Table of Contents
Okutandika
Mu kunoonyereza, emirundi mingi ebiwandiiko by'obujjanjabi eby'ekisawo oba eby'obulwadde bw'obwongo biwa obukakafu obw'amaanyi obulaga obutuufu bw'obulwadde obwo.[1] Ka kibe kiyinza okulaga obunene bw'ebisago by'abantu bye balina, oba okupima engeri gye beeyisaamu nga bawandiise. Kyokka, ebiwandiiko bino bye bimu ku biwandiiko ebisinga okuba eby'amakulu mu mateeka. Obukuumi obubeesigalibwa obukolebwa ku bwa bannamateeka tebuba bukwata ku ku ku bikwata ku kufuna obujjanjabi; era bulina kugoberera eddembe erikkirizibwa mu mateeka, amateeka g'ensi yonna, n'amateeka. Okumanya singa etteeka liba likyetaagisa okusobola okubeera ne sseebbeeyambi eririna okubeeramu ku bannannyini, n'ebizingirwawo. Ekitundu kino kigazi kigaziwandiika ku nsonga enkulu ezisobozesa okufuna obulango mu by'obulamu mu mbeera ennungi.
Okweteekateeka mu by’Etteeka ku Bisaanyizo Ebitutuusa ku Buwanguzi
Obukakafu obulaga nti waliwo amateeka agakwata ku by’obujjanjabi n’ebikwata ku ndowooza z’abantu busobola okugobererwa.
Eky’Okuna, Okukyusa Ebibiina Kikukuuma
Etteeka ery'okuna liyamba abantu obutakwatibwa kibuguumirize oba obutakwatibwa kakwate. Wadde nga mu kusooka abazannyi ba gavumenti baakwasibwa bannabyabufuzi babadde bateekebwawo enkola ey'okukuuma amateeka, era nga mu mbeera ezimu, okuzuula gavumenti bwe zibaamu. Kkooti zigamba nti omuntu asigala nga yeetaagira ebibakwatako mu biwandiiko by'ekisawo. N'olwekyo, buli awalirizibwa ne gavumenti okumanyisa abakungu ba gavumenti nga bakolera ku mu kkooti, era nga bagoberera omuteesitemu y'omutemwa ogw'Ekkumi n'okutaano. Omusingi ogwo gulina okuguwandikirwa olw'ensonga eziba nga zinoonyezebwa. Omuntu yenna ateekeddwa okumanyibwa mu nsonga z'abantu kinnoomu anoonya ebiwandiikibwa mu malwa ge ga n'okuvumbula, agoberera amateeka gagobe nga gagobeegobeega z'abalwadde b'abalwaddesazesawosaawosasasasa abasattulukuuzi (abalwadde).
Ekiragiro kye kifuga obwa obwama n'ekyama kya bannannyini kyo
Act eya Adminisnce Portability and Accounting Act (HIPAA) Etteeka eriggulawo etteeka erikkirizibwa mu mateeka okukuuma buli muntu kinnoomu obubaka obukwata ku by'obulamu. Mu URIPAA, ebitongole (abalabirizi, ebikoleeze eby'obujjanjabi, n'ebifo ebirongoosebwa mu by'obulamu) biyinza obutamanya ebikusige ebituufu (PHI) nga tewali lukusa okuva ku mulwadde oba ebiragiro bya mateeka. Ekiragiro kino kirimba kiragiro kya kkooti oba k'omukono. Ku mukono omulala, HiPAA kyawulamu enkola wakati w'ekitongole, ekiragiro ky'obulwadde, n'ekiragiro. K'ensonga (emirundi mingi eweebwa omulamuzi ku kikola kulagawo n'ensonga y'ensonga) teyeetaagisa mu kifo kirembe nga waliwo omuntu asabye okukkiririza ddala.
