{"id":3864,"date":"2016-10-24T22:56:36","date_gmt":"2016-10-24T22:56:36","guid":{"rendered":"http:\/\/doctorexpres.ro\/?p=3864"},"modified":"2016-10-24T22:56:36","modified_gmt":"2016-10-24T22:56:36","slug":"din-12-noiembrie-ne-putem-uita-in-dosarul-electronic-de-sanatate-al-pacientului","status":"publish","type":"post","link":"https:\/\/doctorexpres.ro\/index.php\/2016\/10\/24\/din-12-noiembrie-ne-putem-uita-in-dosarul-electronic-de-sanatate-al-pacientului\/","title":{"rendered":"Din 12 noiembrie, ne putem uita \u00een dosarul electronic de s\u0103n\u0103tate al pacientului"},"content":{"rendered":"

Informa\u021biile detaliate cu privire la accesarea dosarului electronic de s\u0103n\u0103tate (DES) al pacientului \u0219i datele medicale incluse au fost publicate recent \u00een Monitorul Oficial \u0219i se vor aplica de luna viitoare. <\/span><\/span><\/span><\/p>\n

Orice pacient asigurat \u00een sistemul sanitar autohton \u00ee\u0219i poate accesa propriul dosar electronic de s\u0103n\u0103tate cu ajutorul portalului DES, ce poate fi g\u0103sit la adresa www.des-cnas.ro<\/a>. <\/span><\/span><\/span><\/p>\n

Autentificarea \u00een portalul DES va fi posibil\u0103 numai dup\u0103 ce un medic va genera o matrice de securitate \u0219i dup\u0103 ce pacientul va stabili o parol\u0103 de acces. Dup\u0103 rezolvarea acestui pas, autentificarea pacientului \u00een portal se va face fie prin folosirea cardului na\u021bional de s\u0103n\u0103tate<\/a> \u0219i a codului PIN asociat, dar \u0219i cu ajutorul parolei de acces, fie prin folosirea codului de asigurat de pe cardul de s\u0103n\u0103tate (CID) sau a codului numeric personal (CNP), a matricei de securitate \u0219i a parolei de acces<\/a>. <\/span><\/span><\/span><\/p>\n

Odat\u0103 ce un pacient intr\u0103 efectiv \u00een dosarul s\u0103u electronic, acesta va c\u0103p\u0103ta acces la informa\u021biile medicale proprii. Totodat\u0103, pacientul va putea s\u0103 adauge informa\u021bii medicale \u00een modulul \u201eAntecedente declarate de pacient\u201d, dar \u0219i s\u0103 acorde sau s\u0103 retrag\u0103 dreptul de acces al medicilor<\/a> la DES. <\/span><\/span><\/span><\/p>\n

Referitor la matricea de securitate, prevederile aplicabile din noiembrie stabilesc c\u0103 aceasta \u201ese prezint\u0103 sub forma unui tabel compus din 8 linii \u0219i 8 coloane, fiecare pozi\u021bie din tabel con\u021bin\u00eend un cod generat \u00een mod aleatoriu de c\u0103tre sistemul DES. Matricea are o serie unic\u0103, generat\u0103 automat de sistemul DES<\/em>\u201d. Pentru a c\u0103p\u0103ta matricea, pacien\u021bii vor trebui s\u0103 solicite medicilor eliberarea acesteia, \u00een baza actului de identitate. \"modelul-acordului-de-folosire-a-datelor-medicale-in-des-si-al-matricei-de-securitate\"<\/span><\/span><\/span><\/p>\n

\u201eMatricea de securitate se elibereaz\u0103 pacientului \u00een format imprimat de h\u00eertie A4 \u0219i se \u00eenm\u00eeneaz\u0103 acestuia imediat dup\u0103 imprimare. Jum\u0103tatea superioar\u0103 a foii se semneaz\u0103 de c\u0103tre pacient \u0219i se re\u021bine de c\u0103tre medic, iar jum\u0103tatea inferioar\u0103 care con\u021bine tabelul, \u00eempreun\u0103 cu instruc\u021biunile de utilizare a matricei de securitate, se \u00eenm\u00eeneaz\u0103 pacientului<\/em>\u201d, scrie \u00een document. Dup\u0103 primirea matricei, pacien\u021bii vor avea la dispozi\u021bie trei zile calendaristice pentru a-\u0219i stabili, cu ajutorul portalului DES, parola de acces, apoi vor putea genera alte matrice direct prin portal. <\/span><\/span><\/span><\/p>\n

Informa\u021biile pacien\u021bilor din dosarul electronic vor fi organizate, potrivit Ordinului comun nr. 1123\/849\/2016, \u00een cinci mari module. <\/span><\/span><\/span><\/p>\n

