ZAKON O LIJENITVU

I. GENERALITIES
PROMOTION AND PRINCIPLES OF MEDICAL PROFESSION / LIJENIKO
ZVANJE I NAELA OBAVLJANJA LIJENIKE DJELATNOSTI

Doctor is a health care worker with a medical degree and acquired the title doctor medicine. The
doctor is a fundamental and relevant holder of the health activities carried out by respecting in
particular the following principles:
1- Constantly maintaining and improving the quality of medical services in the interest of the
health and social well-being of the population
2- Maintenance and promotion of trust between doctors and patients and their family
members
3- Respecting patients' rights
4- Independent and professional activity and the preservation and promotion of freedom and
reputation of the medical profession.
5- Promote dignified and responsible professional conduct compliance work regulations, codes
of practice and codes of medical ethics and deontology.

MEDICAL SERVICES / LIJENIKA DJELATNOST

The purpose of medical activities is to protect the health of individuals, families and
entire populations. Medical activity includes:
1- Examination which determines the presence or absence of physical or mental
illness, physical damage or anomalies
2- Assessment of the above mentioned conditions using medical diagnostic
instruments, procedures and funds.
3- Treatment and rehabilitation
4- Blood components and derivatives
5- Prevention, health education and counseling
6- Reproductive health care and assistance at birth
7- Prescription drugs, medical products and supplies
8- Taking and transplanting organs and tissues
9- Pathology and autopsy of deceased persons
10-Issue medical certificates, certificates, endorsements and reviews
11-Other actions in accordance with the general and special regulations.

METHOD OF PROVIDING MEDICAL SERVICES / NAIN OBAVLJANJA

LIJENIKE DJELATNOSTI

In the process of making decisions and choices diagnosis and appropriate treatment of
physician's independent actions in accordance with the scientific knowledge and

professional proven methods that correspond to the modern standards of the profession.
treatment in accordance with scientific knowledge and professional proven methods that
are appropriate. The doctor is required in carrying out medical activities in particular:
1- Respect the principles of the medical profession
2- To refrain from any activity which is incompatible with the reputation, dignity and
independence the medical profession.

AUTHORIZATION TO PERFORM MEDICAL SERVICES /OVLATENJE ZA

OBAVLJANJE LIJENIKE DJELATNOSTI
Medical activity may be performed only by doctors.

GENERAL CONDITIONS FOR CONDUCTING MEDICAL SERVICES / OPI

UVJETI ZA OBAVLJANJE LIJENIKE DJELATNOSTI
1- Graduate of one of the medical schools in the Republic of Croatia or validated
diploma foreign medical school
2- Professional examination or specialist examination or examination of industry
specialization to work independently in particular specialist or branches of narrow
specialization
3- Croatian citizenship, or EU citizenship
4- Knowledge of the Croatian language
5- Entry in the Register of Medical Practitioners Croatian Medical Chamber (upis u
Imenik lijenika hrvatske lijenike Komore)
6- Authorization for independent work (license)

TERMINATION RIGHTS TO CONDUCT MEDICAL SERVICES / PRESTANAK PRAVA ZA

OBAVLJANJE LIJENIKE DJELATNOSTI
Doctor are no longer entitled to the medical profession:
If you lose the :
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Croatian citizenship
Legal capacity
Is permanently incapable of performing medical activities
If he was given a measure of ban on performing medical activities
If the disciplinary punishment of the body Croatian Medical Chamber has lost the
right to practice Medical activities.