Enkyukakyuka mu Mateeka g’Eggwanga
Amateeka g'ensi gayinza okussaawo obukuumi obusinga n'obutongole bwa gavumenti. Amasaza mangi galina amateeka agagobererwa mu by'ekisawo, amateeka agagobererwa obutereevu mu nsonga z'obwongo (nga galimu obukuutivu obusingawo obukulembezza obukwata ku nkola z'obwongo) era n'engeri ez'enjawulo ez'okukakasa. Ng'ekyokulabirako, ewawawandikiro ezimu zeetaagisa okukakasa nti ebiwandiiko by'obujjanjabi bw'obwokebwa obukolebwako binoonyezebwako omulamumu omulamu omutendeke oba nti omulwadde aweebwa amabaluwa agamu nga tafunye bukuumi mungi. Olwo ate olukalala lwo lwe lwokka olw'obukuumi obusingako, embeera y'obutebenkenkevu, olwo eyinza okugobeetaasaamu amateeka agago.
Ddi Omuntu Asinga Obutalo lw’Alina Okuwozesebwa mu Misango gy’Abannaggwanga?
Endowooza enkyamu eri nti, okukuba akasawo kulaga obanga omuntu alina okuweebwa obujulizi obw'eddagala oba obw'obwongo, kuzingiramu okusaba obujulizi obutegeeza obutuufu bw'ekisawo n'obulwadde obw'obwo, naddala singa obuwandiike buweebwa waakiri ow'ekitundu ekyokusatu era nga n'omulwadde tabyewaako buwandiike.
Kfugafugafuga
Omuntu bw'asaba, baawomererwa okufuna obusawo obw'ekisawo oba obw'obwongo okuyitira mu kukakibwa, nga tewali mulwadde, era n'ebiwandiiko bwe bitaba nga birina muntu mu kkooti. Kino kitera okukkirizibwa mu kunoonya enjawukana. Singa omulaguzi abaako omusango gw'agaana okutongoza ebiwandiiko by'abalaze mu ndowooza z'abantu, omuwawaayirizi ayinza okwetaaga okufuna ekiragiro. Naye ekiragiro kya kkooti tekibeera kimu ng'omukkiriza. Kkooti nnyingi zikwata ku mukolo nga ekkomera erya waggulu.[1] Omujulirwa okutaateeka ku lukalala olw'ensonga eziba nga ziresemba, so si ziggule obugattivu. Mu kkooti z'abantu ziyinza okufulumya “akakwate akakwate akakwate akasiike akaberebwa obukusiike."
'Orner' - 'Ow'oyagala omulimu gukolebwe mu kiwandikiro' oba mu kiwandikiro' kiwandikiro oba mu kiwandikiro' kiwandikiro oba mu buwandikiro'.
Singa akakiiko kateeka ensonga mu bulwadde bwabwe nga kasazaamu kkooti. Omuntu bw'asaba, ayinza okutwalibwa ng'amaze okuggyako omulwadde enkizo ye ey'okujjanjaba mu mbeera eyo. Kyokka, omutemu teyeggyako buteegeevu okuweebwa kiragiro oba ebiragiro ebya kkooti. Alipoota esigala nga PHI, era omuntu agikweseteese teyinza kubawa buyinza bwetaaze. Omuntu asabye aba alina okuweebwa ekiragiro mu mateeka awatali kuwalirizibwa mu kkooti. Ekiragiro bwe kiba nga kyesigamye ku mateeka ga HiPAA, kiyinza obutamala kutuukiriza kiragiro ekyo naye nga kikyetaagisa ne mu buyinza okubeera wansi wa HiPA. Omuntu oyo asabye okukola ekyo aba akooye, aba asabye nti ebinoonyezza ebinoonyezebwa (g.). Ekiragiro ekitongole kye kiresemba amalagiddwa mu ngeri ey'obukuseetefunze.
Ebisobozese Okuggyawo Ekisaanyizo Ekirungi
- [[NKUMBO] : Olukusaanya lwa biwandikiro olwasabidwa HIPAA-complified luyinza okusimbuliza ddala ekyetaagisa. Eno ye ngeri esinga okukozesebwa mu bifo ebitongole ebifuga ebiwandulwa omulwadde okukkiriza kyeyagalire okufulumya ebiwandiiko.
