Published: 2025-12-01
Web-Based Inpatient Medical Record Review Information System Design Using the Agile Method: Implementation at RSUD Bandung City
DOI: 10.35870/ijsecs.v5i3.5441
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Abstract
Inpatient medical record review is a major activity in ensuring the quality, completeness, and consistency of hospital healthcare documentation. Besides ensuring compliance with documentation standards, the review process also ensures that clinical services are accurately recorded for reference in future medical, legal, and administrative matters. This study aims to design a web-based information system that will facilitate structured, efficient, and integrated review workflows between medical record officers and other related units. The development of the system uses the Agile method which prioritizes flexibility and fast adaptation to user feedback so that improvements can be made iteratively. The prototype created can manage data input on reviews, generate summary results as well as reduce human errors usually found in manual entries. The hospital currently uses Google Spreadsheets and Google Forms which are tools with too many columns and prone to errors hence making tracking time and data inefficient. Usability testing using the System Usability Scale (SUS) obtained an average score of 68.13 which is categorized as “acceptable” usability indicating that the system is easy to use and feasible for real implementation. This system is then a basic solution for workflow simplification, validation accuracy improvement, and increasing documentation reliability of medical records in hospital environments.
Keywords
Medical Record Review ; Information System Design ; Agile Method ; Performance Improvement ; Completeness of Medical Record
Article Information
This article has been peer-reviewed and published in the International Journal Software Engineering and Computer Science (IJSECS). The content is available under the terms of the Creative Commons Attribution 4.0 International License.
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Issue: Vol. 5 No. 3 (2025)
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Section: Articles
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Published: %750 %e, %2025
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License: CC BY 4.0
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Copyright: © 2025 Authors
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DOI: 10.35870/ijsecs.v5i3.5441
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Mely Fahmalia
Informatics Management Study Program, Politeknik Piksi Ganesha, Bandung City, West Java Province, Indonesia
Yuyun Yunengsih
Informatics Management Study Program, Politeknik Piksi Ganesha, Bandung City, West Java Province, Indonesia
Falaah Abdussalaam
Informatics Management Study Program, Politeknik Piksi Ganesha, Bandung City, West Java Province, Indonesia
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Abidin, A. N., Nuraini, N., Deharja, A., & Swari, S. J. (2022). Analisis kelengkapan rekam medis berdasarkan SNARS di RSU Purwogondo Kebumen. J-REMI: Jurnal Rekam Medik Dan Informasi Kesehatan, 4(1), 38–44. https://doi.org/10.25047/j-remi.v4i1.3612
-
Amalia, M., Setiatin, S., & Yunengsih, Y. (2021). Tinjauan pelaksanaan review berkas rekam medis sesuai standar MIRM 13.4 di RS X Bandung. Cerdika: Jurnal Ilmiah Indonesia, 1(9), 1154–1160. https://doi.org/10.36418/cerdika.v1i9.154
-
Anggraini, Y., Pasha, D., Damayanti, D., & Setiawan, A. (2020). Sistem informasi penjualan sepeda berbasis web menggunakan framework CodeIgniter. Jurnal Teknologi Dan Sistem Informasi, 1(2), 64–70. https://doi.org/10.33365/jtsi.v1i2.236
-
Ansori, S., Sari, I., & Sufyana, C. (2022). Sistem informasi distribusi rekam medis (Studi kasus: RSAU Lanud Sulaiman). Jurnal Sains Dan Informatika, 8(1), 70–79. https://doi.org/10.34128/jsi.v8i1.403
-
Awaluddin, M. R., Yunengsih, Y., & Abdussalaam, F. (2025). Sentralisasi pelaporan rawat jalan berbasis elektronik di Rumah Sakit X. J-REMI: Jurnal Rekam Medik Dan Informasi Kesehatan, 6(3), 193–204. https://doi.org/10.25047/j-remi.v6i3.6026
-
Ayotomiwa, A. S., Ajayi Oluwabukola, F., Jesse, O. C., & Emmanuel, A. O. (2025). Design and implementation of a web-based patient management system for hospital operations. International Journal of Research and Innovation in Applied Science, 10(5), 207–217.
