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Tinjauan Ketepatan Kode Penyakit Tuberkulosis Paru Berdasarkan ICD-10 pada Pasien Rawat Inap di RSKD Duren Sawit Tahun 2021 Vania Rachma Putri; Puteri Fannya; Deasy Rosmala Dewi; Lily Widjaja
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 2 No. 2 (2023): Mei 2023
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v2i2.1675

Abstract

Coding accuracy is the process of conforming to the diagnosis code that has been determined by the coding officer based on ICD-10 which greatly affects data reporting and administration. Pulmonary tuberculosis is an infectious disease caused by Mycobacterium tuberculosis which causes disturbances in the respiratory tract. In RSKD Duren Sawit pulmonary tuberculosis is included in the 10 biggest diseases. The purpose of this study was to determine the accuracy of the pulmonary tuberculosis disease code based on ICD-10 in inpatients at RSKD Duren Sawit in 2021. This study used a descriptive method with a quantitative approach that took 80 samples using a saturated sample technique by means of observation and interviews. The results obtained from 80 samples of the accuracy of the pulmonary tuberculosis code of inpatients at RSKD Duren Sawit found that 56 (70%) and 24 (30%) were inaccurate. There are factors that affect the inaccuracy of using the 5M (Man, Money, Material, methode, Machine) element, namely the man element due to the inappropriateness of the coding officer's profession and lack of thoroughness and the element of the coding SOP method which is still being revised. Suggestions should be officers who do coding in accordance with their profession or medical recorders.
GAMBARAN KEJADIAN DUPLIKASI PENOMORAN REKAM MEDIS DI RUMAH SAKIT : LITERATURE REVIEW Chresia Ericha; Nanda Aula Rumana; Wiwik Viatiningsih; Puteri Fannya
Jurnal Kesehatan Tambusai Vol. 4 No. 2 (2023): JUNI 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v4i2.14992

Abstract

Sistem penomoran dalam pelayanan rekam medis yaitu tata cara penulisan nomor yang diberikan kepada pasien yang datang berobat sebagai bagian dari identitas pribadi pasien yang bersangkutan. Bagian Tempat Pendaftaran Pasien (TPP) bertanggung jawab atas sistem penomoran yang terpadu untuk menilai bahwa pasien tidak menerima 2 kali nomor rekam medis agar tidak terjadi duplikasi nomor rekam medis pasien. Penelitian ini bertujuan untuk mengetahui SPO pendaftaran di rumah sakit, persentase kejadian duplikasi penomoran rekam medis di rumah sakit, faktor apa saja yang menyebabkan duplikasi penomoran rekam medis di rumah sakit. Penelitian ini merupakan studi literature review dengan menggunakan 10 jurnal. Berdasarkan tinjauan terhadap 10 jurnal, pada hasil SPO pendaftaran terdapat 6 (60%) jurnal telah tersedianya SPO dan didapatkan 4 (40%) jurnal yang belum tersedianya SPO dan ditemukan 5 jurnal dengan angka duplikasi diatas 10%, adapun faktor yang menyebabkan terjadinya duplikasi yaitu man, money, method. dari man pasien lupa membawa kartu identitas pasien, pasien yang pernah berobat mengatakan belum pernah berobat, padahal pasien tersebut pasien lama, petugas kurang teliti dan kurang professional, petugas kurang disiplin menjalankan kebijakan SPO. Method Masih menggunakan penomoran manual, sehingga membuat petugas harus mengecek satu persatu, dan ada petugas yang tidak mencatat identitas pasien ke buku register. Machine terjadinya mati listrik sehingga mengakibatkan komputer error dan kesalahan dalam memberikan nomor rekam medis pasien. Dampak dari kesalahan pada pemberian pelayanan menjadi terhambat dan tidak berkesinambungannya isi berkas rekam medis pasien.
Analisis Ketepatan Kode Diagnosis pada Kasus Persalinan Pasien Rawat Inap di Rumah Sakit Patria Ikkt Tahun 2022 Angela Marsiana Siki; Deasy Rosmala Dewi; Daniel Happy Putra; Puteri Fannya
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 2 No. 2 (2023): April 2023
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v2i2.1201

