administration would have collected information that would otherwise
have to be clarified within the correctional institution.
However, if one considers that it is the responsibility of the public
prosecutor to determine who will make the assessment and at what
location, this approach is not viable.
The prosecutor makes
dispositions regarding
data
When viewed in this light, the data for the assessment of an alleged
mistreatment – regardless of where and by whom it was collected –
may not be accepted into the Electronic Patient Record Module
because it does not relate to “health care” within the meaning of
Section 66 of the Penitentiary System Act. Only law enforcement
authorities are entitled to dispose of the data.
Therefore, the NPM had to reopen discussions on the procedure it had
recommended. It should be kept in mind that the person who is
examined in the individual case can be asked for permission
(Section 54 (2) (3) of the Act on the Medical Profession).
The Federal Ministry of Justice pointed out that effective collaboration
among members of the health care professions necessitates a free
exchange of information on the state of the patient’s health. When a
patient is treated by a team, implied consent is considered to be the
justification for the exchange of information. However, this form of
consent presupposes that the patient has consented to be treated by
a team.
An exchange of
information is useful
The statements of the Federal Ministry of Justice are correct but beside
the point: since the detainee himself cannot decide who will examine
him/her to clear up an allegation of mistreatment, this approach goes
nowhere.
The remaining option is to ask the affected person for his or her
explicit consent. However, the Federal Ministry of Justice also realises
that the introduction of a provision that is ultimately dependent on the
consent of the affected person in the individual case is of little value.
The solution must be
lawful and practicable
The NPM brought the problem to the attention of the Federal Ministry
of Justice. If after a weighing of interests, it is decided that data
relating to the state of the patient’s health should be included in the
Electronic Patient Record Module – irrespective of whether or not the
person being examined consents – this requires a clarification of the
law.
The investigation of an alleged mistreatment does not constitute a provision of “health
care”. Therefore, the data must be stored separately.
If this data is to be included in the Electronic Patient Record Module, there must be a
statutory basis for doing so.
99
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