Rus News Journal

The order of Ministry of health and social development of the Russian Federation (Minzdravsotsrazvitija of Russia) from December, 28th, 2011 N 1689 Moscow About the statement of an order of a direction of citizens of the Russian Federation for rendering of hi-tech medical aid at the expense of the budgetary appropriations provided in the federal budget to Ministry of health and social development of the Russian Federation, with application of specialised information system

It is registered in Ministry of Justice of the Russian Federation on February, 8th, 2012 Registration N 23164

According to article 34 of the Federal law from November, 21st, 2011 N 323 - FZ About bases of health protection of citizens in the Russian Federation (Meeting of the legislation of the Russian Federation, 2011, N 48, item 6724) I order:

1. To confirm an order of a direction of citizens of the Russian Federation for rendering of hi-tech medical aid at the expense of the budgetary appropriations provided in the federal budget to Ministry of health and social development of the Russian Federation, by application of specialised information system according to the application.

2. Control over execution of the present order to assign to deputy minister V.I.Skvortsovu.

Vrio of Minister B. Belov

the Application

the Order of a direction of citizens of the Russian Federation for rendering of hi-tech medical aid at the expense of the budgetary appropriations provided in the federal budget to Ministry of health and social development of the Russian Federation, by application of specialised information system

1. The present Order defines rules of a direction of citizens of the Russian Federation needing rendering of hi-tech medical aid (further - patients), in the medical organisations rendering hi-tech medical aid (further - VMP) to citizens of the Russian Federation at the expense of the budgetary appropriations provided in the federal budget to Ministry of health and social development of the Russian Federation, including given in the form of grants to budgets of subjects of the Russian Federation (further - the medical organisations rendering VMP), by application of specialised information system It is information - analytical system of Ministry of health and social development of the Russian Federation (further - specialised information system Minzdravsotsrazvitija of Russia).

2. Enforcement authorities of subjects of the Russian Federation in public health services sphere carry out a direction of the patients living in territory of the subject of the Russian Federation, for rendering VMP, and also informing on an order and conditions of rendering VMP in interaction with Ministry of health and social development of the Russian Federation (further - Minzdravsotsrazvitija of Russia), the medical organisations in which take place treatment and supervision patients, and the medical organisations rendering VMP.

3. The basis for a direction of the patient in the medical organisation for rendering VMP is the decision of the Commission of enforcement authority of the subject of the Russian Federation in public health services sphere on selection of patients for rendering VMP (further - the Commission of the subject of the Russian Federation).

4. Carrying out of selection of patients and their direction in the Commission of the subject of the Russian Federation is carried out by the medical commissions of the medical organisations, in which pass treatment and supervision patients (further - the Medical commission), under the recommendation of the attending physician on the basis of an extract from the medical documentation of the patient.

5. The extract from the medical documentation of the patient, issued by the attending physician, should contain the diagnosis of disease (status), a diagnosis code on MKB - H *, data on a state of health of the patient, spent diagnostics and treatment, the recommendation on necessity of rendering VMP.

results of laboratory, tool and other kinds of researches are applied On an extract from the medical documentation of the patient on a profile of disease of the patient, confirming the established diagnosis.

6. The medical commission within three working days from the date of reception of an extract from the medical documentation of the patient considers it and the decision on a direction or on refusal in a direction of documents of the patient in the Commission of the subject of the Russian Federation for the decision of a question on necessity of rendering to it VMP makes. The decision of the Medical commission is made out by the report.

Criterion of acceptance by the Medical commission of the decision is presence of medical indications for rendering VMP according to the list of kinds VMP ** (further - the List).

7. The medical commission in case of decision-making on a direction of documents of the patient in the Commission of the subject of the Russian Federation for the decision of a question on necessity of rendering to it VMP within three working days forms and directs to the Commission of the subject of the Russian Federation, including by means of electronic interaction, the complete set of documents which should contain (further - the complete set of documents):

1) an extract from the report of the decision of the Medical commission;

2) the written statement of the patient (its lawful representative, the authorised representative), containing following data on the patient:

a surname, a name, a patronymic (at presence);

) the data about a residence;

requisites of the document proving the identity and citizenship;

the mailing address for a direction of written answers and notification messages;

number of contact phone (at presence);

) the electronic address (at presence);

3) the consent to processing of personal data of the citizen (patient);

4) copies of following documents:

the passport of the citizen of the Russian Federation;

the birth certificate of the patient (for children about 14 years are elderly);

) the policy of obligatory medical insurance of the patient (at presence);

the certificate of obligatory pension insurance of the patient (at presence);

) an extract from the medical documentation of the patient signed by the head of the medical organisation in a place of treatment and supervision of the patient, containing the data specified in the paragraph first point 5 of the present Order (further - an extract from the medical documentation of the patient);

) results of laboratory, tool and other kinds of the researches, confirming the established diagnosis.

