Ихэнх мужуудад эмнэлгийн тусламж үзүүлэгч эсвэл байгууллага таны эмнэлгийн бүртгэлийг эзэмшдэг, харин та түүнд агуулагдах мэдээллийг эзэмшдэг. Ийм учраас холбооны хуулиар танд анхны хэргийг бус харин хуулбарыг авах эрх олгосон. Эмнэлгийн тусламж үзүүлэгч нь бичгээр ирсэн хүсэлтийг биелүүлэхэд ерөнхийдөө 30 хоногтой байдаг бөгөөд төлөгдөөгүй төлбөр нь татгалзах үндэслэл болохгүй.
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- Хэргийг үүсгэсэн хүн эзэмшдэг. Мэдээллийг та эзэмшдэг. \n
- HIPAA нь танд зориулагдсан бүртгэлийн багцыг үзэх, хуулах эрхийг олгодог. \n
- Хариу өгөхөд 30 хоног, бичгээр мэдэгдэж нэг удаа 30 хоногийн сунгалт, нийтдээ 60 хоног хүртэл. \n
- Нөхөх төлбөр нь хуулж авах ажил, хангамж, шуудангийн зардлаар хязгаарлагддаг. Хайх цаг нь нэхэмжлэгдэхгүй. \n
- Сэтгэлзүйн тэмдэглэл болон шүүхийн материал нь таны шаардах боломжгүй гол зүйлс юм. \n
Таны эмнэлгийн бүртгэл нь тэмдэглэлийн хавтас биш, харин хуулийн баримт бичиг юм
\n\nПрактик эмнэлгийн бүртгэлийн тодорхойлолт нь: таны хэрэг нь эмч нар таны тусламжийн талаар үүсгэсэн баримт бичиг бөгөөд үүнд уулзалтын тэмдэглэл, онош, эм, шинжилгээний хариу, төлбөрийн мэдээлэл орно. HIPAA-гийн үйл ажиллагааны нэр томъёо нь зориулагдсан бүртгэлийн багц бөгөөд энэ нь тусламж үзүүлэгч эсвэл эрүүл мэндийн даатгалын байгууллагад хадгалагдаж буй хэрэг, төлбөрийн бүртгэл, болон эмнэлгийн лабораторийн болон шинжилгээний хариуг хамардаг.
\n\nЗохиогчийг анхаарна уу. Хүмүүст төөрөлдүүлдэг эмнэлгийн бүртгэлийн утга нь тухайн бүртгэл нь таны хувийн тэмдэглэлийн дэвтэр шиг таных гэсэн ташаа ойлголт юм. Энэ тийм биш. Эмч нар таны тухай, юу болсон тухай өөрсдийн тэмдэглэл болгон бичдэг.
\n\nЭмнэлгийн бүртгэл нь нэгэн зэрэг гурван үүрэг гүйцэтгэдэг. Энэ нь нэг эмчээс нөгөө эмч рүү тусламжийн үргэлжлэлийг хангадаг, төлбөр хийгдсэнийг үндэслэдэг, болон хийсэн зүйлийг, хэзээ хийснийг нотлох хуулийн баталгаа болдог. Сүүлийн хоёр нь эрүүл мэндийн бүртгэл нь ойлгомжтой байдлын адил хамгаалалтын талаар маш их анхааралтай бичигддэгийн шалтгаан юм.
\n\nТа өөрийн эмнэлгийн бүртгэлийг эзэмшдэггүй байж болох ч энэ нь тийм ч чухал биш
\n\nХүмүүс эмнэлгийн бүртгэлийг хэн эзэмшдэг вэ гэж асуухдаа ихэвчлэн буруу асуулт асуудаг. Нэг өгүүлбэрийн дүрэм: та мэдээллийг эзэмшдэг, эмнэлгийн тусламж үзүүлэгч эсвэл байгууллага нь ихэвчлэн биет эсвэл цахим бүртгэлийг эзэмшдэг, мөн яг үүний улмаас холбооны хуулиар танд хуулбар олгож, анхны хэргийг хэзээ ч өгдөггүй.