Abstract

Diagnostic coding must comply with ICD-10 rules. According to WHO, the coding of delivery cases consists of the code for the mother's condition (O00-O75), the method of delivery (O80-084), and the Outcome of delivery Z37.-., while the code is Z37.-. used as an additional code to determine the outcome of labor. So that the coder officer must have knowledge in setting the diagnosis code. Coding accuracy is very necessary because it is used as a reporting material. To determine the Standard Operating Procedure (SOP), the percentage of accuracy of the diagnosis code for inpatient labor cases based on 3M (complications, delivery method, and outcome of delivery) and the cause of the inaccuracy of the diagnosis code for labor cases. Descriptive research type with a quantitative approach. The population is medical records of inpatients in labor cases with a sample of 100 medical records. The sampling technique is by systematic random sampling. Collecting data by means of observation, interviews, and documentation. Research results: SOPs already exist, but not yet complete. The percentage of accuracy of the correct diagnosis code for labor cases is 22.33% while the incorrect diagnosis code is 77.67%. The cause of the inaccuracy of the ICD-10 code for delivery cases is that the diagnosis does not include the method of delivery and the outcome of delivery, and has never been done. evaluation or audit coding. The accuracy of the diagnosis of labor cases is still incomplete. Improve the SOP entry and complete the delivery method and outcome of delivery in medical records and registers.
Hubungan Motivasi Kerja dengan Kinerja Petugas Rekam Medis di Rumah Sakit Umum Daerah Koja Tahun 2023 Hana Faiha; Puteri Fannya; Daniel Happy Putra
Jurnal sosial dan sains Vol. 3 No. 9 (2023): Jurnal Sosial dan Sains
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jurnalsosains.v3i9.1009

Abstract

Latar Belakang: Motivasi kerja merupakan suatu daya pendorong atau penggerak yang dimiliki atau terdapat dalam diri setiap individu dalam melakukan suatu kegiatan agar individu mau bekerja serta beraktifitas untuk menggunakan segenap kemampuan dan potensi yang dimilikinya. Tujuan: untuk mengetahui hubungan antara motivasi kerja dengan kinerja petugas rekam medis di RSUD Koja. Metode: Metode penelitian yang digunakan yaitu survey analitik dengan pendekatan cross sectional dan uji ch-square menggunakan aplikasi SPSS. Hasil: Hasil dari karakteristik responden pada penelitian ini yaitu responden yang paling banyak berumur 26-35 tahun, masa kerja yang paling banyak < 9 tahun, lebih banyak yang berjenis kelamin perempuan, Pendidikan terakhir yang paling banyak non PMIK, dan devisi bagian yang paling banyak yaitu pendaftaran. Motivasi instrinsik yang tinggi berjumlah 37 responden atau 56,9% dan yang rendah 28 responden atau 43,1%, motivasi ekstrinsik yang tinggi berjumlah 31 responden atau 47,7% dan yang rendah 34 responden atau 52,3%. Pada kinerja baik didapatkan sebanyak 32 responden atau 49,2% dan yang kurang sebanyak 33 responden atau 50,8%. Kesimpulan: Dari hasil uji chi-square hubungan motivasi instrinsik dengan kinerja didapatkan hasil p=0,017 yang berarti terdapat hubungan antara motivasi instrinsik dengan kinerja. Pada hasil uji chi-square hubungan motivasi ekstrinsik dengan kinerja didapatkan hasil p=0,004 yang berarti terdapat hubungan antara motivasi ekstrinsik dengan kinerja petugas rekam medis di rumah sakit umum daerah koja.
HUBUNGAN KUALITAS PELAYANAN TERHADAP KEPUASAN PASIEN PENGGUNAN BPJS RAWAT JALAN DI RUMAH SAKIT BHAKTI MULIA TAHUN 2023 Nusamina Pulungan; Puteri Fannya; Dina Sonia; Laela Indawati
Jurnal Kesehatan Tambusai Vol. 4 No. 3 (2023): SEPTEMBER 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v4i3.16763

