2018 International Seminar on Application for Technology of Information and Communication (iSemantic)

Outpatient Registration System Based On Android

At BBKPM Surakarta
Fahrindra Yusuf Arfannedy Tominanto Andi Yulianto
Medical records and health Medical records and health Medical records and health
information Department, information Department, information Department,
Medical records and health Medical records and health Medical records and health
information Academy information Academy information Academy
APIKES Citra Medika APIKES Citra Medika APIKES Citra Medika
Surakarta, Indonesia Surakarta, Indonesia Surakarta, Indonesia
fahrindra.yusuf19@gmail.com tommynanto@gmail.com Yulianto_andi@rocketmail.com

Abstract- The development of information and communication
technology increases rapidly, including the development of
mobile phone technology that brings smartphone with various
functions, one of them is as a source of information. It can
encourage the public to access information and interact
quickly. Along with these developments, BBKPM Surakarta
has implemented a Short Message Service based registration
system, but the system still has problems, such as Short
Message Service replies received by patients is not appropriate.
The strategy undertaken in accelerating the service is the
outpatient registration system based on the android at BBKPM
Surakarta. The purpose of this research is to make an
outpatient registration system based on android at BBKM
Surakarta. Type of the research uses descriptive, identification
of variables used are patient data, physician data, polyclinic
data, and payment data. The subject in this research is the
registration officer, and the object in this research is part of
registration and IT. Instruments used in this study are
observation and interview, as well as used System Development
Life Cycle (SDLC) system development method. The
outpatient registration system based on Android at BBKPM
Surakarta, was built to accelerate the process of service,
especially in the registration section, with this application is
expected that later patients can register anytime and
anywhere, and can see the doctor's schedule before applying
through an existing application on Android. Hospital
information system at BBKPM Surakarta should be developed
better, so that health service given to society will be more
efficient to process of health service at the hospital.
Keywords- Registration System; Outpatient; Android
I. INTRODUCTION
The world of information technology that is growing has
brought a rapid influence in health field, one of them is
internet. The Internet is a computer network that can provide
information more quickly and efficiently to the community.
Internet technology embedded in various devices such as
mobile phones. In this era, technological development of
mobile phones has not only a communication function but
also access the internet site. This is in use by some mobile
manufacturers in creating a smart phone that is more known
as 'Smartphone'. Many mobile phone manufacturers create
smartphones that have sophisticated features that are needed
by community communication. One of the Operating
System (OS) on smartphones that are growing rapidly is
Android. Many people who use android, ranging from small
children to adults. This is due to the increasing number of
applications and games that are circulating on the android.
Android users start to enter the health world as well, the
world is hospital. With the information technology
development, it can support the hospital service faster, more
accurate and more efficient so that it can improve the
hospital's quality.
The health service institution for communities with their
own characteristics are influenced by the development of
health sciences, technological advancement, and socio-
economic life. The health service institutions must be able to
improve the quality of services and able to be affordable by
the community to realize the highest level of health.[1]
use of a computerized system, is expected to
improvequality of administration, [2] a computerized system
is very necessary, because the services provided at the
Puskesmas must also be fast. For example, addressing the
management information system for the registration of
patients who have been used. [3] BBKPM Surakarta is one
of the pulmonary health service facilities located in
Surakarta. BBKPM Surakarta was established in 1957 under
the name of Balai Pemberantas Penyakit Paru-Paru (BP4)
Surakarta with service at that time addressed to patient of
Pulmonary TB only. Because of the issue of Permenkes
2354 / MENKES / PER / XI / 2011, In 2011 it renamed into
the Community of Lung Health Center (BBKPM) Surakarta.
The existence of BBKPM Surakarta is under the Directorate
General of Health and technically functioned by the
Directorate of Health Care Referrals.
BBKPM Surakarta has 7 polyclinics with an average
visit of 200 patients per day coming from various regions in
around Solo, so the registration takes long queue. Out patient
registration system at BBKPM Surakarta has been done
computerized. New patient registration is done directly at the
hospital, and registration of old patient can be done through
SMS (Short Message Service). Registration via SMS is done
by patients with the format in accordance with the
predetermined and sent to the number that has been
determined, then the data is entered into the server and the
patient gets a message. With the registration via SMS has
many advantages, but in addition it also has some
disadvantages, such as if the patient mistyped the SMS
format then the data cannot enter the server, then the officer
must check the server pulse on a regular basis, because when
the SMS pulses on the server run out then the patient will not
get SMS replies.
II. THEORETICAL FOUNDATION
A. Medical Record
Medical records is a file containing records and
documents on the patient's identity, examination, treatment,

