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The readiness of officers to carry out Electronic Medical Records (RME) needs to be measured using the Technology Readiness Index (TRI) method, which is an index used to measure the readiness of new technology users to achieve goals in daily life and work. This research aims to determine the readiness of Electronic Medical Record (RME) users using the Technology Readiness Index (TRI) case study at Daha Husada Regional Hospital. This is a descriptive research with an evaluation study where the research subjects are the head of medical records and 3 medical records officers in the inpatient registration section at Daha Husada Regional Hospital using a total saturated sampling technique. Data collection uses interview techniques. Data presentation is presented using narrative. The results of the research show that of the 4 variables used to measure the readiness of medical record users, medical record officers at Daha Husada Regional Hospital are ready to use medical records, even though they are ready there are still difficulties experienced and feelings of insecurity when using Electronic Medical Records (RME), namely Medical records can be accessed anywhere and are not yet integrated according to the user's wishes. Therefore, Daha Husada Regional Hospital should further tighten its electronic medical record data security system.

Transformasi digital di sektor kesehatan, khususnya melalui penerapan Rekam Medis Elektronik (RME) dan telemedicine, telah membawa perubahan signifikan dalam efisiensi dan kualitas pelayanan kesehatan di Indonesia. Namun, di balik berbagai manfaat tersebut, muncul persoalan serius terkait perlindungan privasi dan keamanan data pasien, interoperabilitas sistem, serta kepastian hukum yang masih belum memadai. Penelitian ini bertujuan untuk mengkaji penerapan RME dalam layanan kesehatan, mengidentifikasi permasalahan keamanan dan perlindungan data pasien, serta menganalisis kepastian hukum dalam layanan kesehatan berbasis teknologi di Indonesia. Metode yang digunakan adalah studi literatur sistematis dengan pencarian artikel melalui database Google Scholar, dibatasi pada publikasi tahun 2022–2026. Dari 8.780 artikel yang ditemukan, proses seleksi bertahap menghasilkan 3 artikel final yang memenuhi kriteria inklusi dan dianalisis secara deskriptif kualitatif. Hasil penelitian menunjukkan bahwa interoperabilitas RME di Indonesia masih terhambat oleh ketidaksesuaian standar data, keterbatasan infrastruktur, dan regulasi yang belum memadai. Penerapan teknologi mutakhir seperti blockchain, cloud computing, dan kecerdasan buatan terbukti mampu meningkatkan keamanan dan efisiensi pengelolaan data pasien. Sementara itu, regulasi telemedicine yang ada belum terintegrasi secara komprehensif dan belum mampu memberikan kepastian hukum yang memadai bagi tenaga kesehatan maupun pasien. Kesimpulannya, diperlukan harmonisasi regulasi, standardisasi data nasional, peningkatan infrastruktur, serta penguatan kapasitas sumber daya manusia agar ekosistem kesehatan digital Indonesia dapat berkembang secara aman, terintegrasi, dan berkeadilan bagi seluruh pihak yang terlibat.