Abstract

Kualitas pelayanan (service quality) adalah pandangan konsumen terhadap hasil perbandingan antara ekspektasi konsumen dengan kenyataan yang diperoleh dari pelayanan. Terdapat lima dimensi dalam mengukukur kualitas pelayanan meliputi bukti fisik (tangible), kehandalan (reliability) daya tanggap (responsiveness), jaminan (assurance), dan empati (empathy). Kepuasan adalah perasaan yang menunjukkan kesenangan atau kekecewaan seseorang yang berasal dari perbandingan antara kesan terhadap kinerja atau hasil suatu produk dan harapannya. penelitian ini bertujuan untuk mengetahui hubungan kualitas pelayanan terhadap kepuasan pasien pengguna BPJS rawat jalan di rumah sakit Bhakti Mulia. Penelitian ini dilaksanakan pada bulan Oktober 2022-Mei 2023. Metode penelitian ini menggunakan metode kuantitatif, populasi penelitian ini sebanyak 97 responden dengan menggunakan perhitungan rumus estimasi proporsi, teknik pengambilan sampel menggunakan metode incidental/convenience sampling (sampel seadanya), variabel yang digunakan yaitu variabel dependent dan independent dengan melakukan wawancara dan pengisian angket, Teknik analisis data menggunakan analisis bivariat yaitu uji chi-square dan univariat pada aplikasi SPSS 26. Hasil penelitian ini pada dimensi tangible 64 (66%) baik, 33 (34%) tidak baik, reliability 63 (64,9) baik, 34 (35,1%) tidak baik, responsiveness 58 (59,8%) baik, 39 (40,2%) tidak baik, assurance 57 (58%) baik, 40 (41,2%) dan empathy 57 (58,8% baik, 40 (41,2%) tidak baik. Pasien yang mersa puas 52 (53,6%) pasien tidak puas 45 (46,4%). Adanya hubungan antara dimensi tangible, reliability dan assurance terhadap kepuasan pasien pengguna BPJS, pada dimensi responsiveness, dan empathy tidak ada hubungan yang signifikan terhadap kepuasan. Pada penelitian ini tidak ada hubungan yang signifikan.
TINJAUAN PROSES KLAIM BPJS KESEHATAN DI UNIT RAWAT INAP RUMAH SAKIT ISLAM SUKAPURA JAKARTA UTARA TAHUN 2021 Mei Nur Khasanah; Puteri Fannya; Laela Indawati; Daniel Happy Putra
Journal of Innovation Research and Knowledge Vol. 3 No. 3: Agustus 2023
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jirk.v3i3.6327

Abstract

The National Health Insurance System (JKN) is a government program aimed at providing social welfare and protection for all Indonesian people. JKN is organized by the Social Security Organizing Agency (BPJS). The claim procedure is carried out by the coding officer and the hospital claims officer and then the completeness of the documents will be verified by the BPJS at the hospital. The research method carried out is a qualitative descriptive method, which aims to describe the state of the research object by conducting direct interviews on how the BPJS Health claim process of the Sukapura Islamic. Hospital Inpatient Unit to the BPJS Health. The results of observations through direct searches on claim files found that all claim files from October 2021 to December 2021 were 2,102 total claim files and 294 claim files were delayed. Part of the cause of the delay is that the coding of diagnoses and medical actions is not in accordance with the doctor's writing. Standard Operating Procedures (SPO) related to the BPJS Health claim process in inpatient care, specifically the Hospital already has SPO and has carried out activities according to SPO and that officer training is very influential on the delay factor in inpatient BPJS Health claim files.
ANALISIS KUANTITATIF KELENGKAPAN FORMULIR KOHORT IBU DI BAGIAN POLIKLINIK KESEHATAN IBU DAN ANAK PUSKESMAS PORIS PLAWAD TAHUN 2021 Anas Fajry Rhomadon; Daniel Happy Putra; Lily Widjaja; Puteri Fannya
Journal of Innovation Research and Knowledge Vol. 3 No. 4: September 2023
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jirk.v3i4.6544