-
Cella, D., Garcia, S. F., Cahue, S., Smith, J. D., Yanez, B., Scholtens, D., Lancki, N., Bass, M., Kircher, S., & Flores, A. M. (2023). Implementation and evaluation of an expanded electronic health record-integrated bilingual electronic symptom management program across a multi-site comprehensive cancer center: The NU IMPACT protocol. Contemporary Clinical Trials, 128, 107171. https://doi.org/10.1016/j.cct.2023.107171
-
Christensen, M. A., Chen, A., Beebe, R., Reale, C., Wrenn, J. O., Gradwohl, S. C., Weitkamp, A. O., Nance, B., Kuttler, K. G., & Carr, J. R. (2025). User-centered-re-design of an established clinical decision support system for pneumonia. American Journal of Respiratory and Critical Care Medicine, 211(Abstracts), A5311–A5311.
-
Denis, F., Basch, E., Septans, A.-L., Bennouna, J., Urban, T., Dueck, A. C., & Letellier, C. (2019). Two-year survival comparing web-based symptom monitoring vs routine surveillance following treatment for lung cancer. JAMA, 321(3), 306–307. https://doi.org/10.1001/jama.2018.18085
-
Dermawan, A. R. I., & Siswati. (2020). Gambaran implementasi review rekam medis terbuka dan review rekam medis tertutup sesuai SNARS di Rumah Sakit Husada. Prosiding 4 SENWODIPA, 10–19.
-
Divanti Syaharani, Farda Hasun, & Praptiwi Lestiyawati. (2024). Design of Ruangwakaf application business model using Lean Canvas. International Journal of Innovation in Enterprise System, 8(1), 34–59. https://doi.org/10.25124/ijies.v8i01.260
-
Franco, J. R., Chen, A. F., Ready, J. E., Olsen, A. S., Lange, J. K., Shah, V. M., & Iorio, R. (2025). The CCJR® Gerard A. Engh Excellence in Knee Research Award: Patient-reported outcomes collection and mandatory Medicare inpatient total knee arthroplasty patient-reported outcome performance measures: How to optimize the process. The Journal of Arthroplasty, 40(7, Supplement 1), S31–S37.e2. https://doi.org/10.1016/j.arth.2025.03.033
-
Garcia, S. F., Wortman, K., Cella, D., Wagner, L. I., Bass, M., Kircher, S., Pearman, T., & Penedo, F. J. (2019). Implementing electronic health record–integrated screening of patient‐reported symptoms and supportive care needs in a comprehensive cancer center. Cancer, 125(22), 4059–4068. https://doi.org/10.1002/cncr.32439
-
Halimatusaadah, H. I., & Hidayati, M. (2022). Analisis kelengkapan pengisian rekam medis pasien RJ poli umum guna menunjang mutu rekam medis. J-REMI: Jurnal Rekam Medik Dan Informasi Kesehatan, 3(2), 159–168. https://doi.org/10.25047/j-remi.v3i2.2737
-
Hanafi, S. T., Panjaitan, W. U., Ramadhan, A. R., & Purba, S. H. (2025). Penerapan sistem informasi kesehatan di puskesmas di Indonesia. Sagita Academia Journal, 3(1), 19–23. https://doi.org/10.61579/sagita.v3i1.333
-
Haryati, S., Syahidin, Y., & Widyaningrum, D. (2023). Electronic medical record management in monitoring loan and return of medical records at Majalaya Hospital. International Journal Software Engineering and Computer Science (IJSECS), 3(2), 97–107. https://doi.org/10.35870/ijsecs.v3i2.1496
-
Jensen, R. E., Snyder, C. F., Abernethy, A. P., Basch, E., Potosky, A. L., Roberts, A. C., Loeffler, D. R., & Reeve, B. B. (2013). Review of electronic patient-reported outcomes systems used in cancer clinical care. Journal of Oncology Practice, 10(4), e215–e222. https://doi.org/10.1200/JOP.2013.001067
