KOMPUTERISASI

SISTEM INFORMASI
RUMAH SAKIT
 T u j u a n H C I S
Meningkatkan pelayanan pada pasien dan
membuat kinerja Rumah Sakit menjadi lebih baik
 Keuntungan Bagi Pasien
 Waktu pelayanan administrasi dan
Informasi pembayaran pasien langsung dapat
medis bisa
dimonitoring dan terintegrasi.
 Informasi medical record pasien tercatat dan
diacces dari diperoleh dengan cepat dan benar.
 Keuntungan Bagi Rumah Sakit
mana saja,  Menyimpan dan memelihara data-data
kapan saja dan medis untuk keperluan Medical Record
Rumah Sakit, beserta data-data penunjang
siapa saja 
m e d i
Mengelola informasi-informasi medis
s

sesuai dengan dengan cara yang mudah, cepat dan

kebutuhan
e f e s i e n .
 Mengelola informasi manajemen Rumah
masing-masing Sakit dengan menggunakan sistem
k o m p u t e r y a n g t e r p a d u
personal  Billing pasien dan sistem keuangan(GL)
cepat, akhurat dan terpadu.
Diagram Alir Informasi Pasien
Diagram Alir Informasi Administrasi
 Modul-Modul Sistem Informasi
Rumah Sakit
Pendaftaran Pasien
Medical Record
Rawat Inap
MRI MRUGD
Rawat Jalan MRJ
UGD

Logistik

OK Apotik & Gudang Obat

VK Laboratorium Billing
Fisioterapi Radiologi Keuangan
Transaksi Pasien Jalan
 PENDAFTARAN PASIEN
• Merupakan loket pertama
yang menghadapkan
secara langsung sistem
informasi rumah sakit PASIEN
dengan pasien.
• Mencatat setiap
pendaftaran pasien.
• Mencari data pasien TPPRJ TPPRI UGD
secara mudah dan cepat.
• Melaporkan rekapitulasi
dan keadaan pendaftaran
pasien.
Menu TPPRJ
 Pasien Rawat Jalan
• Pendaftaran Pasien Rawat Jalan
• Poli klinik
• Medical Record Pasien Rawat Jalan
• Administrasi : Kasir dan Billing Rawat Jalan
 TPPRJ
Tempat Pendaftaran Pasien Rawat Jalan
Perbaikan pasien
Poliklinik
Rincian biaya Rawat Jalan
Kwitansi TPPRJ
Medical Record RJ
Laporan Morbidlital RJ
 Pasien Rawat Inap
• Pendaftaran Pasien Rawat Inap
• Tindakan Medis
• Medical Record Pasien Rawat Inap
• Sistem Administrasi: Billing Rawat Inap
Rawat Inap
TPPRI
Laporan Pada TPPRI
Laporan Indeks
Billing Rawat Inap
Pasien UGD
Pendaftaran Rawat
Rekapitulasi Rawat Inap
Data Medis dan Keadaan akhir UGD
Rincian Biaya UGD
Medical Record UGD
Laporan Pasien UGD
Morbidilitas (RL 2B)
OK
Entri Operasi Pasien
Laporan OK
VK
Menu Kamar Bersalin
Entri Data persalinan
Entri Data Gynecology
Entri pembayaran VK
 Sistem Informasi Farmasi
Melayani pasien secara langsung
Gudang apotik untuk dirinya sendiri
PASIEN APOTIK

RUANG
PERAWATAN GUDANG OBAT
RAWAT INAP Melayani stok apotik dan ruang
perawatan rawat inap
Sistem Informasi Farmasi
Untuk Apotik
Penjualan Obat
Laporan Farmasi Pada Apotik
Sistem Informasi Farmasi
Untuk Gudang Obat
Pemesanan Obat
Penerimaan Obat
Retur Obat
Pengeluaran Obat
Laporan Farmasi Pada Gudang
SISTEM INFORMASI
LABORATORIUM
Laboratorium
Laporan Pada
Lap Laboratorium
Lab
SISTEM INFORMASI
RADIOLOGI
Entri Data Radiologi
Pemeriksaan Radiologi
Laporan Pada Radiologi
Logistik
Data master logistik
Master logistik
Pemesanan barang
Penerimaan barang
Pengeluarang barang
Laporan keadaan stok
Laporan Kartu Stok
Laporan transaksi
 Data Master
Untuk Bagian Keuangan RS
 Keuangan
• Rekapitulasi Billing Rumah sakit
• Cash flow penerimaan dan pengeluaran
• General Ledger: Akuntansi keuangan
Penerimaan & Pengeluarn Selain
Tagihan Medis
Laporan Pendapatan
Kasir Layanan Rawat Jalan
Contoh hasil lap kasir
Validasi Pembayaran apotik Pasien
Contoh pembayaran pasien ke apotik
Validasi Pembayaran Lab
Contoh validasi pembayaran Lab
Validasi Pembayaran Radiologi
Contoh pembayaran Radiologi
Validasi Pembayaran Fisioterapi
Validasi Pembayaran Kamar Bersalin
Pendapatan Total Rumah Sakit
General Ledger
 Contoh :
hasil integrasi GL dengan Transaksi
What is your Target ????
 Knowledge Era
• Attribute Nomadic Agrarian Mercantile Industry Knowledge