Abstract

Medical records are documentation of identity, examination, treatment, actions, and services that have been provided to patients. Health services during pregnancy must be documented in the mother's card, medical record, mother's cohort, and mother and child health book. The maternal cohort is a collection of data collected from the mother's card. The documentation must be filled in completely because it affects further contact if needed and in certain circumstances, it is required for a medical audit. This study aims to determine the completeness of filling out the mother's cohort form at the MCH polyclinic at the Poris Plawad Health Center in 2021. This study used a quantitative descriptive method. Determining the number of samples using the slovin formula, so that a sample of 68 maternal cohort data was obtained. The results of the research from 68 maternal cohort data obtained an average of completeness of identification (77%), important reports (62%), and procedures for documentation (49%). Factors that influence incompleteness are the absence of an SOP for Filling in the Maternal Cohort, no updating of guidelines, no recording of medical record numbers, less communicative staff, no column for filling in authentication, and double working forms. Suggestions from researchers are to update the guidelines, create SOP Filling in the Cohort of Mothers and carry out outreach, update forms to add authentication records, conduct training/seminars to increase midwifery insights, and devise a workable system of more than 1 person for recording health data in the system.
Application of the UTAUT (Unified Theory of Acceptance and Use of Technology) Model to Analyze the Acceptance Level of Using Zi.care at RSIJ (Jakarta Islamic Hospital) Cempaka Putih, Indonesia Brigita Natalia Br Surbakti; Daniel Happy Putra; Puteri Fannya; Dina Sonia
Archives of The Medicine and Case Reports Vol. 4 No. 4 (2023): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v4i4.373

Abstract

Jakarta Islamic Hospital Cempaka Putih is a teaching hospital. Based on the results of observations, it was found that there were problems in implementing Zi.care at this hospital, where the system had been used but was temporarily stopped. Zi.care is a SIMRS and also an RME at RSIJ Cempaka Putih. The aim of using Zi.care is to make services effective and efficient, administration more informative and integrated, information that is real-time, integrated with BPJS, making online registration and telecommunications easier via Mobile App, and patients can manage their own medical records via Mobile App. This study aimed to evaluate Zi.care using the UTAUT method at RSIJ Cempaka Putih. This research uses a cross-sectional design with a quantitative approach to an analytical observational study to determine the relationship between causal factors and effect factors in the application of Zi.care. Sampling technique with proportionate stratified random sampling, namely sampling based on the number of divisions from each sub-population consisting of medical staff, doctors, pharmacists, laboratory assistants, radiologists, and nurses. The sample was 150 respondents who used Zi.care. The results of the normality test show that the data is abnormal because the p-value < 0.05, so the cut point taken is the median. Hypothesis testing is carried out using statistical calculations Chi-square with the help of software SPSS 24.0. The research results show that performance expectations, effort expectations, and social influence have a relationship with usage intention while facilitating conditions have no relationship with usage behavior.
The Relationship between Insurance Participants' Knowledge of Pending Claims: A Study on Insurance Managed by PT. Multiniaga Intermedia Proteksi Tantri Wilananda; Daniel Happy Putra; Puteri Fannya; Lily Widjaja
Archives of The Medicine and Case Reports Vol. 4 No. 4 (2023): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v4i4.402

