty) together with the corresponding prefix, root, suffix, and meaning information stored in the database, while generating search suggestions for unavailable terms. The interface design assessment scored 96%, while the System Usability Scale achieved a score of 93, corresponding to Grade A+ with a Best Imaginable user experience. Conclusion: The developed application is feasible as a learning medium for medical terminology. The application assists users in understanding medical terms by displaying medical term definitions together with prefix, root, suffix, and meaning information stored in the database.
Copyright (c) 2026 Ayuk Era Edwina Noviana, I Made Sudarma Adiputra, Made Wahyu Aditya https://creativecommons.org/licenses/by/4.0
Evaluating U-Net Segmentation in Vgg16-Based Leukemia Classification: A Comparative Study
Background: Leukemia is a malignant hematological disorder characterized by abnormal proliferation of white blood cells (WBCs), affecting over 474,000 patients globally each year, with manual diagnosis limited by inter-observer variability of up to 40%. Objective: This study evaluates whether U-Net-based WBC segmentation improves leukemia classification by comparing three configurations: VGG16 on original images, VGG16 with U-Net-predicted masks, and VGG16 with ground truth masks. Methods: A total of 3,256 ALL microscopic blood smear images were divided into training, validation, and testing sets (70:10:20). U-Net was trained using a combined Binary Cross-Entropy and Dice loss, and the segmentation outputs were used as inputs for VGG16 classification. Performance was evaluated using DSC, IoU, accuracy, precision, recall, F1-score, and AUC-ROC. Results: U-Net achieved a DSC of 0.7885 and an IoU of 0.7134. VGG16 with U-Net masks achieved 98.62% accuracy (AUC 0.9958), while VGG16 with ground truth masks achieved 98.31%. The baseline VGG16 achieved the highest performance with 99.69% accuracy (AUC 0.9999). Conclusion: Explicit segmentation did not improve classification performance for the dataset used in this study and may introduce unnecessary computational overhead when discriminative features are already preserved in the original images. Suggestion: Future studies should evaluate heterogeneous datasets and advanced segmentation architectures to further investigate the contribution of segmentation to leukemia classification.
Copyright (c) 2026 Rizky Vera Oktarina, Afu Ichsan Pradana, Vihi Atina, Farahwahida Mohd https://creativecommons.org/licenses/by/4.0
Potential Drug–Drug Interactions in Medical Records of Patients With Atherosclerosis
Background: Atherosclerosis is a cardiovascular disease that often requires combination pharmacotherapy, which may result in potential drug–drug interactions (pDDIs). Identifying pDDIs is important to support safe and effective medication use. This study aimed to evaluate potential drug–drug interactions based on the medical records of patients with atherosclerosis. Methods: This descriptive retrospective study used a purposive sampling technique. Medical records of patients with atherosclerosis who met the inclusion criteria were reviewed. Potential drug–drug interactions were identified using Medscape, Drugs.com, and verified with Stockley's Drug Interactions, 12th edition. Results: Among 71 patients, 14 (19.72%) had at least one potential drug–drug interaction. A total of 14 potential interaction pairs were identified, with the aspirin–ramipril combination being the most frequent, accounting for 8 of the 14 interaction pairs (57.14%). Conclusion: Potential drug–drug interactions were identified among hospitalized patients with atherosclerosis, with aspirin–ramipril being the most frequent interaction. Although the identified interactions were potential rather than clinically confirmed events, the findings highlight the importance of medication review and appropriate therapy monitoring to support patient safety.
Copyright (c) 2026 Annora Rizky Amalia, Alfina Nurrahman, Wahyuddin Nur https://creativecommons.org/licenses/by/4.0
Medical Record-Based Prediction of Type 2 Diabetes Mellitus Risk Using the Naïve Bayes Algorithm
Background: Type 2 diabetes mellitus is a non-communicable disease with a high prevalence and the potential to cause serious complications if not properly managed. Identifying risk factors is an essential step in the prevention and control of this disease. Objective: This study aimed to develop and evaluate a medical record-based prediction model for type 2 diabetes mellitus risk using the Naïve Bayes algorithm and to identify the most influential risk factors among hospitalized patients at Bhayangkara Bondowoso Hospital in 2024. Methods: A descriptive quantitative research design was employed, with data processing conducted using the Naïve Bayes algorithm and RapidMiner software. The sampling technique used was total sampling, resulting in 630 medical records, consisting of 315 patients diagnosed with type 2 diabetes mellitus and 315 non-type 2 diabetes mellitus patients. The analyzed variables included age, sex, body mass index (BMI), hypertension, smoking history, cardiovascular disease history, and family history. Results: The results indicated that the most influential risk factors for type 2 diabetes mellitus were age ?45 years, obesity-level BMI, and a history of hypertension. Conclusion: The Confusion Matrix evaluation with a 95%:5% split ratio produced an accuracy of 90.62%, a precision of 100%, and a recall of 81.25%. Suggestion: Hospitals are encouraged to strengthen health promotion programs regarding type 2 diabetes mellitus risk factors and involve patients’ families in educational interventions to help prevent disease-related complications.
