Order of the Ministry of Health 283. On improving the functional diagnostic service in healthcare institutions of the Russian Federation. Equipment standard for a functional diagnostics room of the cardiovascular system
MINISTRY OF HEALTH AND MEDICAL INDUSTRY OF THE RUSSIAN FEDERATION
30.11.93 № 283
"On improving the service functional diagnostics in healthcare institutions of the Russian Federation"
In the context of health care reform and the transition to medical insurance of citizens, the task of developing and introducing into practice new medical technologies, including diagnostic systems and complexes that make it possible to increase the efficiency of the diagnostic and treatment process and reduce economic and labor losses.
In this regard, the role and importance of functional research methods, which are widely used for early detection of pathology, differential diagnosis various diseases and monitoring the effectiveness of therapeutic and health measures.
In 1993, there were 10.7 thousand functional diagnostic departments in medical institutions of the republic, in which about 60 million studies are carried out annually.
The range of studies is constantly expanding, mainly due to highly informative methods of functional diagnostics. Their share in the total volume of instrumental studies in diagnostic centers alone reaches 25-30 percent.
At the same time, in many medical institutions, especially at the prehospital stage, there is a serious lag in the development of functional diagnostics services.
As of 01/01/93 in the Russian Federation, out of 19.6 thousand outpatient clinics and inpatient institutions only about half of the institutions had departments (offices) of functional diagnostics.
In the last three years, the growth in the exchange of functional studies has practically ceased, especially in clinics serving the adult population.
There has been a steady downward trend in the rate of provision of the population with these types of research from 5.6 in 1990 to 5.0 in 1992 per 100 visits.
Compared to 1991, the number of remote diagnostic rooms decreased from 354 to 286 and the number of ECG studies performed in them decreased from 887.7 to 857.1 thousand.
The capabilities of functional diagnostics are unjustifiably reduced due to insufficiently clear organization of the work of its structural divisions, irrational use technical means, slow introduction into practice of new forms of management and labor organization medical personnel, highly efficient diagnostic programs and algorithms.
The effectiveness of using the information received in medical institutions is insufficient due to the poor preparedness of specialists in functional diagnostics and attending physicians, and the lack of proper continuity in their work.
To a certain extent, difficulties in organizing a functional diagnostics service are associated with the lack of the necessary regulatory framework, recommendations for optimizing the structure, staffing table and nomenclature of studies in departments and functional diagnostics rooms of medical institutions of various capacities. The principles of phasing with differentiation of levels and strict unification of the methods and techniques used at each stage, as well as accounting and reporting, which allow analyzing the activities of the service to the required extent, have not been worked out.
The development of domestic diagnostic equipment necessary for the technical equipment of healthcare institutions at all levels has not received systematic development. In medical institutions, metrological support of measuring instruments is carried out at an extremely low level.
It is necessary to take effective measures to strengthen the interaction of functional diagnostics with other diagnostic services and the introduction of diagnostic algorithms.
In order to improve the organization of the functional diagnostics service and improve the quality of its work, the rapid introduction of new diagnostic methods, as well as improving personnel training and technical re-equipment of departments with modern equipment, I affirm:
1. Regulations on the chief freelance specialist in functional diagnostics of the Ministry of Health of the Russian Federation and the republics within the Russian Federation, regional (territorial), city departments, health departments (Appendix 1).
2. Regulations on the department, unit, functional diagnostics room (Appendix 2).
3. Regulations on the head of the department, department, functional diagnostics room (Appendix 3).
4. Regulations on the doctor of the department, department, functional diagnostics office (Appendix 4).
5. Regulations on the head nurse of the department, department of functional diagnostics (Appendix 5).
6. Regulations on the nurse of the department, functional diagnostics room (Appendix 6).
7. Calculated load rate for the doctor and nurse department (office) of functional diagnostics for a 6.5 hour working day - 33 conventional units.
8. Estimated time standards for functional studies carried out in functional diagnostic rooms of medical institutions (Appendix 7).
9. Instructions for the use of estimated time standards for functional studies (Appendix 8).
10. Instructions for the development of estimated time standards when introducing new equipment or new types of research (Appendix 9).
11. Qualification requirements for a doctor-specialist in functional diagnostics (Appendix 10).
12. Qualification requirements for a functional diagnostic nurse (Appendix 11).
15. Journal of registration of studies performed in the department (office) of functional diagnostics - form No. 157/u-93 (Appendix 14).
16. Instructions for filling out the journal registration of studies performed in the department (office) of functional diagnostics (Appendix 15).
17. Addition to the list of forms of primary medical documentation (Appendix 16).
I order:
1. To the health ministers of the republics within the Russian Federation, heads of government bodies and health care institutions of territories, regions, autonomous entities, the cities of Moscow and St. Petersburg:
1.1. Organize the work of departments, departments, functional diagnostic rooms in accordance with this order.
1.2. During 1993-1994. organize on the basis of medical and preventive institutions and clinics of medical and scientific research institutes departments of functional diagnostics including rooms for instrumental research functions of blood circulation, respiration, digestion, nervous and endocrine systems, as well as other types of functional diagnostics, taking into account the profile of institutions and local conditions; organize their work in accordance with the regulations on the department, unit, functional diagnostics room and its personnel (Appendices 2-6).
1.3. Approve the position of the chief freelance specialist of the health authority in functional diagnostics, organize its activities in accordance with the regulations on the chief freelance specialist in functional diagnostics (Appendix 1).
1.4. Provide regular training to medical doctors on current issues of functional diagnostics.
1.5. Together with territorial VET "Medtechnika" to ensure the organization of high-quality and timely service diagnostic equipment and metrological support of measuring instruments.
2. Management medical care to the population of the Ministry of Health of Russia (Tsaregorodtsev A.D.) together with other interested departments:
2.1. Ensure systematic (every 2-3 years) adjustment, development and approval of calculated time standards, taking into account the improvement and development of methods and equipment used in functional diagnostics.
2.2. Carry out in 1994-1995. seminars for specialists in various areas of functional diagnostics.
3. Management educational institutions(Volodin N.N.) add learning programs training specialists in functional diagnostics in medical and pharmaceutical universities, as well as in medical faculties of universities, taking into account the introduction of modern equipment and new research methods into practical work.
4. Heads of healthcare institutions:
4.1. Recommend setting the number department staff, departments, functional diagnostics rooms in accordance with the amount of work based on the estimated time standards for functional studies (Appendix 7).
