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All Journal Jurnal Kesehatan Masyarakat LINK Media Ilmu Kesehatan Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Indonesian of Health Information Management Journal (INOHIM) Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Jurnal Ilmiah Pamenang (JIP) GANESHA: Jurnal Pengabdian Masyarakat Journal of Innovation in Community Empowerment (JICE) Aptekmas : Jurnal Pengabdian Kepada Masyarakat Lentera Perawat PELS (Procedia of Engineering and Life Science) Indonesian Journal of Health Information Management Services (IJHIMS) Journal of Social Comunity Services Jurnal Ekonomi Kesehatan Indonesia
laili rahmatul ilmi
Universitas Muhammadiyah Sidoarjo
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Migration of Midwifery Care Documentation to Medical Records Barokah, Liberty; Dewi Zolekhah; Laili Rahmatul Ilmi
Lentera Perawat Vol. 5 No. 2 (2024): Lentera Perawat
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v5i2.320

Abstract

Medical records are the key to documenting services for health workers who carry out independent practice, good documentation greatly affects the fulfillment of administrative aspects, legal aspects for midwives and patients and provides convenience in maintaining the quality of care documentation to patients. Medical records are very important for health care facilities including Independent Midwife Practices. The function of medical records is to record all health services that have been provided to patients in order to support the improvement of service quality. this study is to implement integrated midwifery care documentation using medical records. The purpose of this study was to implement integrated midwifery care documentation using medical records. This research is an RnD (Research and Development) study with a case study approach. Researchers conducted a data collection process with FGDs. The research was conducted in April-September 2023 at PMB Ummu Hani Bantul Yogyakarta. The object is the recording form that has been implemented. The data validation process used source and technical triangulation. The physical aspect of each form is A4 in size with a weight of 70mg, the paper used for the medical record folder is F4, glossy with cream-colored paper type ivory 260gram. The content aspect includes the division of data items, grouping of data, sequent and how to fill in based on the woman's life cycle, namely grouping the contents for data on pregnant women, maternity, postpartum and children. Obstetric documentation has used integrated documentation from pregnancy to postpartum and child growth and development which has become one document using a medical record folder.
Rekam Medis: Desain, Manfaat dan Penerapannya di Praktik Bidan Mandiri Ummu Hani Yogyakarta Ilmi, Laili Rahmatul; Barokah, Liberty; Zolekhah, Dewi
Indonesian of Health Information Management Journal (INOHIM) Vol 12, No 1 (2024): INOHIM
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/inohim.v12i1.576

