Shyira umukono rimwe mugihe cyo gutegura. Kuva icyo gihe, buri mateka y'ubuzima yuzuywa n'umurwayi ishyirwaho umukono rwihuse n'umuganga uvura iyo yarebwe — nta mpapuro, nta makono yatakaye, nta murongo ukurikira umunsi
Buri mukono uhujwe n'umwanya nyayo wo gusubiramo hamwe n'igihe cyashyizweho cy'ikripito. PDF yashyizweho umukono yerekana uwashyizeho umukono, igihe, ku ikigereranyo iki, kandi itanga raporo y'igenzura rishobora kugenzurwa ikigo cyawe cy'ubwiishingizi bw'amakosa gishobora gukuramo igihe cyose
Amateka y'ubuzima yashyizweho umukono ahishwa ku rwego rw'umurima hamwe na AES-256-GCM kandi yandikwa inyuma ku mpapuro z'umurwayi muri PMS yawe. Inkomoko zibikwa ukurikije amategeko ya leta yawe yo kubika inyandiko — imyaka 7, 10, cyangwa ubuzima bwose bw'umurwayi
Nta tegeko rimwe ry'igihugu ryose risobanura buri ntara isaba umukono wa muganga w'amenyo ku mateka y'ubuzima bw'umurwayi. Icyo gisabwa mubisanzwe kiva ku mategeko y'inama y'amenyo ya leta cyangwa amahame y'ikigo cy'ubwiishingizi bw'amakosa afata isubiramo n'umukono wa muganga nk'igipimo cy'ubuvuzi. Ingero nkeya:
Amategeko y'ubuyobozi ya Michigan R 338.11120 (Inyandiko z'ivura ry'amenyo) asaba ko inyandiko z'ivura ry'umuganga zirimo amateka y'ubuvuzi n'amenyo y'umurwayi kandi umuganga w'amenyo — cyangwa umuvuzi w'amenyo — yemeze umwirondoro we mu nyandiko kuri buri gikorwa. Ibi inama isabyeho nk'ugusaba umuganga w'amenyo gushyira umukono cyangwa inyuguti mbere y'igice cy'amateka y'ubuzima cy'inyandiko
Inkomoko: Amategeko y'ubuyobozi ya Michigan R 338.11120.
Ishyirahamwe ry'Abaganga b'Amenyo rya California rigira inama ko nyuma yuko umutanga serivisi y'amenyo asubiramo ifishi y'amateka y'ubuzima hamwe n'umurwayi, ifishi nayo igomba gushyirwaho umukono kandi ishyirwaho itariki n'umutanga serivisi. Iyi ni ngingo y'umwuga aho kuba itegeko ryashyizweho, ariko ikigo cy'ubwiishingizi cya California n'Itegeko ry'ubuvuzi bw'amenyo muri rusange bifata umukono wa muganga nk'ikintu gisabwa cy'inyandiko z'umurwayi
Inkomoko: Ubuyobozi bw'imikorere y'Ishyirahamwe ry'Abaganga b'Amenyo rya California.
Inkomoko ziva kuri CDC, inama z'amenyo za leta, n'ibigo by'ubwiishingizi bw'amakosa zivuga ko kunanirwa kubona no gushyira umukono wa muganga ku ifishi y'amateka y'ubuzima bishobora gufatwa nk'uburangare. Texas, Florida, New York, n'utundi turere twakira dutanga ibiteganijwe bimwe binyuze mu buyobozi bw'inama n'amasezerano y'ikigo aho kuba amategeko yihariye — ariko igipimo gifatika ni kimwe
Mu gihe cyiza, nta kintu. Mu gihe kibi — umurwayi afite reaction itateganijwe, hari interaction y'imiti amateka yasobanuye, cyangwa icyifuzo cyo kubika inyandiko kigwa ku meza yawe kuva inama ya leta — amateka y'ubuzima atabishyizweho umukono ahinduka Ikimenyetso A. Ibigo by'ubwiishingizi bw'amakosa n'abajyanama b'abashinje bombi bareba cyane icyo cyuho.
Icyifuzo ntabwo ari imyitozo ikomeye cyangwa urutonde rw'amabwiriza akomeye. Icyifuzo ni ukugira ngo bidashoboke ko kwakira kurangiye kugera ku mpapuro zidafite umukono wa muganga. Nicyo gushyira umukono rwihuse bikora.
Intambwe enye, zose inyuma. Umurwayi ntiyabibona. Muganga ashyira umukono rimwe akayibagira.
Mugihe cyo kwinjira, umuganga w'amenyo ashushanya cyangwa ashyiramo umukono we kandi yemeza izina rye n'umubare w'uruhushya. Ni byo — umukono uba uhishwe mu bwato bw'imikorere.
Umurwayi yuzuza amateka y'ubuzima ku kigereranyo icyo ari cyo cyose. Ibisubizo byose bihishwa mugihe byinjizwa kandi bihujwe muri PDF iyo byoherejwe.
PDF igwa mumurongo wo gusubiramo w'umutanga serivisi. Gukanda rimwe kuri dashboard bishyiraho umukono wa elegitoronike wa muganga, igihe cyashyizweho, n'umubare w'uruhushya ku gice cy'amateka y'ubuzima.
