Krohn S, Skudlik C
Referat Berufskrankheiten, Hauptabteilung Versicherung und Leistungen, Deutsche Gesetzliche Unfallversicherung e. V. (DGUV), Glinkastr. 40, 10117, Berlin, Deutschland.
Dermatologie, Umweltmedizin, Gesundheitstheorie, Fachbereich Humanwissenschaften, Universität Osnabrück, Osnabrück, Deutschland.
Hautarzt. 2021 Jun;72(6):469-473. doi: 10.1007/s00105-021-04808-2. Epub 2021 Apr 19.
In accordance with § 202 SGB VII, physicians in Germany have a legal obligation to report to the statutory accident insurance institution any justified suspicion of an occupational disease. With regard to skin diseases, various occupational disease numbers (Berufskrankheitennummer = BK No.) can be considered, depending on the type of disease and the type of exposure, e.g. BK No. 3101, 3102, 3104, BK No. 5102 and others in addition to the most common BK No. 5101 and BK No. 5103. The prerequisite for a well-founded suspicion is that occupational effects exist or existed which can be brought into a causal relationship with the skin disease. Form F6000 "Medical notification of a suspected occupational disease" is used for reporting. In the case of the numerically most significant BK No. 5101, there is the special feature that even if the skin disease is classified as occupationally caused, but not as severe or repeatedly relapsing, according to § 41 (1) of the contract between physicians and the accident insurance institutions, every physician is obliged to immediately present the insured person to a dermatologist so that the so-called dermatologist procedure can be initiated to enable the rapid initiation of prevention. Since 1 January 2021, it has been stipulated that the dermatologist's report must be submitted in every case-i.e. both when there is merely the possibility and when there is a well-founded suspicion of the existence of a BK No. 5101. This ensures that preventive measures can be quickly and effectively implemented.
根据德国社会法典第七编第202条，德国医生有法律义务向法定事故保险机构报告任何对职业病的合理怀疑。对于皮肤病，根据疾病类型和接触类型，可以考虑各种职业病编号（职业疾病编号=BK编号），例如BK编号3101、3102、3104、BK编号5102以及除最常见的BK编号5101和BK编号5103之外的其他编号。有充分怀疑的前提是存在或曾经存在与皮肤病有因果关系的职业影响。报告使用F6000表格“疑似职业病的医疗通知”。对于数量上最重要的BK编号5101，有一个特殊情况，即即使皮肤病被归类为职业性引起，但根据医生与事故保险机构之间合同的第41条第（1）款，不属于严重或反复复发的情况，每位医生也有义务立即将被保险人介绍给皮肤科医生，以便启动所谓的皮肤科医生程序，从而能够迅速开展预防工作。自2021年1月1日起，规定在每种情况下都必须提交皮肤科医生的报告，即在仅仅有可能以及有充分怀疑存在BK编号5101的情况下。这确保了预防措施能够迅速有效地实施。
