Patient Identification and the Right to Healthcare under the Compulsory Health Insurance Scheme

Pishchita A. N.
Doctor of Medicine, Doctor of Law, Full member of the World Association of Medical Law (WAML), Professor, Chair for Health Organization and Public Health with a Course in Health Technology Evaluation
ORCID 0000-0002-4567-256X

Alekseev V. A.
Doctor of Medicine, Honored Worker of the Higher School of the Russian Federation, Professor, Chair for Health Organization and Public Health with a Course in Health Technology Evaluation

Borisov K. N.
MD, PhD, Assistant Professor, Chair for Health Organization and Public Health with a Course in Health Technology Evaluation

Russian Medical Academy of Continuing Professional Education of the Ministry of Health of the Russian Federation, Moscow, Russian Federation

Alexander Pishchita; e-mail: alexpischita@mail.ru

The study had no sponsorship.

None declared.

The identification of a patient as a subject of medical-legal relations is a mandatory condition for the implementation of the state-guaranteed program of free medical care for citizens and for the legitimacy of medical activities within the territory of the Russian Federation. Identification allows for the full realization of citizens' rights to quality care under the compulsory health insurance (CHI) system and ensures the protection of medical workers from negative legal consequences in cases of patient rights violations. The failure to provide medical care due to the inability to identify a patient entails liability for the specific employee or medical organization.

patient identification, patient’s rights, medical workers' duties, failure to provide medical care, liability for failing to provide medical care

10.29234/2308-9113-2025-13-3-1-17

1. Punkt 1 chasti 2 stat'i 16 Federal'nogo zakona ot 29 noyabrya 2010 goda N 326-FZ «Ob obyazatel'nom medicinskom strahovanii v Rossijskoj Federacii» (s izmeneniyami i dopolneniyami). SPS «GARANT». [Paragraph 1 of Part 2 of Article 16 of Federal Law No. 326-FZ of November 29, 2010 «On Compulsory Medical Insurance in the Russian Federation» (with amendments and additions). RSE «GARANT».] (In Russ.)

2. Pis'mo MZ RF ot 17 noyabrya 2016 g. N 17-8/3102029-49381 «O personificirovannom uchete svedenij o zastrahovannyh licah i personificirovannom uchete svedenij o medicinskoj pomoshchi, okazannoj zastrahovannym licam». SPS «GARANT». [Letter of the Ministry of Health of the Russian Federation dated November 17, 2016 N 17-8/3102029-49381 «On personalized accounting of information about insured persons and personalized accounting of information about medical care provided to insured persons». RSE «GARANT».] (In Russ.)

3. Punkt 3 chasti 4 stat'i 32 Federal'nogo zakona ot 21.11.2011 N 323-FZ «Ob osnovah ohrany zdorov'ya grazhdan v Rossijskoj Federacii» (s izmeneniyami i dopolneniyami). SPS «GARANT». [Paragraph 3 of part 4 of Article 32 of the Federal Law of 11/21/2011 N 323-FZ «On the basics of public health protection in the Russian Federation» (with amendments and additions). RSE «GARANT».] (In Russ.)

4. Stat'ya 44 Federal'nogo zakona ot 29 noyabrya 2010 g. N 326-FZ «Ob obyazatel'nom medicinskom strahovanii v Rossijskoj Federacii» (s izmeneniyami i dopolneniyami). SPS «GARANT». [Article 44 of Federal Law No. 326-FZ of November 29, 2010 «On Compulsory Medical Insurance in the Russian Federation» (with amendments and additions). RSE «GARANT».] (In Russ.)

5. Punkt 1 chasti 2 stat'i 16 Federal'nogo zakona ot 29 noyabrya 2010 g. N 326-FZ «Ob obyazatel'nom medicinskom strahovanii v Rossijskoj Federacii» (s izmeneniyami i dopolneniyami). SPS «GARANT». [Paragraph 1 of Part 2 of Article 16 of Federal Law No. 326-FZ of November 29, 2010 «On Compulsory Medical Insurance in the Russian Federation» (with amendments and additions). RSE «GARANT».] (In Russ.)

6. Punkt 4 chasti 6 razdela II Prikaza Ministerstva zdravoohraneniya i social'nogo razvitiya Rossijskoj Federacii ot 28 fevralya 2011 g. N 158n «Ob utverzhdenii pravil obyazatel'nogo medicinskogo strahovaniya». SPS «GARANT». [Paragraph 4 of Part 6 of Section II of Order No. 158n of the Ministry of Health and Social Development of the Russian Federation dated February 28, 2011 «On Approval of the Rules of Compulsory Medical Insurance». RSE «GARANT».] (In Russ.)

7. Pis'mo MZ RF ot 17 noyabrya 2016 g. N 17-8/3102029-49381 «O personificirovannom uchete svedenij o zastrahovannyh licah i personificirovannom uchete svedenij o medicinskoj pomoshchi, okazannoj zastrahovannym licam». SPS «GARANT». [Letter of the Ministry of Health of the Russian Federation dated November 17, 2016 N 17-8/3102029-49381 «On personalized accounting of information about insured persons and personalized accounting of information about medical care provided to insured persons.» RSE «GARANT».] (In Russ.)

8. Punkt 31 chasti III Prikaza Ministerstva zdravoohraneniya RF ot 28 fevralya 2019 g. N 108n «Ob utverzhdenii Pravil obyazatel'nogo medicinskogo strahovaniya». SPS «GARANT». [Paragraph 31 of Part III of the Order of the Ministry of Health of the Russian Federation dated February 28, 2019 No. 108n «On approval of the Rules of compulsory medical insurance». RSE «GARANT».] (In Russ.)