Copyright (c) 2026 Nabila Ersa Wulandari, Mochammad Choirur Roziqin, Bakhtiyar Hadi Prakoso, Dony Setiawan Hendyca Putra, Gamasiano Alfiansyah, Muhammad Ifantara Putra https://creativecommons.org/licenses/by/4.0
Service Quality of Electronic Medical Records Using DeLone–McLean Model
Background: Indonesia requires healthcare facilities to implement electronic medical records (EMRs), yet integration progress and implementation capacity remain uneven. Evidence from primary healthcare is especially limited because most evaluations have been undertaken in hospitals. This study examined whether system quality, information quality, service quality, and user satisfaction were associated with perceived health service quality among users of the EMR at Opi Palembang Primary Health Center using an adapted DeLone-McLean Information Systems Success Model. Methods: A quantitative cross-sectional study involved all 52 eligible healthcare professionals and administrative staff who had used the EMR for at least three months. Data were collected using a structured five-point Likert questionnaire. Descriptive statistics, Pearson correlations, and multiple linear regression were used to examine the relationships between the four information-system success dimensions and perceived health service quality. Results: All four dimensions were positively correlated with perceived health service quality: user satisfaction (r=0.65, p<0.001), system quality (r=0.62, p<0.001), information quality (r=0.58, p=0.001), and service quality (r=0.49, p=0.003). The regression model explained 68% of the observed variance (R²=0.68). User satisfaction had the largest observed unstandardized coefficient (B=0.287, p=0.002), followed by system quality, information quality, and service quality. Conclusion: The adapted DeLone-McLean dimensions were consistently associated with users’ perceptions of service quality. The results support improvements in usability, information accuracy and timeliness, technical support, and workflow fit. Because the design was cross-sectional and based on perceptions from one facility, the findings should not be interpreted as evidence that the EMR caused objective improvements in care
Copyright (c) 2026 Grafirat Wengkang, Wahyu Wijaya Widiyanto https://creativecommons.org/licenses/by/4.0
Incentive-Based Performance Evaluation Model for Healthcare Professionals in Hospitals: a Systematic Literature Review
Background: Health workers are the spearhead of hospitals whose performance is significantly influenced by reward systems, yet current incentive implementations often lack transparency and holism. This study aims to identify and classify various performance appraisal models based on service incentives through a systematic literature review approach. Method: The research method utilizes a systematic review design following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A structured literature search was conducted on Scopus, PubMed, ScienceDirect, and Google Scholar databases with inclusion criteria for empirical articles published between 2021–2025. Results: The synthesis results of 10 selected studies indicate that performance-based incentives significantly increase productivity, motivation, and multidisciplinary team collaboration in hospitals. Factors such as psychological well-being, managerial transparency, and altruism values were found to be important moderators influencing the effectiveness of financial incentives. Furthermore, the use of information technology and clinical quality indicators is proven to strengthen the objectivity of medical staff performance evaluation systems. Conclusion: This study concludes that a fair and managerially integrated incentive-based performance appraisal model is a crucial instrument in improving sustainable healthcare quality
Copyright (c) 2026 Ni Luh Putu Sri Widani, Qurrotul Aini https://creativecommons.org/licenses/by/4.0
Analysis of Perceived Contributing Factors to Pending Claims in The Inpatient Department of Hospital X: A Fishbone Diagram Study
Background: Pending claims in Indonesia's National Health Insurance (BPJS Kesehatan) occur when claim documents are returned for failing to meet administrative or technical requirements, affecting hospital cash flow. This study analyzed the perceived contributing factors to inpatient BPJS Kesehatan pending claims at Hospital X using a fishbone diagram approach. Methods: This qualitative case study collected data through a fishbone-based questionnaire (six dimensions, 23 items), in-depth interviews, and review of 779 pending inpatient claim documents from June 2024 to May 2025. Three informants were selected using total sampling. Given the small sample (n=3), Likert scores were interpreted descriptively rather than as generalizable estimates. Data were analyzed using method triangulation. Result: Perceived contributing factors included unequal staff competency from limited coding training (Man); incomplete records, inaccurate coding, and duplicate-claim risk (Material); reactive, unstructured evaluation (Measurement); regulatory changes with limited internal dissemination (Environment); absence of written coding SOPs (Method); and information systems lacking a document-completeness screening tool (Machine). Conclusion: Regular coding training, written coding SOPs, structured monitoring, and stronger internal dissemination of BPJS Kesehatan regulations are recommended to reduce pending claims
Copyright (c) 2026 Hanifah Nur'Aini, Julia Pertiwi, Rika Andriani https://creativecommons.org/licenses/by/4.0
Hypertension Incidence Trends Based on Medical Records at Gatak Community Health Center, 2021-2025
Background: Hypertension is a non-communicable disease known as the silent killer because it causes no symptoms. Objective: To analyze hypertension incidence trends based on medical record data from 2021-2025. Research Method: A quantitative descriptive with an observational design, utilizing secondary data from outpatient medical records identified using ICD codes I10 and I11. Data Analysis: Descriptively and analytically using the Mann-Whitney test and Spearman rank test after normality testing showed p<0.05 (0.001), indicating the data were not normally distributed. Analysis Result: The highest hypertension cases occurred in 2024 and were dominated by new visits. The highest cases occurred among women aged 60-69 years. The highest incidence was found among housewives, laborers, private employees, and retirees. The villages with the highest cases were Blimbing, Trangsan, and Luwang. The Mann-Whitney test showed no difference in systolic pressure (p=0.298) by gender, but a difference in diastolic pressure (p=0.046). The Spearman rank test showed a negative correlation between age and hypertension category (p=0.001) with very weak (r=-0.129) to weak (r-0.236) correlation strength. Conclusion: Hypertension incidence is influenced by gender and age. Recommendations: Routine blood pressure screening through integrated health posts, a health lifestyle and tera exercise.