• TechnologyHunting Manual Farm Sailing Machines Computer

• Tool Equipment Ship
• Energy Source Fire Animals Wind Fossil The Mind Fuel
• Basis of Hunting Farm Land Sailing Land, Labor Information
• Wealth Ability of Ship Capital Tribe
• Market Person to Village, Town Shopping Cyber
• Place Person Square Store Mall Space
• Organization Tribe Feudalism Trading Hierarchical Networks
• House Cooperation
Evolution ?
 1).Information Technology Domain
INFORMATION SYSTEM Processes Standards and Procedures
Organization
Management

Research and People and Culture Human Resources Products and Services
Development

Infrastructure
INFORMATION TECHNOLOGY Internet
Intranet
Rules and Policy
Electronic Digital Nervous
Commerce ISDN, VSAT System Extranet
Cost and
Investment
COMPUTER
Electronic
Market and Data
Customers Interchange
HARDWARE SOFTWARE

Strategic Decision Support PC Desktop Operating System

Business System
Plan Notebook and Palmtop Database

Data Mining Applications

Macro Printer
Environment
Modem Multimedia Programming Languages
Workgroup
Computing
Outsourcing
The Balanced of Resources has
Changed
Materials

Machines Money

Four Ms Plus

Men Information
 Why Information ?
Intelligence INTELLIGENT MANAGER
+ wisdom

Knowledge

+ experience

Information

+ context

Data

+ procedure

Business Facts
 Teknologi Informasi(TI)
dan Sistem Informasi(SI)
TI
– - Bentuk teknologi untuk menangani informasi
yang di inginkan.
• SI
– - Integrasi komponen pemrosesan ,
penyimpanan dan diseminasi informasi dalam
suatu organisasi.
– - STudi interdisiplin suatu sistem untuk
menyediakan informasi pada suatu
organisasi.
 Data dan Informasi
• Data
– Aliran fakta dasar)
• Informasi
– - Interpretasi data yang disajikan dengan cara
yang berarti.
• Informatika
– Studi tetantang informasi, sistem informasi
dan teknologi informasi.
• SEKILAS TENTANG ENTERPRISE RESOURCE
PLANNING

ERP (Enterprise Resource Planning) menyediakan

informasi tunggal untuk satu kesatuan koordinasi
organisasi dari proses kunci bisnis di suatu perusahaan.
Tersedianya data yang lengkap dan terintegrasi antara
unit fabrikasi, akuntansi, SDM, penjualan dan keuangan
memudahkan manajemen perusahaan untuk melakukan
perencanaan terhadap semua sumber daya dengan cepat
dan akurat.
• Modul-modul yang terdapat pada SI Enterprise
Resource Planning antara lain :
 Modul Operasi
• General Logistics
• Sales and Distribution
• Materials Management
• Logistics Execution
• Quality Management
• Plant Maintenance
• Customer Service
• Production Planning and Control / Supply Chain
Management (SCM)
• Project System
• Environment Management
• Modul-modul yang terdapat pada SI
Enterprise Resource Planning antara lain :
– Modul Finansial dan Akutansi
• General Accounting
• Financial Accounting
• Controlling
• Invesment Management
• Treasury
• Enterprise Controlling
– Modul Sumber Daya Manusia
• Personnel Management
• Personnel Time Management
• Payroll
• Training and Event Management
• Organizational Management
• Travel Management
Skema Integrasi sistem ERP
• ARSITEKTUR SISTEM ERP :
• Keunggulan SI Enterprise Resource Planning
antara lain :
– Integrasi data keuangan sehingga top manajemen bisa melihat dan
mengontrok kinerja keuangan perusahaan dengan lebih baik.
– Standarisasi proses operasi sehingga terjadi peningkatan produktivitas,
penurunan inefisiensi dan peningkatan kualitas produk.
– Standarisasi data dan informasi, yaitu menstandartkan data dan informasi
melalui keseragaman pelaporan, terutama untuk perusahaan besar yang
biasanya terdiri dari banyak bussines unit dengan jumah dan jenis bisnis
yang berbeda-beda.
– Penurunan Inventory
– Penurunan tenaga kerja secara total
– Peningkatan service level
– Peningkatan kontrol keuangan
– Penurunan waktu yang dibutuhkan untuk mendapatkan informasi.
– Back Up data secara manual maupun otomatis
Information Management
Corporations
Community Business Entities
Institutions Non Profit Organization Public Sectors

