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Widiyanto, Wahyu Wijaya

Politeknik Indonusa Surakarta

Author-ID : 1231742

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Readiness Analysis of Electronic Medical Record Implementation at Raja Ampat District Hospital Using DOQ-IT Ani Dwi Andriyani; Wahyu Wijaya Widiyanto
Saintika Medika : Jurnal Ilmu Kesehatan dan Kedokteran Keluarga Vol. 21 No. 2 (2025): December 2025
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol21.SMUMM2.40491

This study aims to assess the readiness of RSUD Kabupaten Raja Ampat for Electronic Medical Records (EMR) implementation using the DOQ-IT framework. The research focuses on four domains: Human Resources, Organizational Culture, Governance & Leadership, and Technology Infrastructure. A cross-sectional survey was conducted involving 150 respondents from various hospital departments. The findings indicate varying levels of readiness across domains, with the highest readiness observed in Governance & Leadership (76%), followed by Organizational Culture (70%), Human Resources (64%), and Technology Infrastructure (58%). Critical challenges include inadequate training, poor communication, and outdated infrastructure. Governance & Leadership demonstrated the strongest readiness due to management support, while Technology Infrastructure showed the lowest readiness due to network issues and hardware limitations. This study concludes that RSUD Kabupaten Raja Ampat is partially ready for EMR implementation. Effective strategies to address identified barriers include enhancing training programs, improving communication practices, and investing in updated infrastructure to achieve full readiness.

ANALISIS KEPUASAN PENGGUNA SISTEM INFORMASI MANAJEMEN RUMAH SAKIT BERDASARKAN TECHNOLOGY ACCEPTANCE MODEL DAN TASK-TECHNOLOGY FIT PADA PELAYANAN RAWAT JALAN DI RSUD KOTA SALATIGA Malchiana Desmitha Sari; Aries Widiyoko; Wahyu Wijaya Widiyanto
Indonesian Journal of Health Research Innovation Vol. 3 No. 2 (2026): Indonesian Journal of Health Research Innovation
Publisher : Yayasan Menawan Cerdas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64094/mj7m4r68

Penerapan Sistem Informasi Manajemen Rumah Sakit (SIMRS) menjadi bagian penting dalam meningkatkan mutu dan efisiensi pelayanan rumah sakit. Namun, implementasi SIMRS pada pelayanan rawat jalan masih menghadapi kendala teknis dan fungsional yang dapat memengaruhi kepuasan pengguna. Penelitian ini bertujuan menganalisis hubungan faktor-faktor dalam Technology Acceptance Model (TAM) dan Task-Technology Fit (TTF) dengan kepuasan pengguna SIMRS. Penelitian ini merupakan penelitian kuantitatif dengan desain cross-sectional yang dilakukan di RSUD Kota Salatiga. Populasi sasaran berjumlah 105 pengguna SIMRS, dengan sampel 30 responden yang dipilih menggunakan purposive sampling. Variabel dependen adalah kepuasan pengguna. Variabel independen meliputi perceived usefulness, perceived ease of use, behavioral intention to use, Task-Technology Fit, dan task characteristics. Data dikumpulkan menggunakan kuesioner skala Likert yang telah diuji validitas dan reliabilitasnya, kemudian dianalisis menggunakan uji korelasi Spearman Rank pada α=0,05. Perceived usefulness (r=0,175; p=0,356), perceived ease of use (r=0,154; p=0,416), dan task characteristics (r=0,289; p=0,122) tidak berhubungan signifikan dengan kepuasan pengguna SIMRS. Behavioral intention to use berhubungan signifikan dengan kepuasan pengguna (r=0,365; p=0,047). Task-Technology Fit memiliki hubungan paling kuat dan signifikan dengan kepuasan pengguna (r=0,562; p=0,001). Kepuasan pengguna SIMRS lebih berkaitan dengan kesesuaian teknologi terhadap tugas dibandingkan dengan persepsi manfaat atau kemudahan penggunaan. Temuan ini menunjukkan bahwa keberhasilan implementasi SIMRS pada pelayanan rawat jalan sangat ditentukan oleh kemampuan sistem dalam mendukung kebutuhan kerja pengguna.

