Recommendations for students on filling out a medical record of a dental patient with defects in hard dental tissues at the Department of Orthopedic Dentistry. III. standards for treatment and samples of filling out a medical record of a dental patient

Medical card of a dental patient

Such a document contains all the necessary information about the patient, the condition of his teeth, bite, treatment methods, types of diseases, as well as a medical book. X-ray readings are also entered into the map.

This is a special document of a new type. Each dental clinic must issue such a card for each patient. The administrator fills in the personal data of the client, and the dentist makes the appropriate entries in the card itself.

Form of a medical card of a dental patient

The legislation of the Russian Federation has established a specific form 043y for a dental patient card. All other types of records are recognized as unofficial, without legal force.

Extract from the medical record of a dental patient

To obtain such an extract, you will need to visit a dental clinic, write an application, make a request. Then it will take time to process the document. What if you need an extract urgently? No time to wait? We are ready to help you.

You can buy an extract from a medical card, a medical card of an inpatient from us. We will do it quickly, the document will be authentic, you can present it to any institution.

Buy a medical card of a dental patient

We offer to buy a dental patient card. Such a card will have all degrees of protection, signed by real doctors. It can be presented to any medical institution. If you have this type of card, you will be able to continue the treatment you started earlier.

Filling out a medical card of a dental patient

Only a medical institution providing dental services has the right to fill out such a document. The front side of the card is drawn up by the administrator, all subsequent entries are made by doctors. Each note must be written legibly, confirmed by the signature and seal of the doctor.

Medical card of a dental patient 2015

This year, only cards corresponding to the 043u sample can be officially used. All other options are not legally binding. For each patient, a medical record of a dental patient form 043y must be entered.

New medical card of a dental patient

In life, there are unforeseen situations when a certain document is urgently required. For example, a medical card of a dental patient, sick leave. We offer to make a genuine document for any person. Such a service is provided promptly, the prepared document will be delivered by courier and handed over personally.

Medical card of a dental patient in Moscow

You can order a medical card of a dental patient from us. The application can be submitted by phone, sent by e-mail or come to us. We will independently issue a medical card for a dental patient form 043u. When the document is issued, executed and approved by the current doctors, our administrator will call you back. We organize delivery in Moscow ourselves, you choose any convenient place.

Buy certificate 043u

Such a certificate 043y will be required for a child going to the camp, and he will also need a certificate for the camp (form 079 / y). In order to get it, you and your child will need to visit a dentist. But, is it worth it to hurt the baby?

We offer to buy certificate 043u quite inexpensively. You need to call us to place an order. On the same day, the courier will deliver the document to the place you specify.

Our team consists of experienced dentists who are always ready to help you. Therefore, the medical records drawn up by us, extracts and certificates are real, certified by seals and signatures of acting doctors. You can safely present them to any government agency.

The medical record of a dental patient is a document for identifying a patient. The medical card describes the features of the condition and changes in his health.

All data of the medical record are filled in by the doctor and confirmed by the data of instrumental, laboratory and hardware studies. In addition, the medical record reflects all the features and stages of treatment.

For each dental patient, several documents are drawn up, which include informed voluntary consent to dental treatment, consent to the processing of personal data and a medical record of the dental patient.

We were told about the rules for their registration at the RaTiKa dental clinic (Yekaterinburg).

Medical card of a dental patient

As early as October 4, 1980, Form 043 / y was approved by Order of the Ministry of Health of the USSR No. 1030, which was intended specifically for maintaining records of dental patients.

Dentists were required to strictly adhere to this form, but already in 1988 the above order was canceled. Since then, no law has been issued to order dentists to use a specific form of medical record. However, on November 30, 2009, the Ministry of Health and Social Development of the Russian Federation issued a letter in which it recommended that doctors use the old forms to keep records of their activities (for dentists - 043 / y).

The current legislation recommends (but does not oblige) the use of form 043 / y for medical records of dental patients. However, it is most convenient to keep patient records in the appropriate programs for managing dentistry.

Most clinics do use this form, but often slightly convert it to a more convenient format, for example, instead of A5, they print in A4 size or make other minor changes.

The medical card of a dental patient is filled out at the first visit of the patient to the dental clinic. Personal data (name, gender, age, and so on) are filled in by a nurse or dental administrator, and the rest of the card is filled out exclusively by the attending physician.

