iii DAFTAR ISI DAFTAR ISI....................................................................................................iii DAFTAR TABEL ............................................................................................. v DAFTAR GAMBAR........................................................................................ vi DAFTAR LAMPIRAN ...................................................................................vii DAFTAR SINGKATAN ................................................................................viii SURAT PERNYATAAN ................................................................................. ix KATA PENGANTAR ....................................................................................... x ABSTRAK ......................................................................................................xii ABSTRACT.....................................................................................................xiii BAB I................................................................................................................ 1 PENDAHULUAN............................................................................................. 1 A. Latar Belakang ................................................................................................... 1 B. Perumusan Masalah ........................................................................................... 4 C. Tujuan Penelitian ............................................................................................... 4 D. Manfaat Penelitian ............................................................................................. 4 E. Keaslian Penelitian ............................................................................................ 5 BAB II .............................................................................................................. 7 TINJAUAN PUSTAKA .................................................................................... 7 A. Telaah Pustaka ................................................................................................... 7 B. Landasan Teori ................................................................................................. 20 C. Kerangka Teori................................................................................................. 21 D. Kerangka Konsep ............................................................................................. 21 E. Pertanyaan Penelitian ...................................................................................... 22 BAB III ........................................................................................................... 23 METODE PENELITIAN ................................................................................ 23 A. Rancangan Penelitian ...................................................................................... 23 B. Lokasi Penelitian dan Waktu Penelitian ....................................................... 23 C. Subyek ............................................................................................................... 24 iv D. Variabel dan Definisi Operasional ................................................................ 24 E. Instrumen Penelitian ........................................................................................ 25 F. Cara Pengumpulan Data ................................................................................. 25 G. Cara Analisis Data ........................................................................................... 26 H. Etika Penelitian ................................................................................................ 27 I. Jalannya Penelitian .......................................................................................... 27 BAB IV ........................................................................................................... 29 HASIL DAN PEMBAHASAN........................................................................ 29 A. Hasil ................................................................................................................... 29 B. Pembahasan ...................................................................................................... 61 BAB V ............................................................................................................ 65 KESIMPULAN DAN SARAN........................................................................ 65 DAFTAR PUSTAKA...................................................................................... 66 v DAFTAR TABEL Tabel 1. Keaslian Penelitian............................................................................... 5 Tabel 2. Kebutuhan Sistem Informasi Klinik Az-Zahra Kota Tasikmalaya....... 31 Tabel 3. Tabel ref_fktp .................................................................................... 38 Tabel 4. Tabel user_group ............................................................................... 38 Tabel 5. Tabel user .......................................................................................... 39 Tabel 6. Tabel ref_propinsi.............................................................................. 39 Tabel 7. Tabel ref_kabupaten........................................................................... 39 Tabel 8. Tabel ref_kecamatan .......................................................................... 40 Tabel 9. Tabel ref_kelurahan ........................................................................... 40 Tabel 10. Tabel ref_pekerjaan.......................................................................... 40 Tabel 11. Tabel ref_agama .............................................................................. 40 Tabel 12. Tabel ref_pendidikan ....................................................................... 41 Tabel 13. Tabel ref_pasien............................................................................... 41 Tabel 14. Tabel pasien_alergi .......................................................................... 42 Tabel 15. Tabel pasien_imunisasi .................................................................... 43 Tabel 16. Tabel pasien_penyakit...................................................................... 43 Tabel 17. Tabel pasien_keluarga...................................................................... 44 Tabel 18. Tabel ref_poliklinik.......................................................................... 44 Tabel 19. Tabel ref_tindakan ........................................................................... 45 Tabel 20. Tabel ref_diagnosis .......................................................................... 45 Tabel 21. Tabel kunjungan .............................................................................. 45 Tabel 22. Tabel kunjungan_detail .................................................................... 46 Tabel 23. Tabel kunjungan_tindakan ............................................................... 47 Tabel 24. Tabel kunjungan_diagnosis .............................................................. 47 Tabel 25. Tabel ref_obat.................................................................................. 48 Tabel 26. Tabel kunjungan_obat ...................................................................... 48 Tabel 27. Tabel kunjungan_penunjang............................................................. 48 Tabel 28. Spesifikasi teknis pembuatan prototype sistem informasi elektronik. 54 vi DAFTAR GAMBAR Gambar 1. System Development Life Cycle ...................................................... 10 Gambar 2. System Development Life Cycle ...................................................... 12 Gambar 3. Tahapan Prototyping ...................................................................... 21 Gambar 4. Kerangka Konsep ........................................................................... 21 Gambar 5. Alur Pelayanan di Klinik Az-Zahra Kota Tasikmalaya ................... 29 Gambar 6. Diagram Konteks ........................................................................... 33 Gambar 7. DAD Level 1.................................................................................. 34 Gambar 8. Desain Basis Data .......................................................................... 37 Gambar 9. Contoh desain user interface menu login ........................................ 50 Gambar 10. Contohdesain user interface untuk halaman utama sistem............. 50 Gambar 11. Contoh desain user interface untuk menu list data pasien ............. 51 Gambar 12. Contoh desain user interface menu pendaftaran pasien ................. 51 Gambar 13. Contoh desain user interface menu rekam medis pasien ............... 52 Gambar 14. Contoh desain user interface menu laporan .................................. 52 Gambar 15. Contoh desain user interface menu PHR....................................... 53 Gambar 16. Contoh desain user interface tampilan PHR.................................. 53 Gambar 17. Halaman Login ............................................................................. 55 Gambar 18. Halaman Utama............................................................................ 56 Gambar 19. List data pasien............................................................................. 57 Gambar 20. Pendaftaran pasien........................................................................ 57 Gambar 21. Rekam medis pasien ..................................................................... 58 Gambar 22. Menu Laporan .............................................................................. 59 Gambar 23. Menu PHR ................................................................................... 59 Gambar 24. Tampilan PHR.............................................................................. 60 vii DAFTAR LAMPIRAN 1. Lembar Penjelasan Kepada Informan Penelitian. 2. Persetujuan Keikutsertaan Dalam Penelitian. 3. Pedoman Wawancara Mendalam. 4. Lembar Observasi. 5. Pedoman FGD 6. Catatan Studi Dokumentasi 7. Ethical Clearance 8. Surat izin dari Klinik Az-ZahraKota Tasikmalaya viii DAFTAR SINGKATAN CT-Scan : Computerized Axial Tomografi DAD : Diagram Arus Data DFD : Data Flow Diagram EKG : Elektrokardiogram EMR : Electronic Medical Record EPHR : Electronic Prsonal Health Record ERD : Entity Relationship Diagram FGD : Focus Group Discussion FKTP : Fasilitas Kesehatan Tingkat Pertama HMO : Health Maintenance Organization ICD-9-CM :International Classification of Diseases, Ninth Revision, Clinical Modification ICD-10 : International Classification of Diseases and Related Health Problems Tenth Revision JPKM : Jaminan Pemeliharaan Kesehatan Mahasiswa KIA : Kesehatan Ibu dan Anak KTP : Kartu Tanda Penduduk MRI :Magnetic Resonance Imaging MySQL : MY structured query language Permenkes : Peraturan Menteri Kesehatan PHP : PHP Hypertext Protocol PHR : Prsonal Health Record SDLC : System Developmen Life Cycle STD : State Transition Diagram SIK : Sistem Informasi Kesehatan SIMRS : Sistem Informasi Manajemen Rumah Sakit XAMPP :x Apache MySQL PHP Perl