Ifomethi ye-SOAP yeRekhodi yeMpilo ye-Electronic

Irekhodi lempilo ye-elekthronikhi (EHR) lenza abahlinzeki bezempilo bakwazi ukuphatha ngokucophelela ukunakekelwa kweziguli ngokusebenzisa imibhalo, ukugcinwa, ukusetshenziswa kanye nokwabelana kwamarekhodi eziguli. Ngaphambi kokwanda kwerekhodi yezempilo kagesi, odokotela basebenzisa isakhiwo se-SOAP njengendlela enembile yemibhalo.

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I-Electronic Health Record

Idokhumenti yezokwelapha yimibhalo ehlelekile yomlando wezokwelapha nesiguli. Ngokuvamile iqukethe imininingwane yezempilo evikelekile yesiguli (i-PHI) efaka ulwazi lokwaziswa, umlando wezempilo, ukutholakala kokuhlolwa kwezokwelapha kanye nolwazi lokukhokha. Idokhumenti yezokwelapha ejwayelekile ihlanganisa:

• Izibalo zabantu abagulayo
• Ulwazi lwezezimali
• Amafomu okugunyazwa kanye nokugunyazwa
• Umlando wokwelapha
• Amanothi okuqhubekela phambili
• I-oda lomdokotela nemigomo
• Ukubonisana
• Imibiko yeLeb
• Imibiko ye-Radiology
• Amanothi omhlengikazi
• Uhlu lwamasu
• Isaziso se-HIPAA Semisebenzi Yobumfihlo

Ingxenye yerekhodi yezokwelapha esebenzisa ifomethi ye-SOAP yi-Section amanothi okuqhubekela phambili. I-SOAP imelela ukuqondisisa, injongo, ukuhlola, uhlelo. Ifomethi ye-SOAP isengasetshenziswa ngerekhodi lezempilo le-elekthronikhi njengalokhu lisetshenziselwa amarekhodi wezokwelapha zendabuko.

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S Kungenxa Yokuzikhethela

S Kungenxa Yokuzikhethela

Amanothi afanelekile aqondene nemibono nemizwa yesiguli mayelana nokuthi ubona kanjani isimo sezempilo noma yezokwelapha. Lolu lwazi kufanele lubhalwe ngokusekelwe ezimpendulo zesiguli kumbuzo mayelana nezinhlelo zokwelashwa noma izifo zamanje.

Ukwaziswa okuqondisayo kuhlanganisa:

• Umlando wezokwelapha odlule
• Umlando wokugula okwamanje
• Ukubuyekeza kwezimpawu
• Umlando womphakathi
• Umlando womndeni

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O Yenzelwe Inhloso

O Yenzelwe Inhloso

Amanothi enjongo aqondene nezibonakaliso ezibalulekile zesiguli, zonke izingxenye zokuhlolwa kwangokwenyama, nemiphumela yama-labs, ama-X ray kanye nezinye izivivinyo ezenziwa ngesikhathi sokuvakashela isiguli.

Ulwazi oluhlosiwe luhlanganisa:

• Ukushisa, ukucindezelwa kwegazi, ukushaya kwegazi nokuphefumula
• Ukubukeka jikelele
• Izitho zangaphakathi, iziphetho, nezimo ze-musculoskeletal
• Izimo ze-neurologic nezengqondo
• Olunye ulwazi olusekelwe ekukhethekile

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A Ukuhlola

A Ukuhlola

Amanothi wokuhlola ahlanganisa ulwazi oluzimele nolwenhloso ndawonye oluholela ngesimo sezempilo sesiguli, indlela yokuphila, noma ukuxilongwa. Ukuhlola kuhlanganisa ukubuka konke okuqhubekayo kokuqhubeka kwesiguli kusukela kokuvakashelwa kokugcina embonweni womtholampilo.

Ulwazi lokuhlola luhlanganisa:

• Izimpawu ezisemqoka nokuxilongwa
• Intuthuko yesineke
• Ukuxilongwa okuhlukile
• Incazelo eyisisekelo yesiguli nesimo esiveziwe

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P Kunguhlelo

P Kunguhlelo

Hlela amanothi ngokuphathelene nesinyathelo sokusebenza ngenxa yemanothi wokuhlola. I-plan amanothi afaka phakathi noma ngabe udokotela uhlela ukwenzani noma afundise isiguli ukuthi ayenze ukuze aphathe isiguli noma aphendule ukukhathazeka kwabo. Lokhu kufaka phakathi imibhalo yamayelana nodokotela ngezinsiza ezihlukahlukene ezinikezwe isiguli.

Hlela ulwazi luhlanganisa:

• Ukuhlolwa kwebhu
• Izinsiza ze-Radiology
• Izinqubo
• Ulwazi lokudluliselwa
• Imiyalelo noma imithi ye-OTC
• Imfundo yeziguli
• Okunye ukuhlolwa

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Ukusebenzisa i-SOAP ukuvimbela iziphambeko zezokwelapha

Kunezizathu eziningi zokuthi kungani iziphambeko zezokwelapha zenzeka ehhovisi lezokwelapha. Imikhuba eminingi inesistimu noma kufanele ibe nesistimu yokuvimbela amaphutha okungeke kwenzeke kodwa ukukhulumisana kabi kuyisizathu senombolo 1 ukuthi amaphutha wezokwelapha ayenzeka lapho uhlelo lukhona. Abasebenzi behhovisi lezokwelapha, abahlengikazi kanye nodokotela kudingeka baqonde ukubaluleka kwamadokhumenti okuyiyona ndlela engcono kakhulu yokukhulumisana nemicimbi yesiguli.

Imibhalo ayihlanganisi kuphela izimpawu, ukuxilongwa, ukunakekelwa, ukwelashwa, kanye nemithi kodwa nezinkinga nezingozi zokuthola ulwazi lwezempilo kanye nokuphepha konke kungasebenza ekuvimbeleni amaphutha ezempilo. Khumbula ukubhala phansi amaphutha ngaphambi kwalokho kanye nokukhathazeka kwesiguli. Akuzona zonke iziphambeko ezigwemekayo kodwa uma ulwazi lubhalwe ngokunembile, ochwepheshe bezokwelapha bakwazi ukukhomba nokulungisa amaphutha ngaphambi kokuba kwenzeka umcimbi wezokwelapha ezimbi.

Amarekhodi angagcwaliseki noma angalungile nokuhlukunyezwa kokuxhumana kungaba nemiphumela emibi ehhovisi lezokwelapha neziguli zalo. Olunye ucezu olubalulekile lwolwazi olungaxhunywanga lungaba nemiphumela eyinhlekelele. Nakuba ezinye izimo eziphuthumayo zingenakugwemeka, ukuxhumana okuphumelelayo kungabangela imiphumela engcono yeziguli kanye nempumelelo jikelele yehhovisi lezokwelapha.