Medical documentation in allergic therapy – lawyer’s remarks

Justyna Zajdel-Całkowska

doi:10.5114/pja.2018.78597

eISSN: 2391-6052
ISSN: 2353-3854

Alergologia Polska - Polish Journal of Allergology

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abstract:

Guidelines/recommendations

Medical documentation in allergic therapy – lawyer’s remarks

Justyna Zajdel-Całkowska

Alergologia Polska – Polish Journal of Allergology 2018; 5, 3: 163–167

DOI: https://doi.org/10.5114/pja.2018.78597

Online publish date: 2018/09/25

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The principles of keeping, sharing and archiving medical records are currently specified in the Patient Rights and Patient Rights Law and the Regulation of the Minister of Health regarding “medical documentation”. Medical records may be kept in a classical or electronic form. The basis for the provision of any health service, including allergen immunotherapy, is the patient’s or his representative’s statutory informed consent. Consent to activities falling within the scope of allergen immunotherapy should be in writing. In addition, all activities related to the keeping of medical records and the collection of consent from the entity’s entitlement must meet the conditions of the EU regulation on the protection of personal data.

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Medical documentation in allergic therapy – lawyer’s remarks

Justyna Zajdel-Całkowska

medical records, personal data protection, infomed consent, patient’s statement