In short
If a consultant is not called, what is looked for on the hospital record is the request note and the answer to the consultation. If the request stands and the answer does not, that absence is read. If the request does not stand either, it means the call was not written. Which specialty is required is not invented in this note. The name written on the file is read. A name that was not written is not added.
What is looked for on the request line
The request note is the line on which the call was written. The date, the hour, and the name of the physician who requested are looked for here. If there is no line, it is left as absent. A specialty name the patient recalls later does not fill the blank line. A spoken sentence of "we let them know" is not treated as a request if a written request does not stand. If a telephone note stands on a separate paper, that paper is read with its own hour. If there is no telephone note, the memory of the physician on duty does not stand in for the line.
Article 24 of the Medical Deontology Regulation says that if the patient asks for a consultation, the treating physician accepts that request. If the physician themselves sees a need, they tell the patient the situation. The same article leaves to the hospital instruction in which cases, and in what manner, a consultation is made at a health facility. If the instruction is not on the file, this note does not put a list of specialties in place of the instruction. If the instruction stands, the path written in the instruction and the request that stands on the file are read side by side. A name that is in the instruction and not in the request is not added to the request line. If there is a sentence writing that the patient was told, that sentence is read. The sentence is not itself the answer to the consultation. The sentence of notice and the answer paper stand apart.
If the reason for the request was written in a word or two, the word that was written is read. If the reason is blank, it is left blank. A list of symptoms is not used to derive a specialty name in place of the reason. A laboratory paper is not a request either. A laboratory result is not read as a call for a consultant. That the result was requested does not mean a physician of a specialty was called.
If the nurse's note says "the consultant was called", that sentence is read. The sentence does not stand in for the request line or for the answer. If the name of the person who was called is not in the note, the name is not added. If the electronic order and the paper request stand together, both are read. If one has an hour and the other does not, the absence is not closed. The user name that entered the order is not itself written as the name of the physician who requested. If the user name and the physician's name differ, the difference stands. If the patient or a relative has a line saying "I do not want a consultation", the line is read. If there is no line, a refusal is not invented. The refusal line does not erase a request that was written earlier. The request is not read as if the refusal never existed either.
The absence of the answer
The answer is a paper, or a line, separate from the request. If there is a request and no answer, the absence is written. The absence is not a judgment of fault on its own. The judgment is spoken by looking at whether the blank is explained by another sentence on the file. If there is no explanation, an explanation is not invented. Sentences such as "they were busy", "they were not in place", or "the patient did not want it" are not produced if they do not stand on the file. If an explanation that stands exists, which hour the explanation was written beside is read. An explanation without an hour is not treated as having changed the hour of the request.
If there is an answer and no request, the two lines are read apart too. The answer does not itself complete the place where the call was never written. If the date of the answer appears before the date of the request, the order is not corrected as broken. The two dates are left as they are. If the answer carries another patient's protocol, it is not pasted as belonging to this file. The conflict of protocol is not closed.
A waiting minute is not a number in this note. The number appears when the two hours on the file are placed side by side. A number that does not appear is not added. If the request and the answer are two boxes one under the other on the same printout, the boxes are read apart. If the upper box is full and the lower box is blank, the blank stands. The lower box being full does not bring the upper box into a written state.
If the stamp hour on the answer and the hour of the request differ, both hours stand. The stamp hour is not announced on its own as the moment the answer was written. If the paper writes what the hour shows, what was written is read. If it does not write it, this page does not add a meaning to the hour. If the answer carries a limit such as "without being seen at the bedside" or "from the file", the limit is read. If there is no limit, the answer is not widened as a document that every examination was made. An answer that is not widened is treated as not having closed the request either. Closing is spoken only if the answer paper stands.
The specialty name is read from the paper
If the specialty name is written in the request, the name that was written is read. If it is not written, the name is not derived from the symptom. The symptom is not turned into a specialty condition in this note. The only thing that is turned is the word that appears on the paper. If there is no word, there is no word. If the specialty on the stamp of the physician who wrote the answer differs from the specialty written in the request, the difference is read. The difference is not an announcement of fault on this page. A specialty that was not written in the request is not added backwards, from the stamp, onto the request line.
If more than one request stands one under the other, each line stays with its own specialty name. If the lines were not tied to a single call, a tie is not built. If one was answered and the other was not, only the one that was answered is treated as closed. The line that was not answered is not covered with the answer of the sister line. If a request was written twice to the same specialty, both requests stand. The second is not erased as a repeat of the first. Whether it is a repeat is read from the form's own mark.
The minutes and the request are not the same paper
Article 26 of the Regulation says that the result reached in the consultation is recorded in minutes, and that the minutes are signed jointly. The minutes are the paper of the result. The request is the paper of the call. One is not put in place of the other. A signature does not bring into existence an answer that was never written. If there are signed minutes, which name stands in the minutes is read. A name that does not stand in the minutes is not copied from the request line and pasted onto the result. A physician whose name is in the request and whose signature does not stand in the minutes is not treated as having signed the result. A physician whose signature is in the minutes and whose name does not stand in the request is not dropped from the record as if the request was never written either.
If the minutes carry a sentence of "a difference of view", that sentence is read. If there is no sentence, a difference or unanimity is not invented. If one copy of the minutes stands on the file and one copy stands in another folder, both are read. If the texts differ, the difference is not closed. A missing copy is not completed as if there were a full copy.
If the request was written on another paper as "urgent", the word that was written is read. The word does not turn the time of the answer into a minute in this note. The time appears from the own box of the two hours. If there is no box, the word urgent does not close as if there were an answer. If the consultant's short order sentence and a long examination note are separate lines, both stand. The order does not stand in for the examination note. If there is no note, the order is not widened as a full answer. An order that is not widened does not erase the request line either.
The general frame of the risk explained to the patient sits on the informed consent page. Telling the patient of the offer of a consultation is not a copy of the consent form. The signature on the consent paper does not bring the request note or the minutes into existence. A known risk and a departure sit on the complication or medical error page. That separation does not fill the blank answer box.
The anaesthesia form and the path of a complaint
The medical record of the anaesthesia event sits on the claim of an anaesthesia error page. This page does not use that record as the answer to the consultation. The anaesthesia form being full does not mean the answer of another specialty that was requested stands. The hour of the form is not the hour of the consultation minutes. Even if the two papers were put in the same operation folder, their headings stay apart.
The frame of an error in medical practice sits on the medical malpractice page. That frame does not write onto this file which specialty is required. Where the family or the patient carried the application sits on the physician complaint process page. A specialty mentioned in the complaint petition is not treated as later entered on the line if it is not on the request line. The petition does not complete the missing answer. This note does not build the items of that petition.
Conclusion
What is looked for is whether the request note and the answer, or the minutes, stand on the file. A specialty condition is not added. A blank answer is not an announcement of fault on its own. Full minutes do not bring into existence a request that was not written. The frame sits on the health law page. The basis is Articles 24 and 26 of the Medical Deontology Regulation. The request line and the answer line can be read separately through contact.