Medical service

The medical service of the health department is active in the fulfillment of sovereign tasks on behalf of authorities , courts , public institutions and comparable facilities. The legal bases are u. a. the Health Services Act , federal and state civil servant law, the State Aid Ordinance , the Social Security Code , tariff provisions for the public service, the Heilpraktikergesetz as well as applicable notification and reporting obligations .

In addition to the expert assessment service as an essential area of work, the medical officer service is usually assigned the subject area of medical supervision / medical statistics and the supervision of corpses and funeral services. This area is also responsible for checking applicants for a permit as a non-medical practitioner .

Medical examination and expert opinion service

Personal reports and statements are created that are required by law:

Investigations on behalf of authorities

Employment examinations of workers, employees and civil servants
Assessment of the capacity of civil servants (service for life, assessment of the capacity for service in the event of early retirement due to illness)
Allowance for rehabilitation measures, outpatient healing cures and sanatorium treatments
Adoption ( health certificate to rule out life-shortening, mental or addictive diseases from adoption applicants)
Assessments according to the social code
medical necessity of remedies and aids as well as therapeutic and sanatorium cures
Fitness to drive tests
Assessments of the health status and fitness of asylum seekers
Assessments of examination ability
Taking blood for drug offenses and paternity regulations

Investigations on behalf of the courts (if no forensic medical service is available)

Negotiation skills
Adhesiveness
Ability to work (as mandated by family courts )
Supervision requirement in the legal sense

Investigations at the request of private individuals

In exceptional cases, private individuals can call on the health department for examinations:

Certificate of the need for a cure for tax deductibility
Students for the purpose of waiving the tuition fee, in the event of an inability to take an examination or an extension of the submission deadline for diploma or thesis
Certificate of extension of child benefit receipt for the employment office

Medical supervision / medical statistics

Those who are self-employed in a profession in the health sector are obliged to report the commencement and termination of the profession to the responsible health department. The state-regulated professions in the health sector, which are not organized in chambers , are monitored in order to protect the population from people who practice these professions without permission. As part of the medical supervision, people are checked who carry out professional or commercial activities that serve to identify, cure or alleviate illnesses , ailments or physical injuries in humans. A professional license as a non-medical practitioner is required to carry out such activities .

Mortality statistics

The health department registers and archives all incoming death certificates , issues related information and forwards the information to the cancer registry for statistical analysis .

Mortuary and funeral services

The health department has to ensure that the lying in state , a sargung , transportation, burial , excavation and reburial of bodies carried health properly and that the current rules are followed. The correct issue of the death certificates must be checked . The medical service is also responsible for carrying out a second post-mortem examination prior to a cremation (cremation post-mortem examination ). Exhumations and reburial operations also require supervision and approval by the responsible medical officer. In the case of cross-border transport of corpses, the medical officer will check that the coffins have been properly placed and issue the corpse passport .