Sayinani kanye ngesikhathi sokusetha. Kusukela lapho, zonke izindaba zomlando wezempilo eziqedwe isiguli zisayinelwa ngokuzenzakalelayo nguDokotela owelapha uma zibuyekezwa — akukho iphepha, azikho izisayini ezishayelwe, akukho inqwaba yasekupheleni kosuku.
Isayini ngayinye iboshwe ngesikhathi esiqondile sokubuyekezwa nge-cryptographic timestamp. I-PDF esayinelwe ikhombisa ukuthi ubani owasayina, nini, kuwuphi umshini, futhi ikhiqiza irekhodi lokuhlola elinokuqinisekiswa umthwali wakho womshwalense wokunuka umthetho angalicela nganoma yisiphi isikhathi.
Izindaba zomlando wezempilo ezisayinelwe zibethelwa nge-encryption ezingeni lensimu nge-AES-256-GCM futhi zibhalwe emuva kushadi lesiguli ku-PMS yakho. Oqobo lugcinwa ngokokulandelwa komthetho wesifundazwe sakho wokugcina amarekhodi — iminyaka engu-7, engu-10, noma impilo yonke yesiguli.
Akukho mthetho munye owodwa wezwe lonke ofaka ohlwini zonke izifundazwe ezidinga isayini likaDentist emlandweni wezempilo wesiguli. Isidingo sivame ukuvela emithethweni yebhodi yamadentist esifundazweni noma emazingeni omshwalense wokunuka umthetho aphatha ukubuyekezwa kukaDokotela nesayini njengezinga lokunakekela. Izibonelo ezimbalwa:
I-Michigan Administrative Code R 338.11120 (Amarekhodi okwelapha amazinyo) idinga ukuthi irekhodi lokwelapha likaDentist lifake umlando wezokwelapha namazinyo wesiguli nokuthi uDentist — noma i-dental therapist — bazihlonze kurekhodi kunoma yiluphi uhlelo. Lokhu kufundwa yibhodi njengokudinga ukuthi uDentist asayine noma abhale izinhlamvu zokuqala engxenyeni yomlando wezempilo yerekhodi.
Umthombo: Michigan Administrative Code R 338.11120.
I-California Dental Association yeluleka ukuthi ngemuva kokuba umhlinzeki wamazinyo ebuyekeze ifomu lomlando wezempilo nesiguli, ifomu kufanele futhi lisayinelwe futhi libhalwe usuku ngumhlinzeki. Lokhu kuyisihloko sobuchwepheshe kunokuba kube umthetho obekiwe, kodwa abathwali bomshwalense we-liability eCalifornia ne-Dental Practice Act bavame ukuphatha isayini likaDentist njengesici esidingekayo serekhodi lesiguli.
Umthombo: California Dental Association isihloko sokomenza.
Imithombo evela ku-CDC, amabhodi amadentist esifundazwe, nabathwali bomshwalense wokunuka umthetho iqaphela ukuthi ukwehluleka ukuthola nokusayiniswa kukaDentist ifomu lomlando wezempilo kungaphathwa njengokuqeda. I-Texas, i-Florida, i-New York, nezinye izifundazwe eziningi ziveza lokulindelwe okufanayo ngezihloko zebhodi nezinkontileka zomthwali kunokuba kube yimithetho ecacile — kodwa izinga elijwayelekile liyefana.
Esimweni esihle kakhulu, akukho lutho. Esimweni esibi kakhulu — isiguli sinokusabela okungalindelekile, kukhona ukuxubana kwemithi umlando owembulile, noma isicelo samarekhodi sifika edesikeni lakho livela ebhodini lesifundazwe — umlando wezempilo ongasayinelwe uba i-Exhibit A. Abathwali bomshwalense wokunuka umthetho nabameleli bamacala bobabili babheka leli gebe kanye.
Ukulungisa akuyona ukuqeqeshwa okunzima kakhulu noma uhlu lokuhlola oluqinile. Ukulungisa ukwenza kube ngokungenakwenzeka ukuthi ukungenisa okuqediwe kufinyelele kushadi ngaphandle kwesayini likaDokotela kulona. Yilokho okwenziwa ukusayina ngokuzenzakalelayo.
Izinyathelo ezine, zonke ngemuva kwesigcawu. Isiguli asisiboni. UDokotela usayina kanye futhi akhohlwe ngakho.
Ngesikhathi sokwamukela, uDentist udweba noma ulayishe isayini lakhe futhi aqinisekise igama lakhe nenombolo yelayisense. Yilokho nje — isayini lihlala libethelwe ku-vault lokomenza.
Isiguli sigcwalisa umlando wezempilo kunoma yimuphi umshini. Zonke izimpendulo zibethelwa njengoba zifakwa futhi zihlanganiswa zi-PDF ekuthunyweni.
I-PDF ihlala kumugqa wokubuyekezwa womhlinzeki. Ukuthepha okukodwa kudeshbhodi kufaka i-e-signature kaDokotela, i-timestamp, nenombolo yelayisense ebhlokhweni lomlando wezempilo.
I-PDF esayinwe kabili igcinwa nge-hash engavumeli ukuguqulwa futhi ibhalwe emuva kushadi lesiguli ku-Dentrix, Eaglesoft, Open Dental, CareStack, noma ku-PMS yenu.
