Ikopa rezvemagetsi ehutano (EHR) inoita kuti vatapi vezvehutano vakwanise kunyatsogadzirisa kutarisira kwevarwere kuburikidza nemabhuku, kuchengetedza, kushandisa uye kugovana marekodhi ezvirwere. Pamberi pekukwira kwerugwaro rwemagetsi ehutano, vanachiremba vakashandisa iyo SOAP mafaira senzira yakarurama yezvinyorwa.
1 -
The Electronic Health RecordChiremba rezvechiremba inyandiko yakarongeka yehutano hwehutano hwehutano uye kutarisirwa. Inowanzo ine nheyo yehutano yakachengetedzwa yehutano (PHI) iyo inosanganisira ruzivo ruzivo, nhoroondo yehutano, ruzivo rwekuongororwa kwehutano uye ruzivo rwekubhadhara Chiitiko chechiremba chiitiko chinosanganisira:
- Mwoyo yevarwere
- Mashoko ezvemari
- Mvumo uye mafomu emvumo
- Nhoroondo yezverapa
- Kufambira mberi zvinyorwa
- Chiremba wemirairo nemirairo
- Ongororo
- Lab inoshuma
- Radiology inoshuma
- Manotsi ekurapa
- Mishonga urongwa
- HIPAA Chinyorwa Chekuita Zvisina Kuita Maitiro
Chikamu chenhoroondo yezvokurapa iyo inoshandisa maitiro eS SOAP ndiyo Mafambisi amanotsi chikamu. SOAP inomiririra Shanduro, Chinangwa, Kuongorora, Kuronga. Iko fomu yeS SOAP inogona kushandiswa nehuwandu hwehutano hwemagetsi sezvinoshandiswa nemarekhodi ezvakanyorwa zvechiremba.
2 -
S Ndechokuzviisa pasiS Ndechokuzviisa pasi
Nhepfenyuro inonzwisisika inobata pfungwa yemurwere nemanzwiro pamusoro pekuti anoona sei hurongwa hwehutano kana hutano hwavo. Iyi ruzivo inofanira kunyorwa maererano nemhinduro dzemurwere kumibvunzo pamusoro pezvirongwa zvehutano kana zvirwere zvemazuva ano.
Mashoko akanangana anosanganisira:
- Nhoroondo yezvechiremba yekare
- Nhoroondo yehutano hwemazuva ano
- Kudzokorora kwezviratidzo
- Nhoroondo yevanhu
- Nhoroondo yemhuri
3 -
O YechinangwaO Yechinangwa
Chinangwa chinotsanangurwa chinosanganisira zviratidzo zvinokosha zvemuongorori, zvose zvikamu zvekuongorora kwepanyama, nemigumisiro yemabhati, X-rays, nezvimwe zviedzo zvinowanikwa apo murwere achishanyira.
Chinangwa chinangwa chinosanganisira:
- Kutya, kuwedzerwa kweropa, kupisa, uye kupumha
- Kuonekwa kwechiitiko
- Nhengo dzomukati, mhedziso, uye masumuloskeletal conditions
- Neurologic uye mamiriro emapfungwa
- Zvimwe ruzivo rwakabva pane zvakakosha
4 -
A NdechokuongororaA Ndechokuongorora
Nhamba dzekuongorora dzinogadzirisa pfungwa dzehutano uye dzechinangwa pamwe chete zvinoguma mune hutano hwehutano, mararamiro, kana kuongororwa. Chirongwa chinosanganisira kuongorororwa kwemufambiro wemurwere kubvira pakushanya kokupedzisira kubva pakuona kwechiremba.
Uongorori wenyaya inosanganisira:
- Zviratidzo zvikuru uye kuongororwa
- Kufambira mberi kwevarwere
- Differential diagnosis
- Tsanangudzo yakanangana nemurwere nemamiriro ezvinhu akaiswa
5 -
P Ndiyo PurogiramuP Ndiyo Purogiramu
Purogiramu inotarisana nedzidziso yekuita sechikonzero chemanotsi ekuongorora. Izvo zvirongwa zvinyorwa zvinosanganisira chipi nechipi chiremba anoronga kuita kana kuraira murwere kuti aite kuitira kuti apore murwere kana kutarisa zvinetso zvavo. Izvi zvinosanganisira mapepa emirairo yechiremba wehutano hwakasiyana hwakapiwa murwere.
Ronga zvirongwa zvinosanganisira:
- Lab yekuongorora
- Radiology services
- Maitiro
- Referral information
- Zvinyorwa kana mishonga yeTTC
- Patient Education
- Zvimwe kuedzwa
6 -
Kushandisa SOAP kudzivirira Kurapa KwemakwenziKune zvikonzero zvakawanda nei zvikanganiso zvechiremba zvichiitika muhofisi yezvokurapa. Maitiro mazhinji ane urongwa kana kuti ave nehutano hwekudzivirira zvikanganiso kubva pazvinoitika asi kutaurirana kusina kunaka nhamba nhamba 1 iyo zvikanganiso zvezvechiremba zvinoitika kana sarudzo iripo. Vashandi vehofisi yezvokurapa, vanamukoti, uye vanachiremba vanofanira kunzwisisa kukosha kwemagwaro matsva ndiyo nzira yakanakisisa yekukurukura zviitiko zvevarwere.
Zvinyorwa hazvirevi chete zviratidzo, kuongororwa, kuchengetwa, kurapwa, uye mishonga asiwo matambudziko uye ngozi kune hutano nekuchengetedzwa kwemashoko zvese zvinogona kubudirira mukudzivirira zvikanganiso zvechiremba. Yeuka kunyora zvikanganiso zvisati zvaitika uye kunyange zvinetso zvevarwere. Hazvisi zvikanganiso zvose zvinodzivirirwa asi kana ruzivo rwakanyorwa zvakarurama, vashandi vezvoutano vanogona kuziva nekugadzirisa zvikanganiso kusati kwaitika chiitiko chinotambudza chirwere.
Zvinyorwa zvisina kukwana kana zvisina kururama uye kukanganisa kukurukurirana kunogona kuva nemigumisiro yakakomba kuhofisi yezvokurapa nevarwere vayo. Chimwe chikamu chinokosha chemashoko asina kuziviswa chinogona kuva nemigumisiro yakaipa. Kunyange zvazvo zvimwe zvinetso zvisingagoni kudzivirirwa, kukurukurirana kunobudirira kunogona kuguma nemigumisiro yakanaka yevarwere uye kubudirira kwese kwehofisi yezvokurapa.