Copyright (c) 2026 Wakhidatul Muslimah, Julia Pertiwi, Syefira Ayudia Johar https://creativecommons.org/licenses/by/4.0
Patients' Perceptions of Electronic Medical Record Confidentiality in Primary Care: A Cross-Sectional Study
Background: Electronic Medical Records (EMRs) have become an essential component of digital healthcare transformation, but their implementation also raises concerns regarding the confidentiality and protection of patients' personal health information. This study aimed to analyze patients' perceptions of EMR data confidentiality at Baki Community Health Center based on five dimensions: knowledge and understanding, service experience, trust in healthcare professionals, privacy policies and education, and data confidentiality. Methods: This descriptive quantitative study used a cross-sectional design involving 96 outpatients selected through quota sampling. The questionnaire consisted of 18 Likert-scale items distributed across five dimensions and was adapted from previous studies concerning electronic medical record confidentiality, health information privacy, patient trust, service experience, privacy policies, and data protection. The instrument was pilot-tested on 30 respondents. Item validity was assessed using Pearson Product-Moment correlation, while internal consistency was evaluated using Cronbach's Alpha. Descriptive statistics were used to present frequencies, percentages, and responses across the five dimensions. Results: All 18 items showed acceptable validity (item-total correlations 0.584–0.824, above the 0.361 critical value), with overall Cronbach's Alpha of 0.887 and dimension range 0.798–0.833, indicating satisfactory internal consistency. Respondents generally reported positive perceptions of EMR confidentiality across all five dimensions, particularly on protection of personal health information, though awareness of privacy policies and confidentiality rights still needs improvement. Conclusion: Patients at Baki Community Health Center generally reported positive perceptions regarding EMR data confidentiality. However, these findings reflect patients' perceptions and should not be interpreted as objective evidence of the technical or organizational security performance of the EMR system. Strengthening patient education and communication regarding privacy policies, data access, and confidentiality rights is recommended to improve patients' understanding and confidence in EMR management.
Copyright (c) 2026 Shona’a Surya Alay’ya, Arifatun Nisaa, Julia Pertiwi https://creativecommons.org/licenses/by/4.0
Nurses’ Role in Completing Anamnesis Supporting Coding of External Cause Injury Diagnoses
The accuracy of ICD-10 external cause injury coding depends heavily on the completeness of anamnesis documentation, particularly information on event chronology, place of occurrence, and patient activity. Nurses, as primary healthcare professionals responsible for anamnesis documentation in the Emergency Department (ED), play a key role in supporting accurate diagnostic coding. However, incomplete documentation of external cause injury information remains a common challenge in hospital settings. This study aimed to analyze the role of nurses in ensuring the completeness of external cause injury anamnesis to support accurate diagnostic coding at Mitra Paramedika Hospital, Yogyakarta. A qualitative descriptive study with a case study approach was conducted involving 12 healthcare workers, consisting of 10 emergency nurses and 2 medical record coders. Data were collected through pre-tests, focused group discussions (FGDs), post-tests, medical record observations, and in-depth interviews. Descriptive analysis was used to assess changes in knowledge and documentation practices before and after the intervention. The results indicated that prior to the FGD, several nurses had limited understanding of the importance of documenting place of occurrence and patient activity for external cause coding. Following the FGD, all participants demonstrated adequate knowledge in the post-test. Additionally, the use of electronic medical records improved documentation readability and completeness, facilitating more accurate coding. This study concludes that nurses play a critical role in external cause injury documentation, and that educational interventions and electronic medical record implementation effectively enhance documentation quality and coding accuracy.
Copyright (c) 2026 Andi karisma Nurdiyansyah, Deby Zulkarnain Rahadian Syah, Ida Aninda, Ragil Lintang Juliana, Gebi Yulanda, Piping Asgiani, Nik Azliza Nik Ariffin https://creativecommons.org/licenses/by/4.0
SIMRS Success through User Satisfaction Using DeLone McLean and Demographic Factors
Digital transformation in the healthcare sector encourages hospitals to adopt Hospital Information Systems (HIS), known in Indonesia as SIMRS to improve service efficiency and data management quality. However, the success of SIMRS implementation is strongly influenced by system quality, information quality, service quality, and users’ perceptions of the technology. This study aims to evaluate the success factors of SIMRS at RSIJ Pondok Kopi by integrating Perceived Usefulness and demographic factors into the DeLone and McLean (D&M) Information System Success Model through user satisfaction. This research methode is a quantitative design with cross sectional study using the PLS-SEM approach. The sample consisted of 62 SIMRS users selected using a total sampling technique. The study was conducted from May to August 2025. The results show that information quality and system quality significantly affect perceived usefulness, perceived usefulness significantly affects user satisfaction, and user satisfaction significantly affects net benefits. In addition, perceived usefulness has a significant indirect effect on net benefits. Meanwhile, demographic factors are not the main determinants of SIMRS success. Therefore, hospital management is recommended to prioritize improving information quality to optimize the effectiveness of SIMRS implementation.
Copyright (c) 2026 Tria Saras Pertiwi, Natalia Vanesia Setiawan, Hosizah Markam, Imam Sutanto https://creativecommons.org/licenses/by/4.0
A New Formative Assessment for Indonesian Medical Records Education: Validating DOPSAT-RSP
The assessment of practical skills among Associate Degree or Diploma 3 students of Medical Records and Health Information (MRHI) during field practice (PKL) lacks a standardized workplace-based assessment (WPBA) instrument, resulting in variations across institutions and potential subjectivity in evaluation. While Direct Observation of Procedural Skills (DOPS) is effective in clinical assessment but not fully suited to the non-clinical context of MRHI practice. This study aimed to modify DOPS into a formative assessment tool for MRHI field practice and to examine its validity and reliability. A research and development design was applied. The modified instrument, DOPSAT-RSP, underwent content validity testing by ten experts using the Content Validity Index (CVI) and Content Validity Ratio (CVR). Reliability testing included inter-rater reliability using Weighted Cohen’s Kappa and internal consistency using Cronbach’s alpha, involving two raters and 39 students. All items met content validity criteria (I-CVI ?0.900; CVR ?0.800; S-CVI =0.950). The Weighted Kappa value (0.774) indicated strong inter-rater agreement, while Cronbach’s alpha (0.952) demonstrated excellent internal consistency. The DOPSAT-RSP instrument is valid and reliable for formative assessment of D-3 RMIK students’ practical skills during PKL and shows potential for wider implementation with user training.