ANALISIS KEPUASAN PENGGUNA E-PUSKESMAS DENGAN METODE END USER COMPUTING SATISFACTION (EUCS) DI PUSKESMAS NGEMPLAK KABUPATEN BOYOLALI Suyaningrum; Wahyu Wijaya Widiyanto; Frestiany Regina Putri
Indonesian Journal of Health Research Innovation Vol. 3 No. 2 (2026): Indonesian Journal of Health Research Innovation
Publisher : Yayasan Menawan Cerdas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64094/7956e163

Perkembangan teknologi informasi mendorong penerapan Rekam Medis Elektronik (RME) di fasilitas pelayanan kesehatan, termasuk puskesmas. Kepuasan pengguna menjadi indikator penting dalam menilai keberhasilan sistem informasi kesehatan. Penelitian ini bertujuan untuk menganalisis kepuasan pengguna e-Puskesmas menggunakan metode End User Computing Satisfaction (EUCS). Penelitian ini menggunakan desain deskriptif kuantitatif dengan pendekatan cross-sectional di Puskesmas Ngemplak Boyolali. Sampel berjumlah 35 responden dengan teknik total sampling. Kepuasan pengguna diukur berdasarkan lima dimensi EUCS dan dianalisis secara deskriptif menggunakan nilai rata-rata (mean) yang dikategorikan ke dalam interval tingkat kepuasan. Tingkat kepuasan pengguna berada pada kategori puas (mean=3,80). Dimensi content tertinggi (mean=3,88), sedangkan accuracy dan format terendah (mean=3,73). Seluruh dimensi termasuk kategori puas, namun masih terdapat kendala pada fitur dan akses sistem. Sistem e-Puskesmas telah memenuhi kebutuhan pengguna dengan tingkat kepuasan yang baik, namun masih perlu peningkatan pada beberapa aspek.

Analisis Spasial Kasus Pneumonia Berbasis Sistem Informasi Geografis Di Kabupaten Boyolali Siti Slasaini Ahluljanah Ahluljanah; Sinta Novratilova; Wahyu Wijaya Widiyanto
Jurnal Manajemen Informasi dan Administrasi Kesehatan (JMIAK) Vol. 9 No. 1 (2026): JMIAK
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v9i1.8155

Pneumonia is a public health problem that is still a major cause of morbidity, especially in areas with diverse environmental conditions and population density, such as in Boyolali Regency. This research aims to map the distribution of pneumonia cases based on population density and regional topography and analyze the distribution pattern of pneumonia cases to support planning of targeted health interventions. The method used in this research is quantitative descriptive with a spatial analysis method based on a geographic information system. All data obtained is processed using the Qgis software application to visualize a map of pneumonia cases. The results of the Moran's autocorrelation test show a widespread pattern of case distribution with a Morans index value of -0.290, p-value 0.104 and z-score -1.0398 and there is no significant spatial autocorrelation between regions. Areas with high and medium cases are in densely populated sub-districts and in areas with relatively moderate altitude. Therefore, promotive and preventive efforts need to be carried out evenly in all regions for early anticipation in areas with a low number of pneumonia cases.

Evaluasi Implementasi RME Rawat Jalan RSU Fitri Candra Wonogiri Berbasis HOT-Fit Diva Adinia Cipta; Wahyu Wijaya widiyanto
Jurnal Manajemen Informasi dan Administrasi Kesehatan (JMIAK) Vol. 9 No. 1 (2026): JMIAK
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v9i1.8196