Worthy of the medical profession / NEDOSTOJNOST ZA OBAVLJANJE LIJENIKE

DJELATNOSTI
A doctor who is found guilty of committing a crime and is in a final court decision may be,
given the importance and nature of the endangered property or other consequences, as
well as the circumstances under which the act was done or omitted, considered unworthy
of the medical profession. The doctor may be denied approval to work independently or
temporarily or permanently revoked for standalone operation. Depending on the type of
offense and the consequence he had, the doctor may be temporarily or permanently
restricted license to work independently with given the scope and type of activities that

the doctor must deal with. Of practicing doctors activity determined by an administrative
decision authority designated by the Statute of the Croatian Medical Association (komore)

II. PUBLIC BOOKS CROATIAN MEDICAL CHAMBER / II. JAVNE KNJIGE

HRVATSKE LIJENIKE KOMORE
ENTRY IN DOCTOR DOCTOR DIRECTORY CROATIAN MEDICAL CHAMBER /
UPIS LIJENIKA U IMENIK LIJENIKA HRVATSKE LIJENIKE KOMORE
Registration of a doctor Croatian Medical Chamber (Upis u Imenik lijenika Hrvatske
lijenike komore) is done at the request of a physician who meets conditions (diplomas,
professional exam, citizenship, knowledge Croatian).

PUBLIC BOOKS CROATIAN MEDICAL CHAMBER / JAVNE KNJIGE HRVATSKE

LIJENIKE KOMORE
Croatian Medical Chamber Directory is a list of doctors, the other registers and records.
Croatian medical Chamber keeps special records for interns, residents, specialists and subspecialists, special training of doctors and the record of disciplinary proceedings. These
are all public books.

MEDICAL CARD / LIJENIKA ISKAZNICA

Doctor registered in the Register of Medical Practitioners issued a medical card. The form
and content of the medical card and way of issuing and keeping a register of identity cards
issued by the regulations of Croatia prescribes medical chamber.

Removal from the list DOCTOR / BRISANJE IZ IMENIKA LIJENIKA

The doctor will be deleted from the Register of physicians:
1- at his own request
2- Decision of the disciplinary bodies of the Croatian Medical Chamber
3- Death.

III. LICENSE TO PRACTICE DOCTOR / III. ODOBRENJE ZA SAMOSTALAN RAD

LIJENIKA
AUTHORIZATION TO PRACTICE DOCTOR / DAVANJE ODOBRENJA ZA SAMOSTALAN
RAD LIJENIKA
Doctor who is registered in the Register of Medical Practitioners, Croatian Medical
Chamber gives permission to work independently (License). Approval for a proof of
competency for independent physicians the medical profession on the Croatian territory.
The license doctor gives or denies an administrative decision authority designated by the
Statute Croatian Medical Association.

Obnavljanje licence / Renewal of licence

Doctors have the right and obligation to undergo professional training to maintain and
improve the quality of medical activities. Doctors are required every six years to pass a
proficiency check of the Croatian Medical chamber in order to renew the license of a
business in the medical industry.

CONTENTS OF APPROVAL OF INDEPENDENT WORK / SADRAJ ODOBRENJA

ZA SAMOSTALAN RAD
A doctor can perform their profession only within their specific training approval work
independently. Doctor with a specialization or narrow specialization shall be granted
independent work in the area of specialty or industry specialization for which he is
qualified. Doctor with professional exam and a doctor specializing given permission to
work independently in the field general medicine. Exceptionally, although no authorization
to work independently from a particular specialty, a doctor can perform medical practice
in an area that had not been given permission to work independently in the following
situations:
1- In the social crisis or in other exceptional circumstances when his action are
necessary because the provision of regular health care disabled
2- In emergencies when the lack of medical emergency and help permanently
jeopardized health or life of patients
3- In the circumstances of deficient health care that can provide regular health care.

IV. ORGANIZATION AND OPERATION Medical Practice PHYSICIAN employed and

private practice / IV. ORGANIZACIJA I OBAVLJANJE LIJENITVA LIJENIK U RADNOM
ODNOSU I PRIVATNOJ PRAKSI
The medical profession doctor can perform employed or in private practice.
A doctor employed performs medical profession in
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Medical institution
Company
In other legal entities providing health care service
With another physician who performs private practice.

The doctor performing medical profession in their own private practice or in a rented
space.