Abstract. The digital transformation in the healthcare sector, reinforced by Ministry of Health Regulation No. 24 of 2022, mandates every healthcare service facility to implement Electronic Medical Records (EMR). This requirement compels educational institutions to provide relevant simulation media to enhance student competence. However, at the Health Information Management Laboratory of Esa Unggul University Harapan Indah, the use of existing systems such as Khanza EMR still exhibits limitations in terms of flexibility and alignment with practical workflows. This research aims to develop an adaptive web-based EMR system using the CodeIgniter 4 Framework and the Extreme Programming (XP) methodology. The research methodology employed is Research and Development (R&D) with an XP approach consisting of four stages: Planning, Design, Coding, and Testing. System development was executed through five main iterations, encompassing the formulation of user stories, design utilizing UML and UI, and program code implementation. This system realizes designs from previous research into functional modules, including registration, initial assessment, examination (SOAPE), medical support (laboratory and radiology), codification (ICD-10 and ICD-9-CM), pharmacy, cashier, and reporting. The results indicate that the EMR system was successfully implemented and passed functional verification through Black-Box Testing, achieving a "Successful" status across all scenarios. The conclusion of this study is that the developed EMR system fulfills the functional and security requirements necessary to serve as an effective and realistic practical learning medium for Health Information Management students. Abstrak. Transformasi digital di sektor kesehatan, yang diperkuat oleh Peraturan Menteri Kesehatan Nomor 24 Tahun 2022, mewajibkan setiap fasilitas pelayanan kesehatan untuk menerapkan Rekam Medis Elektronik (RME). Hal ini menuntut institusi pendidikan untuk menyediakan media simulasi yang relevan guna meningkatkan kompetensi mahasiswa. Namun, di Laboratorium Rekam Medis Universitas Esa Unggul Harapan Indah, penggunaan sistem seperti Khanza EMR masih memiliki keterbatasan dalam hal fleksibilitas dan kesesuaian dengan alur praktikum. Penelitian ini bertujuan untuk membangun sistem RME berbasis web yang adaptif menggunakan Framework CodeIgniter 4 dengan metode Extreme Programming (XP). Metode penelitian yang digunakan adalah Research and Development (R&D) dengan pendekatan XP yang terdiri dari empat tahapan: Planning, Design, Coding, dan Testing. Pengembangan sistem dilakukan melalui lima iterasi utama yang mencakup perumusan user stories, perancangan menggunakan UML dan UI, hingga implementasi kode program. Sistem ini merealisasikan rancangan dari penelitian sebelumnya menjadi modul fungsional yang meliputi pendaftaran, asesmen awal, pemeriksaan (SOAPE), penunjang medis (laboratorium dan radiologi), kodefikasi (ICD-10 dan ICD-9-CM), farmasi, kasir, hingga pelaporan. Hasil penelitian menunjukkan bahwa RME (Rekam Medis Elektronik) berhasil diimplementasikan dan dinyatakan lulus uji fungsional melalui Black-Box Testing dengan status "Berhasil" pada seluruh skenario. Simpulan dari penelitian ini adalah sistem RME yang dibangun telah memenuhi kebutuhan fungsional dan keamanan untuk digunakan sebagai media pembelajaran praktikum yang efektif dan realistis bagi mahasiswa Manajemen Informasi Kesehatan. 

This study aims to analyze in depth the effectiveness of Realistic Mathematics Education (RME) and ethnomathematics in improving students’ mathematical abilities through a Systematic Literature Review (SLR) approach. This study is motivated by the low level of students’ conceptual understanding, mathematical literacy, and mathematical communication skills, which are still dominated by conventional teaching approaches. Data were collected from ten research articles relevant to the topics of RME and ethnomathematics. The analyzed articles employed various research methods, including experimental research, classroom action research, and research and development (R&D). The results of the review indicate that the implementation of RME is consistently effective in enhancing students’ mathematical abilities, such as critical thinking, problem-solving, mathematical communication, and mathematical literacy. The RME approach, which is based on real-life contexts, helps students understand mathematical concepts more deeply and meaningfully. In addition, the integration of culture through ethnomathematics strengthens the effectiveness of learning by providing contexts that are closely related to students’ daily lives, thereby increasing motivation, engagement, and active participation in the learning process.Furthermore, the findings reveal that the success of culture-based RME is influenced by instructional design, the selection of appropriate contexts, and the teacher’s role in managing the learning process. Therefore, culture-based RME can be considered an effective and relevant approach to improving the quality of mathematics education.

This study aims to develop a web-based Electronic Medical Record (EMR) application to improve the efficiency and accuracy of patient data recording at Elopada Community Health Center. The research adopts a system development approach using the waterfall model, including requirements analysis, system design, implementation, and testing. Data were collected through observation, interviews, and documentation. The developed system was evaluated using Black Box Testing to verify the conformity between input and output without considering internal program structures. The results indicate that the EMR system enhances data processing speed, improves recording accuracy, and facilitates access to patient information. These findings are consistent with prior studies showing that EMR implementation improves the quality and efficiency of clinical documentation . Therefore, the proposed system is considered feasible to support the advancement of digital healthcare services.

This study aims to analyze the effect of implementing the Realistic Mathematics Education (RME) learning model on improving students' mathematical literacy, particularly in social arithmetic material at SMP Negeri 2 Wonorejo. The research used a quantitative method with a quasi-experimental design in the form of a non-equivalent control group design. The population consisted of seventh-grade students from three classes, samples selected through purposive sampling based on preliminary test results: class VII B as the control group and class VII C as the experimental group. Research instruments included a validated observation sheet on student activities and an essay-type mathematical literacy test. Data analysis was conducted using normality tests, homogeneity tests, independent t-tests, and effect size calculation. The results indicated that student activities in the RME learning model were categorized as excellent. Hypothesis testing with an independent t-test yielded tcalculated = 2.81 > ttable = 1.56. The average post-test score of the experimental group (73.00) was higher than that of the control group (50.41). The effect size calculation resulted in d = 1.75, which falls into the large effect category. Thus, it can be concluded that the RME learning model has a positive and significant influence on improving students' mathematical literacy.

