Nauroth E
BG für Gesundheitsdienst und Wohlfahrtspflege Köln.
Hautarzt. 1991 Sep;42(9):551-5.
Neither section 5 of the Statute on Occupational Illnesses nor Lt no. 59 of the "physicians' agreement" stipulates whether a physician should have the right to issue a "green report" or a "dermatologist's report" without the consent of the patient. The decisive regulation for this question is section 100 of the social legislation book (SGB X). In connection with other decisions, this regulation has the following consequences: (1) the consent of the patient is always necessary if the "green report" or the "dermatologist's report" is issued at the request of the treating physician or any other physician, i.e., not at the request of the accident insurance company; (2) if the accident insurance company demands that the "green report" or the "dermatologist's report" be issued, the treating physician does not need the patient's consent. However, a physician who is not the treating physician always requires the patient's consent before the dermatologist's report can be issued. As a rule, the physician can assume the consent of the patient. If not, it depends in individual cases on whether consent is not granted expressly or conclusively. The decision then rests with the physician.
《职业病法规》第5条和“医生协议”第59号规定均未明确指出医生在未经患者同意的情况下是否有权出具“绿色报告”或“皮肤科医生报告”。对此问题具有决定性的规定是社会立法手册（SGB X）第100条。结合其他决定，该规定具有以下后果：（1）如果应主治医生或任何其他医生（即不是应事故保险公司的要求）的请求出具“绿色报告”或“皮肤科医生报告”，则始终需要患者的同意；（2）如果事故保险公司要求出具“绿色报告”或“皮肤科医生报告”，主治医生无需患者同意。然而，非主治医生在出具皮肤科医生报告之前始终需要患者的同意。通常情况下，医生可以假定患者已同意。如果不是这样，则在个别情况下取决于同意是否未被明确或最终拒绝。然后由医生做出决定。