- Embeera ezitatera kulabika, [[[KATANDIKWA] K'awuluzaamu, kkooti eyinza okuwa olukusa okumanyisa oba obutakyusizaamu nga tekinnaba kutegeezebwa.
- [[Akatundu][Akakiiko k'omukitundu] Bw'elagira kkooti okukebera obukalu obuli wansi wa Tteeka 35 erya KGB K'ETT - Emirimu Egifaananira ddala ne Commun Procediture], alipoota evaamu eyinza okukolebwa butereevu mu kkooti nga tekiyambidde kuba na bukwasi. Ekiragiro bwe kityo kiwa abafuzi b'omu mateeka obuyinza obwa bulijjo.
- [[AK'AWULA]] Ebbeetaagibwa:[ Ensi ezimu zikkiriza enzijjuvu okufunamu obujulizi obumala, obw'ennono oba obw'ebiragiro ebikwata ku by'obujjanjabi obw'okunoonyereza oba obw'eby'obulamu nga tewali bukwasiddwa bujulizi, naye nga tekituukiriza bwetaavu bw'ebikolebwako.
Ebyetaagisa Okufuna Omuddusi
Bwe kiba kyetaagisa, kiteekwa okutuukiriza emitindo gy'amateeka egiwera. Bwe tutatuukiriza kimu ku ebyo bye kitwetaagisa, kiyinza okuviirako obuwandiike okubutuukiriza, ebibonerezo, oba okuvunaanibwa olw’okubunyisa mu ngeri etali ya mateeka.
Ensonga Ezituufu
Esonga lwaki kiwandiiko ky'eddala tezitegeeza nti lipoota ziteekeddwa butateekebwa mu nkola. Wabula, kiba kyetaagisa okulaga nti ebiwandiiko biwandiikiddwa bulungi nti obukakafu busobola okubeeramu obuwandiisi obulaga nti obuwandiikivu. Ng'ekyokulabirako, singa omuntu agoberera ebiwandiiko ebikontana n'ensonga eyo, aba anoonya omulwadde wa sukaali abadde tamanyibwa. Ebiwandiiko bya diabeese biteekwa okulaga nti waliwo akakwate wakati w'obubonero obwa bulijjo n'obuzibu obukkiriko. Ebiwandiiko ebyo tebirina bumala. Omusingi oguyinza okuba nga gulina kkomo okumanyibwa obulungi okusinga “omuyitoosi oba nga obujulizi obutuufu bulaga nti omulwadde wa sukaalimu. Ebiwandiiko bingi biteekwa okunoonyereza ku nsonga ezikwata ku nsonga y'obumenyi bw'emisango: okunoonyereza ku nsonga eyo tewalibwa.
Empandika enkulu
Obubonero buteekwa okukyogerako ku biwandiiko ebinoonyezebwa mu ngeri ey'enjawulo. Obubonero buno bulina okuleetera abawandiisi okusaasaanyizibwa nga “bonna abalabibwa”. Olukalala lujja kuba nga '
- 'Ow'omulwadde] - 'Ow'omutwe gw'omulwadde obulimu obubonero[
- Kino kitegeeza oba okutereka empandiika y'obuwandikebwa obwa mpandiika'obuka obw'obwongo'[
- Okuva ku Desemba 1, 2018 okutuuka ku Ddesemba 31, 2022] - [FL:] - Enkyukakyuka oba okuvuziganya mu byafaayo ebikwatagana n'ebyo ebireeteebirimu[FLT:] Kino kijja kukuuma ebiteetabo ebya bulijjo n'okunoonyereza ku nsonga eyo.