4.2. Develop standardized and unified schemes for diagnostic examination of patients with various diseases taking into account the phasing and continuity of the examination carried out in medical institutions of various levels.
5. Rectors of institutes for advanced training of doctors must ensure in full the applications of health care institutions for the training of specialists and doctors of various profiles on functional diagnostics in accordance with the approved standard programs.
6. The State Central Scientific Medical Library of the Ministry of Health of Russia (Loginov B.R.) to create reference information and methodological centers to provide specialist doctors and cadets with the necessary information about modern effective methods of functional diagnostics.
7. Directorate of Scientific Research of the Ministry of Health of Russia (Samko N.N.):
7.1. Develop and approve in the prescribed manner a long-term program related to the creation various types devices for functional studies that meet modern technical and medical requirements for equipping treatment preventive institutions different levels.
7.2. Ensure regular distribution to health authorities with the right to replicate in the required number of orders of the Ministry of Health of the Russian Federation on permission to use new devices and equipment and on the exclusion of obsolete equipment from the range.
8. All-Russian Research and Testing Institute of Medical Equipment (Leonov B.I.)
8.1. Together with the chief metrologists of administrative-territorial health authorities, organize work on certification of measurement methods in functional diagnostics.
8.2. Ensure, on a self-supporting basis, the provision, at the request of health authorities and institutions, of information on the consumer characteristics of mass-produced domestic products medical equipment, addresses and details of organizations and manufacturers.
8.3. Organize permanent and traveling exhibitions of medical equipment for functional diagnostics.
9. Heads and chief metrologists of territorial health authorities and heads of health care institutions should ensure timely maintenance of medical equipment products and verification of measuring instruments.
10. Consider as invalid for institutions of the Russian Ministry of Health the order of the USSR Ministry of Health dated August 12, 1988 No. 642 “On estimated time standards for functional studies”, the order of the USSR Ministry of Health dated July 7, 1989 “On the addition to the order of the USSR Ministry of Health dated August 12, 1988 year No. 642.
“Regulations on the electrocardiology room”, approved by the Main Directorate of Medical and Preventive Care of the USSR Ministry of Health on April 21, 1954.
11. Entrust control over the execution of the order to the First Deputy Minister A.M. Moskvichev.
- Appendix 1. Regulations on the chief freelance specialist in functional diagnostics of the Ministry of Health of the Russian Federation and republics within the Russian Federation, regional (territorial), city departments, health departments Appendix 2. Regulations on the department, division, office of functional diagnostics Appendix 3. Regulations on the head of the department, department, office of functional diagnostics Appendix 4. Regulations on the doctor of functional diagnostics of the department, department, office of functional diagnostics Appendix 5. Regulations on the head nurse of the department, department of functional diagnostics Appendix 6. Regulations on the nurse of the department, department, office of functional diagnostics Appendix 7. Estimated time standards for functional studies carried out in functional diagnostic rooms of medical institutions Appendix 8. Instructions for the use of estimated time standards for functional studies Appendix 9. Instructions for the development of estimated time standards when introducing new equipment or new types of research Appendix 10. Qualification requirements to a doctor-specialist in functional diagnostics Appendix 11. Qualification requirements for a nurse in the office (department) of functional diagnostics Appendix 12. Recommended approximate list of the minimum set of methods and techniques for functional studies for medical institutions Appendix 13. Methods for calculating prices for diagnostic studies for departments departments, functional diagnostics rooms Appendix 14. Form N 157/u-93 "Registration log of studies performed in the functional diagnostics department (office)" Appendix 15. Instructions for filling out the "Registration log of studies performed in the functional diagnostics department (office)" ( form N 157/у-93) Appendix 16. Addition to the list of forms of primary medical documentation
Order of the Ministry of Health of the Russian Federation of November 30, 1993 N 283
"On improving the functional diagnostic service
in healthcare institutions of the Russian Federation"
In the context of health care reform and the transition to health insurance for citizens, the task of developing and introducing into practice new medical technologies, including diagnostic systems and complexes that make it possible to increase the efficiency of the diagnostic and treatment process and reduce economic and labor losses, becomes extremely urgent.
In this regard, the role and importance of functional research methods, which are widely used for the purpose of early detection pathology, differential diagnosis of various diseases and monitoring the effectiveness of therapeutic and health measures.
In 1993, there were 10.7 thousand functional diagnostic departments in medical institutions of the republic, in which about 60 million studies are carried out annually.
The range of studies is constantly expanding, mainly due to highly informative methods of functional diagnostics. Their share in the total volume of instrumental studies in diagnostic centers alone reaches 25-30 percent.
At the same time, in many medical institutions, especially in prehospital stage There has been a serious lag in the development of the functional diagnostic service.
As of 01/01/93 in the Russian Federation, out of 19.6 thousand outpatient clinics and inpatient institutions, only about half of the institutions had departments (offices) of functional diagnostics.
In the last three years, the growth in the exchange of functional studies has practically ceased, especially in clinics serving the adult population.
There has been a steady downward trend in the rate of provision of the population with these types of research from 5.6 in 1990 to 5.0 in 1992 per 100 visits.
Compared to 1991, the number of remote diagnostic rooms decreased from 354 to 286 and the number of ECG studies performed in them decreased from 887.7 to 857.1 thousand.
The capabilities of functional diagnostics are unjustifiably reduced due to insufficiently clear organization of the work of its structural units, irrational use of technical means, the slow introduction into practice of new forms of management and labor organization of medical personnel, highly effective diagnostic programs and algorithms.
The effectiveness of using the information received in medical institutions is insufficient due to the poor preparedness of specialists in functional diagnostics and attending physicians, and the lack of proper continuity in their work.
To a certain extent, difficulties in organizing a functional diagnostic service are associated with the lack of necessary regulatory framework, recommendations for optimizing the structure, staffing and nomenclature of research in departments and functional diagnostics rooms of health care facilities of various capacities. The principles of phasing with differentiation of levels and strict unification of the methods and techniques used at each stage, as well as accounting and reporting, which allow analyzing the activities of the service to the required extent, have not been worked out.
The development of domestic diagnostic equipment necessary for the technical equipment of healthcare institutions at all levels has not received systematic development. In medical institutions, metrological support of measuring instruments is carried out at an extremely low level.
It is necessary to take effective measures to strengthen the interaction of functional diagnostics with other diagnostic services and the introduction of diagnostic algorithms.