Rules for issuing a medical card for a dental patient by a doctor

The card contains information about the diagnosis and complaints of the patient.
The diagnosis is entered into the card after the examination.
It is possible to clarify the diagnosis or completely change it. When making amendments, the date must be indicated.
It is important to note the presence of concomitant diseases of the patient or those significant for dental procedures, diseases that he has already suffered.
It is necessary to describe how the current disease develops, to include data obtained during an objective study, information about the bite, the condition of the mucous membrane, oral cavity, gums, alveolar processes, and palate.
X-rays, laboratory tests must also be in the dental patient's chart.

Each of them should record their stages of treatment on a separate insert and then place them on the card.

Rules for storing medical records

The medical card must always be in, it is not issued to the patient at home. But we recommend that you give the patient a special form with you, which indicates the date of the next visit. You can develop and release it yourself or use one offered by partner companies, such as a toothpaste manufacturer.
Considered a legal document, the card must be kept for 5 years from the day the patient last visited dentistry and a corresponding entry was made on the card. The document is then archived.
The contents of medical records should exclude the possibility of breach of confidentiality and illegal access to them, so it is best to keep them under lock and key.

Informed voluntary consent for dental treatment

Dental services are included in the "List of certain types of medical interventions for which citizens give informed voluntary consent when choosing a doctor and a medical organization for receiving primary health care", which was approved on April 23, 2012 by the Ministry of Health and Social Development of the Russian Federation. By signing this document, the patient testifies that he is voluntarily treated in dentistry, he was explained in detail the need for certain procedures, the plan of which is prescribed in his medical record. The client demonstrates an understanding of possible outcomes, existing risks, and alternative treatment options. He is aware of the possible side effects of the planned treatment (pain, discomfort, swelling of the face, sensitivity to cold / heat, etc.). The patient also confirms his understanding that the treatment plan may change in the process.

The document can be signed by the patient himself or by an authorized person (if there is a document confirming the right to represent his interests).

Consent to the processing of personal data

This document gives the organization the right to process the patient's personal data (name, date of birth, type of identity document, and so on) in accordance with existing legislation. If the patient is a minor, then the consent to the processing of personal data is signed by the parents or legal representatives.

All materials were provided by the RaTiKa dental clinic (Yekaterinburg). Text: Elizabeth Gertner

OKUD form code ___________

Institution code according to OKPO ______

Medical documentation

Form No. 043/y

Approved by the Ministry of Health of the USSR

04.10.80 No. 1030

name of institution

MEDICAL CARD

dental patient

No. _____________ 19 ... g. ____________

Full Name ________________________________________________________

Gender (M., F.) ______________________ Age ___________________________________

Address _________________________________________________________________________

Profession _____________________________________________________________________

Diagnosis _____________________________________________________________________________

Complaints ________________________________________________________________________

Past and concomitant diseases ______________________________________

_______________________________________________________________________________

Development of the present disease _______________________________________________

_______________________________________________________________________________

For typography!

when creating a document

A5 format

Page 2 f. No. 043/y

Objective examination data, external examination ______________________________

_______________________________________________________________________________

Examination of the oral cavity. Dental condition

Symbols: absent -

0, root - R, Caries - C,

Pulpitis - P, periodontitis - Pt,

sealed - P,

Periodontal disease - A, mobility - I, II

III (degree), crown - K,

art. tooth - I

_______________________________________________________________________________

Bite ________________________________________________________________________

Condition of the oral mucosa, gums, alveolar processes and palate

_______________________________________________________________________________

X-ray, laboratory data _______________________________

_______________________________________________________________________________

Page 3 f. No. 043/y

the date		Surname of the attending physician

Outcomes of treatment (epicrisis) __________________________________________________

_______________________________________________________________________________

Instructions ___________________________________________________________________

_______________________________________________________________________________

Attending physician _______________ Head of department _____________________

Page 4 f. No. 043/y

Treatment _______________________________________________________________________

_______________________________________________________________________________

	History, status, diagnosis, and treatment in dealing with recurrent illnesses	Surname of the attending physician

Page 5 f. No. 043/u

Survey plan	Treatment plan	Consultations

etc. to the bottom of the page

Medical card of a dental patient
No. April 27, 2002
Last name, first name, patronymic: Ivanov Ivan Ivanovich Gender husband. Moscow address. Age: 01.10.1966
Contact phones: 452-17-73 Profession: teacher. Diagnosis: 1 1 Medium caries Complaints about the presence of a cavity, write, pain from temperature stimuli (indicate a change in tooth color, aesthetic defect). Past and concomitant diseases: considers himself healthy, or: concomitant somatic cytology (hypertension, allergic reactions, head trauma, heart disease, lung disease, hepatitis, venereal

