eConsult

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Ospital ng Makati Privacy Policy *

At Ospital ng Makati (OsMak), protecting the privacy of your personal information is our utmost priority.
We understand that personal information is personal and the importance of keeping it confidential. We are
committed to our established practices and procedures to protect the confidential nature of your personal
information.

Please read this privacy notice ('Privacy Notice') carefully, as it contains important information about how
we use the personal and healthcare information we collect on your behalf.

This privacy notice explains:
• what personal data we collect about you;
• why we collect that personal data;
• who we share your personal data with;
• how long we retain your personal data;
• how we keep your personal data secure; and
• what rights you have in relation to your personal data.

When we talk about "personal data" in this notice, we mean any information which could be used to identify
you, either directly or indirectly when combined with any other information we may hold about you.
In this privacy notice, when we refer to "we", "us" or "our", we mean Ospital ng Makati, Sampaguita cor
Gumamela Sts., Pembo, Makati City.

If you need to contact us about this privacy notice or further details on how we use your personal
information, please contact the Data Protection Officer by post at our address above or by emailing
OsMak.DPO@gmail.com.

PERSONAL DATA COLLECTED BY OSPITAL NG MAKATI

The doctors, nurses and team of healthcare professionals caring for you keep records about your health
and any treatment and care you receive from us. These records help to ensure that you receive the best
possible care.

They may be written down in paper records or held on computer. These records may include:
• Basic details about you such as name, address, date of birth, next of kin, etc.
• Contact we have had with you such as appointments or clinic visits
• Notes and reports about your health, treatment and care
• Results of x-rays, scans and laboratory tests
• Relevant information from people who care for you and know you well such as health professionals and
relatives

It is essential that your details which we hold are accurate and up to date. Always check that your personal
details are correct when you visit us and please inform us of any changes as soon as possible.

REASONS FOR COLLECTING THAT PERSONAL DATA

We collect your Personal Information primarily to provide medical services. We also provide information to
our clients, partners and service providers for the same purpose.

We may also use your Personal Information secondarily, in circumstances where you would reasonably
expect such use or disclosure of your Personal Information.

You may withdraw your consent (subject to the applicable Privacy Laws) to the processing of your Personal
Information at any time by contacting us in writing. We provide below the general categories of the purposes
for which we collect and process your Personal Information.

RECIPIENTS, TO WHOM YOUR DATA MAY BE DISCLOSED

The following will have access to your Personal Information for the purposes stated above:

a. Healthcare professionals, including, without limitation, the members of the Hospital's medical staff,
nurses, caregivers and other healthcare providers, either pursuant to an employment contract or any
other arrangement. They will have access to your Personal Information either because they are
authorized to enter information to your medical records, review or update the same.

b. All departments, section and units in the Hospital who will need your personal information in the
performance of their functions. For example, certain treatments or procedures require that your Personal
Information be shared across different departments of the Hospital.

c. Any member of a volunteer group, religious or charitable/ non-profit organization who are allowed to
provide assistance in the Hospital. This includes priests, pastors or heads of other religious
organizations who provide religious rites to patients or the deceased.

d. All of our employees, staff or personnel who may need access to your information in the performance of
their duties. For example, our employees will access your Personal Information in order to prepare your
billing statement, or your medical information will be needed for your dietary needs during your
confinement.

e. All entities operating within the premises of the Hospital. The Hospital may share your personal
information with these entities for the purposes stated above.
We will not disclose your information to any other third parties without your permission unless there are
exceptional circumstances, such as if the health and safety of others is at risk or if the law requires us to
pass on information.

You have the right to restrict how and with whom we share the personal information in your records that
identifies you. This must be noted explicitly within your records in order that all healthcare professionals and
staff treating and involved with you are aware of your decision. By choosing this option, you should be
mindful that it may make the provision of treatment or care more difficult or unavailable. You can also
change your mind at any time about a disclosure decision.

RETENTION OF PERSONAL DATA

We retain personal data for no longer than required and in line with OsMak's retention schedule. This is
based on statutory requirements and legal obligations, as well as our business requirements.