In order to improve the organization of the functional diagnostics service and improve the quality of its work, the rapid introduction of new diagnostic methods, as well as improving personnel training and technical re-equipment of units with modern equipment, I affirm:
1. Regulations on the chief freelance specialist in functional diagnostics of the Ministry of Health of the Russian Federation and the republics within the Russian Federation, regional (territorial), city departments, health departments (Appendix 1).
7. The estimated workload for a doctor and nurse in the department (office) of functional diagnostics for a 6.5-hour working day is 33 conventional units.
8. Estimated time standards for functional studies carried out in functional diagnostic rooms of medical institutions (Appendix 7).
10. Instructions for the development of estimated time standards when introducing new equipment or new types of research (Appendix 9).
15. Journal of registration of studies performed in the department (office) of functional diagnostics - form N 157/u-93 (Appendix 14).
16. Instructions for filling out a log of studies performed in the department (office) of functional diagnostics (Appendix 15).
I order:
1. To the health ministers of the republics within the Russian Federation, heads of government bodies and health care institutions of territories, regions, autonomous entities, the cities of Moscow and St. Petersburg:
1.1. Organize the work of departments, departments, functional diagnostic rooms in accordance with this order.
1.2. During 1993-1994. organize departments of functional diagnostics on the basis of treatment and preventive institutions and clinics of medical and research institutes, including rooms for instrumental studies of the functions of blood circulation, respiration, digestion, nervous and endocrine systems, as well as other types of functional diagnostics, taking into account the profile of institutions and local conditions; organize their work in accordance with the regulations on the department, unit, functional diagnostics room and its personnel (Appendices 2-6).
1.3. Approve the position of the chief freelance specialist of the health authority in functional diagnostics, organize its activities in accordance with the regulations on the chief freelance specialist in functional diagnostics (Appendix 1).
1.4. Provide regular training to medical doctors on current issues of functional diagnostics.
1.5. Together with territorial VET "Medtechnika" to ensure the organization of high-quality and timely service of diagnostic equipment and metrological support of measuring instruments.
2. The Department of Medical Assistance to the Population of the Ministry of Health of Russia (Tsaregorodtsev A.D.) together with other interested departments:
2.1. Ensure systematic (every 2-3 years) adjustment, development and approval of calculated time standards, taking into account the improvement and development of methods and equipment used in functional diagnostics.
2.2. Carry out in 1994-1995. seminars for specialists in various areas of functional diagnostics.
3. The Department of Educational Institutions (N.N. Volodin) should supplement the training programs for specialists in functional diagnostics in medical and pharmaceutical universities, as well as in medical faculties of universities, taking into account the introduction of modern equipment and new research methods into practical work.
4. Heads of healthcare institutions:
4.1. It is recommended to establish the number of personnel in departments, divisions, and functional diagnostic rooms in accordance with the amount of work based on the estimated time standards for functional studies (Appendix 7).
4.2. To develop standardized and unified schemes for the diagnostic examination of patients for various diseases, taking into account the phasing and continuity of the examination carried out in medical institutions of various levels.
5. Rectors of institutes for advanced training of doctors must ensure in full the applications of health care institutions for the training of specialists and doctors of various profiles on functional diagnostics in accordance with the approved standard programs.
6. The State Central Scientific Medical Library of the Ministry of Health of Russia (Loginov B.R.) to create reference information and methodological centers to provide specialist doctors and cadets necessary information about modern effective methods functional diagnostics.
7. Management scientific research Ministry of Health of Russia (Samko N.N.):
7.1. To develop and approve in the prescribed manner a promising program related to the creation of various types of devices for functional research that meet modern technical and medical requirements for equipping medical institutions at various levels.
7.2. Ensure regular distribution to health authorities with the right to replicate in the required number of orders of the Ministry of Health of the Russian Federation on permission to use new devices and equipment and on the exclusion of obsolete equipment from the range.
8. All-Russian Research and Testing Institute of Medical Equipment (Leonov B.I.)
8.1. Together with the chief metrologists of administrative-territorial health authorities, organize work on certification of measurement methods in functional diagnostics.
8.2. To provide, on a self-supporting basis, at the request of health authorities and institutions, information on the consumer characteristics of mass-produced domestic medical equipment, addresses and details of organizations and manufacturing companies.
8.3. Organize permanent and traveling exhibitions of medical equipment for functional diagnostics.
9. Heads and chief metrologists of territorial health authorities and heads of health care institutions should ensure timely maintenance of medical equipment products and verification of measuring instruments.
10. Consider as invalid for institutions of the Russian Ministry of Health the order of the USSR Ministry of Health dated August 12, 1988 N 642 “On estimated time standards for functional studies”, the order of the USSR Ministry of Health dated July 7, 1989 “On the addition to the order of the USSR Ministry of Health dated August 12, 1988 year N 642.
“Regulations on the electrocardiology room”, approved by the Main Directorate of Treatment and Preventive Care of the USSR Ministry of Health on April 21, 1954.
11. Entrust control over the execution of the order to First Deputy Minister A.M. Moskvichev.
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In the context of health care reform and the transition to health insurance for citizens, the development and implementation of new medical technologies, including diagnostic systems and complexes that make it possible to increase the efficiency of the treatment and diagnostic process and reduce economic and labor losses, becomes extremely urgent.
In this regard, the role and importance of functional research methods are increasing, which are widely used for the purpose of early detection of pathology, differential diagnosis of various diseases and monitoring the effectiveness of therapeutic measures.
In 1993, in medical and preventive institutions of the republic there were 10.7 thousand departments of functional diagnostics, in which about 60 million studies are carried out annually.
The development of domestic diagnostic equipment necessary for the technical equipment of healthcare institutions at all levels has not received systematic development. In medical and preventive institutions, metrological support of measuring instruments is carried out at an extremely low level.
It is necessary to take effective measures to strengthen the interaction of functional diagnostics with other diagnostic services and the introduction of diagnostic algorithms.
In order to improve the organization of the functional diagnostics service and improve the quality of its work, the rapid introduction of new diagnostic methods, as well as improving personnel training and technical re-equipment of departments with modern equipment
I affirm:
1. Regulations on the chief freelance specialist in functional diagnostics of the Ministry of Health of the Russian Federation and the republics within the Russian Federation, regional (territorial), city departments, health departments (Appendix 1).
