• All information provided by the prisoner necessary for medical examination (including his own description of heath state and all claims about ill-treatment); • Full description of objective medical conclusions based on medical examination; • Views of the doctor about the above issues, including reflections about correspondence of the claims of the person with objective medical conclusions. Medical records should include information about all additional tests, conclusions made and medical aid provided. There should be special forms for documenting bodily injuries allowing anatomical illustration of injuries. It would be desirable to obtain photos of injuries.19 Istanbul Protocol, the Manual on the Effective Investigation and Documentation of Torture and Inhuman or Degrading Treatment and Punishment emphasizes the need for taking photographs of bodily injuries, in order to secure prevention of torture.20 The doctor that examines a detainee should be able to establish probability of infliction of injuries through violence, even if the patient does not report about it. He/she should be able to document physical and psychological evidence of violence and establish the degree of correspondence of the applicant’s report about ill-treatment and the results of examination .21 The doctor can use the following formulations: “does not correspond” “corresponds” “corresponds with high probability” “is characteristic (typical)”.22 The doctor should use a standard medical report for documentation.23 At the time of admission of prisoners to penitentiary establishments, a doctor meets them immediately to examine their health state. At the time of meeting, the doctor documents bodily injuries, if any. After injuries are detected, medical documentation is filled in and included in the medical history of the prisoner. Besides, there is ‘a trauma register for accused persons and convicts’ where bodily injuries of prisoners are registered by medical personnel. It is necessary to include the name and last name of the prisoner, time of detecting the injury, location and character of the injury, origin of the injury, the signature of the doctor and the signature of the patient. They describe the injury and specify its origin: “self-injury” “injury inflicted by another person”, „everyday life injury“. The doctor does not evaluate correspondence of the character of the injury with the information provided by the patient about its origin. The documentation of bodily injuries of prisoners at penitentiary establishments con19 20 21 22 23 26 Ibid., para. 74. Istanbul Protocol, para 105. Ibid, para 122. Ibid, para. 187. Ibid, para. 125. NATIONAL PREVENTIVE MECHANISM (NPM), 2015

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