INFORMATION SYSTEM
- DEMAND SITE -

INFORMATION MANAGEMENT

INFORMATION TECHNOLOGY
- SUPPLY SITE -

Software Houses Computer Manufacturers

Universities Silicon Valley R&D Centers
 The Three Domains: IS, IT and IM
What ?
IS Strategy Applications
Division/function based
Demand oriented
Business focused
Wherefore ?
IM Strategy
Organisation based
Relationship oriented
Management focused
How ?
Management
IT Strategy
Activity based
Supply oriented
Technology focused
Delivery
 Role of Information Technology
Intelligence INTELLIGENT MANAGER
1. Help Creating the Intelligence

+ wisdom

2. Help Empowering the People

Knowledge EXECUTIVES
+ experience

Information LINE MANAGER

+ context

Data SUPERVISOR
+ procedure

Business Facts STAFF

Information Technology Anatomy
USER INTERFACE AND DISTRIBUTION CHANNELS

DEVELOPMENT AND ANALYSIS TOOLS

INTRANET - INTERNET - EXTRANET

SUPPORT AND SERVICES

SOFTWARE AND APPLICATIONS

LAN - WAN - MAN

DATABASE LANGUAGES OBJECT MODULES

OPERATING SYSTEM AND PROTOCOLS

COMPUTER SYSTEMS AND PERVASIVE COMPUTING

COMMUNICATION AND NETWORK DEVICES

TRANSMISSION MEDIA INFRASTRUCTURE

 ITs that Build Information System

Payroll System

Inventory System
INFORMATION TECHNOLOGIES
•Hardware INFORMATION
•Software SYSTEMS
•Databases Marketing System
•Networks
•Other related components

Customer Service
System
2).Sistem Penunjang Keputusan
(Decision Support System)
Pengaturan Data Sistem Informasi
 Contoh ERD Sistem Informasi
Pernikahan

• Conceptual Data Model

TEMAN
NOTEMAN Datang
NAMA
ALAMAT BOWOHAN
TELPON UANG
EMAIL

TAMU
NODATANG
TANGGAL

Memberi_Uang
 Phisical Data Model cotoh ERD Sistem
Pernikahan

TEMAN
NOTEMAN = NOTEMAN
NOTEMAN CHAR(10)
NAMA CHAR(30)
ALAMAT CHAR(50)
TELPON CHAR(15) BOWOHAN
EMAIL CHAR(40) NODATANG NUMERIC(5)
UANG NUMERIC(10)

TAMU
NODATANG NUMERIC(5)
NOTEMAN CHAR(10) NODATANG = NODATANG
TANGGAL DATE
Contoh hasil generate script Table
hasil ERD
 3).Pentingnya Perancangan dan
Pengembangan Sistem Informasi
Ingat :Cerita Orang Kaya