This study aims to identify students' learning obstacles in the process of understanding one-variable linear equations in grade VII, develop an appropriate learning trajectory using a Realistic Mathematical Education (RME) approach, and produce an effective learning design to reduce these obstacles through generative models. The research adopts a design research methodology consisting of three main stages. The first stage, preparation for the experiment, includes a literature review and analysis of teachers’ instructional practices to develop a Hypothetical Learning Trajectory (HLT) for one-variable linear equations. The second stage, design experiment, involves testing the designed learning activities through a pilot experiment and teaching experiment. The third stage, retrospective analysis, compares actual classroom observations with the initial HLT to refine and validate the learning trajectory. The research subjects include seven grade VII students in the pilot experiment and 44 students from SMP Negeri 2 Mataram in the teaching experiment. Data collection methods include tests, observations, interviews, and documentation, with retrospective analysis used to generate a validated Local Learning Trajectory (LLT). The findings reveal several epistemological obstacles experienced by students, such as difficulties in applying fundamental arithmetic concepts (addition, subtraction, multiplication, division) within the context of linear equations. Students also struggled with concept recognition, representation, and interpretation of linear equations in various forms. The developed LLT proved effective, as students demonstrated improved understanding and were able to follow the learning sequence meaningfully. Retrospective analysis confirmed that the LLT successfully addressed and reduced students’ learning obstacles in mastering one-variable linear equations.

This study aims to examine in depth the level of effectiveness and obstacles faced in the use of RME. This study uses a qualitative descriptive approach that aims to describe in depth the effectiveness and obstacles in the use of RME at the Baleendah Health Center. Data collection techniques were carried out through triangulation, namely, observation, interviews, and documentation. The informants in this study consisted of three people, namely the Head of the Puskesmas, medical records officer, and a doctor. Overall, the results showed that the implementation of RME at the Puskesmas received full support from the management, including aspects of funding, training, technology, and regular evaluation of the problems faced. RME has become the main focus because it is considered more effective and efficient than manual systems, especially in accelerating and improving the accuracy of services. However, the implementation still encountered a number of obstacles, such as internet network disruptions in the early stages, which have now been resolved by adding devices at certain points. The limited number of IT experts is also an obstacle because it slows down the handling of technical problems. In addition, server disruptions still occur because data storage is centralized at Diskominfo along with 62 other Puskesmas in Bandung Regency, which causes delays in data access.

Patient satisfaction is a feeling that arises from the performance of health services that have been obtained after the patient compares it with what was expected. Rather than the reality that occurs there are still complaints about outpatient registration services based on electronic medical records, Frequent obstacles are if the network is disrupted, then access to the EMR can be hampered or cannot be accessed at all and the limited capacity of the waiting room is also an obstacle, especially with the large number of patients during peak hours so that many patients wait outside the waiting room. This study aims to determine the level of patient satisfaction in outpatient registration based on EMR. This study uses a quantitative method with a population of 13,750 and a sample of 99 outpatients. Based on the results of the study in 2025, it can be concluded that patient satisfaction with RME-based outpatient registration in the aspect of tangibles can be categorized as "Less Satisfied" especially regarding facilities such as AC/Television, from the aspect of reliability it can be categorized as "Satisfied" even though there are a few respondents who answered "Less Satisfied", from the aspect of responsiveness it can be categorized as "Satisfied" even though there are some patients who feel "Less Satisfied", from the aspect of assurance in RME-based outpatient registration it can be categorized as "Satisfied" but there are a small number of patients who answered "Less Satisfied" and from the aspect of empathy it can be categorized as "Satisfied" even though there are some patients who answered "Less Satisfied". So the researcher's suggestion is that the Hospital improves the quality of the waiting room, especially AC, television, increases the number of chairs and provides adequate seating for all patients, so that patients are more comfortable and avoid overcrowding

This paper seeks to analyze the impact of the Realistic Mathematics Education (RME) approach learning approach on the development of critical thinking and problem-solving skills in third-grade pupils at SDN 104202 Bandar Setia. This research employed a quantitative method with a nonrandomized pretest-posttest control group design, involving two groups: the control group (III A) without treatment and the experimental group (III B) that received the RME learning approach, with a total sample of 50 students. Both groups were administered pre-test and post-test instruments to measure problem-solving and critical thinking skills. The findings revealed that the application of the RME learning approach significantly improved both skills with p < 0.05. These results confirm that RME is effective in enhancing mathematics learning quality through real-life contexts and students’ direct experiences. The implication highlights the importance of integrating RME in elementary mathematics learning as an alternative strategy to foster critical thinking and problem-solving abilities, as well as providing a reference for future instructional innovations.