Examination of the oral cavity. Condition of the teeth. Symbols: absent -
O, root - ?, caries - C, pulpitis - P, periodontitis-sealed - P, paradontosis - A, mobility - I, II, III (degree), crown - K, suit. tooth - I



8	7	6	5	4	3	2	1	1	2	3	4	5	6	7	8

mild illnesses, etc.: acute conditions at the time of treatment!
The development of the present disease: he turned to the clinic, specify: for consultative help with oral cavity sanitation, in connection with the appeared cavity, in connection with the arisen aesthetic defect, painful sensations.
Objective examination data, external examination
The configuration of the line is not changed, or is changed due to swelling of the soft tissues in the area (specify). The skin over the swelling and color is not changed (changed). folds easily 1 does not fold). Lymph nodes are not palpable (lt; palpable). 1-3 enlarged up to 0.5 cm in diameter, mobile, softly elastic consistency (dense and immobile)
Dental deposits, their localization and quantity:
Occlusion (specify which) orthognathic
The condition of the oral mucosa, gums, alveolar processes and palate: Pale pink, moderately moist, or: hyperemic (cyanotic) and swollen in the area of all teeth or a group of teeth. bleeds pggt; and dotragipaniya.

X-ray laboratory data Date (day, month, year).
On the visiogram 11 there is a defect in the coronal part 11, in the region of the medial angle. The ratio of the carious cavity to the cavity of the tooth, the state of the periodontal gap; osteoporosis or osteoporosis of the bone tissue surrounding the causative tooth, the presence of areas of bone tissue similar in density to the tissues of the tooth, the presence of cavities or other formations in the examined part.
Dear patient!
General diseases can affect the treatment process at the dentist, so please fill out this questionnaire carefully.
We guarantee that the information provided by you in the questionnaire will be used only for the selection of treatment taking into account your health and will not be available to unauthorized persons.
«*- QUESTIONNAIRE (to be filled in by the patient)
I report the following about my state of health:
Last visit to the dentist
(Specify month and year.)
Not really

Allergy (drug, food, others)

Symptoms
What stops an attack

Blood group_ Rh factor
Do you suffer from diseases:

heart (angina pectoris, palpitations, shortness of breath)
kidney
liver
gastrointestinal tract
lungs (bronchial asthma)

Do you suffer from:

high blood pressure
low blood pressure

Do you have seizures, fainting, dizziness
Prolonged bleeding after cuts
Diabetes
Pregnancy
Medications taken (specify)
Have you had a head injury
Transferred hepatitis
AIDS, sexually transmitted diseases
Recurrent mouth ulcers, herpes
Bruxism (nighttime teeth grinding)
Diseases of the maxillary sinuses
Do you use drugs
Do you smoke

19.
I sincerely answered all the points of the questionnaire, I would like to additionally inform about the state of my health the following:
I know that only in the case of mandatory preventive examinations (once every 6 months) can the results of treatment and prosthetics be calculated for a certain period of time.
I know that if I take medications before I start seeing a dentist, I must tell the doctor about it.
« » 200_ Patient's signature
CONTRACT FOR RENDERING DENTAL SERVICES No.
Option A. Survey contract
« » 200_
We, the undersigned, referred to in
hereinafter CONTRACTOR, represented by the General Director
acting on the basis of the Charter,
licenses No. from "_" 200_g. for the provision of medical services
Decrees of the Government of the Russian Federation of January 13, 1996 No. No. 27 with one
sides, and

The contractor undertakes to instruct the doctor.

(F. I. O. of the doctor)

Carry out an interview and examination of the CUSTOMER at the time agreed with the CUSTOMER to establish a preliminary diagnosis, the amount of necessary treatment and fully inform the CUSTOMER about the results of the examination, reflecting the preliminary diagnosis and treatment plan in the CUSTOMER's outpatient card. The ambulance
On the card, the CUSTOMER makes a written note about familiarization with the preliminary diagnosis, treatment plan and possible complications.
The CUSTOMER undertakes to pay the cost of the actions provided for in clause 1.1 of this agreement at the rates of the price list, with which the CUSTOMER has previously familiarized himself.
The CUSTOMER agrees that during the preview it may be necessary to conduct additional (special

socialized) research methods, by carrying out radiographic and other necessary diagnostic measures, which are carried out by the CONTRACTOR for a fee. If the CONTRACTOR does not have the appropriate technical capabilities, the CONTRACTOR reserves the right to refer the CUSTOMER to another specialized medical organization.