Abstract

AbstractBased on observations and document studies at PMB Ummu Hani Bantul Yogyakarta, the medical record documentation system has not been optimal. PMB Ummu Hani lacks standardized medical record folders, KIB (Patient Identity Cards), and forms. For instance, postpartum records are kept in large folio paper books with batik covers, where the paper size of each form is not uniform. All healthcare personnel and facilities must maintain proper and accurate medical records to protect both patients and healthcare providers and to support the continuity of care. This study aims to design a medical record system that benefits PMB Ummu Hani. The research method used is Research and Development (RnD) with a case study approach. Data collection was conducted through observation and document review of existing medical record forms and Focus Group Discussions (FGD) with 9 midwives. The forms were designed using Canva and Epi Info applications and were tested through design presentations and a second round of FGD. The study resulted in the design of medical record folders, KIB, prenatal examination forms, delivery forms, medical procedure forms, partograph forms, postpartum forms, and child growth records. The medical record folder uses ivory paper, size F4, weighing 260 grams, cream-colored. The medical record forms use A4 paper, weighing 70 grams, white-colored, and the KIB paper size is 85.6 cm x 53.9 cm.Keyword: design, medical record, primary care of Ummu Hani AbstrakBerdasarkan hasil observasi dan studi dokumen di PMB Ummu Hani Bantul Yogyakarta, sistem pencatatan dan pendokumentasian rekam medis belum berjalan optimal. PMB Ummu Hani belum memiliki map rekam medis yang standar, KIB, dan formulir yang terstandar. Contohnya, pencatatan nifas menggunakan buku besar berukuran kertas folio bergaris dengan sampul batik, di mana ukuran kertas setiap formulir tidak seragam. Setiap tenaga kesehatan dan fasilitas pelayanan kesehatan wajib menyelenggarakan rekam medis yang baik dan benar untuk memberikan perlindungan bagi pasien dan tenaga kesehatan, serta mendukung keberlanjutan pemeriksaan dan pengobatan. Penelitian ini bertujuan untuk mendesain rekam medis yang bermanfaat bagi PMB Ummu Hani. Metode penelitian yang digunakan adalah Research and Development (RnD) dengan pendekatan studi kasus. Pengumpulan data dilakukan melalui observasi dan studi dokumen pada formulir rekam medis yang ada, serta Focus Group Discussion (FGD) dengan 9 bidan. Desain formulir dibuat menggunakan aplikasi Canva dan Epi Info, kemudian diuji coba melalui presentasi hasil desain dan FGD tahap 2. Hasil penelitian menghasilkan desain map rekam medis, KIB, formulir pemeriksaan kehamilan, formulir persalinan, formulir tindakan medis, formulir patografi, formulir nifas, dan buku tumbuh kembang anak. Map rekam medis menggunakan kertas jenis ivory ukuran F4 dengan berat 260gram berwarna krem, sementara kertas formulir rekam medis berukuran A4 dengan berat 70gram berwarna putih, dan kertas KIB berukuran 85,6 cm x 53,9 cm.Kata Kunci: desain, rekam medis, PMB Ummu Hani 
Dengue Hemorrhagic Fever in Jepara Indonesia: Reporting Data From The Discrict Disease Surveillance Wijayanti, Nani Dwi; Ilmi, Laili Rahmatul; Nisak, Umi Khoirun; Widayati, Eka; Pramesti, Febryan Nidya; Ningsih, Eka Rahma
Procedia of Engineering and Life Science Vol. 6 (2024): The 3rd International Scientific Meeting on Health Information Management (3rd ISMoHI
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v6i0.1969

Abstract

Indonesia is a tropical country vulnerable to infectious diseases, including dengue fever caused by mosquito bites. Dengue fever cases are a burden on the world because they can cause death. WHO reported that in May 2024, there were a total of 465 cases in districts/cities in 34 provinces, the national death rate until May 2024 was 777 deaths. Recording a complete medical record can support good disease reporting. This study aims to determine the distribution of dengue fever cases in Jepara district, Central Java in 2023-2024. The method of this study is descriptive. The population is disease reports in 2023 and 2024, and the sample used is the dengue fever disease report for the period January - May 2024 with random sampling techniques. Data imported from Microsoft Access is processed with a stata application and narrated descriptivelyThe number of dengue fever sufferers spread across 16 sub-districts is 3,549 with 1,728 male and 1,821 female sufferers. Of the 16 sub-districts, the highest number is in Pecangaan District 543 cases, and the lowest cases are in Karimunjawa District. The category of patients based on the highest age group in category 1 (0-4 years old) was 2,136 (60.17%), with the highest mortality rate in category 2 (5-14 years old) as many as 12 people and the highest CFR at Kartini Hospital with a total of 19%, namely 12.9% in male patients and 7.24% in female patients. (dengue fever, cases, reporting). Dengue fever, Jepara District, Case Fatality Rate, Age group, Epidemiology
ANALISIS RANCANGAN ALAT DETEKSI DINI ANEMIA PADA REMAJA SEBAGAI SOLUSI PENANGANAN STUNTING SEJAK DINI: Analysis Of The Design Of An Early Detection Tool For Anemia In Adolescents As A Solution For Handling Stunting From An Early Age Rahmawati, Indah Diah; Ilmi, Laili Rahmatul; Nisak, Umi Khoirun
Jurnal Ilmiah Pamenang Vol. 7 No. 2 (2025): Jurnal Imiah Pamenang (JIP)
Publisher : Stikes Pamenang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53599/jip.v7i2.360