This research aims to: (1) produce mathematics learning media in the form of interactive e-modules with a learning approach.realistic mathematics education (RME) which is oriented towards numerical ability and mathematical growth mindset students and describe their characteristics; (2) describe the quality of the learning e-module which meets the criteria of being valid, practical and effective so that it is suitable for use by junior high school students using the approach realistic mathematics education (RME). The development model used in this development research is the ADDIE development model (Analysis, Design, Development, Implementation, and Evaluation). The research subjects consisted of one teacher and 32 seventh grade students of SMP Negeri 3 Pajangan in Bantul Regency, Yogyakarta, who participated in this research.The results of the study show that the developed e-module has the following main characteristics: (1) using the RME approach in learning strategies; (2) facilitating the improvement of numeracy through learning videos, LKPD, and quizzes; (3) fostering growth mindset through motivational videos, inspirational sentences, discussion spaces, as well as feedback and self-evaluation features; and (4) using test- and questionnaire-based evaluation instruments. Validity tests showed very good results with an average score of 96% from media experts and 98% from material experts. The practicality of the e-module was assessed as very good by teachers (96.19%) and good by students (80.47%), and the implementation of learning reached 96.8%. Effectiveness was proven through MANOVA and t-tests which showed a significant increase in numeracy and mathematical growth mindset after using the e-module. Thus, the RME-based interactive e-module is suitable for use as an innovative mathematics learning medium at the junior high school level.

This study aims to evaluate and identify the obstacles faced and provide recommendations for improvements to the satisfaction of Electronic Medical Records (EMR) users at Duta Indah Hospital using the End User Computing Satisfaction (EUCS) method. At Duta Indah Hospital the EMR system used is Medinfras. EUCS is used to measure user satisfaction with the application system by comparing user expectations with the reality experienced. This evaluation examines seven variables: content, display (format), accuracy, ease of use, timeliness, speed, and flexibility. This research method uses descriptive quantitative with 63 respondents selected as samples. Data were collected through an online questionnaire, processed using Microsoft Excel 2016 software and analyzed using SPSS Version 25 software with a Likert scale to measure the level of satisfaction. The results showed that the majority of users felt "quite satisfied" with all variables, namely: content (57%), display (57%), timeliness (59%), speed (58%), flexibility (56%), accuracy (54%) and ease of use (54%). In conclusion, the RME system is considered quite adequate in supporting user performance, with accurate information, easy-to-understand displays, and efficiency in time and flexibility. The suggestion for the hospital is to conduct an evaluation, improve the appearance of the system menu so that users can access the system more easily and improve regular system maintenance.

Human Organization Technology Net-Benefit (HOT-Fit) model is used to analyze information systems through 4 (four) dimensions: people, organization, technology, and net benefits. This study aims to analyze the implementation of RME with the HOT-Fit approach through data integration at RSIA Assyifa, Tangerang City. The research method is quantitative with data collection using a questionnaire distributed via Google Form. The sample consisted of 95 respondents of health workers and non-health workers who used RME. Data analysis was carried out using Structural Equation Modeling-Partial Least Square (SEM-PLS) version 3.0. In this study, there are 22 hypotheses, consisting of 17 direct influences and 5 (five) indirect influences. The results of the study show that system quality, information quality, and service quality have a significant positive effect on system use. Furthermore, system quality and information quality have a significant positive effect on user satisfaction, but service satisfaction does not affect user satisfaction. Next, system quality has a significant positive effect on organizational structure, as well as service quality which has a significant positive effect on the organizational environment. In addition, the organizational environment has a significant positive effect on net benefits, but in contrast to the variables of system usage, user satisfaction, and organizational structure which do not have a significant effect on net benefits. Related to the organizational aspect, the net benefit aspect, and data integration have a significant positive effect on RME implementation, while the technology aspect and human aspect do not have a significant effect on RME implementation. Data integration mediates the indirect effect of the technology aspect, the organization aspect, and the net benefit aspect on RME implementation, while data integration does not mediate the effect of the human aspect on RME implementation.