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actions and other services that have been provided to the
patients.[4]
The purpose of medical records is to support the
achievement of orderly administration in order to improve
health services at hospitals. Without a proper medical
records management system and properly administered
hospital administration will not work as expected. While the
administrative order is one of the factors that determine the
efforts of health services in hospitals [5]
B. Health Information System
Health information systems are a support for
implementation good health management in support of
improved performance health services. to realize this, health
information must be used as a material for consideration for
decision makers at each level of management health. [6]
C. Outpatient Acceptance Site (TPPRJ)
Outpatient Acceptance Places or Outpatient Registration
Sites (TPPRJ) are also called Outpatient Registration
Counters. [7]
D. System Design
System design is a complementary problem-solving
technique (with system analysis) that reassembles
component parts into a complete, improved system of
expectations. This involves the addition, deletion, and
relative parts changes in the original system (original). In
designing process models and data models to realize the
defined system requirements and the framework for coding
is also specified. Documentation of this design stage is very
useful for future system development, if there is a change of
user needs. [8]
E. System Development
System development means setting up a new system to
replace the old system as a whole or improve the existing
system.[9]
III. MEDHODS
A. Types Of Research
The research method used is descriptive with survey, the
method uses to assess the condition and the implementation
of a program in the present, then the result is used to plan the
improvement program. The approach used is cross sectional
that is a reset to study the dynamics of correlation between
risk factors with effects, by approach, observation or data
collection at one time. [10]
B. Identification of variables
Identification of variables used by the author in the
preparation of scientific papers are: (1) outpatient
procedures and grooves (2) Patient's data (3) Doctor's data
(4) Payment Data (5) Polyclinics data
C. Research Instrument
Guidelines for interviews with the submission of
questions are either orally or in writing to obtain
information. The guidelines in the study are used to obtain
information from TPPRJ officers in BBKPM Surakarta.
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D. Data Processing Research
Data collection is data collection from hospital medical
records unit consisting of BBKPM Surakarta profile data,
outpatient form, BBKPM Surakarta protocol, patient’s data,
polyclinics information data.
Editing is correcting the data that has been collected
before being processed because the possible data still
duplicate data and errors.
Classification is the classification or differentiation of
data that has been obtained in accordance the classification
into table form such as patient’s table, polyclinics table, and
registration table. Presentation of data is data that has been
collected and they will be processed with PHP programming
language and MySQL database which will generate output
in the form of report of patient visit, Report on Patient Visits
Per Payment Method , report per period, and report of
information of polyclinics, and proof of online registration.
E. System Development Methodology
• Project Identification and Selection, At this stage,
several things to be done are to identify potential
projects, classify and rank projects, and select
projects to develop. Researchers conducted an initial
survey to determine the problems that exist in
BBKPM Surakarta.
• Initiation And Project Design, At this stage a
potential registration system project is described and
arguments for continuing the project are put forward.
Researchers plan to build an outpatient's registration
system based on android in bbkpm Surakarta. At this
stage the researchers also conducted literature studies
and research studies. The literature study aims to
understand concepts and materials related to
outpatient information systems to support the
completeness of the theory and understanding of the
concept of the cases at hand. Previous research
studies on outpatient information systems to improve
understanding and comparison of authenticity of
research.
• The analytical stage is the stage at which the system
is currently being studied and a replacement system is
proposed. This stage researchers study the old system
in a way, there are: Gathering information and
Defines system requirements.
• The design stage is the phase change needs that still
form the concept into a real system specification.
Stages of system design can be divided into 2 stages,
namely logical design (logical design) and physical
design stages (physical design). At this stage the
researchers design the system specifications to be
built include: (1) Designing the flow of data with
flowchart (2) Designing Entity Relationship Diagram
(ERD) and Data Flow Diagram (DFD) (3) Designing
input, this design consists of several input data,
among others: (a) Patients data (b) Polyclinics data
(c) Check date (d) Payment Data (4) Designing
process that will be used to design outpatient
information system using PHP programming
language with MySQL database and Dreamweaver
software. (5) Designing Output, this design consists
of several outputs, among others: (a) Online
Registration Proof (b) Patient Visa Report (c) Report
on Patient Visits Per Payment Method (d) Report on
 2018 International Seminar on Application for Technology of Information and Communication (iSemantic)