2. Regulations on the department, unit, functional diagnostics room (Appendix 2).
3. Regulations on the head of the department, division, functional diagnostics room (Appendix 3).
4. Regulations on the doctor of the department, department, functional diagnostics office (Appendix 4).
5. Regulations on the head nurse of the department, department of functional diagnostics (Appendix 5).
6. Regulations on the nurse of the department, functional diagnostics room (Appendix 6).
7. The estimated workload for a doctor and nurse in the department (office) of functional diagnostics for a 6.5-hour working day is 33 conventional units.
8. Estimated time standards for functional studies carried out in functional diagnostic rooms of medical and preventive institutions (Appendix 7).
9. Instructions for the use of estimated time standards for functional studies (Appendix 8).
10. Instructions for the development of estimated time standards when introducing new equipment or new types of research (Appendix 9).
11. Qualification requirements for a doctor - specialist in functional diagnostics (Appendix 10).
12. Qualification requirements for a functional diagnostic nurse (Appendix 11).
15. Journal of registration of studies performed in the department (office) of functional diagnostics - form N 157/u-93 (Appendix 14).
16. Instructions for filling out a log of studies performed in the department (office) of functional diagnostics (Appendix 15).
17. Addition to the list of forms of primary medical documentation (Appendix 16).
I order:
1. To the ministers of health of the republics within the Russian Federation, heads of government bodies and health care institutions of territories, regions, autonomous entities, the cities of Moscow and St. Petersburg:
1.1. Organize the work of departments, departments, functional diagnostic rooms in accordance with this order.
1.2. During 1993-1994. organize departments of functional diagnostics on the basis of treatment and preventive institutions and clinics of medical and research institutes, including rooms for instrumental studies of the function of blood circulation, respiration, digestion, nervous and endocrine systems, as well as other types of functional diagnostics, taking into account the profile of institutions and local conditions; organize their work in accordance with the Regulations on the department, department, functional diagnostics room and its personnel (Appendices 2 - 6).
1.3. Approve the position of the chief freelance specialist of the health authority in functional diagnostics, organize its activities in accordance with the Regulations on the chief freelance specialist in functional diagnostics (Appendix 1).
1.4. Provide regular training to medical doctors on current issues of functional diagnostics.
1.5. Together with territorial VET "Medtechnika" to ensure the organization of high-quality and timely service of diagnostic equipment and metrological support of measuring instruments.
2. The Department of Medical Assistance to the Population of the Ministry of Health of Russia (Tsaregorodtsev A.D.) together with other interested departments:
2.1. Ensure systematic (every 2-3 years) adjustment, development and approval of calculated time standards, taking into account the improvement and development of methods and equipment used in functional diagnostics.
2.2. Carry out in 1994-1995. seminars for specialists in various areas of functional diagnostics.
3. The Department of Educational Institutions (N.N. Volodin) should supplement the training programs for specialists in functional diagnostics in medical and pharmaceutical universities, as well as in medical faculties of universities, taking into account the introduction of modern equipment and new research methods into practical work.
4. Heads of healthcare institutions:
4.1. It is recommended to establish the number of personnel in departments, divisions, and functional diagnostic rooms in accordance with the amount of work based on the estimated time standards for functional studies (Appendix 7).
4.2. To develop standardized and unified schemes for the diagnostic examination of patients for various diseases, taking into account the phasing and continuity in the examination carried out in medical and preventive institutions of various levels.
5. Rectors of institutes for advanced training of doctors must ensure in full the applications of health care institutions for the training of specialists and doctors of various profiles on functional diagnostics in accordance with the approved standard programs.
6. The State Central Scientific Medical Library of the Ministry of Health of Russia (Loginov B.R.) to create reference information and methodological centers to provide specialist doctors and cadets with the necessary information about modern effective methods of functional diagnostics.
7. Directorate of Scientific Research of the Ministry of Health of Russia (Samko N.N.):
7.1. To develop and approve in the prescribed manner a long-term program related to the creation of various types of devices for functional research that meet modern technical and medical requirements for equipping medical and preventive institutions at various levels.
7.2. Ensure regular distribution to health authorities with the right to replicate in the required number of orders of the Ministry of Health of the Russian Federation on permission to use new devices and equipment and on the exclusion of obsolete equipment from the range.
8. All-Russian Scientific Research and Testing Institute of Medical Technology (Leonov B.I.).
To case No. 2-983/14
SOLUTION
In the name of the Russian Federation
Seversky District Court of the Krasnodar Territory composed of:
Presiding Judge – Judge V.G. Maslaka,
Under secretary Chikova I.A.,
With the participation of: plaintiff Yu.I. Vasiliev, representative of the defendant E.V. Orlova,
Having considered in open court a civil case on the claim of Yuri Ivanovich Vasiliev against the Severskaya Central District Hospital for the obligation to restore the working hours, for changing the terms of payment, for collecting unpaid amounts wages, on payment of damage caused to health, and on compensation for moral damage,
U S T A N O V I L:
Plaintiff Vasiliev Yu.I. appealed to the court with a statement to the Municipal Budgetary Institution of the Moscow Region "Severskaya Central District Hospital" about the obligation to restore the length of the working day, to change the terms of payment, to collect unpaid amounts of wages, to pay for damage caused to health, and to compensate for moral damage.
In support of the stated claims, the plaintiff stated the following in his application:
He has been working at the Seversk Central District Hospital since 1984, and since 2002 he has been working as a doctor in the functional diagnostics office.
In 2003, the administration of the Seversk Central District Hospital increased the duration of his work shift by 1 position, by 1 hour 12 minutes.
In December 2013, he received a letter from the Ministry of Labor of the Russian Federation dated December 12, 2013 and the full text of the order of the Ministry of Health No. 283 dated November 30, 1993, which states that the working day of a doctor in a functional diagnostics office (department) with a five-day work week is 6 hours 30 minutes. Of these, 84% (5 hours 30 minutes) of working time is spent on functional studies (ECG interpretation). All other types of work are allocated 16% (60 minutes) of working time. The total work shift is 6 hours 30 minutes.
For 11 years, the plaintiff worked 1 hour and 12 minutes every day and received underpayment for ECGs interpreted by 1 rate above the norm.
In 2013, the salary for 1 rate, work shift is exactly 6085 rubles, 21 days = 289 rubles 76 kopecks. Cost of 1 ECG: 289.76:19.4 = 14.93 rubles. It turns out that for each deciphered ECG he should receive 14 rubles 93 kopecks, and not 10 rubles 91 kopecks, as the chief doctor of the Central District Hospital claims. Since 2003, he has received less than 480,000 rubles in salary.
