The procedure aims to regulate the specific conditions for issuing medical documents requested by patients / relatives / authorized persons as well as the conditions for transmitting the patient's medical data.

The issuance of medical documents requested by patients / relatives / authorized persons is carried out in strict accordance with the provisions of OMS 1410/2016 regarding the approval of the Norms for the application of the Law on patient rights no. 46/2003, following compliance with the following rules:

a) The request regarding the communication of personal medical data is addressed by patients / relatives / authorized persons, in writing, by filling in the "Request for communication of personal medical documents" form, provided in annex no. 3 to OMS 1410/2016. This form is approved by the hospital commander and is forwarded to twice B.R.S.M. for resolution.

b) In the case of minors, adults without discernment, and adults with temporary loss of exercise sopacity, the applicant must prove that they are a relative / legal representative.

c) In the case of authorized persons requesting medical documents of patients, they must attach the "Patient's consent regarding the communication of medical data" as provided in annex no. 5 to OMS 1410/2016.

d) The issuance of copies of the requested medical documents is made by the person designated by the head of B.R.S.M. together with the archival fund manager, within 30 calendar days from registration at the institution’s headquarters.

e) The issuance of copies of the requested medical documents is done after the patients / relatives / authorized persons complete the "Declaration regarding the communication of personal medical documents" form, provided in annex no. 4 to OMS 1410/2016.

The regulation of the process of issuing medical documents requested by patients/relatives/authorized persons or other persons, entitled to access to information, according to the law, has the following main purposes:

a) The patient has unrestricted access to personal medical data, under the conditions of the law. The patient's access to medical data may be direct or indirect – through legal relatives or through doctors designated by them in Annex no. 5 to the norms “Patient's consent regarding the communication of personal medical data” (Law 46/2003 updated).

b) All information regarding the patient's condition, investigation results, diagnosis, treatment, personal data are confidential, even after the patient’s death. This information may only be provided if the patient gives explicit consent or if the law expressly requires it. If the information is needed by other accredited medical service providers involved in treating the patient, consent is no longer mandatory. (Law 46/2003 updated).