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1. Patient Information: Complete identification details of the patient including name, address, date of birth, and insurance information
2. Authorized Representative: Details of the person(s) authorized to make medical decisions, including their relationship to the patient
3. Scope of Authorization: Detailed description of the medical decisions and treatments the representative is authorized to approve or decline
4. Duration of Authorization: Specification of how long the authorization remains valid and under what circumstances it expires
5. Emergency Contact Information: List of primary and secondary emergency contacts with their complete contact details
6. Consent to Medical Treatment: General authorization for routine medical procedures and treatments
7. Data Protection Authorization: Consent for handling and sharing medical data in accordance with GDPR and BDSG
8. Revocation Rights: Information about the right to revoke the authorization and the process for doing so
1. Specific Treatment Exclusions: List of specific treatments or procedures that are explicitly not authorized
2. Religious or Cultural Preferences: Specific religious or cultural considerations that should be taken into account during medical treatment
3. Organ Donation Authorization: Specific permissions regarding organ donation decisions
4. Alternative Medicine Preferences: Authorization for alternative or complementary medical treatments
5. Digital Health Services Consent: Authorization for telemedicine and digital health services
6. International Treatment Authorization: Specific provisions for medical treatment outside Germany
1. Medical History Summary: Detailed overview of patient's relevant medical history, allergies, and ongoing conditions
2. Current Medication List: List of all current medications, dosages, and prescribing physicians
3. Specific Treatment Instructions: Detailed instructions for specific medical conditions or treatments
4. Healthcare Provider List: List of current healthcare providers and their contact information
5. Insurance Information: Detailed information about health insurance coverage and policies
Medical Treatment
Emergency Treatment
Healthcare Provider
Medical Facility
Patient
Capacity to Consent
Medical Data
Personal Data
Treating Physician
Emergency Contact
Medical Records
Routine Care
Life-Sustaining Treatment
Informed Consent
Revocation
Healthcare Services
Medical Emergency
Treatment Plan
Data Processing
Insurance Provider
Legal Guardian
Medical Power of Attorney
Alternative Treatment
Standard of Care
Consent
Duration
Revocation
Emergency Powers
Data Protection
Medical Records Access
Confidentiality
Patient Rights
Healthcare Provider Obligations
Insurance and Payment
Liability
Treatment Scope
Privacy
Information Sharing
Decision-Making Authority
Religious/Cultural Considerations
Dispute Resolution
Governing Law
Severability
Healthcare
Medical Services
Insurance
Legal Services
Elder Care
Mental Health Services
Emergency Services
Hospital Administration
Legal
Compliance
Medical Administration
Patient Services
Risk Management
Data Protection
Emergency Services
Admissions
Medical Records
Quality Assurance
Medical Director
Hospital Administrator
Legal Counsel
Compliance Officer
Healthcare Facility Manager
Patient Rights Coordinator
Medical Records Manager
Risk Management Officer
Data Protection Officer
Healthcare Operations Manager
Admissions Coordinator
Emergency Department Director
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