PENERAPAN SINGLE MEDICAL RECORD ONLINE DI INDONESIA, MUNGKINKAH? Oleh : Muhammad Muin NPM :0906 0 !

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Abstrak Pela$anan %e&eha'an di Ind(ne&ia )elum 'e*in'e+*a&i den+an )ai% dan ma&ih &e%'(*al, Single Medical Record Online da-a' men+u*an+i %(m-le%&i'a& dan )ia$a $an+ di%elua*%an ma&$a*a%a' dalam men+a%&e& -ela$anan %e&eha'an, .a+i stakeholder &i&'em da-a' menin+%a'%an in'e+*a&i dan &ine*+i u-a$a %e&eha'an an'a* -u&a' -ela$anan %e&eha'an, .e)e*a-a -*in&i- ha*u& di-e*ha'i%an dalam men+em)an+%an dan men/alan%an &i&'em ini, Si&'em ini mem)e*i%an %eun'un+an )a+i -a&ien mau-un -en$edia la$anan %e&eha'an da*i a&-e% -ela$anan dan )ia$a %e&eha'an $an+ ha*u& di%elua*%an, .e)e*a-a 0a%'(* da-a' mem-en+a*uhi u-a$a -ene*a-an &i&'em, Di-e*lu%an -e*&ia-an -ada 1 a&-e% u'ama &e)elum -ene*a-an $an+ meli-u'i -e*&ia-an 'e%n(l(+i, SDM dan &um)e* -endu%un+, Latar Belakang Pen2a-aian de*a/a' %e&eha'an $an+ (-'imal me*u-a%an ha% a&a&i *a%$a' Ind(ne&ia &e)a+aimana 'e*2an'um dalam -a&al " UU N( #1 'en'an+ Ke&eha'an 'ahun !99#, Peme*in'ah &e)a+ai *e-*e&en'a&i uni' ma&$a*a%a' $an+ mem)e*i%an -ela$anan %e-ada ma&$a*a%a' )e*%e3a/i)an men$edia%an dan men$elen++a*a%an -ela$anan %e&eha'an dalam &ua'u &i&'em $an+ )ai%, mudah, dan 'e*/an+%au, Saa' ini -ela$anan %e&eha'an di Ind(ne&ia dian++a- ma&ih &e%'(*al dan )elum 'e*in'e+*a&i den+an )ai%, Ma&in+4ma&in+ -u&a' -ela$anan %e&eha'an )e*+e*a% dan men$elen++a*a%an -*(+*am 'an-a %((*dina&i $an+ )ai% den+an -u&a' la$anan $an+ lain &ehin++a la$anan $an+ di)e*i%an %e-ada ma&$a*a%a' 2ende*un+ 'ida% %(m-*ehen&i0, Pada a%hi*n$a ma&$a*a%a'lah $an+ 'e*%ena dam-a% %a*ena un'u% menda-a'%an la$anan %e&eha'an men/adi me*e-('%an dan 2ende*un+ mahal,

Dalam &a'u &e%'(* &a/a, -ela$anan %u*a'i05 ma&$a*a%a' &e*in+ ha*u& )e*-indah da*i la$anan %e&eha'an &a'u %e la$anan %e&eha'an $an+ lain %a*ena &a'u dan lain hal, Pada &aa' &e-e*'i i'u ma&$a*a%a' ha*u& men+ulan+ -eme*i%&aan $an+ &ama da*i -e*'an$aan umum &e-e*'i nama, u&ia, alama', %eluhan dan &e)a+ain$a &am-ai men+ulan+ -eme*i%&aan -enun/an+ $an+ )ia$an$a 'ida% mu*ah 6An(nim, #0!07, Hal ini 'en'u me*e-('%an dan menin+%a'%an )ia$a $an+ ha*u& di)a$a*%an (leh -a&ien $an+ -ada +ili*ann$a da-a' men$e)a)%an -en+()a'an $an+ 'ida% -a*i-u*na a%i)a' %e*e-('an dan ha*+a $an+ 'in++i 'e*&e)u', Salah &a'u -en$e)a) da*i hal ini adalah )elum 'e*in'e+*a&in$a &i&'em -en2a'a'an medi& 6medical record7 %e dalam &a'u &i&'em 'un++al &e2a*a online, Pada &i&'em $an+ 'e*in'e+*a&i da'a %e&eha'an %lien $an+ &udah ada 'ida% -e*lu diulan+ la+i %e2uali un'u% da'a $an+ meman+ ha*u& di update %a*ena adan$a da'a )a*u &ehin+a 'ida% me*e-('%an )a+i -a&ien, Pada &i&'em ini &emua la$anan ha*u& mem-un$ai 0(*ma' $an+ )a%u 'e*%ai' in0(*ma&i -a&ien $an+ ha*u& di4entry, .a+i -eman+%u %e-en'in+an 6stake holder7 -ene*a-an &i&'em ini &an+a' )e*man0aa' un'u% &i&'em -ela-(*an da'a %e&eha'an ma&$a*a%a' &e2a*a online &ehin++a da'a %e&eha'an, mi&aln$a, -enin+%a'an -*e8alen&i -en$a%i' 'e*'en'u da-a' 'e*4update &e2a*a ('(ma'i& &ehin++a memudah%an dalam -em)a*uan, anali&i& dan -u)li%a&i da'a %e&eha'an, Pada a%hi*n$a &i&'em ini /u+a &e2a*a 'ida% lan+&un+ da-a' menin+%a'%an &ine*+i an'a* &i&'em -ela$anan -*e8en'i0 -*(m('i0 den+an -ela$anan %u*a'i0, Ke2ende*un+an -(la -en$a%i' di &ua'u dae*ah da-a' &e+e*a di*e&-(n den+an u-a$a -*e8en'i0 dan %u*a'i0 'e*%ai' ma&alah %e&eha'an &-e&i0i%, Kajian Literatur Single Medical Record

Single medical record di%em)an+%an -e*'ama %ali (leh D* Hen*$ Plumme*, K(n&e- ini me*u/u% -ada *e%am medi& $an+ 'e*-u&a', di&im-an dalam &ua'u *e-(&i'(*$ 'un++al, dan )i&a di)a3a (leh -a&ien %emana-un dia -e*+i, Si&'em ini memun+%in%an &e(*an+ d(%'e* mem-e*(leh &emua 0a%'a $an+ di)u'uh%an 'en'an+ -a&ien un'u% mem)e*i%an -e*a3a'an $an+ 'e*)ai% &e*'a da-a' mem40a&ili'a&i -eneli'ian %ed(%'e*an 6Ma$(2lini2, #0!07, Si&'em ini 'ida% )e*u)ah &am-ai den+an )e*a%hi*n$a e*a paper ased men/adi computer ased !electronic medical record" )ah%an #e Medical record online Medical record online adalah &ua'u &i&'em -en2a'a'an da'a %e&eha'an $an+ memun+%in%an a%&e& $an+ le)ih mudah )a+i -en++una9 -iha% $an+ meme*lu%an da'a $an+ da-a' dila%u%an &e2a*a 8i*'ual 63i*ele&&7, Si&'em ini memun+%in%an &e&e(*an+ $an+ mem-un$ai %e3enan+an 6-a&ien dan d(%'e*7 un'u% men+a%&e& da'a %e&eha'ann$a )ai% )e*u-a da'a ma&alah %e&eha'an, de'ail %(n&ul'a&i, -en+()a'an $an+ dian/u*%an dan di/alan%an, ha&il4ha&il -eme*i%&aan dan -en+%a/ian &e*'a %(-i da*i &u*a' a'au d(%umen lain 6Hannan, #0!07 Prinsip Penerapan :e*da-a' 1 -*in&i- $an+ ha*u& di-e*'ahan%an dalam -ene*a-an single medical record online $ai'u -*i8a&i, /aminan %eamanan, &e*'a %e*aha&iaan da'a -a&ien, P*in&i- ini ha*u& di-e*'ahan%an a+a* 'ida% melan++a* ha% a&a&i -a&ien 6Id*i&, dalam -d-e*&i #0097, P*in&i- lain da*i &i&'em ini adalah shara le, a*'in$a in0(*ma&i *e%am medi& -a&ien da-a' di-e*'u%a*%an an'a* -u&a' la$anan %e&eha'an 6Men+%(, dalam -d-e*&i #0097, Sehin++a 'ida% ada du-li%a&i da'a $an+ 'ida% -e*lu dian'a*a -u&a' la$anan $an+ da-a' menin+%a'%an e0e%'i8i'a& dan e0i&ien&i la$anan &e*'a menin+%a'%an &ine*+i an'a* -u&a' la$anan Keuntungan Pen$im-anan da'a *e%am medi& &e2a*a online mem-un$ai )e)e*a-a %eun'un+an di)andin+a%an den+an -en$im-ana *e%am medi& &e2a*a '*adi&i(nal $ai'u meli-u'i 6O .