Web-Based Outpatient Information System at RSUD Indramayu

. This outpatient information system is a system that is run on the hospital outpatient unit to support the service process provided to patients used by the units that provide services. This outpatient information system assists hospitals in implementing an integrated and structured digitization of patient medical record data. The study aimed to produce an outpatient information system that provides convenience to hospital staff and patients in the process of health services in the outpatient unit of RSUD Indramayu. In this study, the author uses a descriptive method, which is a method that describes a situation or problem that is currently happening based on the facts and data obtained and collected at the time of carrying out the research. Outpatient information system design uses document flow, system flow, tiered diagrams, context diagrams, data flow diagrams, conceptual data models, and physical data models. The implementation of this research uses the PHP programming language and MySQL database as well as writing the system design using DFD (Data Flow Diagrams), namely Data Flow Diagrams, FlowMap, Flowcharts, and Entity relationship diagrams (ERD). The result of the research is an integrated web-based outpatient information system application from the beginning to the end of outpatient services for patients.


INTRODUCTION
Based on Law of the Republic of Indonesia No.36 of 2009 concerning Health, health is a human right and one of the elements of welfare that must be realized by the ideals of the Indonesian nation as referred to in Pancasila and the Preamble to the Constitution of the Republic of Indonesia Year 1945.Every activity and effort to improve the highest degree of public health is carried out based on non-discriminatory, participatory, protection, and sustainability principles, which are very important for forming Indonesian human resources, increasing the resilience and competitiveness of the nation and national development.
Efforts to improve the highest degree of health were initially in the form of efforts to cure diseases, then gradually developed towards the integration of health efforts for the entire community by involving the community at large, which included promotive, preventive, curative, and rehabilitative efforts that were comprehensive, integrated and sustainable.This e-ISSN : 3031-7088 p-ISSN : 3032-3452 development was contained in the National Health System (SKN) in 1982, further mentioned in GBHN 1983 andGBHN 1988 as an order to implement health development.
The Regional General Hospital (RSUD) of Indramayu Regency is one of the Regional Public Service Agencies (BLUD) owned by the local government of Indramayu Regency, which is engaged in health services.Indramayu Hospital is currently a Class B Hospital, so it can be used as a referral hospital by other health service facilities under it.One of the service facilities at Indramayu Hospital is nursing services.
Currently, Indramayu Hospital has not used an adequate information system, so in its implementation, several shortcomings are still found, such as the unavailability of online registration and the lack of integrated data between service units, for example, still using manual introductions when patients will get lab and radiology services/examinations.The outpatient service process is the face of hospital services because it occurs in the early stages of patients getting health services.If not managed properly, the level of patient satisfaction will decrease and damage the hospital's image, so public interest in visiting will decrease in the future.
Seeing the problems above, it is appropriate for the hospital to find solutions to improve the outpatient service process.One solution that can be used is to implement an integrated and transparent outpatient information system so that the service process runs optimally and can answer problems.

