CARTE MÉDICALE
DU PATIENT RHUMATOLOGIQUE
Security and confidentiality notes
1
Nom:
2
Prénom, patronyme:
3
Date de naissance:
4
Téléphone domicile:
Téléphone de bureau:
5
Adresse:
6
Lieu de travail ( d'étude ):
7
Attachés pour l'examen clinique
7.1
Dans cette institution:
( Numéro / nom du district médical )
7.2
Dans un autre établissement:
( nom du ministère )
NOTES DE SIGNALISATION
GROUP SANGUIN ET FACTEUR RH:
ALLERGIE:
Type de réaction:
TRANSFUSION SANGUINE ( dates, quantité ):
VACCINATIONS ( dates, quantité ):
Réaction:
INTERVENTIONS SANGLANTES:
DIABÈTE SUCRÉ:
INFECTIOUS DISEASES:
PHARMACOTHÉRAPIE
DES MALADIES RHUMATISMALES:
Les dates et la place de l'hospitalisation (hospitalisation)
Epicrise de la carte médicale
NPP
Entré sous la supervision de la clinique en
20
Sous la surveillance d'un dispensaire ( souligner ):
Oui
No
Degré d'invalidité
Diagnostic primaire:
Date de dépistage
20
г.
Les maladies concomitantes avec les dates de leur détection
THE SECURITY AND CONFIDENTIALITY OF MEDICAL PASSPORTS of RHEUMATIC PATIENT (MPRP)
Filling rheumatic passport (MPRP) does not require pre-registration.
Filling out paper forms sample MPRP guarantees complete confidentiality.
The electronic version MPRP does not save, transfer to other sites data is entered and does not maintain statistics on the treatment.
Fill in all the boxes MPRP optional. The personal information is optional by the user. The total amount of data is unlimited. Completing various choices of answers is unlimited.
Introduction MPRP in clinical practice allows the physician of any medical institution to have the most important detailed information about the patient to reduce the time to maintain medical records and increased time to communicate with the patient and objective inspection. Information MPRP can improve continuity in the work of various medical institutions, before the introduction into the daily practice of universal electronic patient records. Filling MPRP will allow the patient to organize a survey and treatment of their illness. MPRP will increase adherence to the treatment of a particular patient. The use of the medical passport will partially resolve the problem of patients’ desire to be in possession of medical documents on their health. The completed sample MPRP it is advisable to discuss with your doctor, taking into accounts its comments and suggestions.