Patient Visits Per Period (e) Report of Patient Visits A. System Planing
Per Doctor (f) Online Patient Visa Report 1) Data Flow diagrams (DFD) consists of context
• Impementation stage the researchers test the resulting diagrams, tiered diagrams, DFD level 0 and DFD level 1.
program code and can be applied to the project to be
developed, after testing the program then the program (1) Diagram korteks :
will be installed at BBKPM Surakarta to replace the
old system. b.
REGISTRATION OFFICER
• The final step of the SDLC where at this stage the
system is systematically improved and improved. The Polyclinic Data

result of this stage is a new version of software that Doctor Data

Doctor Schedule Data

has been created. Improvements made at the level can Payment Data
Registration Data

be very varied, ranging from repairing programs that

crash to work again until the addition of new program Data Registration Via Android
0

modules in response to changing needs. a. PATIENT REGISTRATION SYSTEM

OF OUTPATIENT BASED
Registration’s Proof ON ANDROID

IV. RESULT
Place of Outpatient Registration (TPPRJ) BBKPM
Surakarta, there are 2 types of registration that are direct Patient Data Report
Doctor Data Report
registration and registration via SMS (Short Message Polyclinic Data Report
Report on Patient Visit Per Payment Meth
Service). Direct registration is the patient came to BBKPM Patient Visit Report
Patient Booking Report
Surakarta and directly register at the registration to be
entered by the registration officer. Registration at BBKPM
already using computerization. Registration via SMS is done
with the patient register via SMS in accordance with
predefined format. Patients who register via SMS, maximum C. Chief Medical Record

1 day before checking and are at work hours at 08.00-16.00

(the officer must check the credit, sometimes inappropriate
sms replies, queue). Here is the following system at BBKPM Fig. 3. Context Diagram
Surakarta:
2) DFD level 0:
a.
Patient
Patient Data
1 D1 Patient
Patient Data
Patient Data
Polyclinic Data
Patient Data D2 Clinic
b. Polyclinic Data
Polyclinic Data
Registration Officer Doctor Data
Polyclinic Data Doctor
D3
Doctor Data PROCESSING Doctor Data
MASTER DATA
Doctor Data Payment Data
Payment Data D4 Payment Data
Payment Data
Payment Data

2 Payment Data
Payment Data
Doctor Data
Doctor Data
Polyclinic Data
Offline Registration Data
Polyclinic Data
PROCESSING
Patient Data
Registration’s Proof REGISTRATION
DATA Patient Data
Data Registration Via Android
Registration Data
Via Android D5 Booking
Fig. 1. Current System at BBKPM Surakarta
Data Registration Via Android

The system developed at BBKPM Surakarta is outpatient 3 Data Registration Via Android

registration based on android. The following chart system of D6 Visit

Doctor Schedule Data
outpatient registration is based on android to be developed at Viewing the Dokter
Schedule
Offline Registration Data

