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Personal Health Record and National Health Insurance Interoperability

Published:26 December 2023Publication History

ABSTRACT

Personal Health Record (PHR) is a personal record of patient health data originating from Healthcare Provider (HP) and information from the patient himself. With the PHR, patients can manage and choose to whom, when, and where their health data is used. For HP to use the same medical record source, interoperability between PHR and various HPs information systems are required. The purpose of this study is to design an interoperability system among HPs under the auspices of the National Health Insurance (NHI) through PHR. The interoperability system designed is based on the Fast Healthcare Interoperability Resources (FHIR) standard data format through the Application Programming Interface (API) communication method. This implementation design was tested using scenario testing that consists of PHR and HP information systems. PHR app is developed using mobile application equipped with an API. There are 2 of HP's web applications with their own API. Based on the testing of 12 scenarios, the registration of PHR users as patients in the HP (Scenarios 4 and 8) and the provision of access to patient's medical records to doctors at the HP (Scenarios 6 and 11) have successfully tested the transfer of registration data and medical records from one HP to another. Therefore, this design has succeeded in simulating the need for a PHR interoperability system that can be applied to the NHI program in Indonesia.

References

  1. A. Roehrs, C. da Costa, R. Righi and K. de Oliveira, "Personal Health Records: A Systematic Literature Review", Journal of Medical Internet Research, vol. 19, no. 1, p. e13, 2017.Google ScholarGoogle ScholarCross RefCross Ref
  2. K. Indonesia, "Jaminan Kesehatan Nasional – Halaman FAQ", Jaminan Kesehatan Nasional, 2021. [Online]. Available: http://jkn.kemkes.go.id/faq.php. [Accessed: 23- Oct- 2021]Google ScholarGoogle Scholar
  3. "Kajian Literature: Evaluasi Pelaksanaan Program Jaminan Kesehatan Nasional di Indonesia", Jurnal.ugm.ac.id, 2021. [Online]. Available: https://jurnal.ugm.ac.id/jkki/article/view/30650. [Accessed: 23- Oct- 2021]Google ScholarGoogle Scholar
  4. "Formulasi Kebijakan Integrasi Jaminan Kesehatan Daerah Ke Sistem Jaminan Kesehatan Nasional Menuju Universal Health CoverageGoogle ScholarGoogle Scholar
  5. Pelayanan.jakarta.go.id, 2021. [Online]. Available: https://pelayanan.jakarta.go.id/download/regulasi/peraturan-meneterikesehatan-nomor-269-tentang-rekam-medis.pdf. [Accessed: 23- Oct- 2021]Google ScholarGoogle Scholar
  6. I. Karistiawan, "BPJS Kesehatan", Bpjs-kesehatan.go.id, 2021. [Online]. Available: https://bpjs-kesehatan.go.id/bpjs/pages/detail/2014/12. [Accessed: 23- Oct- 2021]Google ScholarGoogle Scholar
  7. "Personal Health Working Group Final Report", Markle | Advancing America's Future, 2021. [Online]. Available: https://www.markle.org/publications/1429-personal-healthworkinggroup-final-report. [Accessed: 23- Oct- 2021]Google ScholarGoogle Scholar
  8. Ringkasan Disertasi ", adoc.pub, 2021. [Online]. Available: https://adoc.pub/formulasi-kebijakan-integrasijaminan kesehatan-daerah-ke-si.html. [Accessed: 23- Oct- 2021]Google ScholarGoogle Scholar
  9. "Interoperability in Healthcare", HIMSS, 2021. [Online]. Available: https://www.himss.org/resources/interoperability-healthcare. [Accessed: 23- Oct- 2021]Google ScholarGoogle Scholar
  10. "Pusat Data dan Informasi - Kementerian Kesehatan Republik Indonesia", Pusdatin.kemkes.go.id, 2021.Google ScholarGoogle Scholar
  11. L. M, L. S, V. P and T. S, "The Use of FHIR in Digital Health - A Review of the Scientific Literature", PubMed, 2021.Google ScholarGoogle Scholar
