Ministry of National Defense Central Military Emergency University Hospital Dr. Carol Davila*

The procedure is applied according to Law no. 95/2006 regarding healthcare reform – REPUBLISHED, with subsequent amendments and completions, art. 230, para. (2): “The insured have the following rights: e) to benefit from the reimbursement of all expenses incurred during hospitalization for medicines, sanitary materials, and paraclinical investigations to which they would have been entitled without personal contribution, under the conditions imposed by the framework contract;”

The criteria by which eligibility for reimbursement can be determined are detailed in the procedure posted under the “Required Documents” section – point VII (Description of the system/operational procedure) – sub-point I (Preliminary activities prior to the reimbursement process) – 1 ( Verification of fulfillment of conditions for reimbursement of hospitalization expenses incurred by the patient).

In order to recover their personal contribution paid for medicines, sanitary materials, and paraclinical investigations, the insured must prepare a report addressed to the Commander of SUUMC “Dr Carol Davila” (according to the form posted under the “Required Documents” section) accompanied by the following documents:

· original tax invoice,

· original fiscal receipt,

· copy of the identity card or ID card,

The report and documents are submitted to the hospital registry office (CDC), by mail or in person.

The report is resolved within 30 days according to legislation from the registration of the request/report at the institution’s registry.

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

The release 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 Patient Rights Law no. 46/2003, following the observance of 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 form "Request regarding the communication of personal medical documents," provided in annex no. 3 to OMS 1410/2016. This form is approved by the hospital commander and is assigned to the designated structure for settlement.

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

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

d) The release of copies of the requested medical documents is done by the person nominated by the designated structure together with the manager of the archival fund, within 30 calendar days from registration at the institution's headquarters.

e) The release of copies of the requested medical documents is done after the patients / relatives / authorized persons fill in 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 releasing medical documents requested by patients / relatives / authorized persons or other persons entitled to access information, according to the law, has the following main purposes:

a) The patient has unrestrained access to personal medical data, according to the law. The patient's access to medical data may be direct or indirect – through legal relatives or through the doctors nominated by the patient 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 required by law. If the information is necessary for other accredited medical service providers involved in treating the patient, consent is no longer required. (Law 46/2003 updated).