BBKPM Surakarta. Offline Registration Data

Doctor Schedule Data

4
Registration Data

Patient Data Booking

PROCESSING Payment data

REPORTS Doctor Data
Polyclinic Data

Patient Data

Patient Data Report

Doctor Data Report
Polyclinic Data Report
Payment Method Data Report
Patient Visit Report
Patient Booking Report

c. Chief Medical
Record

Fig. 4. DFD level 0

Fig. 2. The system built at BBKPM Surakarta

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B. Table Relation
Fig. 5. DFD Relation table
C. How to Operate Program
a) Android users
(1) The activation of the program starts with
running the app on Android,Once the application is
successfully executed, it will show the main page. The main
page of this application has the name of the hospital, and in
the top left corner there is a menu.
Fig. 6. Program Activation On Android Users
(2) The options menu is in the top left corner, when
clicked it will appear several options, among others: Home,
Doctor Schedule, Outpatient Registration, and Location.
Fig. 7. Options Menu
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(3) The doctor's schedule serves to see the doctor's
schedule including doctor's name, practice day, start
and end time of practice.
(4) The outpatient registration menu serves to perform an
outpatient registration that can be performed by an elderly
patient or patient who has previously been treated at
BBKPM Surakarta.
Fig. 8. Patient Data Validation
(5) Validate patient data using medical record number and
patient's birth date. If the patient is wrong in the input,
medical record number and date of birth it will appear
notification that patient data is not found, and if true it will
show patient data. In this stage the phone number can be
changed when there is a change in patient data. select next at
the bottom so that the display appears.
Fig. 9. Patient Data Notification Not Found and Data Patient
(6) At this stage the patient can choose the date of check,
how to pay, clinic purpose, and the name of the doctor.
Selected check dates are three days after registration is made
and a maximum of one day before check. After all the
complete data, then press the verification button, if the
patient had previously done registration, but not yet come to
BBKPM Surakarta then do re-registration, it will show the
notification.
Fig. 10. Input Data Registration
 2018 International Seminar on Application for Technology of Information and Communication (iSemantic)
(7) But if the patient successfully registered then will show
the registration notification successfully completed with
patient registration data, then the patient can download the
proof of registration in the form of pdf files that will be
brought when coming to BBKPM Surakarta.
Fig. 11. Registration Successful and Proof of Enrollment
(8) The location menu in this app serves to display the map /
location BBKPM Surakarta.
b) Admin User
(1) to activate the administration program is done by visiting
the server address such as: http://andi-media.info, the it will
appear login page then enter the username dan password.
(2) After successful login, it will appear the main page.
(3) The master data menu serves to manage the master data,
on this menu when clicked it will display the Data menu
Patient, Polyclinics Data, Doctor Data, and Data Cara Pay.
(4) Master patient data serves manage the patient identity
data that has been entered previously. Patient data will be
displayed in the table, to search the patient, input the
patient's name, and then click the search button. to make
data changes can be done by selecting the patient on the
table, then click edit and then appear edit data dialog. And
to do Clear data, select the patient in the table, then click the
delete data button. If data printing will be done, click the
print data button located on the top right.
(5) Master of polyclinics data serves manage polyclinics
data. To add data, click on the new data button, then input
data dialog, input the name of the clinic, and press save
button, once data successfully entered it will be displayed in
table. To make data changes, select the poly data in the
table, then click edit data, it will pop up the edit data dialog,
then input the data changes, and click save to update. to
perform data deletion, click data in table, then click delete
data button, and to print polyclinic data, they can press print
button on right side.
(6) Doctor data master serves to manage doctor's data, as
well as doctor's schedule on Android app. Doctor data
master consists of id, doctor's name, specialist, practice day,
and hours of practice. To perform the addition of data, click
on new data button, then input data dialog, input the name
of doctor, specialist, practice day, and practice hours then
press save button, after data successfully entered it will be
displayed in table. To make data changes, select doctors
data in the table, then click edit data, it will pop up the edit
data dialog, then input the data changes, and click save to
update. to perform deletion of data, click the data in the
table, then click the delete data button, and to print the data
the doctor can press the print button on the right.
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(7) Master data how to pay serves to manage data on how to
pay. To add data, click on new data button, then input data
dialog, input type of payment method, n and press save
button, after data successfully input will be displayed in
table. To change data, select the data in the table, then click
edit data, it will pop up the edit data dialog, then input the
