<![CDATA[Primary Health Care Integration (ILP) requires continuity of information between facility-based and outreach services. This study examined how Health Information Management (HIM) professionals support this continuity across four Puskesmas in Bantul Regency, Yogyakarta, Indonesia. A descriptive qualitative multisite study involved ten purposively selected informants. Data were collected through semi-structured interviews, observations, and document review and analyzed thematically, with triangulation across sources. In facility-based services, HIM activities were concentrated in the Management Cluster and cross-cluster functions, covering registration, electronic health record (EHR) data distribution and processing, claims entry, storage, quality assurance, and record transfer. In contrast, outreach activities spanned Clusters 1, 2, and 3 and involved registration, data entry, validation, recapitulation, and reporting, often requiring reconciliation between manually recorded data and electronic systems. Across both contexts, HIM professionals supported information continuity by linking patient identity and service records through data validation, quality assurance, integration, storage, and traceable information transfer between settings. These findings indicate that continuity depends not only on digital connectivity but also on coordinated end-to-end information management and governance across facility-based and outreach workflows.]]>
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