16 isn't considered a minor....it is under 16. I don't know if a child under the age of 16 can marry in this state, so I can't answer that question.
As to the question "When a doc asks you if you have the flu and you say no they write no, but if a doc asks you if you have an STD and you say no, they say denies STD. Why is that standard operating procedure?"
This is not standard operating procedure. I would *never* ask anyone if they have the flu, in part because most people don't even know what the flu is. *Symptoms* are what one asks for. In the case of the flu, I would write "Pt reports cough productive of yellow sputum x 3 days. Pt reports muscle aches, pt attributes these to coughing fits. Pt reports inability to sleep "because I am coughing so much at night." Pt denies fever, head congestion. Pt reports history of frequent upper respiratory infections.
With an STD, it is the same. I would *never* ask "Do you have an STD?" That is a silly question, I have never heard anyone ask that. I would write something like "Pt reports vaginal dc et itching x 5 days. Pt reports dc is yellowish et odorous. Pt denies change in sexual partners."
It is the standard when documenting that if the patient says something, you write "pt reports" because if you just write "Pt has dc x 5 days." Well, you don't really know if the pt has had dc x 5 days. Maybe it was four, maybe 6. If you write, "Pt has no fever" you are stating that the patient has no fever. If you ask the pt if they have a fever and they say no, you document "Pt denies fever." Because all the data that you are collecting right now is *subjective*, and you must indicate it as such. Even if I took someone's temperature, I wouldn't necessarily write, "Pt has no fever." I would write the exact temperature on the progress notes.
Whether you think this is how documentation should be or not (most people seem to raise their hackles at the use of the words "denies" or "reports"), everyone has to document like this. It is the standard that *everyone* is taught in every medical and nursing school. When your agency is audited for whatever reason, if you do not document like this, you will be fined/marked down/whatever for improper documentation. *ALL* documentation must be like this, whether in a doctor's office, hospital, or visiting nurses. I don't believe that doctors or nurses are asking people "Do you have the flu?" or "Do you have an STD?" That is just not how it is done, and it wouldn't be very productive.
The use of "reports" and "denies" isn't because we dont' believe you...it is because we are collecting subjective data and need to indicate it as such. Documentation is a legal event, and it *must* (by law and by the standards set by accrediting agencies and by the nursing and medical boards) follow certain standards. Doctors and nurses who do not follow this method of documentation are not following the standard of care, and will probably be nailed at some point or other.
Hope this helps explain the terminology and the purpose of our methods of documentation.