Google CEO Facebook CEO

Microsoft Eric Schmidt Mark Zuckerberg
Bill Gate
Prospek Bisnis IT Saat ini di
Indonesia
 Memulai Bisnis IT
• Mulai dari Hobby
• Lihat sumber daya yang dimiliki
• Inkubator, small office dll.
• Tentukan Goal setting
• Urus ijin legalitasnya
• Jualan, produksi,implementasi dan
sosialisasi
Mulai dari Hobby: Sejak kecil mprogram
Hobby nguprex hardware
Hobby mengambar dan seni
Atau hobbynya jualan
 Resource
– SDM: ( Engineer:Ahli Jarkom,Sistem analisis, programmer,
teknisi, marketer, manajer etc)
– Modal Usaha:
• Small office software House: 3-5 engineer
– Investasi :3-5 PC= Rp.9 jt s/d 15 jt
– Biaya operasional: rp. 6 jt-10 jt perbulan (bagi hasil)
– Target: project :borongan, tanpa tender, siap di broker
• Medium office software House: 10-15, 15-20 engineer
– Investasi :10-15 PC= Rp.30 jt s/d 45 jt
– Biaya operasional: rp. 20 jt-30 jt perbulan (bagi hasil)
– Target: project :borongan, tanpa tender, tender terbatas,siap di broker
• High office software House: >20 engineer
– Investasi banyak investor
– Biaya operasional: diatas 1 M
– Target: project :Tender tak terbatas, memiliki R&D cukup tinggi
– Berapa banyak relasi:Pemerintah, vendor IT, Swasta dll.
 Why do so many projects fail?

• Reasons in many cases

– Very few managers know project management.
– Very few engineers know software engineering.
Over the budget. So many claims.
cut engineers What happens?

When will Feature is behind

the project finish? the competitor

Chaos
Tentukan Goal Setting
 Project Management Strategy
• 5 Steps to improve project management
Value Added High Reliability/Performance,
User-Friendly Interface

Productivity
Development Environment,
Reusability

Quality
Test Theory, Design Review,
Problem solving method

Management
Documentation, Mile-stone control,
Software Metrics

Chaos Difficult to forecast the schedule

and the quality

Order of Actions is important

 Without management platform,
you cannot evaluate the quality.
 You can’t ship the system under quality.
 If you pursue the productivity before quality,
then the project goes worse.
 Project Organization
Order
Sales
Division
Development Division
Requirement Project

System
Customer Engineering Group
Division
Proposal
Team
Delivery
Inspection
Division
Trouble
 Development Stage
Step by Step Development
No
Stage Definition Output
1 SD System Design System requirement, system System Spec.
architecture
2 FD Function Design Module structure, feature, data Design Doc.
3 DD Detailed Design flow
Module internal design API Doc.
4 PG Programming coding and unit test Source File
5 CT Connection Test Test under all systems are Test Scenaio
connected
6 ST System Test Multiple service test, illegal/error Test Scenaio
test, etc. Manual
7 IT Inspection Test Test by the independent quality Test Scenario
asuurance devision
8 AT Acceptance Test Test by the customer, including Test Scenaio
customer training
9 SV Service
Name of stage, output may differ according to the system/organization.
 Design Stage
• Design Activities
– To read upper documents and list up study issues
– To investigate the study issues
– To write down Specification/Design Documents
– To review the documents

• Viewpoints of Project Management

– Design Sheet
• Summary paper on investigation of a study issue
• The background or reason of technical judgment is to be kept、
because the specification often tells us nothing about it
– Design Review
• Review is the cheapest way to detect a bug, and
the best way to understand the system
– Interim Inspection
• Check of the design output by the inspection division
• We cannot proceed to the next stage without passing it
 Gant Chart
Gant Chart is useful to see
the progress of many parallel activities

– Task
• Main activity of each stage
• Task is followed by its progress and quality metrics
– Work
Gant Chart
05/4 5 6 7 8 9 10 11 12
• Subsidiary
SD HD
activity
DD
of
PG
each stage
Total
• Work is measured not by progress,
CT ST
but IT AT
only by itsSV
Group1 completion
SD HD DD PG CT ST IT AT

Group2
– MileSDStone
HD DD PG CT ST IT AT

Tool HD DD PG CT
• Major check point in the project
 Test Stage
• Test Activities
– To list up Test Items, and review them
– To execute a Test Item
– To submit a Problem Form, if there is a problem
– To remove a bug from a program

• How to select
Random Test Test White
Items?Box Test Black Box Test
a=b
false
c=d true E=f

For i+0:10
end
x=y[i]

Select test items Select test items Select test items

hitting your head from source codes from specifications

System Test Unit Test Connection Test

 How many test items?
Sort

• Example Flag=false
true
• Sort of List table While Flag=false
false
• Input: integer array Flag=true

#1 #2 #3 #4 #5 For
• Question
4 1 1
3 3
i=0, arraysize-1Loop end
3 2 2
1 No List <=
2– How3 many 3test items? List[i]>List[i+1]
>
1 4 4
2 work=List[i]