SECURITY OF PERSONAL DATA

We take our duty to protect your personal information and confidentiality very seriously and we are
committed to taking all reasonable measures to ensure the confidentiality and security of personal data for
which we are responsible, whether computerized or on paper.

PERSONAL DATA AND YOUR RIGHTS

Data protection legislation gives you the right to:
• Correct any data we hold about you that is not correct (Rectification)
• Request that we delete your personal data (Erasure)
• Block or suppress the further processing of your personal data in certain circumstances (Restriction)
• Request access to personal data that we hold about you (Subject Access)
• In some circumstances, receive the personal data which you have provided to us, in a structured,
commonly used and machine-readable format and have this transmitted to another data controller
(Data Portability)
• Withdraw consent where this is the legal basis for us processing your information
• Object to processing where OsMak is relying on its legitimate interests as the legal ground for
processing
• Not be subject to automatic decisions (i.e. decisions that are made about you by computer alone)
that have a legal or other significant effect on you.

If you have any questions about this Notice, you may contact the Hospital's Data Protection Officer as per
below:

Office of the Data Protection Officer
Central Information Management Division Office
6th floor, Ospital ng Makati Building I
Sampaguita cor Gumamela Sts., Pembo, Makati City
8826316 local 339
dpo@osmak.gov.ph

Click if you agree with the OSMAK Privacy Policy

Consent Form for Teleconsultation [English]

Introduction and Purpose:

Telemedicine is the use of telephone, cellphone, computer or electronic gadget that will enable me as a patient to communicate with my doctor/s for the purpose of diagnosis, treatment, management, education and follow-up care when a face-to-face consultation is not possible. Telemedicine consultations may involve live two-way audio and video, patient pictures, medical images, patient's medical records and other things that may be pertinent to the consultation. Electronic systems will utilize network and software security protocols to protect patient identity, privacy and confidentiality and to safeguard data and prevent corruption of data against intentional or unintentional corruption.

By participating in this teleconsultation, I acknowledge that a physician-patient relationship is formed at my request.

Nature of the telemedicine consultation: It was explained to me by my doctor that a video conferencing technology will be used to conduct a telemedicine consultation. I understand that as in the face-to-face consultation, I will be asked to provide information regarding my history, share my laboratory test (if any) and/or imaging results and other documents pertinent to my concerns. Moreover, I may be asked to show certain body parts as may be considered important to form a diagnosis. This is in view of the fact that the doctor will not physically be in the same room as I am and would be unable to perform the necessary physical examination on me.

Benefits: Through the use of telemedicine, I will obtain a medical evaluation and impression of my condition. I may receive guidance on monitoring my condition and the next steps to do should my condition change, specific prescription on what to take, instructions on what laboratory and imaging tests to do.

Potential Risks: I understand there are potential risks in using this technology, including technical difficulties, interruptions, poor transmission of images leading to misdiagnosis and consequently mistreatment, no access to paper charts or medical records, delays and deficiencies due to malfunction of electronic equipment and software, unauthorized access leading to breach of data privacy and confidentiality.

All consultations are considered confidential. However, given the nature of technology, I understand that despite using appropriate measures, my doctor cannot guarantee the safety of my personal data from data hacking. Therefore, I cannot hold my doctor liable for any data that may be lost, corrupted, destroyed or intercepted or the illegal use of my data arising from a breach in security.

Data Privacy and Confidentiality: I agree to share my personal data with the clinic or hospital staff of my doctor in order to facilitate scheduling of my consultation and for billing purposes. I agree not to record in video or audio format nor divulge the details of my consultation in compliance with the Data Privacy Act of 2012.