Implementasi Rekam Medis Elektronik (RME) merupakan bagian penting dari transformasi digital pelayanan kesehatan, khususnya pada pelayanan rawat jalan yang melibatkan berbagai unit kerja dan membutuhkan ketersediaan data yang cepat, akurat, serta terintegrasi. Keberhasilan penerapan RME tidak hanya ditentukan oleh ketersediaan aplikasi, tetapi juga dipengaruhi oleh kesiapan pengguna, dukungan organisasi, kualitas teknologi, dan manfaat yang dirasakan. Penelitian ini bertujuan untuk mengevaluasi implementasi RME pada pelayanan rawat jalan RSU Fitri Candra Wonogiri menggunakan model HOT-Fit. Penelitian ini menggunakan metode kualitatif deskriptif. Informan penelitian berjumlah 11 orang yang terdiri dari petugas pendaftaran, perawat poli, petugas farmasi, kasir, laboratorium, radiologi, rekam medis, dokter poli, IT, kepala instalasi rekam medis, dan manajemen. Data dikumpulkan melalui wawancara, observasi, dan telaah dokumen, kemudian dianalisis melalui reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa aspek Human sudah cukup baik karena pengguna merasa RME mudah digunakan dan membantu pelayanan, tetapi pelatihan belum dilakukan secara rutin. Aspek Organization menunjukkan adanya dukungan manajemen dan IT, namun belum terdapat SK pengelola RME dan SOP masih dalam proses penyusunan. Aspek Technology menunjukkan bahwa sistem cukup mudah digunakan dan fitur cukup lengkap, tetapi masih terdapat kendala jaringan, downtime, dan data pelaporan yang perlu diolah manual. Aspek Net Benefit menunjukkan bahwa RME mempercepat pelayanan, mengurangi duplikasi data, memudahkan pencarian data pasien, dan meningkatkan efisiensi kerja. Implementasi RME telah berjalan cukup baik, tetapi masih memerlukan penguatan tata kelola, pelatihan berkala, stabilitas sistem, dan pengembangan fitur pelaporan.

Studi Literatur : Analisis Kepuasan pengguna terhadap Penggunaan Sistem Informasi Manajemen Rumah Sakit (SIMRS) Siti Solikah; Wahyu Wijaya Widiyanto
Jenggala : Jurnal Riset Pengembangan dan Pelayanan Kesehatan Vol 5 No 1 (2026): JUNI 2026
Publisher : Fakultas Teknologi dan Manajemen Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56399/jgl.v5i1.362

Abstract. This literature study aims to analyze user satisfaction with Hospital Management Information Systems (HMIS/SIMRS) and Electronic Medical Records (EMR) using the End User Computing Satisfaction (EUCS) framework, which includes five dimensions: content, accuracy, format, ease of use, and timeliness. The review was conducted on ten selected journal articles that examined the implementation and user experiences of health information systems in healthcare facilities. The synthesis shows that user satisfaction generally ranges from good to very good, particularly in terms of information content, interface presentation, and timeliness. Nevertheless, several studies reported recurring challenges related to system usability and data accuracy, often associated with interface complexity, limited user familiarity, and technical constraints such as slow response time and system errors. These findings indicate that system quality and information quality remain key determinants of user satisfaction. Overall, SIMRS and EMR contribute positively to healthcare service delivery, although continuous improvement is necessary to enhance usability, responsiveness, and alignment with user needs. Keywords: User Satisfaction, SIMRS, EUCS Abstrak. Studi literatur ini bertujuan untuk menganalisis tingkat kepuasan pengguna terhadap Sistem Informasi Manajemen Rumah Sakit (SIMRS) dan Rekam Medis Elektronik (RME) dengan menggunakan kerangka End User Computing Satisfaction (EUCS) yang mencakup lima dimensi, yaitu content, accuracy, format, ease of use, dan timeliness. Kajian dilakukan terhadap sepuluh artikel jurnal yang membahas implementasi serta pengalaman pengguna dalam pemanfaatan sistem informasi kesehatan di berbagai fasilitas pelayanan. Hasil sintesis menunjukkan bahwa tingkat kepuasan pengguna umumnya berada pada kategori baik hingga sangat baik, terutama pada aspek konten informasi, tampilan sistem, dan ketepatan waktu. Namun demikian, beberapa penelitian masih menemukan kendala pada kemudahan penggunaan dan akurasi data yang berkaitan dengan kompleksitas antarmuka, keterbatasan pemahaman pengguna, serta permasalahan teknis seperti lambatnya respon sistem dan error aplikasi. Temuan ini menegaskan bahwa kualitas sistem dan kualitas informasi merupakan faktor utama yang memengaruhi kepuasan pengguna. Secara keseluruhan, SIMRS dan RME dinilai mampu mendukung pelayanan kesehatan, meskipun diperlukan upaya pengembangan berkelanjutan agar sistem semakin mudah digunakan, responsif, dan sesuai dengan kebutuhan pengguna. Kata kunci: Kepuasan Pengguna, SIMRS, EUCS

