Ifomathi yeS SOAP yeRekhodi yeMpilo ye-elektroniki

Ingxelo yezempilo yekhompyutha (i-EHR) yenza ababoneleli ngempilo babonelele ngokunyamekela ngononophelo lwezigulane ngokusebenzisa amaxwebhu, ukugcinwa, ukusebenzisa kunye nokwabelana kwezirekhodi zesigulane. Ngaphambi kokunyuka kwerekhodi yezempilo yekhompyutha, iiklinikhi zasebenzisa ifomathi ye-SOAP njengendlela echanekileyo yamaxwebhu.

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Ikhompyutheni yezeMpilo ye-elektroniki

Ingxelo yonyango yincwadi echanekileyo yembali yesigulane kunye nokunyamekela. Ngokuqhelekileyo iqulethe ulwazi lwezempilo olukhuselweyo lwegulane (PHI) olubandakanya ulwazi oluchanekileyo, imbali yempilo, iziphumo zeemviwo zonyango kunye nolwazi lokuhlawula. Iirekhodi zonyango eziqhelekileyo ziquka:

• Lwabantu abanezigulane
• Ulwazi lwezeMali
• Imvume kunye neefom zogunyaziso
• Imbali yonyango
• Inkqubela phambili
• Imiyalelo yegqirha kunye nemiqathango
• Iingxoxo
• Ingxelo zeLebhu
• Ingxelo ze Radiology
• Amanqaku okunakekela
• Uluhlu lwamachiza
• I-HIPAA Isaziso soMsebenzi woBucala

Ingxenye yerekhodi yonyango esebenzisa ifomathi ye-SOAP yiCandelo leenkcazo zeenkqubela. I-SOAP imele i-Subjective, Injongo, uVavanyo, iSicwangciso. Ifomathi ye-SOAP isasetyenziselwa ngerekhodi yezempilo yekhompyutha njengokuba isetyenzisiwe kunye neirekhodi zonyango.

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S NgesiNgqiqo

S NgesiNgqiqo

Amanqaku angaphantsi ahambelana neengcamango zesigulane kunye neemvakalelo malunga nendlela abona ngayo imeko yezempilo okanye isicwangciso sonyango. Olu lwazi lufanele lubhalwe ngokusekelwe kwimpendulo yesigulane kwimibandela malunga nezicwangciso zonyango okanye izifo ezikhoyo.

Ulwazi oluthile luquka:

• Imbali yonyango yangaphambili
• Imbali yokugula kwangoku
• Ukuphononongwa kweempawu
• Imbali yoluntu
• Imbali yentsapho

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O Ngenjongo

O Ngenjongo

Amanqaku enjongo ahambelana nezibonakaliso ezibalulekileyo zesigulane, zonke izixhobo zoviwo lwangaphakathi, kunye neziphumo zeelabhu, ii-X-rays kunye nezinye iimvavanyo ezenziwa ngethuba lokuvakashela isiguli.

Ulwazi lwenjongo lubandakanya:

• Ukushisa, uxinzelelo lwegazi, i-pulse, kunye nokuphefumula
• Jikelele
• Amalungu angaphakathi, iimida, kunye neemeko ze-musculoske
• Izimo ze-neurologic kunye neengqondo
• Olunye ulwazi olusekelwe kwizodwa

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Ngaba kuVavanyo

Ngaba kuVavanyo

Amanqaku okuvandlakanya adibanisa ulwazi oluzimeleyo nolunenjongo kunye kunye neziphumo ezibangelwa imeko yezempilo yesigulane, indlela yokuphila, okanye ukuxilongwa. Uvavanyo luquka uhlolo-nkqubela kwenkqubela yesigulane ukususela ekutyeleleni kokugqibela kwimbono yonyango.

Ulwazi lovavanyo luquka:

• Izimpawu eziphambili kunye nokuxilongwa
• Inkqubela yomonde
• Ukuxilongwa ngokubanzi
• Inkcazelo ebalulekileyo yesigulane kunye nesimo esinikezwe

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P Isicwangciso

P Isicwangciso

Cwangcisa amanqaku malunga nenkqubo yesenzo ngenxa yemanqaku okuhlola. Isicwangciso samanqaku siquka nantoni na ugqirha uceba ukwenza okanye afundise isigulane ukuba ayenze ukuze aphathe isigulane okanye adlulise iingxaki zabo. Oku kuya kubandakanya amaxwebhu e-odokotela yee-oda zeenkonzo ezahlukeneyo ezinikezelwa isigulane.

Cwangcisa ulwazi luquka:

• Uvavanyo lwebhu
• Iinkonzo zeRadio
• Iinkqubo
• Ulwazi lokudlulisa
• Imigaqo okanye i-OTC
• Education Patient
• Olunye uvavanyo

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Ukusebenzisa i-SOAP ukukhusela iimpazamo zonyango

Kukho izizathu ezininzi ezenza ukuba iziphene zonyango zenzeke kwiofisi yezobugcisa. Uninzi lweenkqubo zineenkqubo okanye kufuneka zibe nenkqubo yokuthintela iimpazamo ukuba zenzeke kodwa unxibelelwano olubi luyinombolo ye-1 yokuba iziphene zonyango zenzeka xa inkqubo isendaweni. Abasebenzi bee-medical, abahlengikazi, kunye namagqirha kufuneka baqonde ukubaluleka kwamaxwebhu enyona ndlela efanelekileyo yokuthetha ngeziganeko zesigulane.

Uxwebhu alubandakanyi kuphela iimpawu, ukuxilongwa, ukunakekelwa, unyango, kunye neyeza kodwa kunye neengxaki kunye nobungozi bolwazi lwezempilo nokhuseleko luya kusebenza ngokukhuselekileyo ekuthintela iimpazamo zonyango. Khumbula ukubhala phantsi iimpazamo zangaphambili kunye neengxaki zesigulane. Azikho zonke iimpazamo ezikhuselekayo kodwa xa ulwazi lubhalwe ngokuchanekileyo, abaqeqeshi bempilo bayakwazi ukuchonga nokulungisa iimpazamo ngaphambi kokuba kwenzeka isiganeko esichengileyo.

Iirekhodi ezingapheliyo okanye ezingachanekanga kunye nokuxhatshazwa kwezonxibelelwano kunokuba nemiphumo emibi kwiofisi yezonyango kunye nezigulane zayo. Elinye iqhosha elibalulekileyo lenkcazelo elingaxhunywanga lingaba nemiphumo emibi. Nangona ezinye iziphoso zingenakukhutshwa, ukunxibelelana ngempumelelo kunokubangela iziphumo ezingcono kwizigulane kunye nempumelelo yonke yeofisi yezokwelapha.