data changes, and click save to update. to perform deletion
of data, click the data in the table, then click the delete data
button, and to print data how to pay they can press the print
button on the right.
(8) The Registration menu is used to perform patient
registration transactions, which consists of 2 sub menus,
among others, online verification and offline registration.
(9) On this online verification sub menu is used to verify
patients who have signed up through android app. Patients
who have successfully registered through android
application, then the data will be displayed on the booking
table to be verified when the patient comes. The medical
recorder can print patient data that has been registered via
android via the print button, then from the data they can be
prepared patient medical records file before the patient
comes. To search patient data they can input booking
number and name of patient, then click search button, to
perform data deletion, select patient on table, then press
delete button data, and to do patient verification, select
patient at table booking, then press verification button , then
the patient verification dialog will appear. Then complete
the patient's data, including the name of the person in
charge, phone number, how to pay, security card number,
the target policlinic, and doctor, then press save button to
save the data. The data that has been successfully verified
then moved on the table of patient visits. In the table of
patient visits, only displays the data of visits on this day.
(10) This sub menu is used to register new and old patients
who come directly to BBKPM Surakarta. To register the old
patient, click the Offline registration sub-menu, then select
the old patient. If the patient is carrying KIB or already
known his medical record number, input the medical record
number on the available field, if the patient does not bring
the KIB or the medical record number is not yet, then search
by click the search button to the right of the name field, .
input the patient name and address, click select. then the
patient data will appear, then complete the registration data,
and click save data to save.
New patient registration can be done with click of new
patient button, then complete patient identity data and visit
data. Click save data to save. If the registration is successful,
then the patient's identity data will be stored on the pasiaen
master, and the visit data will be stored in the visit data.
(11) The report sub menu is used to display report data,
consisting of patient data reports, physician data reports,
polyclinic data reports, payroll data reports, patient booking
reports, and reports of patient visits.
(12) Patient booking report serves to display patient data
reports that register through the android application, which
will then do the taking of medical record documents from
the rack filling before patients come to the hospital. when
choosing patient data report order menu then filter data filter
will appear based on check date.
(13) The visit report consists of several categories, to view
reports of all patient visit data, patient visits per polyclinic,
per physician, per way, per period, and per way list, can be
 2018 International Seminar on Application for Technology of Information and Communication (iSemantic)
done by clicking the choice of each category then click
show, then data will be displayed according to the selected
category, to print data with the selected category can be
done by clicking the print data button, then the data will be
printed.
(14) The access menu consists of user data, which is used to
manage user data used for system logins. To add new user
data, click on the new data button, then input dialog will
show user data, enter the user name and password, then
click save to save the data. After the data is successfully
saved, then the data will be displayed in the user table. To
make data changes, select the user in the table then click the
edit button, then it will display the edit data dialog, change
data and click save to save. When will do delete data, select
data in table then click button delete data.
(15) To exit the app, please click the Logout button on the
bottom menu.
V. CONCLUTION
Conclusion of Scientific Writing entitled "System of
Registration of Outpatient Patient Based Android at
BBKPM Surakarta" that is: (1) Information system of
outpatient registration in BBKPM Surakarta is now done
with SMS system, but the system still has some weaknesses,
such as if patient wrong type sms then data can not enter
server, besides officer must check the server pulse
periodically, because if the sms pulses on the server run out
then the patient will not get sms reply (2) Making
information system of outpatient registration based on
Android at BBKPM Surakarta, can speed up service
process, patient data processing in hospital and more
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communicative with society about health service in BBKPM
Surakarta. The system is designed and applied computerized
using the PHP programming language (Hypertext
Prepocessor) which consists of patient table, polyclinic
table, paying table, physician table, and booking table. The
resulting report is patient data report, polyclinic data report,
payroll data report, physician data report, patient visit
report, per visit doctor report, pay per visit report, visit
report per polyclinic, pay per visit report and visit report per
period.
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