Abstract

Abstrak Anemia pada remaja putri merupakan masalah kesehatan masyarakat yang signifikan, dengan prevalensi global mencapai 29% dan bahkan lebih tinggi di negara berkembang. Kondisi ini dapat memicu berbagai komplikasi jangka panjang, termasuk risiko stunting pada anak di masa depan. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan Research and Development (R&D). Pemilihan metode ini didasarkan pada tujuan penelitian untuk mengembangkan desain awal aplikasi deteksi dini anemia non-invasif berbasis mobile serta mengevaluasi kualitasnya berdasarkan model kesuksesan sistem informasi Delone dan McLean. Penelitian dilaksanakan di Posyandu Remaja Desa Penatarsewu dengan melibatkan 60 remaja putri sebagai responden serta wawancara dengan tenaga kesehatan yang diambil decara total sampling. Data dikumpulkan melalui kuesioner dan studi pustaka. Hasil penelitian menunjukkan bahwa kualitas sistem, informasi, dan layanan aplikasi memiliki hubungan yang signifikan terhadap penggunaan, kepuasan pengguna, dan manfaat bersih (net benefits). Korelasi tertinggi ditemukan antara kepuasan pengguna dan manfaat bersih (ρ = 0,835), serta antara intensitas penggunaan dan manfaat bersih (ρ = 0,788). Aplikasi yang dikembangkan menyediakan fitur seperti pencatatan konsumsi tablet tambah darah (TTD), pengukuran hemoglobin, riwayat kesehatan, serta layanan konsultasi online. Hasil ini menunjukkan bahwa aplikasi memiliki potensi untuk menjadi alat bantu yang efektif dan efisien dalam pencegahan anemia pada remaja putri. Penerapan teknologi digital dalam edukasi dan deteksi dini anemia terbukti mampu meningkatkan keterlibatan pengguna dan kualitas layanan kesehatan berbasis komunitas.   Abstract   Anemia among adolescent girls is a significant public health issue, with a global prevalence of 29% and even higher rates in developing countries. This condition can lead to various long-term complications, including an increased risk of stunting in future offspring. This study aims to develop a preliminary design of a non-invasive, mobile-based early detection application for anemia and to evaluate its quality using the DeLone and McLean information system success model. The research employed a Research and Development approach conducted at the Adolescent Health Post (Posyandu Remaja) in Penatarsewu Village, involving 60 adolescent girls and interviews with healthcare professionals. Data were collected through questionnaires, and literature review. The findings reveal that system quality, information quality, and service quality significantly influence usage, user satisfaction, and net benefits. The strongest correlations were found between user satisfaction and net benefits (ρ = 0.835), and between system usage and net benefits (ρ = 0.788). The developed application features functions such as tracking iron tablet (TTD) intake, hemoglobin monitoring, health history records, and online consultation services. These results indicate that the application has the potential to be an effective and efficient tool in preventing anemia among adolescent girls. The integration of digital technology in education and early anemia detection has proven to enhance user engagement and improve the quality of community-based healthcare services.
Rancangan Bangun Aplikasi Berbasis Mobile Pengukur Kualitas Rekam Medis Di Rumah Sakit Aisyiyah Siti Fatimah Tulangan Ilmi, Laili Rahmatul; Ismail, Maura Aulia; Nisak, Umi Khoirun
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 11 No. 1 (2026): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v11i1.1937