List[i]=List[i+1]
Test Criteria
1: Cover all codes List[i+1]=work
2: Cover all flow lines Flag=false
3: Check boundary conditions
4: Illegal conditions
End
 Quality Graph
Test Progress and Quality are shown
on the Quality Graph

• Completion Criteria
Quality Graph
• When all the test cases completed, the curve of
Delete & Add of Test Cases
detected bugs is saturated and no unresolved
problems is left.
Bugs
Items

Plan Result
Detected Bugs
Result Plan
Rest of test items

Unsolved problems Time

 How to solve the problems
• Viewpoints of Project Management
– To check
When a problem happens?of selected Test
the properness
Cases
A
BeProblem
Human
One error
careful once
beings happened
are
indicates
about anthose
other surely
who
similar
unintentionalhappens
makes in again.
a mistakes.
errors it.
miss-operation.
– Even if a project is small, all problems are to
Be
A
One
be careful
Problem about an other
error indicates
recorded unintentional
once happened miss-operation.
surely errors
similar happens again.
in it.

One error indicates

Be careful about an other similar errors
unintentional in it.
miss-operation.

One error indicates other similar errors in it.

Project Management = Statistics + Psychology

 Major Forms for Project Management

No Form Contents
1 Project Summary Sheet Project basic information, Gant chart,
Quality Graph
2 Sub Project Sheet Same as Project Summary Sheet
3 Weekly Report Weekly report by each group on
progress data, delay reason, planned
actions, etc.
4 Design Study List Summary List of Design Study Form
5 Design Sutdy Form One page study summary on study
requirement and study result
6 Test Item List Test item list with execution result
7 Problem List Summary List of Problem Form
8 Problem Form One page study summary on problem,
cause and reapir
 Suggestions for High Quality
• Tabular/Graphical Documentation is the
better way
to define the specification with the less
errors Event
Of-hook On-hook Dial
State
Idle Originate Clear -
Dialing - Clear Connect
Ringing Answer Clear -
speech - clear -

• To write down a document often makes us

•
Software
Formation
Training in Japan
• 3 different topics for three teams
• Each team is consist of several engineers Requirement

• Process Team A Design

• Design, Programming and test Design Doc.
are done by a different team.
• One month per one stage Team B Programming

• Purpose File
• The importance of Team C Test
accurate document and
readability of source code Bug Report
• Milestone keeping
• Pattern or tendency of
errors

Experience is the best way to learn Project Management

 Hasil Produk yang pernah kita develop
bersama
• Berikut ini hasil produk software house elista salah satu
inkubator di PENS
• Program dosenjaga, jejaring sosial berbasis edukasi.
• Sistem informasi Politeknik Terpadu
• Sistem Informasi Rumah sakit Terpadu
• Sistem Keuangan Bapertarum Jakarta
• Sistem Informasi PTPN XI
• Sistem administrasi Bapedal Jawa Timur
• Sistem Secure Parking Terintegrasi
• Try-out online
• Sistem integrasi Transaksi POM Bensin
• etc
Sistem Keuangan Bapertarum
Jakarta
Transaksi Pom Bensi Terpadu
Sistem Secure Parking Terpadu
Sistem Informasi Terpadu
Pengembangan SIM RS Berbasis
Strategi adopsi sistem
Open informasi di rumah sakit nirlaba, RS
Systems
Pendidikan dan mekanisme dukungan komunitas
 Outline

1. Cakupan sistem informasi rumah sakit

2. Adopsi sistem informasi di RS

3. Peluang Open Source SIM RS

4. Tatakelola sistem informasi internal RS

5. Sustainabilitas SIM RS & dukungan komunitas

 Cakupan sistem informasi RS
Sarana Umum Pelayanan: Ex: Rekam medis, keuangan, manajemen
Kegiatan Pendukung

Sarana Khusus Tindakan Medis dan Rehabilitasi: Ex Ruang OK, Bersalin, ICU, Fisioterapi

Sarana Pelayanan Rawat Inap: Ex: Ruang perawatan

Sarana Pelayanan Farmasi: Ex: dispensing, Inventori barang “liquid”, stok obat

NILAI
Sarana Pelayanan Radiodiagnostik: Ex: X-ray, TAMBAH
 Cepat
Sarana Pelayanan Laboratorium: Ex: Kimia Klinik
 Efisien