Okuwagira Affidavit
Kumpi buli lulagiro lwose ekiwandikiro kiba kyetaagisa okulayira okulayira mu kibiina nga kisabye oba munnamateeka. Affidavit ateekwa:
- State kwe kyesigamye ekituufu ekiraga ensonga gy'osobola okuba nga y'evuddewo[
- nnyonnyola engeri empandika gye zikwataganamu n'empaka'[[[[FLT:]] - Kyakulabirako nti omulamuzi afubye okuzuula empandiika empandiika empandika nga takwate ne z'eba nga ziweddeko. Mu bitundu ebimu, eyinza okukomyawo n'enkola y'enkola eya bulijjo, ekkiriza, essepoana)[[FLT] - kyebuuzivuuzirwa nti ewandikibwe teziriwo[[FLCFFFFG:4] Omulamuzi ajja kukebera ebiba bya mu nteeyiti. Muyinza okukoosebwa mu ngeri ey'okukikuuma. Muyinza okulayira mu ngeri ey'okulayiramu. Muyinza okukikuuma aka
Okukkiriza Omulamuzi
Kiwandiiko kirina okuwerebwa omulamuzi oba ssaze eyeetongodde. Kkomya ekiragiro kino kikakasa nti ensonga eziba ziteekeddwawo era n'okugoberera emitindo gy'amateeka. Mu mbuga z'amateeka, omulamuzi alabirira ensonga ayinza okutongoza olukusa, naye eggwanga ezimu zeetaagisa enkyukyuka ku mulamuzi omu okusobola okusigala nga tasosola. Kiwandiiko kino kirina kubeera mu buwandiike era ne kiteekebwako omukono n'ab'obuyinza abagiwandiisa.
EBITAAGANA EBY’OKWAGALA MU KKOOTI
Ne bwe kiba nti olukusa luweereddwa, HIPAA lulagira ebisaanyizo ebirala nga waliwo ekiwandikiro ekikikwese. Okusinziira ku 45 CFR 76.12(e)(1) olukalala lwa kkooti luteekwa okukkusizzaamu bino wammanga:[
- Ekiragiro kiragibwa olukalala oluweebwa oluva ku lukiiko olulina obuyinza.
- ekiragiro kitwaliramu emitendera egimala okumanya oba ebinoonyeze ebizikwatako. ['ekiragiro ekyo kiteekamu enkola ey'obumyufu, , oba enkola ennongooso] n'ebintu ebiziziyiza okukireetera obutakkirizibwa.[[[FLT:] [2] Kino kitegeeza nti ekiragiro kireetakireetera bisaanyizooooo kumanyibwa bubaka obwa bulijjo.
- ekiragiro kitwaliramu ebiragiro bino ebimala okubumanya ebiba nga bisaanyizibwawo.[gye'enkola eno tekubaamu enkola ey'okugifuniramu.][FFFFosebwamu, ebiba biteekwa okuba nga terimu.]
Okukuumibwa n’Enkomerero mu Kifo Kyaffe
Ne bwe kiba nti ebbaluwa ekkiriza omulwadde okuwa omuntu we ekibanja, ebintu by’asinga okwagala ye kennyini bikulu nnyo.
Okwejjukanya mu Kamera
Nga tannawandiika biwandiiko eby'obwongo oba ebyo ebiwandiikiddwa ku nkola y'obwongo, nga() obujulizi obusinga obungi bulagira omuntu okukebera kkamera (yekka). Omulamuzi yeekenneenya ebiwandiikiddwa okusobola okukakasa nti birina obukakafu obukwata ku nsonga eyo era nti tewali kintu kyonna eky'omuwendo kiyinza okwawulibwawo. Kino kitera okukolebwako n'ebigambo ebikwata ku nkola y'obwongo, nga bino byewandiikibwa wansi w'obukuumi obwa waggulu ku HIPAA. Kkooti eyo eyinza okuzza obutundu obupya obw'enkola nga terina busonga ku nsonga, oba obusinga ku buwandiikibwa mu mulwadde.
Ensengeka ez'Okukuuma
Etteeka eryo liyinza okukkirizibwa abajulizi bokka okulaba obuwandiisi, okugaana okukoppolola, era n'okukoppolola oba okuzikiriza oluvannyuma lw'ensonga.