*ien, #0!07 : !, Pa&ien a'au d(%'e* da-a' men+4a%&e& *e%am medi& da*i 2(m-u'e* %a-an-un diin+in%an ased &e-e*'i &aa' ini,

#, Han$a -iha% $an+ mem-un$ai ('(*i'a& 63e3enan+7 $an+ da-a' meliha' *e%am medi& ele%'*(ni% (nline 1, Men+4u-da'e *e%am medi& ele%'*(ni% le)ih mudah da*i-ada men+4u-da'e 0ile )e*u-a %e*'a& ", Memilih dan men2a*i *e%am medi& (nline le)ih mudah , Pen$im-anan da'a *e%am medi& &e2a*a (nline mem)e*i%an &a'u l(%a&i 'un++al $an+ aman dimana da-a' 'e*&im-an &emua da'a *e%am medi& 'an-a %ha3a'i* 'e*hada-en2u*ian, %e)a%a*an a'au hilan+ 'i)a4'i)a Selain i'u -ene*a-an &i&'em ini /u+a da-a' menu*un%an )ia$a $an+ ha*u& di%elua*%an (leh -a&ien 6R(h*e*, ;,E d%%,, %a*ena )e)e*a-a hal 6An(nim, #0!07 : !, Penin+%a'an )ia$a a3al a%an )e*%u*an+ den+an -en+ehama'an $an+ &i+ni0i%an dalam )ia$a un'u% d(%'e* mau-un -e*u&ahaan a&u*an&i %e&eha'an, #, Memun+%in%an &e'ia- (*an+ di dalam 'im -e*a3a'an %e&eha'an un'u% men+%((*dina&i%an -e*a3a'an, Hal ini da-a' men2e+ah du-li%a&i -eme*i%&aan dan -en+()a'an 1, :ida% di-e*lu%an adan$a -enundaan 'e*u'ama -ada &aa' &i'ua&i da*u*a' %a*ena da'a -a&ien da-a' dia%&e& lan+&un+, ", Memun+%in%an )an$a% -iha% un'u% &e2a*a &imul'an men+a%&e& in0(*ma&i $an+ &ama, &ehin++a da-a' men+hema' 3a%'u dan /u+a )ia$a, <a%'(* $an+ mem-en+a*uhi %e)e*ha&ilan -ene*a-an single medical record online Dua 0a%'(* u'ama $an+ mem-en+a*uhi %e)e*ha&ilan -ene*a-an &$&'em ini 6Anam, = #0!07 adalah : !, Ke-emim-inan da*i uni' -ela%&ana Ke-emim-inan 'e*%ai' e*a' den+an %(mi'men /an+%a -an/an+ dalam -ene*a-an &e*'a 8i&i $an+ /ela& dan mem)umi, K(mi'men ini a%an 'e*3u/ud dalam *eali&a&i an++a*an mau-un &um)e* da$a -endu%un+ -ene*a-an &i&'em, #, Ke'e*li)a'an &emua %(m-(nen 'e*u'ama -iha% $an+ 'e*%ai' den+an -e*an2an+an mau-un (-e*a&i(nal &i&'em, Diskusi

Pene*a-an &i&'em ini mem)u'uh%an %(mi'men &emua -iha% dalam -ela%&anaan$a, Pene*a-an &i&'em in0(*ma&i %e&eha'an di Ind(ne&ia umumn$a mem-un$ai )e)e*a-a %elemahan $ai'u da'a %u*an+ a%u*a', %u*an+ &e&uai denn+an %e)u'uhan, -en+i*iman la-(*an da'a %e -u&a' la$anan %e&eha'an 'ida% 'e-a' 3a%'u, %uan'i'a& dan %uali'a& SDM *endah, &e*'a -en+(lahan dan -eman0aa'an da'a $an+ )elum (-'imal 6.udiha*'(, M5 K(&en, S5 Henda*3an, H,, 7 <a%'(* %e-emim-inan &an+a' menen'u%an %e)e*ha&ilan -ene*a-an -*(+*am ini, Pada le8el na&i(nal 'am-a%n$a -*e&iden ha*u& men/adi %(mand( dalam -en$a'uan 8i&i dan mi&i -ela%&anaan -*(+*am, Hal ini /u+a di'un/u%%an (leh -*e&iden AS Ge(*+e > .u&h $an+ -ada 'ahun #00 men2anan+%an $ni%ersal Electronic Medical Records den+an 'a*+e' !0 'ahun %emudian 6#0! 