It should be noted that under Republic Act No. 4200 otherwise known as "The Anti-Wiretapping Act", Sections 1 and 4 states that it shall be unlawful for ANY person, not being authorized by ALL the parties to ANY PRIVATE COMMUNICATION or spoken word, to tap any wire or cable, or by using any other device or arrangement, to secretly overhear, intercept, or record such comminication or spoken word by using a device commonly known as a dictaphone, or dictagraph or detectaphone or walikie talkie or tape recorder, or however otherwise described. These sections also provide that it shall also be unlawful for ANY PERSON, BE HE A PARTICIPANT OR NOT IN THE ACT OR ACTS PENALIZED IN THE NEXT PRECEEDING SENTENCE, to knowingly possess any tape record, wire record, disc record, or any other such record, or copies thereof, of any communication or spoken word secured either before or after the effective date of this Act in the manner prohibited by this law; or to replay the same for any other person or persons, or to communicate the contents thereof, either verbally or in writting, or to furnish transcriptions thereof, whether complete or partial, to any other person.

Rights: I have the right to:

1. Ask non-medical staff to leave the telemedicine consultation room.
2. Terminate the telemedicine consultation and the physician-patient relationship at any time.
3. Obtain a copy of the information obtained and recorded during the telemedicine consultation.
4. Be assisted by a family member or caregiver in the setup of the telemedicine at home and to answer some questions.

Limitations: The clarity of the images, audibility of the sound, the speed of the internet, the presence of background noise may all affect the quality of the telemedicine consultation. Physical examination, as done in the usual face-to-face consultation, is not possible and is therefore a big limitation to the process of making a diagnosis.

In case of an urgent concern, it is my doctor's responsibility to refer me to the nearest hospital in case he or she deems my concern to be urgent and would warrant immediate action and management by doctors. My doctor's responsibility ends with the conclusion of the telemedicine consultation.

By signing this consent form, I hereby declare that:

I have read this form and that I fully understand what is stated here.
I was given the opportunity to ask questions and my questions were answered.
I have discussed these with my doctor and
I fully understand the risks and benefits of telemedicine consultation as they were
shared in a language that I can understand.

CONSENT FOR DOCTOR TO RECORD THIS TELECONSULTATION:

In addition to the above, my doctor asked me to give a separate consent to make a video recording of the teleconsultation because according to the Health Privacy Act of 2012, all medical records whether in electronic and/or paper format, must be stored for at least 15 years. My doctor explained that this is similar to keeping my data in paper charts in the clinic or in the electronic medical record. I understand that this is done to help in my ongoing or future healthcare. I trust that my doctor will do his best to keep it safe from theft, corruption, loss, illegal use or sharing in social media.

I hereby sign this to give my consent for video recording of the teleconsultation.

Consent Form for Teleconsultation [Filipino]

(Halimbawa ng Form para sa Pagpayag o Pagbibigay-pahintulot ng Pasyente)

Pagpapakilala at Layunin:

Ang Telemedicine ay ang paggamit ng telepono, cellphone, computer o elektronikong gadget kung saan bilang pasyente, ako ay mabibigyan ng kakayahan upang makipag-usap sa aking doktor/mga doktor para sa pagtukoy ng aking posibleng sakit (diagnosis), lunas na gagawin o ibibigay (treatment), pangangasiwa o pagbantay (management), pagbibigay-kaalaman (education), at pangangalaga pagkatapos ng mga unang pagpapagamot (follow-up care) sa pagkakataong hindi posible ang konsultasyon o pag-uusap na harapan o magkasama sa parehong lugar (face-to-face consultation). Maaring gumamit ang telemedicine ng sabayang usap at video (two-way audio and video), larawan ng pasyente, imaheng medikal (medical images), talaang medikal ng pasyente (patient's medical record), at iba pang bagay na mahalaga para sa konsulta. Ang mga gagamiting sistemang elektroniko ay may angkop na hakbang pangseguridad (security protocols) sa network at software upang mapangalagaan ang impormasyon sa identidad o pagkatao, pribadong buhay, at iba pang kaalamang hindi basta-bastang ipinagkakatiwala sa iba (identity, privacy, and confidentiality), at upang mabantayan din ang datos at pigilan ang pagkasira (corruption) nito laban sa sinasadya o di-sinasadyang pagkasira o pagkabura.

Sa paglahok sa ganitong teleconsultation, tinatanggap at kinikilala ko na may nabubuong isang kasunduang doktor-pasyente (physician-patient relationship) na ako mismo ang humiling.

