Mewe L
Klin Monbl Augenheilkd. 1979 Oct;175(4):557-61.
The question of professional discretion is discussed in relation to cases where the physician believes that the patient's visual impairment renders him unfit to drive. It is often difficult for the ophthalmologist to make a valid judgment. Since physicians are not bound to report such cases to the traffic authorities or to third persons, any assumption of responsibility in making a statement, either without the patient's knowledge or against his will, is an infringement of professional secrecy. Article 34 of the (West German) Penal Code makes provision for "justified" disclosures. There is also a relevant verdict of the German Federal Supreme Court dated Oct. 8, 1968, case ref. VIZR 168/67, which deals with basic considerations. However, it is advisable in each case to consult the legal adviser of the responsible Medical Council prior to making any disclosure in order to establish whether it is justified.
针对医生认为患者视力受损不适合开车的情况，讨论了专业保密的问题。眼科医生往往很难做出有效的判断。由于医生没有义务向交通管理部门或第三方报告此类情况，因此在患者不知情或违背其意愿的情况下发表声明承担任何责任，都是对专业保密的侵犯。（西德）《刑法典》第34条规定了“合理”披露的情况。德国联邦最高法院1968年10月8日也有一项相关裁决，案号为VIZR 168/67，涉及基本考量因素。然而，在每次披露之前，最好先咨询负责的医学委员会的法律顾问，以确定这种披露是否合理。