Amateeka ag’Enjawulo Agakwata ku Bulamu bw’Omu bwongo
Ebiwandiiko by'obulwadde bw'obwongo bitera okukuumibwa nnyo olw'obujjanjabi obuba buzzeewo era n'obuzibu obuba bukkiriziddwa abalwadde.Ebigambo bingi birina amateeka agawa abalwadde enkizo obutakkirizibwa kumanyisa bubaka bwa sawo omusawo. Enkizo eyo eyinza okukendeezebwa singa omulwadde ateeka ebirowoozo bye ku nsonga, era ne bwe kityo, okubuntegeeza ku bulwadde obwo ne k'okasalala ku bulwadde obwo kiba nga tekinnaba kikkirizibwa.
Okusasula okutakkirizibwa
Buli omu ku bawaabi n'abo abakikwese ayolekagana n'ebizibu eby'amaanyi olw'okumenya amateeka agakwata ku muntu omu. Okubonerezebwa kwa gavumenti nga bagoberera etteeka lya HiPAA kusobola okutuuka ku nkumi na nkumi za doola nga kimenyeddwa, era amateeka ga gavumenti gayinza okukkirizibwa mu kyama okukuba kkooti ez'okwewandibwa olw'okutumbula obukaba, okumenya ebiwandiiko eby'ekyamasimu, oba okumenya etteeka erikwata ku ddembe ly'omulwadde. Abakosebasibe abakoze ebikyamu bayinza okusosebwa, nga mw'otwalidde n'okugoba oba okumenya ebbatikwa z'amateeka. Bwe kityo, okunywerera ku mateeka okukaka obukusingirwa mu mateeka tekyetaagisa kutuukiriza mateeka kyokka naye era n'amagezi.
Engeri ez’Okukolamu Abalwadde b’Omu Mize
Okusobola okusala obulungi omulimu oguba gukuubiddwa, okubuulirira kulina kugoberera enkola eya nnono.
- [[Act:0] Actet Concenter Okusooka. Ekkubo erisinga okuba eddeyo okukkirizibwa liba lya sigina, olukusa olw'omulwadde (oba omubaka waalyo mu mateeka). Enjawukana nnyingi ziyinza okugonjoolebwa nga ziraga obungi bw'ekiragiro eky'okuteebwa. Singa olukusa lugattibwa, luba lulaga nti kkooti egaanye.
- [[AK'AWULA:0] Ssaawo aka kikumi mu budde obw'ekiragiro oba obw'ekiragiro. Nga tosoose kufuna kiragiro, sooka olowooze ku 'supena duces tecum' (oba ekitegeeza ekiwandikiddwa) awamu n'ekiwandikiro ekiwandikidwa mu HIPAA'empandika'. Singa omulwadde abakosebwa aba afunye ebiba by'anoonyeze, oyinza okugenda mu kkooti okulagira kiragiro. Kino kiraga okukkiriza okusazeeko ate ne kuyinza obutabaako ne w'okugezaako.
- [[[Act:0] Affidavit n'obwegendereza. Affidavit esaanidde okugatta obuwandiike obwa pulogulamu n'obw'okwerinda. Empandika ezizikwata ku kiwandiiko zisaanidde okuzigatta ku buwandiisi oba ebizikwatako. Weewale okuteekako empandiika empandiika. Ssangibwamu ebitundu eby'okwegattika obutundu eby'okwegayirira, oba ebiwandiikibwa obujulizi obulaga obujulizi obulaga nti ebizikwata ku nsonga eyo.
- [[NT:0] Okusobola okwongerako ekkomo. Okusobola okwongerako kkomo erikkirizibwa mu buli kantu akalaga ebifa ku mulwadde, kikoma ku buwandiike obwa bulijjo. Ng'ekyokulabirako, singa omulwadde afuna ebisago mu ngalo, tekimwetaagisa kunoonya biwandiiko bya pulogulamu enkadde ebikwata ku mbeera y'olukonkovuba. Ebipimo ebisukka mu bunene bigaana omuntu okwegaana oba okugaana ebisazesebwako.
- [[NKUMBO] CreateDCARE A In Camera Review oba Programu ereetebwa. Saba kkooti okwejjukanya obuwandiike obwa kompyuta mu kyama oba okuteekawo ebiragiro ebikugira okukugira ebiba bikkeereddwa abalamuzi era kiyinza okwanguyaako okusalawo.