Mga katangian ng Konsultasyong Telemedicine: Ipinaliwanag sa akin ng aking doktor na gagamit ng teknolohiya ng video conferencing para isagawa ang konsultasyong telemedicine. Nauunawaan ko na tulad ng konsultasyong harapan o nasa parehong lugar, tatanungin ako sa aking mga dating naging sakit o karamdaman (history), ibabahagi rin ang mga dokumento tulad ng laboratory test, imaging result, at iba pang may mahalagang kaugnayan sa aking kalagayan. Dagdag pa dito, maaaring ihiling na maipakita ko ang ilang bahagi ng aking katawan na may maitutulong para makabuo ng diagnosis. Binabanggit ito dahil ang aking doktor ay hindi nakapuwesto sa parehong silid kung saan naroon ako at hindi niya direktang magagawa ang mga kinakailangang pisikal na pagsisiyasat (physical examination) para sa akin.

Benepisyo o Ambag: Sa tulong ng telemedicine, makakakuha ako ng ebalwasyong medikal at impresyon o pag-unawa sa aking kondisyon. Maaari akong mabigyan ng gabay sa pagbabantay sa aking kondisyon at sa mga susunod na hakbang sakaling magbago ang kondisyong ito, maaaring mabigyan ng preskripsyon sa gamot na dapat inumin o tanggapin, pati ang pagkakaroon ng gabay sa kung ano ang mga maaaring gawing laboratory at imaging test.

Mga Posibleng Panganib: Nauunawaan ko ang mga posibleng panganib sa paggamit ng teknolohiyang ito, kasama ang problemang teknikal, pagka-istorbo (interruptions), hindi magandang paghatid ng imahe na maaring magresulta ng di-angkop na diagnosis (misdiagnosis) at kasalukuyang di-angkop na paggagamot (mistreatment), kawalan ng access sa pisikal na kopya ng paper charts/medical records, pagkaantala at mga pagkukulang dulot ng maling paggana (malfunction) ng mga kagamitang elektroniko at ng software, o hindi pinahintulutang (unauthorized) access na magiging dahilan sa pagkasira (breach) ng data privacy at confidentiality.

Itinuturing bilang pribado o lihim/confidential ang lahat ng konsultasyon pero dahil sa mga katangian ng ginagamit na teknolohiya, nauunawaan kong sa gitna ng mga isinagawang angkop na hakbang, hindi masisigurado ng doktor ang kaligtasan ng aking personal na datos mula sa pagnanakaw rito (data hacking). Dahil dito, hindi ko ipapasa sa aking doktor ang pananagutan (liability) sa anumang datos na mawawala, mabubura, o masisira o mananakaw, maging ang iligal na paggamit ng impormasyong magmumula sa isang security breach.

Pribadong Datos at Impormasyong Hindi Basta-basta Ipinagkakatiwala sa Iba: Sang-ayon akong ibahagi ang aking personal na datos sa mga kawani sa klinika o ospital (clinic or hospital staff) ng aking doktor upang mapasimulan at maisagawa ang pagtatakda ng schedule sa aking konsultasyon at upang maproseso ang pagkuwenta ng mga bayarin (billing). Pumapayag akong hindi i-record sa anyo ng video o audio gayon din ang pagbabahagi sa iba ng mga detalye tungkol sa aking konsultasyon bilang pagtugon sa Data Privacy Act of 2012.