V. RIGHTS AND OBLIGATIONS OF DOCTOR IN the medical profession / V. PRAVA I

OBVEZE LIJENIKA U OBAVLJANJU LIJENIKE DJELATNOSTI
PROVISION OF MEDICAL ASSISTANCE AND DENYING / PRUANJE I USKRAIVANJE
LIJENIKE POMOI
The doctor is required to implement the necessary measures for prevention, diagnosis,
treatment, and rehabilitation in all persons (in the situation they chose him or they were
referred to him) health care. In emergency situations the physician is required to provide
assistance to every patient without delay, and other patients shall receive according to
the degree of medical priorities, or to a waiting list.

Emergencies are considered to be those states like lasting adverse health effects
(disability) or by a patient's life in danger. The doctor may refuse to provide medical
assistance to the person who threatened him or other health care workers, physically
aggressive, except in cases of emergency. In this case, the physician has to provide the
patient the necessary emergency medical help if it is provided with police protection or
some other form of protection. (same thing for mental patients)

RELATIONS OF DOCTORS AND PATIENTS / MEUSOBNI ODNOSI LIJENIKA I

PACIJENATA
All procedures medical prevention, diagnosis, and treatment must be planned and
implemented so to preserve human dignity, integrity and rights of patients, especially the
right to be informed and independent decision-making. The doctor is required compared
to patients treated using the compliance with the provisions of special laws governing
patients' rights and the provisions of the Code Croatian Medical Association.

Conscientious / PRIZIV SAVJESTI

Because of its ethical, religious or moral beliefs or beliefs doctor has the right to call on
appeal of conscience and refuse to conduct diagnosis, treatment and rehabilitation of the
patient, if it does not interfere with rules of the profession, and if this does not cause
permanent damage to the health or endanger the patient's life. About his decision shall
promptly inform the patient and refer him to another physician of the same profession. If
the doctor employed in a medical institution, company or other legal entity that health
service or by another physician who performs private practice, the decision must notify
your supervisor or employer.

MEDICAL CONFIDENCIALITY / LIJENIKA TAJNA

All that the doctor knows the patient who asks for his medical treatment in connection
with his medical condition, may account kept as a medical mystery and may be disclosed,
unless a special law provides otherwise provided only with the permission of the patient,
parent or guardian for minors, in his mental incapacity or death, with the approval of the
immediate family, guardian or legal representative.

Obligation to Report / OBVEZA PRIJAVLJIVANJA

The doctor is required to file a report with the police or the state attorney's office when
during the practice of medicine by to believe that death or bodily injury to a person in a
violent way. The doctor is required to submit an application and when he suspects the
minor or a mentally challenged person health condition seriously threatened neglect or
abuse.

Keeping MEDICAL RECORDS / VOENJE I UVANJE MEDICINSKE DOKUMENTACIJE

The physician is required to keep accurate, detailed and dated medical records in
accordance with regulations records in the health field, which may at any time provide
sufficient information on health of the patient and his treatment. The doctor is required to
make such records on request visualize the Ministry of Health, the state administration in
accordance with special regulations, Croatian Medical Association or judicial authorities.

The doctor or the person responsible health authorities, company or other legal entity that
performs medical services are required to documents held in electronic media from
change, premature destruction or unauthorized use. The doctor is obliged to request to
submit all patient medical documentation relating to the diagnosis and treatment of his
illness. The doctor or the person responsible health institution, company or other legal
entity that provides health-care activities are required to maintain records of outpatient
treatment of patients ten years after completion of treatment, and after that date
are required to comply with the rules on keeping records. When authorized person
pursuant to a separate law take medical documentation required to issue a doctor,
responsible person healthcare facilities, company or legal person who is not performing
health services, an official signed certificate of acceptance with a list of foreclosed
documentation.

MEDICAL CERTIFICATES / LIJENIKE SVJEDODBE

The doctor is authorized to issue medical certificates only after a medical examination and
review of existing medical records of the person who issued the certificate, and after
exactly established fact that should verify the certificate, to the best of my knowledge and
belief.

CHOICE OF ANOTHER DOCTOR / IZBOR DRUGOGA LIJENIKA

In the case of moving the patient or if the patient chooses another doctor, physician,
health institution, company or other legal entity which performs health service, obliged
to hand over all newly elected physician medical record of the patient and in
accordance with regulations on the management and storage of medical records to store
a signed statement about the assumed medical records.

