iii DAFTAR ISI DAFTAR ISI .......................................................................................................... iii DAFTAR TABEL ................................................................................................... v DAFTAR GAMBAR ............................................................................................ vii DAFTAR LAMPIRAN ........................................................................................ viii DAFTAR SINGKATAN ....................................................................................... ix SURAT PERNYATAAN........................................................................................ x KATA PENGANTAR ........................................................................................... xi ABSTRAK ........................................................................................................... xiii ABSTRACT ........................................................................................................... xiv BAB I ...................................................................................................................... 1 PENDAHULUAN .................................................................................................. 1 A. Latar Belakang ............................................................................................. 1 B. Rumusan Masalah ........................................................................................ 3 C. Tujuan Penelitian ......................................................................................... 3 D. Manfaat Penelitian ....................................................................................... 3 E. Keaslian Penelitian ....................................................................................... 4 BAB II ..................................................................................................................... 5 TINJAUAN PUSTAKA ......................................................................................... 5 A. Telaah Pustaka ............................................................................................. 5 B. Landasan Teori ........................................................................................... 16 C. Kerangka Teori........................................................................................... 17 D. Kerangka Konsep ....................................................................................... 18 E. Pertanyaan Penelitian ................................................................................. 18 BAB III ................................................................................................................. 19 METODE PENELITIAN ...................................................................................... 19 A. Jenis Penelitian ........................................................................................... 19 B. Tempat dan Waktu Penelitian .................................................................... 19 C. Subyek Penelitian ....................................................................................... 19 iv D. Variabel dan Definisi Operasional ............................................................. 20 E. Instrumen Penelitian................................................................................... 21 F. Cara Pengumpulan Data ............................................................................. 22 G. Cara Analisis Data...................................................................................... 22 H. Etika Penelitian .......................................................................................... 23 I. Keterbatasan Penelitian .............................................................................. 23 J. Jalannya Penelitian ..................................................................................... 23 BAB IV ................................................................................................................. 25 HASIL DAN PEMBAHASAN ............................................................................. 25 A. Hasil ........................................................................................................... 25 B. Pembahasan ................................................................................................ 55 BAB V................................................................................................................... 63 KESIMPULAN DAN SARAN ............................................................................. 63 A. Kesimpulan ................................................................................................ 63 B. Saran ........................................................................................................... 63 DAFTAR PUSTAKA ........................................................................................... 64 v DAFTAR TABEL Tabel 1. Keaslian Penelitian .................................................................................... 4 Tabel 2. Simbol-simbol DAD ............................................................................... 11 Tabel 3. Kebutuhan Data Rekam Medis Elektronik Dokter Keluarga.................. 27 Tabel 4. Tabel ref_fktp .......................................................................................... 34 Tabel 5. Tabel user_group..................................................................................... 34 Tabel 6. Tabel user ................................................................................................ 34 Tabel 7. Tabel ref_propinsi ................................................................................... 35 Tabel 8. Tabel ref_kabupaten ................................................................................ 35 Tabel 9. Tabel ref_kecamatan ............................................................................... 35 Tabel 10. Tabel ref_kelurahan .............................................................................. 36 Tabel 11. Tabel ref_pekerjaan............................................................................... 36 Tabel 12. Tabel ref_agama .................................................................................... 36 Tabel 13. Tabel ref_pendidikan ............................................................................ 37 Tabel 14. Tabel ref_pasien .................................................................................... 37 Tabel 15. Tabel pasien_alergi ............................................................................... 38 Tabel 16. Tabel pasien_imunisasi ......................................................................... 38 Tabel 17. Tabel pasien_penyakit........................................................................... 39 Tabel 18. pasien_operasi ....................................................................................... 39 Tabel 19. Tabel pasien_keluarga........................................................................... 40 Tabel 20. Tabel ref_gaya_hidup ........................................................................... 40 Tabel 21. Tabel pasien_gaya_hidup ...................................................................... 40 Tabel 22. Tabel ref_poliklinik............................................................................... 41 Tabel 23. Tabel ref_dokter .................................................................................... 41 Tabel 24. Tabel ref_tindakan ................................................................................ 41 Tabel 25. Tabel ref_diagnosis ............................................................................... 42 Tabel 26. Tabel ref_icpc ....................................................................................... 42 Tabel 27. Tabel kunjungan .................................................................................... 42 Tabel 28. Tabel kunjungan_detail ......................................................................... 43 vi Tabel 29. Tabel kunjungan_tindakan .................................................................... 44 Tabel 30. Tabel kunjungan_diagnosis................................................................... 44 Tabel 31. Tabel kunjungan_icpc ........................................................................... 45 Tabel 32. Tabel ref_obat ....................................................................................... 45 Tabel 33. Tabel kunjungan_obat ........................................................................... 45 Tabel 34. Tabel kunjungan_penunjang ................................................................. 46 Tabel 35. Spesifikasi teknis pembuatan prototipe rekam medis elektronik .......... 48 vii DAFTAR GAMBAR Gambar 1. Relasi antara dua tabel .............................................................................. 12 Gambar 2. Kerangka Teori ......................................................................................... 17 Gambar 3. Kerangka Konsep ..................................................................................... 18 Gambar 4. Alur Pelayanan di Klinik Dokter Keluarga Korpagama ........................... 25 Gambar 5. Alur Pelayanan Setelah Rekam Medis Elektronik Diimplementasikan ... 28 Gambar 6. Diagram Konteks ...................................................................................... 29 Gambar 7. DAD Level 1 ............................................................................................ 30 Gambar 8. DAD Level 2 Pendaftaran Pasien ............................................................. 32 Gambar 9. Desain Basis Data ..................................................................................... 33 Gambar 10. Contoh desain user interface untuk rekam medis pasien ....................... 47 Gambar 11. Basis data dibuat dan dikelola menggunakan phpMyAdmin ................. 48 Gambar 12. Notepad++ sebagai editor kode program ............................................... 49 Gambar 13. Mekanisme bridging data dengan BPJS ................................................. 50 Gambar 14. Halaman Login ....................................................................................... 51 Gambar 15. Halaman Utama ...................................................................................... 51 Gambar 16. List data pasien ....................................................................................... 52 Gambar 17. Pendaftaran pasien .................................................................................. 52 Gambar 18. Rekam medis pasien ............................................................................... 53 Gambar 19. Menu Laporan......................................................................................... 54 Gambar 20. Grafik Hasil Rekapitulasi Kuesioner ...................................................... 54 viii DAFTAR LAMPIRAN 1. Lembar Penjelasan Kepada Informan Penelitian 2. Persetujuan Keikutsertaan Dalam Penelitian 3. Pedoman Wawancara Mendalam 4. Panduan Focus Group Discussion (FGD) 5. Catatan Studi Dokumentasi 6. Kuesioner Uji Coba Prototipe Rekam Medis Elektronik 7. Hasil Rekapitulasi Kuesioner 8. Ethical Clearance ix DAFTAR SINGKATAN BPJS : Badan Penyelenggara Jaminan Sosial DAD : Diagram Arus Data DBMS : Database Management System DFD : Data Flow Diagram FAST : Framework for the Application of Systems Techniques FKTP : Fasilitas Kesehatan Tingkat Pertama ICD : International Classification of Diseases ICPC : International Classification of Primary Care KTP : Kartu Tanda Penduduk NIK : Nomor Induk Kependudukan Permenkes : Peraturan Menteri Kesehatan PHP : PHP Hypertext Protocol PSSUQ : Post-Study System Usability Questionnaire RAD : Rapid Application Development SDLC : System Developmen Life Cycle