Saini taha pe 'i he taimi 'o e fakatupu. Mei ai 'o 'alu, ko e fakamatala kotoa pe ki he mo'ui fakapalopalema 'oku fakakakato 'e he pasienite 'oku saini-tomu'a 'otomātika 'e he tokotaha faitohi nifo 'i he taimi 'oku ne vakai — 'ikai ha pepa, 'ikai ha saini ngalo, 'ikai ha pungāfunga 'o e taimi kakato 'o e 'aho.
Ko e saini kotoa pe 'oku nonoʻo ki he taimi totonu 'o e vakai 'aki ha tā'imi fakapōpula. 'Oku 'asi 'e he PDF kuo saini 'a ia na'e saini, 'i fe taimi, 'i he me'angāue fē, pea 'omai ha lipoti vakai fakamo'oni 'oku lava 'e ho'o kāinga mālōlō fakavale ke toho 'i ha taimi.
Ko e ngaahi fakamatala ki he mo'ui fakapalopalema kuo saini 'oku fakafufū 'i he tukuhifo konga ngāue 'aki AES-256-GCM pea tohi ki mui ki he sāti pasienite 'i ho'o PMS. 'Oku tauhi 'a e ngaahi me'a kamata 'o fakatatau ki he tu'unga tauhi lipoti 'o ho'o fonua — ta'u 7, 10, pe mo'ui kotoa 'o e pasienite.
'Ikai ha tu'unga fono taha fakamamani 'oku lisi 'a e ngaahi fonua kotoa 'oku fie ma'u ai ha saini tokotaha faitohi nifo 'i he fakamatala ki he mo'ui fakapalopalema 'o e pasienite. Ko e fie ma'u 'oku ha'u me'afua mei he ngaahi tu'unga pooti faitohi nifo 'a e fonua pe ko e ngaahi tu'unga kāinga mālōlō fakavale 'oku tauhi 'a e vakai mo e saini 'a e tokotaha faitohi nifo ko e tu'unga 'o e tokanga. Ko e fa'ahinga ni'ihi:
Ko e Michigan Administrative Code R 338.11120 (Dental treatment records) 'oku fie ma'u ke kau 'i he lipoti tokanga 'a e tokotaha faitohi nifo 'a e fakamatala faka'inisí mo fakapalopalema 'a e pasienite pea 'oku fie ma'u ke fakamalumalu'i 'e he tokotaha faitohi nifo — pe ko e tokotaha faitohi nifo failōtokā — 'a kinautolu 'i he lipoti ki he ngāue kotoa pe. 'Oku lau eni 'e he pooti ko e fie ma'u ke saini pe fa'o'i 'e he tokotaha faitohi nifo 'a e konga fakamatala ki he mo'ui fakapalopalema 'o e lipoti.
Tukufakaholo: Michigan Administrative Code R 338.11120.
'Oku fakahinohino 'e he California Dental Association hili 'a e vakai 'e he tokotaha faitohi nifo 'o e foomu fakamatala ki he mo'ui fakapalopalema mo e pasienite, 'oku totonu foki ke saini mo fa'o 'aho 'e he tokotaha faitohi nifo 'a e foomu. Ko ha fakahinohino fakapotungāue eni 'ikai ko ha tu'unga fono kuo fakama'opo'opo, ka ko e ngaahi kāinga fakamālōlō 'a California mo e Dental Practice Act 'oku nau tauhi fakalukufua 'a e saini tokotaha faitohi nifo ko ha konga fie ma'u 'o e lipoti pasienite.
Tukufakaholo: California Dental Association practice guidance.
'I he konga lelei taha, 'ikai ha me'a. 'I he konga kovi lahi — 'oku 'i ai ha fakatātā kovi 'a e pasienite, 'oku 'i ai ha fefehoa'aki vala na'e fakahā 'e he fakamatala ki he mo'ui, pe 'oku hu'u ha kole ki he ngaahi lipoti ki ho'o tepilé mei ha pooti fonua — 'oku hoko 'a e fakamatala ki he mo'ui ta'esaini ko e Fakamatala A. Ko e ngaahi kāinga mālōlō fakavale mo e ngaahi tautalaitohi 'o e tukuhau 'oku na kumi pe ki he mavae ko 'ení.
'Ikai ko e fakalelei'i ko e tataiofi ngāue ta'e faingofua pe ko e ngaahi lisi fakalelei'i ma'ama'a ange. Ko e fakalelei'i ko e ngaohi ke 'oua 'e lava ha fakahu fakakakato 'o a'u ki he sāti ta'efai ha saini tokotaha faitohi nifo 'i ai. Ko ia ko e me'a 'oku fai 'e he saini-tomu'a 'otomātika.
