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RESOLUTION OF THE MINISTRY OF HEALTH OF THE REPUBLIC OF BELARUS

of September 14, 2023 No. 136

About change of the resolution of the Ministry of Health of the Republic of Belarus of June 9, 2021 No. 77

Based on parts seven, the eighth, eighteenth and twenty third article 34 of the Law of the Republic of Belarus of June 18, 1993 No. 2435-XII "About health care", Item 12 of the Regulations on medico-rehabilitation commissions of experts, the paragraph two of part one of Item 13 of the Regulations on conducting medico-social examination approved by the resolution of Council of Ministers of the Republic of Belarus of June 3, 2021 No. 304, of subitem 8.37 of Item 8 and subitem 9.1 of Item 9 of the Regulations on the Ministry of Health of the Republic of Belarus approved by the resolution of Council of Ministers of the Republic of Belarus of October 28, 2011 No. 1446, the Ministry of Health of the Republic of Belarus DECIDES:

1. Bring in the resolution of the Ministry of Health of the Republic of Belarus of June 9, 2021 No. 77 "About questions of conducting medico-social examination" the following changes:

1.1. in appendix 1 to this resolution:

to state subitem 2.10 of Item 2 in the following edition:

"2.10. permanent kanyulenositelstvo owing to throat disease, including its resection or absence;";

in Item 3:

state subitem 3.7 in the following edition:

"3.7. amputating stump of one upper extremity at the level distalny shoulder joint;";

exclude subitem 3.13;

1.2. in appendix 2 to this resolution:

in Item 1:

to exclude from the column "Criteria of Establishment of Disability" of the word "concerning life on the near future" and "to this resolution";

state the column "Note" in the following edition:

"absolutely adverse kliniko-labor forecast is determined in case of availability at the patient of the fast-progressing irreversible disease with possibly absolute failure within the closest three years of life

in case of sharply expressed restriction of capability to self-service to control the behavior to the patient need for permanent care is determined

the syndrome of mutual burdening and syndrome of social compensation when carrying out MSE at the same time are not applied

the kliniko-labor forecast is specified only if it is criterion of establishment of disability

the term of disability is established on the last date in which the direction for medico-social examination is registered";

in Item 2:

to exclude from the column "Criteria of Establishment of Disability" of the word "to this resolution";

state the column "Note" in the following edition:

"in case of the expressed restriction of capability to self-service to the patient need for the permanent help is determined

the doubtful kliniko-labor forecast is determined at patients in connection with protivopokazannost of labor activity (FC 4) for the purpose of exception of negative impact of factors of labor process, conditions and nature of work on nature and outcome of disease, and also in case of need long-term treatment and the subsequent rehabilitation

the syndrome of mutual burdening and syndrome of social compensation when carrying out MSE at the same time are not applied

the kliniko-labor forecast is specified only if it is criterion of establishment of disability

the term of disability is established on the last date in which the direction for medico-social examination is registered";

in Item 3:

to exclude from the column "Criteria of Establishment of Disability" of the word "to this resolution";

state the column "Note" in the following edition:

"rather adverse kliniko-labor forecast is determined at the patient in cases of need moderated (FC 2) of restriction of capability to labor activity for the next 2 years for the purpose of reduction of influence of adverse production factors and working conditions of the patient by current and favorable termination (improvement, recovery) of disease, irrespective of extent of restrictions (FC) of other categories of life activity

the syndrome of mutual burdening and syndrome of social compensation when carrying out MSE at the same time are not applied

the kliniko-labor forecast is specified only if it is criterion of establishment of disability

the term of disability is established on the last date in which the direction for medico-social examination is registered";

1.3. in appendix 3 to this resolution:

in Item 1:

"To exclude criteria of establishment of category "handicapped child" of the word "to this resolution" from the column;

to exclude from the column "Note" of the word "concerning life on the near future";

"To exclude criteria of establishment of category "handicapped child" of Item 2 of the word "to this resolution" from the column;

in Item 3:

in the column "Criteria of establishment of category "handicapped child":

the paragraph one after words "one of" to add with the word of "basic";

exclude the words "to this resolution";

to add the column "Note" after words of "labor activity" with words "(capabilities to training at persons aged up to 14 years)";

in item 4:

the paragraph one of the column ""One of" to add criteria of establishment of category "handicapped child" after words with the word of "basic";

to exclude from the column "Note" of the word "the syndrome of mutual burdening and syndrome of social compensation when carrying out MSE at the same time are not applied";

1.4. in appendix 4 to this resolution:

in Item 1:

to state the column "Note" of subitem 1.1 in the following edition:

"in the presence of the bases for simultaneous establishment of several reasons of disability that reason of disability which availability guarantees to the disabled person provision of more wide range of measures of social protection (support), or at the choice of the disabled person or his legal representative is established

the reason of disability changes in case of provision of the documents allowing to change it to one of other reasons of disability

the reason of disability changes from the date of provision in medico-rehabilitation commission of experts (further – MREK) the documents necessary and sufficient for change of the reason of disability, except for the reasons of disability specified in subitems 1.3-1.6 of this Item
in case of determination of extent of disability in connection with the road accident at the request of insurance company or extent of loss of professional (general) working capacity is by a court decision determined";

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