Every year, the plaintiff was at the workplace for more than 266 hours beyond working hours by illegal order of the administration of the Seversk Central District Hospital, and since he overworked on the initiative of the defendant, he must be paid for these hours at double the rate, that is, 532 hours. Over 11 years of operation, the processing amounted to 5852 hours. The cost of 1 hour of work is more than 44 rubles, therefore, he should receive compensation in the amount of 257,488 rubles.
These overwork resulted in him losing sight in one eye and suffering from retinal detachment. He estimates the damage caused to his health by the illegal increase in working hours at 2,000,000 rubles.
In connection with the above, the plaintiff asks the court to restore the length of the working day in accordance with Order of the Ministry of Health No. 283 of November 30, 1993, with a five-day working week up to 6 hours 30 minutes, of which 5 hours 30 minutes ECG decoding, 60 minutes for other work; pay for labor in accordance with Order No. 283, based on the shift load of 19.4 ECGs per shift; pay the money underpaid to him for deciphering the ECG in excess of the rate for 11 years - 480,000 rubles; pay for 5852 hours of overtime in the amount of 257,488 rubles; pay him for the damage caused to his health in the amount of 2,000,000 rubles; pay him moral damages in the amount of 2,000,000 rubles, and a total of 4,737,488 rubles (case sheet 1-6).
At the court hearing, the plaintiff insists on the claims set out in the statement of claim and asks them to be satisfied in full.
Representative of the defendant Orlova E.V. At the court hearing, she did not recognize the plaintiff’s claims; she presented to the court an objection to Yu.V. Vasiliev’s statement of claim. The defendant's representative considers the plaintiff's demands to be unfounded, far-fetched and cannot be satisfied for the following reasons:
Vasiliev Yuri Ivanovich,<...>year of birth, has been working at the Severskaya Central District Hospital since 10/08/1984, as a functional diagnostics doctor since 06/28/2000 at one rate on the terms employment contract No. 470 dated October 2, 2006.
DECIDED:
In the claim of Vasilyev Yuri Ivanovich against the Municipal Budgetary Institution of Healthcare of the Moscow Region "Severskaya Central District Hospital" about the obligation to restore the working hours, about changing the terms of remuneration, about collecting underpaid amounts of wages in the amount of 737,488 rubles, about payment of damage caused to health in the amount of 2,000,000 rubles and to refuse compensation for moral damage in the amount of 2,000,000 rubles.
The decision can be appealed to the Krasnodar Regional Court through the Seversky District Court within a month from the date the court decision was made in final form.
Judge Maslak V.G.
Court:
Seversky District Court (Krasnodar Territory)Judges of the case:
Maslak Vasily Grigorievich (judge)"On approval of the Rules for conducting functional research"
Revision dated December 26, 2016 — Valid from July 1, 2017
MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION
ORDER
dated December 26, 2016 N 997н
ON APPROVAL OF THE RULES FOR CONDUCTING FUNCTIONAL STUDIES
1. Approve the Rules for conducting functional studies in accordance with the appendix.
Minister
IN AND. SKVORTSOVA
2. Functional studies are carried out for the purpose of: diagnostics;
timely detection of socially significant and most common diseases of internal organs;
identifying hidden forms of diseases.
3. Functional studies are carried out if available medical indications upon provision:
primary health care;
specialized, including high-tech, medical care;
emergency, including specialized emergency medical care;
palliative care;
medical care for sanatorium- spa treatment.
4. Functional studies are carried out when providing medical care under the following conditions:
outpatient (in conditions that do not provide round-the-clock medical supervision and treatment);
in a day hospital (in conditions providing medical supervision and treatment in daytime, but not requiring round-the-clock medical supervision and treatment);
inpatient (in conditions that provide round-the-clock medical supervision and treatment).
5. Functional studies are carried out during the provision of medical care in emergency, urgent and planned forms.
6. Functional studies in the provision of emergency, including specialized emergency medical care are carried out in accordance with the Procedure for the provision of emergency, including specialized emergency medical care<1>.
<1>dated June 20, 2013 N 388n “On approval of the Procedure for the provision of emergency, including emergency specialized medical care” (registered by the Ministry of Justice of the Russian Federation on August 16, 2013, registration N 29422) as amended by orders of the Ministry of Health of the Russian Federation dated January 22, 2016 N 33n (registered by the Ministry of Justice of the Russian Federation on March 9, 2016, registration N 41353) and dated May 5, 2016 N 283n (registered by the Ministry of Justice of the Russian Federation on May 26, 2016, registration N 42283).
7. The organization of the activities of medical organizations conducting functional research as part of the provision of primary pre-medical health care is carried out in accordance with Appendices N - to the Regulations on the organization of primary health care for the adult population<1>.
<1>Order of the Ministry of Health and social development Russian Federation dated May 15, 2012 N 543n “On approval of the Regulations on the organization of provision of primary health care to the adult population” (registered by the Ministry of Justice of the Russian Federation on June 27, 2012, registration N 24726) as amended by orders of the Ministry of Health of the Russian Federation dated June 23, 2015 No. 361n (registered by the Ministry of Justice of the Russian Federation on July 7, 2015, registration No. 37921) and dated September 30, 2015 No. 683n (registered by the Ministry of Justice of the Russian Federation on November 24, 2015, registration No. 39822).
The organization of the activities of medical organizations conducting functional research within the framework of primary specialized health care, specialized medical care, palliative care and medical care in sanatorium and resort treatment is carried out in accordance with Appendices No. 1 - 15 to these Rules.
8. Functional studies are carried out at the direction of the attending physician or paramedic, midwife if they are assigned certain functions of the attending physician<1>taking into account the patient's right to choose medical organization <2>.
<1>Order of the Ministry of Health and Social Development of the Russian Federation dated March 23, 2012 N 252n “On approval of the Procedure for assigning to a paramedic, midwife by the head of a medical organization when organizing the provision of primary health care and emergency medical care certain functions of the attending physician for the direct provision of medical care to the patient during the period of observation and treatment, including the prescription and use of medications, including narcotic drugs medications and psychotropic drugs" (registered by the Ministry of Justice of the Russian Federation on April 28, 2012, registration N 23971).
9. Functional studies carried out as part of the provision of primary pre-medical health care are carried out by a paramedic or nurse.
The analysis of the results of these functional studies is carried out by a paramedic.