- [[Act:0] Enkola ekwatagana n'Amateeka ga gavumenti. Geza ebisaanyizo ebizingirwa mu mbeera z'eggwanga. Ebiragiro ebimu byetaagisa omulwadde okuweerera ku tteeka erikwata ku by'obujjanjabi mu ngeri emu oba endala. Abalala balagirwa nti omulwadde aweebwe kkopi ey'obukwasiro n'ensonga ku buwandiike bw'obusobozi bwabwe.
- [[Act:0] Kino bwe kiba nga kyakkirizibwa, kiteekewo mu kkooti. Singa ekiragiro kiweebwa, kitwale ku bbaluwa emu eri nnawookereza alaga nti ovunaanyizibwa okuwandiika ebiwandiike. Singa omuzadde asigala nga takyagaana, kiyinza okukwetaagisa okuddayo mu kkooti osobole okulaba engeri ekiragiro gye kikwatamu abalwadde.
Amateeka n’Ebyokulabirako eby’Omuganyulo
Okusalawo okw'ekikumi kulaga nti ebiwandiiko by'abalwadde birina okukozesebwa nga batuukiriza ebisaanyizo eby'okuweebwa obuwandiisi mu nsonga ezigobererwa abantu mu nsi yonna. United States v'awuluunzulwamu. [Weeveney] (obubaka obwaviirako okukeberebwa okw'obujjanjabi obwa bulijjo obukwata ku biwandiiko by'ekisawo), entambula yagamba nti okusaasaanyizibwa mu biwandiiko by'obujjanjabi eby'ekisawo, nga mw'otwalidde n'omulwadde oyo akkiriza obujulizi obuzingirwamu okukakasa nti akkirizibwa okuzuula ekiwandiiko ekyo nga tannazikirizibwa. Ekiwandiiko ekyo bwe kiragiddwa mu mateeka, kikkirizibwa okuzuula ebikolebwa mu by'obujjanjabi.
Ku mulembe gwa gavumenti, Maanyi ga Grand Jury Subpoena for Medical Records [N.2019]) kyaggumiza nti spoena ku bwayo yokka /oba tewaaliwo kiragiro oba kiragiro kya kkooti, [1] tekisobola kufuga mugumiikiriza mu nsonga za bannaggwanga. Mu ngeri y'emu, okusala ku nsonga . Kkooti enkulu Ekireetera abalwadde b'ebbeesawo okulowooza nti obuvunaanyizibwa obw'okumpiya busobola okukuumibwa mu birowoozo byabwe busobola okuziyambisibwa mu ngeri eraga nti waliwo obwetaavu obw'enjawulo. Ebisalibwawo ku nsonga zino biyamba okunyweza okukkiriza oba okutereeza enkola eya bulijjo. Kkootikko. Kkootikko kiwatelo ekyo kiwagira ddala nti abalwadde bwe kiba nga bakkirizibwa okufuna enkola eya bulijjo.
fundikira
[[FF:][3] era n'amateeka agakwata ku by'obujjanjabi mu mbeera z'abantu, tegawa bukuumi bwa maanyi okusobola okumanya obanga obukakafu busaanira. Abatumbula bateekwa okutegeera nti etteeka ery'okuna, ery'oku siteesiteesi, ery'oku HiPAA, n'erya gavumenti byonna bikwatagana okuteekawo ekipimo eky'omu mateeka ekikkirizibwa: nga kituukiriza ekisinziirwako, ekirayiro eky'okulayizza ekirayiro, era nga kituukiriza ekiragiro. Ne bwe kiweebwa, obukwate ne kikuumibwa nga tekigo eky'okukebera ebikolebwa. Bwe kituukirira ku nkola ey'enkola eyo, oba enkola enzikkiriza, ate oluvannyuma n'okunoonyereza mu nsonga ezisinga obuteetakolebwa, era nga kituukiriza ebigendererwa byabwe eby'okugobeetaago awatali kugo oba okumenya enkaluunya enkola y'obujja.[10][10][3][3][FF]