Question 109 · LEK · Keeping records
A physician is not obliged to include the following on a patient’s medical record:
- A. the circumstances in which a patient’s request for a consultation with another doctor was refused.
- B. the fact that a close relative was not allowed to be present during the provision of health services.
- C. the circumstances of the provision of the health service without the consent of an adult patient who required immediate medical assistance.
- D. the circumstances of performing a surgical procedure on a minor without the consent of the legal representative of the patient or the appropraite guardianship court, when the delay in the proceedings to obtain the consent would have threatened the patient’s life.
- E. the fact of disclosing information to a daughter of an uncoscious patient.
Hint
Most options describe departures from the patient's rights or wishes, which the law says must be noted - which one is routine communication?
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