If the results of functional studies carried out as part of the provision of primary pre-medical health care are insufficient to achieve the goals specified in paragraph 2 of these Rules, the paramedic or midwife refers patients to medical organizations to provide primary specialized health care or specialized medical care in cases provided for by the procedures for providing medical care according to profiles<1>.
In the absence of a functional diagnostics doctor, the analysis of the results of functional studies is carried out by the attending physician, about which a corresponding entry is made in the patient’s medical documentation.
11. To conduct functional studies as part of the provision of primary specialized health care, specialized medical care, palliative care and medical care in sanatorium-resort treatment:
when providing medical care in conditions day hospital, inpatient conditions the attending physician (paramedic, midwife) makes an entry in the list of prescriptions and their implementation contained in the medical record of the inpatient (hereinafter referred to as the list of prescriptions), about the type of required functional examination or, in the case of referral to another medical organization, draws up a Referral;
when providing medical care during sanatorium-resort treatment, the attending physician makes an entry in the prescription sheet contained in the patient’s medical record about the type of functional research required or, in the case of referral to another medical organization, draws up a Referral.
12. Patients who receive medical care in an inpatient setting and in a day hospital, and whose movement in medical reasons limited, including due to the prescribed treatment regimen, functional studies can be carried out directly in the structural unit of the medical organization in which they are staying, using portable diagnostic equipment.
13. The direction for conducting a functional study in the medical organization in which it was issued contains:
the name of the medical organization in accordance with the charter of the medical organization referring the patient for a functional study, the address of its location;
last name, first name, patronymic (if any) of the patient, date of birth; medical record number of the patient receiving medical care in outpatient setting <1>, or a medical record of an inpatient;
<1>Order of the Ministry of Health of the Russian Federation of December 15, 2014 N 834n “On approval of unified forms of medical documentation used in medical organizations providing medical care on an outpatient basis, and procedures for filling them out” (registered by the Ministry of Justice of the Russian Federation on February 20, 2015 , registration N 36160).
diagnosis of the underlying disease, diagnosis code in accordance with the International Statistical Classification of Diseases and Related Health Problems, 10th revision (hereinafter referred to as ICD-10);
additional clinical information (main symptoms, results of laboratory, instrumental and other types of studies, description of medical interventions (manipulations, operations) (if necessary);
type of functional study required;
last name, first name, patronymic (if available) and position of the attending physician (paramedic, midwife).
14. Referral to another medical organization, in addition to the information specified in paragraph 13 of this Procedure, contains:
name of the medical organization to which the patient is sent for functional testing;
contact phone number (if available), address Email(if available) attending physician (paramedic, midwife).
15. A functional study is carried out in a medical organization on the basis of an entry in the appointment sheet or a Referral submitted by the patient.
16. Based on the results of the functional study, on the day of its conduct, a functional study protocol (hereinafter referred to as the Protocol) is drawn up, which is filled out legibly by hand or in printed form, certified by the personal signature of the medical worker who conducted the functional study, and the functional diagnostics doctor or paramedic who analyzed the results functional research.
17. The protocol based on the results of a functional study, which was carried out in a medical organization that sent for a functional study, contains:
the name of the medical organization in accordance with the charter of the medical organization in which the functional study was carried out, the address of its location;
date and time of functional study;
last name, first name, patronymic (if any) of the patient, date of birth;
technological characteristics of the performed functional study;
a detailed description of the results of the functional study;
calculated indicators of functional impairment;
conclusion based on the results of a functional study;
last name, first name, patronymic (if available) of the medical worker who performed the functional study, and the functional diagnostics doctor or paramedic who analyzed the results of the functional study, contact phone number (if available), email address (if available).
18. The protocol based on the results of a functional study, which was carried out in a medical organization following a Referral from another medical organization, in addition to the information specified in paragraph 17 of this Procedure, contains the name of the medical organization that issued the Referral.
19. The Protocol is accompanied by functional diagnostic curves, graphs or images obtained during a functional study.
20. When conducting a functional study as part of the provision of emergency medical care, the Protocol is drawn up immediately after the functional study and is immediately transferred to the attending physician (paramedic, midwife).
21. In diagnostically complex cases when conducting functional studies as part of the provision of primary specialized health care, specialized medical care, palliative care and medical care during sanatorium-resort treatment, a functional diagnostics doctor may engage in consultation for the purpose of making a conclusion based on the results of a functional study other medical specialists from the medical organization conducting the functional study, or medical specialists who referred the patient, as well as doctors from other medical organizations, including using telemedicine.
In this case, the Protocol is also signed specialist doctor who provided the consultation.
22. The protocol is entered into the patient’s medical documentation, drawn up in the medical organization that conducted the functional study.
23. If a referral for a functional study is issued to conduct a functional study in another medical organization, then the Protocol is drawn up in two copies, one of which is sent to the medical organization that referred the patient for a functional study, and the second remains in the medical organization that conducted the functional study study.
24. A copy of the Protocol, upon an oral request from the patient or his legal representative, is issued to the specified person by the medical organization that conducted the functional study.
3. Functional studies are carried out in the Office in accordance with the technological capabilities of the installed equipment.
requirements
requirements
7. Headcount The cabinet is established by the head of the medical organization in whose structure it was created, based on the volume of diagnostic and treatment work, the size of the population served and recommended staffing standards in accordance with Appendix No. 2 to the Rules for Conducting Functional Research, approved by this order.
8. The office is equipped with equipment in accordance with Appendix No. 3 to the Rules for Conducting Functional Research, approved by this order.
Conducting functional studies;
development and implementation in clinical practice modern methods functional diagnostics in order to improve the quality of diagnostic and treatment work of a medical organization;
ensuring interconnection and continuity in work with other diagnostic and treatment units of a medical organization when conducting functional studies;
identification and analysis of the reasons for the discrepancy between conclusions based on the results of functional studies and the results of other studies diagnostic studies, clinical and pathological-anatomical diagnosis;
<1> <2>.