Option B. Treatment contract
" " 200 g.
We, the undersigned,
hereinafter referred to as the CONTRACTOR, represented by the General Director acting
on the basis of the Charter, license No. dated "" 200 for an eye
knowledge of medical services and Decree of the Government of the Russian Federation of January 13, 1996 No. 27 on the one hand, and,
hereinafter referred to as the CUSTOMER, on the other hand, have concluded this agreement as follows:

The CONTRACTOR undertakes:

In accordance with the preliminary diagnosis and treatment plan entered in the outpatient card of the CUSTOMER (clause 1.1 of the contract No. / A dated 200_)
doctor,

(Full name of the doctor)
which is obliged to provide the highest quality and most painless methods of treatment in accordance with medical indications, with the use of painkillers if necessary.

In the event of an unforeseen absence of the attending physician on the day appointed for treatment, the CONTRACTOR has the right to appoint another doctor for treatment.

The CUSTOMER undertakes:

follow all instructions of the attending physician and medical personnel.
Arrive for treatment at the scheduled time agreed with the doctor.
Maintain good oral hygiene and attend scheduled medical check-ups.
Make payment for medical services at the prices of the price list, which the CUSTOMER got acquainted with before concluding this agreement.

The CUSTOMER agrees that special types of treatment will be carried out by the appropriate specialists of the CONTRACTOR.
The CONTRACTOR shall be liable in case of non-fulfillment or poor-quality fulfillment of its obligations in the presence of its own fault.
In case of disagreement between the CONTRACTOR and the CUSTOMER regarding the quality of the services provided, the dispute between the parties is considered by the chief physician (deputy chief physician) of the CONTRACTOR. If disagreements are not resolved, disputes are considered by clinical expert commissions, and (or) experts of the territorial organizations of the Dental Association (All-Russian) in the prescribed manner.
Other conditions for all types of dental services, except for periodontics, there is a 36-month warranty, provided that the CUSTOMER regularly visits the CONTRACTOR for preventive examinations at least once every 6 months.

CONTRACTOR CUSTOMER
(Full name of the patient)

MAP MAINTENANCE SAMPLE

Abbreviations are not allowed in the outpatient card;
When a filling is found, it is indicated on which surface of the tooth it is located ^;
When forming a cavity, its class according to Black is indicated.

Medium caries
Complaints: for short-term pain from cold, sweet, for the presence of a cavity. Specify the formula of the tooth.
Objectively: on the (name) surface, (tooth formula) there is a carious cavity of medium depth, filled with softened, pigmented dentin. Probing is painful along the enamel-dentine border. Short-term pain from thermal stimuli. Percussion is negative.
Treatment: Under application anesthesia drug, concentration, dose and infiltration (conduction) anesthesia drug, adrenaline concentration and dose, a cavity is formed according to the class (specify), the bottom is light, dense. The cavity is medically treated (specify with what). On the (name) of the surface, a description of the manipulations performed - filling, restoration, etc., with the name of the material and an indication of the color. Grinding, polishing.
deep caries
Complaints: the presence of a carious cavity, ingestion of food, short-term pain from temperature stimuli in (indicate the formula of the tooth).
Objectively: on the (name) surface (indicate the formula of the tooth) there is a deep carious cavity filled with softened dentin. Probing is slightly painful along the bottom of the carious cavity and along the enamel-dentin border. Rapid response to thermal stimuli. Percussion is negative.
Treatment: Under application anesthesia, the drug, concentration, dose and infiltration (conduction) anesthesia name, adrenaline concentration and dose formed and drug treated (specify with what) the cavity according to (specify) class. The bottom is light
(weakly pigmented), dense. Therapeutic pad (name). Insulating gasket (name). On the (name) of the surface, all the manipulations performed are described - filling, restoration, inlay, etc., with the name of the material and an indication of the color. Grinding, polishing.
The patient is warned about the possibility of pain and the need to denervate the tooth. ,
Patient's signature

