A Lei Geral de Proteção de Dados (LGPD) e sua aplicabilidade à gestão documental do prontuário do paciente: um estudo com base no serviço de arquivo médico e estatística (SAME) do HU/SE

Abstract

The hospital archive is a sector responsible for managing the documental production related to administrative documents and patient management, where the medical record is the main type of document stored there, containing specific information about the patients treated in a particular institution, these people, clinics and demographics, these medical records bring in their records personal data of patients, in which not all of them can be made available inappropriately, given that, it is essential that the hospital file meets the norms and guidelines of Law nº 13,709, also known as the General Law of Data Protection (LGPD), instituted on August 14, 2018. With that in mind, this study carried out a bibliographic survey and case study in the Hospital Archive Sector (SAME) of the University Hospital of Sergipe (HU-SE), having its objectives exploratory and descriptive, with their qualitative analysis and applied nature. Data collection was carried out during the mandatory internship period in the sector, presenting a mapping of activities and procedures related to LGPD applicability based on concepts related to Document Management. As a result, he presented the tools that this sector uses to apply the LGPD to its procedures, these being official documents of the Federal Government, as well as the flowcharts prepared by the institution in a team formed by information professionals. Given this, in the SAME of the HU the applicability of the LGPD is quite effective, however, the lack of an Internal Document Management Policy can make it difficult to standardize and record the archiving and data protection procedures