LITERATURE
The existence of a literature review intended to compare research conducted by the author is different from other studies.A literature review needs to be done to appreciate previous research; the literature review also contains differences between previous research and research being researched by the author.The difference is seen in the identity of the journal, the problems discussed, the methods used, the design of the system architecture, and the tools of system development and research results.
Akhmad Syukron and Noor Hasan (2015) explained that a good concept or system can improve the quality of health services so that later, a quality, effective, and efficient health service can be realized and can improve the performance of the puskesmas.One example is the use of computerized information systems in Puskesmas.From the observations that have been made, several obstacles are still faced, such as in the outpatient registration section, which experiences problems when identifying patients who will seek treatment, and also in the administration in making health reports.
Johni S Pasaribu and Johnson Sihombing (2017) explained that the practicality and computerization that can be accessed anytime and anywhere could facilitate all work, especially all registration and data processing, which requires speed, accuracy, or data validation.One impact of practicality and computerization can be felt in the field of health services, where information technology is needed to be used for storing patient data.Dini Hariyati, Ricky Akbar, and Meza Silvana (2017) revealed that in providing outpatient services, Puskesmas takes a long time, such as searching for patient medical record books, recording the number of drugs available in warehouses, and so on, so a better system is needed in running business processes to overcome these problems.
Agus Tugiarto, Fitri Pratiwi, Ahmedika Azkya, and Pulla Pandika Widodo (2018) explained that the services provided by the Puskesmas are greatly influenced by the speed and accuracy of the officers in handling patients, starting from patient registration until the patient is examined by medical personnel to getting medicine for the disease he complained about.
A computerized system is needed to improve the quality of services to the community in the health sector because the services provided to Puskeasman must also be fast and accurate.
Suriaman Gulo and Roni Jhonson Simamora (2018) explained that the performance of the system in inpatient and outpatient services for patients running at Siti Hajar Medan General Hospital is still not optimal because the management of inpatient and outpatient data is still carried out using manual bookkeeping media.This can hinder the course of reports and smooth service delivery to patients.
Therefore, an application was designed to help hospitals, primarily the inpatient and outpatient administration, speed up the process of presenting information, avoid errors in calculating inpatient and outpatient costs, and provide convenience in producing relevant, accurate, and timely reports.
Harianja (2018) explained that public health services must be effective and efficient to realize the ideal of a healthy Indonesian society.One of the ways to realize effective and efficient services is by implementing computer-based applications.This study aims to design a computerbased application to make patient registration, data collection, and reporting services easier.
Fernando B. Siahaan and Dede Awalludin (2020) tried to provide an alternative outpatient administration model using an information system with a client/server application architecture that can connect several parts involved in outpatient operations.The system development method is a structured system development approach (structure approach).With this system, patient registration administration, actions, and use of medical devices and prescription services can be assisted by using the system.All patient bills can be readily displayed through the cashier menu.
Hendra Rohman and Selin Sheralinda (2020) explained that the clinic management information system is expected to help health workers facilitate service activities in the process and in finding information.The clinic management information system will also avoid problems in medical record activities.
Erliza Yubarda Nurul Huda (2020) explained that to design and build a web-based information system using PHP programming language and MySQL database used to manage outpatient information systems at Thursina Hospital and provide convenience in processing patient data so that the data produced is better and also with this information system, Can make it easier for medical record officers to manage outpatient data including the number of patient visits per polyclinic each month.
Miftah Hazimah and Muhammad Rizki (2020) explained that clinics are one of the most sought-after health service facilities needed to support health improvement.With this, the clinic must improve the quality of its services, including health services, namely in outpatient administration.At Insan Permata Clinic, the outpatient administration system is yet to use a fully computerized system.To overcome this problem, efforts are made to use computerization inpatient services at the clinic.

METHOD
In this study, the author uses a descriptive method, which is a method that describes a situation or problem that is happening based on facts and data obtained and collected when carrying out research.In making this report, the author uses the analysis description research method because the author collects data by looking directly at the conditions in the field so that they can be considered in decision-making.
The system development method used by the author in making an asset management information system uses the System Development Life Cycle (SDLC) method.This method was chosen because it is by creating this information system whose development process is carried out sequentially, and the stages passed must wait for the completion of the previous stage so that it will produce an exemplary system according to needs.The stages in system development using the System Development Life Cycle (SDLC) method, according to Supriyanto (2017), are shown in Figure 1.

DISCUSSION
The login page is the first page displayed by the application as an entrance for application users before utilizing the facilities in the application.Users who want to log in must enter their username and password then press the "Login" button.

Patient Page
The patient page is a page given to old patients who log into the application with a username and password in the form of an ID card number and patient medical record number.Patients are given the facility to register online using the application and can monitor their registration status.

Figure 1
Figure 1 Stages of the System Development Life Cycle (SDLC) Method

Figure 3 .
Figure 3. Incorrect Username or Password Notification Page

Figure 4 .
Figure 4. Online Registration Page

Figure 6 .
Figure 6.New Patient Registration Form Page

Figure 7 .
Figure 7. Existing Patient Registration Form Page

Figure 8 .
Figure 8. Visit History page

Figure 9 .
Figure 9. Patient List Page

Figure
Figure 10.Patient Examination Page

Figure 11 .
Figure 11.Laboratory Order List Page

Figure 12 .
Figure 12.Laboratory Services Page

Figure 13 .
Figure 13.Radiology List Order Page

Figure 16 .
Figure 16.Pharmacy Services Page

Figure 17 .
Figure 17.Patient List Page