Copyright (c) 2026 Untoro Dwi Raharjo, Rizky Yuspita Sari, Resia Perwirani, Jannatul Iza Ahmad Kamal https://creativecommons.org/licenses/by/4.0
Design of a Web-Based Internal Claim Audit Application in the Casemix Unit in a Hospital to Minimize Pending Claims
The Casemix Unit plays a strategic role in the submission and reimbursement of healthcare service claims for BPJS Kesehatan participants. Nevertheless, many hospitals continue to experience pending claims due to administrative errors, incomplete documentation, coding inaccuracies, prolonged verification processes, policy changes, and limited integration of information systems. This study aimed to design and evaluate a web-based internal claim audit application to improve verification effectiveness and reduce pending claims in the Casemix Unit. This research adopted a Research and Development (R&D) approach using the Borg and Gall model and was conducted over one year at RSU Prof. Dr. M. A. Hanafiah Batusangkar, where an increasing number of pending claims was identified in 2024. System evaluation was carried out through usability assessment, and comparative observation of the claim audit process before and after prototype implementation. The results demonstrated that all application features functioned according to system requirements. Implementation of the application contributed to improved operational efficiency, enhanced accuracy in document and coding verification, and faster claim review time compared to the previous manual process. The application includes document completeness verification, coding validation, claim status monitoring, and AI-assisted early detection of potential errors with corrective recommendations. These findings indicate that the system is feasible and capable of supporting a more structured and consistent internal audit process. The study concludes that the application has strong potential to improve claim management quality and support hospital financial sustainability. Future studies should conduct broader implementation, integrate the system with hospital information systems and BPJS platforms, and perform long-term quantitative evaluations of its effectiveness.
Copyright (c) 2026 Yastori Yastori, Nurul Fitri Khumaira, Muhammad Kaddafi Suyatno, Nik Azliza Nik Ariffin https://creativecommons.org/licenses/by/4.0
The Examination System Quality and Information Quality in the Use of the JKN Mobile App
Background: The Mobile JKN application enables BPJS Kesehatan participants to access health services, including online outpatient registration. At Jampangkulon Hospital, 13,021 of 28,896 outpatient visits (44.92%) were registered through Mobile JKN between January and June 2025. Despite increasing use several system related issues persist underscoring the need to evaluate the system and information quality supporting the application. Objective: This study aimed to assess the association of system quality and information quality on the utilization of the Mobile JKN. Methods: The study adopted a cross-sectional analytical design and involved 388 Mobile JKN users selected through accidental sampling. The data were collected using a validated and reliable questionnaire with a four-point Likert scale and analysed through multiple linear regression. The Mobile JKN use was evaluated using five indicators: frequency, duration, intensity, nature, and pattern. Results: The result showed that system quality (b= 0.204; 95% CI: 0.11–0.29; p < 0.001) and information quality (b= 0.547; 95% CI: 0.47–0.63; p < 0.001) were positively and significantly associated with application use. Conclusion: The model explained 71.2% of the variance in application use (R² = 0.712). Suggestion: Hospital Manajemen and BPJS Kesehatan should continue improving the system to encourage wider adoption.
Copyright (c) 2026 Mitha Mandasary, Mieke Nurmalasari, Hosizah Hosizah, Tria Saras Pertiwi https://creativecommons.org/licenses/by/4.0
Analysis of Human Resource Requirements After The Implementation of Electronic Medical Records at RSI Yarsis
The implementation of Electronic Medical Records (EMR) at Yarsis Islamic Hospital Surakarta has changed the work system and workflow of outpatient registration officers. This different workflow will undoubtedly alter existing human resource requirements, impacting the productivity of registration staff. This study aims to analyze human resource (HR) requirements in the outpatient registration unit after the implementation of EMR using the Health Workload Analysis (ABK-Kes) method. This study employed a descriptive qualitative approach with a cross-sectional design. Data were collected through observation and interviews with four outpatient registration officers. Data processing included collecting, editing, tabulation, and data presentation. The analysis of human resource requirements was conducted using the Health Workload Analysis (ABK-Kes) method, which includes calculating available working time (WKT), determining workload components and standard time, calculating workload standards (SBK), supporting task standards (STP), and supporting task factors (FTP). The data were analyzed descriptively. The results showed that the required number of human resources was one officer for the morning shift and two officers for the afternoon shift. Currently, there are four registration officers employed at the hospital. It can be concluded that there is an excess of one registration officer. This study recommends regular evaluations of HR needs and workloads, particularly during increases in patient visits or changes in service systems, to ensure appropriate workforce allocation. Improving staff competencies and educational qualifications in accordance with applicable regulations is also necessary to support sustainable service quality
Copyright (c) 2026 Nopita Cahyaningrum, Khoirul Mustofa, Lintang Dwi Elyan, Rika Andriani https://creativecommons.org/licenses/by/4.0
Review of The Completeness of Filling In The Form (CPPT) of The Inpatient Midwifery Ward of Aisyiyah Hospital
Incompleteness of Inpatient (CPPT) form affects the quality of medical records in hospitals. The (CPPT) form must be filled out completely to improve the quality of hospital services and can be accounted for if there are errors in service, action or medication administration. The purpose of this study was carried out because there are still many problems found related to incompleteness of the (CPPT) form by PPA at Aisyiyah Hospital. The study was conducted at Aisyiyah Hospital from January to March 2025, this type of research is quantitative research with a descriptive approach. The population was 144, with the Accidental Sampling sample technique, obtained 59. Data processing techniques were editing, coding, processing, and cleaning. The results of the study obtained a percentage of identification data as much as 1 (1.7%) incomplete 58 (98.3%) complete, in important reports 17 (28.8%) incomplete 42 (71.2%) complete. In authentication 50 (84.7%) incomplete 9 (15.3%) complete. In good record keeping, 21 (35.6%) were incomplete, 38 (64.4%) were complete. In filling out the form (CPPT), 51 (86.4%) were incomplete, 8 (13.6%) were complete. This was due to a lack of awareness among officers in filling out the CPPT form. The conclusion in this study was that incompleteness was still found, especially in the Authentication and Completion of the CPPT Form. This has an impact on patient safety and the accountability of medical personnel. It is recommended that officers fill out the CPPT form completely and accurately to support safe and quality health services.