Abstract

The quality of medical record completeness is very vital, hence it needs to be taken seriously. Sifi Fatimah Tulangan Hospital focuses on quality control, necessitating innovation to facilitate users in maintaining quality, which is achieved through the design and development of a mobile-based medical record quality measurement application. This research aims to assist in monitoring and evaluating the quality and completeness of medical record filling. This type of research is action research with a Research and Development (RnD) design. There are 8 steps involved in this research, starting with primary data collection through interviews with users using an interview guide to understand their needs as a basis for designing and developing the mobile-based application. Subsequently, 7 steps are taken to produce products, including initial design, creating user flow, creating use case diagrams, creating activity diagrams for mobile-based UI (User Interface) design, and designing the application wireframe.Needs as the basis for designing and building mobile-based applications, followed by 7 steps taken to produce products including initial design, creating user flow, creating use case diagram, creating activity diagram for mobile-based UI (User Interface) design, designing wireframe for medical record quality measurement application, conducting design using Figma application, and the results of the trials. The design results that meet the needs are then developed by the IT department at the hospital, and the output of this research is a journal and intellectual property rights.
Redesain dan Pendampingan Implementasi Formulir General Consent dan Informed Consent di Klinik Fisioterapi UMSIDA Resta Dwi Yuliani; Laili Rahmatul Ilmi
GANESHA: Jurnal Pengabdian Masyarakat Vol 6 No 2 (2026): Juli 2026
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Tunas Pembangunan Surakarta (UTP)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36728/ganesha.v6i2.6390

Abstract

Upaya dalam mewujudkan penyelenggaraan rekam medis yang baik diperlukan unsur penunjang yaitu pembuatan formulir rekam medis. Beberapa formulir yang wajib ada dalam penyelenggaraan rekam medis adalah formulir general consent (persetujuan umum) dan Informed consent (persetujuan/ penolakan tindakan). Berdasarkan hasil observasi yang dilakukan dari desain formulir yang ada di klinik Fisioterapi UMSIDA yaitu formulir persetujuan setelah penjelasan belum dipisahkan antara informasi yang ditujukan pada persetujuan umum (general consent) dan informasi yang ditujukan untuk persetujuan/ penolakan tindakan (informed consent), selain itu juga belum memenuhi standar sesuai dengan unsur desain formulir. Tujuan dalam pengabdian masyarakat ini adalah redesain dan pendampingan implementasi formulir general consent dan informed consent di Klinik Fisioterapi UMSIDA. Hasil abdimas ini dilakukan tahap analisis kebutuhan yang dilakukan melalui tahapan wawancara dengan user, desain formulir sesuai dengan aspek anatomi yang terdiri dari (Heading, Introduction, Instruction, Body, Close), isi terdiri dari (Kelengkapan butir data/ item, Terminologi data, Istilah, Singkatan, Simbol) dan fisik terdiri dari (Bahan, bentuk, warna dan ukuran) selanjutnya hasil analisis kebutuhan serta dilakukan pendampingan implementasi hasil redesain formulir General Consent dan Informed Consent.
EDUKASI SATU SEHAT : BALITA SEHAT BEBAS STUNTING : Kegiatan Pengabdiam Kepada Masyarakat ini memperkenalkan dan pendampingan penggunaan Aplikasi Satu Sehat berbasis mobile di Desa Balungtawon Lamongan Jawa Timur Laili Rahmatul Ilmi; Umi Khoirun Nisak; Riska Maratus; M. Arif Hidayat
Indonesian Journal of Health Information Management Services Vol. 6 No. 1 (2026): Indonesian Journal of Health Information Management Services (IJHIMS)
Publisher : APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/ijhims.v6i1.223