Electronic Medical Records (EMR) are medical records compiled and stored through an electronic system used to support the provision of healthcare services. The implementation of EMR facilitates faster, more practical, and integrated patient data recording. Electronic Medical Records (EMR) are designed to improve the efficiency, accessibility, and accuracy of patient information within healthcare institutions. This study used a qualitative descriptive approach with a case study design through interviews to assess the readiness of EMR implementation in terms of the 5M management aspects (Man, Money, Material, Machine, Method) at Muhammadiyah General Hospital, Ponorogo Regency. The study sample consisted of 27 healthcare workers selected using a purposive sampling technique. The case study design allowed researchers to capture in-depth insights from healthcare workers directly involved in EMR implementation. The results showed that from the Man element, most healthcare workers were ready to use EMR, as indicated by their comfort and skills in operating the application. In the Money element, there is a system maintenance budget and support for EMR development in the inpatient unit and the Emergency Room. The Material element indicates the availability of adequate software, while the Machine element includes computer devices, internet connections, and a stable server to support users. These technological resources ensure a user-friendly and reliable system. The final element, Method, is demonstrated by the existence of clear SOPs and workflows, enabling healthcare workers to understand and effectively follow the EMR implementation process. Overall, the findings indicate that the hospital is institutionally prepared for EMR adoption.    

Dr. Soedirman Kebumen Regional General Hospital has implemented PACS to replace traditional film, but limitations in IT infrastructure, RME integration, and human resource readiness require an integrated implementation model that combines cloud-hybrid, DICOM/HL7 with SSO, continuous training, and managerial support. To evaluate the implementation of the PACS system in the Radiology Department of Dr. Soedirman General Hospital in Kebumen and to analyze the factors that support and hinder the effectiveness of the PACS system in improving the quality of radiology services. The research used a qualitative approach with an interactive model. Data collection was conducted through in-depth interviews, Focus Group Discussions (FGD), direct observation, and documentation. The data obtained were analyzed using ATLAS.ti software to explain the PACS implementation and its impact on the effectiveness of radiology services. The PACS implementation improved the quality of radiology services by accelerating access to medical images and enhancing workflow efficiency. Some challenges, such as system downtime, integration with other systems, and technical limitations, need to be addressed. Integration of artificial intelligence (AI) and telemedicine technologies needs to be enhanced to achieve optimal radiology services. Factors supporting successful implementation include the adoption of advanced technologies (cloud computing and AI), adequate infrastructure, technical support from the IT team, and strong managerial commitment.  Barriers to success include imperfect system integration, power outages, downtime, storage capacity limitations, and a shortage of trained human resources. Proposed implementation models include improving PACS system infrastructure, developing ongoing training for staff, improving PACS system integration with other hospital systems, and improving interdepartmental communication to streamline workflows and reduce obstacles in the diagnostic process.

This study aims to examine the potential of the Baduy traditional house as a realistic context in mathematics learning, particularly in the material of spatial geometry. The traditional houses of the Baduy people not only function as residences, but also hold cultural values, philosophies, and architectural structures rich in geometric elements. Using a systematic literature review (SLR) approach, this study explores various scientific sources, including journal articles, proceedings, and reference books, that discuss the relationship between spatial elements and the structure of traditional Baduy buildings. This approach was chosen so that the study obtained is comprehensive, directed, and able to illustrate the real contribution of ethnomathematics in learning. The results of the review indicate that the Baduy traditional house contains various forms of spatial geometry that can be clearly recognized, including cuboids, triangular prisms, pyramids, cubes, and cylinders. These elements are reflected in building components such as roofs, walls, floors, support pillars, and traditional household furniture. The visual and functional representation of these spatial geometry has the potential to be a contextual resource that can be utilized by teachers in the mathematics learning process, particularly through the Realistic Mathematics Education (RME) approach. By linking abstract mathematical concepts to local cultural phenomena, students not only gain a better conceptual understanding but also increase their active engagement, motivation to learn, and awareness of their own cultural identity. These findings emphasize the importance of utilizing local wisdom as an ethnomathematics approach that can provide meaningful, contextual learning rooted in the realities of students' daily lives. Through the integration of culture and education, mathematics learning can be more relevant, engaging, and support the preservation of national culture.