Abstract

The impact of pending claims can affect insurance service activities, becoming hampered and officers' workloads increasing because they have to revise pending claims that are sent. This study aimed to assess the relationship between insurance participants' knowledge of the occurrence of pending claims: a study on insurance managed by PT. Multiniaga Intermedia Proteksi. This study was an observational study of cross-sectional design. A total of 107 research subjects participated in this study. The results of this study show that the claim submission process at PT. Multiniaga Intermedia Proteksi had 107 claims submitted to insurance, and it was known that the results of paid claims submissions were 87 submissions (81.3%), and pending submissions were 20 submissions (18.7%). The results of participants' level of knowledge regarding submitting claims were obtained from 107 respondents. The average value of participants' knowledge was 89.15, with a median of 86.67. The highest value was 86.67. The lowest score obtained by respondents was 60, and the highest score was 100 as the results of knowledge testing on the results of claim status using the t-test, obtained with a probability value (Sig.) 0.196 > 0.1, indicating that knowledge has no significant effect on submitting claims.
Tinjauan Kepuasan Pasien Terhadap Kualitas Layanan di Rumah Sakit Khusus Gigi dan Mulut Fakultas Kedokteran Gigi Universitas Indonesia Diva Sabina; Puteri Fannya; Laela Indawati; Dina Sonia
Mutiara: Multidiciplinary Scientifict Journal Vol. 1 No. 9 (2023): Mutiara: Multidiciplinary Scientifict Journal
Publisher : Al Makki Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57185/mutiara.v1i9.76