SEARCH DOCTOR / PRETRAGA LIJENIKE ORDINACIJE

Search doctors' offices may be ordered only by written order if it met the conditions
prescribed by law. When a search of doctors' offices, the court shall forthwith notify the
Croatian Medical Chamber, or its county on whose territory the office site to be search. It's
a doctor that he or his representative, shall witnesses, one of which may be representative
of the Croatian Medical Chamber attends search doctors' offices. In time doctors' offices
must not be violated medical confidentiality documents and objects to the detriment of
patients. Review of doctors' offices will be limited to review only those documents
and items that are directly related to the offense. The evidence obtained contrary
to the provisions of this Article shall not be used in proceedings against the doctor and his
patients.

RELATIONS DOCTOR / MEUSOBNI ODNOSI LIJENIKA

The doctor is their behavior and procedures require : honor, dignity and reputation of
another physicians, recognizing his expertise.

Obligation to inform another doctor / OBVEZA OBAVJETAVANJA DRUGOGA

LIJENIKA
When a physician refers a medical or in another institution, company, or other legal
person who renders medical services to patients who because of their condition or
behavior could endanger the health or life of doctors, other health care workers or other
patients, obliged them is given sufficient notice by telephone, electronically or in any
other appropriate manner.

VI. QUALITY ASSURANCE PROVIDED HEALTH SERVICES TRAINING / VI. OSIGURANJE

KVALITETE PRUENE ZDRAVSTVENE USLUGE STRUNO USAVRAVANJE
The doctor has the right and obligation of professional training, which includes:
- continuous monitoring of development medical science
- the acquisition of new knowledge and skills. The employer is required to provide a
doctor his professional training in the scope of the need for renewal of authorization to
work independently.

PROFESSIONAL SUPERVISION OF THE DOCTOR / STRUNI NADZOR NAD RADOM

LIJENIKA
Croatian Medical Chamber performs professional supervision of a physician, ensuring the
performance of the medical profession in the appropriate scope, quality and type of health
services and the exercise of rights patients.

VII. EVALUATION OF MEDICAL SERVICES MEDICAL EVALUATION OF WORK / VII.

VREDNOVANJE LIJENIKE DJELATNOSTI VREDNOVANJE LIJENIKOG RADA
Evaluation of medical work as a highly specialized activity of great value to the individual
and society, in the primary health care network is regulated by a collective agreement,
taking into account longevity of undergraduate education, specialized training and
professional development of narrow branches specialties, continuing education in order to
renew their licenses for independent work and outstanding responsibility to protect the
health of individuals and entire populations. Evaluation of medical work outside the
primary health care network is determined by the tariff Croatian Medical Chamber.

COSTS OF PRIVATE DOCTOR / CIJENA RADA PRIVATNIH LIJENIKA

The minimum cost of private doctors determined Croatian Medical Chamber. Croatian
Medical Chamber approve the individual price of medical services to every private doctor.
Family doctor needs to area of activities to highlight its list of health services accessible
and visible to place.

Charity work DOCTOR / KARITATIVNI RAD LIJENIKA

Doctor beyond basic health care network can practice medicine without getting paid, in
collaboration with religious or non-governmental organizations or independently.

Performing activities physician must register in Croatia's institutions for entry into the
public record Croatian Medical Chamber.

VIII. CROATIAN MEDICAL CHAMBER / VIII. HRVATSKA LIJENIKA KOMORA

Mandatory Nature of association in the Croatian Medical Chamber / OBVEZATNOST
UDRUIVANJA U HRVATSKU LIJENIKU KOMORU
Doctors who work in direct health care jobs must come together in Croatia medical
chamber (hereinafter referred to as the Association), as an independent professional
organization with status of a legal person and public authorities. The chamber within their
activity represents physicians in Croatia and abroad.

Exemptions from ASSOCIATION IN CHAMBER / IZNIMKE OD OBVEZNOG

UDRUIVANJA U KOMORU
Exceptionally, membership in the Association is voluntary for doctors:
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Does not work in direct health care jobs

Performing medical activities outside Croatia
Are unemployed
Are retired.