Indonesia is a country rich in culture, one of which is batik, recognized by UNESCO as an intangible cultural heritage of Indonesia. Batik is not only a visual art form but also holds significant potential as a context for teaching mathematics. Unfortunately, the integration of local culture into mathematics education has not been widely implemented. Therefore, this community service activity aims to train teachers and assist students in applying Realistic Mathematics Education (RME) based on batik culture at MTs Nurul Ummah Kotagede, Yogyakarta. The activity was carried out in three stages: preparation, implementation, and evaluation. In the preparation stage, teachers were provided with training on the theory and practice of RME, which was then applied in the classroom. The lesson focused on geometric transformations, using batik patterns as a real-world context. By linking mathematical concepts to the familiar cultural context of batik, it was hoped that students would more easily understand abstract mathematical ideas and find them more meaningful. The results of the activity showed high enthusiasm from the students and positive appreciation from the teachers toward the RME model based on culture. Students demonstrated a better understanding of mathematical concepts, as the learning process connected theoretical knowledge to real-world contexts they recognized. Additionally, teachers acknowledged that using batik culture in mathematics education made the learning experience more enjoyable and meaningful. This activity proves that integrating local culture, such as batik, into RME can increase students' interest in mathematics and help them understand abstract concepts by relating them to real-life experiences.

The electronic medical record (EMR) is an important step in supporting the digitization of health services, with the aim of improving the effectiveness, efficiency and accuracy of the management of patient medical data in hospitals. This study aims to determine the readiness of the implementation of RME in BUDIASIH Hospital Trenggalek by using the Fishbone Diagram method as an analytical tool in identifying the factors that influence.This study uses a descriptive method with a qualitative approach to explore the implementation process in depth. The Data was obtained through in-depth interviews and direct observation to 20 informants who actively use the RME system in the implementation of daily tasks.The results showed that the readiness of RME implementation in Budi Asih Hospital was influenced by five main factors, namely man (Human Resources), matherial (tools), machine (data), method (methods), and money (budget). Health workers and administrative staff have been able to operate RME well, accompanied by regular training and workshops to improve understanding related to System updates. Equipment and support systems are available and functioning properly, along with scheduled maintenance to keep the system running stably. Data management has been done accurately and timely, supported by periodic audits to maintain the quality and validity of the data. The hospital also has a clear Standard Operating Procedure (SOP) I n the implementation of RME and has allocated a budget to support the sustainability of this system. Overall, Budi Asih Trenggalek Hospital has shown good readiness in the implementation of RME and is ready to develop this system to support the improvement of the quality of health services in the future.This study recommends increased maintenance of software and hardware as well as regular training of human resources to support the sustainability of the RME system.  

Realistic Mathematics Education (RME) is an effective approach to improve mathematics learning outcomes while providing students with opportunities to gain real experience in understanding mathematical concepts. Data analysis used by comparing two cycles obtained from student learning evaluation results. The results of the study illustrate that there was a significant increase after using a realistic approach. This study aims to improve the understanding of the concept of distance between points in MA AISYIYAH PALEMBANG students using a realistic approach. This method uses the Class Level Approach (CAR) research method which is carried out in two cycles. Data were collected through conceptual understanding, observation, and documentation.

Rumah sakit PKU Muhammadiyah Gombong sudah menerapkan Rekam Medis Elektronik (RME) sejak 20 Desember 2024, salah satu unit yang telah menerapkan sistem RME adalah bagian rawat jalan. Dalam penerapannya, RME ini kurang berjalan dengan baik. Hal ini karena masalah yang sering terjadi dari sistem koneksi internet yang kadang lambat dan kesempurnaan menu yang perlu dikaji secara mendalam. Penelitian ini bertujuan untuk memahami dan menganalisis penerapan Rekam Medis Elektronik Rawat Jalan di RS PKU Muhammadiyah Gombong dari aspek Performance, Informasi, Economic, Control, Effeciency dan Service guna memastikan bahwa sistem beroperasi secara efektif dan efisien dalam mendukung peningkatan mutu pelayanan Rawat Jalan. Metode penelitian yang diterapkan adalah deskriptif kualitatif, dengan pengumpulan data melalui wawancara dan observasi berdasarkan aspek PIECES (Performance, Information, Economy, Control, Efficiency, Service). Hasil penelitian menunjukkan bahwa penerapan RME di RS PKU Muhammadiyah Gombong dapat meningkatkan mutu pelayanan rawat jalan, terutama dalam mengurangi waktu tunggu pasien. Berdasarkan aspek Performance terkendala ketidakstabilan internet, terutama saat jumlah pasien yang berkunjung meningkat. Berdasarkan aspek Information perlu penyempurnaan pada menu dokter dan farmasi. Berdasarkan Aspek Economy, Control, Efficiency, Service saat ini sudah berjalan dengan baik.