Waitohua kotahi wā i te wā whakatū. Mai i tērā wā, ia hītori hauora e whakatauhia ana e te tūroro ka waitohua aunoa e te takuta niho ina arotakengia — kāore he pepa, kāore he waitohu ngaro, kāore he pūranga mutunga-rā.
Ia waitohu ka herea ki te wā tika o te arotake mā te tāera wā arowhānui. Ka whakaatuhia e te PDF kua waitohuhia ko wai i waitohu, āhea, ki runga i tēhea pūrere, ā, ka puta he rārangi taki motuhēhē hei tono mā tō kaiwhakarato ārai hē whakawhiu.
Ka whakamunaia ngā hītori hauora kua waitohuhia i te taumata āpure mā te AES-256-GCM, ā, ka tuhia anō ki te ripeka tūroro i roto i tō PMS. Ka puritia ngā taketake e ai ki te ture pupuri-tuhinga a tō tāhuhu — 7 tau, 10 tau, rānei te roa o te oranga o te tūroro.
Kāore he ture kotahi puta noa i te motu e whakarārangi ana i ia tāhuhu e whakahau ana kia waitohuhia e te takuta niho te hītori hauora o te tūroro. Ko te tikanga, ka puta mai te hiahia nā ngā ture a te poari-niho o te tāhuhu, nā ngā paerewa a ngā kaiwhakarato ārai hē whakawhiu rānei e kīia ana ko te arotake me te waitohu a te takuta he paerewa whakarite. Ētahi tauira:
Kei te Michigan Administrative Code R 338.11120 (Ngā tuhinga whakaora niho) te whakahau kia whakauru te ripeka whakaora a te takuta niho i te hītori hauora me te hītori niho a te tūroro, ā, me tautuhi e te takuta — e te kaiwhakaora niho rānei — ia mahi. Ka pānuitia tēnei e te poari he mea hiahia kia waitohuhia, kia waitā rānei e te takuta te wāhanga hītori-hauora o te ripeka.
Puna: Michigan Administrative Code R 338.11120.
Ka tohutohu te California Dental Association kia waitohuhia anō, kia tāerahia anō te puka e te kaiwhakarato i muri i te arotake a te kaiwhakarato niho i te puka hītori-hauora me te tūroro. He aratohu ngaio tēnei, ehara i te ture whakatakoto, engari ko ngā kaiwhakarato ārai California me te Dental Practice Act i te nuinga o te wā ka kīia ko te waitohu a te takuta he huānga e hiahiatia ana o te ripeka tūroro.
Puna: Tohutohu whakahaere California Dental Association.
Ka taunaki ngā puna mai i te CDC, ngā poari niho o ngā tāhuhu, me ngā kaiwhakarato ārai hē whakawhiu, ko te kore whiwhi, kore waitohu hoki a te takuta i te puka hītori-hauora, ka taea te kī he kore aro. Ko Texas, Florida, New York, me ētahi atu tāhuhu maha ka whakaatuhia te pēneitanga nei mā ngā aratohu poari me ngā kirimana kaiwhakarato, kaua ko ngā ture tōtika — engari ko te paerewa whakatinana he ōrite.
I te wā pai rawa, kahore he mea. I te wā kino rawa — ka pā he whakahoki kē ki te tūroro, he whakaurunga rongoā i whakaatuhia e te hītori, he tono tuhinga rānei ka tae mai ki tō tēpu mai i te poari tāhuhu — ka noho te hītori hauora kahore nei i waitohuhia hei Tauira A. Ko ngā kaiwhakarato ārai hē whakawhiu me ngā rōia whakatau, tokorua rātou e rapu ana i tēnei kapanga.
Ehara te whakatika i te whakangungu uaua ake, i ngā rārangi-tiaki mārō ake rānei. Ko te whakatika, me mahi kia kore e taea e te tuku kōrero oti te tae ki te ripeka me te kore waitohu a te takuta. Koia te mahi a te waitohu-tahi-aunoa.
E whā ngā hikoinga, kei muri i ngā kōhure katoa. Kāore e kite te tūroro. Waitohuhia kotahi wā e te takuta, ā, ka warewaretia.
I te wā whakauru, ka tuhia, ka tukuatu rānei e te takuta niho tōna waitohu, ka whakaū i tōna ingoa me tōna tau raihana. Koia anō — ka noho te waitohu kua whakamunaia i roto i te pūtea o te whakahaere.
Ka whakakīngia e te tūroro te hītori hauora ki runga i tētahi pūrere. Ka whakamunaia ngā whakautu katoa i te wā e whakauruhia ana, ā, ka kōpakina ki te PDF i te tukuna.
Ka tae te PDF ki te rārangi arotake a te kaiwhakarato. Kotahi pā ki te papataka, ka whakamauhia te waitohu-ā-ipurangi a te takuta, te tāera wā, me te tau raihana ki te poraka hītori-hauora.