Doctors voluntarily join the Croatian Medical Association, its affiliates, and professional
societies as well as other professional medical societies and associations.

PUBLIC CHAMBER OF POWERS / JAVNE OVLASTI KOMORE

The Chamber has the following public authorities:
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Leading directory of doctors in Croatia

Issue, renew and revoke licenses for independent work
Performs professional supervision of a physician,
Determines the minimum cost of private doctors
Approve individual prices of medical services of private doctors.

JOBS CHAMBERS / POSLOVI KOMORE

In addition to public authorities, the Chamber performs the following tasks:
1- Preserves and enhances social status and reputation of the medical profession
2- Provides the Code of medical ethics and deontology and monitors and supervises its
implementation and sanctions violation
3- In conjunction with medical schools and professional medical societies, organizes,
supervises and evaluates the continuing professional development of doctors
4- Provides opinion on the establishment, relocation and termination of private health
institutions and private practice
5- Representing doctors in the contract with the Croatian Institute for Health Insurance
and insurance companies for the purpose of evaluating the medical work in the
process of price formation health services
6- Proposes a basic network of health care

7- Gives suggestions and expert opinions in the preparation of regulations that have
an impact on the development of medical profession, health care and the medical
profession
8- Perform other duties and tasks in accordance with the law and other regulations.

BODY CELLS / TIJELA KOMORE

The bodies of the Association are the General Assembly, the Council, the Executive
Committee, Chairman, Supervisory Board, court and other bodies established laws of the
Association.
Tijela Komore su Skuptina, Vijee, Izvrni odbor, predsjednik, Nadzorni odbor, sud i
druga tijela utvrena Statutom Komore.

SUPERVISION OF THE CHAMBER / NADZOR NAD RADOM KOMORE

Legality of the Chamber in the exercise of its public powers carried ministry of Health.

Cooperation of the Chamber with the Ministry of Health and other BODIES /
SURADNJA KOMORE S MINISTARSTVOM NADLENIM ZA ZDRAVSTVO I DRUGIM
TIJELIMA
The Chamber informs the Ministry of Health, other government bodies and competent
authorities local and territorial (regional) self-government, on its own initiative or at the
request of state and the problems of the medical profession and the measures that should
be taken to improve medical profession and health of citizens. The chamber collaborates
with government bodies and local and drune (regional) governments in addressing issues
important to the achievement of tasks and solve problems of the medical profession. The
Chamber actively and continuously collaborates with other health Chambers workers,
Croatian Medical Association, medical schools and medical associations and chambers
abroad.

NOTIFICATION TO THE CHAMBER / OBAVJETAVANJE KOMORE

The police, prosecution and courts informed of all actions taken against the doctor Ministry
of Health and the Chamber. It is the duty of the Chamber to inform the authorities and the
ministry responsible for the health of all proceedings brought against the doctors, who
have criminal elements works.

REGULATIONS OF THE CHAMBER / OPI AKTI KOMORE

Chamber adopted the Statute and other general acts. The Statute of the Chamber gives
its approval by the minister responsible for Health. Statute of the Association shall be
published in the Narodnim novinama.

STATUTE OF CHAMBER / STATUT KOMORE

Statute of the Association shall be determined as follows:
1- Chamber activities performed within its statutory powers
2- Scope and organization of work

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Structure and authority of the Chamber and the manner of their choice and action
Contents, terms and method of training members of the Chamber
Procedure for issuing, renewal and revocation of licenses for independent work
Disciplinary proceedings against a member of the Chamber
Other issues relevant to the medical profession.

Code of medical ethics and deontology / KODEKS MEDICINSKE ETIKE I

DEONTOLOGIJE
Chamber Assembly adopted the Code of medical ethics and deontology. Code of Medical
Ethics and deontology, starting from the humanistic principles and fundamental values of
the society, establishes principles and rules which doctors must follow when practicing
their profession. Code of medical ethics and deontology published in the " Narodnim
novinama ".