7 &emua 3a*+a AS mem-un$ai medi2al *e2(*d &e2a*a ele%'*(ni% 6O .*ien, #0!07, ?i&i %e-emim-inan ini ha*u& )e*lan/u' &am-ai den+an 'in+%a' %e-emim-inan uni' 'e*)a3ah, .e)e*a-a hal $an+ -e*lu di-e*&ia-%an un'u% mene*a-%an &i&'em ini adalah : !, Pe*&ia-an 'e%n(l(+i Pe*&ia-an 'e%n(l(+i meli-u'i -e*an2an+an a3al -*(+*am )ai% so&t #are mau-un hard #are, -enanaman a'au a-li%a&i 'e%n(l(+i -ada ser%er mau-un user, &e*'a *an2an+an -emeliha*aan &i&'em, Hal -en'in+ $an+ 'e*%ai' -*(0e&i(nal %e&eha'an -ada -e*&ia-an 'e%n(l(+i ini adalah )a+aimana men$e*a+am%an %(n&e- dan &'anda*i&a&i 0(*m mau-un i&'ilah $an+ di-a%ai di dalam *an2an+an so&t#are -*(+*am, #, Pe*&ia-an &um)e* da$a manu&ia Pe*&ia-an &um)e* da$a manu&ia me*u-a%an a&-e% $an+ &an+a' menen'u%an %e)e*ha&ilan -*(+*am %a*ena -ela%u u'ama dalam -*(+*am adalah manu&ia &e)a+ai -en++una, Pe*&ia-an SDM meli-u'i -ela'ihan &am-ai den+an -em)ia&aan SDM den+an -ela%&anaan -*(+*am 1, Pe*&ia-an &um)e* -endu%un+ Pe*&ia-an &um)e* -endu%un+ da-a' meli-u'i -ene*)i'an -a$un+ hu%um dan a'u*an, -enin+%a'an %a-a&i'a& minimal /a*in+an dan &um)e* -endu%un+ lainn$a,

Di Ind(ne&ia den+an mem-e*'im)an+%an &um)e* da$a dan &um)e* dana $an+ ada 'am-a%n$a *eali&a&i -ene*a-an &i&'em ini ha*u& menun++u 3a%'u a+a% lama, .e)e*a-a uni' &-e&i0i% &udah men+em)an+%an &i&'em in0(*ma&i un'u% %e-e*luan l(%al, 'e'a-i ma&ih )an$a% di'emu%an %endala $an+ 'ida% mudah, Pen+em)an+an &i&'em medi2al *e2(*d ele%'*(ni% mau-un (nline $an+ di%em)an+%an (leh uni' l(%al &e'em-a' me*u-a%an &ua'u %ema/uan $an+ )ai%, :e'a-i a-a)ila dalam /an+%a 3a%'u lama dan %emudian di)e*la%u%an &'anda* &i&'em &e2a*a na&i(nal $an+ in'e+*al, hal ini da-a' men+ham)a' in'e+*a&i &i&'em Kesimpulan dan Rekomendasi Si&'em online single medical record da-a' menin+%a'%an e0i&ien&i dan e0e%'i8i'a& u-a$a %e&eha'an den+an men+in'e+*a&i%an la$anan $an+ di)e*i%an (leh -u&a'4-u&a' la$anan %e&eha'an, Si&'em ini mem)e*i%an %eun'un+an )a+i -a&ien mau-un 'ena+a %e&eha'an 'e*%ai' %e-*a%'i&an dan %ehema'an $an+ dida-a' da*i -ene*a-an &i&'em, Pene*a-an &i&'em mem)u'uh%an %(mi'men, -e*&ia-an $an+ )ai% &e*'a an'i&i-a&i 'e*hadaham)a'an $an+ mun+%in mun2ul $an+ meli-u'i -e*&ia-an 