8. In case of the reference on behalf of the patient of the lawful representative of the patient (authorised representative):

1) in the written statement data on the lawful representative (authorised representative), specified in subparagraph 2 of point 7 of the present Order are in addition specified;

2) in addition on the written reference of the patient are applied:

) a copy of the passport of the lawful representative of the patient (the authorised representative of the patient);

a copy of the document confirming powers of the lawful representative of the patient, or assured in established by the legislation of the Russian Federation an order the power of attorney addressed to the authorised representative of the patient.

9. In case of decision-making on refusal in a direction of documents of the patient in the Commission of the subject of the Russian Federation for the decision of a question on necessity of rendering to it VMP the Medical commission gives out to the patient (to its lawful representative, the authorised representative) an extract from the medical documentation of the patient and an extract from the report of the decision of the Medical commission with instructions of causes of a failure.

10. The patient (its lawful representative, the authorised representative) has the right to present the complete set of documents to the Commission of the subject of the Russian Federation independently.

In this case an extract from the report of the decision of the Medical commission and the extract from the medical documentation of the patient is handed out to the patient (to its lawful representative, the authorised representative).

11. Term of preparation of the decision of the Commission of the subject of the Russian Federation about presence (absence) of medical indications for a direction of the patient in the medical organisations for rendering VMP should not exceed ten working days from the date of receipt in enforcement authority of the subject of the Russian Federation in sphere of public health services of the complete set of the documents provided by point 8 of the present Order.

12. The decision of the Commission of the subject of the Russian Federation is made out by the report containing following data:

1) the basis of creation of the Commission of the subject of the Russian Federation (requisites of the standard legal certificate);

2) structure of the Commission of the subject of the Russian Federation;

3) passport data of the patient (F. And. O, date of birth, the data about a residence);

4) the diagnosis of disease (status);

5) the conclusion of the Commission of the subject of the Russian Federation, containing the following information:

about presence of medical indications for a direction of the patient in the medical organisation for rendering VMP, the diagnosis, a diagnosis code on MKB - H, a code of kind VMP according to the List, the name of the medical organisation to which the patient for rendering VMP goes;

) about absence of medical indications for a direction of the patient in the medical organisation for rendering VMP;

) about presence of medical indications for a direction of the patient in the medical organisation for the purpose of carrying out of additional inspection (with instructions of necessary volume of inspection), the diagnosis, a diagnosis code on MKB - H, the name of the medical organisation to which the patient for inspection goes;

about presence of medical indications for a direction of the patient in the medical organisation for rendering of specialised medical aid, the diagnosis, a diagnosis code on MKB - H, the name of the medical organisation to which the patient goes.

13. The report of the decision of the Commission of the subject of the Russian Federation is stored in enforcement authority of the subject of the Russian Federation in public health services sphere.

the Extract from the report of the decision of the Commission of the subject of the Russian Federation goes to the medical organisation specified in point 5 of the present Order, including by means of electronic interaction, and also is handed out to the patient (to its lawful representative, the authorised representative) or goes to the patient (its lawful representative) the item of mail and (or) on electronic mail.

14. In case of acceptance of the decision provided by the subparagraph " by the Commission of the subject of the Russian Federation; and subparagraph 5 of point 12 of the present Order, the chairman of the Commission of the subject of the Russian Federation provides:

1) registration on the patient of registration form N 025/ at - VMP the Coupon on rendering VMP Minzdravsotsrazvitija of Russia confirmed by the order from April, 16th, 2010 N 242 (it is registered by Ministry of Justice of Russia on June, 17th, 2010 N 17565), with the changes brought by the order of Minzdravsotsrazvitija of Russia from February, 16th, 2011 N 138 About modification of the order of Ministry of health and social development of the Russian Federation from April, 16th, 2010 N 242 About the statement and an order of conducting forms of the statistical account and the reporting on realisation of the state task for rendering of hi-tech medical aid to citizens of the Russian Federation at the expense of budgetary appropriations of the federal budget (it is registered by Ministry of Justice of Russia on March, 15th, 2011 N 20116) (further - the Coupon on rendering VMP), with application of specialised information system Minzdravsotsrazvitija of Russia within three working days from the date of decision-making;

2) the coordination with the medical organisation rendering VMP, prospective date of hospitalisation of the patient for rendering VMP with application of specialised information system Minzdravsotsrazvitija of Russia;

3) a direction of the patient in the medical organisation for rendering VMP in the planned term.

15. To the Coupon on rendering VMP are applied and go to the medical organisation with application of specialised information system Minzdravsotsrazvitija of Russia:

1) a copy of an extract from the medical documentation of the patient;

2) results of laboratory, tool and other kinds of the researches, spent to the patient with a view of acceptance of the decision by the Commission of the subject of the Russian Federation about presence (absence) of medical indications for a direction of the patient in the medical organisation for rendering VMP.