1. Modulul \u201eSumar de urgen\u021b\u0103\u201d<\/strong> va cuprinde alergiile \u0219i intoleran\u021bele diagnosticate, protezele \u0219i alte dispozitive medicale interne, transplanturile, procedurile medicale relevante pentru urgen\u021b\u0103, existen\u021ba fistulei arterio-venoase, bolile cronice<\/a>, bolile hematologice relevante pentru urgen\u021b\u0103, bolile transmisibile relevante pentru urgen\u021b\u0103, tratamentele curente \u0219i intern\u0103rile recente.<\/span><\/span><\/span><\/p>\n

2. \u00cen modulul \u201eIstoric medical\u201d<\/strong>, pacien\u021bii vor g\u0103si alergiile \u0219i intoleran\u021bele diagnosticate, bolile cronice diagnosticate, istoricul de boli\/diagnostice (altele dec\u00eet alergiile \u0219i bolile cronice), interven\u021biile \u0219i procedurile efectuate, serviciile medicale, imuniz\u0103rile<\/a> \u0219i tratamentele medicamentoase<\/a> acordate \u00een cadrul unor studii clinice.<\/span><\/span><\/span><\/p>\n

3. \u00cen modulul \u201eAntecedente declarate de pacient\u201d<\/strong>, \u00een care fiecare persoan\u0103 va putea s\u0103 introduc\u0103 informa\u021bii, vor exista antecedentele medicale heredo-colaterale, antecedentele fiziologice, patologice, informa\u021biile despre mediul \u0219i modul de via\u021b\u0103, precum \u0219i informa\u021biile despre consumul de alcool,<\/a> tutun, cafein\u0103 sau droguri.<\/span><\/span><\/span><\/p>\n

4. Un alt modul va fi \u201eDate personale\u201d<\/strong>, \u00een care vor fi cuprinse prenumele, numele, data na\u0219terii, CID-ul, sexul, v\u00eersta <\/a>\u0219i grupul sanguin.<\/span><\/span><\/span><\/p>\n

5. \u00cen fine, modulul \u201eDocumente medicale\u201d<\/strong> va cuprinde date \u0219i informa\u021bii din: fi\u0219ele de observa\u021bie clinic\u0103<\/a>, fi\u0219ele de consulta\u021bie ale medicilor speciali\u0219ti, fi\u0219ele de consulta\u021bie ale medicilor de familie<\/a>, trimiterile pentru investiga\u021bii clinice \u015fi paraclinice, recomand\u0103rile pentru \u00eengrijirea la domiciliu, recomand\u0103rile pentru dispozitive medicale, prescrip\u021biile medicale prescrise de medici, prescrip\u021biile medicale eliberate de farmacii. <\/span><\/span><\/span><\/p>\n

Regulile detaliate de acces la DES \u0219i datele medicale con\u0163inute au fost stabilite prin Ordinul comun nr. 1123\/849\/2016 pentru aprobarea datelor, informa\u021biilor \u0219i procedurilor opera\u021bionale necesare utiliz\u0103rii \u0219i func\u021bion\u0103rii dosarului electronic de s\u0103n\u0103tate (DES) al pacientului, ap\u0103rut \u00een Monitorul Oficial, Partea I, nr. 806 din 13 octombrie 2016. Actul a fost emis de Ministerul S\u0103n\u0103t\u0103\u021bii (MS) \u0219i de Casa Na\u021bional\u0103 de Asigur\u0103ri de S\u0103n\u0103tate (CNAS) \u0219i va intra \u00een vigoare la data de 12 noiembrie. <\/span><\/span><\/span><\/p>\n

At\u00eet modelul declara\u021biei prin care pacientul \u00ee\u0219i d\u0103 acordul pentru a-i fi folosite informa\u021biile medicale \u00een sistemul DES, c\u00eet \u0219i modelul matricei de securitate pot fi consultate \u00een fi\u0219ierul anexat articolului. <\/span><\/span><\/span><\/p>\n

Articolul integral \u00een avocatnet.ro<\/a><\/span><\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Informa\u021biile detaliate cu privire la accesarea dosarului electronic de s\u0103n\u0103tate (DES) al pacientului \u0219i datele medicale incluse au fost publicate<\/p>\n","protected":false},"author":4,"featured_media":3866,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[1359,91,1226],"tags":[4526,4524,4522,4521,4527,4523,4525,4529,4528],"class_list":["post-3864","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-investigatii","category-stiri","category-utile","tag-acces-dosar-sanatate","tag-antecedente-declarate-de-pacient","tag-des","tag-dosarul-electronic-de-sanatate","tag-istoric-medical","tag-matrice-des","tag-module-des","tag-pacient-asigurat-dosar","tag-sumar-de-urgenta"],"yoast_head":"\nDin 12 noiembrie, ne putem uita \u00een dosarul electronic de s\u0103n\u0103tate al pacientului - 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