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.
- 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 ScholarCross Ref
- 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 Scholar
- "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 Scholar
- "Formulasi Kebijakan Integrasi Jaminan Kesehatan Daerah Ke Sistem Jaminan Kesehatan Nasional Menuju Universal Health CoverageGoogle Scholar
- 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 Scholar
- 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 Scholar
- "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 Scholar
- Ringkasan Disertasi ", adoc.pub, 2021. [Online]. Available: https://adoc.pub/formulasi-kebijakan-integrasijaminan kesehatan-daerah-ke-si.html. [Accessed: 23- Oct- 2021]Google Scholar
- "Interoperability in Healthcare", HIMSS, 2021. [Online]. Available: https://www.himss.org/resources/interoperability-healthcare. [Accessed: 23- Oct- 2021]Google Scholar
- "Pusat Data dan Informasi - Kementerian Kesehatan Republik Indonesia", Pusdatin.kemkes.go.id, 2021.Google Scholar
- 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 Scholar
- 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 ScholarCross Ref
- "Adopting Agile Principles In Health Care | Health Affairs Blog", Healthaffairs.org, 2021.Google Scholar
- Ijitee.org, 2021. [Online]. Available: https://www.ijitee.org/wpcontent/uploads/papers/v8i6s4/F10660486S419.pdf. [Accessed: 23- Oct- 2021]Google Scholar
- I. Karistiawan, "BPJS Kesehatan", Bpjs-kesehatan.go.id, 2021. [Online].Google Scholar
- "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 Scholar
- "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 Scholar
- "Resourcelist - FHIR v4.0.1", Hl7.org, 2021. [Online]. Available: https://www.hl7.org/fhir/resourcelist.html. [Accessed: 23- Oct- 2021]Google Scholar
- "Cloud Functions for Firebase | Firebase Documentation", Firebase, 2021. [Online]. Available: https://firebase.google.com/docs/functions. [Accessed: 23- Oct- 2021].Google Scholar
- "Beautiful native apps in record time", Flutter.dev, 2021. [Online]. Available: https://flutter.dev/. [Accessed: 23- Oct- 2021]Google Scholar
- I. Education, "rest-apis", Ibm.com, 2021. [Online]. Available: https://www.ibm.com/cloud/learn/rest-apis. [Accessed: 23- Oct- 2021]Google Scholar
- 16) "REST API Architectural Constraints- GeeksforGeeks", GeeksforGeeks, 2021. [Online]. Available: https://www.geeksforgeeks.org/rest-api-architectural-constraints/. [Accessed: 23- Oct- 2021]Google Scholar
- "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 Scholar
- Ijcaonline.org, 2021. [Online]. Available:https://www.ijcaonline.org/archives/volume179/number46/khawas-2018-ijca-917200.pdf. [Accessed: 23- Oct- 2021]Google Scholar
- "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 Scholar
- "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 Scholar
- "What is Test Scenario? Template with Examples", Guru99, 2021. [Online]. Available: https://www.guru99.com/test-scenario.html. [Accessed: 23- Oct- 2021]Google Scholar
Index Terms
- Personal Health Record and National Health Insurance Interoperability
Recommendations
Implementing the lifelong personal health record in a regionalised health information system: The case of Lombardy, Italy
Abstract BackgroundThe use of personal health records (PHRs) can help people make better health decisions and improves the quality of care by allowing access to and use of the information needed to communicate effectively with ...
Using HL7 FHIR to achieve interoperability in patient health record
Graphical abstractDisplay Omitted
Highlights- Design and implementation of a tethered PHR using HL7 Fast Healthcare Interoperability Resources (FHIR)
AbstractThe rapid growth and acceptance of Electronic Health Records (EHRs) and standards to exchange EHRs have improved various aspects of health practices and patient care. However, the data captured in an EHR is only accessible to the ...
Taiwan's National Health Insurance Research Database: administrative health care database as study object in bibliometrics
The trend to use administrative health care databases as research material is increasing but not well explored. Taiwan's National Health Insurance Research Database (NHIRD), one of the largest administrative health care databases around the world, has ...
Comments