PEMERIK- DIAGNOSIS PERSIAPAN TINDAKAN REHABILITA PELAYANA

Kegiatan Utama

SAAN TINDAKAN MEDIS SI N PASIEN

PELAYANAN MEDIS •Diagnosa MEDIS PULANG
PASIEN MASUK AWAL klinik •Tindakan •Rehabilitasi
•Diagnosa •Pemeriksaa operasi fisik •Discharge
-Registrasi •Riwayat keperawatan n penunjang •Pemberian •Pola hidup Summary
-Admisi masuk penyakit dan obat-obatan •Rujukan
•Vital sign skreening •Surat
•Pemeriksaa keterangan
n fisik

Adoption from Porter’s value chain

SIM RS & Pelayanan Kesehatan

SIM RS = EHR
Amatayakul, 2009 (AHIMA)
 Pertanyaan penting
• Apakah SIM RS mahal?
• Bagaimana strategi adopsinya?
 Adopsi SIM RS di Amerika

Davis, 2009. HIMSS Analytics

 Pola adopsi SIM RS
Cara adopsi Sisi baik Sisi kurang baik

Outsource - Instant - Relatif mahal

- Brand name - Susah dimodifikasi (closed
code)

In-house - Sesuai bisnis proses - Relatif lama

- Sistem analist dan tim IT yang
handal

Open Source - Relatif cepat, customable, - Dukungan komunitas yang

dapat menyesuaiakan ‘labil’
bisnis proses - Tim IT yang kuat
Mix - Customable - SDM yang ‘mumpuni’
 Road Map SIM RS
Evidence-based
Collector practice
Combine with
Documenter PHR Health Information
Phase 1 exchange
Goal: Consumer
Create Helper empowerment Goal: Integrated
data/information, Phase 2 health service
Unidirectional
Phase 3 Partner
Goal: intention Point-of-care data
capture,
Longitudinal Phase 4 Mentor
Simple Alert record
system,
DSS in acute
Result care and
Phase 5
management ambulatory
Goal: Efficiency Goal: efficiency,
patient safety

Waktu

GartnerGroup generation of EHR (Amatayakul, 2009)

Lingkungan SIM RS

Infrastructure

SIM

Governance Application

Peluang Open Source

Aspek
Tatakelola, Struktur
Organisasi
Pembiayaan
 Siapa melakukan apa?
Komposisi tim SIM RS
(Tribal survey, 2009)

Periodic Strategic
Queries Decision Planning
Support 4% 5%

14%

28%

Schedule, Management 9%
Management
On demand System Control
reports

Operational 5%
Systems
Operational
Data Control 35%
Transaction Clinical and Administration
Senior manager Health Records
Knowledge Management ICT
Clinical Coders Information Management
Clinical Informatics
 Memperkuat sistem open source

Gov. Praktisi Profesi Akademisi Industri

Penelitian
Upaya percepatan pengembangan
Pengembangan
adopsi (SIM RS Penguatan sistem
mandiri Customisasi/pend
Generik, UHC) komunitas melalui
(motivasi, ampingan sistem
working-working Pendampingan
efisiensi)
Penyusunan group implementasi
Support
Regulasi (UU PP, (SNI, standards,
Penggunaan community
Permenkes, Clinical Sosialisasi
aplikasi open development
Petunjuk Teknis, Informatics) pengalaman
source
Standardisasi) (knowledge
sharing)

NETWORKING
 Maps of health facilities in Indonesia, per April 2011

Why HIS training?

Source: BNPB and Ministry of Health, 2011

 Proposed scaling up model
Capacity building

Piloting Hospitals (center of

excellences) Other
Hospitals
Technical support
IS Staff
Sister
hospitals
Capacity
building Advanced
Technical
Technical
support
support

Community Development

NGOs Puskesmas/DHO
Coordinate Development NGOs Puskesmas/DHO
Open Source Puskesmas/DHO
Technical Staff
Technical Staff
Non profit
Technical Staff
SIM RS
Teaching Hsp.
Local
Local
Initiator Group Vendors
Local
Vendors Universities
Universities
(Core team) Vendor Universitie
s s
Partnership

Open Development and Support

Sampai mana RS mau mengadopsi SIM
RS?
Clinical and administration systems

Using Information
Technology

Tools Knowledge Networks Rules

Terimakasih