8.4 PERSON FORMAT
924 Health
Definition:
An indication of the general health of the person.
Guidelines:
Indicate any chronic illness, current diseases and general state of health. Indicate if the person
is pregnant and if so, by how many months at the date the information was received. Indicate
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wounds, bruises, indications of assault or rape etc.
Note where these documents can be found in field 966: Supporting Documents. Updates may
be added at the end of the field with the date of the update. Provide details on the physical
consequences of a particular Act in field 2116 Physical Consequences.
Entry:
Free text.
Examples:
Mrs. Pertuche was pregnant at the time of the bombing.
925 Medical Records
Definition:
Information from medical records.
Guidelines:
Medical information such as blood type, eyesight, hearing, past bone fractures (place, date),
bone diseases, congenital malformations, severe lesions, severe illness, number of pregnancies
or handedness. Refer to and obtain photographs, X-rays, optometric prescriptions, medical and
dental records, drug prescriptions etc. Refer to health records, doctor‟s examination reports or
autopsy records (in the case of death). Provide details on the physical consequences of a
particular act in field 2116 Physical Consequences.
Note where these documents can be found in field 966 Supporting Documents. Updates may
be added at the end of the field.
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For an outline of physical examination see Manual on the Effective Investigation and Documentation
of Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment (the Istanbul Protocol):
submitted to the: United Nations Office of the High Commissioner for Human Rights, August 9, 1999.
Boston: Physicians for Human Rights USA, 1999.
Organisations such as groups dealing with victims of torture and other human rights violations which
want to systematically record information about health situations may want to develop controlled
vocabulary to record information in this field. Relevant sources for developing such a vocabulary
include: World Health Organization. The International Classification of Diseases and Related Health
Problems (ICD-10). vol. 1. Geneva: World Health Organization, 1992 and Rehabilitation and Research
Council for Torture Victims. List of Selected Mental Symptoms. Copenhagen: Rehabilitation and
Research Council for Torture Victims, 1998.
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