PDF yashyizweho umukono n'abompi ibikwa hamwe na hash igaragaza ibyagiye bihinduwe kandi yandikwa mu idosiye y'umurwayi muri Dentrix, Eaglesoft, Open Dental, CareStack, cyangwa muri PMS yanyu.
Buri PDF y'injira ifite urutonde rwuzuye rw'imikorere inama y'igihugu n'umuryango wanyu w'ubwishingizi akeneye kubona — nta gukeneye ko itsinda ryanyu riyitunganya.
Amateka y'ubuzima yashyizweho umukono yangira gusobera nk'uko ari kumwe, kugenzura uburyo bwo kwinjira, n'ubwishingizi bwa BAA nk'ibindi byose bya Intake Dental. Niba usanzwe uri umukiriya, gushyira umukono n'abompi mu buryo bwikora birimo ku buryo busanzwe — nta gushiraho indi, nta wundi mushoro.
Nta gihugu gifite itegeko risobanura neza ko “abaganga b'amenyo bagomba gushyira umukono ku mafomu y'amateka y'ubuzima.” Icyo kibaho ni uruvange rw'amabwiriza y'ubuyobozi y'inama z'abaganga b'amenyo (Michigan ni urugero rusobanutse), amabwiriza y'umwuga wa CDA (California), n'inyandiko z'amasezerano y'ubwishingizi (Texas, Florida, New York, n'ibindi byinshi) byose bifata umukono nk'urwego rusanzwe rw'ubuvuzi. Inama ifatika ni ugushyira umukono kuri buri kimwe.
Ugaragara nk'umukono ugaragara wa muganga (ushushanyijwe cyangwa ushyizwe mu gihe cyo gushiraho) hamwe n'izina ryacapwe, umubare wa lisansi, itariki, n'igihe, mu kibanza cy'umukono cyabitswe kugirango hagabanywe umukozi. Munsi y'umukono ugaragara hari hash ya kriptografiya ihuriza n'inyandiko nyayo, bityo umukono ntushobora kuvanwa no gushyirwa ku yindi fomu.
Hakurikijwe itegeko rya federasiyo rya ESIGN na UETA (ryemewe na Leta 49), umukono wa elegitoronike ufite ingaruka zimwe n'umukono w'irangi ry'amazi igihe cyose uwushyizeho yari afite umugambi wo gushyira umukono kandi umukono uhujwe neza n'inyandiko. Uburyo bwacu bwo gushyira umukono wa elegitoronike buhuza ibizamini byombi — umugambi ufatwa ku kwemeza kwa rimwe, kandi umukono uhujwe n'inyandiko hakoreshejwe kriptografiya. Inama zimwe z'abaganga b'amenyo za Leta zifite amategeko yihariye yo kubika inyandiko; tubahiriza ikomeye cyane ku buryo busanzwe.
Gushyira umukono n'abompi mu buryo bwikora bwubatswe mu nzira y'injira ya elegitoronike ya Intake Dental. Niba usikana injira z'impapuro, ushobora kuba uracyashyira umukono wa elegitoronike wa muganga ukoresheje urutonde rw'isubiramo, ariko uzatakaza urutonde rw'igikoresho/IP rwo ku ruhande rw'umurwayi. Niba ukoresha ibindi bicuruzwa by'injira, turashobora kohereza PDF zashyizweho umukono kuri PMS yanyu, ariko ntuzabona igihe cyangwa hash igaragaza ibyagiye bihinduwe keretse injira iba muri sisitemu yacu kuva ku ntangiriro kugeza ku iherezo.
Inkomoko: CDC, ubuyobozi bw'inama y'amenyo ya leta, n'inyandiko z'ubwiishingizi bw'ikigo.
Urupapuro ruri ni urubwiriza, ntabwo ari inama z'amategeko. Genzura amategeko y'inama y'amenyo ya leta yawe n'asezerano y'ikigo cyawe cy'ubwiishingizi bw'amakosa kugira ngo ubone icyo gisabwa nyacyo gikurikizwa n'imikorere yawe. Umurongo w'iherezo ni woroshye: niba hari itegeko cyangwa nta, gufata umukono wa muganga nk'uko bidateganijwe ni imyifatire yo kwirinda.
Amateka y'ubuzima yashyizweho umukono abikwa mu irinda ry'ibicu ry'uruganda rwanyu ryujuje HIPAA hamwe no gusobera urwego rw'imyanya ya AES-256-GCM. Kubikwa bisanzwe ni igihe kirekire hagati y'imyaka 10 kuva ku isura ya nyuma cyangwa ubuzima bw'umurwayi — byose byasabwa n'inama y'igihugu canyu. Urashobora gukuramo inyandiko yashyizweho umukono, hamwe n'urutonde rwayo rwuzuye rw'imikorere, igihe icyo aricyo cyose.
State dental boards and malpractice carriers treat the dentist's signature on a patient's health history as part of the standard of care. Intake Dental auto-applies the doctor's e-signature to every completed intake PDF — with a timestamp, audit trail, and write-back to your PMS.
Shiraho ifishi yawe ya mbere mu masegonda ari munsi y’umunota. Nta masezerano akenewe, nta guhaguruka.