Ko e ngaahi laka fā, kotoa 'i he tu'a. 'E 'ikai sio ki ai 'e he pasienite. 'Oku saini taha pe 'e he tokotaha faitohi nifo pea ngalo pe.
'I he taimi 'o e fakakamata'anga, 'oku tusi pe 'atu hake 'e he tokotaha faitohi nifo 'ene saini pea fakamo'oni hono hingoa mo hono fika laiseni. Ko ia pe ia — 'oku nofo fakafufū 'a e saini 'i he fale tauhi 'o e ngāue.
'Oku fakafonu 'e he pasienite 'a e fakamatala ki he mo'ui fakapalopalema 'i ha me'angāue pe. 'Oku fakafufū 'a e ngaahi tali kotoa 'i he taimi 'oku nau 'omi ai pea fakataha ki ha PDF 'i he fakahu.
'Oku hu'u 'a e PDF ki he laini vakai 'o e tokotaha fai tokanga. Ko e tā taha pe 'i he tepilé 'oku faka'aonga'i 'a e saini-fakaelekitōnika 'o e tokotaha faitohi nifo, ha tā'imi, mo e fika laiseni ki he konga fakamatala ki he mo'ui fakapalopalema.
ʻOku fakamaʻu ʻa e PDF kuo saini fakataha mo ha hash fakamoʻoni-fakakovi pea tohi foki ki he fakamatala ʻo e pāsieniti ʻi he Dentrix, Eaglesoft, Open Dental, CareStack, pe ko hoʻo PMS.
Ko e PDF fakaʻuluʻi kotoa pē ʻoku ʻomi ʻa e founga fakamatalaʻi-vakili kātoa ʻoku fiemaʻu ʻe he pōtu fakafofongaʻi ʻa e puleʻanga mo e kaungamālie kovi-hala — taʻe fie maʻu hoʻo timi ke fakataha ha meʻa ʻiate ia.
Ko e ngaahi talafekau moʻui kuo saini ʻoku maʻu ʻa e fakaʻenikipitifo tatau, ngaahi puleʻi-ʻuluʻi-ki-ai, mo e fakaʻaongaʻi BAA hangē ko e konga kehe kotoa ʻo e Intake Dental. Kapau ʻoku ke kei kustamaá, ʻoku ʻi ai ʻa e saini-fakataha-ʻautomaliki ʻi he tupuaki — ʻikai ha ngaahi teuteu kehe, ʻikai ha totongi kehe.
ʻOku ʻikai ha fono fakapuleʻanga ha taha ʻoku lau ko “kuo pau ke saini ʻe he kau fakamaʻu-nifo ʻa e ngaahi foomu talafekau-moʻuí.” Ko e meʻa ʻoku ʻi ai ko ha meʻa fakahoko ʻo e ngaahi fono fakafepakiʻi ʻo e pōtu fakamaʻu-nifo ʻa e puleʻanga (ko Michigan ko e fakaʻilongaʻanga maʻamaʻa taha), ngaahi tufunga fakakomipiuta CDA (California), mo e lea ʻo e kaungamālie kovi-hala (Texas, Florida, New York, mo e niʻihi kehe) ʻoku fakataha fakakaukau ki he saini ko e tuʻunga totonu ʻo e tokanga. Ko e fakaʻahoʻi fakataautaha ko e saini ʻo e meʻa kotoa pē.
ʻOku hā mai ko e saini vakai ʻa e tokotaha fakamaʻu (tusi pe fakaʻuluʻi ʻi he taimi ʻo e teuteu) mo ha hingoa tohi, fika laiseni, ʻaho, mo e taimi, ʻi he puleesi saini kuo tuku ki he tauhi-mālō. ʻI lalo ʻi he saini ʻoku vakai mai ko ha hash fakakilipitokalafi ʻoku fehokotaki ia ki he paití fakamatalaʻi totonu, pea ko ia ʻe ʻikai lava ʻo hiki mo toe fakaʻaongaʻi ʻa e saini ki ha foomu kehe.
ʻI he lalo ʻo e ESIGN Act fakapuleʻanga fetuʻutaki mo UETA (naʻe maʻu ʻe he puleʻanga ʻe 49), ʻoku maʻu ʻe ha saini fakaʻilonií ʻa e ʻaonga fono tatau mo e saini ʻinike-vai lolotonga pe ʻoku lelei ʻa e finangalo ʻo e taha ʻoku saini ke saini pea ʻoku fehokotaki lelei ʻa e saini mo e fakamatala. ʻOku fakamalava ʻa e founga saini-fakaʻiloní ki he meʻa ʻe ua — ʻoku maʻu ʻa e finangalo ʻi he fakafofongaʻi taa-taha, pea ʻoku noʻo fakakilipitokalafi ʻa e saini ki he tohi. ʻOku ʻi ai ʻe he niʻihi pōtu fakamaʻu-nifo ʻa e puleʻanga ha ngaahi fono tauhi-fakamatala fakahoko; ʻoku tau fakatonutonu mo e fono mālohi taha ʻi he tupuaki.