Yonke i-PDF yokungenisa iphatha umkhondo ophelele wokucubungula ibhodi lombuso wenu nabahlinzeki be-malpractice bafuna ukukubona — ngaphandle kokuthi ithimba lenu kumele lihlanganise noma yini yakho.
Umlando wezempilo osayiniwe udla ifa ukubethelwa okufanayo, izilawuli zokufinyelela, nesimbozo se-BAA njengakwezinye izingxenye ze-Intake Dental. Uma seniyikhasimende, ukusayina okuzenzakalelayo ngokwezinga eliphezulu kuvuliwe ngokoqobo — akukho ukusetha okwengeziwe, akukho nkokhiso engeziwe.
Ayikho indawo enomthetho ophelele othi “odontela kumele basayine amafomu omlando wezempilo.” Okukhona esikhundleni salokho kuyingxube yemithetho yokuphatha yebhodi lamazinyo lombuso (i-Michigan iyisibonelo esicacile kakhulu), imihlahlandlela yobuchwepheshe ye-CDA (i-California), kanye nohlelo lwemibhalo yenkontileka ye-malpractice-carrier (e-Texas, e-Florida, e-New York, nakwezinye eziningi) okubhekana ngokuhlanganyelwe nesignisha njengezinga lokunakekelwa. Iseluleko esingokoqobo ukusayina zonke.
Ibonakala njengesignisha yodokotela ebonakalayo (edwetshiwe noma elayishiwe ngesikhathi sokusetha) kanye negama eliprintiwe, inombolo yelayisensi, usuku, nesikhathi, esigabeni sokusayina esigodliwe umhlinzeki. Ngaphansi kwesignisha ebonakalayo kukhona i-hash ye-cryptographic eyixhumanisa namabhayithi athize edokhumenti, ukuze isignisha ingeke iphakanyiswe futhi isetshenziswe kabusha kwelinye ifomu.
Ngaphansi kwe-federal ESIGN Act ne-UETA (eyamukelwa yizwe ezingu-49), isignisha ye-electronic inomthelela ofanayo womthetho njengesignisha ye-wet-ink inqobo nje uma umsayini ehlose ukusayina futhi isignisha ixhumene ngokuthembeka nerekhodi. Ukugeleza kwethu kwe-e-signature kuhlangabezana nokuhlolwa kokubili — inhloso ithathwa ekuvakaleni kwe-one-tap, futhi isignisha ibotshwe nge-cryptographic edokhumenti. Amanye amabhodi amazinyo ombuso anemithetho ethile yokugcina amarekhodi; sihambisana nenqalo elukhuni kakhulu ngokoqobo.
Ukusayina okuzenzakalelayo ngokwezinga eliphezulu kwakhiwe ekugezeni kwe-digital kwe-Intake Dental. Uma niskena ukufakwa kwamaphepha ngaphakathi, nisengakwazi ukusebenzisa i-e-signature yodokotela ngomugqa wokubuyekeza, kodwa nilahlekelwa umkhondo wedivayisi/i-IP ovela ohlangothini lwesiguli. Uma nisebenzisa umkhiqizo ohlukile wokufaka, singakhipha ama-PDF asayiniwe ku-PMS yenu, kodwa anizukuthola isikhathi noma i-hash engavumeli ukuguqulwa ngaphandle uma ukufaka kuhlala ohlelweni lwethu okuphelele.
Umthombo: I-CDC, isihloko sebhodi yamadentist esifundazwe, nama-memos okuthobela omthwali.
Leli khasi ngelwaziso, akuyona iseluleko somthetho. Hlola imithetho yebhodi yamadentist yesifundazwe sakho nenkontileka yomthwali wakho womshwalense wokunuka umthetho ukuze uthole isidingo esiqondile esiphathelene nokomenza kwakho. Umphumela wokugcina ulula: kungakhathaliseki ukuthi kukhona yini umthetho, ukuphatha isayini likaDentist njengokuphoqelelwe yisimo esivikelelekile.
Umlando wezempilo osayiniwe ugcinwa kwi-cloud vault yomtholampilo wenu efanelekile ye-HIPAA enokubethelwa kwensimu okusezingeni le-AES-256-GCM. Ukugcinwa kuya ezingeni elide iminyaka eyi-10 kusukela ekuvakasheleni kokugcina noma impilo yesiguli — noma yikuphi okudingwa yibhodi lombuso wenu. Ningatholwa noma yiliphi idokhumenti elisayiniwe, ngomkhondo walo ophelele wokucubungula, nganoma yisiphi isikhathi.
Amabhodi amazinyo ezifundazwe nabathwali bomthelela womona baphatha ukusayina kodokotela emlandweni wezempilo wesiguli njengengxenye yendinganiso yokunakekelwa. I-Intake Dental ifaka ngokuzenzakalelayo isiginesha se-e sodokotela kuyo yonke i-PDF yokungenisa eqediwe — ngesikhathi sokubhaliselwa, umkhondo wokuhlolwa, nokubuyisela kwe-PMS yakho.
Sethani ifomu lenu lokuqala ngaphansi kwemizuzwana. Azikho izinkontileka ezidingekayo, akukho kucindezela.