Appendix No. 2
to the Rules
functional studies,
approved by order
Ministry of Health
Russian Federation
dated December 26, 2016 N 997н
RECOMMENDED STANDARDS FOR THE FUNCTIONAL DIAGNOSTICS OFFICE
Appendix No. 3
to the Rules
functional studies,
approved by order
Ministry of Health
Russian Federation
dated December 26, 2016 N 997н
STANDARD OF EQUIPMENT FOR A FUNCTIONAL DIAGNOSTICS OFFICE
| N | Name | Required quantity, pcs. |
| 1. | Electrocardiograph | 1 |
| 2. | 1 | |
| 3. | on demand | |
| 4. | on demand | |
| 5. | Spirograph | 1 |
| 6. | Electroencephalograph | on demand |
Appendix No. 4
to the Rules
functional studies,
approved by order
Ministry of Health
Russian Federation
dated December 26, 2016 N 997н
RULES FOR ORGANIZING THE ACTIVITY OF THE OFFICE OF FUNCTIONAL DIAGNOSTICS OF THE CARDIOVASCULAR SYSTEM
1. These Rules determine the procedure for organizing the activities of the functional diagnostics room of cardio-vascular system(hereinafter referred to as the Office).
2. The account is created as structural unit a medical organization or another organization engaged in medical activities (hereinafter referred to as a medical organization), or as a structural unit of the functional diagnostics department of a medical organization.
3. In the Cabinet, functional studies of the cardiovascular system are performed in accordance with the technological capabilities of the installed equipment.
4. The management of the activities of the Cabinet is carried out by a functional diagnostics doctor, appointed and dismissed by the head of the medical organization in whose structure he was created.
5. Appointed to the position of a functional diagnostics doctor in the Cabinet medical worker, meeting the Qualification requirements for medical and pharmaceutical workers With higher education in the field of preparation "Healthcare and medical sciences", approved by order of the Ministry of Health of the Russian Federation of October 8, 2015 N 707n (registered by the Ministry of Justice of the Russian Federation on October 23, 2015, registration N 39438), in the specialty "functional diagnostics".
6. A medical worker who meets the Qualification requirements for medical and pharmaceutical workers with secondary medical and pharmaceutical education, approved by order of the Ministry of Health of the Russian Federation dated February 10, 2016 N 83n (registered by the Ministry of Justice of the Russian Federation on March 9, 2016, registration N 41337), in the specialty "functional diagnostics".
7. The staffing level of the Cabinet is established by the head of the medical organization in whose structure it was created, based on the volume of diagnostic and treatment work, the size of the population served and recommended staffing standards in accordance with Appendix No. 5 to the Rules for Conducting Functional Research, approved by this order.
8. The office is equipped with equipment in accordance with Appendix No. 6 to the Rules for Conducting Functional Research, approved by this order.
9. The main functions of the Cabinet are:
conducting functional studies of the cardiovascular system, including ultrasound studies;
development and introduction into clinical practice of modern methods of functional diagnostics of the cardiovascular system in order to improve the quality of diagnostic and treatment work of a medical organization;
ensuring interconnection and continuity in work with other diagnostic and treatment units of a medical organization when conducting functional studies of the cardiovascular system;
methodological work with doctors of diagnostic and treatment units of a medical organization on the correctness and validity of issuing referrals for functional studies;
identification and analysis of the reasons for discrepancies in conclusions based on the results of functional studies of the cardiovascular system with the results of other diagnostic studies, clinical and pathological diagnoses;
submission of reports in accordance with the established procedure<1>, provision of primary data about medical activities For information systems in the healthcare sector<2>.
Appendix No. 5
to the Rules
functional studies,
approved by order
Ministry of Health
Russian Federation
dated December 26, 2016 N 997н
RECOMMENDED STAFF STANDARDS FOR THE FUNCTIONAL DIAGNOSTICS OFFICE OF THE CARDIOVASCULAR SYSTEM
Appendix No. 6
to the Rules
functional studies,
approved by order
Ministry of Health
Russian Federation
dated December 26, 2016 N 997н
STANDARD OF EQUIPMENT FOR THE FUNCTIONAL DIAGNOSTICS OFFICE OF THE CARDIOVASCULAR SYSTEM
| N | Name | Required quantity, pcs. |
| 1. | Electrocardiograph | 1 |
| 2. | Blood pressure measuring device | 1 |
| 3. | Device for Holter monitoring of cardiac activity | 1 |
| 4. | Device for daily monitoring blood pressure | 1 |
| 5. | 1 | |
| 6. | 1 | |
| 7. | Bicycle ergometer | 1 |
Appendix No. 7
to the Rules
functional studies,
approved by order
Ministry of Health
Russian Federation
dated December 26, 2016 N 997н
RULES FOR ORGANIZING THE ACTIVITY OF THE OFFICE OF FUNCTIONAL DIAGNOSTICS OF THE CENTRAL AND PERIPHERAL NERVOUS SYSTEM
1. These Rules determine the procedure for organizing the activities of the office of functional diagnostics of central and peripheral nervous system(hereinafter referred to as the Office).
2. The office is created as a structural unit of a medical organization or other organization carrying out medical activities (hereinafter referred to as a medical organization), or as a structural unit of the functional diagnostics department of a medical organization.
3. In the Office, functional studies of the central and peripheral nervous system are performed in accordance with the technological capabilities of the installed equipment.
4. The management of the activities of the Cabinet is carried out by a functional diagnostics doctor, appointed and dismissed by the head of the medical organization in whose structure he was created.
5. A medical worker who meets the Qualification requirements for medical and pharmaceutical workers with higher education in the field of training “Healthcare and Medical Sciences”, approved by order of the Ministry of Health of the Russian Federation dated October 8, 2015 N 707n (registered by the Ministry) is appointed to the position of a doctor of functional diagnostics of the Cabinet. Justice of the Russian Federation October 23, 2015, registration N 39438), specializing in “functional diagnostics”.
6. A medical worker who meets the Qualification requirements for medical and pharmaceutical workers with secondary medical and pharmaceutical education, approved by Order of the Ministry of Health of the Russian Federation dated February 10, 2016 N 83n (registered by the Ministry of Justice of the Russian Federation on March 9, 2016) is appointed to the position of a nurse in the Cabinet. ., registration N 41337), specializing in “functional diagnostics”.
7. The staffing level of the Cabinet is established by the head of the medical organization in whose structure it was created, based on the volume of diagnostic and treatment work, the size of the population served and recommended staffing standards in accordance with Appendix No. 8 to the Rules for Conducting Functional Research, approved by this order.
8. The office is equipped with equipment in accordance with Appendix No. 9 to the Rules for Conducting Functional Research, approved by this order.