Copyright (c) 2026 Rahmadhani Rahmadhani, Dewi Mardiawati, Oktamianiza Oktamianiza, Heru Rahmat Wibawa, Yopia Priyanti, Siti Handam Dewi https://creativecommons.org/licenses/by/4.0
Analysis of Inpatient Care Utilization Among Type 2 Diabetes Mellitus Patients
Globally and in Indonesia, diabetes mellitus (DM) is mainly type 2. When outpatient care fails to control blood glucose, hospitalization treatment becomes necessary. This is in line with the implementation of the referral system in the era of the National Health Insurance. This study aims to analyze the utilization of hospitalization among patients diagnosed with Type 2 DM (T2DM). A cross-sectional design was applied using sample data from BPJS Kesehatan Year 2024, representing 2023 visit records. All patients admitted with T2DM were included. Inpatient utilization measured by admission frequency, intervals, length of stay, referral sources, diagnostic consistency, discharge status, and comorbidities among T2DM patients. Descriptive analysis was performed on patient characteristics and hospitalization utilization patterns. In 2023, there were 480 admissions involving 417 patients, mean interval between hospitalizations was 69 days. The length of hospital stay increased with the presence of complications. Most referrals came from hospitals, 66% of primary diagnoses matched the admission diagnosis, and hypertension was the most common comorbidity. Most discharge status was recovered. Recommendations include enhancing continuity of care and the referral back program through system integration to mitigate T2DM readmission risks.
Copyright (c) 2026 Nauri Anggita Temesvari, Husni Abdul Muchlis https://creativecommons.org/licenses/by/4.0
Optimization of Breast Milk Production Through The Application of Oxytocin Massage Based on LLLT
Breast milk (ASI) production in the early postpartum period often encounters difficulties, requiring effective non-pharmacological interventions. Oxytocin massage and Low Level Laser Therapy (LLLT) are believed to enhance oxytocin reflex and facilitate lactation. Objective: To evaluate the effectiveness of combined oxytocin massage and LLLT on breast milk production among postpartum mothers and to analyze influencing maternal characteristics. Methods: This study employed a pretest–posttest one group design with 40 postpartum mothers. Breast milk production was measured using the pumping method before and after intervention. Data were analyzed using descriptive statistics, paired t-test, and bivariate analysis based on age, parity, education, and delivery history. Results: Mean breast milk production increased significantly from 2.2 ml/day to 75.5 ml/day (p<0.001). Bivariate analysis showed no significant differences by age, parity, or education (p>0.05), but delivery history was significantly associated with milk production (p=0.04). Conclusion: The combination of oxytocin massage and LLLT is clinically effective in enhancing breast milk production among postpartum mothers. Delivery history influences lactation outcomes, suggesting that this intervention has potential to be integrated into midwifery practice to support exclusive breastfeeding and stunting prevention.
Copyright (c) 2026 Wiwik Puspita Dewi, Nevia Zulfatunnisa, Izzatun Nida Ulhaq, Diah Rosita https://creativecommons.org/licenses/by/4.0
Tooth Agenesis in A Seven Year Old Child at RSGM Soelastri Surakarta Case Report
Agenesis is a dental anomaly that occurs relatively frequently in humans. Agenesis results in the failure of teeth to develop after birth, with tooth development occurring only during childhood. The prevalence of permanent dental agenesis in non-syndromic individuals is higher among Europeans, with 4.6% in males and 5.5% in females, in Australia 5.5% in males and 7.6% in females, and lower among Caucasian Americans, with 3.2% in males and 4.6% in females. A 7-year-old male patient came to RSGM Soelastri with his mother, complaining of small and sharp teeth. In the intraoral examination, abnormalities were found in the deciduous teeth, showing hypodontia where the tooth bud of 42 did not develop. Beside of hypodontia, this case also exhibited a peg shape in tooth 82. The patient's parents should be given communication, information and education regarding the issues that occur. The diagnosis of agenesis requires clinical and supportive examinations. It can be concluded that the main factor causing agenesis and peg shape is genetic.