  12. D. Bender and K. Sartipi, "HL7 FHIR: An Agile and RESTful approach to healthcare information exchange", Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems, 2013.Google ScholarGoogle ScholarCross RefCross Ref
  13. "Adopting Agile Principles In Health Care | Health Affairs Blog", Healthaffairs.org, 2021.Google ScholarGoogle Scholar
  14. Ijitee.org, 2021. [Online]. Available: https://www.ijitee.org/wpcontent/uploads/papers/v8i6s4/F10660486S419.pdf. [Accessed: 23- Oct- 2021]Google ScholarGoogle Scholar
  15. I. Karistiawan, "BPJS Kesehatan", Bpjs-kesehatan.go.id, 2021. [Online].Google ScholarGoogle Scholar
  16. "Apa Saja Fitur Pada Aplikasi Mobile JKN? ", Jamkesnews, 2021. [Online]. Available: https://www.jamkesnews.com/jamkesnews/Faqs/detail/88/20201013/apa-saja-fitur-pada-aplikasi-mobile-jkn. [Accessed: 23- Oct- 2021]Google ScholarGoogle Scholar
  17. "Ragam fitur dan cara menggunakan aplikasi mobile JKN BPJS", Ekrut.com, 2021. [Online]. Available: https://www.ekrut.com/media/mobile-jkn-adalah. [Accessed: 23- Oct- 2021]Google ScholarGoogle Scholar
  18. "Resourcelist - FHIR v4.0.1", Hl7.org, 2021. [Online]. Available: https://www.hl7.org/fhir/resourcelist.html. [Accessed: 23- Oct- 2021]Google ScholarGoogle Scholar
  19. "Cloud Functions for Firebase | Firebase Documentation", Firebase, 2021. [Online]. Available: https://firebase.google.com/docs/functions. [Accessed: 23- Oct- 2021].Google ScholarGoogle Scholar
  20. "Beautiful native apps in record time", Flutter.dev, 2021. [Online]. Available: https://flutter.dev/. [Accessed: 23- Oct- 2021]Google ScholarGoogle Scholar
  21. I. Education, "rest-apis", Ibm.com, 2021. [Online]. Available: https://www.ibm.com/cloud/learn/rest-apis. [Accessed: 23- Oct- 2021]Google ScholarGoogle Scholar
  22. 16) "REST API Architectural Constraints- GeeksforGeeks", GeeksforGeeks, 2021. [Online]. Available: https://www.geeksforgeeks.org/rest-api-architectural-constraints/. [Accessed: 23- Oct- 2021]Google ScholarGoogle Scholar
  23. "REST vs. SOAP", Redhat.com, 2021. [Online]. Available: https://www.redhat.com/en/topics/integration/whats-the-differencebetween-soap-rest. [Accessed: 23- Oct- 2021]Google ScholarGoogle Scholar
  24. Ijcaonline.org, 2021. [Online]. Available:https://www.ijcaonline.org/archives/volume179/number46/khawas-2018-ijca-917200.pdf. [Accessed: 23- Oct- 2021]Google ScholarGoogle Scholar
  25. "Difference between MySQL and Firebase? Difference between SQL and NoSQL", Medium, 2021. [Online]. Available: https://androidappsdevelopment-blogs.medium.com/difference-between-mysql-andfirebase-difference-between-sql-and-nosql-e1ce538f9e17. [Accessed: 23- Oct- 2021]Google ScholarGoogle Scholar
  26. "Cem-Kaner, J. (2013) An Introduction to Scenario Testing. Florida Institute of Technology, Melbourne, 1-13. - References - Scientific Research Publishing", Scirp.org, 2021. [Online]. Available: https://www.scirp.org/(S(vtj3fa45qm1ean45%20vvffcz55))/reference/ referencespapers.aspx?referenceid=2580543. [Accessed: 23- Oct- 2021]Google ScholarGoogle Scholar
  27. "What is Test Scenario? Template with Examples", Guru99, 2021. [Online]. Available: https://www.guru99.com/test-scenario.html. [Accessed: 23- Oct- 2021]Google ScholarGoogle Scholar

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            WSSE '23: Proceedings of the 2023 5th World Symposium on Software Engineering
            September 2023
            352 pages
            ISBN:9798400708053
            DOI:10.1145/3631991

            Copyright © 2023 ACM

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            Publication History

            • Published: 26 December 2023

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