\n\nНэгдсэн улсын эзэмшлийн нэгдсэн дүрэм байхгүй. Journal of Urgent Care Medicine сэтгүүлд нийтлэгдсэн дүгнэлтийн дагуу ойролцоогоор 20 мужид бүртгэлийг тусламж үзүүлэгчдэд олгох хууль байдаг, Нью-Гэмпшир нь өвчтөнд бүртгэлийг олгодог цорын ганц муж бөгөөд ойролцоогоор 29-30 мужид эзэмшлийн хууль байхгүй. Эмч нар ч үүнийг тодорхой мэдэхгүй байна. Тухайн нийтлэлд дурдагдсан эмч нарын санал асуулгад 33 хувь нь өвчтөнүүд бүртгэлийг эзэмшдэг, 65 хувь нь эмч нар эзэмшдэг, 2 хувь нь EHR ханган нийлүүлэгч эзэмшдэг гэж хариулжээ.
\n\nХолбооны заавар нь эзэмшлийн асуудлыг бүр орхигдуулсан. HealthIT.gov-ын эрүүл мэндийн бүртгэлээ авах, ашиглах гарын авлага нь таны үзэх, шалгах, болон хуулах эрхийг л хамардаг. Энэ нь та бүртгэлийг эзэмшдэг гэж хэзээ ч хэлдэггүй.
\n\nИхэнх хуудсууд танд хэлэхгүй зүйл бол эзэмшлийн маргаан нь хуулийн асуудал мэт харагддаг ч анхаарал сарниулах зүйл юм. Хэргийн эзэмшил нь мужийн хуулиар хуваагдсан бөгөөд таны хийж чадах зүйлд ямар ч өөрчлөлт авчрахгүй. Нэвтрэх эрх нь холбооны, нэгдмэл, болон хэрэгжүүлэх боломжтой. Тиймээс хэн эзэмшдэг гэсэн асуултаа зогсоож, хэрхэн авах вэ гэж асууж эхлээрэй.
\n\nБүрэн эмнэлгийн бүртгэл нь арван хэсгээс бүрддэг, түүний дотор та хэзээ ч хардаггүй хэсгүүд ч бий
\n\nЭмнэлгийн бүртгэлийн бүрэлдэхүүн хэсгүүд нь ихэнх өвчтөнүүдийн хүлээдэг шиг тогтмол байдаг. Бүрэн хэрэг нь ихэвчлэн овог нэр, эрүүл мэндийн түүх, тунгаар нь эм болон нэмэлт бүтээгдэхүүний жагсаалт, гэр бүлийн эрүүл мэндийн түүх, эмчилгээ, мэс заслын түүх, урьдчилсан даалгавар, лабораторийн болон дүрс оношлогооны хариу, гарын үсэг зурсан зөвшөөрлийн маягт, дэвшлийн тэмдэглэл, болон төлбөр/санхүүгийн мэдээлэл багтдаг. Энэ нь хуулийн жагсаалт биш, харин уламжлал болон салбарын практик юм.
\n\nMedlinePlus нь хувийн эрүүл мэндийн бүртгэл-ийн талаарх зөвлөмждөө батлах нь зүйтэй гэж үзсэн чухал зүйлсийг дурдсан: нэр, төрсөн он сар өдөр, цусны бүлэг, яаралтай холбоо барих хүмүүс, гол шинжилгээ, скрининг хийсэн хугацаа, хариу, гол өвчин, мэс заслын огноо, харшил, архаг өвчин, болон гэр бүлийн түүх.
\n\nТаны хуулбар ирэхэд бичиглэлүүд товчхон харагдана. Дор хаяж нэг дэвшил тэмдэглэл нь: \"Өвчтөн 3 хоногийн турш хоолой өвдсөний улмаас ирсэн, ханиалгагүй, 101.2F хүртэл халуунтай. Шархын түргэн шинжилгээ сөрөг. Онош: вируст фарингит. Төлөвлөгөө: дэмжих эмчилгээ, хүндрэл гарвал дахин үзүүлэх.\" Лабораторийн мөр нь: \"Кали 5.4 ммоль/л (хэвийн 3.5-5.1) H.\" гэж бичигдсэн байж болно. Ийм богино байдлын нэг хэсэг нь тэмдэглэлүүд нь ихэвчлэн захиалгын дагуу бичигдэж, эмнэлгийн орчуулагч-д маягтаас бичүүлдэгтай холбоотой.
\n\nГэсэн хэдий ч өөрийнхөө бүртгэлийг уншина уу, мөн эмий болон харшлын жагсаалтыг эхлээд уншина уу. Эдгээр хоёр зүйлийг дараагийн эмч нар шалгахгүйгээр итгэдэг. Мөн түүх хэсэг нь та уулзалтаар юу хэлснээс бүрддэг тул эмчдээ юу хэлэх, болон хэр нарийвчлан тайлбарлах нь vv v-ний 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