Abstract

Kepuasan pasien ialah tingkat perasaan yang timbul sebagai akibat dari kinerja terhadap layanan kesehatan guna memperoleh perbandingan dengan apa yang diharapkannya. Namun tingkat kepuasan pasien masih menjadi permasalahan yang cukup mendasar, kepuasan pasien dapat dilihat dari berjalan dengan baiknya kualitas layanan. Kualitas layanan adalah sebuah tindakan yang dilakukan oleh seseorang yang menjual kepada konsumen atau pembeli demi mencukupkan kebutuhan dan kenginan mereka. Perilaku itu dapat bertujuan terhadap pencapaian sebuah kepuasan mereka sendiri. Penelitian ini bertujuan untuk mengetahui Tinjauan Kepuasan Pasien Terhadap Kualitas Layanan Di Rumah Sakit Khusus Gigi dan Mulut Fakultas Kedokteran Gigi Universitas Indonesia. Metode penelitian menggunakan metode deskriptif dengan pendekatan analisis kuantitatif. Sampel sebanyak 106 pasien menggunakan estimasi proporsi dengan menggunakan pengukuran 5 dimensi kualitas layanan (servqual) (Responsivness) daya tanggap, (Tangible) bukti fisik, (Reability) kehandalan, (Assurance) kepastian, (Emphaty) empati. Hasil Penelitian : Dari 106 responden yang diukur pada 5 dimensi kualitas layanan yaitu (Responsivness) daya tanggap memperoleh kepuasan sebesar 56,6% , (Tangible) bukti fisik memperoleh kepuasan sebesar 55,7%, (Reability) kehandalan memperoleh kepuasan sebesar 47,2%, (Assurance) kepastian memperoleh kepuasan sebesar 39,6%, (Emphaty) empati memperoleh kepuasan sebesar 42,5%, Sehingga dimensi dengan kepuasan tertinggi yaitu pada dimensi daya tanggap (responsiveness). Pada penelitian ini diperoleh Gap Score (kesenjangan) sebesar (-0,40) negatif, hal ini terjadi karena tingginya harapan pasien dan kurangnya kenyataan yang didapat oleh pasien. Berdasarkan hasil penelitian, diharapkan pihak rumah sakit dan petugas pendaftaran dapat meningkatkan kualitas pelayanan kepada pasien rawat jalan di Rumah Sakit Khusus Gigi dan Mulut Fakultas Kedokteran Gigi Universitas Indonesia.
Co-Authors -, Muniroh Adham, Yunan Adil Hidayat Afra, Rara Ahmad Rizky Aliyani Aliyani Alvina Amalia Amalia, Isnaini Amirah Syafiqah Zahra Anas Fajry Rhomadon Aneu Rosliana Angela Marsiana Siki Angelina Angelina Anggita Nurul Fadlilah Anisa Dyah Irawati Anisa Nur Safitri Anisa Nur Zulkarina Annida Ariyani Annisa Azzahra, Annisa Aqshal Hidayatullah Armila Astiyana Triadi Athiyyah, Hanifatul Aulia, Ni Wayan Riskita Ayu Hardianti Bagas Saputra Bangga Agung Satrya Betji Nadiana Bissilisin Brigita Natalia Br Surbakti Budi Sunaryo Budiana Gustiara Chresia Ericha Cindi Trisa Olivia Daniel Happy Putra Debbie Friscilla Carolina Manalu Dede Lisda Nurjanah Dede Lisda Nurjanah Delmi Sulastri Dessy Safutri Deta Nurfena Nurfena Dewi Kisaputri Dewi Sartika Dewi, Deasy Rosmala Dila Yuliandini Dina Munadiatu Dina Sonia Dinda Melani Safitri Diva Angelita Diva Sabina Dwi Chandrarika Putri Aulia Dwi Nurul Fadila Edi Kurnianto Endika Rachmad Fadia Eka Septiawati Faiha, Hana Fandhika, Lilin Tata Fani Nur Azizah Fathul Baari Fingky Rizki Wulandari Fiqih Nurhidayah Fretycia Laurenty Gina Sonia Hana Faiha Hardi Arissaputra Ilham Abdurohman Indawati, Laela Iqbal Tri Putra Iqbal, Muhammad Fuad Isnaini Amalia Izmi Novianita Jack Febrian Rusdi Kevin Handynata Khoirunnisa Sabiladina Lasmaria Simorangkir Lilin Tata Fandhika Lily Widjaya Lily Widjaya Lily Widjaya Listania Aisyah Putri Luthfiah Aulia Rachman M. Fuad Iqbal Maeimunah, Siti Magdalena, Selvy Manalu, Debbie Friscilla Carolina Mei Nur Khasanah Melani Aulia Mufida Mordekhai Immanuel Sitorus Muammar Dzachwani Muhamad Al Imran Rangga Putra Muhammad Arif Sutrasno Muhammad Hafiz Zuhri Munazhifah Munazhifah Muniroh Muniroh - Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh, Muniroh Nabila Zahara Ramadan Nabilah Khairunisa Nanda Aula Rumana Navry Nanda Aprilian Nazira Nur Amalia Nicki Nugrahaningtyas Noviliana, Tiara Nur Fadilah Nur Mawaddah, Nur Nurfena, Deta Nurfena Nurhaliza Putrikama Nurmayantih Nusamina Pulungan Piter Serhalawan, Roi Putri Rafikasani Putri Syaikhu Putri, Listania Aisyah R Gumilar Hadiningrat Rahmawati, Rena Maulina Ramadhana, Nur Fatihah Adlia Ratna Sari Rifda Ulfa Andini Rifqi Fauzan Risma Ayu Fitriyani Risma Sisni Fadilla Rizky Alfiansyah Rizky Khaerunnisa Roi Piter Serhalawan Rosa Patricia Rosfita Rasyid Rosita, Annida Ulfiar Rumana, Nanda Sabiladina, Khoirunnisa Sabina, Diva Safitri, Dinda Melani Salsabella, Pradita Salsabillah Zahrah Hayati Sarah Khonsa Seastama, Komang Cyntia Noviari Selvi Damayanti Shafa Aulia Ananda Hermanto Simorangkir, Lasmaria Siswati Siswati Siswati Sonaria Tambunan Suciyanti Suciyanti Surlialy, Dewi Sutrasno, Muhammad Arif Syahrul Dwi Ramadhani Tantri Wilananda Tedja Gurat Baktina Tri Putra, Iqbal Trideswira Tryandi Rohmadoni Usman, Nadia Salim Bin Vania Rachma Putri Viatiningsih, Wiwik Vitianingsih, Wiwik Wahyudi Prasetyo Widjaja, Lily Widjaya, Lily Winda Febriarini Windiana Mega Sukmawati Wiwik Vitianingsih Yati Maryati Yenni Syafitri Yulia, Noor