Medical expertise

General Information

Medical Expertise module contains all electronic documents in National Health Information System since 2020, related to the certification/ re-certification of individuals.

Documents are divided into four separate sections: referrals, protocols, applications, and expert decisions. Records in each section are arranged chronologically. For each document, detailed information is available for: doctor/ medical institution that issued it, date of issue, document number, and diagnosis.

Patients can track status changes of each document in the module. General practitioners can view brief information about issued decisions. If the certified person has given consent when submitting application, the TEMC/ NEMC commissions can access all previously issued electronic health documents in NHIS. This allows them to review patient's health history and make a decision based on it. Expert medical commissions have access to previous decisions related to medical expertise.

Download eZdrave to access electronic documents related to your medical assessment/ reassessment or visit my.his.bg.

Key Functionalities

This section displays referrals for certification/re-certification issued by general practitioners. Each referral can be viewed in detail, showing its number, date of issue, name and specialty of issuing doctor, and the patient's diagnosis. If the doctor has provided a phone number and email, they can be contacted.

This section contains protocols issued by Medical Consultative Commissions (MCC). Each protocol shows date of issue, protocol number, diagnosis, the number of the MCC commission that issued it, and medical institution to which the committee works.

This section contains applications submitted by patient, their parent, or legal representative. For each application, you can see date of issue, application number, diagnosis, and the Regional Registry of Medical Expertise (RRME) where it was submitted. Opening a specific document provides additional information such as commission number it was randomly assigned to, current status, and the scheduled meeting date for review.

Expert Decisions section contains information about decisions issued by TEMC and NEMC. Each document shows date of issue, decision number, diagnosis, the commission number, and the medical institution associated with the TEMC commission. Selecting a specific decision provides details such as: TEMC/ NEMC commission number, institution name, decision number, issue date, percentage of incapacity determined, decision status, effective date, and expiration date.

Key Functionalities

This section displays referrals for certification/re-certification issued by general practitioners. Each referral can be viewed in detail, showing its number, date of issue, name and specialty of issuing doctor, and the patient's diagnosis. If the doctor has provided a phone number and email, they can be contacted.

This section contains protocols issued by Medical Consultative Commissions (MCC). Each protocol shows date of issue, protocol number, diagnosis, the number of the MCC commission that issued it, and medical institution to which the committee works.

This section contains applications submitted by patient, their parent, or legal representative. For each application, you can see date of issue, application number, diagnosis, and the Regional Registry of Medical Expertise (RRME) where it was submitted. Opening a specific document provides additional information such as commission number it was randomly assigned to, current status, and the scheduled meeting date for review.

Expert Decisions section contains information about decisions issued by TEMC and NEMC. Each document shows date of issue, decision number, diagnosis, the commission number, and the medical institution associated with the TEMC commission. Selecting a specific decision provides details such as: TEMC/ NEMC commission number, institution name, decision number, issue date, percentage of incapacity determined, decision status, effective date, and expiration date.

Stages of Issuing Medical Expertise

Arrow timeline

  1. 1 General practitioner issues a referral for medical expertise, or MCC issues a protocol.

  2. 2 The patient, their parent, or legal representative submits an application for certification/re-certification. It can be submitted by mail, in person at the RRME, or online via Medical Expertise Control Information System (MECIS) using a qualified electronic signature.

    Each submitted application receives a document reference number based on how the documents are received by RRME. For applications submitted electronically via MECIS, the number is issued online, and the user receives a notification that a reference number has been assigned to the application.

  3. 3 Applications are randomly assigned by MECIS. In Applications section, you can see assigned commission number and scheduled meeting date. The system generates a notification for scheduled date.

  4. 4 At a specially scheduled commission meeting, the Territorial Expert Medical Commission (TEMC) reviews all submitted documents and issues and signs the decision electronically. It can be viewed in Expert Decisions section.

    If applicant has given consent, commission doctors can access their electronic health record in NHIS during the session. They also have access to previous medical expertise decisions.

  5. 5 The TEMC decision is delivered to applicant, National Social Security Institute (NSSI), and the employer. Within 14 days of delivery, the decision can be appealed by applicant/ parent/ representative, territorial division of NSSI, or employer. If no appeal is filed, the decision takes effect.

  6. 6 If any party decides to appeal the TEMC decision, it can be submitted to the National Expert Medical Commission (NEMC). NEMC will review the appeal on a scheduled date and issue a new decision, which will be served to interested parties. Doctors from NEMC have access to electronic health records in the National Health Information System (NHIS), as well as to the documents submitted by individuals, based on which TEMC has issued its decision, within the date of the session.

  7. 7 NEMC decision can be appealed in the Administrative Court. The court may order TEMC or NEMC to reconsider the decision.

  1. 1 General practitioner issues a referral for medical expertise, or MCC issues a protocol.

  2. 2 The patient, their parent, or legal representative submits an application for certification/re-certification. It can be submitted by mail, in person at the RRME, or online via Medical Expertise Control Information System (MECIS) using a qualified electronic signature.

    Each submitted application receives a document reference number based on how the documents are received by RRME. For applications submitted electronically via MECIS, the number is issued online, and the user receives a notification that a reference number has been assigned to the application.

  3. 3 Applications are randomly assigned by MECIS. In Applications section, you can see assigned commission number and scheduled meeting date. The system generates a notification for scheduled date.

  4. 4 At a specially scheduled commission meeting, the Territorial Expert Medical Commission (TEMC) reviews all submitted documents and issues and signs the decision electronically. It can be viewed in Expert Decisions section.

    If applicant has given consent, commission doctors can access their electronic health record in NHIS during the session. They also have access to previous medical expertise decisions.

  5. 5 The TEMC decision is delivered to applicant, National Social Security Institute (NSSI), and the employer. Within 14 days of delivery, the decision can be appealed by applicant/ parent/ representative, territorial division of NSSI, or employer. If no appeal is filed, the decision takes effect.

  6. 6 If any party decides to appeal the TEMC decision, it can be submitted to the National Expert Medical Commission (NEMC). NEMC will review the appeal on a scheduled date and issue a new decision, which will be served to interested parties. Doctors from NEMC have access to electronic health records in the National Health Information System (NHIS), as well as to the documents submitted by individuals, based on which TEMC has issued its decision, within the date of the session.

  7. 7 NEMC decision can be appealed in the Administrative Court. The court may order TEMC or NEMC to reconsider the decision.