Importanteng malaman na sa ilalim ng Republic Act No. 4200 na kilala bilang "The Anti-Wiretapping Act", nakasaad sa ilalim ng Sections 1 at 4 na hindi naaayon sa batas ang SINUMANG tao, na hindi autorizado ng LAHAT ng partido sa ANUMANG PRIBADONG KOMUNIKASYON o nabanggit na salita, na magkabit sa anumang kawad o kable, o sa paggamit ng anumang aparato o kaparaanan, para lihim na marinig, masagap o irekord ang nasabing paguusap o nabanggit na salita sa pamamagitan ng paggamit ng aparato na pangkaraniwang kilala bilang dictaphone, o dictagraph o detectaphone or walkie talkie o tape recorder o kahit pano pa man ito ilarawan. Sinasaad din sa ilalim ng mga sections na ito na hindi din naaayon sa batas na ang SINUMANG TAO, KASAPI MAN SIYA O HINDI SA GAWA O MGA GAWA NA PINAPARUSAHAN SA SUSUNOD NA PANGUNGUSAP, na sadyang may alam na may taglay ng anumang tape recorder, wire record, disc record o anumang nasabing record o kopya ng mga ito, ng anumang komunikasyon or nabanggit na salita na kinuha bago o pagkatapos maisabatas ang batas na ito sa paraang ipinagbabawal ng batas na ito; o ulitin ang nasabing kopya para sa ibang tao o isiwalat ang nilalaman nito, sa pananlita man o sa pagsusulat o magbigay ng transcriptions nito, maging ito man ay kumpleto o bahagi lamang, para sa ibang tao.

Mga Karapatan: May karapatan akong:

1. Hilingin ang mga non-medical staff na umalis sa telemedicine consultation room.
2. Tapusin ang telemedicine consultation at ang kasunduang doktor-pasyente sa anumang oras.
3. Magkaroon ng kopya ng impormasyong nakuha at naitala mula sa konsultasyong telemedicine
4. Matulungan ng isang kapamilya o caregiver para mag-set-up ng telemedicine sa sariling tahanan at para sumagot sa ilang katanungan.

Mga Limitasyon: Ang linaw ng mga imahen o larawan, linaw ng tunog, bilis ng internet, at pagkakaroon ng ingay sa paligid (background noise), lahat ng ito ay may epekto sa kalidad at resulta ng konsultasyong telemedicine. Ang pisikal na pagsisiyasat na ginagawa sa karaniwang harapang konsultasyon ay hindi posible at dahil doon ay nagiging isang malaking limitasyon o balakid ito sa pagbibigay ng diagnosis.

Sakaling may kagyat o madaliang ikinakabahala: Responsibilidad ng aking doktor ang i-refer o ipatingin ako sa pinakamalapit na ospital sa pagkakataong sa suri niya'y lubhang mahalaga ang aking kalagayan o nararamdaman at nangangailangan ito ng mabilisang tugon at tulong ng mga doktor. Matatapos ang ganitong responsibilidad ng aking doktor sa pagtatapos ng aking konsultasyong telemedicine.

Sa aking pagpirma sa form para sa pagbibigay-pahintulot, ipinapahayag ko na:

Nabasa ko ang form na ito at lubusang nauunawaan ang sinasabi rito.
Nabigyan ako ng pagkakataong magtanong at nasagot naman ang aking mga tanong.
Natalakay at napag-usapan namin ito ng aking doktor at
Lubusan kong naiintindihan ang mga panganib at benepisyo ng konsultasyong telemedicine sapagkat naibahagi ito sa isang wikang nauunawaan ko.

PAGPAYAG O PAGBIBIGAY-PAHINTULOT NG PASYENTE SA DOKTOR UPANG I-RECORD ANG TELECONSULTATION:

Bukod sa mga nakasaad sa itaas, humiling ang doktor ko ng hiwalay na pahintulot upang magsagawa ng video recording ng teleconsultation dahil ayon sa Health Privacy Act of 2012, ang lahat ng rekord, maging elektroniko o papel na format, ay nararapat na maitago sa hindi bababa sa labinlimang (15) taon. Ipinaliwanag ng aking doktor na ito ay kahalintulad ng pagtatago ng aking datos sa medikal tsart na papel o sa electronic medical record. Naiintindihan ko na ito ay ginagawa upang makatulong sa paggamot sa akin sa kasalukuyan o sa panghinaharap. Ako ay nagtitiwala sa aking doktor na gagawin niya ang lahat na nararapat na pag-iingat upang ito ay maging ligtas mula sa pagnanakaw, pagkasira, pagkawala, illegal na paggamit o pagbabahagi sa social media.
By clicking the Proceed button, I give my consent for recording of the teleconsultation.

Click Proceed if you accept the consent for telemedicine.