Copyright (c) 2026 Devina Pramesti Intan Faradilla, Septriyani Kaswindiarti https://creativecommons.org/licenses/by/4.0
Design and Development of An Electronic Medical Record System For Maternal and Child Health and Dental Clinics at Camar Mandiri Primary Clinic, Jember
Camar Mandiri Primary Clinic, particularly the Maternal and Child Health (MCH) and Dental outpatient units, has not yet implemented an Electronic Medical Record (EMR) system; consequently, patient registration and data recording are still performed manually. This condition is not in line with the Indonesian Ministry of Health Regulation No. 24 of 2022. This study aims to design and develop a web-based outpatient EMR system to improve service efficiency in the MCH and Dental clinics at Camar Mandiri Primary Clinic. This study employed a Research and Development (R&D) approach. Data were collected through observations and interviews involving two medical records staff, one dentist, one midwife, one pharmacist, and the clinic head. The system was developed using the waterfall method, which includes system flowcharts, context diagrams, Data Flow Diagrams (DFD), and Entity Relationship Diagrams (ERD). Data were collected through observation and interviews. The result is a web-based outpatient EMR system for the MCH and Dental clinics at Camar Mandiri Primary Clinic. Black-box testing results demonstrate that the system aligns with user needs, is user-friendly, and adequately supports clinical examination and reporting functions. Future development is recommended by adding more comprehensive and complex features, particularly modules related to pharmacy services and cashier management
Copyright (c) 2026 Mochammad Choirur Roziqin, Aylivia Fudya Ningrum, Bakhtiyar Hadi Prakoso, Indah Muflihatin, Gamasiano Alfiansyah, Muhammad Ifantara Putra https://creativecommons.org/licenses/by/4.0
Knowledge And Foot Care Behavior in Patients With Diabetes Melitus: Study of Corelation
Background: Hyperglycemic conditions can lead to microvascular (27.2%) and macrovascular (53.5%) complications. Hyperglycemia causes damage to nerve cells, resulting in neuropathy that leads to decreased protective sensation in the feet. This condition causes individuals with diabetes mellitus (DM) to be unaware of foot injuries. Proper foot care is an essential part of preventing diabetic foot ulcers and can be carried out by individuals with DM at low cost and with proven effectiveness. Foot care behavior refers to actions taken to maintain foot hygiene in diabetic patients and to prevent early injuries that could lead to infection risk. Knowledge serves as the foundation for behavior change and determines an individual's level of ability.Methods:This research is a quantitative study using a cross-sectional design. The population consists of all individuals with DM, with a sample size of 57 respondents in the Surakarta City prolanis group. The sampling technique used was accidental sampling. Data were analyzed using univariate and bivariate analysis.The research instrument used DFKS for knowledge and NAFF foot care behavior. Results:The majority of respondents had a low level of knowledge (64.9%) and poor foot care behavior (71.9%). Bivariate analysis using the chi-square test showed a p-value < 0.05 (0.018).Conclusion:There is a significant relationship between the level of knowledge and foot care behavior
Copyright (c) 2026 Ida Nur Imamah, Guntur Harta Kusuma, Didik Iman Margatot https://creativecommons.org/licenses/by/4.0
PENGENDALIAN PERSEDIAAN OBAT MENGGUNAKAN METODE ANALISIS ABC-VEN DI INSTALASI FARMASI RS PANDAN ARANG BOYOLALI
Pelayanan kefarmasian merupakan pelayanan penunjang dan sekaligus menjadi salah satu revenue centre primer, karena lebih dari 90% pelayanan di rumah sakit menggunakan perbekalan farmasi seperti obat-obatan, bahan kimia, bahan radiologi, bahan medis habis pakai, alat kesehatan serta gas medik dan 50% dari semua pemasukan rumah sakit berasal dari pengelolaan perbekalan farmasi. Instalasi Farmasi RSUD Pandan Arang Boyolali mengelola 644 item obat yang terdaftar pada database. Perencanaan obat di RS Pandan Arang Boyolali masih menggunakan metode konsumsi. Penelitian ini bertujuan membuat usulan cara pengendalian perencanaan persediaan agar tidak terjadi stock out di Instalasi Farmasi RSUD Pandan Arang Boyolali. Penelitian ini bertujuan untuk mengetahui pengendalian perencanaan persediaan obat dengan metode ABC-VEN di instalasi Farmasi RS Pandan Arang Boyolali dengan mengambil data persediaan obat yang digunakan untuk menghitung kebutuhan persediaan tahun 2022 dengan metode analisis kombinasi ABC-VEN. Metode yang digunakan yaitu metode ABC (Always, Better, Control), VEN (Vital, Essensial, Non Essensial). Data yang diperoleh pada saat wawancara dengan narasumber, pengamatan dan observasi langsung pada saat penelitian serta data obat pada Instalasi Farmasi RS Pandan Arang Boyolali tahun 2021. Hasil analisis metode ABC-VEN diperoleh data item obat kelompok A 44 item obat kelompok B 159 item obat kelompok C 441 item obat dan dibagi menjadi 9 kategori yaitu : item obat kategori AV 15 item obat AE 24 item obat, AN 4 item obat, BV 26 item obat, BE 105 item obat, BN 28 item obat, CV 20 item obat, CE 289 item obat, CN 132 item obat dari total 644 item obat. Analisis ABC-VEN dapat dijadikan acuan untuk mendapatkan persediaan yang optimal, efektif dan efisien.
Copyright (c) 2025 Rizka Wahyu Syahputra, Opstaria Saptarini, Tri Wijayanti https://creativecommons.org/licenses/by/4.0
ANALISIS IMPLEMENTASI REKAM MEDIS ELEKTRONIK TERHADAP MUTU PELAYANAN RAWAT JALAN DI RSUD IBU FATMAWATI SOEKARNO KOTA SURAKARTA
Penerapan RME berbasis web di RSUD Ibu Fatmawati Soekarno pada awal tahun 2024 masih mengalami kendala seperti adanya gangguan jaringan dan output informasi yang tidak sesuai. Penelitian ini bertujuan untuk mengetahui implementasi sistem RME terhadap mutu pelayanan rawat jalan berdasarkan model DeLone dan McLean yang mencakup aspek kualitas sistem, kualitas informasi, kualitas layanan, dan kepuasan pengguna. Jenis penelitian ini adalah kualitatif deskriptif dengan pendekatan cross-sectional. Teknik pengumpulan data dilakukan melalui observasi dan wawancara bebas terpimpin. Informan dalam penelitian ini berjumlah 4 orang yang merupakan pengguna langsung RME rawat jalan dengan kriteria inklusi, yaitu memiliki masa kerja minimal 2 tahun, telah menggunakan RME selama 6–12 bulan, dan pernah mengikuti pelatihan sehingga informan dapat memberikan pemahaman mendalam dalam penggunaan dan penerapan RME. Instrumen penelitian yang digunakan meliputi pedoman wawancara dan pedoman observasi. Analisis data dilakukan secara deskriptif kualitatif berupa teks berdasarkan hasil temuan lapangan. Hasil penelitian menunjukkan bahwa aspek kualitas sistem didukung dengan kemudahan penggunaan melalui pelatihan dan panduan operasional, serta pembatasan hak akses. RME dinilai mampu menyajikan informasi yang akurat, lengkap, dan relevan untuk pengambilan keputusan. Dukungan teknis dari tim IT sudah tersedia dan dapat merespons cepat terhadap masalah sistem. Serta kepuasan pengguna menunjukkan bahwa sistem RME meningkatkan efisiensi, efektivitas kerja, dan membantu pelayanan menjadi lebih cepat. Kesimpulan dari penelitian ini adalah bahwa implementasi RME di RSUD Ibu Fatmawati Soekarno telah memberikan kontribusi positif terhadap peningkatan mutu pelayanan rawat jalan, terutama dari aspek efisiensi dan dokumentasi pelayanan medis.
