MEDIZINISCHER PASS
DES RHEUMATOLOGISCHEN KRANKEN
Security and confidentiality notes
1
Name:
2
Vorname, Vatersname:
3
Geburtsdatum:
4
Haus-Tel.:
Dienst-Tel.:
5
Adresse:
6
Ort der Arbeit (des Studiums):
7
Zugeteilt fur Dispensairebetreuung:
7.1
In dieser Einrichtung:
(Nummer/Name des arztlichen Bereiches)
7.2
In anderer Einrichtung:
(Name des Amts)
SIGNALVERMERKE
GRUPPE und R-ZUGEHORIGKEIT DER BLUT:
ALLERGIE:
Typ der Reaktion:
BLUTTRANSFUSION (wann, wieviel):
IMPFUNGEN (wann, welche):
Reaktion:
CHIRURGISCHE EINGRIFFE:
ZUCKERKRANKHEIT:
INFEKTIONSERKRANKUNGEN:
PHARMAKOTHERAPIE
DER RHEUMATISCHEN ERKRANKUNGEN:
Die Daten und die Stelle der Krankenhauseinweisung (die Anstaltsbehandlungen)
Abschreibungsepikrise aus der medizinischen Karte
Name, Vorname, Vatersname
ist fur Beobachtung dieser Poliklinik im Jahre
20
eingetroffen
Steht unter der Dispensairebeobachtung:
ja
nein
Vorhandensein und Gruppe der Invaliditat
Diagnose der Haupterkrankung:
Datum derer Entdeckung
20
г.
Nebenerkrankungen mit Daten derer Entdeckung
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.