Implementasi Rekam Medis Elektronik dan Pengkodean ICD-10 di Puskesmas Tingkat Pertama Eka Saputri, Yunitya; Helnindys Guswin, Instreet; Anggie Isnaini, Sintiya; Anggraini, Novia Safitri; Widiyanto, Wahyu Wijaya
MJS Medical Journal of Soeradji Vol 3 No 1 (2026): MJS (Juli 2026)
Publisher : RSUP dr.Soeradji Tirtonegoro Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70605/5mm8s256

LATAR BELAKANG: Penerapan Rekam Medis Elektronik (RME) di puskesmas semakin luas untuk mendukung pencatatan dan pelaporan data kesehatan. Namun, pada layanan primer masih dijumpai permasalahan, terutama terkait ketepatan pengkodean diagnosis ICD-10, keterbatasan validasi kode oleh petugas rekam medis, serta kendala integrasi dan keandalan sistem. Kondisi tersebut berpotensi memengaruhi mutu data dan ketepatan pelaporan kesehatan.. TUJUAN: Mengevaluasi implementasi RME dan pengkodean ICD-10 di puskesmas tingkat pertama. METODE: Penelitian deskriptif observasional ini dilakukan selama praktik kerja lapangan (PKL) di UPT Puskesmas Colomadu I, Karanganyar, tahun 2025. Evaluasi melibatkan enam petugas kesehatan yang terdiri atas dua petugas rekam medis, tiga tenaga medis, dan satu staf administrasi, yang dipilih secara purposive berdasarkan keterlibatan langsung dalam pengelolaan rekam medis dan sistem informasi kesehatan. Data dikumpulkan melalui observasi, wawancara semi-terstruktur, dan telaah dokumen, kemudian dianalisis secara kualitatif dengan merujuk pada pedoman dan literatur. Penelitian dilaksanakan dengan izin institusi dan memperhatikan prinsip etika penelitian. HASIL: Puskesmas telah beralih sepenuhnya ke RME sejak Mei 2024 melalui aplikasi SIMPUS JOJOK dan menerapkan sistem penomoran unit. Pengkodean ICD-10 digunakan secara konsisten, namun pengkodean prosedur ICD-9-CM dan validasi kode oleh petugas rekam medis belum berjalan optimal. Kendala lain meliputi keandalan sistem, stabilitas jaringan internet, dan keterbatasan sumber daya. KESIMPULAN: Implementasi RME meningkatkan efisiensi dan keteraturan pelaporan, tetapi masih memerlukan penguatan validasi pengkodean, integrasi sistem, dan dukungan infrastruktur untuk keberlanjutan manajemen informasi kesehatan. Kata Kunci Rekam Medis Elektronik, ICD-10, Puskesmas, Manajemen Informasi Kesehatan

IoT-enabled smart nutrition scale using fuzzy logic for dietary assessment and recommendation Wahyu Wijaya Widiyanto; Edy Susanto; Sri Suparti
IAES International Journal of Artificial Intelligence (IJ-AI) Vol 15, No 2: April 2026
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijai.v15.i2.pp1194-1201