Ko e saini-fakataha-ʻautomaliki ʻoku langa ia ki he founga fakaʻuluʻi fakaʻilonií ʻo e Intake Dental. Kapau ʻoku ke sukani ʻa e ngaahi fakaʻuluʻi pepa ki loto, ʻoku lava pe ke fakaʻaongaʻi ʻa e saini-fakaʻilonií ʻa e tokotaha fakamaʻu ʻi he sitā vakaivakai, ka ʻe mole ʻa e founga fakamatalaʻi-vakili masini/IP mei he potu pāsieniti. Kapau ʻoku ke fakaʻaongaʻi ha meʻa fakaʻuluʻi kehe, ʻoku lava ʻa tau fakaʻave ʻa e ngaahi PDF kuo saini ki hoʻo PMS, ka ʻe ʻikai ke maʻu ʻa e taimi-fakakilipitokalafi pe ko e hash fakamoʻoni-fakakovi taʻe ʻiai ʻa e fakaʻuluʻi ʻoku nofo ʻi heʻetau founga mei muʻa ki mui.
Ko e ngaahi tukufakaholo mei he CDC, ngaahi pooti faitohi nifo fonua, mo e ngaahi kāinga mālōlō fakavale 'oku 'asi 'oku lava ke tauhi ko ha ta'ema'u'atatau 'a e ta'emalava ke ma'u pea saini 'e he tokotaha faitohi nifo ha foomu fakamatala ki he mo'ui fakapalopalema. Texas, Florida, New York, mo e ngaahi fonua lahi kehe 'oku nau fakaha 'a e 'amanaki tatau ko eni 'o fakafolia 'aki e ngaahi fakahinohino pooti mo e ngaahi fakakaunga kāinga 'ikai ko ha ngaahi tu'unga fono mahino — ka ko e tu'unga ngāue lahi 'oku tatau pe.
Tukufakaholo: CDC, ngaahi fakahinohino pooti faitohi nifo fonua, mo e ngaahi memo ta'ofi kāinga.
Ko e peesi ni ko ha fakamatala, 'ikai ko ha fakakaukau fono. Vakai 'a e ngaahi tu'unga pooti faitohi nifo 'o ho'o fonua mo e fakakaunga kāinga mālōlō fakavale 'o ho'o kau 'o ma'u 'a e fie ma'u totonu 'oku faka'aonga'i ki ho'o ngāue. Ko e me'a mahu'inga 'oku faingofua: pe 'oku 'i ai ha tu'unga fono pe 'ikai, ko e tauhi 'o e saini tokotaha faitohi nifo ko ha me'a totonu ko e tu'utakí fakamālō.
ʻOku tauhi ʻa e ngaahi talafekau moʻui kuo saini ʻi he meʻa tauhi ʻao ʻo hoʻo ngāué ʻoku faʻu HIPAA mo e fakaʻenikipitifo AES-256-GCM ʻi he ngaahi konga. ʻOku tupuaki ʻa e tauhi ki he fuoloa taha ʻo e taʻu ʻe 10 mei he ʻaahi kimui pe ko e moʻui ʻo e pāsieniti — ʻaia ʻoku fie maʻu ʻe he pōtu puleʻanga ʻo hoʻo puleʻanga. ʻOku lava ke ke toʻo ʻa e tohi kuo saini ha taha, mo hono founga fakamatalaʻi-vakili kātoa, ʻi ha taimi kotoa pē.
ʻOku fakaʻaongaʻi ʻe he ngaahi pooti toutai nifo puleʻanga mo e kau ʻave fakamaʻu malpractice ʻa e saiʻi ʻa e toutai nifo ʻi he tuʻo moʻui lelei ʻa e pasieni ko ha vahe ʻo e tulua angaanga maʻu. ʻOku otomātika-fakaū ʻe he Intake Dental ʻa e saiʻi-e ʻa e toutai ki he PDF hokohoko kotoa ʻoku fakaʻosi — mo ha taimi fakaʻilonga, hala vakai, mo e toe tohi ki hoʻo PMS.
Fakatuʻu hoʻo foomu ʻuluaki ʻi he lalo ʻi ha miniti. ʻIkai ha ngaahi fuakava ʻoku fiemaʻu, pea ʻikai ha mamahi.