Abstract

Satu sehat merupakan platform yang digunakan sebagai media pertukaran informasi Kesehatan berbasis mobile atau desktop yang dapat memberikan manfaat kemudahan dalam akses data Kesehatan, platform ini dikembalikan oleh kementrian Kesehatan sejak tahun 2022. Aplikasi ini dikembangkan sebagai ekosistem digital antar fasilitas Kesehatan. Kemudahan aplikasi ini bisa dimanfaatkan oleh masyarakat untuk mengetahui data Kesehatan personal (PHR). Meskipun telah berjalan 4 tahun, belum semua masyarakat terpapar satu sehat. Sehingga masyarakat belum bisa mengecek data Kesehatan dan Riwayat Kesehatan yang perneh diterima di fasilitas Kesehatan dasar dan lanjutan. Metode pelaksanaan kegiatan ini adalah koordinasi dengan penanggung jawab Kesehatan di Desa Balung Tawon Lamongan. Kegiatan abdimas ini terdiri dari penyampaian materi oleh ketua dan anggota pengusul, dan dilanjutkan ujian pre dan post tes setelah pemaparan materi kepada peserta. Luaran yang dihasilkan adalah flyer Langkah-langkah penggunaan aplikasi Satu Sehat. Luaran yang dihasilkan adalah HaKI dan Publikasi Jurnal pengabdian masyarakat IJHIMS.
Design User Interface Rekam Medis Elektronik Dengan Metode Participatory Design Di Klinik Rawat Inap Islam Aisyiyah Pandaan Rendriana Putri Wahyana; Laili Rahmatul Ilmi; Umi Khoirun Nisak
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 11 No. 2 (2026): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Agustus
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v11i2.2299

Abstract

Advances in information technology in the healthcare sector have encouraged healthcare facilities to implement Electronic Medical Records (EMR) in accordance with Minister of Health Regulation Number 24 of 2022. However, the Aisyiyah Islamic Inpatient Clinic in Pandaan still faces various obstacles in managing medical records, such as the use of a semi-manual system, duplication of patient data, delays in service delivery, recording errors, and difficulties in retrieval of patient data. These conditions result in ineffective service processes and potentially impact the quality of healthcare services. Therefore, this study aims to design an Electronic Medical Record User Interface (UI) that meets user needs using Participatory Design methods. This study employed Research and Development (R&D) methods with a Participatory Design approach that actively involved users at every stage of the design. Data collection was conducted through observation, interviews, Focus Group Discussions (FGDs), and literature review with healthcare workers at the Aisyiyah Islamic Inpatient Clinic in Pandaan. The research stages included identifying user needs, creating mockups and wireframes, evaluating the design, revising it, and validating the user interface design. The research results show that users require a UI that is simple, easy to understand, responsive, and aligned with the healthcare workflow. Expected features include automatic validation to prevent data duplication, examination input templates, integration between service units, and a faster and more stable system. The resulting UI design is able to facilitate data input, search for patient information, and improve service efficiency in the clinic. Thus, the design of an Electronic Medical Record User Interface based on Participatory Design is expected to be a solution in supporting the digital transformation of healthcare services that are more effective, safe, and integrated.
Co-Authors Angga Eko Pramono Ayu Wahyuningsih Budhi Wicaksono Chinara Manuela Cholifah, Cholifah Dian Budi Santoso Dwi Mardiyanti Hardjo, Kuswanto Herawan, Heri Heri Herawan Heri Hernawan Ida Nursanti Ida Nursanti Imaniar Sevtiyani Indriyani, Meita Ismail, Maura Aulia Kharisma , Andi Kinanthi, Citra Anggun Kuswanto Hardjo Liberty Barokah M. Arif Hidayat Mega Handayani Muhammad Miftah Fajar Natasya , Nabila Insyira Ningsih, Eka Rahma Pramesti, Febryan Nidya Praptana Praptana Praptana Praptana Pratana Praptana, Praptana Puspita, Kori Rahmawati, Indah Diah Ratna Prahesti Ratna Prahesti Rendriana Putri Wahyana Resta Dwi Yuliani Riska Maratus Sari, Rizky Yuspita Sis Wuryanto Sujono Riyadi Suryo Nugroho Markus Syairaji Tri Sunarsih Umi Khoirun Nisak Widayati, Eka Wijayanti, Nani Dwi Zakharias Purbobinuko Zennul Mubarrok Zolekhah, Dewi