Analysis of radiographs

Assessment of the crown part of the tooth (shape, contours, the presence of carious cavities, their relationship to the tooth cavity);
Tooth cavity (presence, absence, shape, size, structure, presence of perforations);
Tooth root (number, size, shape, contours; fracture, perforation, degree of formation and resorption);
Root canal (presence, absence, width, obliteration, curvature, in the presence of filling material - the degree of filling, foreign bodies);
Condition of the periodontium (expansion of the periodontal gap, rarefaction of the bone tissue); f
Bone tissue of the alveolar processes of the jaws (destruction, osteoporosis, osteosclerosis);
Cortical plate (preserved, destroyed);
Interalveolar septa (nature of contours, structure, changes in ridges).

Since the creation of the modern structure of dental care, the medical record of the dental patient has been its basic element. It existed when other documents, without which it is impossible to imagine the work of a modern clinic, (contract, protocol of voluntary informed consent, insurance policy, etc.) were not yet known at all.

At the same time, many dental clinics completely or partially ignore the role of the dental patient's medical record: they either do not use it at all, or modernize, modify, invent their own options. And if the use of various variations on the theme of the medical record of a dental patient can be understood (in many respects, the existing form is already lagging behind the requirements of the time), then the complete absence of a medical record is completely unacceptable.

What is a dental patient's medical record?

The medical record of a dental patient is a document that properly identifies the patient and contains information characterizing the features of the condition and changes in the state of his health, established by the doctor and confirmed by the data of laboratory, instrumental and hardware studies, as well as the stages and features of the treatment.

Registration of a medical card of a dental patient -

The medical record of a dental patient is issued in accordance with the orders of the USSR Ministry of Health No. 1030 dated 04.10.1980 and No. 1338 dated 12.31.1987. At the same time, the Ministries of Health of the USSR and the Russian Federation managed to arrange extreme confusion with the medical record. In 1988, an order of the Ministry of Health of the USSR (No. 750 dated 05.10.1988) was issued, according to which the order of the Ministry of Health No. 1030 became invalid. However, another, newer Ministry of Health, now the Russian Federation, since 1993 began to regularly refer to the provisions of the order of the Ministry of Health of the USSR No. 1030, making appropriate changes and additions to it.

There are no later basic orders or other acts of the Ministry of Health of Russia establishing the form of a medical card. Therefore, although many provisions of Order No. 1030 have become invalid, references periodically appear in new regulatory documents to those parts of the order that relate to the maintenance of medical records. In particular, the requirement remains that all medical institutions (we note, regardless of the form of ownership) are required to keep medical records of the established form. In dentistry, this is Form No. 043 / y "Medical record of a dental patient."

What does a medical card include?

Medical card No. 043 / y contains three main sections.

1) First section- passport part. It includes:

Card number;
the date of its issuance;
surname, name and patronymic of the patient;
patient's age;
gender of the patient;
address (place of registration and place of permanent residence);
profession;
initial diagnosis;
information about past and concomitant diseases;
information about the development of the present (which became the reason for the primary treatment) disease.

This section may be supplemented by passport data (series, number, date and place of issue) for persons over 14 years of age, and birth certificate data for persons under 14 years of age.

2) Second section- objective research data. He contains:

external examination data;
oral examination data and a table of the condition of the teeth, filled out using officially accepted abbreviations (absent - O, root - R, caries - C, pulpitis - P, periodontitis - Pt, filled - P, periodontal disease - A, mobility - I, II, III (degree), crown - K, artificial tooth - I);
bite description;
description of the state of the oral mucosa, gums, alveolar processes and palate;
X-ray and laboratory data.

3) Third section- a common part. It consists of:

survey plan;
treatment plan;
features of treatment;
records of consultations, consultations;
clarified formulations of clinical diagnoses, etc.

Some features of the medical card

The material and type of the medical record of the dental patient does not matter much. It can be made in a clinic or printed way and, as a rule, is an A5 notebook. The main requirement is that it be on paper and have records in the form approved by law. The passport part is issued by a medical registrar, clinic administrator or nurse.

All other entries in the medical record are made only by a doctor, legibly, without corrections (a printed (computer) version of making an entry is possible), using only generally accepted abbreviations. The wording of diagnoses, anatomical formations, the names of instruments and medicines are indicated in full, without abbreviations, taking into account the officially used terminology. The entry made is confirmed by the signature and personal seal of the doctor.