16. In case of acceptance of the decision provided by the subparagraph " by the Commission of the subject of the Russian Federation; in subparagraph 5 of point 12 of the present Order, the enforcement authority of the subject of the Russian Federation in public health services sphere provides a direction of the patient on carrying out of laboratory, tool and other kinds of researches within the limits of the program of the state guarantees of free rendering to citizens of the Russian Federation of the medical aid confirmed by the Government of the Russian Federation ***.

17. In case of acceptance of the decision provided by the subparagraph " by the Commission of the subject of the Russian Federation; g Subparagraph 5 of point 12 of the present Order, the enforcement authority of the subject of the Russian Federation in public health services sphere provides a direction of the patient for rendering of specialised medical aid within the limits of the program of the state guarantees of free rendering to citizens of the Russian Federation of the medical aid confirmed by the Government of the Russian Federation ***.

18. The commission of the subject of the Russian Federation carries out conducting the account of the patients needing rendering VMP living in territory of the subject of the Russian Federation, with observance of requirements of the legislation of the Russian Federation about personal data.

19. The basis for hospitalisation of the patient in the medical organisation rendering VMP, is the decision of the Commission of the medical organisation rendering VMP, on selection of patients on rendering VMP (further - the Commission of the medical organisation, the Commission of the federal medical organisation).

20. The commission of the medical organisation is formed by the head of the medical organisation rendering VMP, with number of structure not less than three persons.

the Chairman of the Commission of the medical organisation is the head of the medical organisation or one of its assistants.

Position about the Commission medical the organisations, its structure, an operating procedure affirm the order of the head of the medical organisation.

21. The basis for consideration on the Commission of the medical organisation of a question on presence (about absence) medical indications for hospitalisation of the patient with a view of rendering VMP is the Coupon on rendering VMP with the application in electronic form the documents specified in point 15 of the present Order.

22. The commission of the medical organisation makes the decision on presence (absence) of medical indications for hospitalisation of the patient with a view of rendering VMP taking into account kinds VMP rendered by the medical organisation included in the List, in time, not exceeding ten working days from the date of registration on the patient of the Coupon on rendering VMP.

23. The decision of the Commission of the medical organisation is made out by the report containing the following data:

1) the basis of creation of the Commission of the medical organisation (statutory act requisites);

2) date of decision-making by the Commission of the medical organisation;

3) structure of the Commission of the medical organisation;

4) passport data of the patient (a surname, a name, a patronymic (at presence), date of birth, data on a residence);

5) the disease diagnosis (a status);

6) the conclusion of the Commission of the medical organisation:

about presence of medical indications for hospitalisation of the patient in the medical organisation for rendering VMP with instructions of the diagnosis, a diagnosis code on MKB - H, a code of kind VMP according to the List, planned date of hospitalisation of the patient;

about fromsutstvii medical indications for hospitalisation of the patient in the medical organisation for rendering VMP with recommendations about the further medical supervision and (or) to treatment of the patient on a profile of its disease;

about presence of medical indications for a direction of the patient on carrying out of additional inspection (with instructions of necessary volume of inspection), with instructions of the diagnosis, a diagnosis code on MKB - H;

about presence of medical indications for a direction of the patient in the medical organisation for rendering of specialised medical aid, with diagnosis instructions, a diagnosis code on MKB - H

24. The report of the decision of the Commission of the medical organisation is made out on the paper carrier in one copy and stored in the medical organisation rendering VMP, and also applied in electronic form on the Coupon on rendering VMP.

the Commissions of subjects of the Russian Federation provide informing of patients (their lawful representatives, authorised representatives) on the decision accepted by the Commission of the medical organisation.

25. The medical organisations rendering VMP:

1) render VMP to the patient according to usages of rendering of medical aid and on the basis of standards of medical aid which Minzdravsotsrazvitija of Russia **** affirm;

2) make recommendations about the further treatment and medical rehabilitation of patients after rendering VMP;

3) upon termination of treatment of the patient within five working days bring the corresponding information in the Coupon issued on the patient on rendering VMP and apply on it a copy of an extract from a medical card of the inpatient with application of specialised information system Minzdravsotsrazvitija of Russia.

26. The enforcement authority of the subject of the Russian Federation in public health services sphere provides in case of need a direction of patients in the medical organisations for carrying out of the further treatment and medical rehabilitation after rendering VMP according to recommendations of the medical organisation rendering VMP.

27. Minzdravsotsrazvitija Russia is carried out by a direction of patients for rendering VMP in the medical organisations rendering VMP, subordinated Minzdravsotsrazvitija of Russia, Federal mediko - to biological agency and the Russian academy of medical sciences (further - the federal medical organisation), in cases, if:

1) the patient does not live in territory of the Russian Federation;

2) the patient does not consist on the registration account in a residence;

3) the enforcement authority of the subject of the Russian Federation in sphere of public health services has not provided a direction of the patient in the medical organisations for rendering VMP according to the present Order.