Copyright (c) 2025 Amelinda Helsa Meilani, Sri Wahyuningsih Nugraheni, Budi Suprawita https://creativecommons.org/licenses/by/4.0
NORMALISASI BASIS DATA SISTEM DETEKSI DINI DAN KONSULTASI KOMPLIKASI KESEHATAN MASA NIFAS
Masa nifas merupakan fase penting yang rawan terhadap berbagai komplikasi kesehatan sehingga membutuhkan pemantauan dan penanganan medis yang optimal. Untuk mendukung upaya deteksi dini dan konsultasi komplikasi kesehatan pada masa nifas, diperlukan sistem informasi yang memiliki struktur data yang efisien, konsisten, dan bebas dari penyimpangan. Penelitian ini bertujuan untuk merancang basis data perangkat lunak yang mendukung deteksi dini dan konsultasi komplikasi kesehatan masa nifas, dengan menerapkan teknik normalisasi sebagai pendekatan utama dalam perancangan struktur data. Metode penelitian yang digunakan adalah pendekatan rekayasa perangkat lunak berbasis desain basis data melalui normalisasi meliputi identifikasi kebutuhan data, analisis relasi antar entitas, bentuk tidak normal, normal bentuk kesatu, normal bentuk kedua dan normal bentuk ketiga. Penelitian ini menghasilkan rancangan basis data yang terdiri dari 11 tabel terstruktur yang telah melalui proses normalisasi sehingga bebas dari redundansi dan ketidakteraturan data. Simpulan dari penelitian ini adalah setelah melalui tahapan normalisasi, maka dihasilkan basis data yang memiliki struktur relasional yang efisien yang mampu mendukung perangkat lunak deteksi dini komplikasi dan konsultasi kesehatan masa nifas yang akurat dan terstruktur.
Copyright (c) 2025 Nurhayati Nurhayati, Mumpuni Intan Pertiwi, Maulana Rifky Kholilurrohman, Naraya Kyesa Tamarussal https://creativecommons.org/licenses/by/4.0
Determinants of Outpatient Satisfaction Based on Health Service Quality Dimensions in Primary Health Care
Primary health care performance is closely linked to patient satisfaction, which reflects the extent to which services meet patient expectations. This study aimed to identify the determinants of outpatient satisfaction based on health service quality dimensions at Puskesmas Simo, Boyolali. A cross-sectional analytical observational design was applied involving 100 outpatient respondents selected through convenience sampling. Data were collected using a validated and reliable structured questionnaire and analyzed using univariate, bivariate, and multivariate logistic regression methods. Results showed that the majority of respondents rated service quality positively across all SERVQUAL dimensions, with 90% reporting satisfaction. Multivariate analysis revealed that four dimensions of reliability (OR = 6,08), responsiveness (OR = 4,20), assurance (OR = 2,66), and empathy (OR = 5,09) significantly influenced outpatient satisfaction (p < 0,05), whereas tangibles did not (p = 0,220). Reliability was the strongest determinant, indicating that patients perceiving consistent, timely, and accurate services were more than six times likely to report satisfaction. These findings highlight that non-physical aspects of service quality, including interpersonal interactions and service process effectiveness, are more decisive than physical infrastructure in determining patient satisfaction. Strengthening staff competencies, ensuring standardized procedures, and promoting patient-centered care are recommended to enhance service quality in primary health care.
Copyright (c) 2026 Wahyu Ratri Sukmaningsih, Wahyu Wijaya Widiyanto, Meldha Ayu Subekti, Joaquim Gregório de Carvalho https://creativecommons.org/licenses/by/4.0
PEMODELAN PENERIMAAN REKAM MEDIS ELEKTONIK (RME) PADA SOCIETY ERA 5.0 : STUDI KASUS DI RSUP SURAKARTA
Penyelenggaraan Rekam Medis Elektronik (RME) di Indonesia diberlakukan wajib bagi fasyankes sejak 2022 sebagai wujud adaptasi dari society era 5.0. Sebagai aplikasi yang baru diimplementasikan perlu dilakukan analisis penerimaan untuk memastikan kualitas dan keandalan RME. Penelitian ini bertujuan untuk menganalisis penerimaan RME di RSUP Surakarta. Jenis penelitian yang digunakan adalah kuantitatif dengan desain cross sectional. Penelitian dilakukan pada Maret–April 2025 dengan sampel berjumlah 106 orang meliputi dokter, perekam medis, perawat, apoteker, radiographer dan petugas IT yang diambil dengan metode total sampling. Instrumen penelitian berupa kuesioner tertutup berjumlah 45 pertanyaan yang diadopsi dari penelitian terdahulu dan diisi oleh responden. Teori model penerimaan teknologi yang digunakan adalah UTAUT. Model ini berfokus pada empat faktor utama: harapan kinerja, harapan usaha, pengaruh sosial, dan kondisi yang memfasilitasi. Analisis data dilakukan menggunakan Partial Least Square (PLS) melalui outer model (model pengukuran) dan inner model (model struktural). Hasil penelitian menunjukkan intensi pengguna terhadap perilaku pengguna (p=<0,001 dan T=4,294); harapan usaha terhadap intensi pengguna (p=0,562 dan T=0,580); kondisi fasilitas terhadap perilaku pengguna (p=0,003 dan T=2,987); harapan kinerja terhadap intensi pengguna (p=0,113 dan T=1,583); pengaruh sosial terhadap intensi pengguna (p=0,006 dan T=2,732). Untuk meningkatkan intensi pengguna RME perlu dilakukan pengawasan secara rutin pada komponen sistem dan pengguna.