FUNDING THE CHAMBER / FINANCIRANJE RADA KOMORE

To achieve its objectives and carry out tasks chamber acquires assets:
1- Registration
2- Rights
3- Other revenue generated Chamber's activities.
From the Croatian state budget funds are provided for carrying out the tasks which the
Chamber performed on the basis of public authority.

Mutual Aid Fund / FOND UZAJAMNE POMOI

Chambers their funds established Mutual Aid Fund to assist doctors or members of their
immediate family who no fault of their own they come to social disadvantage, and to
criteria that bylaw determines the Assembly Chamber.

PAYMENT OF FEES AND OTHER LIABILITIES Chamber members / PLAANJE

LANARINE I DRUGE FINANCIJSKE OBVEZE LANA KOMORE
The doctor is required to regularly pay membership fees and meet other financial
obligations to the Association.

ARBITRATION / ARBITRAA
Doctors - Chamber members can resolve mutual disputes in carrying out its activities an
arbitration Association. The appointment of an arbitrator or a panel of arbitrators and
other issues arbitration proceedings, edited by the regulations of the Chamber. The
agreement to bring the dispute to arbitration the parties will define the issue to
arbitration. Arbitration can decide only the issue brought before it by the parties to the
dispute. The arbitration decision on the claim by a party force of a final judgment of a
regular court. The arbitration decision may be challenged before the court in accordance
with special law.

IX. DISCIPLINARY LIABILITY OF DOCTOR disciplinary violation / IX. DISCIPLINSKA

ODGOVORNOST LIJENIKA DISCIPLINSKE POVREDE

The doctor has a disciplinary liable if:

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Violates the provisions of this Act

Violates the Code of Medical Ethics and Deontology
Practices medicine profession
Their behavior towards the patient, medical or other third parties violates the
reputation medical profession
5- Does not meet the Constitution or another enactment of certain obligations of
membership of the Chamber.
Criminal and civil liabilities doctor or disciplinary responsibility in a medical institution, a
company or other legal entity that provides health-care services, does not preclude
disciplinary responsibility of a physician before the Chamber.

DISCIPLINARY BODY / DISCIPLINSKA TIJELA

Doctors suit for disciplinary violations before the disciplinary bodies of the Chamber.
Disciplinary Body Chambers are the Court of Honor and High Court Chambers.
(Disciplinska tijela Komore su asni sud i Visoki asni sud Komore. )

DISCIPLINARY MEASURES / DISCIPLINSKE MJERE

For more serious disciplinary violations doctor may impose the following disciplinary
actions:
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Reprimand
Public reprimand
Fine
Temporary withdrawal of authorization to work independently of one month to a
year
5- Permanently revoking licenses for self-employment
6- Temporarily or permanently limit the scope of the authorization to work
independently.
For minor disciplinary breaches doctor may impose the following disciplinary actions:
1- Warning
2- Fine.
Disciplinary measures revoking licenses for independent work may be imposed probation
with probation six months to two years.

FINE / DISCIPLINSKE MJERE

The amount of the fine is determined by laws of the Association provided that it can not be
lower than 1000.00 kunas and higher than 5,000.00 kunas. Collected fines shall be paid
into the Fund Mutual Aid Association (Fond uzajamne pomoi Komore).

Instituting disciplinary proceedings / POKRETANJE DISCIPLINSKOG POSTUPKA

The Court of Honor, may initiate disciplinary proceedings ex officio or at the request of the
patient, and other interested parties, some of the bodies of the Chamber and at the
request of the Minister responsible for Health.

X. PENALTIES
A fine in the amount of 5,000.00 to 10,000.00 shall be imposed on physician not fulfilling
the general conditions for the practice of medicine provides medical assistance.
A fine in the amount of 5,000.00 to 10,000.00 shall be imposed on the doctor:
1- Performing medical activities outside the scope of a specific authorization for
independent work
2- Refuses to provide medical assistance
3- If you do not respect the obligation to keep medical secrets
4- If you do not fulfill the obligation to report
5- If you do not maintain and keep medical records
6- If you do not fulfill the obligation to notify another physician