Ka penapena te PDF kua waitohutia-tahi me te hāhi tauira-ā-kore me te tuhia anō ki te mahere o te tūroro i roto i Dentrix, Eaglesoft, Open Dental, CareStack, me tō PMS rānei.
Ko ia PDF whakauru e kawe ana i te ara aromātai katoa e hiahiatia ana e tō poari ā-rohe me tō kaiwhakarato ārai hapa ā-tinana — kāore tō rōpū e whai ki te whakaemi i tētahi wāhanga.
Ka whiwhi ngā hītori hauora kua waitohutia i te whakamuna rite, ngā mana uru, me te urutau BAA pēnei i ngā wāhanga atu o Intake Dental. Mēnā he kiritaki kē koe, kei te “on” aunoa te waitohu-tahi aunoa — kāore he whakatakotoranga taapiri, kāore he utu taapiri.
Kāore he ture whānui i tētahi rohe e kī ana “Me waitohu ngā kaitohutohu niho i ngā puka hītori hauora.” Ko te mea e tū ana he ranunga whakahaere-ture a ngā poari niho-ā-rohe (ko Michigan te tauira mārama rawa), ngā aratohu ngaiotanga ahua-CDA (California), me te reo kirimana a ngā kaiwhakarato ārai hapa ā-tinana (Texas, Florida, New York, me ētahi atu maha) e whakamahi tahi ana i te waitohu hei paerewa manaaki. Ko te tohutohu tōkeke ko te waitohu i ia mea.
Ka puta mai hei waitohu ā-mata a te takuta (kua tuhia, kua tukuake rānei i te wā whakatakoto) me te ingoa tāngia, te tau raihana, te rā, me te wā, i te poraka waitohu kua rāhuitia mō te kaiwhakarato. Kei raro i te waitohu kitea he hāhi whakamātautau e hono ana ki ngā pū tuhinga tino, nō reira kāore e taea te tangohia te waitohu ka whakamahia anō ki tētahi atu puka.
I raro i te ESIGN Act ā-kawanatanga me te UETA (kua whakawhiwhia e ngā rohe 49), he hua ture ōrite tō te waitohu hiko ki te waitohu ine-mākū inā ko te hiahia a te kaiwaitohu kia waitohu, ā, e tūturu ana te hononga o te waitohu ki te pūkete. E tutuki ana tā mātou ia rere waitohu-e i ēnei whakamātautau e rua — ka hopukina te hiahia i runga i te whakaae pātene-kotahi, ā, kua herea whakamātautau te waitohu ki te tuhinga. He ture pupuri pūkete motuhake a ētahi poari niho-ā-rohe; ka ūhia e mātou te mea uaua rawa aunoa.
Kua hangaia te waitohu-tahi aunoa ki roto i te ia rere whakauru matihiko a Intake Dental. Mēnā ka mataora koe i ngā whakauru pepa, ka taea tonutia te tuku waitohu-e a te takuta mā te rōpū arotake, engari ka ngaro te ara aromātai taputapu/IP mai i te taha tūroro. Mēnā ka whakamahi koe i tētahi hua whakauru kē, ka taea e mātou te kaweake PDF kua waitohutia ki tō PMS, engari kāore koe e whiwhi i te wā tāmata, i te hāhi tauira-ā-kore rānei, mēnā kāore te whakauru e noho ana i roto i tō mātou pūnaha pūtoro-ki-pūtoro.
Puna: CDC, tohutohu poari niho o ngā tāhuhu, me ngā pānui ū kaiwhakarato.
He kōrero whakaatu tēnei whārangi, ehara i te tohutohu ture. Tirohia ngā ture a te poari niho o tō tāhuhu me te kirimana a tō kaiwhakarato ārai hē whakawhiu mō te tikanga tika e pa ana ki tō whakahaere. He māmā te whakarāpopoto: ahakoa he ture, he ture kore rānei, ko te kī ko te waitohu a te takuta he mea tika, he tū ārai tērā.
Ka penapena ngā hītori hauora kua waitohutia i roto i te rua kapua HIPAA-eligible a tō whare mahi me te whakamuna taumata-māra AES-256-GCM. Ko te pupuri aunoa ko te roa ake o ngā tau 10 mai i te toro whakamutunga, ko te oranga o te tūroro rānei — ko tērā e hiahiatia ana e tō poari ā-rohe. Ka taea e koe te tango i tētahi tuhinga kua waitohutia, me tōna ara aromātai katoa, i ia wā.
Ka kī ngā poari niho-ā-rohe me ngā kaiwhakarato hara-malpractice ko te haina o te kaimahi niho i runga i te hītori hauora tūroro he wāhanga o te paerewa mahi. Ka hoatu aunoa a Intake Dental i te haina-e o te tākuta ki ia PDF whakauru kua oti — me te waitohu-wā, te ara-arotake, me te tuhi-whakahoki ki tō PMS.
Whakaritea tō puka tuatahi i raro iho i te meneti kotahi. Kāore he kirimana e hiahiatia ana, kāore he pēhitanga.
