Nang leh i chhungte damdawi lam record dik tak hriat i duh em?

Tunah chuan nang leh i chhungte tan thil pawimawh tak tak kan sawi dawn a ni. Chu chu medical records emaw, English-a kan sawi angin ``(Medical Record)`` emaw a ni. A awlsam zawngin, hei hi i hriselna chungchang ziak ang mai a ni a, a nih loh leh diary ang mai a ni. Natna i tawrh te, damdawi i ei te, test i tih te, heng zawng zawng hi hetah hian a inziak lut vek a ni.

Medical record-ah hian eng nge awm tak tak?

Okay, tunah chuan he medical record-ah hian eng ang information nge a awm tih i en ang u. I health history book ang mai a ni. A tam zawkah chuan damdawi in leh doctor office-ah te hian computer system-ah hengte hi an nei tawh a ni. Hengte hi Electronic Health Records (EHR) emaw Electronic Medical Records (EMR) emaw kan ti a ni. Hei hi a awlsam hle a, a chhan chu thu hriatte chu a inrualrem thei a, i mamawh hunah rang takin i hmu thei bawk.

Chuvangin, hetiang report hian a tlangpuiin a hnuaia mi hi a huam tel thin:

• I kum, mipa leh hmeichhia, leh hnam ang chi mimal chanchin bulpui .
• I san zawng leh i rih zawng . Hun kal zelah hengte hi a inthlak dan pawh i record thei bawk.
• Damdawi lama harsatna bik i neih apiang . Entirnan, asthma, epilepsy, emaw, hun rei tak chhunga natna nei, zunthlum (diabetes mellitus) i neih pawhin.
• I rilru hriselna chungchang . Lungkhamna emaw, lungngaihna emaw ang chi natna enkawl i nih chuan chutiang chungchangah chuan note pawh a awm thei bawk.
• I medical test result te chu . Hei hian lab test report, X-ray, leh scan report te a huam a ni.
• Damdawi i ei tur chungchang chipchiar takin, i ei tur zat leh ni khatah vawi engzat nge i ei tur tih te . Hei hi a pawimawh hle a, a chhan chu damdawi i ei dik phawt chuan natna chu a dam leh ang.
• Allergy i nei a. Hei hian i taksain damdawi thenkhat (prescription leh over-the-counter-ah te), rulhut seh emaw, ei tur thenkhat emaw, latex emaw a dawng em tih a kawk a ni. Hei hi thu pawimawh tak a ni a, i hriat loh a, emergency-a i enkawl loh chuan harsatna lian tak a ni thei a ni.
• Surgery i neih tawh zawng zawng leh damdawi ina i awm tawh dan kimchang .
• I immunizations te chu . Hei hian naupan lai atanga vaccine i dawn zawng zawng a record vek a ni.
• A tul chuan billing leh insurance information te pawh a belhchhah thei bawk.

I fa chu a damlo thut a, damdawi inah hruai a ni ang tih han ngaihtuah teh. Doctor chuan naupangin eng allergy nge a neih leh a hmaa eng damdawi nge a pek tawh tih a hriat thuai theih chuan, chu chu naupang enkawlna rang leh dik tak pekna kawngah ṭanpuitu lian tak a ni lo ang em? Chuvang chuan heng medical record te hi a hlu em em a ni.

Ka fa medical record hi tuin nge hmu thei ang?

Hei hi nu leh pa tam takin zawhna an neih a ni. A tlangpuiin, naupang kum 18 hnuai lam damdawi lam record i hmuh duh chuan, emaw, chu thu chu mi dang hnêna i hrilh duh chuan, naupang nu leh pa emaw, dân anga enkawltu emaw phalna i mamawh a ni . Hemi chungchangah hian Doctor ten an fimkhur hle a ni. I phalna lo chuan i fa chanchin chu tumah an pe lovang.

Mahse, emergency bik thenkhatah chuan he dan hi a danglam deuh thei. Entîr nân, doctor chuan naupang hrisêlna emaw, himna emaw atân hlauhawmna a awm nghâl tih a rin chuan , thuneitute hnênah an hrilh a ngai mai thei a, chu chu nu leh pate phalna la lo pawh a ni thei. Mahse, chutiang dinhmun chu a tlem a, naupang tana ṭha ber tur chauh a ni.

Heng medical record-te thuruk leh thuruk humhalh nan hian khawvel hmun hrang hrangah dan leh hrai pawm a awm a. Entirnan, United States of America-ah chuan chutiang thu hriatte humhalh nan dan bik ``Health Insurance Portability and Accountability Act - HIPAA'' tih a awm a. Sri Lanka ramah pawh damlote chanchin thuruk humhalh hi doctor-te professional ethics-a tel a ni. Chuvangin hlauh tur engmah i nei lo.

Heng electronic health record (EHR) system zawng zawng hi a inzawm vek em?

Hei pawh hi zawhna tha tak a ni. Tunah chuan i fa chu damdawi in network khata inzawm doctor engemaw zatin enkawl tir i tum a nih chuan, chu chu i fa naupang enkawltu leh vun lam doctor te pahnih hi damdawi in lian khatah an thawk dun a nih chuan, a tlangpuiin i remtihnain i fate electronic health record (EHR) chu awlsam takin an hmu thei a, an insem thei bawk. A chhan chu system khata an awm vang a ni. Chumi awmzia chu enkawlna chhunzawm zel theih a ni tihna a ni.