Childhood malnutrition, particularly stunting, remains a major public health challenge that requires preventive and technology-supported nutritional interventions. This study presents an IoT-enabled smart nutrition scale integrated with fuzzy logic to support real-time dietary assessment and personalized recommendation. The system combines IoT-based sensing, mobile and web applications, and a fuzzy inference engine that evaluates child profiles and food composition data to generate nutritional adequacy scores and tailored dietary guidance. Experimental validation demonstrates high measurement accuracy of the sensing system, achieving a strong linear correlation (R² ≈0.9995). Comparison with expert nutritionist assessments shows strong agreement, supported by low error values (mean absolute error (MAE) =2.96; root mean square error (RMSE) =3.41), and Bland–Altman analysis. Usability evaluation involving community health workers and caregivers yields an excellent system usability scale (SUS) score, indicating strong acceptance for practical deployment. By integrating IoT sensing with fuzzy reasoning, the proposed system shifts nutritional monitoring from retrospective assessment toward proactive dietary intervention. This work highlights the potential of intelligent nutrition technologies to enhance decision-making in community-based stunting prevention programs and provides a scalable foundation for preventive digital health applications.

Assistance in Making Form Design and Recording Medical Records for Toddlers at Posyandu Kutilang, Sukowiyono Village, Kec. Padas, Ngawi Regency Wahyu Wijaya Widiyanto; Sri Wulandari; Artika Fristi Firnawati
International Journal Of Community Service Vol. 1 No. 1 (2021): May 2021 (Indonesia - Malaysia )
Publisher : CV. Inara in Colaboration with www.stie-sampit.ac.id

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijcs.v1i1.8

In the activities of Posyandu Kutilang, Sukowiyono Village, Kec. Padas, Kabupaten Ngawi, a health check was carried out by a health center health worker, but there was no form of a toddler's medical record that could be used to document the results of a health examination. The target of this community service activity is the Posyandu Kutilang posyandu participants. Guidance and consultation was carried out by Lecturers and Students of the Department of Medical Records and Health Information at the Indonusa Polytechnic Surakarta when accompanying cadres of Posyandu Kutilang, Sukowiyono Village, Kec. Padas, Ngawi Regency in documenting the health history of toddler participants. The assistance provided includes how to fill out medical record forms for toddlers, what items must be filled in, and how to manage forms. Health checks are only recorded in the agenda book for elderly examinations belonging to the Mobile Puskesmas, so that the participants of Posyandu Kutilang, Sukowiyono Village, Kec. Padas, Kabupaten Ngawi cannot monitor the results of monthly health checks. Results of Assistance in Making Form Design and Recording Medical Records for Toddlers at Posyandu Kutilang, in the hall of Posyandu Kutilang, Sukowiyono Village, Kec. Padas, Ngawi Regency was attended by 11 people. Activities started according to the agreed schedule. The training participants participated in the activity enthusiastically because they felt that this activity had a role in administrative order through the implementation of recording in the form / resume of toddler medical records.

Adagrad Optimizer with Compact Parameter Design for Endoscopy Image Classification Sofyan Pariyasto; Suryani; Vicky Arfeni Warongan; Arini Vika Sari; Wahyu Wijaya Widiyanto
ULTIMATICS Vol 17 No 2 (2025): Ultimatics : Jurnal Teknik Informatika
Publisher : Faculty of Engineering and Informatics, Universitas Multimedia Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31937/ti.v17i2.4225

Research on CNN Model and Adagrad Optimizer is expected to help identify diseases in the medical world. Especially in the field of image classification in Gastrointestinal endoscopic procedures . The research is specifically for the process of classifying medical images of Diverticulosis, Neoplasm, Peritonitis and Ureters . Previously, there have been quite a lot of studies on CNN and its various optimizers. However, those who have studied the Adagrad optimizer are not too many, especially those discussing the use of minimum parameters. The use of minimum parameters is expected to be one of the contributions of researchers in the fields of computing and medicine. The research was conducted to determine the use of the best parameters and obtain the highest level of accuracy. The research was conducted using minimum epochs starting from epoch 1, epoch 5, and epoch 10. Then the combination process between epoch and the number of convolution layers between 1 and 5 was carried out, resulting in 15 combinations. The test was carried out using 4000 images with 1000 images in each class. From the results of the test, the highest accuracy value was obtained, namely 82.875%. Then the highest average accuracy value was 81.625%.

