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DoctorsApplies to: Romania

Encrypted exchange of medical reports

Send reports to patients and colleagues and request documents – encrypted, no patient account needed. TEPHIA transfers files case by case; it does not replace the electronic health record (DES), e-prescriptions or the PIAS systems.

What your professional rules require

Legea nr. 46/2003, art. 21–22

Information on the patient’s condition, test results, diagnosis, prognosis and treatment, as well as their personal data, is confidential. It may only be disclosed with the patient’s consent or where the law expressly requires it.

Codul de deontologie medicală (2025), art. 30–32

Medical secrecy: you may pass information to people and institutions not involved in the patient’s care only with the patient’s written consent. Choose file names and messages that do not refer to patients.

Legea nr. 95/2006, art. 30 și 280

For patient data, the law provides for the electronic health record (DES) and systems compatible with the health insurance IT platform (PIAS). TEPHIA replaces neither the DES nor e-prescriptions; it is for exchanging individual files case by case.

Art. 227 Codul penal (Legea nr. 286/2009)

Anyone who, without authorisation, discloses data or information learned through their profession or position that they are obliged to keep confidential faces three months to three years’ imprisonment or a fine. Prosecution requires a complaint by the injured party.

How TEPHIA SECURE meets them

Medical confidentiality in the contract

In clause 5b, our data processing agreement commits us to secrecy about all your patients’ matters to the extent your professional rules require, and limits access to what the service needs. Everyone involved is bound in writing in the same way before starting work. You conclude the agreement electronically and receive a copy as a PDF.

State of the art

AES-256-GCM encryption in the sender’s browser, with the key derived from the password using Argon2id. The server holds no key and cannot read the contents.

No account needed for recipients

Patients do not need an account. Patients and colleagues can send you reports and documents through an upload box, with the same protection and the same proof of delivery.

Verifiable proof of delivery

Each entry is cryptographically chained to the previous one. The proof of delivery is a signed PDF/A with a timestamp from an independent time-stamping authority.

First page of the sample proof of delivery: download via the link in the email, IP address and location, checksum and verification stamp with QR code
See an example: a real proof of delivery A real transfer of three sample files to a demo recipient — digitally signed, timestamped, with the checksum of every file and publicly verifiable at any time.

How your proofs are secured

In every planSignature with our certificate Add-on · coming soonQualified electronic seal
Any change to the PDF invalidates the signatureincludedincluded
Timestamp from an independent authorityincludedincluded
Hash chain with daily chain sealincludedincluded
Checksum (SHA-256) of every file, confirmed by the recipientincludedincluded
Verifiable online, without an accountincludedincluded
Display in Adobe Reader“Validity unknown”1Valid
Legal presumption of authenticity (Art. 35(2) eIDAS)not includedincluded
Useful forYour records, clientsCourts, authorities, the other party

1 Not an error: our certificate is not on the EU trust list that Reader recognises. You can check integrity online or using the certificate fingerprint.

Always included
  • Signature: any change is detected
  • Timestamp from an independent authority
  • Hash chain with daily chain seal
  • Checksum of every file, confirmed by the recipient
  • Verifiable online, without an account
Added with the seal · coming soon
  • Adobe Reader shows “Valid” instead of “Validity unknown”
  • Legal presumption of authenticity (Art. 35(2) eIDAS)
  • Useful for courts, authorities, the other party

There is no certification of services like this by a professional body, and carefully selecting a service provider remains your responsibility under your professional rules.

The information on the legal position on this page is general information, without any warranty as to completeness or currency, and does not constitute legal advice. Only our contracts are binding.