-
Lizée, T., Basch, E., Trémolières, P., Voog, E., Domont, J., Peyraga, G., Urban, T., Bennouna, J., Septans, A.-L., & Balavoine, M. (2019). Cost-effectiveness of web-based patient-reported outcome surveillance in patients with lung cancer. Journal of Thoracic Oncology, 14(6), 1012–1020. https://doi.org/10.1016/j.jtho.2019.02.022
-
Lungguh Sri Astuti, Retnaasih, N. W., Falaah Abdussalaam, & Erix Gunawan. (2024). Tata kelola rekam medis dalam berkas rekam medis closed medical record review menggunakan metode Agile. Decode: Jurnal Pendidikan Teknologi Informasi, 4(2), 381–391. https://doi.org/10.51454/decode.v4i2.267
-
Mahadhir. (2021). Community service information system in capital lending at the Aceh Cooperatives, Small and Medium Enterprises Service. International Journal Software Engineering and Computer Science (IJSECS), 1(2), 63–68. https://doi.org/10.35870/ijsecs.v1i2.597
-
Mahdani, R., Yaumi, T., Syahidin, Y., & Yunengsih, Y. (2023). Tata kelola rekam medis berbasis elektronik dalam pembuatan laporan poliklinik pasien rawat jalan menggunakan metode Agile. Jurnal Indonesia: Manajemen Informatika Dan Komunikasi, 4(3), 1050–1060. https://doi.org/10.35870/jimik.v4i3.315
-
Meilani, S., & Sari, I. (2021). Perancangan sistem informasi IGD menggunakan Microsoft Visual Studio 2010 di Rumah Sakit X. Jurnal Indonesia Sosial Teknologi, 2(9), 1650–1659. https://doi.org/10.36418/jist.v2i9.233
-
Mutia, M., Nurdianti, N., Abdussalaam, F., & Yunengsih, Y. (2023). Tata kelola rekam medis elektronik berbasis teknologi informasi pada penanganan resume medis pasien dengan metode Agile. Jurnal Indonesia: Manajemen Informatika Dan Komunikasi, 4(3), 1487–1499. https://doi.org/10.35870/jimik.v4i3.355
-
Ning Widyastuti, H., Permana Wicaksono, A., Farlinda, S., Rachmawati, E., Kesehatan, J., & Negeri Jember, P. (2020). Analisis kelengkapan pengisian informed consent di Rumah Sakit Wijaya Kusuma Lumajang. J-REMI: Jurnal Rekam Medik Dan Informasi Kesehatan, 1(2), 61–76.
-
Putri, L. D., Setyawan, A. A., & Yunengsih, Y. (2024). Electronic medical record information system to support clinical management of web-based medical report resumes. International Journal Software Engineering and Computer Science (IJSECS), 4(3), 1233–1243. https://doi.org/10.35870/ijsecs.v4i3.3106
-
Razie, M. F., & Baihaqi, B. (2025). Perancangan sistem informasi rekam medis berbasis web pada Puskesmas Susoh. Jurnal Nasional Komputasi Dan Teknologi Informasi (JNKTI), 8(1), 194–204. https://doi.org/10.32672/jnkti.v8i1.8639
-
Tamma, R. O., Syahidin, Y., & Yunengsih, Y. (2025). Perancangan sistem informasi pelaporan 10 besar tindakan operasi rawat inap menggunakan metode Agile. Decode: Jurnal Pendidikan Teknologi Informasi, 5(1), 106–120.
-
Vanesia, S. A., Andreswari, R., & Al Anshary, F. M. (2018). Design of web-based material management information system in financial module (Case study PT INTI). International Journal of Innovation in Enterprise System, 2(02), 31–38. https://doi.org/10.25124/ijies.v2i02.23
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