28. The basis for the decision of a question on a direction of Minzdravsotsrazvitija of Russia of the patient in the federal medical organisation for rendering VMP is the written reference of the citizen (its lawful representative, the authorised representative) in Minzdravsotsrazvitija Russia.

29. Reception and check in of written references of the citizen (their lawful representatives, authorised representatives) in Minzdravsotsrazvitija Russia is carried out according to requirements of Administrative regulations of Ministry of health and social development of the Russian Federation on execution of the state function The organisation of enrolment of citizens, timely and complete examination of their references submitted in the oral or written form, acceptance on them of decisions and a direction of answers in established by the legislation of the Russian Federation term Minzdravsotsrazvitija of Russia confirmed by the order from April, 11th, 2011 N 293 (it is registered by Ministry of Justice of Russia on May, 24th, 2011 N 20850).

30. The written reference of the citizen in Minzdravsotsrazvitija Russia should contain the data specified in subparagraph 2 of point 7 of the present Order, and the information on the reference reasons in Minzdravsotsrazvitija Russia for the purpose of a direction in the federal medical organisation for rendering VMP.

In case of the reference on behalf of the patient of its lawful representative or the authorised representative in the written reference the data provided by subparagraph 1 of point 8 of the present Order are in addition specified.

31. In Minzdravsotsrazvitija Russia is applied On the written reference of the patient:

1) in the cases provided by subparagraphs 1 and 2 points 27 of the present Order:

) an extract from the medical documentation of the patient, given out by the federal medical organisation rendering specialised medical aid, and signed by its head (the person, its replacing), containing the data specified in the paragraph first point 5 of the present Order, and a code of kind VMP according to the List;

the documents specified in subparagraphs 3 and 4 points 7 of the present Order;

the documents specified in subparagraph 2 of point 8 of the present Order (in case of the reference on behalf of the patient of its lawful representative or the authorised representative).

2) in a case provided by subparagraph 3 of point 27 of the present Order:

the documents specified in subparagraphs 1, 3 and 4 points 7 of the present Order;

the documents specified in subparagraph 2 of point 8 of the present Order (in case of the reference on behalf of the patient of its lawful representative or the authorised representative).

32. The department of hi-tech medical aid of Minzdravsotsrazvitija of Russia within ten working days from the date of check in in Minzdravsotsrazvitija Russia the written reference of the patient (its lawful representative, the authorised representative) and the documents applied on it provided by point 31 of the present Order, by application of specialised information system Minzdravsotsrazvitija of Russia provides registration on the patient of the Coupon on rendering VMP and its direction with an applied copy of an extract from a medical card of the inpatient in the federal medical organisation rendering VMP on a profile of disease of the patient.

33. After reception from Department of hi-tech medical aid of Minzdravsotsrazvitija of Russia of the Coupon on rendering VMP with an applied copy of an extract from a medical card of the inpatient the Commission of the federal medical organisation accepts and makes out the decision on presence (absence) of medical indications for hospitalisation of the patient with a view of rendering VMP according to positions of points 22 - 24 present Order.

About the decision accepted by the Commission of the federal medical organisation, patients (their lawful representatives, authorised representatives) are informed by Department of hi-tech medical aid of Minzdravsotsrazvitija of Russia, including by application of specialised information system Minzdravsotsrazvitija of Russia.

34. The direction of patients from among citizens of the Russian Federation, mediko - which sanitary maintenance according to the legislation of the Russian Federation concerns conducting Federal mediko - biological agency (further - FMBA Russia), in subordinated FMBA Russia the federal medical organisations for rendering VMP is carried out FMBA Russia.

35. The patient has the right to appeal against against the decisions accepted during its direction in the medical organisation for rendering VMP at any stage, and also actions (inactivity) of bodies, the organisations, official and other persons in an order established by the legislation of the Russian Federation.

* the International statistical classification of illnesses and the problems connected with health (X revision).

** Spravochno: the order of Minzdravsotsrazvitija of Russia from December, 28th, 2011 N 1690 About the statement of the list of kinds of hi-tech medical aid (It is registered by Ministry of Justice of Russia 08. 02. 2012, N 23163).

*** According to a part of 4 articles 80 of the Federal law from November, 21st, 2011 N 323 - 3 About bases of health protection of citizens in the Russian Federation (Meeting of the legislation of the Russian Federation, 2011, N 48, item 6724).

**** According to a part of 2 articles 37 of the Federal law from November, 21st, 2011 N 323 - FZ About bases of health protection of citizens in the Russian Federation (Meeting of the legislation of the Russian Federation, 2011, N 48, item 6724).