Mahse, i fa chu damdawi in pakhatah doctor hnenah i entir a, chutah chuan damdawi in dang doctor hnenah ngaihdan pahnihna nei turin i kal ang tih han ngaihtuah teh. Chutiang hunah chuan doctor pahnihna chuan doctor hmasa berin record a neihte chu a hmu mai thei lo . Chumi atan chuan chu record hmasa te chu i hmuh theih nan dilna hran i siam a ngai dawn a ni. Thuziak hmanga dilna pawh i siam a ngai mai thei. Hei hi harsatna tlem angin a lang thei a, mahse i fate thu hriatte chu nangmahin i thunun tihna a ni.

Engtin nge ka fa medical record copy ka hmuh theih ang?

Naupang kum 18 hnuai lam nu leh pate chuan an fate medical record tam zawk copy an la thei a ni.Hmuh theihna i nei a ni. Hei hi i dikna a ni.

Chutianga tih theih nân chuan special authorization form i fill up a ngai tlangpui . He form hi i doctor hnenah emaw, damdawi in a department kaihhnawih hnenah emaw i dil thei ang. Chutah chuan eng ang thu nge i duh tih chiang takin i hrilh a ngai a ni.

• Doctor i thlak dawn a nih chuan medical record kimchang i mamawh mai thei .
• A nih loh leh, thu chiang tak tak chauh i mamawh thei a, chu chu ``surgery'' tih chipchiar tak, emaw, ``test'' report ang chi te hi a ni.

Dilna form-ah hian heng details te hi chiang takin tarlan tur a ni. A châng chuan hemi atân hian fee tlemte pawh lak a ni thei bawk.

Mahse, hetah hian hriat reng tur bik a awm. Chu chu rilru lam hriselna record chungchangah a ni . Ram thenkhat dan ang chuan (leh Sri Lanka rama dan, dan leh hrai chungchang chiang taka hriat duh chuan i doctor zawh a tha ber), naupangin tleirawl a thlen chuan , chu chu kum 15 emaw 16 emaw vel a nih chuan, nu leh pate chuan naupang rilru hriselna nena inzawm record (entir nan, counseling session-a therapist-in a lak note, emaw, a psychiatrist) chu eng emaw chen chu a tlem thei hle . Hei hi naupang thuruk leh thuruk zah nan tih a ni. Chuvang chuan Doctor nen inbia lawk a, he thu hi chiang taka sawi chian a finthlak hle ang.

Hemi chungchangah hian eng thil pawimawh dang nge ka hriat tur?

Thil pawimawh dang chu, a theih chuan , i fa (a nih loh leh nangmah ngei pawhin) medical record copy chu electronic copy emaw, filed paper copy emaw angin i hnenah dah a tha a ni . Hei hi kan kuta ‘health file’ tlemte kan neih ang mai a ni.

Engvangin nge a hlut em em?

• I fa chu specialist hnenah i hruai a ngai ang tih han ngaihtuah teh . Heng record te hi i kuta neih chuan doctor thar tan chuan i fa hriselna chanchin chu rang taka hriatthiam a awlsam phah ang.
• Hei hi doctor thar pan tur chuan a tangkai hle bawk .
• In the event of an emergency , entirnan, naupang chu emergency room (ER)-a hruai a ngai a nih chuan, heng record-te hian naupang allergy leh damdawi ang chi thilte chu rang taka hriat theih nan a pui ang che.
• Tin, hei hi school, camp, emaw daycare center-a form fill up-naah a awlsam hle a, chutah chuan i fa chungchang hriselna chungchang leh immunization details i pek a ngai a ni.

A awlsam zawngin, he thu hi i kutah i neih chuan engtik lai pawha inpeih reng tûrin a ṭanpui ang che. A tul lo taka tihkhawtlai leh harsatna a tihziaawm thei.

Chuti a nih chuan, kan hriat reng tur pawimawh berte chu engte nge ni?

Okay, kan sawi tawh zawng zawng atang hian hriat reng tur tlemte a awm. Hengte hi i rilrua i vawn tlat chuan nang leh i chhungte tan a hlawkpui hle ang.

• Medical record hi a hlu hle: nang leh i fate hriselna chanchin a ni. Road map ang mai an ni a, enkawlna dik takah an kaihruai che a ni.
• Report-a thil awmte chu hre reng ang che: I medical report-ah hian eng nge awm thei tih hriatthiamna engemaw chen neih a tha.
• I dikna chanvo hre rawh: I dikna chanvo hre reng la, a bik takin i fate damdawi lam record lak leh en dan tur chu hre reng ang che. Consent process chu hrethiam rawh.
• Mimal copy vawn chu a finthlak hle: A theih chuan medical record pawimawh tak takte copy chu i hnenah vawng reng ang che. Hei hi emergency-ah emaw, doctor thlak hunah emaw a hlu hle thei a ni.
• Zawhna i neih chuan i Doctor zawt rawh: Heng zawng zawngah hian rinhlelhna emaw zawhna emaw i neih chuan i doctor zawt hreh suh. I tanpui turin an awm reng a ni.

Chuvangin, he thu hi i tan a tangkai ngei ka beisei. Hetiang awareness hi nun hrisel tak neih nan a pawimawh hle!

` Damdawi record, Medical Record, Electronic Health Record, EHR, EMR, Hriselna chungchang, Naupang hriselna, HIPAA