Co-Authors Ade Amallia Adnan Syarif Mustaqim Adriana Putri Lestari Agustyarum Pradiska Budi Agustyarum Pradiska Budi Ahmad Sunandar Ainurrizah Ainurrizah Amelia Fitriasari Andrianto Afandi Anggie Isnaini, Sintiya Anggraini, Novia Safitri Ani Dwi Andriyani Anita Marsyahada Annisa Ramadhan Annisaa Miftakhul Jannah Aprilia Trisiya Dewi Aries Widiyoko Aries Widiyoko Aries Widiyoko Widiyoko Arif Surono Arif Surono Arifah Damayanti Arifah Damayanti Arini Vika Sari Aris Mukimin Artika Fristi Firnawati Arum Astika Sari Arumawati, Arachis Aryawan Eka Syahputra Aryawan Eka Syahputra Astri Sri Wariyanti Bajeng Nurul Widyaningrum Budi, Agustyarum Pradiska Budiantono, Budiantono Canggih Ajika Pamungkas Dhimas Permana Putra Dimas Luthfi Pambudi Diva Adinia Cipta DWI ISKANDAR edy susanto Edy Susanto Eka Saputri, Yunitya Eko Purwanto Elok Rizma Hapsari Endah Retnani Wismaningsih Erma Pradnyani, Putu Eva Firdayanti Bisono Fendy Prasetyo Nugroho Fitria Rohmatun W Fransiska Defriani Nahu Pandur Frestiany Regina Putri Galuh Nugrahaning Budi, Galuh Gede Wirabuana Putra Grafirat Wengkang Habibi, Musta’inul Hanif Al Fatta Hasna Khoirunnisa Putri Helnindys Guswin, Instreet Hidayat, Andra Dwitama Igiany , Prita Devy Igiany, Prita Devy Inka Sasti Isnaeni, Dwi Retno Joaquim Gregorio de Carvalho Joko Mulyono Krisnita Dwi Jayanti Kurniawati, Novi Ika Kusrini Kusumawati, Pingki Dwi Lestari, Dewi Amelia Licia, Rizka Lidia Putri Fitriana Lingga Kurnia Ramadhani Malchiana Desmitha Sari Marjono Marjono Markus Utomo Sukendar Mathar, Irmawati Meiliana Dwi Puspita Meldha Ayu Subekti Mochammad Arief Darmawan Moh Arif Yunianto Muhammad Fajrian Noor Muji Rahayu Muji Rahayu Muqorobin - Muqorobin Muqorobin Muqorobin Muqorobin Nia Kurniati Nila Erlinawati Nizam Husen, Mohd Novratilova, Sinta Nugroho, Suryanto nur adi satriyo pradista Nurhadi Nurhadi Nurnanik, Iis Oda Jeki Pangesti Pamungkas, Canggih Ajika Pariyasto, Sofyan Pradiska Budi, Agustyarum Prita Devy Igiany Putra, Dwi Anantama Putri Lestari, Adriana Rahmawati, Anggita Raihan Dicky Ardiansyah Resia Perwirani Risa Kurnia Wati Rizka Licia Rizka Licia Robi Wariyanto Robi Wariyanto Abdullah Roki Mahendra Safitri, Rizky Nur Salsa Bila Karin Santoso, Azis Aji Sari , Arum Astika Sari, Yayak Kartika Sevi Oktrianadewi Shavitri Chandriani Siti Oktavia Nur Romadhoni Siti Slasaini Ahluljanah Ahluljanah Siti Solikah Sofyan Pariyasto Sofyan Pariyasto Sri Suparti Sri Suparti Sri Wulandari Sri Wulandari Sri Wulandari SRI WULANDARI Sri Wulandari Sulistyati, Hanifah Shobri Sunandar, Ahmad Suryani Suryani . Susena, Edy Suyaningrum Syafitri Hasanah Syahrul Syahrul Tri Martini Patria Turnad Lenggo Ginta Vicky Arfeni Warongan vicky arfeni warongan, vicky arfeni Vivi Rahmawati Wahyu Ratri Sukmaningsih Wicaksono, Aliansi Widiyoko, Aries Widiyoko, Aries Widiyoko Yoga Dwi Pambudi Yudha Christianto F. Zahroh, Salsabila Ummu Zainal Arifin

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