9. The main functions of the Cabinet are:
conducting functional studies of the central and peripheral nervous system, including ultrasound studies;
development and introduction into clinical practice of modern methods of functional diagnostics of the central and peripheral nervous system in order to improve the quality of diagnostic and treatment work of a medical organization;
ensuring interconnection and continuity in work with other diagnostic and treatment units of a medical organization when conducting functional studies of the central and peripheral nervous system;
methodological work with doctors of diagnostic and treatment units of a medical organization on the correctness and validity of issuing referrals for functional studies;
identification and analysis of the reasons for discrepancies in conclusions based on the results of functional studies of the central and peripheral nervous system with the results of other diagnostic studies, clinical and pathological-anatomical diagnoses;
submission of reports in accordance with the established procedure<1>, provision of primary data on medical activities for health information systems<2>.
Appendix No. 9
to the Rules
functional studies,
approved by order
Ministry of Health
Russian Federation
dated December 26, 2016 N 997н
STANDARD OF EQUIPMENT OF THE OFFICE FOR FUNCTIONAL DIAGNOSTICS OF THE CENTRAL AND PERIPHERAL NERVOUS SYSTEM
Appendix No. 10
to the Rules
functional studies,
approved by order
Ministry of Health
Russian Federation
dated December 26, 2016 N 997н
RULES FOR ORGANIZING THE ACTIVITY OF THE OFFICE OF FUNCTIONAL DIAGNOSTICS OF THE RESPIRATORY SYSTEM
1. These Rules determine the procedure for organizing the activities of the functional diagnostics room respiratory system(hereinafter referred to as the Office).
2. The office is created as a structural unit of a medical organization or other organization carrying out medical activities (hereinafter referred to as a medical organization), or as a structural unit of the functional diagnostics department of a medical organization.
3. In the Office, functional studies of the respiratory system are performed in accordance with the technological capabilities of the installed equipment.
4. The management of the activities of the Cabinet is carried out by a functional diagnostics doctor, appointed and dismissed by the head of the medical organization in whose structure he was created.
5. A medical worker who meets the Qualification requirements for medical and pharmaceutical workers with higher education in the field of training “Healthcare and Medical Sciences”, approved by order of the Ministry of Health of the Russian Federation dated October 8, 2015 N 707n (registered by the Ministry) is appointed to the position of a doctor of functional diagnostics of the Cabinet. Justice of the Russian Federation October 23, 2015, registration N 39438), specializing in “functional diagnostics”.
6. A medical worker who meets the Qualification requirements for medical and pharmaceutical workers with secondary medical and pharmaceutical education, approved by Order of the Ministry of Health of the Russian Federation dated February 10, 2016 N 83n (registered by the Ministry of Justice of the Russian Federation on March 9, 2016) is appointed to the position of a nurse in the Cabinet. ., registration N 41337), specializing in “functional diagnostics”.
7. The staffing level of the Cabinet is established by the head of the medical organization in whose structure it was created, based on the volume of diagnostic and treatment work, the size of the population served and recommended staffing standards in accordance with Appendix No. 11 to the Rules for Conducting Functional Research, approved by this order.
8. The office is equipped with equipment in accordance with Appendix No. 12 to the Rules for Conducting Functional Research, approved by this order.
9. The main functions of the Cabinet are:
conducting functional studies of the respiratory system; development and introduction into clinical practice of modern methods of functional diagnostics of the respiratory system in order to improve the quality of diagnostic and treatment work of a medical organization;
ensuring interconnection and continuity in work with other diagnostic and treatment units of a medical organization when conducting functional studies of the respiratory system;
methodological work with doctors of diagnostic and treatment units of a medical organization on the correctness and validity of issuing referrals for functional studies;
identification and analysis of the reasons for discrepancies in conclusions based on the results of functional studies of the respiratory system with the results of other diagnostic studies, clinical and pathological-anatomical diagnoses;
submission of reports in accordance with the established procedure<1>, provision of primary data on medical activities for health information systems<2>.
Appendix No. 11
to the Rules
functional studies,
approved by order
Ministry of Health
Russian Federation
dated December 26, 2016 N 997н
1. These Rules establish the procedure for organizing the activities of the department of functional diagnostics (hereinafter referred to as the Department).
3. The Department may create an office for functional diagnostics of the cardiovascular system, an office for functional diagnostics of the central and peripheral nervous system, and an office for functional diagnostics of the respiratory system.
4. The Department carries out functional studies in accordance with the technological capabilities of the installed equipment.
5. Management of the activities of the Department is carried out by the head of the department - a functional diagnostics doctor, appointed and dismissed by the head of the medical organization in whose structure it was created.
6. A medical worker who meets the Qualification requirements for medical and pharmaceutical workers with higher education in the field of training “Healthcare and Medical Sciences”, approved by Order of the Ministry of Health of the Russian Federation dated October 8, 2015 N 707n ( registered by the Ministry of Justice of the Russian Federation on October 23, 2015, registration N 39438) (hereinafter referred to as Qualification Requirements), in the specialty "functional diagnostics".
7. A medical worker who meets the Qualification requirements for the specialty “functional diagnostics” is appointed to the position of functional diagnostics doctor of the Department.
8. A medical worker who meets the Qualification requirements for medical and pharmaceutical workers with secondary medical and pharmaceutical education, approved by order of the Ministry of Health of the Russian Federation dated February 10, 2016 N 83n (registered by the Ministry of Justice of the Russian Federation on March 9, 2016) is appointed to the position of nurse of the Department ., registration N 41337), specializing in “functional diagnostics”.
9. The staffing level of the Department is established by the head of the medical organization in whose structure it was created, based on the volume of diagnostic and treatment work, the size of the population served and recommended staffing standards in accordance with Appendix No. 14 to the Rules for Conducting Functional Research, approved by this order.
10. The department is equipped with equipment in accordance with Appendix No. 15 to the Rules for Conducting Functional Research, approved by this order.
11. The main functions of the Department are: conducting functional research;
comprehensive use and integration various types functional studies, implementation of diagnostic algorithms in order to obtain minimal short time complete and reliable diagnostic information;
development and implementation of economically sound, clinically effective techniques functional research, new organizational forms of work;
providing advisory assistance to specialists from clinical departments of a medical organization on functional diagnostics of diseases and conditions;
implementation of measures to ensure the quality of functional studies and the correct functioning of diagnostic equipment;
submission of reports in accordance with the established procedure<1>, provision of primary data on medical activities for health information systems<2>.
<2>Part 1 of Article 91 Federal Law dated November 21, 2011 N 323-FZ (Collection of Legislation of the Russian Federation, 2011, N 48, Art. 6724).
Appendix No. 14
to the Rules
functional studies,
approved by order
Ministry of Health
Russian Federation