In addition to the entries, the following must be entered in the medical record (pasted):

test results (if any) - originals or copies;
extracts from other medical institutions where dental care was provided, especially if dental care was provided in other institutions after the patient first applied (began to be observed) in this dental clinic;
medical opinions, expert opinions, consultations received in connection with the diseases for which the patient is observed in this clinic;
medical opinions, expert opinions, consultations received in connection with other diseases, the course of which may affect the characteristics of a dental disease;
information on oncological examinations (on the basis of the order of the Ministry of Health of the Russian Federation "On measures to improve the organization of oncological care for the population of the Russian Federation" No. 270 dated September 12, 1997);
information on the doses of radiation exposure received by the patient during X-ray examinations (based on the order of the Ministry of Health of the Russian Federation “On the introduction of state statistical monitoring of exposure doses to personnel and the public” No. 466 dated December 31, 1999);
x-rays of the patient's teeth and maxillofacial area, performed in this dental clinic.

Let's take a closer look at the last point. Of the entire evidence base that is used by the parties when considering consumer claims in court in connection with the quality of the services provided, x-rays are of the greatest importance. Why? For example, let's analyze a controversial situation that occurs most often.

The patient treated his teeth in several clinics and took his x-rays everywhere after the end of the treatment. At the same time, of course, in all clinics there were certain documents confirming the fact of treatment (contracts for the provision of services, entries in the medical record, receipts for payment, checks, etc.). In one of the clinics, during treatment, an instrument broke off in the canal of the tooth. However, the patient did not sue the clinic where the instrument was broken, but the richest of those where he was treated.

At the same time, it is practically impossible to prove the absence of the fault of the clinic indicated in the claim if the clinic cannot present an x-ray taken after the completion of the treatment. That is why the clinic is extremely interested that all the images taken by the patient remain with her. However, there are certain legal difficulties here.

The fact is that radiography is usually included in the price list by clinics as a separate type of service. And on the basis of the Civil Code of the Russian Federation and the Law "On Protection of Consumer Rights", the patient has the right to regard the performed x-ray as a paid service, the material expression (result) of which is an x-ray. Accordingly, the patient acquires the full right to take this picture for himself.

Of course, this situation does not suit the clinic at all. Therefore, the clinic usually uses the following exit options:

include in the Contract for the provision of dental services a clause according to which the x-rays performed in the clinic are an integral part of the medical record of the dental patient. In this case, all images taken in the clinic remain its property on the basis of an agreement concluded with the patient.
give the patient not the image itself, but its image on paper or other media - for example, a copy from a visiograph, or a printout of a scanned image.

However, all of the above applies to the medical record of the dental patient form No. 043 / y. If the dental clinic uses its own form of medical record, then it can have serious problems during the trial. The fact is that the patient can file a petition for the clinic to provide evidence of a medical record of a dental patient of a statutory form (form No. 043 / y).

In this case, the provision by the dental clinic of a medical card of a different form may be interpreted by the court as a formal basis for recognizing this form as not complying with the requirements of the law, and on this basis the card may not be accepted as written evidence. And this will allow you to ignore all the entries made in the card and give the patient reason to accuse the clinic of improper record keeping.

Since this form of the map is really morally outdated and does not fully reflect both changes in civil legislation and new diagnostic and treatment standards, its certain modernization becomes inevitable. Therefore, in dentistry, as a way out of this situation, an insert sheet to the medical record (information sheet) is used, taking into account the specific features of a particular clinic. It is much worse for the dental clinic if the medical record of the dental patient is not kept at all.

Frequently asked Questions -

Who makes entries in the medical record?
The passport part is filled in by the registrar, administrator or nurse, all other entries are made only by the doctor.
How are medical records entered?
Legibly, using only generally accepted abbreviations, without corrections, handwritten or in printed form, assuring the signature and personal seal of the doctor.
What is a medical card for?
For reasonable protection of the interests of the dental clinic, primarily in court.
Can dentistry issue a medical card to a patient?
Formally yes, actually no.
What can be the problems for using the wrong card options?
An incorrect version of the card may not be recognized by the court as written evidence, and the resulting lack of documentation required by law may result in legal claims.
Does the patient have the right to take x-rays?
Yes, at least copies of photographs on paper or other media.
How do dentists modernize the medical record?
Use the insert in the medical record - information sheet.