Copyright (c) 2025 Julia Pertiwi, Rika Andriani, Arifatun Nisaa, Faradila Rizky Amalia, Prita Devy Igiany https://creativecommons.org/licenses/by/4.0
ANALISIS EFEKTIVITAS PENGGUNAAN BIOMETRIK BPJS PADA RAWAT INAP DI RSUD KOTA BANDUNG
Dalam rangka meningkatkan akurasi dan keamanan identifikasi pasien, BPJS Kesehatan melalui RSUD Kota Bandung menerapkan sistem biometrik (face print dan finger print) sejak 17 Februari 2025 berdasarkan Surat Edaran No. 686-RSUD/2025. Namun, penerapannya di lapangan memunculkan berbagai tantangan teknis dan efisiensi. Tujuan dari penelitian ini adalah untuk menganalisis efektivitas kebijakan penggunaan biometrik dalam verifikasi pasien BPJS di RSUD Kota Bandung, menilai dampak kebijakan tersebut terhadap efisiensi waktu pelayanan pendaftaran pasien rawat inap, serta membandingkan proses layanan administrasi pasien sebelum dan sesudah diterapkannya kebijakan sesuai Surat Edaran Nomor 686-RSUD/2025. Penelitian ini menggunakan metode deskriptif kualitatif dengan teknik pengumpulan data berupa observasi, wawancara dengan petugas pendaftaran, dan dokumentasi. Analisis data dilakukan menggunakan model interaktif dari Miles dan Huberman. Hasil penelitian menunjukkan bahwa penggunaan biometrik meningkatkan keamanan verifikasi data pasien. Namun, waktu pelayanan bertambah sekitar 10–15 menit per pasien karena jarak loket pendaftaran dengan ruang rawat inap serta keterbatasan jaringan. Terdapat pula penurunan jumlah pasien rawat inap, khususnya pasien BPJS baru dan pasien umum, setelah kebijakan diterapkan. Temuan ini menunjukkan adanya dampak langsung pada efisiensi pelayanan rumah sakit. Kebijakan biometrik dinilai efektif dari sisi keamanan dan validasi data, namun belum efisien dalam pelaksanaannya di lapangan. Oleh karena itu, diperlukan perbaikan infrastruktur, pelatihan petugas, dan penempatan alat yang strategis untuk meningkatkan efisiensi pelayanan.
Copyright (c) 2025 Muhamad Adrian Fadillah, Desy Widyaningrum https://creativecommons.org/licenses/by/4.0
ANALISIS DETERMINAN PENYAKIT GAGAL GINJAL KRONIS DI INDONESIA BERDASARKAN DATA SURVEI KESEHATAN INDONESIA TAHUN 2023
Gagal ginjal kronis (GGK) merupakan masalah kesehatan global dan menjadi penyebab kematian signifikan, meskipun prevalensinya menurun. Penelitian ini bertujuan menganalisis faktor yang berhubungan dengan GGK menggunakan data Survei Kesehatan Indonesia (SKI) tahun 2023 berdasarkan sosiodemografi, dan riwayat penyakit. Penelitian ini menggunakan desain kuantitatif cross-sectional, penelitian ini menggunakan data sekunder dari SKI tahun 2023 yang diperoleh melalui wawancara terhadap responden berusia ?15 tahun di seluruh Indonesia. Metode pengambilan sampel dengan purposive sampling, populasi penelitian berjumlah 877.531 responden dan sampel 638.178 responden dengan kriteria inklusi berupa seluruh individu berusia ?15 tahun yang didiagnosis GGK oleh dokter. Data diolah melalui tahapan editing, coding, processing, dan cleaning dengan perangkat lunak SPSS. Analisis data dilakukan secara univariat, bivariat (chi-square), dan multivariat (regresi logistik biner). Hasil penelitian menunjukkan prevalensi GGK sebesar 0,2% atau sebanyak 1.259 penderita di Indonesia. Faktor risiko yang berhubungan signifikan dengan GGK adalah jenis kelamin laki-laki (b=2,159; CI 95%=1,926-2,421; p<0,001), hipertensi (b=4,534; CI 95%=3,992-5,148; p<0,001), dan diabetes melitus (b=5,812; CI 95%=4,983-5,148; p<0,001). Sebaliknya, umur, pendidikan, dan pekerjaan tidak memiliki hubungan signifikan. Temuan ini menegaskan bahwa faktor klinis seperti diabetes melitus dan hipertensi berperan dominan dalam kejadian GGK. Oleh karena itu, upaya pencegahan GGK harus difokuskan pada pengelolaan penyakit kronis dan promosi gaya hidup sehat, terutama bagi kelompok berisiko tinggi.
Copyright (c) 2025 Sauha Lulumanin, Denny Saptono Fakhrurodzi https://creativecommons.org/licenses/by/4.0