9. Punkt 29 chasti III Prikaza Ministerstva zdravoohraneniya RF ot 28 fevralya 2019 g. N 108n «Ob utverzhdenii Pravil obyazatel'nogo medicinskogo strahovaniya». SPS «GARANT». [Paragraph 29 of Part III of the Order of the Ministry of Health of the Russian Federation dated February 28, 2019 No. 108n «On approval of the Rules of compulsory medical insurance». RSE «GARANT».] (In Russ.)

10. Punkt 35 chasti III Prikaza Ministerstva zdravoohraneniya RF ot 28 fevralya 2019 g. N 108n «Ob utverzhdenii Pravil obyazatel'nogo medicinskogo strahovaniya». SPS «GARANT». [Paragraph 35 of Part III of the Order of the Ministry of Health of the Russian Federation dated February 28, 2019 No. 108n «On approval of the Rules of compulsory medical insurance». RSE «GARANT».] (In Russ.)

11. Chast' 1 Informacii federal'nogo fonda obyazatel'nogo medicinskogo strahovaniya ot 2 aprelya 2019 goda. SPS «GARANT». [Part 1 of the Information of the Federal Compulsory Medical Insurance Fund dated April 2, 2019. RSE «GARANT».] (In Russ.)

12. Chast' 1 stat'i 9 Federal'nogo zakona ot 27 iyulya 2006 g. N 152-FZ «O personal'nyh dannyh» (s izmeneniyami i dopolneniyami). SPS «GARANT». [Part 1 of Article 9 of Federal Law No. 152-FZ of July 27, 2006 «On Personal Data» (with amendments and additions). RSE «GARANT».] (In Russ.)

13. Chast' 2 stat'i 19 Federal'nogo zakona ot 21.11.2011 N 323-FZ «Ob osnovah ohrany zdorov'ya grazhdan v Rossijskoj Federacii» (s izmeneniyami i dopolneniyami). SPS «GARANT». [Part 2 of Article 19 of Federal Law No. 323-FZ dated 11/21/2011 «On the Basics of Public Health Protection in the Russian Federation» (with amendments and additions). RSE «GARANT».] (In Russ.)

14. Chast' 1 Informacii federal'nogo fonda obyazatel'nogo medicinskogo strahovaniya ot 2 aprelya 2019 goda. SPS «GARANT». [Part 1 of the Information of the Federal Compulsory Medical Insurance Fund dated April 2, 2019. RSE «GARANT».] (In Russ.)

15. Stat'ya 16 Federal'nogo zakona ot 29 noyabrya 2010 g. N 326-FZ «Ob obyazatel'nom medicinskom strahovanii v Rossijskoj Federacii» (s izmeneniyami i dopolneniyami). SPS «GARANT». [Article 16 of Federal Law No. 326-FZ of November 29, 2010 «On Compulsory Medical Insurance in the Russian Federation» (with amendments and additions). RSE «GARANT».] (In Russ.)

16. Chast' 2 stat'i 11 Federal'nogo zakona ot 21.11.2011 N 323-FZ «Ob osnovah ohrany zdorov'ya grazhdan v Rossijskoj Federacii» (s izmeneniyami i dopolneniyami). SPS «GARANT». [Part 2 of Article 11 of Federal Law No. 323-FZ dated 11/21/2011 «On the Basics of Public Health Protection in the Russian Federation» (with amendments and additions). RSE «GARANT».] (In Russ.)

17. Chast' 3 Informacii federal'nogo fonda obyazatel'nogo medicinskogo strahovaniya ot 2 aprelya 2019 goda. SPS «GARANT». [Part 3 of the Information of the Federal Compulsory Medical Insurance Fund dated April 2, 2019. RSE «GARANT».] (In Russ.)

18. Chast' 1 Informacii federal'nogo fonda obyazatel'nogo medicinskogo strahovaniya ot 2 aprelya 2019 goda. SPS «GARANT». [Part 1 of the Information of the Federal Compulsory Medical Insurance Fund dated April 2, 2019. RSE «GARANT».] (In Russ.)

19. Stat'ya 16 Federal'nogo zakona ot 29 noyabrya 2010 g. N 326-FZ «Ob obyazatel'nom medicinskom strahovanii v Rossijskoj Federacii» (s izmeneniyami i dopolneniyami). SPS «GARANT». [Article 16 of Federal Law No. 326-FZ of November 29, 2010 «On Compulsory Medical Insurance in the Russian Federation» (with amendments and additions). RSE «GARANT».] (In Russ.)

20. Punkt 1 chasti 4 stat'i 32 Federal'nogo zakona ot 21.11.2011 N 323-FZ «Ob osnovah ohrany zdorov'ya grazhdan v Rossijskoj Federacii» (s izmeneniyami i dopolneniyami). SPS «GARANT». [Paragraph 1 of part 4 of Article 32 of the Federal Law of 21.11.2011 N 323-FZ «On the basics of public health protection in the Russian Federation» (with amendments and additions). RSE «GARANT».] (In Russ.)

21. Chast' 2 stat'i 11 Federal'nogo zakona ot 21.11.2011 N 323-FZ «Ob osnovah ohrany zdorov'ya grazhdan v Rossijskoj Federacii» (s izmeneniyami i dopolneniyami). SPS «GARANT». [Part 2 of Article 11 of Federal Law No. 323-FZ dated 11/21/2011 «On the Basics of Public Health Protection in the Russian Federation» (with amendments and additions). RSE «GARANT».] (In Russ.)