'e%n(l(+i, SDM dan -e*&ia-an &um)e* -endu%un+ Pene*a-an &i&'em ini mem)u'uh%an %a/ian dan -e*&ia-an $an+ ma'an+ dan *eali&a&in$a di Ind(ne&ia ma&ih mem)u'uh%an 3a%'u $an+ lama, :e'a-i &e)ai%n$a &e'ia- uni' la$anan %e&eha'an $an+ mam-u a+a* men+u/i2()a%an &i&'em ini da*i &e%a*an+ a+a* da-a' di/adi%an da'a dan m(dal da&a* dalam -en+em)an+an &i&'em %e dalam lin+%u- $an+ le)ih )e&a* dan lua&, &am-ai -ada &a'u &i&'em na&i(nal $an+ 'e*in'e+*a&i &ehin++a 'u/uan -em)an+unan %e&eha'an -a*i-u*na da-a' 'e*2a-ai, Pe*a3a' &e)a+ai )a+ian in'e+*al da*i &i&'em %e&eha'an /u+a &e)ai%n$a mem-e*&ia-%an di*i den+an mem)e%ali den+an -en+e'ahuan dan %e'*am-ilan $an+ 2u%u- 'e*%ai' 'e%n(l(+i in0(*ma&i 'e*)a*u, Pe*a3a' diha*a-%an da-a' 'e*li)a' &e2a*a lan+&un+ dalam men+em)an+%an &i&'em la$anan %e&eha'an )e*)a&i&%an &i&'em in0(*ma&i den+an 'e%n(l(+i 'e*)a*u $an+ 'e*u& )e*%em)an+

Daftar Pustaka

An(nim 6#0!07 Saa'n$a Ma&$a*a%a' Mi&%in Di)e*i A&u*an&i Ke&eha'an, h''-:99333,mediaind(ne&ia,2(m9*ead9#0!090@9##9!61@1@9A!9!"9Saa'n$a4Ma&$a*a%a'4 Mi&%in4Di)e*i4A&u*an&i4Ke&eha'an, Dia%&e& -ada ! N(8em)e* #0!0 Anonim !'()(" Advantages of Electronic Medical Records Part 1 Lowered Costs* h''-:99333,'*i'(n4&h(-,2(m9#0!090@9!@9ad8an'a+e&4(04ele2'*(ni24medi2al4*e2(*d&4-a*'4!4 l(3e*ed42(&'&9, Dia%&e& -ada 1! O%'()e* #0!0 An(nim (2009) ingkatkan Derajat Kese!atan" Perlu Regulasi entang Rekam #edis 333,-d-e*&i,2(,id, Dia%&e& -ada 1! O%'()e* #0!0 Anam, = 6#0!07 A-li%a&i In0(*ma'i%a Ked(%'e*an dalam Mana/emen In0(*ma&i di Rumah Sa%i', Din%e&,m(/(%e*'(%a),+(,id, Dia%&e& -ada 1! O%'()e* #0!0 .udiha*'(, M5 K(&en, S5 Henda*3an, H 67 U-a$a Pen$em-u*naan Si&'em In0(*ma&i Ke&eha'an :in+%a' Ka)u-a'en9 K('a, Pu&li')an+ Si&'em dan Ke)i/a%an Ke&eha'an, h''-:99333,li')an+,de-%e&,+(,id9d(3nl(ad9&emina*9de&en'*ali&a&i64 @06069Ma%alahMa*'u'i,-d0, Dia%&e& -ada 1! O%'()e* #0!0 Hannan, A 6#0!07, P*(8idin+ Pa'ien' Online A22e& '( :hei* P*ima*$ =a*e =(m-u'e*iBed Medi2al Re2(*d&: A =a&e S'ud$ (0 Sha*in+ and 2a*in+, In0(*ma'i2 in P*ima*$ 2a*e !@:"!49, $%Brien" Sha*(n 6#0!07 Electronic Medical Records: Coming Soon to a Computer Near ou! Electronic medical records aim to impro%e +uality and consistency o& care h''-:99&eni(*li8in+,a)(u',2(m9(d9heal'hnu'*i'i(n9a9medi2alC*e2(*d&,h'm, Dia%&e& -ada 1! O%'()e* #0!0, Dia%&e& -ada 1! O%'()e* #0!0 R(h*e*, ;,E, d%%, 6#0!07 Im-a2' (0 Online P*ima*$ 2a*e ?i&i'& (n S'anda*d =(&'&: A Pil(' S'ud$, P(-ula'i(n Heal'h Mana+emen', ?(lume !1 Num)e* # #0!0 UU N( #1 'ahun !99# 'en'an+ Ke&eha'an